Transcript Highlights:

• But just your definition of medical providers, that would apply to that list of medical providers I just
• If the baby survives and the medical provider provides that life-giving care to their second patient,
• But there's nothing in legislation that provides recompense, that provides what happens to these individuals
• I think it provides protection for women.
• Fails to provide medical care? Yes.

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal, and a long series of special guest introductions recognizing interns, community leaders, FFA officers, library advocates, park and recreation professionals, and others. Members also used points of personal privilege to honor Black History Month and the legacy of William Clay Sr. The chamber then moved into first reading of several bills, including measures on University of Missouri curators, personal property assessment lists, and state department spending. The main floor action centered on House Bill 1757, which would require universal screening of third-graders for gifted education using flexible screening methods and would help ensure students who qualify are identified regardless of zip code or family resources. Supporters argued the bill would close gaps in gifted identification and expand access, while questions focused on funding, screening methods, and whether the bill would create an unfunded mandate. The House adopted the committee substitute and ordered the bill perfected and printed. Members then debated the Born Alive Abortion Survivors Protection Act, presented as House Committee Substitute for House Bills 1667 and 2294. Supporters said the bill would require medical care for infants who survive an abortion attempt and impose civil and criminal penalties for knowingly harming such a child. Opponents argued the bill was duplicative of existing law, could criminalize medical providers, and would worsen Missouri’s maternal care shortages. The debate included extended questioning about the bill’s standards, scope, and enforcement, but no final vote on the born-alive measure was taken in the excerpt.

Transcript Highlights:

• I pray that you will continue to provide them with the strength to carry it.
• I pray that you will continue to provide them with the strength to carry it.
• provide $4.5 million for capital improvements and repairs to our armories.
• Will those funds that revert back provide additional grants for students?
• The surcharge annually provides appropriations.

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.

Transcript Highlights:

• We'll provide those.
• If not, if you could also provide what escapes that seemed to get brought up a lot.
• So one is if you could provide where that's coming from because that sounds like another.
• We've done a lot of work with the providers over the last few years.
• In fact, when providers are overwhelmed by redundant requirements, quality suffers.

Summary: The committee first took up House Bill 1544, which would require DCYF to study and improve the risk assessment tool used in child abuse and neglect investigations, including better identifying family strengths and needs, substance use-related risk, and service needs, and to certify the tool every three years. Staff explained the bill and noted it had passed the committee unanimously in substitute form last year. The prime sponsor, Representative Rule, said the tool would help reduce bias and support better decisions about child safety. Members raised questions about whether the bill would require new data systems or create a fiscal impact, and DCYF testified that the recertification process would focus on evidence-based literature and fidelity to the tool, though the agency acknowledged limitations in its data system. Support testimony from Partners for Our Children and DCYF emphasized that the current tool is not evidence-based and that the department is piloting the North Carolina Family Assessment Scale. The hearing on HB 1544 was then closed. The committee then received a lengthy work session from DCYF on juvenile rehabilitation. Juvenile Rehabilitation Assistant Secretary Jennifer Redman and security classification administrator Jeff Endermark described a growing JR population that is older, serving more adult-sentence youth, and projected to rise to about 481 by 2031. They said Green Hill School remains crowded, Harbor Heights is being brought online as a short-term option, and Echo Glen is near safe operational capacity. They explained JR’s classification system, behavior management process, and the role of multidisciplinary teams in placement decisions, as well as the expansion of community transition services (CTS), which uses electronic home monitoring for eligible youth. Staff described CTS eligibility, supervision expectations, and examples of successful placements, but also said the program needs more after-hours staffing and community supports. Members questioned the validity and equity of the risk tools, the availability of community resources, the impact of behavior policies and escapes, the use of single bunking, and broader concerns about lawsuits and sexual abuse in the system. JR reported an escape rate increase from 1.78 per 100 youth in 2001 to 3.92 in 2025 and said additional capacity and staffing are still needed. The committee then heard House Bill 2219, which would allow child care centers more flexibility in mixed-age grouping during parts of the day and waive repeated DCYF pre-service orientation for people who have already completed it. The prime sponsor, Representative Ortiz-Self, said the bill is meant to ease burdens on small providers. Testifiers from SEIU 925, a family child care provider, the Washington Child Care Centers Association, a child care center director, and the Children’s Campaign Fund supported the bill as a practical way to improve staffing flexibility and reduce duplicative licensing requirements, though one association asked that the bill’s daily time caps on mixed-age grouping be revised or removed. The committee then heard House Bill 2253, an agency-request technical corrections bill for DCYF licensing. Staff said it would allow child-specific licenses for certain relatives under interstate placements, exempt kinship caregivers from blood-borne pathogen training, remove licensing exemptions for physicians and lawyers, allow termination of inactive licenses, revise crisis residential center staffing ratios, and eliminate state monitoring requirements for the Washington School for the Deaf residential program. Members asked about how inactivity would be defined and whether the School for the Deaf inspections had historically produced savings. DCYF said the bill would help right-size licensing workloads after budget cuts and would let the agency work with stakeholders to define inactivity in rule. Testimony from DCYF, Community Youth Services, and Partners for Our Children supported the bill, especially the staffing ratio fix for crisis residential centers and the child-specific licensing changes for relatives.

