Transcript Highlights:

• And my last thing is, if we submit something to DMS, DMS submits it to CMS, and if CMS doesn't agree
• with that and they deny it, is the state willing to take on the funding for the peer support if CMS will

Keywords: 00:00 - Call to Order/Roll Call 01:27 - Discussion of 26RS HB 470 29:05 - Roll Call Vote on 26RS HB 470 32:06 - Discussion of 26RS HJR 25 34:49 - Roll Call Vote on 26RS HJR 25 37:08 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 470, which was presented as a cleanup and delay measure related to peer support specialists and Medicaid reimbursement. The bill would extend the deadline for registered alcohol and drug peer support specialists to be Medicaid reimbursable, address issues created by delayed regulations under House Bill 505, remove a limit on direct client care hours, and create a work group to examine oversight and possible future board structure for peer professionals. The committee adopted a committee substitute before hearing testimony. Bill sponsor Rep. Kim Moser and supporting witnesses said the change was needed because implementation problems and regulatory backlogs had created a peer support workforce shortage and confusion across multiple peer categories, including substance use, mental health, re-entry, and gambling peers. Elena Swezy argued the bill would stabilize the workforce, improve oversight, and allow time to develop a more effective credentialing framework. Frank Miller Jr. testified in opposition, arguing the bill lacked a proper enabling statute for Medicaid-related changes and would not be enforceable as written. Sarah Vaughn also raised concerns about the bill’s impact on mental health peer specialists, multispecialty behavioral health groups, and whether separate regulations would be needed for mental health and substance use services. Committee members questioned the bill’s structure, fiscal impact, training costs, and whether the work group would be appointed or informal. Sponsors responded that the bill does not require providers to hire anyone, only sets registration requirements if they do hire substance-use peer specialists, and said the work group was intended to help develop a more unified oversight model. Several members expressed concern about the complexity of the issue and the short testimony time, while others supported the bill as a way to improve oversight and reduce fraud risk. The committee approved House Bill 470 as amended by the committee substitute, and then adopted a title amendment; the bill passed with favorable expression.

Transcript Highlights:

• How many like CMS stats do you have for... This in your LMS, or in your CMS, excuse me.
• I have no CMS stats. Well, it may happen without this definition because it's not fun.

Bills: SB801, SB867, SB2717, SB2919, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB111, HB112, HB121, HB126, HB146, HB186, HB223, HB229, HB322, HB367, HB500, HB521, HB640, HB705, HB783, HB1052, HB1056, HB1105, HB1106, HB1178, HB1211, HB1234, HB1306, HB1403, HB1449, HB1506, HB1661, HB1690, HB1871, HB1960, HB2017, HB2078, HB2128, HB2240, HB2243, HB2348, HB2407, HB2512, HB2820, HB2844, HB2853, HB2854, HB2885, HB3000, HB3005, HB3053, HB3057, HB3181, HB3333, HB3372, HB3425, HB3441, HB3516, HB3749, HB3783, HB3812, HB3848, HB3923, HB3963, HB4070, HB4134, HB4157, HB4158, HB4211, HB4449, HB4623, HB4638, HB4687, HB4690, HB4748, HB4749, HB4795, HB4848, HB5093, HB5115, HB5129, HB5138, HB5294, HB5616, HB5629, HB5646, HB5661, HB5672, HB5674, HB5699, HCR40, SJR5, SJR27, SJR59, SB4, SB6, SB8, SB9, SB10, SB12, SB22, SB23, SB25, SB27, SB34, SB36, SB37, SB38, SB40, SB57, SB140, SB261, SB293, SB441, SB447, SB467, SB512, SB650, SB777, SB785, SB924, SB1188, SB1281, SB1318, SB1333, SB1398, SB1448, SB1566, SB1579, SB1621, SB1723, SB1838, SB1862, SB2167, SB2405, SB2406, SB2407, SB2878, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HJR7, HB5115, HB3053, HB1403, HB223, HB748, HB5652, HB3395, HB180, HB1306, HB322, HB126, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB3812, HB3057, HB2035, HB721, HB346, HB2512, HB5695, HB5694, HB5674, HB3185, HB2348, HB1871, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4630, HB1523, HB2078, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB2820, HB1506, HB1234, HB640, HB521, HB229, HB186, HB119, HB4795, HB4466, HB3749, HB1106, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4285, HB4463, HB4995, HB5138, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HB1105, HB121, HB3372, HB367, HB783, HB3336, HB3441, HB4449, HB5616, HB2407, HB2854, HB3425, HB5294, HB1178, HB4623, HB14, HB3963, HB1211, HB5646, HB5629, HB3783, HB4236, HB46, HB4638, HB1052, HB4070, HB5509, HB5435, HB4134, HB3923, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB150, HB1057, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB126, HB150, HB322, HB367, HB500, HB640, HB705, HB783, HB1105, HB1178, HB1211, HB1234, HB1506, HB1690, HB1871, HB2078, HB2128, HB2240, HB2243, HB2407, HB2512, HB2853, HB2854, HB3000, HB3057, HB3181, HB3372, HB3425, HB3441, HB3749, HB3783, HB3812, HB3923, HB3963, HB4070, HB4134, HB4157, HB4211, HB4449, HB4623, HB4638, HB4687, HB4748, HB4795, HB5093, HB5129, HB5616, HB5629, HB5699, HB229, HB521, HB1056, HB1106, HB5138, SR583, SCR52, HB223, HB229, HB521, HB1056, HB1106, HB1403, HB3053, HB5115, HB5138

