Transcript Highlights:

• Basically, we have the Division of Vocational Rehabilitation and services for the blind and visually
• We also have Disability Determination Services. rehabilitation and services for the blind and visually
• In back in 23, as a reminder, for Vocational Rehabilitation and Services for the Blind and Visually Impaired
• Our projects for 26 we do Under vocational rehabilitation and services for the blind and visually impaired
• So on the VR program, which encompasses again the and services for the blind and Visually impaired, we

Keywords: 914, all

Transcript Highlights:

• Secondly, say thank you for drawing pictures for me because I feel like I retain information better as a visual
• And I know I joke a lot about the visibility and the visuals, but I really, really appreciate you taking
• I know you like the visuals, but we'll see where we can pare that one down a little bit.
• I know you like the visuals, but we'll see where we can pair that one down a little bit.
• Senator Reeves, I know you like the visuals, but we'll see if we can pair that one down a little bit

Summary: The House Agriculture and Natural Resources Committee held a work session on food systems and food security, with no public testimony. The first panel focused on household food security and data. Marie Spiker of the University of Washington explained what food insecurity means, its health impacts, and the importance of reliable measurement, warning that the federal Census food security data is being terminated and that there is no true replacement. She described Washington’s WaFOOD surveys as a useful complement, not a substitute, and noted that they show food insecurity affects households at a range of income levels. Katie Raines of WSDA described the state’s food systems work, the need for shared data and dashboards, and the role of agriculture in both food production and the hunger safety net. Committee members asked about the $2.2 million state food assistance allocation, the scale of the SNAP gap, and how household size, housing costs, and other factors intersect with food insecurity. The committee then heard from Tracy Roof of the University of Richmond on the history of SNAP and its relationship to agriculture. She traced the program from Depression-era commodity distribution through the modern farm bill, emphasizing that food assistance has long functioned both as anti-hunger policy and as an agricultural and economic stabilizer. She highlighted how SNAP expands during recessions, supports retailers and farmers, and has become more important since the Great Recession because participation stayed high even as the economy recovered. Roof also noted that Washington has relatively high SNAP participation and low payment error rates, but that recent federal changes could reduce eligibility and shift more costs to states. Members asked how Washington compares to other states and why the program is structured as it is. A later panel featured the Washington State Food Policy Forum and a joint systems presentation from the Washington Farm Bureau, Washington Retail Association, and Washington Food Industry Association. The Food Policy Forum described its consensus-based recommendations on food insecurity, climate and water, regional food infrastructure, farmland protection, and farm viability, including more support for producer purchasing, water planning, and farmland conservation. The industry groups presented a systems map showing how agriculture, processing, retail, and transportation are interconnected, and argued that rising costs, regulations, labor and fuel expenses, retail theft, and thin margins make it harder to keep farms and stores viable. They said food security depends on store viability and local agricultural profitability, and promised to provide a more detailed list of policy recommendations. The final panel included state agency staff from DSHS, DOH, and WSDA. Bryce Montgomery said the Basic Food program serves about 920,000 Washingtonians monthly and warned that H.R. 1 could require Washington to pay up to 15% of SNAP benefits, broaden work requirements, and restrict immigrant eligibility. Karen Mullen described DOH nutrition programs, including WIC, farmers market nutrition benefits, fruit and vegetable incentives, and a fruit-and-vegetable prescription program, while noting funding instability and the end of SNAP-Ed. WSDA’s Katie Raines began describing ongoing food assistance and farmer support challenges, including farmer mental health and the need to address food insecurity across both producers and consumers.

Transcript Highlights:

• Here is just a visual representation. We spoke about different types of reactors.
• And this is just visually represented: what do footprints look like? All right.
• I think that's where some of the reactor testing is going to happen and some of the visuals inside and
• I think that's where some of the reactor testing is going to happen and some of the visuals inside and
• I think that's where some of the reactor testing is going to happen and some of the visuals inside and