Transcript Highlights:

• So obviously we're happy to answer questions now and later, and have also provided in your presentation
• So our research and data analysis provide us this information, which includes both forensic and civil
• Thank you also to the legislature for providing $81 million for the University of Washington to provide
• They may provide some level of guidance at the end of this month, but it's sort of unclear.
• One requirement is that the state must provide certain mandatory services.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• I'll provide an overview of how recreational boating is...
• I'll provide an overview of how recreational boating is administered.
• I'll provide an overview of how recreational boating is administered.
• The intent of this is to provide a tax exemption.
• It says the LCB should provide a system for reporting and maintain it.

Summary: The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office. Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September. JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met. The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.

Transcript Highlights:

• I'll pause for a second just to provide clarity.
• That will provide about approximately 450 buses.
• This is an essential government service that we can provide.
• Did you want to provide some testimony as well?
• It's imperative to pass this bill to ensure that telecommunications providers can effectively provide

Summary: The committee heard and advanced several transportation-related bills, beginning with AB 431 on advanced air mobility. The author and supporters from AUVSI, Joby Aviation, United Airlines, Wisk Aero, the City of Long Beach, and Archer said the bill would create a statewide plan and technical framework for eVTOL/advanced air mobility infrastructure, public outreach, and local implementation. No opposition testified, and the bill passed the committee as amended to Appropriations on a unanimous roll call. Members then took up AB 630 on abandoned or hazardous RVs. The author and supporters, including Los Angeles Mayor Karen Bass’s office, argued the bill would curb a cycle in which inoperable RVs are towed, auctioned cheaply, and returned to the streets by predatory buyers, while adding notice, recovery, and reporting requirements. Opponents from Western Center on Law and Poverty and ACLU California Action warned the bill would destroy RVs that serve as shelter for unhoused residents and could worsen homelessness. After discussion about the bill’s focus on dismantling rather than towing, the committee passed AB 630 as amended to Appropriations. The committee also approved AB 314, which would support transit-oriented development around planned and existing high-speed rail stations; AB 1223, which gives Sacramento County communities more flexibility to use local transportation revenues for related infrastructure supporting infill development; AB 1111, which adds flexibility to the zero-emission school bus transition for rural and disadvantaged districts; AB 1190, which caps fees charged by DMV business partners and requires clearer disclosure of the official DMV site; AB 987, which limits unreasonable towing fees and related charges; and AB 911, which creates a narrow exemption from Advanced Clean Fleets rules for telecommunications bucket trucks and sail-on-wheels used in emergencies. Most bills drew support from local governments, industry, or consumer groups, while AB 1111 and AB 911 drew opposition from clean transportation and environmental advocates concerned about weakening emissions goals. All of the bills were reported out as amended to the Committee on Appropriations, with recorded roll-call votes and several members adding their names as co-authors or supporters.

