Transcript Highlights:

• And if Google and AI are buying places like, and looking to buy more, Three Mile Island after all these
• and now the trend is down, and I'm excited for the next four years. called nuclear and if Google and AI
• are called nuclear and if Google and AI are buying<03:24:06.399><c> places</c><03:24:06.920><c> like

Keywords: 928, house, all

Summary: The committee met in a work session on revenue estimates and reviewed updated spreadsheet pages for several tax categories, using prior agreements and new testimony to refine FY 2025-2027 estimates. Early discussion covered insurance tax estimates, where members reviewed a letter from the insurance commissioner saying he was comfortable with the numbers provided; the committee accepted those estimates without opposition. Members also discussed utility property tax, with testimony about recent infrastructure buildout, tariffs, depreciation, and the difficulty of forecasting future growth. After debate over whether to use the average of high and low estimates or lean lower, the committee unanimously adopted the utility property tax numbers. The committee then turned to real estate transfer tax and communications tax. For real estate transfer tax, members cited county input, housing market conditions, interest rates, lumber costs, and uncertainty about future policy; they agreed to use the averages and adopted those estimates unanimously. For communications tax, members noted the decline in landline-based revenue and the shift to data services. After discussion of whether to use the low estimate or the average, the committee settled on the average with a small rounding-down adjustment when the figure ended in .5, and adopted the numbers unanimously. The chair also clarified that these estimates remain subject to change until the final resolution is adopted. The committee next accepted interest and dividends estimates as presented, with members noting the decline in that revenue source and the lack of additional information beyond the department’s analysis. Finally, the committee began discussing tobacco tax revenue, with members noting long-term declines in smoking, offsetting effects from out-of-state sales, and a suggestion to take a slightly conservative approach by reducing the average by 0.5. The transcript cuts off during that discussion, so no final vote on tobacco is shown in the excerpt.

Transcript Highlights:

• And you know, we'll see, we're hoping we're moving towards integrated employment right now. he's a senior
• I am the community integrated employment coordinator at DellRogers Training Center and I'm also the with
• means that they are fully integrated into community businesses and that they pay minimum wage or higher
• And, oh, by the way, they have to have the desire to work in competitive integrated employment.
• And, let's say that they are successful in reaching that goal and they pursue competitive integrated

Keywords: 914, all

Transcript Highlights:

• Safety management systems, intermodal integration and other advanced air mobility infrastructure that
• And I think thinking about integrating into our ecosystem in our aviation ecosystem in that way.
• withdrawn integration.
• But there needs to be community integration without community acceptance.
• But to do that, you need community integration, right?

Keywords: 999, senate, all

Transcript Highlights:

• </c> number of different program integrity number of different program integrity measures<00:46:16.400
• There were a program integrity work.
• </c> words like fraud and program integrity words like fraud and program integrity and<01:08:39.960><
• </c> have a a lengthy program integrity have a a lengthy program integrity playbook,<01:26:27.000><c>
• </c> legislation on program integrity. legislation on program integrity.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• How can you help us come up to speed and integrate that into our work?
• environmental justice into our state agencies by integrating it in ways we're talking about.
• Strategic planning, I think, has been integrated early on.
• The ultimate goal is for the work to be integrated into how our agency is making decisions.
• The strategic plan, which also integrated environmental justice goals.

