Transcript Highlights:

• Well, what I like about thank you for the question about this model is it's throwing this net up in the
• I think they all have different models and I think that is not unusual in the nonprofit world.
• If it's a successful model, it wouldn't surprise me if some don't start using the same approach.
• It'll be defined as the transforming maternal health model, which will support the development of a whole

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• When you look at kind of model legislation at the federal level, the Lake and Riley bill got broad bipartisan
• when you look at really good question when you look at kind<00:03:12.000> of<00:03:12.159> model
• legislation<00:03:13.200> at<00:03:13.319> the<00:03:13.440> federal kind of model
• legislation at the federal kind of model legislation at the federal level<00:03:14.040> the<00

Keywords: 1183, house

Transcript Highlights:

• This model is evolving quickly.
• This model is evolving quickly.
• This model is evolving quickly.
• This model is evolving quickly.
• This model is evolving quickly.

Keywords: 910, house, all

Summary: The House Committee on Higher Education met at the University of Hawaii at Manoa to hear testimony on House Bill 2384, which relates to student athlete compensation and NIL. Chair Garrett opened by explaining the hearing was intentionally held on campus so lawmakers could hear directly from those affected. UH President Wendy Hensel and Athletics Director Matt Elliott both testified in support, saying the bill would help the university respond to the changing college athletics landscape, protect student athletes, improve transparency and education around NIL, and support UH’s ability to remain competitive. Elliott also said UH was seeking $5 million in NIL-related funding to support the program. Several UH coaches and student athletes testified in favor, emphasizing the importance of UH athletics to the state, the community, and the student experience. Women’s basketball coach Laura Beeman described UH athletics as a source of pride and hope for the state, while players Jovi, Latoria Tamilo, and others said the program felt like home and that NIL support could help them grow, represent Hawaii, and give back. Women’s volleyball coach Robyn Ah Mow said UH athletics changed her life and that the school must adapt to remain competitive; her players Victoria Leyva, Shealy Reed, and Talia Akase similarly said NIL opportunities could help UH attract talent, expand exposure, and strengthen community ties. Football coach Timmy Chang said the bill was important for recruiting, retaining, and building culture around Hawaiian values, and player Dean Briskie said UH’s developmental approach and team culture mattered more than money, though NIL has made retention harder. Quarterback Micah Alihada said the program’s culture and support from coaches and leadership made it easier to stay, but that the changing landscape made HB 2384 important. Baseball players Elijah Eikez and Ben Zukerman Ball also supported the bill, saying UH athletics carries responsibility to the community and helps student athletes become leaders and role models. No vote or final committee action was described in the transcript.

Transcript Highlights:

• We commend Representative Holofsky's leadership in shifting Delaware's health care model from sick care
• Yeah, they use the number 70% as maybe a threshold for a business model.
• Threshold for a business model.
• real quick then, speaking to what you're saying, is other jurisdictions are going to use the same model
• They're going to have their... ...model to restrict synthetic?

Bills: HB305, HB395, HB341

Keywords: hemp, marijuana, THC regulations, cannabis products, adult-use industry, public health, youth protection, child support, reunification, Department of Services for Children, family court, liability

Summary: The committee met in late June with Senators Hansen, Buckson, Siegfried, Townsend, and Huxable present, and first approved the meeting minutes by voice vote. The opening bill, HB 341, would limit DFS from filing child support in foster care cases unless doing so would not hinder reunification; Children’s Department staff said the department has already decided to stop filing in all such cases, with an estimated fiscal impact of about $140,000 annually. Public testimony from the League of Women Voters supported the bill as a compassionate measure to help families reunite. The committee then heard HB 446/related anaphylaxis legislation for colleges and universities, which would allow institutions to stock and use intranasal epinephrine alongside auto-injectors and update training and reporting requirements. The Asthma and Allergy Foundation of America supported the measure, emphasizing the need for needle-free options and faster treatment of anaphylaxis. The committee also took up HS1 for HB 356 on PFAS, which would ban firefighting foam containing PFAS beginning in 2028, require disclosure if PPE contains PFAS, and address recalls; DNREC and the fire service supported it, saying most departments have already transitioned away from PFAS foam. A major portion of the meeting focused on HB 305, a diabetes wellness pilot program that would use continuous glucose monitoring, app-based care coordination, lab testing, and DHIN data analysis to shift care toward prevention and remission. Sponsor Senator Siegfried described the bill as a response to Delaware’s high diabetes costs and prevalence, and the Medical Society of Delaware supported it as a proactive model. The committee also discussed HB 395, which would regulate intoxicating hemp-derived products and synthetic cannabinoids by classifying products over a THC threshold as marijuana and creating penalties for unlicensed sales; the Office of the Marijuana Commissioner supported the bill, while hemp industry representatives and Senator Hoffner warned it could harm legitimate hemp retailers and access to hemp products. The final item, HS1 for HB 332, would ban sales and marketing of kratom products to those under 21 and direct the state to study testing and regulation of kratom and synthetic variants. Supporters, including the Delaware Healthcare Association and several recovery advocates, said age-gating is a reasonable first step and that synthetic products are the main concern; opponents and some senators argued the bill should go further and fully ban kratom or better distinguish synthetic products from natural leaf kratom. No formal roll-call votes were taken on the substantive bills during the transcript, and the meeting adjourned after public comment.

