Transcript Highlights:

• The hydraulic conductivity of 1 by 10^-6 cm/second—oh, that's too bad. I'm just kidding.
• The hydraulic conductivity of 1 by 10^-6 cm/second—oh, that's too bad. I'm just kidding.
• The hydraulic conductivity of 1 by 10^-6 cm/second—oh, that's too bad. I'm just kidding.
• The hydraulic conductivity of 1 by 10^-6 cm/second—oh, that's too bad. I'm just kidding.
• The hydraulic conductivity of 1 by 10^-6 cm/second—oh, that's too bad. I'm just kidding.

Keywords: 1191, senate, all

Transcript Highlights:

• this company helps them with the tax forms, with the background checks, all of the requirements that CMS
• :28:25.200> the<00:28:25.360> requirements<00:28:25.760> that<00:28:26.080> CMS
• <00:28:26.640> has<00:28:26.880> for all of the requirements that CMS has for all of
• the requirements that CMS has for the<00:28:27.279> program.

Keywords: 924, joint, all

Transcript Highlights:

• the state health plan, i.e., the contract that the state of Kentucky and all states have with federal CMS
• with Kentucky and all states have with Kentucky and all states have with federal<00:02:04.000> CMS
• federal CMS. federal CMS.

Keywords: 958, all

Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.

Transcript Highlights:

• However, we have heard from CMS earlier this month. They provided some feedback.
• /c><00:10:19.600> have<00:10:19.760> heard<00:10:20.000> from<00:10:20.320> CMS
• However, we have heard from CMS yet.
• However, we have heard from CMS earlier<00:10:21.680> this<00:10:22.000> month.

Keywords: 928, house, all

Summary: The committee met on December 19, 2025, approved the draft minutes from the November 21 regular meeting, and received a DHS commissioners update. Patricia Tilly reported on the state’s rural health transformation application, saying CMS had provided only one question and positive feedback, that the final federal award amount was still pending, and that DHS was preparing an accept-and-expend item for fiscal review using an up-to amount. She also said the new Hampstead YDC facility remains on track, with substantive construction expected by late summer 2026 and move-in likely in early January 2027. In response to questions, she confirmed the playground/outdoor activity area had been in the original design and was added when funding became available. Henry Litman, Medicaid director, discussed the Senate Bill 248 study committee report on palliative and hospice care. He explained the distinction between palliative care, which can be provided while a patient still seeks curative treatment, and hospice care, which involves electing not to pursue curative services. He said the committee’s work pointed to a need for better education for providers and the public, and described ongoing conversations with the Foundation for Healthy Communities and Home Health and Hospice about developing materials and possibly addressing how palliative services are bundled. He also said the study committee itself did not generate future legislation, though members could pursue it separately. Litman then answered questions about Medicaid eligibility and long-term services and supports, including delays in processing, the backlog from pandemic-era redeterminations, and efforts to speed reviews. He said the department is using temporary staffing funded in part by last session’s legislation, working with the New Hampshire Healthcare Association, counties, and UNH Law to streamline policy and training, and relying more on electronic asset verification while still guarding against improper asset transfers. He emphasized the goal of balancing faster access to benefits with compliance and fraud prevention. Robert Rodler followed with the annual tuition waiver update for children in foster care or guardianship. He reported 82 applicants and 65 waivers granted, including 35 for USNH schools and 30 for the community college system, and noted a correction would be issued for inaccurate continuing/new student figures in the report. Senator Gray said he intends to pursue a separate budget appropriation for these tuition waiver costs in the future so the funding would be clearly identified and easier to track. No additional votes were taken beyond approval of the minutes.

Transcript Highlights:

• Additionally, there is a CMS requirement that primary care providers notify primary hospitals when their
• Authority's certified community behavioral health clinic or program with the reporting that's required to CMS
• and part of that, I don't know in what aspect, but there is a potential for some of that money from CMS
• because the cost to do that was paid for with this funding that the health care authority received from CMS

Transcript Highlights:

• like IT systems for fraud detection and recovery and implementation of the federal requirements from CMS
• CMS is still writing the new rules; they have to go through public comment.
• At the CMS Rural Health BBB Big Bad Bill money, we will be eligible for $100 million just by submitting
• Actually, CMS themselves endorsed candor programs last year.

Transcript Highlights:

• It's in the rules of CMS. States must assure. It's not permissive language.
• It's in the rules of CMS.<00:50:18.920> States<00:50:19.360> must<00:50:19.720> assure
• CMS. States must assure. CMS. States must assure.
• And instead, it just—I don't know why the governor had to ask CMS to say, 'Could you please cancel this
• And instead, it just—I don't know why the governor had to ask CMS to say, 'Could you please cancel this

Keywords: 1187, senate, all

Transcript Highlights:

• ><00:36:30.880> underway<00:36:31.520> with<00:36:31.760> our<00:36:31.920> CMS
• are already underway with our CMS are already underway with our CMS corrective<00:36:33.200>
• Our CMS contractor was investigating it.
• He explained that one reason they are in the current situation, where CMS and the federal government
• where<01:40:07.760> we<01:40:07.960> are,<01:40:08.200> where<01:40:08.360> CMS