Summary: The House Agriculture and Natural Resources Committee held a work session on HEAL Act implementation, beginning with an orientation from Environmental Justice Council member David Mendoza. He described the law’s purpose as integrating environmental justice into agency decision-making, community engagement, tribal consultation, strategic planning, and environmental justice assessments, with the goal of reducing environmental health disparities and improving accountability to communities and tribes. He also discussed the council’s role, the interagency work group, challenges with limited volunteer and agency capacity, and concerns about inconsistent assessment formats and future funding pressures. Committee members asked about council composition, including the balance of tribal, community, business, and other representation, whether the HEAL Act increases permitting time or costs, how “overburdened” and “vulnerable” populations are defined, and whether the council should be refreshed or audited. Mendoza said the statute is not limited to racial categories and can include rural and low-income communities, that the council has not quantified permitting delays, and that there is no formal audit requirement, though the council is discussing how to improve its work. Members also raised questions about the relationship between the Environmental Justice Council and the Office of Equity, with Mendoza saying the bodies are complementary but should coordinate more closely. The Department of Agriculture then reported on its HEAL Act work. Director of Equity and Environmental Justice Nicole Johnson said WSDA conducts environmental justice assessments for significant actions, applies an equity lens to licensing, funding, rulemaking, and strategic planning, and has completed 11 EJ assessments to date. She highlighted pesticide regulation, animal health, and weights-and-measures work as examples of environmental and economic justice, and said the department recently hired a full-time tribal consultant and has only 1.5 FTE supporting HEAL implementation. Members asked whether WSDA’s assessments apply to its role on boards such as the Forest Practices Board; Johnson said the department’s current understanding is that assessments are conducted on agency work. The Department of Natural Resources then presented on its HEAL Act implementation, focusing on strategic planning, community engagement, tribal consultation, environmental justice assessments, and equitable funding. DNR officials said environmental justice is being embedded in the agency’s 2025-2029 strategic plan, in its Community Access and Impact Plan, and in its advisory committee and board representation efforts. They reported conducting EJ assessments for sustainable harvest calculations, agency request legislation, and a prescribed burn manager certificate program, and said DNR has invested about $130 million in overburdened communities and vulnerable populations in fiscal year 2025 through wildfire resilience, youth education, and urban forestry programs. Committee members pressed DNR on how it identifies impacted communities, why landowners were not more visible in the process, how agency-request legislation is being assessed, and whether assessments are required for actions taken through other boards and commissions. DNR said its current interpretation is that assessments apply to internal agency actions, that some notices may appear on OFM’s notices page rather than the completed-assessments dashboard, and that it would follow up on specific questions about its posted assessments and process.

Transcript Highlights:

• Sandy Topete, part of ICC Community Integrated, in support.
• Josephine Romo from ICC Integrated Community Collaborative, in support.
• I'm a mother of a young adult with autism, and I'm an integrator of the Integrated Community Collaborative
• And we have had increased program integrity measures.
• And we have had increased program integrity measures.

Keywords: 987, senate, all

Transcript Highlights:

• So I say this because it should be normative that this should be integrated, but it is not.
• Dental EMRs are not integrated with medical EMRs at a rate that we would be happy about.
• Integrated care that by default includes dental, right?
• That may be under data integration and what our portal can and can't do.
• That's where I would recommend the data integration, so I defer to the chairs on when.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• The program integrity space and focus on foundational pillars such as program integrity are essential
• But if I, you know, have to speak to your question, let's take program integrity.
• And I see some of this stuff when you're talking about the program integrity.
• Really hitting some fun topics, program integrity and budget.
• But I just want to thank you all for, some fun topics, program integrity and budget.

Summary: The Senate Health and Welfare Committee approved the January 26 and January 27, 2026 minutes, then took up the gubernatorial appointment of Juliet Sharon as director of the Idaho Department of Health and Welfare. Sharon described her background in public health and Medicaid administration in Arizona, Texas, and Idaho, and outlined her priorities if confirmed: program integrity, efficient operations, clearer outcome measures, child welfare, disability services, and resolving long-running class action lawsuits. Senators asked about measurable goals, balancing compassion with fiscal responsibility, audit findings, and collaboration with the disability community. Sharon said she expects to more than double program integrity recoveries, that audit findings are being addressed through corrective action plans rather than firings, and that disability collaboration should be embedded in daily operations. Committee members also discussed Idaho’s influence on federal policy and Medicaid administration. No vote on the appointment was taken in the portion provided. The committee then heard a lengthy Medicaid budget presentation focused on the Department’s supplemental request for state fiscal year 2026 and line-item requests for 2027. Sharon and Deputy Director/State Medicaid Director Sasha O’Connell explained that the supplemental request was driven by caseload growth, especially in traditional Medicaid, adult disability services, and youth/adult behavioral health, along with federally required rate and system changes. They also reviewed the impact of the governor-directed 4% provider rate reduction and the ending of some adult behavioral health services, saying the department had already been tracking budget sustainability before the executive order. O’Connell said the rate cuts drew the most public comment the agency has ever received, especially from home- and community-based providers, and that access monitoring is being developed to track whether services remain available. For 2027, the department requested funding for MMIS procurement, estate recovery, additional procurement staff, Medicaid admin reductions, and population forecast adjustments. Sharon said the MMIS modernization is on pause because of litigation over a major contract award, but other modules are moving forward. She also said estate recovery is underperforming and could bring in more general funds with contractor support. The committee discussed pharmacy costs and a possible Medicaid copay under House Bill 345, with Sharon saying implementation is underway and O’Connell noting savings estimates are still being developed. Senators also asked about expansion Medicaid growth and whether it affects other eligibility groups; Sharon said expansion growth is leveling off and that recovery rules apply to any Medicaid member receiving long-term care services. The meeting ended without any budget votes in the excerpt provided.