Transcript Highlights:

• So I believe that language is modeled on prior iterations of this in the past that Don discussed.
• What we are proposing is a consensus block grant funding model, a baseline What we are proposing is a
• This model delivers all of that.
• This committee has demanded accountability and transparency, and this model delivers both.
• I know that this is kind of modeled after the sales tax vote, but is this the right way to go?

Keywords: 916, all

Transcript Highlights:

• At the heart of our model is Rewire CBT, a non-clinical, brain science-informed intervention developed
• safer, regulated alternative for those who cannot access or afford care in a strictly medicalized model
• safer, regulated alternative for those who cannot access or afford care in a strictly medicalized model
• We built a statistical model to measure that illicit activity.
• Our model can be used to run what-if scenarios as well, and so when we programmed a model to measure

Keywords: 995, all

Summary: The Joint Committee on Revenue held a long hybrid hearing on a wide range of tax bills, with testimony covering cigarette and tobacco taxes, nicotine pouches, contractor rental equipment exemptions, aircraft sales tax exemptions, rolling stock, advanced sales tax payments, a gun and ammunition excise tax, a digital services tax, and a psilocybin cultivation/tax proposal. Committee chairs outlined the hearing process and noted that 39 House-filed sales and excise tax bills were being heard for required reporting by November 28. No votes were taken during the hearing. On tobacco-related bills, supporters including Senator Keenan, the American Heart Association, the American Cancer Society, and Tobacco Free Mass backed higher cigarette taxes and closing the synthetic nicotine loophole, arguing the measures would reduce youth initiation, encourage cessation, and offset health care costs. Retailers, wholesalers, and convenience-store groups opposed the increases, warning of smuggling, out-of-state purchasing, and harm to small businesses; premium cigar representatives argued cigars should be treated separately from cigarettes. The committee also heard testimony on H. 3067 and related bills concerning nicotine pouches, with public health advocates supporting taxation and industry witnesses urging a lower, more competitive rate. Several other bills drew sharply divided testimony. United Rentals supported H. 3065 to simplify contractor rental equipment exemption paperwork, while airport and aviation groups opposed bills to repeal the aircraft sales tax exemption, saying it would hurt airport competitiveness and jobs. The Transportation Association of Massachusetts backed rolling stock tax exemptions, saying the current tax discourages fleet investment and interstate commerce. Restaurant industry representatives supported repealing advanced sales tax payments and changing penalty rules, saying businesses were hit with retroactive penalties after unclear pandemic-era changes. On H. 3082, an excise tax on guns and ammunition, gun violence prevention advocates, Roca, and Giffords supported the bill as a dedicated funding source for prevention and survivor services, while sportsmen’s groups opposed it as unfair to lawful gun owners and harmful to conservation funding. The committee also heard testimony on H. 3208, a digital advertising services tax, with Representative Paulino supporting it as a way to capture revenue from online advertising and fund public needs, while the Chamber of Progress opposed it as costly and burdensome for small businesses and campaigns. Finally, multiple witnesses testified on H. 4050 regarding psilocybin cultivation and taxation: advocates from Mass Healing, Roca, the Reason Foundation, and individuals describing personal medical benefits urged a regulated, permit-based system, while the hearing ended after all signed-up speakers were heard and the chair adjourned the meeting.

