Transcript Highlights:

• Administrative records vary, sometimes dramatically, in quality.
• Poor quality information. That's what proxies produce.
• It's a major concern for data quality.
• This is where they can get the best quality data.
• You know, response rates in 2020 can be an indicator.

Keywords: 995, all

Summary: The Senate Committee on the Census met on December 8 at 9:32 a.m. to examine the dynamics that drive census undercounts and overcounts, with testimony first from Joseph Salvo and then from Susan Strait of the UMass Donahue Institute. Salvo explained the Census Bureau’s two main evaluation tools: demographic analysis, which uses vital records, migration estimates, and Medicare data to produce a national benchmark, and the post-enumeration survey (PES), which compares a separate sample-based count to the census. He said the 2020 census showed a small national net undercount, but larger age- and race-based disparities, including the highest undercount among children ages 0 to 4, higher undercounts for men, substantial undercounts for Black, Hispanic, and American Indian/Alaska Native populations, and overcounts among some older and college-age groups. He also described how self-response, non-response follow-up, administrative records, proxy responses, and imputation affected data quality, arguing that proxies and imputation were especially weak and that outreach remains critical for 2030. Committee members asked Salvo to clarify the methods and error bands, the role of international migration estimates, and how the PES differs from the census address list and LUCA. He explained that PES is based on a separate sample of blocks and can add units within sampled blocks, but it does not measure units missed entirely from the original address list; LUCA matters because it improves that list before enumeration. He also discussed age heaping, duplicate responses among older adults, and why group quarters and COVID-related disruptions complicated the 2020 count. Senator Driscoll briefly interrupted to describe Randolph’s successful appeal of its 2020 count after an undercount in disability care homes, and Salvo noted that the post-census group quarters review helped correct some missed facilities. Susan Strait then focused on Massachusetts-specific results. She said Massachusetts’ 2020 count was strong overall, with population growth above the national average and a PES-based finding that the state was overcounted by 2.24 percent, though she emphasized that this did not mean all areas were accurately counted. Using demographic analysis, she said Massachusetts had an estimated 4.15 percent undercount of children ages 0 to 4, with the largest county-level undercounts in Hampden, Suffolk, and Essex, and she linked higher child undercounts to lower educational attainment and female-headed households. Strait also reviewed operational metrics showing that Massachusetts had relatively strong internet self-response, but that non-response follow-up relied heavily on household interviews, administrative records, proxies, and imputation in different counties. She highlighted higher proxy use in college-heavy counties such as Hampshire and Suffolk, and said counties with more minority residents were more likely to have population-count-only cases and other indicators of harder-to-count populations. The hearing ended with discussion of how these findings could inform outreach and census planning for 2030.

Transcript Highlights:

• My next question is around quality control. I believe it is in slide 18.
• So this is the quality of evidence part.
• So this is the quality of evidence part.
• There is some evidence on anorexia and quality of life, so essentially an increase in quality of life
• for all indications, right?

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Bills: HR11, HB1872, HB2171, HB2161, HB2416, HB2518, HB2617, HB2159, HB2606, HB2362, HB2385, HB2476, HB1923, HB2444, HB1608, HB1967, HB1968, HB2502, HB1782, HB2357, HB2445, HB1870, HB1838, HB2137, HB2208, HB2458, HB1972, HB2007, HB2160, HB2343, HB2315, HB2505, HB1857, HB469, HB1452, HB814, HB1621, HB1880, HB1831, HB1572, HB2119, HB2139, HB2459, HB2194, HB2561, HB2017, HB1931, HB1700, HB1719, HB1726, HB1737, HB1742, HB2049, HB2383, HB2116, HB2446, HB2249, HB2255, HB2320, HB2360, HB2581, HB2443, HB1531, HB2622, HB9, HB2290, HB2291, HB2235, HB2263, HB2498, HB1579, HB1728, HB1900

Keywords: 808 Elite, youth football, American Youth Football National Championships, AYF, Hawaii football, youth athletics, sports recognition, commendation, House resolution, student-athletes, sportsmanship, teamwork, state pride, Hawaii youth sports, national championship, early learning, apprenticeship, child care, education funding, workforce development

Transcript Highlights:

• It adds to my quality of life.
• <01:47:59.599> ratings agencies in developing quality ratings agencies in developing quality
• Pilgrim also in the past these quality Pilgrim also in the past these quality ratings<01:50:49.280
• National Quality National Council on Quality Assurance is the key one.
• National Council on National Quality National Council on quality<01:56:41.960> assurance<01:56

Keywords: 1191, senate, all

Transcript Highlights:

• How would you have the high quality grading on this then?
• we have low-quality grading on bad writing.
• Addition of the student engagement and workforce indicators, I believe there's five indicators and I
• So when you think about extra and co-curriculars, end of indicator.
• I think the manual is too long, but when Louisiana did the extra and co-curricular indicator, that indicated

Bills: HB4, HB54, SB 10, SB 24, HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369

Keywords: district composition, congressional election, Texas, legislature, voting districts, citizenship, U.S. citizen, non-citizen, public office, advisory board, task force, state government, local government, political subdivision, commission board, appointment eligibility, officeholder qualifications, public service, naturalization, Texas Government Code

Transcript Highlights:

• The Oil Conservation Division is not responsible for any air quality testing.
• air quality?
• This bad air quality is due to oil and gas production. Mr.
• Chair, and Representative, yes, the Air Quality Control Act requires air quality that complies with federal
• Determined list that the Water Quality Control Commission tests for?

