Transcript Highlights:

• So I very much appreciate the question because this is a little hobby horse of mine.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• So I very much appreciate the question because this is a little hobby horse of mine.

Keywords: 1204, all

Transcript Highlights:

• There has been a significant amount of effort in regard to data mining that information and utilizing

Keywords: 987, senate, all

Transcript Highlights:

• eight years, and I've had three appeals the whole time, and all three appeals came back in favor of mine

Bills: HR2, HR37, HR61, HCR11, HCR64, HB89, HB183, HB341, HB371, HB451, HB480, HB520, HB541, HB579, HB597, HB816, HB1004, HB1064, HB1165, SB44

Keywords: transparency, accountability, Justice Department, FBI, Jeffrey Epstein, victim protection, investigation, public trust, HR37, House Resolution 37, Honduras veterans, Armed Forces Expeditionary Medal, military medal, veteran recognition, Congress memorialization, U.S. veterans, foreign deployment, 1981 to 1992, military service awards, combat support

Summary: The committee met with a quorum and took up a long agenda of judiciary-related bills and resolutions. It first considered HB 1165, which was substantially rewritten by substitute to create the City Courts of Marksville and Bunkie and expand their jurisdiction parishwide in Avoyelles Parish, including small claims and certain misdemeanor, civil, and juvenile matters. Supporters, including judges, said the change would improve access to justice and better use existing courts; the district attorney opposed it, arguing it would not help the criminal docket and raised constitutional, staffing, and election concerns. After questions about voting districts, appeals, and minority vote dilution, the substitute was reported favorably. The committee also reported favorably HB 1064, creating a domestic violence intervention court pilot program in the 19th JDC, and HB 341, clarifying that law-enforcement officer interrogations under the bill of rights are administrative rather than criminal matters; both drew supportive testimony from court, advocacy, and law-enforcement representatives. The committee then approved HCR 64, as amended, to study behavioral health courts and expand the study to Ouachita, East Baton Rouge, and Orleans parishes, with a report due by January 1, 2027. It also reported favorably HB 579, which strengthens the sexual assault survivor bill of rights and related protections, with testimony emphasizing survivor services and access to funding. HB 1004, which would have raised the jurisdictional limit for justice of the peace courts from $5,000 to $7,500, drew substantial opposition from city court judges and others who warned of unintended consequences, including inconsistent procedures, possible attorney-representation requirements for entities, and more appeals; after debate the bill failed on a roll call vote, 5 yeas to 11 nays. Later, the committee reported favorably HB 451, allowing the Alcohol and Tobacco Control commissioner to send hearing notices electronically and removing the 30-day mailing constraint; HB 541, as a substitute, allowing in-state microdistillers producing under 100 gallons to obtain a permit for a $100 fee; HB 183, prohibiting courthouse cellphone bans in areas where fines, fees, or court costs are paid, though it faced concerns about legislative authority over local courthouses and ultimately failed on a 7-8 vote; SB 44, requiring agency approval for firearms and ammunition carried by tactical medical professionals; HR 37, memorializing Congress to award the Armed Forces Expeditionary Medal to veterans who served in Honduras from 1981 to 1992; and HB 89, requiring the Third Judicial District DA’s office to pay health insurance premiums for eligible retired employees from its own funds. Several other items were voluntarily deferred, and the meeting ended after the committee completed its agenda.

Transcript Highlights:

• Senator Stubblefield was a great colleague of mine. He helped me so much.

Keywords: 1204, all

Transcript Highlights:

• Anna Catherine Beale, she's a constituent of mine that lives right around the corner.

Keywords: 959, house, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the journal for the prior day by a vote of 131-2, and the Speaker signed several enrolled measures, including HB 1768, HB 1866, HB 1870, HB 2180, and HJR 173 and 174. Members also made a series of guest introductions and personal announcements, including remarks recognizing National Infertility Awareness Week and HCR 28, as well as notices about upcoming themed dress days. The chamber then received Senate messages returning a number of budget bills and other measures with Senate amendments, and the House budget chair moved to refuse the Senate versions and send HB 2002 through HB 2013 to conference. Members discussed major budget differences, including child care subsidies, transportation funding, higher education funding, and the shifting of broadband grant dollars, but all of the motions to go to conference were approved. The House also took up Senate Bill 975, relating to ambulance districts and emergency medical services. An amendment was adopted to restore compromise language on community paramedics and make a minor change to first responder mental health provisions. The bill passed 136-7. Later, the House considered a property tax reform package on Senate Bills 1066 and 1088. Amendments were adopted to correct technical drafting issues, require uniform levy increases across property classes and timely use of voter-approved tax increases, and add assessor training, electronic taxpayer notification, and changes to how disputed assessments are paid. Debate centered on local control, transparency, and the impact on schools and other local taxing districts. The combined bill passed 83-61. The House then adjourned until 4 p.m. Monday, April 27, 2026.