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• been, threatening potential transportation dollars, whether it's the confidence of key partners at CMS
• /c><02:02:32.880> key<02:02:33.199> partners<02:02:33.599> at<02:02:33.840> CMS
• 02:03:33.520> human<02:03:33.920> services<02:03:34.400> with<02:03:34.719> CMS
• <02:03:36.080> uh department of human services with CMS uh department of human services with
• CMS uh conversations<02:03:37.119> with<02:03:37.280> the<02:03:37.440> admin<02

Keywords: 1187, senate, all

Transcript Highlights:

• What we didn't expect to happen during that process was for CMS to set a number of new standards for
• 37.400> for to happen um during that process was for to happen um during that process was for CMS
• 41.199> number<01:36:41.400> of<01:36:41.520> new<01:36:41.760> standards CMS
• to um set a number of new standards CMS to um set a number of new standards for<01:36:42.480> states
• spend other funds to meet those CMS spend other funds to meet those CMS requirements<01:37:22.199

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• So basically the legislation pivots to direct HHS to develop, you know, a plan to submit to CMS.
• 53:54.000> to to develop you know a plan to submit to to develop you know a plan to submit to CMS
• c><00:53:57.200> to<00:53:57.440> go<00:53:57.599> to<00:53:57.839> the CMS
• Um, and that allows us to go to the CMS.
• Um, so that was developed by CMS.

Keywords: 1189, house, all

Transcript Highlights:

• So what I've seen from other states and what CMS, Centers for Medicare and Medicaid Services, will allow
• A differential for level of severity of the diagnosis, and I'm not sure that CMS would approve that.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• So what I've seen from other states and what CMS, Centers for Medicare and Medicaid Services, will allow
• I'm not sure that CMS would approve that.

Keywords: 1204, all

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Wooldridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system focused on access, workforce, reimbursement, and reducing red tape. Members raised concerns about provider shortages, licensure barriers, rural access, reimbursement rates, jail-based services, non-emergency transport, and the need for step-down options and crisis diversion before people end up in jail or the state hospital. DHS Director Paula Stone outlined the behavioral health system, emphasizing that Medicaid pays for most behavioral health services in Arkansas and that many services cannot be billed once a person is in jail or the state hospital. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder unit, forensic evaluation and restoration changes, and a planned IMD waiver to allow Medicaid payment for certain psychiatric and residential services. She also explained the backlog at the state hospital and in forensic restoration, the role of therapeutic communities, and the challenges of serving rural and difficult-to-serve populations. Members asked about crisis stabilization units, civil commitment, dashboards for bed availability, and whether Arkansas should expand step-down or long-term facilities. Stone said the state has supported crisis stabilization units in several cities, with mixed results, and noted that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock. She said DHS does not yet have a statewide bed dashboard but sees it as a useful tool. The meeting ended with agreement that the discussion was a starting point and that the committee would continue the work, tentatively in August, to develop policy ideas for the 2027 session.

