Transcript Highlights:

• Dallas fully provides municipal...
• In this version of the bill, it provides that a city couldn't provide certain... services or the city
• What that law also provides is that when a city goes out to provide those services, it needs to provide
• The existing law already provides.
• This bill only requires the cities to provide the same services. that they provide to other citizens

Bills: HB602, HB1322, HB1930, HB2225, HB2304, HB2494, HB3275, HB3810, HB3919

Keywords: affordable housing, land use, zoning, urban planning, community development, housing crisis, mixed-use development, sustainability, municipal utility district, board of directors, qualifications, land ownership, Texas, taxation, residency, municipal approval, subdivision plans, local governance, plats, local government

Transcript Highlights:

• , and they provide these same services in that county.
• , and they provide these same services in that county.
• They can bill us for the services they provide. on their behalf for the provider to pick up and take
• They provide adult education services to our Kansans.
• They can bill us for the services they provide to SNAP employment and training provider.

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• Instead of going to the provider that I went to, I would know that I needed to go to the other provider
• This provider could be in or out of network.
• It doesn't provide and require the provider to know who just got kicked out of network the day before
• And AHCA contracted with providers and would pay those providers directly under what we call fee-for-service
• a capitated rate, a set amount per person, and then those plans contract with providers to provide that

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• </c><00:06:19.840><c> do</c> which Physicians and other providers do which Physicians and other providers
• </c> be testifying shortly and provide be testifying shortly and provide further<00:18:44.000><c> details
• So I'll provide some limited information. I just wanted to provide a little bit.
• </c><00:58:39.559><c> to</c> of the service and care we provide to of the service and care we provide
• “These manuals are used to provide guidance to providers on a wide range of issues.

Keywords: 1191, senate, all

Transcript Highlights:

• So I also hear on the other side from providers that we're not providing CBCs with adequate funds so
• But we have talked to the providers, and we've heard the same comment as well, is that the provider is
• So we, I also hear on the other side from providers that we're not providing CBCs with adequate funds
• But we have talked to the providers, and we've heard the same comment as well, is that the provider is
• It is expectation that the provider will provide a goal of 30 per month. That's one adoption a day.

Keywords: 999, senate, all

Transcript Highlights:

• Is technical assistance provided?
• We’ll provide some additional data.
• investment was able to provide.
• Can you provide some specific examples of how this tool would, Can you provide some specific examples
• investment was able to provide.

Keywords: 987, senate, all

Transcript Highlights:

• We continue to have 16 with 141 sites and 620 providers. Providers.
• Each month you can see providers added, providers terms.
• So we have eight providers, new providers, or eight providers currently new to the pediatric piece of
• And if not by provider, then by provider type.
• And if not by provider, then by provider type.

Keywords: 962, all

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• WE PROVIDED THOSE RULES TO YOUR STAFF ON FRIDAY AS PART OF OUR RESPONSE LETTER.
• I THINK THAT WE WOULD BE PROVIDING MINIMUM STANDARDS FOR THE WATER MANAGEMENT DISTRICT.
• EXAMPLE MANY AREAS CAN PROVIDE UP TO 43% REMOVAL OF TOTAL NITROGEN.
• IT ALSO HINGES UPON GOING THROUGH AND PROVIDING AN ANALYSIS OF PRE-IMPOSED CONDITIONS.
• TAB THREE PROVIDED WITH THE PACKET.

Keywords: 999, senate, all

Transcript Highlights:

• So if this information is being provided and this bill is asking them to provide the information, and
• they're currently providing the information to the state... ...is asking them to provide the information
• , and they're currently providing the information to the state, and the state is currently providing
• This is about providing transparency.
• to... ...to provide services?

Keywords: 989, all

Transcript Highlights:

• </c> state systems as well as provider state systems as well as provider systems<00:36:41.320><c> as<
• is maintained as a referral from a provider sending and a provider receiving the referral.
• So, if I was a provider and Marissa was a provider, the two of us would be able to see it if you as a
• to that provider group, then the system on the back end says this provider group has access to this
• So, we have housing providers. We have food service providers.

Keywords: 1189, house, all

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• The provider costs have increased.
• and lawfully authorized provider.
• and lawfully authorized provider.
• or not provide.
• As anesthesia providers, we provide nearly three quarters of the anesthesia provided in an outpatient

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• We provide the funding so that they can provide families with manipulatives or other things that they
• Chairman, Senator Stewart, online students were provided instruction through our online provider, and
• to provide those services.
• In our opinion, we were trying to get the provider to offer those services, to provide other opportunities
• We don't do enough in terms of providing.

Transcript Highlights:

• , or providing greater access to pro bono and legal firms. ...specialized needs of veterans, to providing
• VSOs for communities provide a...
• We provide emergency housing. We provide mental health services, legal services...
• We provide emergency housing.
• What funding loss means is the inability to provide meals, the inability to provide shelter so that veterans

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• :02.960><c> provide</c><00:27:03.600><c> service</c><00:27:04.000><c> in</c> suburban providers uh provide
• The council provides 91% of service, and then the other providers as shown on this slide provide the
• </c> not provided by Metro Transit? not provided by Metro Transit?
• </c><00:36:19.280><c> that</c><00:36:19.599><c> provides</c> entity, a private provider that provides
• </c> providers in 2026. providers in 2026.

