Transcript Highlights:

• <00:13:23.920> came Carson mentioned that the model came Carson mentioned that the model came
• To better align us with the model To better align us with the model legislation<00:42:41.440>
• , I learned the dominant models, I learned the dominant models, neurotransmitters,<01:04:37.200><
• intervention and coordinated care models intervention and coordinated care models can<01:38:01.840
• Move away from the assessment model.

Keywords: 1191, senate, all

Transcript Highlights:

• That's a model, a pilot aimed at reducing Medicaid costs by using international price comparisons.
• There's also the balanced model, which is designed to expand access to GLP-1 drugs and lower net drug
• And I wonder if a better model in the future rather than rebates is cost plus.
• And I wonder if a better model in the future rather than rebates is cost plus. Just a thought.
• And I wonder if a better model in the future rather than rebates is cost plus.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• Um, so what I would know we used a state’s model.
• Um, so what I would know we used a state’s model.
• Um, so what I would know we used a state’s model.
• Um, so what I would know we used a state’s model.
• I'd have to go we used a state's model.

Bills: HB0028, HB0080

Keywords: sexual exploitation, child protection, law amendment, explicit conduct, sex crimes, identification cards, nursing facilities, assisted living, renewal process, resident rights, 916, all

Transcript Highlights:

• We also modeled spending on Humira, which only recently had a biosimilar launch.
• We also modeled spending on Humira, which only recently had a biosimilar launch.
• We also modeled spending on Humira, which only recently had a biosimilar launch.
• as a benchmark um we also modeled as a benchmark um we also modeled spending<00:32:53.200> on
• <00:49:42.480> the can do that no we we were modeling the can do that no we we were modeling

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• The credit is modeled in many ways after that historic structural rehabilitation credit, which is also
• /c><00:09:29.440> the<00:09:29.600> credit<00:09:29.880> is<00:09:30.040> modeled
• qualifying project the credit is modeled qualifying project the credit is modeled in<00:09:30.519
• This bill and the ability to seed this fund for AEOA creates a really great model that isn't just for
• Exciting model, you know, in particular using the revolving loan model just allows us to multiply the

Keywords: 1183, house

Transcript Highlights:

• So we're kind of modeling this as currently counties and county road folks and road commissioners.
• So we're kind of modeled this as currently counties and county road folks and road commissioners.
• Report, which ultimately was the seminal work that shifted the firefighting world from a reactive model
• of putting fires out to a prevention-first model.
• Lastly, this response-time metric requires complex and expensive transportation network modeling and

Summary: The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations. The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information. AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.

Transcript Highlights:

• home communities have become prime real estate for private equity investors whose primary business model
• home communities have become prime real estate for private equity investors whose primary business model
• Their business model is simple: buy up manufactured home parks, senior care facilities, specialty clinics
• Their business model is simple: buy up manufactured home parks, senior care facilities, specialty clinics
• She said the private equity model leaves residents suffering to survive.

Keywords: 1183, house

Transcript Highlights:

• <04:19:08.960> employ<04:19:09.600> is The model that we currently employ is The model
• model in that<04:20:26.960> way.
• , utilization rates and our current model, utilization rates and our current model, we<04:23:48.960
• what that's a model that we believe in. what that's a model that we believe in. that's<04:47:57.840
• > a<04:47:58.080> model<04:47:58.240> that<04:47:59.200> uh that's a model

Keywords: 1189, house, all

Transcript Highlights:

• When you you start model, right?
• c> in therapeutic teaching model in therapeutic teaching model in collaboration<00:51:47.599>
• model as well as safe schools revenue. model as well as safe schools revenue.
• We should be done with that model.
• We should be done with that model.

Bills: HF3653, HF2717, HF3451, HF3857

Keywords: education finance, safe schools revenue, school safety, charter schools, funding, safe schools, school security, school levy, pupil units, safe schools aid, cooperative units, intermediate school district, school resource officer, peace officer liaison, sheriff liaison, drug abuse prevention, gang resistance education, violence prevention, suicide prevention, mental health services

