Transcript Highlights:

• </c> perseverance, and commitment to service. perseverance, and commitment to service.
• </c> another veteran service organization. another veteran service organization.
• We should honor service. We principle. We should honor service.
• </c> direct your comments to the speaker. direct your comments to the speaker.
• care about kids and care you actually care about kids and care about<03:51:24.880><c> their</c><03:51

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 20, 2026, 1012, house, all

Transcript Highlights:

• So we have approximately 2,500 employees of that 6,600 delivering direct care, and it is an ongoing practice
• services.
• services.
• The Division of Children and Family Services provides support services, foster care, adoption, and protective
• And so we paid for those services through fee for service pending that.

Committee: All JOINT BUDGET COMMITTEE

Keywords: 1204, all

Transcript Highlights:

• Is it fighting to compete based on quality of service, customer service, or is it just availability?
• Again, this is a valuable service that doesn't impact access to care.
• Again, this is a valuable service that doesn't impact access to care, level of service, or choice.
• Representative... ...resources if we have to turn and go another direction.
• I don't know that we would have to go another direction.

Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would create efficiencies, reduce costs, and help address the denturist board’s ongoing deficit, while preserving separate scopes of practice and giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL-backed testimony said the change would maintain public protection and lower fees; denturists and their association opposed the bill, arguing it creates a conflict of interest, could allow competitors to influence education and licensing standards, and could threaten access and patient choice. After debate, the committee adopted a motion to send HB 935 to the floor with a due pass recommendation by a 4-3 roll call vote. The committee then took up House Bill 913, which would begin implementing the federal Medicaid work/community engagement requirements for able-bodied adults ahead of the January 1, 2027 deadline. The bill proposed a three-month look-back period and a process intended to give enrollees notice and time to comply before the federal requirement takes effect. The sponsor argued this would help the state prepare budgets, spread out redeterminations, and give people time to meet the requirements; supporters said it would encourage work and independence. Hospital, children’s advocacy, and other opponents warned that the three-month look-back would add administrative burden, increase costs, and risk erroneous coverage losses, with some urging a one-month look-back instead. After a failed substitute motion to send the bill to the 14th order for possible amendments, the committee voted to send HB 913 to the floor with a due pass recommendation and then adjourned.

Transcript Highlights:

• But this bill still allows a direct competitor to...
• Is it fighting to compete based on quality of service, customer service, or is it just availability?
• Again, this is a valuable service that doesn't impact access to care.
• Again, this is a valuable service that doesn't impact access to care, level of service, or choice.
• I don't know that we would have to go another direction.

Committee: Senate Health and Welfare

Keywords: 989, all

Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would save money, address the denturist board’s negative cash balance, and preserve separate scopes of practice while giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL emphasized public safety, efficiency, and lower fees, while denturists and their representatives argued the change would create a conflict of interest because dentists and denturists compete for the same patients and dentists could influence education, licensing, and scope-of-practice decisions. After debate, the committee voted 4-3 to send HB 935 to the floor with a due pass recommendation. The committee then took up House Bill 913, which would begin implementing federal Medicaid work requirements for able-bodied adults and use a three-month look-back period before the January 1, 2027 effective date. Representative Van de Woude said the bill would help the state prepare budgets and give enrollees time to meet requirements such as work, job training, school, or community service. Testimony split between supporters, who framed the bill as encouraging responsibility and independence, and opponents, who warned that the added administrative burden could increase errors, costs, and confusion, especially while the department is already handling managed care and other Medicaid changes. Hospital, child advocacy, and other opponents urged a one-month look-back instead of three, while the sponsor defended the three-month period as better for long-term compliance and smoother implementation. The committee rejected a substitute motion to send HB 913 to the 14th order for possible amendments, then voted to send the bill to the floor with a due pass recommendation. The final vote on the motion passed after discussion, and the committee adjourned after completing its business for the day.

Transcript Highlights:

• Preventive health care services are free in every single plan.
• And of course, our services are all free to the direct consumer.
• Therefore, we act as a purchaser of services, Care.
• We provide nationally ranked, highly specialized services, including cancer care, transplant services
• Every dollar spent navigating regulatory complexity is a dollar diverted from direct patient care.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• care issues.
• Standard of care. Right.
• Particularly in long term care. OK.
• We do appreciate your service. Thank you.
• accessing mental health services.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• So, to be CEP, you have to be 25% free versus on DC, which is direct cert... ...direct cert where you
• This is coming from the department classifying how food services can be provided, ranging from Services
• So, food services funding comes from a So, food services funding comes from a few different sources.
• The beauty of the CEP program is the direct cert, and what direct cert means...
• Direct cert, and what direct cert means, is if you are participating in state food stamps, state TANF

Committee: Joint Select Committee on School Finance Recalibration

Keywords: 916, all

Transcript Highlights:

• Of note: foster care and adoption, any parents, foster parents, things like that; child care workers
• in a child care setting; qualified service providers; guardianships; adult foster care.
• in a child care setting, qualified service providers, guardianships, adult foster care.
• center or a home child care.
• Drive careful.