Transcript Highlights:

• Those in favor of adopting the amendment indicate by saying 'aye.' Pose 'nay.'
• All those in favor of the motion indicate by saying 'aye'.
• Richard Auer To the Environmental Quality Board. Senator Daniels, Mr.
• Keel II to the Air Quality Advisory Council. Senator Dossett, Mr.
• If you are in favor of the nominations, indicate by saying 'aye.'

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, SJR39, SB1290, HB4028, HB4029, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, HB1250, HB2951, HB2961, HB3151, HB3581, HB3705, HB3970, HB3972, HB3980, HB3981

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Transcript Highlights:

• The law now mandates free, high-quality meals for all public school students, regardless of income.
• The foundation aims to provide a status update on the program's implementation of quality provisions,
• Also providing the same quality to students.
• This will increase the supply of locally grown food and ensure the quality of that food.
• And what is the best quality of food for our children, for our homes.

Transcript Highlights:

• But part of what we look at is quality.
• It may not be indicative.
• Risk is just tied to quality.
• It sounds to me like quality—obviously the quality measurement... I'm sorry, Mr.
• So obviously, you all believe that the quality of care is extremely important in the measurement of quality

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Transcript Highlights:

• in Medicaid claims that indicators in Medicaid claims that indicate<00:36:46.000> behavioral<
• And that couple initial indicators.
• that providers are delivering indicators that providers are delivering quality<00:37:22.240> services
• So that's the quality services.
• decisions and their uh their quality decisions and their uh their quality control<00:51:08.160><

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:

• quality assurance date. quality assurance date.
• The House Files have been given their first reading and referred as indicated.
• As I mentioned, the House Files have been given their first reading and referred as indicated.
• Now, the House Files have been given their first reading and referred as indicated.
• Members will go to the eighth indicated.

Keywords: 1187, senate, all

Transcript Highlights:

• And we're going to focus on quality and equity.
• We have 10 quality measures; you'll see them later on: five pay for performance We have 10 quality measures
• And I did mention the quality measures: we have 10 of them, and they are equity-sensitive.
• Quarterly quality reports so providers can begin to see where they are at in terms of quality and cost
• And then we're also looking at shared accountability for the total cost and quality of care.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• The patient is still getting high-quality care.
• Um there's frequent high quality care.
• All in favor, please indicate by saying I. >> I. Any opposed?
• All in favor, please indicate by Second. All in favor, please indicate by saying<00:23:20.559> I.
• <00:25:55.919> by the title amendment, please indicate by the title amendment, please indicate

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.

Transcript Highlights:

• It's also an indicator of future production remaining high.
• Indicators. If there was a recession, here's how wages could look.
• People are fleeing because they can't get access to high-quality healthcare.
• Will that help improve access to high-quality care, or will money flow out of state?
• There's $50 million for regional recreation centers and quality of life grants.

Transcript Highlights:

• Because I'm a clinician, I usually start with quality.
• What this indicates to us is that I did a brief analogy.
• People have to survive, and they want a quality of life. And they want a quality of life.
• Incomplete in the highlights and the outcomes and quality?
• And then my last question is, you indicated...

Transcript Highlights:

• program to help districts create local accountability plans that take into account their unique indicators
• Advancing high-quality assessment and accountability in Texas.
• About decisions that they're going to make about the quality of their workforce, and it gives visibility
• The CCMR indicators in the system have to be differentially weighted.
• We believe one high-stakes test cannot fully measure a student's abilities or the quality of a school

Bills: SB8, SB 8

Keywords: education, accountability, public school assessment, state law, transparency, intervention, performance ratings, sex designation, restroom access, civil penalties, private civil right of action, women's privacy, 1185, senate, all

Transcript Highlights:

• The board is the primary agency for water quality under the Federal Clean Water Act.
• Second, the bill requires the board to propose water quality standards into the water quality control
• It requires the board to establish water quality objectives, not water quality standards.
• And as I mentioned, all those other medical indications.
• Make no mistake, we care deeply about food safety and quality.

Keywords: 988, house, all

Transcript Highlights:

• to drive greater distances for care, and maternal mortality statistics from MDH in 2017 and 2018 indicate
• Our members are dedicated to providing high-quality nurse-midwifery care to Minnesotans.
• Studies indicate excellent outcomes as well, as you will hear about some of these outcomes from Rebecca
• Studies indicate excellent outcomes as well, as you will hear about some of these outcomes from Rebecca
• excellent outcomes as studies indicate excellent outcomes as well<00:14:20.959> as<00:14:21.040

Keywords: 1187, senate, all

Transcript Highlights:

• It is not just low quality and low durability but it is made to be worn once or maybe twice and then
• Do we have any remaining members of the public who wish to indicate their support for the measure?
• Do we have any remaining members of the public who wish to indicate their support for the measure?
• Do we have any remaining members of the public who wish to indicate their opposition to the bill?
• Any remaining members of the public who wish to indicate their support for this measure?

Keywords: 988, house, all

Transcript Highlights:

• However, there are some indications that these competencies might not be specific enough to ensure that
• The National Center for Teacher Quality, or NTCQ, is a nonpartisan research and advocacy organization
• Additional feedback focused on the identification of high-quality instructional materials aligned to
• High-quality opportunities for our pre-service teachers and that we are clear about our expectations.
• the EPs to make them do high-quality math instruction and content.