Summary: The committee first adopted the March 3rd minutes by voice vote after Representative Lee moved them and there was no discussion. Members then reviewed hearing rules on decorum, safety, and participation before taking testimony from Dr. James Densley and Dr. Jillian Peterson of the Violence Prevention Project Research Center at Hamline University. The presenters summarized research on mass shootings and K-12 school shootings, drawing on a database of homicides in school settings from 2000 to 2025 and a smaller set of 15 K-12 mass shooting cases. They said school shooters are usually insiders, most often current or former students, and typically young males. They described common patterns including a noticeable crisis before attacks, perpetrators viewing the shooting as a final act, studying prior shooters online, and “leakage” in which most tell someone in advance. They also emphasized that many perpetrators use unsecured firearms from family members and argued that prevention should combine reporting systems, behavioral threat assessment, counseling, mentoring, secure storage, and other layered interventions rather than rely on a single solution. The presenters also discussed broader violence trends in the Twin Cities, saying much school violence is spillover from community violence and that pandemic-era disruptions and weakened trust in institutions contributed to serious violence. They cited a national survey finding that exposure to gun violence is associated with PTSD, anxiety, depression, and fear of public spaces, especially among young people. During member questions, Representative Wam asked for clarification on the data set and the rural/small-town share of the survey sample.

Transcript Highlights:

• , including participation in the AHEAD model, which one of the four components of the AHEAD model is
• ...budget or two-sided risk models, including participation in the AHEAD model, which one of the four
• components of the AHEAD model is a global budget.
• , including participation in the ahead model, which one of the four components of the head model is a
• It's about modeling what you hope that this institution will become.

Keywords: 1064, all

Transcript Highlights:

• We don't have rights after it depends on the model and the publisher.
• If it's another model, you have it for one year.
• for um digital created a whole new model for um digital books<00:58:11.839> and<00:58:11.920>
• and the publisher depends on the model and the publisher in<00:58:48.799> some<00:58:49.079><
• But we're still in this model of either pay...

Keywords: 912, senate, all

Summary: The joint committees heard Senate Bill 659, which would exempt the Department of Education from the electronic procurement system for purchases of fresh local agricultural products and local value-added processed agricultural or food products up to $100,000, and require geographic preference guidelines for locally sourced products. The Department of Education, Department of Agriculture, Hawaii Farm Bureau, and State Procurement Office all testified in support or support of the intent. DOE said the bill would give it short-term flexibility to buy local items not currently on the vendor list, such as poi and limu, while procurement staff said they would provide written comments and a corrected version of their testimony. Committee members questioned why the bill was needed, why the threshold would rise from the current $24,999 small-purchase limit to $100,000, and whether the department should instead amend its vendor list or RFP process. Members raised concerns about efficiency, administrative burden, whether the bill was a temporary fix for procurement planning gaps, and whether purchases would remain compliant with federal USDA rules if federal school-lunch funds were used. DOE responded that the measure would help it expand local purchasing, support farmers, and allow purchases of products not currently available through existing distributors, and said it was working with partners on food-safety certification and federal compliance. The committees then voted to pass SB 659 with amendments. The Joint Committee on Education approved it 3-2, and the Joint Committee on Agriculture and Environment later approved the amended measure 4-0. The chair noted an amendment and a deferred effective date, and the motion was adopted.

Transcript Highlights:

• And this is the model that’s happening nationwide at Oakland Unified, L.A.
• Uh, we have to get back to that model, yeah, and it all starts with standards.
• intend to do and this is the model intend to do and this is the model that's<00:55:07.920> happening
• That’s the model: design, build, finance, operate, maintain.
• Construction will start in 2027 on a prefab model.