Transcript Highlights:

• Goal D focuses on integration.
• This integration is high-acuity work.
• an integrated system, we know where to braid, not blend, funding.
• And so as we look from an integrated system, we know where to braid, not blend, look from an integrated
• It is a system that has never integrated what we do.

Keywords: 988, house, all

Transcript Highlights:

• This is an integral part of that system.
• We integrate public health, human times.
• </c><00:05:22.720><c> Citizens</c> integral part of that system.
• Citizens integral part of that system.
• And then I just wondered, the sections that deal with data and systems and integration.

Keywords: 1187, senate, all

Transcript Highlights:

• So, in order to do that, we're doing something called an integration layer.
• </c> something called an integration layer. something called an integration layer.
• </c><00:03:26.200><c> layer</c> look forward to that integration layer look forward to that integration
• She is integral to this work.
• She is integral to this work.

Keywords: 1183, house

Transcript Highlights:

• They can hold onto employment and socially integrate.
• Are they integrated with the rest of the population?
• They're integrated with the rest of the population.
• What are the integrated classes?
• So our integrated classes...

Summary: The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning. Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council. The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.

Transcript Highlights:

• They can hold onto employment and socially integrate.
• Are they integrated with the rest of the population?
• They're integrated with the rest of the population.
• What are the integrated classes?
• So our integrated classes...

Keywords: 1204, all

Transcript Highlights:

• It's conditioned on personal integrity at all times.
• Such conduct directly undermines public confidence in the integrity of the gaming industry, which depends
• The integrity of the gaming industry depends on strict regulation and trustworthiness of its participants
• on strict regulation and trustworthiness. integrity of the gaming industry, which depends on strict
• Therefore, for these Regulation and preserve the integrity of the industry.

Summary: The Louisiana Gaming Control Board met on January 15, 2026, and first approved the minutes from its December 18, 2025 meeting. Staff then reported strong December gaming revenues across riverboats, Caesars New Orleans, racetrack slots, video gaming, sports wagering, and daily fantasy sports, with several categories showing month-over-month and year-over-year increases. Board members noted the overall growth in the industry and did not raise questions on the revenue report. The board next approved a temporary certificate of compliance extension for Bally’s Shreveport Casino and Hotel. Officials said most life-safety deficiencies from the annual inspection had been corrected, and the remaining issue involved the emergency generator, which had recently been repaired and tested successfully, though a final verification inspection was still pending. The temporary certificate was extended through February 28, 2026. The board also approved a $1,500 settlement with MPL Enterprises for late submission of required annual forms and fees. In the final agenda item, the board heard an appeal from Thomas Rasko challenging the revocation of his non-key gaming employee permit. Rasko acknowledged the underlying violation and asked for a shorter penalty, while the Division argued his conduct during an arrest showed he lacked the suitability required for gaming participation. The board voted to affirm the hearing officer’s decision, revoking his permit and finding him unsuitable to participate in Louisiana’s gaming industry, and then adjourned.

Transcript Highlights:

• And since we've had this conversation about how to increase program integrity and where we're finding
• What does real program integrity look like when built correctly?
• What does real program integrity look like when built correctly?
• </c> underlying integrity issues. underlying integrity issues.
• What does real program integrity like?

Keywords: 1183, house

Transcript Highlights:

• Sandy Topete, Senator Peta, part of ICC Community Integrated, in support.
• Josephine Romo from ICC Integrated Community Collaborative, in support.
• I am also an advocate with the Integrated Community Collaborative, ICC.
• Rubi Saldana, ICC integrator. Thank you.
• And we have had increased program integrity measures.

