Video & Transcript Research : 'CMS'

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MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/03/26

Commerce and Consumer Protection

Transcript Highlights:
  • And we have seen at the federal level CMS has even put on a bulletin talking about how the claims data
  • And we have seen at the federal level CMS has even put on a bulletin talking about how the claims data
  • And we have seen at the federal level CMS has even put on a bulletin talking about how the claims data
  • And we have seen at the federal level CMS has even put on a bulletin talking about how the claims data
  • And we have seen at the federal level CMS has even put on a bulletin talking about how the claims data
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/04/26

Health and Human Services

Transcript Highlights:
  • <00:59:45.040> they<00:59:45.200> allowed<00:59:45.440> their<00:59:45.599> CMS
  • Have they allowed their CMS discussion.
  • Have they allowed their CMS star<00:59:46.400> ratings<00:59:46.720> to<00:59:46.880>
  • mentioned earlier, no excessive price increases, no neglect of facility maintenance, and no decline in CMS
  • mentioned earlier, no excessive price increases, no neglect of facility maintenance, and no decline in CMS
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 9/17/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • We began engaging MCOs and CMS to investigate this in the spring of '24. as well as to continue keep
  • We began engaging MCOs and CMS to investigate this in the spring of '24.
  • to terminate that decision to uh ask CMS to terminate that program. program. program.
  • , and CMS ultimately will work with us to determine what the final date is. >> Thank you.
  • Um, and then on August 1st I asked CMS to terminate housing stabilization services.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 02/05/25

Human Services

Transcript Highlights:
  • a housing support rate add-on for individuals who cannot live with others; requesting a waiver from CMS
  • a housing support rate add-on for individuals who cannot live with others; requesting a waiver from CMS
  • a housing support rate add-on for individuals who cannot live with others; requesting a waiver from CMS
  • We have further clarified with CMS that this is the case.
  • letter from CMS um that was issued to letter from CMS um that was issued to all<01:34:31.040> the<
Keywords: 1187, senate, all
AZ

Arizona 2026 Regular Session

02/16/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • entities; HB 4134, fire service station fund; HB 4135, income tax credit; HB 4136, unlawful entry; 8 CM
  • HB 4136, unlawful entry; 8 CM 2017 Major Richard Star Act; HCR 2015, technical correction; HCR 2059,
Keywords: 1182, all
Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and introductions of the doctor of the day and numerous guests, including visitors for Lunar New Year, Arizona Statehood Day, school groups, local officials, and community leaders. A proclamation was read honoring Phoenix Ballet and National Ballet Day, and Representative Gress spoke in support of the recognition. The chamber also received committee and membership announcements, including temporary committee substitutions and several bills being re-referred or withdrawn to other committees. On third reading, HB 2190, which would have added Article 5 to Title 32 relating to the Arizona Regulatory Board of Physician Assistants, failed after debate over whether it improperly authorized rulemaking; it was defeated 20-38 with two not voting. The House then took up HB 2206, relating to Supplemental Nutrition Assistance Program administration, and HB 2396, another SNAP-related bill focused on restricting certain purchases. Members debated the bills at length, with opponents arguing they would burden low-income families, worsen food access in desert areas, and limit personal choice, while supporters said the state should encourage healthier purchases and that existing public benefit programs already include restrictions. HB 2396 passed 34-25 with one not voting and was sent to the Senate. After announcements, including committee meetings, an African-American Legislative Day program, and a birthday acknowledgment for the Majority Leader, the House briefly recessed and then reconvened. Additional desk business was handled, including a first reading of HB 2999, a municipal approval district technical correction bill, and the referral of first-read measures for printing. The House then adjourned until Tuesday, February 17, 2026.
KY
Transcript Highlights:
  • And lastly, Kentucky veteran centers have demonstrated high CMS quality-of-care ratings both in medical
  • Sometimes CMS reimbursements can cover the cost of care for residents, but not all residents qualify.
  • <00:42:41.520> Sometimes<00:42:42.079> CMS total cost of care.
  • Sometimes CMS total cost of care.
  • Sometimes CMS reimbursements<00:42:43.200> can<00:42:43.440> cover<00:42:43.680> the
Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.
KY
Transcript Highlights:
  • We work closely with our CMS partners, with our HHS OIG partners.
  • We are in regular communication with CMS and with HHS OIG.
  • We work closely with our CMS partners, with our HHS OIG partners.
  • We are in regular communication with CMS and with HHS OIG.
  • We are in regular communication with CMS and with HHS OIG.
Keywords: 958, all
Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/12/2025)