Keywords: 910, house, all

Summary: The Committee on Finance held informational briefings first with the Department of Defense on its FY 2026 budget request, then with the Hawaii School Facilities Authority. Major General Steve Logan outlined the Department of Defense request for $40.5 million in state funds, which he said would leverage about $74 million in federal matching funds and support 411 open projects that could attract up to $2.3 billion in additional federal grant money. He said the budget focuses on sustainment, safety, and reorganization in light of lessons from the Maui wildfires. Key requests included $1.3 million to sustain IT systems, $2.7 million for 32 HEMA emergency management positions, three new Hawaii Army National Guard positions plus four upgrades, and $1.9 million for the Youth Challenge Program to cover state-mandated fringe costs and staffing needs. He also reviewed capital improvement projects, including Youth Challenge facility upgrades, siren modernization, ADA improvements, building retrofits for disaster resilience, Army facility upgrades, a third state veterans home on Maui, HEMA EOC improvements, and a maintenance/fuel building at Diamond Head. Members asked about the siren modernization timeline, and HEMA said roughly 26 to 31 sirens would be modernized this year, with 15 on Maui, eight on Oahu, and eight on the Big Island. Questions also focused on Youth Challenge and Job Challenge enrollment and vacancies, with the department saying the Hilo Job Challenge Academy is growing and that combining Youth Challenge recruiting statewide into one Kilauea program has helped enrollment. Logan also answered questions about the New Year’s Eve medical transport mission, explaining the Hawaii Air National Guard’s relationship with active-duty Air Force assets and saying the flight cost is about $20,000 per flight hour, though the final bill had not yet been determined. On the Maui veterans home, staff said the University of Hawaii site was no longer viable after faculty senate opposition, so the department is now focused on a 10-acre Puna District site; the project remains tied to a certified $35 million state match and August 2025 and August 2026 federal suspense dates. Logan said the veterans home remains one of the department’s highest priorities, but it could not be moved higher in the submitted CIP ranking. The department also discussed a Governor’s add-on for a fire marshal/Office of Recovery and Resiliency proposal. Logan said the fire marshal position was reestablished last session but has not yet been filled, and that if the function is transferred to the Department of Defense, the department wants funding ready to move quickly. Staff later said the request would include about $1.1 million for seven positions and about $2.2 million for operating costs, though details were still preliminary. The committee then reconvened for the School Facilities Authority briefing, where Executive Director Ricky Fujitani described the agency as a startup created in 2020 to improve school and workforce housing development through standardized designs, prefabrication, best-value procurement, and public-private partnerships. He said Hawaii’s single school district still functions like 15 different districts because of its 264 schools across 15 complex areas, and that the authority’s goal is to create more efficient, maintainable, and cost-effective facilities.

Keywords: 910, house, all

Transcript Highlights:

• <00:14:03.760> Uh<00:14:04.079> Indiana<00:14:04.959> filed together a model
• Uh Indiana filed together a model rule.
• <00:14:13.600> Uh is largely based on the model rule.
• Uh is largely based on the model rule.
• to do it and find a different bit model to do it and find a different bit model to<00:20:30.960>

Bills: HB259, HB206, HB207, HB259, HB206, HB207

Keywords: income tax credit, tax incentive, recruitment, remote work, remote worker, recruited worker, rural counties, small counties, county population tiers, opportunity zone, teacher recruitment, nurse recruitment, law enforcement recruitment, workforce development, economic development, relocation incentive, Alabama Department of Revenue, nonrefundable tax credit, tax carryforward, state income tax

Transcript Highlights:

• And those services, as you'll see on slide 11, are covered in two different service delivery models.
• Uh, we have a very small number of people in our kind of original Medicaid, um, model called fee for
• , the legislature directed this agency to move away from fee for service and into the managed care model
• Uh, so the majority of our, our clients we serve are in that managed care model.
• These, um, I've already talked a little bit about those service delivery models, some in managed care

Transcript Highlights:

• The citizen legislature is a model for the nation, and I want to thank each and every one of you for
• <00:57:14.720> for<00:57:14.920> the citizen legislature is a model for the citizen
• legislature is a model for the nation<00:57:16.280> and<00:57:16.440> I<00:57:16.520><
• good use as a state we need to model good behavior<01:08:04.640> if<01:08:04.799> we're
• So one of the things I'm really proud of about New Hampshire is that our state stands as a model for

Keywords: 1189, house, all

Transcript Highlights:

• The model ADM next additional expansion of grades will be about 361 students.
• So we operate on a reimbursement model within the state system. We do a cost study.
• the<01:40:04.639> state reimbursement model within the state reimbursement model within
• And, um, I think that, as you can see in that business model, that reimbursement model, it's just really
• Many states have moved toward more consolidated educational governance models.

Keywords: 916, all

Transcript Highlights:

• So the National Crime Insurance Bureau has been quoting Kentucky as a model state for the steps we've
• health care providers, including insurance, but a patient accountability model.
• And we keep talking about NCOIL models.
• Models by the National Council of Insurance Legislators, otherwise known as NCOIL.
• And we keep talking about NCOIL models.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:15 Department of Insurance Update 00:01:39 Department of Financial Institutions Update 00:37:07 Insurance Industry Update 00:54:50 Credit Union Industry Update 01:10:53, 958, all