Summary: The meeting was an extended briefing from Idaho National Laboratory officials on the lab’s mission, its role in nuclear energy research, and the federal push to accelerate advanced reactor deployment. Speakers described INL’s size and capabilities, including test reactors, fuel and materials facilities, cybersecurity and critical infrastructure work, and partnerships with DOE, the NRC, the Department of Defense, and private companies. They emphasized that the lab is supporting both commercial nuclear development and national security work, while also training a large intern workforce. A major theme was the current federal effort to streamline nuclear regulation and speed up licensing and demonstration. The speakers said recent executive orders and DOE/NRC coordination are reducing redundant requirements, shortening environmental review timelines, and aiming for three new nuclear systems to reach criticality by July 4, 2026. They argued that regulatory uncertainty has been a major driver of nuclear cost and that the administration’s actions, along with DOE’s pilot and demonstration programs, are intended to rebuild the domestic supply chain and industrial base. The discussion also focused on advanced reactor types, including small modular reactors, microreactors, molten salt concepts, and liquid-metal designs. Officials said these technologies are being developed for data centers, military bases, remote communities, industrial heat, hydrogen production, and other nontraditional uses. They highlighted several projects and companies, including Oklo, Aalo, Radiant, X-energy, TerraPower, Kairos, and DOE’s MARVEL and Project Pele efforts, and said some reactors are expected to reach criticality or operation in the next few years. Questions from attendees covered safety, public health impacts, materials and heat management, waste or used fuel handling, costs, and whether nuclear could remain competitive against other energy sources; the speakers responded that advanced reactors are designed with passive safety features, that used fuel should be viewed as a resource, and that cost remains highly design- and supply-chain-dependent.

Transcript Highlights:

• partners including the Butterfly Pavilion, Cherry Arts, Colorado Fine Arts Association, Downtown Aurora Visual
• partners, including the Butterfly Pavilion, Cherry Arts, Colorado Fine Arts Association, Downtown Aurora Visual
• Fine Arts Association, Downtown Colorado Fine Arts Association, Downtown Aurora<00:36:33.359> Visual
• c> Hot<00:36:34.640> Quest,<00:36:35.359> and<00:36:35.760> Ocean Aurora Visual
• Arts, Hot Quest, and Ocean Aurora Visual Arts, Hot Quest, and Ocean First<00:36:36.720> Institute

Keywords: 981, all

Summary: The Senate met with a quorum, approved the February 23, 2026 journal, and received several committee reports. Education recommended Senate Bill 67 be amended and sent to Appropriations, and Judiciary recommended Senate Bill 70 be amended and sent to Appropriations. The Education Committee also recommended confirmation of several Institute of Cannabis Research Governing Board appointments, and later the chamber confirmed a consent calendar of governor’s appointments, including members of the GOCO Trust Fund board, the Colorado Agriculture Development Authority, and the Wildlife Habitat Stamp Committee. On the floor, the Senate passed several bills. Senate Bill 85 and Senate Bill 25, both on the consent calendar, passed unanimously. Senate Bill 5, concerning state court remedies for violations of federal constitutional rights during immigration enforcement, passed on a 20-11 vote after a brief reconsideration mix-up and was then repassed. Senate Bill 18, concerning legal protections for a minor and sealing a related name-change record, passed 20-11. Senate Bill 31, concerning lawful use of a prescription drug product containing a Schedule I controlled substance, passed 29-2. The chamber then resolved into Committee of the Whole and took up Senate Bill 46, a property tax administration cleanup bill. After a Finance Committee report and adoption of amendment L003, the bill passed second reading and was ordered engrossed. The committee also laid over Senate Bills 53, 43, and 84 until February 25. Later, the Senate concurred with House amendments to Senate Bill 52, concerning coal transition communities and just transition money, and then repassed it. The Senate adopted the Committee of the Whole report and recessed until 11:00 a.m. after announcements and personal privilege remarks recognizing the Scientific and Cultural Facilities District and Musical Therapist Day.

Transcript Highlights:

• They compile it, they visualize it, and everything.
• it, they visualize it and everything.<00:15:44.560> So,<00:15:45.280> going<00:15:45.520
• Um, because that would be silly, because there's so many things we could visualize.
• Like, I don't think a week goes by without somebody asking for something from us. visualize.
• So if like I said if there visualize.

Keywords: 910, house, all

Transcript Highlights:

• So, visually trying... ...of the Alabama here, so visually tying together the physical artifact of service
• and these visual reminders of the experiences and contributions of so many people.

Bills: SB67, HB295, SB104

Keywords: veterans affairs, Alabama Department of Veterans Affairs, State Board of Veterans Affairs, commissioner, Governor appointment, oversight board, veterans services, veterans benefits, state veterans homes, veterans cemeteries, Alabama Veterans Home Trust Fund, veteran service officers, district managers, assistant commissioners, county veterans offices, military veterans, disabled veterans, elderly veterans, veterans organizations, American Legion

Transcript Highlights:

• This ensures the state’s deaf and hard of hearing, visually impaired, and those with limited English
• <00:31:49.720> comp<00:31:50.159> um<00:31:50.320> visually hearing visually
• comp um visually hearing visually comp um visually impaired<00:31:51.440> and<00:31:51.639>
• Impaired hous housing and Visually Impaired hous housing and connection<00:34:29.320> to<00:34
• costs annually around $24,000 a year versus if somebody has delayed services and requires higher acuity

Keywords: 1189, house, all

Transcript Highlights:

• I will be very happy to send you the visual aids. Fabulous. I love visual aids.
• I love visual aids. Any other questions from the committee? Terrific. Thank you, Alex.
• Oh, another visual aid?
• You're welcome to send us your visual aid as well. Okay.
• Oh, and there's a visual aid. Fantastic. Welcome, gentlemen. Thank you.

