Transcript Highlights:

• program.
• The first is a BS degree in public health through our Herbert Wertheim School of Public Health.
• The second proposed program is a certificate program through our Division of Extended Studies, and UC
• We have public comments. Is it one minute? We're now open for public comment. Thank you very much.
• I'm proud to say that one went on to a master's program and two went on to PhD programs.

Keywords: 988, house, all

Transcript Highlights:

• The program is directed by Doctor Pat Flavin, who is also the Bob Bullock Professor of Public Policy
• on Public Education.
• HB 120 by Bella Kaufman relating to the career and technology education programs in public schools and
• School program for certain school districts to support those measures refer to the Committee on Public
• Savings Account Program, refer to the Committee on Public Education.

Transcript Highlights:

• <00:07:40.640> that's with the ghost student program that's with the ghost student program
• He said the public deserves that.
• that we should be doing in public. that we should be doing in public.
• I think that the public publicly. I think that the public deserves<00:09:46.040> that.
• . program. program.

Keywords: 919, house, all

Summary: The House first took up a resolution commemorating Peace Officer Memorial Day and Police Week in Minnesota. Members read a series of “whereas” clauses honoring fallen peace officers, including the addition of three names to the Minnesota Law Enforcement Memorial Honor Roll, and recognizing the service of the state’s more than 10,000 peace officers. The resolution was adopted without objection. The chamber then moved to conference committee reports and calendar actions, including a Rules and Legislative Administration report placing several bills on the calendar for the next day. The main substantive item was the conference committee report on House File 4252, the higher education finance and policy bill. Supporters said the bill included $3 million for identity verification systems to combat enrollment fraud or “ghost students,” $2.7 million to cover a shortfall in the Fostering Independence grant program for foster youth, and $5,000 for tree replacement at Bemidji State University. They also noted the bill did not address the larger state grant shortfall, which several members described as a structural problem. During debate, supporters emphasized the need to stop enrollment fraud and protect foster students’ access to higher education, while also praising the conference committee process and public deliberations. Opponents criticized the bill for failing to fix the state grant deficit and argued that Minnesota students were not being prioritized. After discussion, the House adopted the conference committee report, gave the bill its third reading, and then repassed House File 4252 as amended by conference by a vote of 101 yeas to 33 nays.

Transcript Highlights:

• Here's the important piece: the sheriffs are the intersection of public health and public safety.
• You have to go to your programs.
• If you don't go to your programs, you're not considered a program field.
• You have to go to your programs.
• If you don't go to your programs, you're not considered a program field.

Keywords: 995, all

Summary: The commission met to continue its review of the county sheriffs’ role in corrections, reentry, and public safety. After approving the prior meeting minutes, the sheriffs completed a lengthy presentation describing how their offices provide regional jail services, women’s programming, mental health and substance use treatment, reentry support, community partnerships, and auxiliary public safety functions such as BCI work, TRIAD, Meals on Wheels, and event support. They emphasized that services are tailored to local needs, that women’s facilities are designed to keep mothers close to family and support reunification, and that programming, housing, and job placement are central to reducing recidivism. They also discussed challenges including K2/synthetic drugs in facilities, gang classification and separation, and the difficulty justice-involved people face obtaining IDs and birth certificates, especially for people from Puerto Rico. Commission members generally praised the sheriffs’ work and asked for more detail on how regional women’s facilities operate, how community-provider cuts might affect reentry services, how no-cost phone/tablet communication is balanced against programming time, and what the most essential programs are if funding is reduced. The sheriffs said programming must come first, identified mental health, substance use treatment, domestic violence programming, and housing/job placement as critical, and explained that community organizations and the Registry of Motor Vehicles are key partners in reentry. They also described their approach to gang management through classification, separation, and information sharing, and noted that the Registry has become more flexible but Real ID requirements have made documentation barriers more significant. The commission chair stressed that the purpose of the study is collaboration and improving system performance, not an adversarial effort against the sheriffs or a decarceration debate. Members noted that future meetings would hear from probation in June and the Department of Correction in July, and that the commission would continue gathering information before deciding on next steps. The meeting ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• : the Wise Technician Program and the Wise Authorized Service Provider Program.
• The interest on trust accounts program is commonly called the IOTA program or IOTA accounts.
• It's not the oversight of the IOTA program or the trust program at all.
• from public records requirements.
• from public records requirements.