Transcript Highlights:

• the health care providers by providing attainable as well as, most importantly, stable housing, where
• , the type of housing that they're going to provide.
• Let's change that and provide an incentive to do that.
• We are providing families with hope.
• It is not my intention to provide additional funding.

Summary: The committee met to hear a panel on workforce and attainable housing, with presentations from Florida Housing Finance Corporation, Pensacola Habitat for Humanity, Wendover Housing Partners, the City of Tallahassee, and Escambia County. Speakers described how state and local tools such as SHIP, the Live Local Act, land trusts, accessory dwelling units, infill development, and public-private partnerships are being used to expand housing supply and preserve long-term affordability. Several panelists emphasized that housing demand is rising across income levels, that workforce households often need subsidy to buy or rent, and that housing location, transportation access, and proximity to jobs and services are critical. They also highlighted challenges including rising construction costs, limited land, insurance, NIMBY opposition, and the need for more flexible financing tools and employer participation. Members asked about area median income thresholds, whether current programs are reaching the households most in need, and what additional tools might help. Florida Housing said its traditional rental programs generally serve households at or below 60% AMI, while need is increasingly reaching up to 80% AMI statewide and higher in some regions; staff also provided examples of AMI levels by county. Other discussion focused on the impact of local government opt-outs, tax abatements, corporate ownership of single-family homes, insurance costs, Fortified construction standards, and whether bonuses or other income calculations can unintentionally disqualify applicants. Panelists urged more political will, more local flexibility, and additional incentives for employers and landowners to support housing near jobs. The committee also used an anonymous interactive polling exercise, and members identified partnerships, SHIP funding, local government action, cost, and insurance as key issues. In closing, the chair said the committee would continue a member-driven process and likely hold a workshop on housing-related topics. No formal votes or bills were taken up in the meeting, and the session adjourned after the discussion.

Transcript Highlights:

• It also clarified for providers specifically when that hold period begins.
• Our goal is to have a variety of ways where information can be provided to us.
• A variety of ways where information can be provided to us.
• So then my final question would be, based on providing, are the managing entities providing data back
• Are the managing entities providing data back to DCF?

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• At the same time, this conference report provides much-needed clarity for schools, health care providers
• Hundreds of providers are impacted: physicians, NPs, and P.A.s.
• under, providing help in developing performance improvement plans.
• And finally, more provider recruitment, which means more access to care.
• But I've also seen the tremendous opportunities to provide The tremendous opportunities to provide for

Keywords: 1212, all

Transcript Highlights:

• So, to help provide relief and reduce costs for these important and essential housing projects, SB 328
• SB 328 would provide much-needed relief at a time when costs are constantly increasing, and with that
• I'm here today as a proud co-sponsor of SB 328, a bill that would provide certainty to housing projects
• We believe that SB 328 can provide a win-win for the state by ensuring contaminated soil is cleaned up
• after the water systems provide a public notice of exceedance.

Summary: The Assembly Environmental Safety and Toxic Materials Committee heard three bills after beginning without a quorum and later establishing one. SB 328 would cap DTSC hazardous waste generation and handling fees for infill housing and master development projects and set response timelines for cleanup reviews. Supporters said the current fee structure has made some housing and remediation projects infeasible, while opponents warned that capping fees for one sector could shift costs to other hazardous waste generators. The committee discussed the need for broader DTSC fee reform, and SB 328 was approved on a 7-0 vote and sent to the Committee on Revenue and Taxation. SB 754 would require manufacturers of disposable menstrual products to test for and disclose concentrations of certain contaminants, with DTSC able to verify results and publish them. Supporters framed the bill as a transparency and public health measure, citing recent studies finding toxic metals in tampons and emphasizing consumer right-to-know. Opponents, including manufacturers and hygiene product groups, argued the bill adds duplicative testing, vague requirements, and public disclosure that could be misinterpreted, and urged amendments. The committee members generally supported the goal of transparency, and the bill passed 5-2 with not voting members, moving to Appropriations. SB 466 would provide temporary legal protections for public water systems that are complying with approved chromium-6 compliance plans while they work toward the new drinking water standard. Supporters from Los Banos, Coachella Valley Water District, and other water agencies said the measure would help avoid costly litigation during a lengthy and expensive compliance period, especially for systems dealing with naturally occurring chromium-6. Committee members raised concerns about limiting recourse for harmed individuals and discussed possible alternative language, but the author said the bill would not affect state enforcement authority. SB 466 passed 7-0 and was sent to the Committee on Judiciary. The committee also adopted a consent calendar of additional measures by voice vote.