Summary: The Senate Human Services Committee heard several bills focused on developmental disabilities, food security, veterans, aging services, child care, and elder abuse reporting. SB 969 by Senator Reyes would make remote services for people with intellectual and developmental disabilities a permanent option; supporters said virtual programming improves access, continuity, and choice, and there was no opposition. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, and develop a 24-hour hotline; committee members raised questions about duplication, metrics, and oversight, but the bill advanced after discussion. SB 1052 by Senator Gonzalez would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with disabilities are not left without support if a family member becomes unavailable; supporters described immigration enforcement, illness, and family separation as reasons for the bill, and members discussed administrative burden and renewal procedures before the bill passed. SB 1077 by Senator Gonzalez would require CDSS to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency food assistance mechanism; members discussed how it would work with existing CalFresh administration, and the bill passed. SB 1201 by Senator McNerney would seek federal waivers to protect vulnerable veterans from new SNAP work requirements and require referrals to county veterans service officers; supporters said the federal cuts would harm homeless, newly discharged, and disabled veterans, and the bill passed. SB 1261 by Senator Laird would let aging and disability resource centers continue operating through partner transitions so services would not be interrupted; supporters emphasized continuity of care and the bill passed. SB 1110 by Senator Becker would revise child care subsidy funding and stabilization rules for alternative payment programs and community providers; supporters said the current reimbursement structure is outdated, and the bill passed after the author said a budget-related provision would be removed. The committee also later voted SB 969, SB 1052, SB 1077, SB 1201, SB 1261, and SB 1110 out of committee, with the bills kept on call for absent members, and began hearing SB 991 on elder abuse reporting, where supporters argued that licensing records should distinguish abuse from lesser resident-rights violations so families and policymakers can better understand facility conduct.

Transcript Highlights:

• That's integrated into the call-taking system.
• And this really brings the integration.
• Again, these services being integrated with 988 are essential.
• mobile crisis and integrate 988.
• in mobile crisis and integrate in 988.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• I think one of the coaches plugged into ChatGPT and said, if everybody goes to AI of one kind, if you're
• And whereas the University of New Mexico Health Sciences Center is the state's largest integrated healthcare

Summary: The Senate convened with a quorum, heard an invocation from Rabbi Jack Stocker for New Mexico’s first Jewish Community Day at the legislature, and then proceeded with the Pledge of Allegiance, Spanish pledge, flag salute, and national anthem. Early floor business included unanimous-consent approvals for cameras on the floor and in the gallery, a relaxed dress code for guests, and an excuse for Senator Hickey. Majority Floor Leader Peter Wirth noted it was the last day for bill introductions and reviewed the day’s observances and receptions, including Multiple Sclerosis Advocacy Day, Jewish Community Day, Santo Domingo Pueblo Day, Lincoln County Day, and UNM Day. A large portion of the meeting was devoted to honoring the Artesia Bulldogs football team, recognized for winning another state championship and for their long record of success. Senators and coaches praised the team’s resilience, community support, and the role of local fundraising and school support in sustaining athletic excellence. The Senate also observed a moment of silence for New Mexico State Police Officer Darien Jarrett on the fifth anniversary of his death in the line of duty, with Senator Brantley speaking about Jarrett’s service and the impact of his loss on law enforcement and the region. The chamber then celebrated UNM Day with a formal certificate recognizing the University of New Mexico’s role as the state’s flagship university, its enrollment, degrees awarded, research, patents, health sciences, and hospital services. Multiple senators spoke in support, emphasizing UNM’s impact on education, health care, public service, first-generation students, and athletics, and several introduced guests from UNM programs and leadership. The Senate also read and adopted a certificate recognizing Dr. V. Sue Cleveland for 32 years leading Rio Rancho Public Schools, with members praising her role in building the district and supporting its growth and success. Later, the Senate recognized Valencia County Day and Hidalgo County Day, with senators highlighting each county’s history, economic development, agriculture, transportation, and community identity, and introducing local officials, business leaders, and youth honorary lieutenant governors. Additional floor remarks honored nurses and health care professionals tied to Lincoln County Day and related observances, with senators introducing guests from nursing, education, and hospital settings and emphasizing the importance of the nursing workforce and rural health care.

Transcript Highlights:

• The Texas DMV maintains the authority regarding the integrity of the vehicle titling process for fraud
• And then we engaged a technical resource group of the AI.

Bills: HB2065, HB2462, HB2621, HB3187, HB3539, HB3563, HB3726, HB4164, HB4207, HB4368, HB4706, HB4916, HB4950, HB4967, HB5177, HB4429, HB5597

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government

Transcript Highlights:

• </c><00:19:39.120><c> model</c> enrolled in that dual integrated model enrolled in that dual integrated
• </c><00:21:22.200><c> Pace</c> um existing staff um to integrate Pace um existing staff um to integrate
• </c> benefit of that history of integration benefit of that history of integration and<00:23:57.960><
• </c><00:37:24.800><c> dual</c> already has a a fully integrated dual already has a a fully integrated
• </c> looking nationally with fully integrated looking nationally with fully integrated models<00:54:06.000

Keywords: 1183, house