Summary: The committee considered a long agenda of bills, with most measures reported favorably after brief sponsor presentations, amendments, and roll calls. Early bills included SB 658 on lien waivers/releases, SB 736 on Brownfields redevelopment, SB 1002 on utility service restrictions, SB 1132 on right-to-repair for certain equipment, and SB 1378 on restitution for leaving the scene of a crash involving property damage. Each was amended or discussed as needed and then approved by the committee. The committee also advanced SB 768 on foreign control interests in health care licensing, SB 772 on school diabetes management and access to glucagon, SB 1400 on removal of altered sexual depictions posted without consent, SB 1696 on prearranged transportation services, and SB 1374 on school district reporting requirements for educator arrests and misconduct. Several bills drew notable public testimony and debate. SB 1132 prompted strong support from the sponsor and agriculture interests, but opposition from equipment dealers, technology groups, and wireless industry representatives who argued the market already provides repair options and that the bill could harm dealer networks and security. SB 1730, the Live Local/affordable housing bill, received extensive discussion about parking reductions, height and density preemption, attorney’s fees, local government authority, and impacts on Monroe County and other areas; the committee adopted an amendment and reported the bill favorably despite concerns from some members and advocates about parking, due process, and local control. SB 606 on public lodging and food service establishments also generated significant debate, with opponents warning it could displace long-term guests and vulnerable families, while the sponsor said it clarifies transient occupancy and removes ambiguity in the removal process; the bill passed after the committee rejected a related amendment. Other measures advanced with less controversy. SB 576 updated service-of-process rules, and SB 1164 authorized email delivery of landlord-tenant notices if the parties agree in writing, though tenant advocates urged clearer safeguards and the sponsor said he was not yet committed to the House version. SB 940 prohibited the resale of restaurant reservations without consent and was supported by restaurant interests. SB 1690, allowing infant safety devices or “baby boxes” as a legal surrender option, drew emotional support from several witnesses who said it would provide anonymous, life-saving alternatives for mothers in crisis; the committee continued discussion into the latter part of the meeting. Throughout, the committee adopted several amendments, heard both support and opposition from industry, advocacy, and local-government witnesses, and reported the discussed bills favorably by recorded vote.

Transcript Highlights:

• safety, the local economy, and public boating infrastructure such as boat ramps, docks, and public marinas
• This is a program that was approved by the FWC Commission in 2022.
• The advantages to our V-TIP program is that it's a voluntary program.
• messaging to promote our VTIP program.
• it through our derelict vessel program.

Summary: The Committee on Environment and Natural Resources received a presentation from the Florida Fish and Wildlife Conservation Commission on derelict vessels, enforcement challenges, and a long-term stored vessel study. FWC reported about 1,040 derelict vessels currently in its database, with roughly 600 new cases entering each year, and noted that hurricanes account for a large share of recent cases. The agency explained the legal definition of derelict vessels, the environmental and navigation hazards they create, and its enforcement process, including investigation, notice to owners, administrative hearings, removal authorization, and recovery of costs through registration holds. FWC also described prevention efforts such as at-risk vessel enforcement, nuisance vessel designations, public awareness campaigns, and the vessel turn-in program, which has received more than 250 applications and removed more than 145 vessels since rollout. Committee members asked about owner resistance to removal, rapid-response options for hazardous vessels, county differences in derelict vessel numbers, and how local governments participate. FWC said only a small percentage of owners contest removals, that the agency relies on contractors and does not generally have its own removal equipment, and that local governments may conduct removals with their own funding but must still provide due process. Members also asked where removed vessels go; FWC said they are taken to landfills, with recyclable materials recovered, and that storage is used only when necessary for public safety because it is costly. The presentation also highlighted the long-term stored vessel study, which found a strong correlation between long-term anchored vessels and later derelict vessels, especially in Monroe County. No votes were taken on the presentation, and the committee adjourned after Senator Errington moved to adjourn and there was no objection.

Transcript Highlights:

• You can say stuff at your discretion, but please be aware that it is considered public record because
• These are people both virtually and in public.
• We provide university-affiliated training programs where we train behavior analysts.
• I will say in Massachusetts there are four programs; our community college programs, so in Massachusetts
• The public expects and deserves a high standard of patient care for their pets.