Transcript Highlights:

• So we will provide the more specific numbers to your staff and your office.
• We will provide very soon to your office a more specific fiscal estimate.
• We have some folks lining up here who would like to provide public comment.
• So we did provide vouchers to community members.
• We provided vouchers to come through.

Summary: The Assembly Budget Subcommittee on Human Services heard an overview of efforts to streamline access to safety net programs and move toward more automatic, person-centered enrollment. CDSS, DHCS, and CalHHS described current cross-enrollment between Medi-Cal, CalFresh, and CalWORKs, including data showing high overlap among programs and a text-message outreach pilot that increased CalWORKs applications and enrollments but reached only a small share of potentially eligible people. Witnesses emphasized barriers such as differing federal eligibility rules, data-sharing limits, privacy concerns, and the need for better technology, consent management, and stakeholder engagement. Members pressed the administration on how to institutionalize these efforts across administrations and asked for concrete budgetary and regulatory steps to support “no wrong door” enrollment and automatic referrals. The committee also reviewed several chair priorities. On the proposed foster care multi-agency office, CDSS said existing coordination structures already address much of the intended work and asked to verify prior fiscal scoring. On the Employment First Office, CalHHS explained that the office’s $1 million budget was eliminated in the 2024-25 budget as part of deficit reductions, while noting that employment for people with intellectual and developmental disabilities remains an administration priority through existing departmental coordination. For the food insecurity proposal, CDSS said it could provide technical assistance but would need new data-sharing agreements, could not separately calculate a CFAP participation rate with current data, and would likely need until July 1, 2027, plus ongoing staffing, to complete the requested report. The mandated reporter proposal drew support for reform, with CDSS estimating low-millions in one-time training costs and ongoing costs in the hundreds of thousands. The subcommittee also discussed a guaranteed income proposal. CalHHS suggested drafting new statutory language and considering a county-administered model rather than a state-run competitive grant process to reduce administrative burden, while members and public commenters urged support for AB 661 and a study of a permanent statewide guaranteed income program. Public testimony also supported automatic enrollment, community-supporting mandated reporting reforms, and cash assistance for fire recovery. In the final items, CSD described how local nonprofit partners helped during the Los Angeles fires with food, housing vouchers, transportation, and emergency energy assistance, and explained that LIHEAP and CSBG remain important but limited tools for disaster response. CSD also said recent federal staffing cuts and possible future federal budget threats could affect LIHEAP and CSBG administration, though no immediate service disruptions had occurred and additional LIHEAP funds were expected to be released soon.

Transcript Highlights:

• The games provide a platform to uplift Minnesotans and Americans from all 50 states with intellectual
• The games provide a platform to uplift Minnesotans and Americans from all 50 states with intellectual
• The games provide a platform to uplift Minnesotans and Americans from all 50 states with intellectual
• The games provide a platform to uplift Minnesotans and Americans from all 50 states with intellectual
• The games provide a platform to uplift Minnesotans and Americans from all 50 states with intellectual

Keywords: 1183, house

Transcript Highlights:

• We intend to make sure that we continue to provide support while we make sure.
• Proposal provides targeted support for underserved counties, as Mr. Gordon referenced.
• ECE partners are asking for you to prioritize paying providers.
• We serve children in subsidized childcare and the 2,200 plus childcare providers providing for them.
• Families and child care providers throughout Los Angeles and San Bernardino counties.