Health and Human Services

Transcript Highlights:
  • The first page of the binder is the CMS definition of activities of daily living.
  • She needs a motorized scooter and a new CM. The old CM was not...
  • <01:14:32.480> the<01:14:32.600> old<01:14:32.840> CM<01:14:33.400> was
  • c><01:14:33.639> not scooter and a new CM the old CM was not scooter and a new CM the old CM was
  • definitions of ADLs according to the CMS definitions of ADLs that<01:15:07.239> should<01:15:
Keywords: 1191, senate, all
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 17th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • Also, we are owed almost half a billion dollars from CMS because they haven't paid our lot of matching
  • So under the proposal, we would be submitting to CMS renewal of our existing managed care tax.
  • We understand that CMS has changed the rules on the states.
  • This MCO tax has not been very popular with CMS all the way back, starting with the Obama administration
Keywords: 987, senate, all
HI

Hawaii 2026 Regular Session

PBS Public Hearing - Fri Jan 30, 2026 @ 11:00 AM HST

Public Safety

Transcript Highlights:
  • governor's and in the package that we introduced that is tentatively funded, we'll find out for sure from CMS
  • out<00:40:24.320> for<00:40:24.480> sure<00:40:24.640> from<00:40:24.800> CMS
  • <00:40:25.760> is<00:40:26.079> the we'll find out for sure from CMS is the we'll find
  • out for sure from CMS is the centralized<00:40:26.880> medcom<00:40:27.440> center<00:
Summary: The Committee on Public Safety held its first hearing and began with House Bill 1531, which would require the governor or county mayor to provide an ASL interpreter during official emergency announcements broadcast on television or the internet, ensure the interpreter is visible, and require news outlets to show the interpreter in a picture-in-picture window. Testimony was strongly supportive from disability advocates, who said live captions can be inaccurate and that ASL access is critical during emergencies, but broadcasters raised practical concerns that the bill as drafted could require extra camera crews and reduce coverage. Members discussed possible alternatives such as government-provided pool feeds and interpreter placement, and the chair recommended deferring decision-making on the bill to the following Wednesday to allow time for amendment language. The committee then heard House Bill 1751, which would expand the Hawaii National Guard State Tuition Assistance Program to include graduate degrees at the University of Hawaii for qualified enlisted personnel. The Hawaii Army National Guard, the Department of Defense, and University of Hawaii representatives supported the measure as a recruiting, retention, and professionalization tool. A member asked about funding, and the response was that the program is funded through a state appropriation currently set at $250,000 and was described as sufficient at present. The bill drew no opposition in the hearing. Next, House Bill 1752 was taken up. This measure would remove the Adjutant General as a nonvoting ex officio member of the HAIMA advisory committee and add the HAIMA administrator as a nonvoting ex officio member of the MSAC. The Department of Defense and Department of Health supported the bill, with the Department of Health asking that it be aligned with other EMS modernization provisions in the governor’s package so the related measures remain consistent. No objections were raised. The committee also heard House Bill 1577 on 911 services, which would require the 911 Board to establish a statewide emergency safety profile system for residents to voluntarily store emergency-relevant personal information. The Department of Health, disability advocates, the 911 Board, and others supported the concept, saying it could improve emergency response for people with disabilities, kūpuna, families, and others with functional needs. Testimony also raised concerns about funding, system integration, confidentiality, advanced directives, and liability protections if information does not reach responders in time. Members discussed statewide coordination and existing county systems, and the hearing continued with those issues unresolved.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (01/21/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • rules are more stringent than and CMS rules are more stringent than and CMS has<01:12:40.000>
  • So, the way we were CMS standards.
  • than the CMS approach to evaluating network adequacy.
  • However, we are working closely with CMS and the federal government.
  • However, we are working<01:15:30.560> closely<01:15:31.040> with<01:15:31.440> CMS
Keywords: 1189, house, all
AZ