Transcript Highlights:

• So we do operate several different payment models.
• In Arkansas Medicaid, we do operate several different payment models.
• The biggest one is our fee-for-service model, where we pay hospitals on a per diem.
• We also have an organized care model called the PASS program.
• I would have to go back and look at the model for the individual hospitals.

Keywords: 1204, all

Transcript Highlights:

• hospital at home, and over the last year has seen a 34% growth in hospitals participating in this model
• table with strategies that they intend on deploying to move the network closer and closer to these models
• The network closer and closer to these models where you're pairing funding with quality.
• than a provider like CCP or Community Care Plan that's new. ...models than a provider like CCP or Community
• I think that we have seen we have approved, as you mentioned, a one tariff that provides a model that

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.

Transcript Highlights:

• ,<00:10:23.360> and<00:10:23.600> have managed intervention models, and have managed
• intervention models, and have been<00:10:24.000> responsible<00:10:24.480> for<00:10:24.720
• been carried out under the Wyoming's been carried out under the Wyoming's Wyoming's<00:10:30.240> model
• of<00:10:30.720> local<00:10:31.040> control<00:10:31.600> using Wyoming's model
• of local control using Wyoming's model of local control using block<00:10:32.320> grant<00:10

Bills: SF0014, SF0053

Keywords: literacy, education, reading assessment, intervention program, public school funding, department of education, amateur status, high school athletics, student eligibility, sports regulation, monetary compensation, 916, all

Transcript Highlights:

• So we currently have an RFP model.
• It sounds like you want to shift to an any willing plan model, which some states do.
• We'll call that a free market model. Okay.
• But it is just the managed care model that the state's always had.
• Because we have invested in this current model. We have an independent consultant right now.

Bills: HB2775, HB2874, HB2940, HB4014, HB4067, HB4115, HCM2010, HCR2051

Keywords: international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land

Transcript Highlights:

• We've used the same model, many of the same people with whom we've worked, and trained them to become
• An SBDC advisor is what helps a business access capital, secure a fair lease, or adapt their model to
• But that's our next step: our licensing and our franchise model.
• But that's our next step is our licensing and our franchise model.
• So I just want to say thank you for having me. ...is our licensing and our franchise model.

Summary: The Assembly Committee on Economic Development, Growth, and Household Impact held an informational hearing in Paramount as part of its “Pocketbook Tour,” focused on affordability, cost pressures, and household impacts in Los Angeles County. The first panel centered on workers and learners, with testimony from the UCLA Labor Center and the Southeast Los Angeles County Workforce Development Board. Speakers described how rising living costs, tuition, and low wages force many students to work long hours, often in unrelated, low-wage jobs, while struggling with food, rent, bills, anxiety, and limited financial aid. Recommendations included expanding state-funded work study, creating a statewide internship tax credit for small businesses, improving financial aid formulas to reflect regional cost of living, increasing flexibility for students, and strengthening worker-rights education and career pathways. The second panel focused on microbusinesses and small business affordability. Testimony from microenterprise advocates, the Los Angeles Regional Small Business Development Center Network, and local business owners described rising commercial rents, labor costs, tariffs, supply chain disruptions, insurance, utilities, and disaster-related pressures as major threats to small businesses. Witnesses emphasized that small businesses are central to local economies and asked the state to expand technical assistance, low-interest financing, disaster support, supply-chain development, and community-based outreach. They also urged more intentional support for microbusinesses and home-based entrepreneurs, including networks that connect them to resources and help them build collective buying power. Committee members asked about possible state actions, including tax credits for hiring local workers or interns, support for trades and apprenticeships, and ways to partner more closely with SBDCs and chambers of commerce. Public comment echoed the hearing themes, with speakers highlighting student hardship, nonprofit mental health funding, renewable energy jobs and internships, and the need for state support for clean-energy incentives. No formal votes were taken; the hearing concluded with closing remarks and adjournment at 11:05 a.m.

Transcript Highlights:

• bill aims to resolve the unintended consequences of the development standards legislation, a.k.a. the model
• Subchapter G, to allow for the limited and common-sense local discretion to determine compliance with model
• subdivision rules while still ensuring all the requirements of... ...with model subdivision rules, while
• This bill would allow Cameron County limited discretion to determine whether a property meets those model
• She said the single-stair model is a viable alternative for smaller buildings.