Bills: HF4693

Keywords: transportation, license plates, validation stickers, replacement fees, government fees, 1183, house

Transcript Highlights:

• who provide fuel that falls under that exemption and is cheaper.
• who provide fuel that is it that falls that exemption and is cheaper.
• A more detailed explanation of current PAL programs is provided in the bill.
• providers in 38 of our 39 counties.
• increase Medicaid rates to Medicare levels, which would provide better reimbursement for providers and

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• </c> provider shortage and a provider provider shortage and a provider malistribution<00:11:26.240><c
• </c> to be treated by the medical providers to be treated by the medical providers to<00:11:37.600><c
• </c> law as it is a healthcare provider law. law as it is a healthcare provider law.
• </c> will be provided services. will be provided services.
• We can provide paper titles, but they will be provided for a fee.

Keywords: 958, all

Transcript Highlights:

• So we provided $5 per day for that.
• Section 30 is the provider rate increase, so all the various providers in the Department of Human Services
• The services that would be provided in those homes are being provided for the people who would become
• provide funding for that.
• A provider inflationary increase is the increase we provide to clinics, professional services, medical

Keywords: 908, all

Summary: The committee first took up House Bill 1012, the Department of Health and Human Services budget. Senator Dever walked through the amended budget, highlighting a roughly $5.85 billion all-funds total, major one-time items for IT, child care, housing, behavioral health, juvenile justice, rural EMS, and supportive housing, along with funding for Medicaid expansion, CCBHCs, opioid settlement uses, and several studies and reporting requirements. Members discussed the provider inflation increase, with Senator Mathern urging a 2%/2% rate instead of 2%/1.5%, but the committee adopted the subcommittee amendment and then passed the amended bill 15-0 with a do-pass recommendation. Senator Dever was named as carrier. The committee then considered House Bill 1540, a school choice/education savings account-style bill. Senator Shibley explained the subcommittee amendments, including clarifying the Bank of North Dakota as administrator, adding a means test at 400% of the federal poverty guideline, and adjusting the fiscal note to about $21.7 million for the second year. In debate, members raised concerns about the bank being assigned duties outside its normal role, the lack of DPI involvement, and whether the means test should be tiered rather than a hard cutoff. The committee rejected a do-not-pass motion 5-10-1, then approved a do-pass motion on the amended bill 9-6-1, with Senator Wobama noted as the likely carrier. The meeting ended with the chair announcing the committee would adjourn and reconvene the next morning.

Transcript Highlights:

• County indigent care cannot provide the same benefits, provider access, or continuity of care as Medi-Cal
• I heard it would decrease provider access, continuity of care, and provide a basic level of care.
• I heard it would decrease provider access, continuity of care, and provides a basic level of care.
• Can we provide anything beyond that?
• We have providers.

Keywords: 988, house, all

Transcript Highlights:

• My name is Manju, and I'm a child care provider with CCPU.
• I'm a family child care provider from Orange County.
• I am a family child care provider in Sacramento County.
• I am a 24-hour child care provider.
• I'm a provider from Los Angeles County. I've been a child care provider for 17 years.

Summary: The committee heard several child welfare, food assistance, child care, and developmental services bills. AB 308 would require a statewide evaluation of regional center safety training and crisis-response services for people with intellectual and developmental disabilities; supporters said it would help reduce reliance on law enforcement and improve de-escalation and emergency preparedness. AB 1049 would remove sponsor deeming from the California Food Assistance Program, with supporters from food banks and legal aid arguing the rule creates confusion, chilling effects, and wrongful denials, while one member raised concerns about accountability and fraud. AB 1201 would narrow when a parent’s prior violent felony can bar reunification services, limiting the bypass to offenses involving a child or a child’s other parent/guardian; county and advocacy witnesses said the bill preserves judicial discretion and avoids automatic denials, though a member expressed concern about child safety in violent or criminal environments. AB 2379 would require family child care providers to be notified of constitutional rights and receive multilingual training regarding immigration enforcement; it drew broad support and no opposition. AB 2429 would make ACEs screening optional and reduce required classroom observations in the early childhood mental health consultation program, with supporters saying it would reduce administrative burdens and expand participation. AB 1755 would eliminate CalWORKs’ 100-hour monthly work penalty for two-parent families, and supporters said it would reduce poverty and administrative burden without changing income eligibility. AB 1981, presented later, would advance “true cost of care” child care rate reform, with providers describing the current reimbursement system as unsustainable. AB 2478 would create a streamlined kinship family approval pathway for foster care placements with relatives and other kin, and AB 1969 and AB 1996 would create statewide structures to coordinate cradle-to-career services and reduce child poverty, respectively; both were presented as data-driven, place-based efforts to align services and set measurable reduction goals. Most bills received strong support from county agencies, advocacy organizations, and service providers, with little or no opposition testimony. Members generally praised the goals of the measures but asked questions about implementation, accountability, and child safety in the reunification and benefits bills. The committee took roll calls on the bills it heard, and the votes shown in the transcript were largely unanimous or near-unanimous, with several measures held on call after passing committee votes. AB 1049 was voted out 2-1, AB 1201 and AB 2379 were each voted out 3-0, AB 2429 and AB 1755 were voted out 2-0, and AB 2478, AB 1969, and AB 1996 were each voted out 2-0; the chair repeatedly noted that some bills would remain on call pending absent members. AB 1981 drew extensive support testimony from child care providers and allies, but the committee did not take a final vote in the portion of the transcript provided because no motion was available at that moment.

Transcript Highlights:

• It provides relative to vaccination status and admission to public buildings, to provide for individual
• rights regarding medical decisions, to provide for definitions, to provide for the prohibition of medical
• president of the board, to provide for the executive staff of the board, and to provide for related
• a procedure for filing vacancies of the board, to provide for the president of the board, to provide
• provide for related matters.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.