Summary: The committee began with roll call, introductions of a new fiscal analyst and a new member, and approval of the March 19 minutes. The first major presentation was from the Office of Management and Budget on the state’s general fund and special fund status through May. OMB reported general fund revenues were running below the legislative forecast by about $76 million, driven largely by weaker individual income tax and sales tax collections, though the projected ending balance remained positive and above the budgeted level. The budget stabilization fund was above its cap and would transfer excess earnings to the general fund, and the legacy fund balance continued to grow. Members also asked about federal funding uncertainty and mineral leasing revenue variability. The committee then reviewed compliance reports and trust fund analyses, followed by discussion of a bill draft for the fixed-route city transportation network study. The draft would create a $15 million general fund grant program with a formula-based distribution to eligible fixed-route transit cities, intended to support operating and capital needs and help match federal transit funds. Transit officials from Minot and Fargo testified in support, explaining local fare and match structures and the difficulty of replacing aging buses and securing federal matching dollars. Several members questioned whether the program should be limited to the current four cities or broadened to future eligible urban areas, and whether local funding sources should be explored further. The committee did not finalize the bill draft at that point and planned to continue discussion at a later meeting. The committee also approved a bill draft repealing obsolete language related to approval of a bi-state authority with South Dakota, after staff explained that no agreements had ever been implemented and the provision appeared outdated. A roll call vote was taken and the motion carried. Later, the Department of Commerce and the Northern Plains UAS Test Site presented updates on uncrewed aircraft systems initiatives, including the Vantis radar data enclave, the drone replacement program, and efforts to build a revenue model for Vantis. Test site officials said FAA approval had been secured for the radar data program, replacement of noncompliant drones was underway, and future revenue could come from state and external users once pricing and intellectual property arrangements are finalized. Members asked about Chinese-made drones, supply chain issues, automation, and how the system would manage beyond-visual-line-of-sight operations. The Department of Corrections and Rehabilitation then presented on the design of a new minimum-security prison and a reentry housing study. Officials said the proposed facility would relocate the minimum-security prison to the penitentiary campus, reduce costs from an earlier estimate, and provide more beds and programming space, with construction potentially beginning in 2027 and opening around 2031. They also described staffing needs, the planned move of women to the New England facility, and possible expansion of men’s housing there. The parole and probation chief described a reentry housing task force studying housing needs for people leaving incarceration, with a goal of developing data-driven recommendations for subsidies and support services; a representative from Protection and Advocacy closed by expressing general support for fixed-route and paratransit funding.

Transcript Highlights:

• That way, it plans to take care of sick people, and they get paid more.
• If they take care of healthier people, they get paid less.
• Miller, you brought this up in the health care space.
• And obviously, moving people to direct deposit is one thing.
• And because we're spending so much money on health care, but we're...

Committee: Joint Joint Economic Committee

Keywords: artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight

Summary: The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.

Transcript Highlights:

• Service.
• In the area of financial services, we have the big division within our financial services area: the Division
• So with regard to my comment, directed to Dr.
• So with regard to my comment, directed to Dr.
• Pedro, with Department of Management Services.

Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• It creates a 15% set-aside for child care expansion awards for general child care and development programs
• This bill is the Human Services trailer bill.
• This is the direction that the Legislative Analyst was pointing us in.
• It rejects reductions to In-Home Supportive Services.
• There is so much good in this budget around health care, around child care, around so many other needs