Summary: The committee met with a quorum, approved the September 16 minutes, and then received an update from Insurance Commissioner Sharon Clark and staff on the Department of Insurance. Clark reviewed department activity, including growth in premium volume and licensing, consumer complaints and recoveries, and a rise in fraud referrals. She said the department has 66 open fraud cases and described common schemes such as staged auto accidents, inflated repair or cleanup charges, and roofing scams. She also said the department’s investigators often prepare strong cases but face reluctance from local prosecutors, especially in Fayette and Jefferson counties, to pursue them. Clark reported favorable workers’ compensation news, saying rates will decrease 9.7% next year for the 20th straight year. She contrasted that with a difficult property insurance market driven by storms, reinsurance costs, inflation, labor shortages, and litigation, but said Kentucky’s market remains relatively stable, citing the Kentucky Fair Plan’s small number of policies. She then warned of significant 2026 health insurance premium increases on the exchange: 16.1% for Molina, 23% for Anthem, and 37% for WCare, after CareSource withdrew. She said the rates were reviewed by actuaries and found fair, but that the biggest pressure point is the scheduled expiration of enhanced premium tax credits, which she said could leave about 90% of exchange enrollees facing a compounded increase. Members questioned Clark about fraud prosecution, the number of people in commercial versus public coverage, and the impact of expiring subsidies. Clark said the prosecution issue is mainly with Commonwealth attorneys and that rural counties are more cooperative than urban ones. She also said the health market is individually rated and that older enrollees would be hit harder, while the loss of tax credits could push some people out of the marketplace. One member asked about the attorney general’s recent opinion on SB 188, the PBM bill; staff said attorneys were still reviewing it. Clark closed by noting that Kentucky’s fraud and towing/storage legislation has become a model for other states.

Transcript Highlights:

• We haven't heard from about the business model of Medicaid provider fraud.
• We haven't heard about the business model of Medicaid provider fraud.
• <00:19:44.880> of heard from about the business model of heard from about the business model
• Usually what we're talking about is a business model, right?
• Usually what we're talking about is a business model, right?

Bills: HF23, HF1355

Keywords: whistleblower, whistleblower protections, public employees, state employees, retaliation, reporting fraud, misuse of authority, personal gain, state government, state services, state programs, legislative auditor, constitutional officer, public corruption, fraud reporting, government accountability, employee rights, labor law, Minnesota Statutes 181.931, Minnesota Statutes 181.932

Transcript Highlights:

• Expanding to a year-round model would not only allow greater public participation, but it would also
• Expanding to a year-round model would not only allow greater public participation, but it would also
• Expanding to a year-round model would not only allow greater public participation, but it would also
• Expanding to a year-round model would not only allow greater public participation, but it would also
• Expanding to a year-round model would not only allow greater public participation, but it would also

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 114, which would create a presidential preference primary for the 2028 election. The Office of Elections said the bill would cost about $4.1 million. Supporters, including the Hawaii Democratic Party and the League of Women Voters, favored moving the process to a state-run primary, while several opponents, including the Hawaiian Islands Republican Women and multiple individual testifiers, argued it would be too expensive, would shift control away from the parties, and would replace volunteer-run caucuses with a mail-in system. Committee members questioned the chief election officer about election timing, certification, and how a primary might be scheduled with other elections. Testimony was recorded as 11 in support, 41 opposed, and 3 comments, and no vote was taken in the excerpt. The committee then took up SB 725, which would require judges to make findings about a defendant’s ability to afford bail. Judiciary and Attorney General witnesses asked that the bill be deferred or amended, saying the Judicial Council is already reviewing pretrial bail reform and that the bill’s language could create practical problems for police, sheriffs, and courts. Supporters, including the Correctional System Oversight Commission, the public defender, the Community Alliance on Prisons, the ACLU of Hawaii, and disability rights advocates, said cash bail disproportionately harms low-income defendants, increases pretrial detention costs, and should require clearer findings and records. Opponents included the Hawaii County prosecuting attorney. Members questioned how bail is initially set, what records exist, and whether the bill would change current practice; Judiciary witnesses said initial bail decisions are often made by police or judges and later reviewed on the record, while supporters argued the bill would strengthen front-end due process. The ACLU said it supported the bill with amendments, including clearer standards for ability to pay and written findings. The committee also began hearing SB 733, a proposed constitutional amendment to establish a continuous legislative session. Early testimony was strongly supportive, with advocates arguing that the current 60-day session limits public participation, makes it hard for working people to testify, and prevents lawmakers from collaborating effectively. Supporters said a year-round model could improve transparency, reduce duplicate bills, and better accommodate neighbor island legislators. The excerpt ends during the opening testimony on SB 733, before any committee action or vote is shown.