Bills: HB447, HB897, HB993, HB2673, HB3671, HB3680, HB3897, HB4506, HB4753, HB4812, HB4894, HB5148, HB5437, HB5650, HB5652, HB5654, HB5656, HB5661, HB5665

Keywords: traffic impact studies, municipal utility district, bonds, road projects, eminent domain, HB 897, Texas land sale, state property, Austin real estate, Travis County, General Land Office, Texas State Library and Archives Commission, HHSC, Health and Human Services Commission, state records facility, archives building, library funding, capital improvements, lease of state land, public land disposition

Summary: The committee heard testimony on a series of land use, housing, and local government bills. House Bill 447, relating to TIA requirements for certain MUD bond issuances, drew opposition from a witness who argued it would duplicate work already done, strain agency resources, and delay development; after the author’s closing, the committee substitute was withdrawn and the bill was left pending. The committee then voted out Senate Bill 1202 (third-party review of home backup power installations), House Bill 2494 (disannexation for failure to provide services), House Bill 1835 (removing barriers to HUD co-manufactured homes), and Senate Bill 15 (lot size and density limits in certain municipalities), with House Bill 1835 receiving one no vote and the others passing unanimously. House Bill 897, authorizing sale or lease of two state-owned Austin properties, was laid out and left pending after brief questions and no public testimony. The committee also heard and left pending several MUD creation bills for Montgomery and Fort Bend counties, including House Bills 5652, 5654, 5661, and 5656, each presented as template district bills with local support and no opposition recorded at the table. A major portion of the meeting focused on House Bill 2673, which would restore prior restrictions on new cemeteries near growing urban areas by repealing changes made last session. Representative Lujan and supporters argued the current law created unintended consequences, including loss of developable land, tax-exempt property in urban cores, and conflicts with infrastructure planning; they said cities already have authority to establish their own cemeteries if needed. Opponents, including a funeral services industry representative, argued the 2023 change was intended to let communities decide and that the bill would take local decision-making backward. After extensive testimony from both sides, the bill was left pending. The committee also heard House Bill 3680, which would create a Cameron County-specific process allowing local discretion under the model subdivision rules. Supporters said the bill would preserve colonia protections while reducing costly platting and replatting burdens on families trying to sell or pass down land; county officials and realtors testified in favor. The bill was left pending after closing. House Bill 4812, a clarification to the Texas Uniform Condominium Act to prevent counties from imposing subdivision platting requirements on condominiums, received support from builders and a condominium attorney who said current county practices create duplicative hurdles and higher costs; it too was left pending. Finally, House Bill 5148, which would allow certain single-stair apartment buildings up to six stories, generated the most detailed policy debate. Supporters, including housing advocates and architects, said the bill would lower costs, improve unit design, and expand affordable, family-friendly housing while maintaining safety through sprinklers and other safeguards. Fire officials from Corpus Christi opposed the bill, warning that a single stairwell could hinder firefighting and occupant evacuation, especially if sprinklers fail or smoke spreads. The author said the bill was aimed at new construction only and was part of a broader effort to reduce outdated housing regulations; the committee substitute was withdrawn and the bill was left pending at adjournment.

Transcript Highlights:

• The alpha models were the early Black Hawks.
• I hear they're past those, so now they're making available the L models with the Lima models.
• The alpha models were the early Blackhawks.
• I hear they're past those, so now they're making available the L models with the Lima I don't know. early
• So now they're making available the L models with the Lima models.