Transcript Highlights:

• Golden State Teacher Grant, and without continuing funding of this program, high-need schools like mine

Keywords: 987, senate, all

Transcript Highlights:

• I'll embarrass her a little bit—Anna Catherine Beale, a constituent of mine who lives right around the

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the 56th day by a roll call vote of 131-2. The Speaker also signed several measures, including House Bill 1768, House Committee Substitute for House Bill 1866, Senate Substitute for House Committee Substitute for House Bill 1870, Senate Committee Substitute for House Bill 2180, and Senate Substitute for Senate Committee Substitute for House Committee Substitute for House Joint Resolutions 173 and 174. Members then offered a point of personal privilege recognizing National Infertility Awareness Week and shared a constituent’s testimony in support of HCR 28, followed by numerous introductions of student groups, guests, and legislative announcements such as Hat Day and Ken Waller Day. The House received Senate messages on a series of budget bills and other measures, including House Bills 2002 through 2013, and then adopted motions on each of the budget bills to refuse the Senate substitutes and send the bills to conference committees. During discussion, members highlighted major budget differences, including child care subsidies, transportation funding, higher education funding, and a large broadband-related funding shift that would affect the apparent size of the operating budget. The budget chair said he had not yet seen all of the Senate’s printed changes but supported going to conference and expressed hope for compromise on disputed items. The chamber then took up Senate Bill 975, relating to ambulance districts and emergency medical services. After adopting a House committee substitute and a House amendment that restored compromise language on community paramedics and made a minor change to first responder mental health services, the bill passed 136-7. Supporters said it would help struggling ambulance districts, improve emergency response, and keep patients out of emergency rooms when appropriate; one member noted the bill was the same language as a previously passed House bill. The House also considered a property tax reform package in Senate Bills 1066 and 1088, adopting two technical and policy amendments on assessor training, electronic notices, protest payments, levy uniformity, and timing of voter-approved tax increases. Despite support from several members, concerns were raised that the bill could limit local control and create legal or fiscal issues for counties and taxing districts. The combined bill ultimately passed 83-61, and the House adjourned until April 27, 2026.

Transcript Highlights:

• Golden State Teacher Grant, and without continuing funding of this program, high-need schools like mine

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals on dual enrollment, reading difficulty screeners, special education, school facilities, and Commission on Teacher Credentialing programs. On dual enrollment, the Department of Finance described a $100 million one-time Proposition 98 investment to expand the Dual Enrollment Opportunities Grant Program, along with changes to make regional occupational centers eligible, add funding for justice-involved youth, prioritize higher-need LEAs, support teacher professional development, and reduce daily instructional minute requirements for some dual enrollment students. The LAO recommended rejecting the new funding as not clearly addressing implementation barriers, while CDE supported the proposal and suggested reserving $10 million for technical assistance. Committee members and public commenters generally supported the expansion, with some asking for technical assistance and broader access, including adult dual enrollment. The committee also reviewed a $40 million one-time Proposition 98 proposal for reading difficulty screener implementation and related trailer bill language that would require screening after 91 school days for kindergarten and 46 school days for grades 1-2. Finance said the timing was intended to reduce over-identification and align with evidence from preliminary data; the LAO recommended rejecting the funding and redirecting it to a discretionary block grant. CDE supported the funding and the general approach but acknowledged the need for local support and training. Several committee members and public witnesses raised concerns that the proposed timing restrictions were too rigid and could delay early intervention, while others supported the delay as a way to improve accuracy and avoid misidentification. For special education, Finance proposed ongoing Proposition 98 increases to adjust for COLA and enrollment changes and to raise the statewide special education base rate to $99 per ADA, equalizing rates across SELPAs. The LAO said the proposal should be adopted but estimated it could be funded for less than the Governor’s figure. CDE and multiple local education representatives strongly supported the increase, citing rising special education enrollment, cost pressures, and large local funding gaps. The committee also heard a brief overview of the school facilities proposal, which continues $1.5 billion in Proposition 2 bond funding for the School Facility Program; OPSC reported significant remaining bond authority but also substantial pending demand, and explained that natural disaster school rebuilding draws from the broader new construction and modernization pools. Finally, the committee reviewed Commission on Teacher Credentialing proposals, including the already-funded $300 million Student Teacher Stipend Program, new state operations resources for misconduct investigations and grant administration, and a $250 million one-time continuation of the Teacher Residency Grant Program. CTC said its grants management system is ready and that it expects better data tracking; public testimony broadly supported the educator workforce investments and urged continued funding for the Golden State Teacher Grant Program and additional support for rural and leadership pipeline programs. No votes were taken, and the hearing adjourned after public testimony.