Keywords: 995, all

Summary: The Joint Committee on Environment and Natural Resources held a heavily attended hybrid hearing focused primarily on plastics reduction bills, along with a few local and related waste-management measures. Chair Rauch and Chair Barber outlined strict testimony rules because of the large number of speakers. Before the plastics docket, the committee heard support for a local Sharon sewer-extension bill for a Sunrise Senior Living project, and the bill’s proponents said the project would help address senior housing needs and would still require MWRA and local approvals. The chairs also noted a separate local matter involving Sharon and the MWRA. A major portion of the hearing centered on the Plastics Reduction Act and related bills addressing single-use plastics, including plastic bags, polystyrene, black plastic, plastic beverage bottles, non-flushable wipes, skip-the-stuff provisions, and truth-in-labeling. Sponsors and supporters said the bills would reduce litter, microplastics, greenhouse gas emissions, and municipal waste costs, while creating statewide consistency and supporting environmental justice communities. Several speakers cited local bans already adopted by many Massachusetts cities and towns, and many urged the committee to advance comprehensive statewide action. The committee also heard testimony on a boat wrap recycling bill, a mattress recycling bill, and a bill to prohibit hotels from providing small plastic toiletries. Municipal officials and waste professionals supported extended producer responsibility for paint and labeling for non-flushable wipes, saying these measures would shift costs away from cities and towns and reduce strain on wastewater systems. The Massachusetts Municipal Association, Mayor Ruth Ann Fuller of Newton, and a Franklin County waste official all backed paint EPR and wipes labeling. Fire Chief Brian Nardelli testified for the Fire Chiefs Association in support of lithium-ion battery legislation, citing fire safety and disposal concerns. Other speakers, including environmental groups, local activists, and business representatives, supported bag and polystyrene bans, though the Retailers Association of Massachusetts urged any bag policy to be truly statewide and said any bag fee should be retained by retailers. No votes were taken during the hearing.

Transcript Highlights:

• This is for Kaylee, for Leah, and for the countless victims of invasive visual recordings.
• This is for Kaylee, for Leah, and for the countless victims of invasive visual recordings.
• I mean, there were some visuals there. I mean, it wasn't like a real actual human, but...
• There are some visuals there.
• , any kind of visual that is very... ...inappropriate.

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• On another event, if we couldn't visually see anything, we got a call that somebody suspected of ICE
• But if you visually saw it, we use our discretion to address it. This is important to all of us.
• see activity off >> I think if we visually see activity off campus, campus, campus, >> I
• see anything, we if we couldn't visually see anything, we got<01:02:17.119> a<01:02:17.359>
• see anything, I think didn't visually see anything, I think we'd<01:02:24.319> encourage<01:02

Keywords: 910, house, all

Summary: The committee heard testimony on HB 2485, which would require cardiovascular screening for student athletes. The Department of Education and Department of Health said they support the bill’s intent but noted that many screenings are already part of existing school-entry and well-child exams. The Attorney General’s office asked for clarifying language on who performs the screenings, where results go, how “positive findings” are defined, how referrals would work, and whether funding would be appropriated if DOE must hire health professionals. The American Heart Association strongly supported the bill, citing the risk of sudden cardiac arrest in young athletes and arguing that sports physicals are an effective opportunity for early detection. No vote was taken, and the committee moved on after testimony. The committee then heard HB 89, concerning a school psychologist working group and possible licensing or credentialing of school psychologists. The Department of Education and Board of Psychology supported the measure. The Hawaii Psychological Association said it supports licensing school psychologists but asked to be included in the working group, arguing it is an important stakeholder. The Hawaii Association of School Psychologists opposed including HPA, saying the issue is between school psychologists and DCCA and that HPA is not part of their organization. Testimony and discussion focused on the long-running disagreement over whether school psychologists should be regulated under the Board of Psychology or another mechanism, and on title protection and scope of practice. No action was reported during this portion. The committee also took up HB 2445, relating to standardized emergency responses for immigration enforcement at or near schools. The Department of Education said it already issued internal law-enforcement guidance and questioned whether the bill was necessary, while also raising concerns about the bill’s 1,000-foot buffer language and the limits of school authority over activity off campus. The Board of Education echoed those concerns and suggested the bill may need clearer definitions. Supporters, including the White Coalition for Immigrant Rights, the Legal Clinic, and an attorney testifying on Know Your Rights training, argued that recent federal changes have increased ICE activity near schools and that a law is needed to ensure clear, public protocols, staff training, and family protections. A student testifier said the measure was a top priority of the state student council. The transcript ends during testimony, with no vote or final committee action shown.