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure opened its first hearing of the session with remarks from Chair Chan and Senate Co-Chair Pavel Payano, who emphasized consumer affordability and professional licensure reform. The chairs also reviewed public testimony rules, noting the hearing was recorded, testimony would be public, and speakers should avoid including sensitive personal information. The committee then heard testimony on several bills carried over from prior sessions and new proposals, with each witness generally speaking in support of the measure they addressed. On self-storage, Joe Doherty of the Self Storage Association supported House Bill 340 and Senate Bill 236, saying the bills would clarify abandonment procedures, allow electronic delivery and signatures for rental agreements, and address situations where a renter fails to return a signed contract after a facility sale, while preserving existing consumer protections. On housing and fair housing education, Nicholas Pelletier and counsel Justin Davidson of the Massachusetts Association of Realtors supported House Bill 343 and Senate Bill 232, which would require fair housing education for real estate licensees; they said fair housing training is already part of MAR’s programs but is not required for all licensees, and Pelletier described a personal example of discriminatory treatment in a rental application. Senators asked whether other states have similar requirements and requested follow-up information. The committee also heard strong support for House Bill 348 and Senate Bill 220 on licensure of applied behavior analysts from Dr. Pauli Gidej of MABA and Dr. Charlie Newfield of Beacon ABA Services. They argued that a dedicated board would improve oversight, speed licensing, and help reduce delays that affect access to autism services, noting the growing number of practitioners and the strain on families waiting for care. Later, Robert Mellion of the Massachusetts Package Stores Association testified for House Bill 390, which would expand alcohol license suspension penalties to all business activity for certain retailers; members questioned the impact on grocery and big-box stores, the difference between suspending alcohol sales versus closing an entire store, and whether fines in lieu of suspension would be sufficient. The committee also heard testimony in favor of House Bill 407 and Senate Bill 277 to license veterinary technicians, with witnesses saying standardized education and licensure would improve animal safety, clarify scope of practice, and better distinguish technicians from assistants. Finally, Craig Orlin of Honda supported House Bill 474 and Senate Bill 291, which would use RMV contacts to notify drivers of open safety recalls and require recall completion as part of registration renewal; he said the bills could improve recall completion rates and address the large number of unrepaired vehicles on the road. At the end of the hearing, the chair noted several bills that did not receive testimony that day, invited written submissions by email, and announced the committee would reconvene in about two weeks. Representative McKenna moved to adjourn, Representative Keefe seconded, and the committee voted to close the hearing.

Transcript Highlights:

• By expanding our engagement with this program, we can help more individuals transition from public assistance
• public assistance program, Ms. Klein. public assistance program, Ms. Klein.
• employment programs. employment programs.
• program? No. program? No.
• They have psychiatric programs, pediatric psych programs.

Keywords: Roll Call - 00:10 Discussion on SCR 61 – 01:46 Vote on SCR 61 – 11:33 Discussion on SR 18 – 12:30 Vote on SR 18 - 30:01 Discussion on Ky Residential Autism Services – 32:34 Questions & Comments – 56:56, 958, all

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• Uh, we'll move next to the public safety finance bill, House File 2432, and we'll wait for Chairs Noatne
• For the public safety finance committee, the target they received was an additional $50 million over
• Public safety radio equipment called armor.
• And that is the big part of the programs And that is the big part of the programs that<00:09:14.880
• <00:10:24.399> should that also are doing this program should that also are doing this program

Keywords: 919, house, all

Summary: The committee took up House File 2432, the public safety finance bill, and first confirmed that the public safety finance committee had met its budget target: an additional $50 million over the February forecast base for fiscal years 2026-27 and another $50 million in the tails. Chair Noatne and Chair Mhler described the bill as a compromise that tried to balance major operating pressures, especially at the Department of Corrections, with public safety priorities. The bill includes funding for peace officer training and recruitment, including the Philando Castile training fund, duty-to-intercede training, and the intensive police officer training program, as well as money for local public safety radio equipment. It also contains penalty and public safety changes such as increased penalties for certain offenses, a longer statute of limitations for first-degree arson, a mandatory minimum for first-degree criminal sexual trafficking, fentanyl-related provisions, and a requirement that the Department of Corrections maintain Narcan in prisons. Members also discussed victim services funding, including the creation of a special revenue account to help stabilize support for domestic violence shelters, sexual assault advocates, child abuse centers, and crime victim services. During discussion, members raised concerns that the target was too small to cover DOC operating costs and could affect evidence processing, corrections staffing, and rehabilitation programming. Questions focused on prison phone-call funding, which was described as about $3 million per year, and cable television costs, estimated at about $1 million per year. Supporters argued that phone access and programming help rehabilitation, maintain family connections, and improve safety for staff and incarcerated people. No amendments were offered. The committee then adopted motions to incorporate House File 2300 and House File 2432 into the public safety and judiciary omnibus as separate articles, and finally approved House File 2432 as amended for placement on the general register, with technical corrections authorized. The motions prevailed without opposition.