Keywords: 1187, senate, all

Transcript Highlights:

• The care is provided by CMS regulation at a payment rate less than would be expected with a high level
• The care is provided by CMS regulation at a payment rate less than would be expected with a high level
• The care is provided by CMS regulation at a payment rate less than would be expected with a high level
• The care is provided by CMS regulation at a payment rate less than would be expected with a high level
• The care is provided by CMS regulation at a payment rate less than would be expected with a high level

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• 04:01:16.120> they<04:01:16.199> were<04:01:16.479> following<04:01:16.880> CMS
• federal law they were following CMS federal law they were following CMS guidelines<04:01:18.279>
• /c><04:03:45.319> was<04:03:45.479> obviously<04:03:46.199> a<04:03:46.399> CMS
• <04:03:46.960> requirement the bill was obviously a CMS requirement the bill was obviously
• make sure that we have everything we need to enforce the transparency and coverage provisions that CMS

Keywords: 1189, house, all

Summary: The subcommittee first took up several bills and repeatedly chose to retain or table them rather than advance them. House 167, dealing with past wax, was voted ought to pass; House 312 was retained because members said NCAA-related advertising and uniform policy issues were still unresolved; House 434, requiring insurers to provide rental cars for at least seven days, was voted inexpedient to legislate; and House 454, on biodegradable packaging claims, was also voted inexpedient to legislate after members said the proposal lacked a workable enforcement mechanism and would likely be only a symbolic state-by-state measure. House 721, making gold legal tender, was retained, with members saying the bill needed more work and that the issue was less compelling in New Hampshire because the state has no sales tax. The committee then discussed House 310, which was amended to create a study commission on blockchain and related regulatory issues. The amendment expanded the commission’s charge to include legal, regulatory, financial, technological, and environmental considerations, added review of federal developments, included blockchain-based trust and stable token issues, broadened membership, and extended the repeal and report dates by a year. Members said the commission would help New Hampshire develop expertise and a report for future legislation, while also noting that federal action could affect the state’s role. The amendment was adopted 8-1, and the bill itself was then retained. Finally, the subcommittee heard a revised amendment to House 406 on business filings and registered agents. The Secretary of State’s office explained that the amendment, drafted with input from the Business and Industry Association, narrows the bill to address fraudulent or unauthorized entity filings after a written complaint and sworn statement, sets minimum requirements for registered agents, bars use of commercial mail-drop addresses as registered offices, and allows removal or cancellation of fraudulent filings with penalties for false filings. Members asked about which entities must maintain registered offices and how the rules would affect home-based businesses; the sponsor said most New Hampshire business entities must have a registered office, with some exceptions such as domestic nonprofits and trade names. The discussion emphasized concerns about synthetic entities, identity misuse, and the need for a physical in-state registered agent address.

Transcript Highlights:

• pilot through our 98-17 funds, the money we got around the American Rescue Act that came straight from CMS
• CMS will only let us use the money until September 30th.

Keywords: 1204, all

Transcript Highlights:

• The idea of pricing set by the federal government, CMS plus 4% for administrative overcharge, and the
• most favored nations provision that was mentioned, where we are seeing this... ...similar with the CMS

Summary: The committee first took up CS/House Bill 981, which would restore the Ocklawaha River and related natural resources. Supporters, including environmental groups, Save the Manatee Club, business owners, and Reunite the Rivers advocates, argued the bill would improve manatee habitat, fish passage, flood protection, tourism, and long-term economic returns while reducing dam maintenance costs. Opponents and skeptics focused on concerns about water quality, nutrient loading in the St. Johns River, loss of the Rodman Reservoir’s habitat and water-supply value, and potential ecological and economic harms. Members in debate largely supported the restoration effort, and the bill was reported favorably on a unanimous vote. The committee then heard HB 697, the PRICE Act, which would use international reference pricing to set a drug cost benchmark, address pharmacy benefit manager practices, and require health plans to keep drug prices stable for the year. The sponsor said the bill would lower costs and improve access, especially for uninsured Floridians. Supporters, including independent pharmacists, argued PBMs are squeezing pharmacies and that the bill could help lower prices. Opponents from BioFlorida and PhRMA warned the proposal could disrupt the national drug supply chain, fail to pass savings to patients, and lead to shortages, reduced access, and less innovation. After debate, the bill passed favorably, with Rep. Chambliss voting no. The committee also considered CS/HB 1081, which was amended to include private colleges and universities with NCA designation in the program. After brief discussion and support from United Way Miami, the committee reported the bill favorably. Finally, CS/HB 177 was introduced as a framework for Florida’s regional councils to cross-assign bills among regions; it received supportive testimony and was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• that budget adjustment factor further, which would overall increase rates as allowable under existing CMS
• increase rates as allowable<00:11:20.720> under<00:11:21.040> existing<00:11:21.440> CMS
• allowable under existing CMS rules. allowable under existing CMS rules. >> Follow.
• 42.959> you<00:12:43.040> have Just like you're asking, why do you have to reapply to CMS