Transcript Highlights:

• It's also a personal privilege of mine.

Bills: HB1937, HB2153, HB3674, HB2978, HB3885, HB3671, HB3261, HB3021, HB3029, HB4274, HB3701, HB3076

Keywords: HB1937, Oklahoma schools, student communications, electronic communication, digital communication, parent notification, legal guardian, school personnel, teachers, coaches, administrators, charter schools, public schools, administrative leave, corroborated report, investigation, employee file, discipline, termination, school board

Transcript Highlights:

• Also in the south gallery, I would like to take an opportunity quickly to introduce a friend of mine,

Bills: SB1365, SB2139, SB1595, SB1303, SB2180, SB2072, SB1772, SB1209, SB137, SB1944, SB372, SB1636, SB1256, SB1827, SB2104, SB1226, SB1876, SB1966, SB80, SB1148, SB1147, SB1149, SB1161, SB1162, SB1164, SB1159, SB1165, SB1174, SB1156, SB1158, SB1163, SB1175, SB1176, SB1166, SB1167, SB1157, SB1146, SB1481, SB1144, SB1145, SCR20

Keywords: SB1365, Oklahoma Central Purchasing Act, procurement exemption, competitive bidding, state purchasing, Oklahoma Tourism and Recreation Department, tourism department, merchandise for resale, gift shops, lodges, golf pro shops, state parks, restaurant contracting, retail outlets, public procurement, purchasing flexibility, Title 74, emergency clause, restrictive covenants, discriminatory covenants

Transcript Highlights:

• Mine are more just purely informative for me.

Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.

Transcript Highlights:

• This is a good friend of mine, Dr.

Bills: SR31, SB2060, SB2184, HB1371, HB1411, HB1933, HB2361, HB2398, HB2893, HB3006, HB3044, HB3127, HB3322, HB3147, HB1276, HB3472, HB3522, HB3704, HB4303, HB4319

Keywords: military, children, resilience, Purple Up!, military families, master development district, improvement district, public improvements, infrastructure financing, special assessments, statutory revision, consolidation, law amendment, emergency legislation, legal clarity, oil and gas, mineral rights, proceeds, royalties, escrow account

Summary: The Senate convened with a quorum, opened with prayer, and spent much of the day on recognitions and special presentations, including Capitol Cowboy Day honoring Oklahoma State University, the Doctor and Nurse of the Day, Miss Oklahoma Teen Taylor Meeks, military families for Purple Up for Military Kids Day, and several visiting groups in the galleries. During the OSU presentation, university leaders highlighted OSU’s agricultural research and asked for support for an upcoming agronomy research bill, and Coach Eric Morris was welcomed as the new head football coach. The chamber then took up Senate Resolution 31, designating April 15 as Purple Up for Military Kids Day in Oklahoma, which was presented with remarks about the sacrifices of military children and families and the significance of wearing purple. The Senate also advanced and passed several measures, including bills dealing with duplicate statutory sections and statutory interpretation, a negotiated oil and gas bill, the True Grit Trail, nitric oxide sales to minors, foster care and juvenile transition documents, a paraprofessional certification change, an Indian education council sunset extension, veterans’ tax refund donations, a Route 66 specialty license plate, cell phone restrictions in K-12 classrooms, tire pyrolysis funding, ABLE Commission reporting, scholarship-granting organization tax credits, municipal ordinance publication deadlines, and agency rule authority and review. Most bills were advanced without objection and passed by wide margins, with a few closer votes on House Bill 2398, House Bill 3127, House Bill 3704, and House Bill 1276. House Bill 1276, extending the classroom cell phone prohibition, drew the most debate, with supporters citing improved student focus and classroom interaction and one member raising local control concerns before voting yes. House Bill 3704, concerning participation in a federal tax credit for scholarship-granting organizations, prompted questions about double-dipping on tax benefits and state sovereignty, but it ultimately passed 38-8. The Senate then announced a Technology and Telecommunications meeting for the next morning and adjourned until 9:30 a.m. Thursday, April 16.