Transcript Highlights:

• IT'S A MESSAGE TO YOU BUT ALSO A MESSAGE TO THE PUBLIC.
• I WOULD STATE YOU WILL SEE MORE SUCCESSFUL PROGRAMMING SO WE ARE TRYING NOT THAT THESE PROGRAMS AREN'T
• CABLE TV, MORE PROGRAMS, EXPANDED VISITATION.
• HE JUST GOT MOVED TO THE DOG PROGRAM WHICH HE DID IN BRAZIL.
• SENATORS, THAT CONCLUDES OUR PUBLIC TESTIMONY.

Keywords: 999, senate, all

Transcript Highlights:

• Boston Public Schools.
• place-based program throughout the shelter system.
• and the home-based rehousing program.
• The FDA warns the public.
• Thank you. functioning people on the GED program.

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• <00:09:47.880> so<00:09:48.120> public viewing areas for the public so public viewing
• deputy director of the Minnesota public deputy director of the Minnesota public facilities<00:16
• We provide financing programs supporting water quality, public health, and other priorities identified
• In many ways, public housing is public housing infrastructure in the state of Minnesota.
• This is largely the cash because we had to rewrite the program guide for using public housing cash in

Keywords: 1187, senate, all

Transcript Highlights:

• school to another public school.
• It's a great program on so many levels.
• Public testimony is now open on Senate Bill 1798.
• Programs like this help bridge that gap.
• Program, with a full tuition scholarship.

Summary: The committee heard several education bills, with most of the discussion focused on Senate Bill 1835, Senate Bill 784, Senate Bill 1049, Senate Bill 2942, and Senate Bill 2928. SB 1835 would raise from 5% to 20% the cap on nonresident students who can receive resident tuition and fees through competitive scholarships at certain regional universities in slower-growing workforce development areas, provided the schools have capacity as determined by the Texas Higher Education Coordinating Board. Supporters, including West Texas A&M University, said the bill would help fill underused capacity, attract students who may stay and work in Texas, and support regional workforce needs. SB 784 would strengthen a prior law allowing peace officers’ children to transfer between public school districts for safety reasons by requiring both districts’ approval, making clear that districts of innovation are not exempt, and prohibiting tuition charges. SB 1049 would require districts and open-enrollment charters to excuse students, at a parent’s request, for religious release-time instruction for up to one hour per day and five hours per week; witnesses said the program is constitutional, voluntary, and already operating in other states and some Texas districts. Each of these bills was left pending after testimony, with no public witnesses opposing them. SB 2942 would expand and adjust the state’s adult charter high school pilot program. Senator Creighton said the bill is intended to help the estimated 7 million Texas adults without a high school diploma by removing barriers to expansion, aligning legal protections with ISDs, changing TEA’s disapproval window for expansion amendments to a 30-day period after receipt, and updating funding to reflect part-year attendance. A committee substitute kept the upper enrollment age at 50 and removed a proposed testing change. Testimony from New Heights students and leadership described the program as life-changing, emphasizing that it combines diplomas with career credentials, childcare, transportation, and other supports to help adults stabilize their families and enter better-paying work. TEA witnesses explained the expansion process and said adult charter schools are overseen by the commissioner rather than the SBOE. The committee substitute was adopted, public testimony closed, and the bill was left pending. SB 2928 would set a uniform school start date for public school districts at the third Wednesday in August, while preserving existing district-of-innovation flexibility for current DOI districts and allowing year-round systems to continue. Senator Creighton argued the bill would reduce the patchwork created by DOI exemptions, support students and families, and preserve summer employment and tourism revenue. A committee substitute was adopted. Testimony came largely from tourism, hospitality, and recreation interests, including hotel, water park, zoo, chamber of commerce, and camp representatives, who said later start dates would extend the summer travel season, improve staffing and revenue, and give students more opportunities for summer jobs and camps. Several witnesses cited large economic impacts from tourism and said early school starts reduce August business. Some senators raised concerns about charter schools being excluded and about year-round calendars, but the bill was left pending after testimony.