Summary: The Emergency Management Committee met to adopt its rules and hear a series of disaster- and public safety-related bills. Several measures were placed on consent and approved, including bills sending items to Appropriations, Natural Resources, Judiciary, Labor and Employment, and Environmental Safety and Toxic Materials. AB 262, by Assembly Member Caloza, proposed a California Individual Assistance Act to create a state grant program for disaster-related costs when federal aid is unavailable; supporters cited Rio Dell’s earthquake recovery as an example, while some members raised concerns about eligibility, cost, and whether the bill could aid undocumented residents. The bill passed to Appropriations on a 4-2 vote. AB 549, by Assembly Member Gabriel, would create an interagency coordination framework for major sporting events such as the 2026 World Cup, 2027 Super Bowl, and 2028 Olympics, with supporters emphasizing public safety and anti-trafficking planning. An opposition witness argued the bill could be used to justify prostitution arrests and misuse trafficking funds, but the committee members largely supported the coordination concept, and the bill passed 6-0 to Arts, Entertainment, Sports, and Tourism. AB 270, by Assembly Member Petrie-Norris, would establish a three-year pilot for autonomous aerial firefighting helicopters overseen by the Orange County Fire Authority; supporters described it as a way to extend wildfire response into conditions where crewed aircraft are limited, and the bill passed 6-0 to Privacy and Consumer Protection. Later, AB 367, by Assembly Member Bennett, sought to require Ventura County water districts in high fire-risk areas to top off tanks during red flag warnings, maintain backup generators, and harden critical water infrastructure. Water agencies opposed the bill unless amended, citing cost, flexibility, and liability concerns, while the author argued the requirements were necessary after failures during the Thomas Fire; it passed 6-1 to Utilities and Energy. AB 615, by Assembly Member Davies, required emergency response plans to be submitted with initial applications for battery energy storage and other energy facilities and to be reviewed with local responders; it passed 7-0 to Utilities and Energy. AB 1075, concerning privately contracted firefighters, also passed on consent to Natural Resources. Finally, AB 1143, by Assembly Member Bennett, would create a voluntary statewide home hardening certification program through the State Fire Marshal; supporters called it a best-practices approach to reduce wildfire losses and insurance risk, and it passed to Natural Resources. The committee then completed roll calls for absent members and adjourned after all bills were moved out.

Transcript Highlights:

• Medicaid managed care procurements and helped to transition our system to a predominantly managed care model
• they are prescribed pediatric extended care services, to provide under enhanced care coordination model
• removes the requirement that AHCA obtain the federal approval for and implement a redesigned Medicaid model
• But are we moving this program due to the waiver, the model waiver, that we're now having to go into?
• But are we moving this program due to the waiver, the model waiver, that we're now having to go into?

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• integrations with certain other state agencies, and it employs a service, a software as a service model
• The SaaS model that I-Connect maintains does restrict improvements.
• If you're talking about a SaaS model in 2013, those weren't common models that were adopted or practiced
• You said SAS model earlier, which means to me in my life, is that the model earlier, which means to me
• Our SaaS model was to keep up with current trends.

Summary: The subcommittee heard a lengthy presentation on the Agency for Persons with Disabilities’ I-Connect system, based on an ILAB assessment of the platform’s performance and requirements. ILAB said the system provides useful centralized records, reporting, compliance support, and audit trails, but users described it as cumbersome, outdated, and inefficient, with excessive manual entry, weak navigation, limited notifications, no mobile app, poor printing/export options, and performance issues. ILAB also said the original 2013-era requirements were too high-level and that only a portion of the requirements could be verified, with some features de-scoped or never implemented. Their recommendations included better integration with electronic health record systems, improved performance monitoring, electronic signatures, OCR, and more modern export and verification tools. Public testimony from providers and advocates echoed those concerns. A support coordination provider said the system is nicknamed “I Disconnect,” described problems with EVV/GPS sign-ins, lengthy support plans, lack of a phone app, and possible HIPAA concerns. Another advocate said the system should have preserved family access to records and criticized the need for providers to use workarounds and additional software. APD staff said the agency has spent about $19.7 million through FY 2023-24, has regular build updates under the current contract with WellSky, and uses an internal help desk and vendor ticketing process to triage bugs versus enhancement requests. They said some issues are handled case-by-case, critical tickets have SLAs, and the agency is working on interoperability and other requested improvements. Members questioned whether the system should be fixed or replaced, whether the original contract and SaaS arrangement were sufficient, and whether the state received value for the money spent. APD said the system went live in phases and that all functionality was in place by June 2024, while ILAB and members noted significant technical debt and unresolved gaps. The committee also discussed record retention, provider access to records after a consumer changes providers, and whether federal funding or compliance could be affected. The meeting ended with broader budget remarks emphasizing completion over expansion, stronger upfront planning for technology projects, and more accountability before funding new systems or major enhancements.