Transcript Highlights:

• wrote President Trump's AI, all of his executive orders for AI, so she's a really close friend of mine

Keywords: 914, all

Transcript Highlights:

• I finally let mine lapse, girl, so if I need somebody, I'm coming for you.

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

Transcript Highlights:

• I finally let mine lapse, girl, so if I need somebody, I'm coming for you.

Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.

Transcript Highlights:

• Um, Jess is actually a personal friend of mine.

Bills: HR204, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB3320, SB2543, SB3097, SB3096, SB3140, SB2593, SB2567, SB2466, SB2140, SB2088, SB3090, SB608, SB2795, SB3294, SB3263, SB3001, SB2907, SB3251, SB2074, SB2360, SB2354, SB2908, SB2353, SB3045, SB2047, SB3254, SB3246, SB3133, SB2425, SB2671, SB3229, SB2969, SB1166, SB896, SB2391, SB2125, SB3118, SB3325, SB2613, SB2614, SB494, SB2376, SB3326, SB2001, SB2599, SB3048, SB3169, SB2002, SB3247, SB3253, SB2155, SB2192, SB3187, SB2190, SB2398, SB2424, SB3028, SB2338, SB3219, SB2981, HCR14

Keywords: H.R. 204, House Resolution, Hawaii LifeSmarts, LifeSmarts State Competition, student competition, academic recognition, congratulatory resolution, Iolani School, Kalani High School, Waipahu High School, personal finance, consumer rights, health and safety, technology education, environmental education, National Consumers League, Department of Commerce and Consumer Affairs, Hawaii Credit Union League, youth achievement, high school teams

Transcript Highlights:

• And pray according to your faith's tradition as I pray according to mine.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation by Major Brittany Wooten, then took up Senate Resolution No. 1749 designating March 19, 2026, as West Point Day in New York State. Majority Leader Stewart-Cousins, Senator Skoufis, Minority Leader Ortt, and several other senators spoke in support of West Point, its cadets, and the academy’s history and role in national service. Colonel Daniel R. Stuewe, commander of U.S. Army Garrison West Point, also addressed the chamber, emphasizing the long-standing partnership between West Point and New York and the academy’s mission to develop leaders of character. The resolution was adopted, and the West Point Day observance included recognition of cadets and academy staff. The Senate then moved through a calendar of bills, passing measures including amendments to the Public Health Law, Election Law, Executive Law, Penal Law, Elder Law, Real Property Tax Law, General Municipal Law, and Public Authorities Law. Several bills drew brief explanations of vote or debate. Senator Mayer spoke in support of a bill establishing Fred Korematsu Day, framing it as a reminder of the injustice of Japanese American internment and the need to defend civil rights. Senator Ryan supported a bill streamlining the senior citizen property tax exemption process, calling it a way to reduce burdens on older residents. Senator Helming opposed a local government planning mandate as an unfunded mandate, while Senators Walczyk and Martins criticized a housing-related reporting bill as burdensome and ineffective. The most debated item was Calendar 457, a housing-data and reporting bill sponsored by Senator May. Supporters argued it would improve transparency and help the state understand zoning and housing capacity, while opponents said it imposed new reporting burdens on municipalities and could penalize poorer communities by threatening CDBG funding. After debate, the bill was restored to the non-controversial calendar and ultimately passed by a vote of 37-23. The Senate then adjourned until the next legislative day.

Transcript Highlights:

• So many stories like mine from being prescribed. I see it every day.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Transcript Highlights:

• That was also a question of mine.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.