Arizona 2026 Regular Session

03/25/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • current law to include urban Indian organizations to align our state with the Arizona model that the CMS
  • Due to this, we recommend adding language that says contingent upon approvals by CMS.
  • CMS would not approve the waiver with 100% FMAP for UIO providers, and no state has been able to receive
Summary: The Appropriations Committee met on March 25 for what was described as its last regular meeting, with a possible special meeting tentatively planned for the following Tuesday. The committee first took up Senate Bill 1112, as amended by a strike-everything amendment that would appropriate $1 million from the Special Services Fund in FY2027 to the Arizona Department of Corrections for holistic, studio-based rehabilitative programming, with a required report due by June 30, 2028 on spending and outcomes such as self-harm, discipline, and recidivism. Testimony from the founder of Art of Our Soul and a formerly incarcerated peer facilitator emphasized trauma-informed art and music therapy, reductions in disciplinary violations and self-harm, and benefits for both incarcerated people and staff. The committee adopted the amendment and then gave SB 1112 a do-pass recommendation. The committee then heard Senate Bill 1776, which would allow urban Indian organizations to provide traditional healing services reimbursable through AHCCCS or the Arizona Long-Term Care System. The sponsor said the bill was intended to align Arizona with federal approval and other states’ models. AHCCCS testified neutral but said the bill would require a waiver change, likely at standard FMAP rather than 100%, and estimated a $1.3 million general fund impact; the chair said a COW amendment and fiscal note were needed. Members raised concerns about cost and access, and the sponsor clarified the bill was meant for American Indians and family members served through IHS-related facilities. The committee ultimately passed the bill out with a do-pass recommendation, though several members voted no or present over funding concerns. Senate Bill 1537, which would rename the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeal an inactive advisory commission, failed after testimony from a legislative liaison explaining the fund’s history and use for equipment and de-escalation tools. Some members supported the cleanup, but others objected after the Arizona Police Association opposed the change and argued the commission should be reformed rather than repealed. The committee then considered Senate Bill 1584, as amended, which would provide $1 million for Department of Corrections recruitment and training, funded instead from the Peace Officer Training Equipment Fund. Testimony supported the need to address DOC staffing shortages, but some members objected that the fund was restricted to peace officer equipment; the committee adopted the amendment and passed the bill out. Finally, the committee heard Senate Bill 1673, which would fund the law enforcement crime victim notification system. A chair amendment shifted the source from the general fund to the victim compensation fund and reduced the amount to about $2.5 million. Testimony from the Arizona Sheriffs Association, a vendor, and the City of Phoenix described the notification system as constitutionally required, widely used, and important for victim safety and communication, but several members argued the amendment would take money from victim compensation and “rob Peter to pay Paul.” The committee adopted the amendment and then gave SB 1673, as amended, a do-pass recommendation. The chair closed by noting the committee was adjourned and that a special meeting might be posted for the following week.
AL

Alabama 2026 1st Special Session

Alabama House Ways and Means General Fund Committee Mar 18th, 2026

Ways and Means General Fund

Transcript Highlights:
  • Uh, we know the timing may be an issue, uh, related to information back from CMS, uh, as to guidance
  • are in a position to move money between now and October the 1st. ...related to information back from CMS
  • Uh, and every time that we receive funding like that, then we have to reapply to CMS on how we're going
FL

Florida 2026 Regular Session

Ethics and Elections Feb 23rd, 2026

Ethics and Elections

Transcript Highlights:
  • However, we were aware that CMS has taken, the Centers for Medicare and Medicaid Services, has taken
  • caution, we returned the federal share on that money so that we could avoid any future liability with CMS
  • However, as I stated again, we were aware of a couple cases where CMS has taken a more expansive view
Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 6th, 2026 at 05:13 pm

Senate Health & Public Affairs

Transcript Highlights:
  • Then on serious mental illness, we did take what CMS and SAMHSA indicated and we cut off a bunch of the
  • as I stated in the beginning, the demand for care and the unfortunate lack of insight in the '90s at CMS
  • as I stated in the beginning, the demand for care and the unfortunate lack of insight in the 90s at CMS
Bills: SB20, SB111, SB211, SB218, SB14
TX