Transcript Highlights:

• amount of power these water districts have now, I think it's high time. to go ahead and get audio and visual
• And if you're over that threshold, then you would put your video on audio and visual. Yes, sir.
• They do not maintain nor operate audio- visual recording equipment in locations where they meet.

Bills: HB279, HB310, HB365, HB391, HB420, HB422, HB638, HB279, HB310

Keywords: HB 279, uranium mining, uranium permit, production area authorization, production zone, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, contested case hearing, administrative hearing, groundwater restoration, groundwater baseline, water quality, mining permit, restoration values, natural resources, environmental regulation, in-situ uranium mining, permit amendment, public hearing

Transcript Highlights:

• The Census Bureau's address list would already be loaded, and they can get this visual view of the two
• address list would already be loaded, and they can get this visual view of the two lists side by side
• Let me just visualize something a little bit concretely focused on the master address part of this.
• Let me, so we just visualize something a little bit concretely focused on the master address part of
• We just visualize something, a little bit concretely focused on the master address, part of this.

Keywords: 995, all

Summary: The Senate Committee on the Census held a hearing on September 22, 2025 focused on preparations for the 2030 census, with an emphasis on Massachusetts’ role in building a complete address list and improving local participation in census-related address review programs. Chair Brownsberger and witnesses from the Secretary of the Commonwealth’s office, the UMass Donahue Institute, Watertown, and MassGIS described the importance of accurate address data for congressional apportionment, federal funding, and state and local planning. They also discussed the first major upcoming step, the Block Boundary Suggestion Project, and the later Local Update of Census Addresses (LUCA) process, both of which rely on municipalities reviewing and correcting census geography and address files. John Rosenberry of the Secretary of the Commonwealth’s office said outreach to cities and towns is beginning now, with a likely December start for the block boundary process based on the 2020 cycle. He stressed that local officials, clerks, building inspectors, housing authorities, and GIS staff should be engaged early, especially to capture new development and conversions created under the state’s housing policies. Susan Strait of UMass Donahue explained that LUCA allows local governments to compare their address lists with the Census Bureau’s master address file, and that Massachusetts had very high participation in 2020; she cited examples where local review added hidden or newly built housing units and noted that Boston later corrected a group-quarters undercount of about 6,000 students through a post-census review program. In response to questions, she clarified that those corrections affected annual estimates and funding formulas, but not the 2020 apportionment count. Watertown City Manager George Proakis described how local address review is complicated by accessory dwelling units, single-family to two-family conversions, and large multifamily projects, and urged continued state support for local governments doing this work. Dan Marrier of MassGIS then outlined the Massachusetts Master Address Database, explaining that it combines multiple sources, including E911, assessor, voter, and municipal data, to create a standardized residential address repository used for census preparation and other state functions. He said the database has helped improve census accuracy, including by updating more than one million Census Bureau address-point locations before 2020, and noted that local municipalities remain the final authority on addresses even as MassGIS standardizes and reconciles variants across the Commonwealth.

Transcript Highlights:

• We we show you a picture of a jar of beads um often and that is our way every year of visually tracking
• We we show you a picture of a jar of beads um often and that is our way every year of visually tracking
• We we show you a picture of a jar of beads um often and that is our way every year of visually tracking
• We we show you a picture of a jar of beads um often and that is our way every year of visually tracking
• We we show you a picture of a jar of beads um often and that is our way every year of visually tracking

Bills: HB187, HB98, HB360, HB394, HB398, HB388, HB187, HB98, HB360, HB394, HB398, HB388

Keywords: school safety, emergency response, training, public safety, Alyssa's Law, law enforcement, scholarship, tuition assistance, dependent education, Alabama, blackout license plate, HB360, Second Amendment Sales Tax Holiday, sales tax holiday, firearms, guns, ammunition, bullets, primers, gun accessories

Transcript Highlights:

• present, and anticipated future stage. of this industry as well as supporting industries such as visual
• efforts, Wicked, Barbie, and Oppenheimer, and technology disruptors such as AI and advancements in visual
• Playhouse, that send new visual arts and performing arts programs to Broadway.
• there an opportunity to use this moment, if we're increasing a pie, to think about other areas of visual
• entertainment sector employs thousands of people across the skills spectrum from set builders to visual

Keywords: 988, house, all

Transcript Highlights:

• accessibility for people in our state, allow wheelchair accessibility, um many means of accessibility, audio visual
• :16.560> of<00:04:16.799> accessibility<00:04:17.440> audio<00:04:17.840> visual
• many means of accessibility audio visual many means of accessibility audio visual as<00:04:18.560

Keywords: 1187, senate, all

Transcript Highlights:

• The misuse of AI to create non-consensual intimate visual materials, often called "deepfakes," has grown
• The bill addresses AI misuse in creating and distributing intimate visual materials.
• It expands the scope of Chapter 98B to include artificial intimate visual material, defining it as computer-generated
• individuals and entities responsible. for damages if they produce, solicit, disclose, or promote artificial visual

Bills: HB4922, HB4713, HB4256, HB872, HB1571, HB4266, HB4559, SB251, SB441, SB1719

Keywords: healthcare liability, emergency medical care, standard of proof, negligence, legal reforms, Texas General Arbitration Act, arbitration, binding arbitration, statute of limitations, limitations period, tolling, Civil Practice and Remedies Code, Section 16.073, alternative dispute resolution, ADR, civil procedure, lawsuit filing, court jurisdiction, Judiciary & Civil Jurisprudence, procedural law

Transcript Highlights:

• I want to go to his course history and I want to visually see is he on track to graduate.
• My question pertains to how this system is accessible to individuals with visual or sight impairments
• to sight-impaired and visually impaired persons. Absolutely. Thank you, Mr.
• Our application is 508 compliant, so it will be able to be used with tablets in the visually impaired
• Also, Google Looker licenses, those are for visualizations or a way to look at the data.

Transcript Highlights:

• I am also a mother of a son who is 24 and who's with us today, who has a visual impairment, and I'm also
• I am also a mother of a son who is 24 and who's with us today, who has a visual impairment, and I'm also
• I am also a mother of a son who is 24 and who's with us today, who has a visual impairment, and I'm also
• today<00:16:36.959> who<00:16:37.160> has<00:16:37.360> a<00:16:37.519> visual
• who's with us today who has a visual who's with us today who has a visual impairment<00:16:38.759

Keywords: Meeting Start 00:00 Roll Call 00:24 SB 3 Discussion 01:06 SB 3 Vote 04:51 SB 15 Discussion 07:14 SB 15 Vote 14:42 SB 103 Discussion 15:39 SB 103 Vote 33:53 SB 201 Discussion 35:44 SB 201 Vote 39:47, 958, all

Summary: The House Standing Committee on Economic Development and Workforce Investment met with a quorum and first considered Senate Bill 3, relating to student athletes and NIL. Senator Max Wise said the bill would modernize Kentucky’s NIL framework so universities remain competitive and student-athletes can benefit, noting the state’s earlier NIL law and the need to act before a pending national settlement. Several members supported the bill but expressed concern that NIL has changed college athletics and could eventually affect high school sports. The committee reported Senate Bill 3 favorably. The committee then took up Senate Bill 15, relating to minimum wage exceptions for minor league baseball players. Senator Amanda Bledsoe and MLB representative Josh Allen explained that the bill would align Kentucky law with the players’ collective bargaining agreement, treating the players as salaried rather than hourly workers and addressing overtime issues. Members discussed the minimum weekly salaries at Single-A and Triple-A, along with housing, meals, and health benefits under the agreement. The committee adopted a committee substitute, passed a title amendment, and reported Senate Bill 15 favorably. Finally, the committee heard Senate Bill 103, which concerns the Office of Vocational Rehabilitation and services for people with disabilities. Senator Danny Carroll and provider advocates said the bill would add regulatory oversight, require reporting to the legislature and governor, and give preference to in-state services when available, while preserving access to out-of-state services when needed. Testimony focused on Kentucky’s low employment ranking for people with disabilities, unused federal funds, provider funding concerns, and an OVR order of selection that would limit services to the most severe cases. The committee adopted a committee substitute and reported Senate Bill 103 favorably after supportive comments from members about the program’s impact on employment and quality of life.

Transcript Highlights:

• What about their mental acuity? What about their sports history?

Keywords: 1183, house

Transcript Highlights:

• Um, higher acuity patients are as much as 342 per day. But actual costs tend to exceed that.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.