Keywords: 988, house, all

Transcript Highlights:

• </c><00:03:49.200><c> tax</c> quarterly MCO reports, provider tax quarterly MCO reports, provider tax
• We can provide that information. report. We can provide that information.
• </c> Medicaid uh provider type categories. Medicaid uh provider type categories.
• </c> know anything about it from providers. know anything about it from providers.
• </c> that provider type would be around $90. that provider type would be around $90.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• </c> that folks are safe even as providers that folks are safe even as providers come<00:04:02.800><c
• </c> can have a choice of two providers. can have a choice of two providers. Correct. Correct.
• To provide her feedback.
• Uh, the providers actually provide a wealth of information about how to keep it good.
• ><c> provide</c><02:04:32.560><c> a</c> Uh the providers actually provide a Uh the providers actually

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• We believe that this will provide Hawaii with a useful framework that providers can utilize as we continue
• c> framework that providers can utilize as framework that providers can utilize as we<00:12:56.160><c
• ><c> under</c><00:28:39.279><c> the</c><00:28:39.440><c> ACT</c> is provided under the ACT is provided
• <00:36:19.119><c> um</c><00:36:19.520><c> we've</c> providers um we've providers um we've also<00:36:
• The designated mental health provider that's supposed to be providing this treatment to the subjects.

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• settings, home health agencies, and hospice providers.
• be able to provide quality students.
• If you would like to provide virtual public comment, please use the raise hand feature now.
• Good morning again, and thank you for allowing me to provide public comment.
• the education to be able to actually provide the service.

Bills: HB359 , HB385 , HB165

Committee: Senate Health & Social Services

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• and the non-medical providers.
• to the provider.
• to provider.
• to provider.
• to give to the providers to provide the services.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• <01:25:16.639><c> follow-up</c> provide follow-up provide follow-up care<01:25:20.239><c> okay</c><01
• the</c> provide that's provided from the provide that's provided from the facility<01:58:25.480><c>
• program and provider.
• And currently any other providers can provide, as DHHS testified, they can provide therapy, medication
• </c><03:13:41.120><c> uh</c> any other providers can provide as um uh any other providers can provide

Committee: House Health, Human Services & Elderly Affairs

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• They provide the online digital infrastructure for transactions.
• So we're not banning anything, but we are attempting to provide more transparency.
• You do not provide an exemption for journalists.
• You do not provide an exemption for journalists.
• It's important that people who are working to provide legal aid and basic support for... ...to provide

Summary: The Assembly Privacy and Consumer Protection Committee heard several bills focused on consumer transparency, environmental protection, education accountability, and privacy protections. AB 2143 by Assemblymember Irwin would prohibit online marketplaces from accepting payment for noxious weeds shipped into California; supporters said the bill would close an e-commerce loophole that helps spread invasive species, while TechNet opposed it unless clearer standards and safeguards were added. AB 1744 by Assemblymember Addis, the Clear Labels, Clear Seas Act, would bar sunscreen products containing chemical UV filters from being marketed as “reef safe” or similar claims; supporters, including a Sacramento high school eco club and Surfrider Foundation, said the bill would prevent misleading greenwashing, while the Personal Care Products Council expressed concern about implications for the safety of those ingredients. The committee also heard AB 1861 by Assemblymember Lackey, which would require the California Department of Education to maintain a public, searchable database of special education complaint decisions with personal information redacted. Supporters said the bill would improve transparency and help identify patterns of noncompliance affecting students with disabilities, while county education officials argued state resources should instead go toward filling special education vacancies. AB 2624 by Assemblymember Bonta would expand the Safe at Home address confidentiality program to immigrant service providers, employees, and volunteers and restrict online posting of their personal information when intended to threaten or intimidate; supporters described rising harassment, doxing, and threats against immigrant-serving organizations, while Assemblymember DeMaio raised First Amendment and public transparency concerns and Assemblymember Patterson questioned the bill’s limits on protest and publication. Because the committee initially lacked a quorum, several bills were heard and later voted on once quorum was established. Members generally praised the bills and, in some cases, requested to be added as coauthors. When votes were taken, AB 1861, AB 1744, AB 2143, and AB 2624 all passed out of committee, with AB 2624 receiving 11 aye votes and 2 no votes; the others were reported out on unanimous or near-unanimous votes. The committee then adjourned.