Summary: The Senate session opened with a roll call, prayer, and Pledge of Allegiance, then moved through a long series of floor recognitions and votes. Members spent substantial time honoring the Los Angeles Dodgers, celebrating their back-to-back World Series championship and highlighting the team’s history, community role, and connections to Jackie Robinson, Fernando Valenzuela, Vin Scully, and Jaime Jarrín. Senators also recognized summer interns and welcomed members of Kappa Alpha Psi’s Kappa League and Guide Right program to the floor. The chamber then took up several measures, beginning with AB 182 on ballot order and proposition numbering for the 2026 statewide ballot, which passed 38-8 after debate over whether placing legislatively referred measures first was fair. SR 113, commemorating the International Day of Peace and honoring Dr. Yongshik Cho’s role in proposing it, passed unanimously after supportive remarks about peace, education, and California’s diversity. The Senate also adopted SJR 16 urging Congress to restore commercial driver’s licenses for affected California truck drivers, and SCR 185 designating Probation Services Week. A major portion of the meeting was devoted to budget trailer bills. The Senate concurred in Assembly amendments to AB 112, AB 150, AB 152, AB 181, and AB 179, covering Medi-Cal, child care, human services, education governance, and housing. It also passed or concurred in SB 168, SB 169, SB 170, SB 171, SB 172, SB 174, SB 177, and SB 180, addressing public resources and energy, transportation, executive branch reorganization, labor, state government, courts, Medi-Cal financing, and taxation. Several of these drew opposition centered on energy costs, transparency, business impacts, or the proposed “fair share” approach to Medi-Cal costs for large corporations, but most measures passed on party-line or near-party-line votes. The Senate also confirmed three California Horse Racing Board appointments and ended with adjournment motions, including a request to adjourn in memory of Francis Lydia Limos of American Canyon.

Transcript Highlights:

• care model, expand maternal<00:02:57.440><c> health</c><00:02:57.680><c> services,</c><00:02:58.640>
• </c> management and substance use services. management and substance use services.
• services and its septical services services and its septical services within<00:07:49.039><c> our</c
• </c> plan, also known as Minnesota Care. plan, also known as Minnesota Care.
• </c> Minnesota Care. Minnesota Care.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• , and our health care assets.
• So health care is a service that we as consumers buy and yet often don't know the cost until we get a
• of that care, but a lot of those children don't have that care.
• keep staff and they don't meet the direct care floor, they have to pay that money back.
• health care.

Committee: House Health and Welfare

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• We are simply going into the direct primary care section of state code and adding physical therapy.
• refer out or act as such, but for direct primary care purposes they can be.
• For those who may be wondering, direct primary care typically refers to memberships that might be created
• This does not expand their scope of care in any way, but simply allow them to provide services more directly
• We move these services essentially when we cut it out of the managed care model and to a fee-for-service

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• I'm a budget and policy analyst with Legislative Services.
• I'm a budget and policy analyst with Legislative Services.
• The first is the physical health services, which provides services in a variety of program areas, including
• health care policy initiatives, which administer the state's health care innovation plan and other statewide
• health care policy initiatives.

Keywords: 989, all

Summary: The committee met to review the general fund update and several budget-setting items, with staff explaining how to track the latest “green sheet” online and how JFAC actions were affecting the FY 2026 and FY 2027 bottom lines. Members also discussed whether work group progress should be summarized more broadly, but leadership emphasized that work groups were intended to remain independent and that members should consult analysts directly rather than have a running public summary of each group’s internal deliberations. The committee then acted on a series of agency budgets. It approved the Idaho State Tax Commission enhancement package after revising it to remove the chief operating officer personnel item and adopted language limiting use of $550,000 for fast tax collection vendor payments, with any unused amount reverting to the general fund. It also approved supplemental and enhancement requests for the Office of Information Technology Services, including Chinden campus furnishings, E-Core grant staffing and funding, enterprise security/firewall upgrades, the IT modernization transfer of 58 positions from Health and Welfare, and a one-time cash transfer language item to cover transition-year health insurance costs. The Military Division’s request for $120,000 for Office of Emergency Management indirect cost recovery was approved, but an alternate motion to also add $190,800 for the state education assistance program failed, and the original motion was later held in committee. The Industrial Commission and Public Utilities Commission budgets were both advanced with dedicated-fund increases for IRIS maintenance, training, disability fund needs, OITS hardware, and replacement laptops. The Department of Fish and Game budget was also advanced, with approval of a large package of dedicated and federal funds for fishery habitat projects, Good Neighbor Authority work, hatchery and laboratory inflation, temporary employees, wolf depredation response, communications, and replacement items, along with reappropriation authority for prior-year funds. The committee then took up the Department of Health and Welfare Division of Public Health Services, where competing motions focused on the Idaho Home Visiting Program, immunization assessment fund restoration, laboratory testing, HIV and hepatitis prevention, suicide prevention, and moving the home visiting program to Early Learning and Development. Both the substitute motion and the original motion failed after split votes in the House and Senate committees, leaving that budget held for later action. Finally, the committee considered new language for the State Controller and State Treasurer to require monthly reconciliation of cash balances between Luma and TARS from July 1, 2023 through June 30, 2026, with a report due by the fall interim JFAC meeting and documentation retained for audit. Members discussed the need for accurate cash reconciliation and the resources available to the Controller’s office, but no final action was taken before adjournment. The chair announced upcoming budget-setting meetings and reminded members to complete work group motions by the end of the day.