Transcript Highlights:

• better, how we can improve on programs. better, how we can improve on programs.
• partial public financing program, uh, is something that is mandated by our state constitution.
• financing, program, the partial public financing, program, the partial public financing, uh,<03:51
• stewardship of the public land trust. stewardship of the public land trust.
• Mahalo. the communities these programs serve. the communities these programs serve.

Keywords: 910, house, all

Transcript Highlights:

• global programs.
• c> of<00:10:31.160> this<00:10:31.720> uh public public service because of this uh
• program and in that internship program program and in that internship program more<00:17:18.079>
• If you also have a job training program, a job placement program... Great question.
• If you also have a job training program, a job placement program... Great question.

Keywords: 1187, senate, all

Transcript Highlights:

• c> that<00:59:18.400> seek program for childcare programs that seek program for childcare
• , etc. in the programs.
• easy for the programs to understand. easy for the programs to understand.
• uh program sizes. uh program sizes.
• I have done public policy public policy.

Keywords: 1183, house

Transcript Highlights:

• that is a master's program for all of New Mexico.
• Germane, thence referred to the Health and Public Affairs Committee.
• Temporary Assistance for Needy Families program.
• temporary assistance for needy families program.
• Senate Bill 141, introduced by Senator Maestas, an act relating to public schools, requiring the Public

Keywords: 996, all

Transcript Highlights:

• Finally, it gives school districts the authority to oversee their own public VPK programs. Mr.
• It is creating a free, long-term anchoring permit program.
• That's important because we have always—it's about public access, it's about public safety, being able
• does, to enhance public safety.
• It's presented as a public safety issue, predominantly.

Summary: The Committee on Fiscal Policy considered several bills and reported all of them favorably. SB 70-24, on state planning and budgeting, was presented as a modernization of the long-range planning program to simplify reporting, remove outdated measures, and focus on key data points and outcomes; it passed without opposition. CS/SB 166, on administrative efficiency in public schools, made broad changes to school accountability and operations, including lowering the stakes of certain student assessments, giving districts more flexibility on evaluations, contracts, certification, calendars, facilities, and VPK oversight. Two amendments were adopted: one clarifying that Title I funds may be used for STEM services, and another refining how advanced degrees count on salary schedules. The bill passed favorably after testimony both supporting and opposing the changes, with supporters emphasizing flexibility and opponents raising concerns about teacher evaluation and instructional practice. CS/SB 164, on vessel accountability, was described as a measure to address derelict and at-risk vessels by improving owner identification, creating a free long-term anchoring permit program, increasing penalties, and authorizing grants for local governments in the FWC prevention program. It received support from marine industry groups and was reported favorably. CS/SB 472, on education and correctional facilities for licensed professions, would allow inmates to receive credit toward licensure for qualifying coursework; a strike-all amendment added coordination with DBPR and professional boards. The bill drew support from criminal justice, business, and policy groups and passed unanimously. The committee spent the most time on CS/SB 438, on food and hemp products. Senator Burton and co-sponsor Senator Davis argued the bill was needed to regulate intoxicating hemp products, restrict child-appealing packaging and signage, ban synthetic hemp products, cap THC content in edibles and beverages, and require hemp beverages to be sold through alcohol-style distribution channels. Supporters, including alcohol distributors and some public safety advocates, said the bill would improve testing, labeling, and consumer protection. Opponents, including hemp retailers, farmers, and libertarian advocates, argued it would harm small businesses, reduce consumer choice, and push sales to the black market. After extensive debate, the bill was reported favorably. At the end of the meeting, senators requested to be recorded as voting in the affirmative on tab five, and the committee adjourned.

Transcript Highlights:

• programs, state agencies and hundreds of providers.
• , including the innovative service delivery program.
• We really we do see that a lot as pilot programs.
• The veterans example I mentioned is a pilot program.
• , but the not too great and you learn from those programs.

Keywords: 999, senate, all

Transcript Highlights:

• We also have an organized care model called the PASS program.
• We also have an organized care model called the PASS program.
• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• Our PAS program is a 1915(c) waiver. We have 1115 waivers for the expansion program.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.