Transcript Highlights:

• in multiple years to identify how their contract can be adjusted to reflect their specific program model
• So we are asking for an increase of $15 million in order to support this additional rate model.
• We had a calculator tool to model that's still available online.
• We had a calculator tool to model that's still available online.
• Instituting a prospective pay model would require a one-time investment in administrative costs, but

Keywords: 988, house, all

Transcript Highlights:

• This is a partnership model that works.
• This is partnership a model that works.
• We are not recognized as an educational model. We initially operated in a church space.
• I think this is an incredible, beautiful model. And Rep. Edmondston, I like this bill a lot.
• to that of a licensed daycare model, which operates under Bulletin 137.

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• . ...model of how someone projects how they are going to provide insurance to a community.
• Traditionally, that has operated through a repair-or-replace model.
• A model may no longer be in production, or a homeowner may prefer to upgrade the covered appliance or
• A model may no longer be in production, or a homeowner may prefer to upgrade the covered appliance or
• We didn't allow people to use forward-looking modeling, right?

Summary: The committee heard testimony on several insurance-related bills. SB 1209 by Senator Allen, sponsored by Insurance Commissioner Ricardo Lara, would give the Department of Insurance stronger enforcement tools when insurers fail to implement corrective actions identified in market conduct or financial examinations. Supporters said the bill would close gaps that allow repeated violations, improve solvency oversight, and protect policyholders; opponents argued CDI already has broad authority and raised concerns about duplicative penalties, due process, and the bill’s scope. Members discussed amendments to limit the bill to legal violations rather than recommendations, apply penalties per exam rather than per policy, and clarify accounting language. The committee voted to send SB 1209 to Appropriations, with the bill placed on call after a roll vote that included one no vote from Senator Niello. The committee also considered SB 1301, which would require more detailed non-renewal notices for residential property insurance, give policyholders time and information to address correctable issues, and restrict certain non-renewal reasons such as claims below deductible or not covered by the policy. Support came from homeowners, fire survivors, and consumer groups who said notices are often vague and leave families unable to keep coverage; insurers opposed the bill, warning that California’s notice period is already among the longest in the country and that the bill could worsen availability and add burdensome reporting requirements. The author said he was willing to reduce the notice period from 180 days to about three months and work on a mitigation-based process. The committee passed the bill to Appropriations, with Senator Niello voting no and the item placed on call. SB 1026 by Senator Gonzalez would tighten regulation of bail fugitive recovery agents by allowing the Department of Insurance to suspend or revoke licenses without a criminal conviction, adding conduct restrictions, and requiring continuous liability coverage and proper appointment notices. Supporters, including Commissioner Lara, said the bill addresses serious misconduct and loopholes that have led to unsafe conduct and weak oversight. Bail industry representatives and crime victims’ advocates opposed the measure, arguing that the required insurance coverage is unavailable or unlawful as written, that the bill would be hard to comply with, and that it could reduce the number of recovery agents and delay justice. The committee moved SB 1026 to Appropriations, with Senator Niello voting no and the bill placed on call. The committee then heard SB 982 by Senator Wiener, the Affordable Insurance and Recovery Act, which would authorize the Attorney General to sue fossil fuel companies to recover costs tied to climate disasters and insurance losses, with supporters framing it as a way to shift some climate-related costs away from policyholders and taxpayers. The author said amendments would remove retroactivity and delay liability until 2032, while supporters from flood and wildfire survivor groups and climate organizations said the bill would help fund recovery and stabilize insurance costs. Opponents from industry and building trades argued the bill was legally vulnerable, would create a de facto tax or liability scheme, and could harm jobs, energy production, and affordability. Testimony on SB 982 was extensive, but the transcript ends before any committee vote or final action on that bill.

Transcript Highlights:

• So as adults can model that for our students, it would be helpful. So how can we behave in a way?
• that models for the 18-year-old on our campus how to have a civil conversation.
• Two years later, the results of this new finance model speak for themselves.
• Speaking, SB 37 complements our funding model.
• This has become the model for success.

Keywords: 1185, senate, all

Transcript Highlights:

• waivers: the acquired brain injury waiver, the acquired brain injury for long-term care waiver, the model
• HCB<00:05:05.800> the<00:05:05.960> M<00:05:06.280> the<00:05:06.400> model
• <00:05:06.759> waiver<00:05:07.160> 2 ACB uh the HCB the M the model waiver 2 ACB uh
• the HCB the M the model waiver 2 which<00:05:07.680> is<00:05:07.759> for<00:05:07.919
• So our members provide services in all but one of Kentucky's waivers, and that is the Model 2 waiver

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.