Transcript Highlights:

• Yes, we take care of roofs.
• Yes, we take care of roofs.
• We take care of roofs.
• They care about our kids.
• They care about our kids.

Keywords: 1183, house

Transcript Highlights:

• They get all other medical service, but not dental care.
• They get all other medical service, but not dental care.
• But most Medical service, but not dental care. Some do, but it's a very, very small percentage.
• Most veterans need dental care.
• health care.

Committee: Senate Military and Veterans Affairs, Space, and Domestic Security

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s mission, outreach efforts, state veterans nursing homes, and support programs. He highlighted Florida’s large and growing veteran population, the state’s existing nursing homes and the planned 10th home in Collier County, and the department’s dental assistance program, which served 245 veterans in the first quarter of the fiscal year and completed 1,631 procedures while saving more than $525,000. He also discussed veteran service officers, the benefits guide, the department newsletter, efforts to reduce veteran homelessness, and mental health outreach through the Overwatch/Firewatch program. Senators asked about future nursing home locations, adult day health care, homelessness, and the dental program; Hartzell also announced that retired Colonel D.J. Reyes will become deputy executive director on November 7. The committee then heard from Kevin Guthrie, Executive Director of the Division of Emergency Management, on disaster response, recovery, and agency modernization. He described the State Emergency Response Team, the new Florida Central Operations and Coordination Office warehouse in Auburndale, and the new state emergency operations center in Tallahassee, which is ahead of schedule and designed to hold about 220 people and withstand 200-mph winds. Guthrie reviewed recovery efforts for recent storms, including debris removal, volunteer villages, sheltering, and FEMA reimbursement totals for Hurricanes Milton, Helene, Debbie, Idalia, Ian, and earlier storms. He also discussed the Elevate Florida home-elevation program, the Florida Recovery Obligation Calculation training initiative, the DEMES platform, and WebEOC, noting that 60 counties and 22 colleges and universities are using the system. Members asked Guthrie about flood-response resources for cities, training for local officials, and lessons from inland flooding after recent storms. He explained how local governments can request pumps and other assistance through county and state channels, described upcoming elected-official training, and emphasized mutual aid and EMAC as key future disaster-response tools. The committee took no formal votes or other legislative action and adjourned at the end of the meeting.

Transcript Highlights:

• </c> all necessary training prior to caring all necessary training prior to caring for<00:04:51.360><
• care providers.
• care providers.
• care providers.
• The National Family Child Care Association, it's family child care providers.

Keywords: 919, house, all

Summary: The committee took up House File 2617, and first adopted a DE1 amendment. The bill, as amended, was presented as a major child care licensing reform that would narrow licensing to core health and safety requirements, reduce what supporters described as punitive or overly technical citations, and shift quality standards toward accreditation and professional organizations. The author also described the bill as a response to long-standing problems in the current licensing structure and county oversight of family child care. Public testimony was uniformly supportive. Child care providers and directors from Duluth, Rochester, and Esko said the current system penalizes minor clerical or cosmetic issues, creates inconsistent interpretations, and contributes to provider burnout and the child care shortage. They argued the bill would separate health-and-safety licensing from quality measures, which they said are better addressed through accreditation, coaching, and national standards. One testifier also said the bill would help with background study delays by creating a liaison to improve visibility into the process. Members asked about the difference between licensing and accreditation, how other states handle similar models, and how the bill would interact with the department’s licensing modernization work. The bill’s supporters said licensing would remain focused on foundational health and safety items such as ratios, background checks, hygiene, and facilities, while quality standards would be left to national organizations like NAEYC or the National Family Child Care Association. They cited Connecticut, Indiana, and Florida as examples of states using national standards in some form. The committee closed public testimony, took member questions, and the author renewed his motion to lay over House File 2617 as amended.

Transcript Highlights:

• in the arts, education, health care, animal welfare, and social services.
• in the arts, education, health care, animal welfare, and social services.
• It provides more than 15,000 direct jobs, supports another 140,000 connected jobs and services, and it's
• Disabled veterans still face many barriers in accessing the care and services they have rightfully earned
• services.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, May 19, 2025, 1012, house, all

Transcript Highlights:

• care with primary care, increasing availability of crisis services including mobile, while also addressing
• Ignoring your health care needs leads to utilizing services and higher levels of care that could have
• Ignoring your health care needs leads to utilizing services and higher levels of care that could have
• higher levels of care that services and higher levels of care that could<00:17:28.439><c> have</c><00
• direct care that needs obviously the the direct care that needs to<00:44:21.400><c> be</c><00:44:21.560

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.