Keywords: 928, house, all

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• Medical loss ratio is a term defined by federal law, and CMS calculates what that MLR is and how it's
• So, you know, a state law that tells CMS how to calculate MLR, I don't think would work.
• ML insurance also calculates but but CMS ML insurance also calculates but but CMS is<00:22:32.080
• So you know a state law that tells<00:22:39.039> CMS<00:22:39.520> how<00:22:39.679>
• how to to calculate MLR I tells CMS how to to calculate MLR I don't<00:22:41.200> think<00:22

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• its review process and is now in the process of submitting a proposal to the federal government, to CMS
• If approved by CMS, the new benchmark plan would take effect January 1, 2027. Thank you.
• down to ensuring that we would have an opportunity to be able to submit a benchmarking proposal to CMS
• down to ensuring that we would have an opportunity to be able to submit a benchmarking proposal to CMS
• this year. ...benchmarking proposal to CMS this year, recognizing that it wouldn't go into effect until

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• I know CMS has some say in that as well, which is difficult. But, and it’s...
• I know CMS has some say in that as well, which is difficult, but it takes forever, and that it shouldn
• Do you have the rules are through IDEA, through CMS, through support employment contracts?

Summary: The meeting focused on integrated employment and related services for people with intellectual and developmental disabilities, with testimony from several provider agencies and state officials. Robin Arder and Belinda Stevens of ThinkAbility described how their organization supports people through residential services and self-created businesses because community employers often are not ready to hire people with disabilities. They said rigid service rules, difficulty fitting individuals into existing job definitions, and reimbursement requirements can prevent person-centered employment supports. They also reported that, in their experience, employees had not lost benefits when work was coordinated carefully with Social Security and benefits management. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial and highway contracts, state-use products, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said the organization uses a temp-service style model to make employers more comfortable and noted barriers such as employer concerns about productivity, lack of awareness of tax credits and accessibility resources, and the need for consistent job coaches. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model, including a Transition Academy for young adults that combines independent living instruction, community college classes, internships, and follow-along support; she said the program has an 85% placement rate but is expensive and not eligible for traditional student aid because it is not accredited. She also cited barriers including dual diagnoses, workforce readiness, and low reimbursement rates. Angela Decker and Deborah Copeland of DRTC described their long-running enclave contracts and a new Community Skills and Connection program that uses interest-based cohorts, community exploration, and volunteer experiences to build skills and networks tied to employment. They said the agency is phasing out its 14(c) subminimum wage certificate by the end of the year and is trying to expand community-based opportunities. DRTC and other providers emphasized the need to blend DDS and DRS services more effectively, reduce restrictive rules such as line-of-sight requirements, and better support people in congregate living settings. DRS representatives said the agency does provide school-based transition services, employer accommodations, and job carving support, and noted federal reporting requirements tied to wage outcomes. Members also discussed safety concerns, employer education, data collection, ABLE accounts, and the role of schools in preparing students for work and community life. The co-chairs proposed organizing the task force into three working groups: in-school/transition services, program support and service blending, and community integration/employer engagement. No votes were taken, and the meeting ended with plans for further working-group discussion and follow-up on data and policy ideas.

Bills: HB235, HB236, HB565, HB237, HB238, HB239, HB240, HB241, HB242, HB235, HB236, HB565, HB237, HB238, HB239, HB240, HB241, HB242

Keywords: social media, age verification, minors, under 16, children online safety, online privacy, platform regulation, deceptive trade practice, Attorney General, civil penalties, punitive damages, consumer protection, account creation, algorithmic feeds, internet safety, youth social media, HB236, Baldwin County, Board of Equalization, per diem

Transcript Highlights:

• CMS.
• CMS.
• CMS.
• CMS.
• CMS. CMS. CMS.

Keywords: 1187, senate, all

Transcript Highlights:

• We're also talking with CMS as a part of the conversations that are ongoing with them about that.
• So, the Vice President of the United States and the administrator of CMS, Dr.
• fourth quarter of federal fiscal year 2025, which means in essence we as a state will have to repay CMS
• taking several quarters, typically because of the volume of information that we have to provide to CMS
• So, the Vice President of the United States and the administrator of CMS, Dr.

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• It requires that providers allow CMS and DHS to conduct unannounced site visits at any of the provider's
• Um it requires that providers allow<00:08:12.960> CMS<00:08:13.520> and<00:08:13.840>
• I would like to invite CMS<01:42:27.760> and<01:42:28.000> anybody<01:42:28.400> who
• and anybody who wants to work with CMS and anybody who wants to work with us<01:42:30.080> to
• right now to come to join us right CMS right now to come to join us right here<01:43:17.199> so

Bills: HF3423, HF2354, HF3634

Keywords: healthcare, provider enrollment, medical assistance, legislation, state funds, fraud prevention, subpoena authority, criminal penalties, consumer protection, service verification, Medicaid, human services, electronic documentation, 1183, house