Texas 89th Regular

Human Services Mar 11th, 2025

Human Services

Transcript Highlights:
  • therapy and the clarification there is really more. for what's already established and set up through CMS
  • to the client services and do you know of other states have some other states that are committed to CMS
  • There are three other states that have submitted to CMS and have in lieu of services counted.
FL

Florida 2025 Regular Session

February 18, 2025 - 03:30 PM

Transcript Highlights:
  • Since Revision 7 to Article 5, the clerks have been modifying the historically county-funded CMS to support
  • Once that information is updated in the CMS, it is then transmitted to the comprehensive case information
  • Once that information is updated in the CMS, it is then transmitted to the comprehensive case information
Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.
KY
Transcript Highlights:
  • we are in health care with health outcomes to federal reimbursements in some capacity through state CMS
  • we are in health care with health outcomes to federal reimbursements in some capacity through state CMS
  • we are in health care with health outcomes to federal reimbursements in some capacity through state CMS
  • Through state CMS, through Medicaid, through SNAP, those programs, making them work for us, and then
  • I think that the number one thing that we would be looking for is making sure that Medicaid, CMS, and
Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed. The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity. They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.
MN

Minnesota 2025 1st Special Session

Committee on Human Services - 03/12/25

Human Services

Transcript Highlights:
  • where a person lives, and it requires DHS to seek legislative approval before submitting their plan to CMS
  • their plan to CMS in addition we<00:37:26.000> are<00:37:26.119> seeking<00:37:26.440>
  • We need to recognize that CMS approval does not equal Olmstead compliance.
  • We need to recognize that CMS approval does not equal Olmstead compliance.
  • We need to recognize that CMS approval does not equal Olmstead compliance.
Keywords: 1187, senate, all
AZ
Transcript Highlights:
  • document a patient's progress on more than a quarterly basis unless more documentation is required by CMS
  • simply aligns our Arizona Department of Health Services with Centers for Medicare & Medicaid Services, CMS
Keywords: 1182, all
Summary: The caucus reviewed a long list of Senate bills and memorials across several policy areas, with most items presented as consent or third-read measures and little debate. Topics included special license plates for the Arizona Space Commission, local land-use and housing restrictions, liquor regulation updates, limits on municipal delays in permitting and exactions, election equipment security and timekeeping requirements, precinct committeeman vacancy procedures, assisted living and deed-fraud measures, a Freedom of Speech Monument committee, renaming Wesley Bolin Plaza, and a ban on gender transition procedures for minors. Members also discussed health and human services bills on behavioral health technician standards, Medicaid billing during ownership changes, breast cancer screening cost-sharing, naturopathic IV administration authority, safe-haven newborn surrender at hospitals, and access claim-processing timelines. The Judiciary portion covered probation limits for dangerous crimes against children, a civil cause of action related to prohibited gender reassignment surgery on minors, elimination of the statute of limitations for failure to register as a sex offender, probation incentive calculations, victim-rights expense recovery, unlawful flight penalties, vulnerable adult theft definitions, motor fuel theft, unlawful alerting, and evidence rules in sexual-assault-related hearings. In discussion, members asked for clarifications on several bills, including the definitions of “malicious” delay, internet access on election equipment, the scope of the breast screening bill, and the meaning of unlawful alerting. Supporters repeatedly described bills as common-sense, fraud-prevention, patient-access, or public-safety measures, while one member noted a no vote on extending the Vulnerable Adult System Study Committee. Additional measures in land, agriculture, water, public safety, and transportation included foreign-entity restrictions on land transactions, limits on transporting Mexican gray wolf puppies, water reuse and groundwater fee extensions, a larger water supply revolving fund loan cap, congressional memorials on EPA authority and the San Carlos irrigation project, expanded traumatic event counseling coverage, reimbursement of legal costs for certain disciplined law enforcement officers, data sharing with the federal government on unauthorized aliens, roadable aircraft registration, motor vehicle booting rules, military-property sign placement, a towing and impound study committee, photo enforcement penalties, and highway renaming memorials. No roll-call votes were described in the transcript, and the meeting ended after the transportation items and memorials were completed.