Transcript Highlights:

• On June 13th, media reported that CMS shared the personal information of millions of people enrolled
• Medi-Cal, jeopardizing the safety and security of millions of Californians. ...media reported that CMS

Summary: The Assembly Privacy and Consumer Protection Committee heard several bills focused on AI, immigration-related health care protections, digital financial assets, and online cannabis/hemp sales. SB 69 by Senator McNerney would create an AI-focused team within the Department of Justice to build enforcement expertise on civil rights, public safety, and legal issues tied to AI. SB 81 by Senator Arreguín would codify hospital and health facility policies limiting disclosure of patient immigration status and restricting immigration enforcement access without a judicial warrant. SB 97 by Senator Grayson would update and clarify California’s digital financial assets licensing law. SB 243 by Senator Padilla would impose guardrails on AI companion chatbots, including disclosures, anti-addictive design limits, self-harm protocols, and a private right of action. SB 378 by Senator Wiener would allow civil penalties against online marketplaces that advertise illicit intoxicating hemp and unlicensed cannabis products. Testimony on SB 69 emphasized that California needs in-house AI enforcement expertise at the DOJ; supporters said AG offices generally lack tech-policy specialists, while members asked about the Attorney General’s role and noted the office was neutral. SB 81 drew broad support from nurses, immigrant advocates, hospitals, labor, and community groups, who argued that hospitals should remain safe places for care regardless of immigration status; there was no opposition. SB 97 was described as a technical cleanup bill with stakeholder consensus, and the main public comment focused on ensuring blockchain-based nonfinancial products are not unintentionally swept into the law. SB 243 generated the most debate. Supporters, including the mother of a Florida teen who died by suicide after interacting with a chatbot, urged stronger protections for minors and vulnerable users. Opponents argued the bill’s definitions were too broad and could capture general-purpose AI systems, and raised concerns about privacy, cost, and a private right of action. Committee members largely supported the bill’s intent and discussed the need for guardrails without stifling innovation. SB 378 was supported by cannabis workers, retailers, and local government representatives who said online sales of untested intoxicating hemp and illegal cannabis are harming public health and the legal market; opponents from hemp and tech groups argued the bill could sweep in lawful hemp businesses and that definitions need refinement. The committee ultimately passed SB 69, SB 81, SB 97, SB 243, and SB 378, with SB 81 and SB 243 amended, and all five bills were sent onward to their next committees.

Transcript Highlights:

• CMS is not required to be the only funder, so we have self-funded and privately funded...
• It's only a funding cap from CMS, so any other funding...

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• Which is why the CMS rule, the staffing rule, is so awful, because it literally provides less opportunity
• And they're reimbursed by CMS in a particular formula.

Transcript Highlights:

• We have proposed a rate of $850 a day to CMS, the Centers for Medicare and Medicaid Services.

Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling. The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor. No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.

Transcript Highlights:

• CMS requires that states with this approved 1115 reentry demonstration provide MAT services.

Transcript Highlights:

• We have proposed a rate of $850 a day to CMS, the Centers for Medicare and Medicaid Services.

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.

Transcript Highlights:

• We have proposed a rate of $850 a day to CMS, the Centers for Medicare and Medicaid Services.

Keywords: 1204, all

Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a separate unit within a general hospital, beginning with Unity Hospital in Searcy, which plans to open a 24-bed adolescent unit. Members asked about licensure, length of stay, and cost; Stone said the unit would be licensed by the Arkansas Department of Health, length of stay would be based on ASAM criteria rather than a fixed cap, and the proposed Medicaid rate was $850 per day pending CMS approval. The committee then considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep Arkansas compliant with federal EVV requirements, increase electronic claims submission, and allow audits and corrective action plans for providers with excessive manual claims. She also said the rule would remove the W-9 submission requirement and allow automatic IRS verification. Members confirmed the federal EVV mandate and noted that providers may use the state system or their own third-party system. After the EVV discussion, the rule was reported as reviewed. The chair then adjourned the meeting after no further business was raised.

Transcript Highlights:

• We call it CMS. This application was created exclusively for us. We call that CMS.
• And our CMS application has an automated batching system, and this means that several times throughout
• the day, the invoices that we pay through the CMS application flow through SCEIS.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• We currently have for the design, development, and implementation, we actually sought CMS approval through
• implementation, we development, and implementation, we actually<00:43:48.400> sought<00:43:48.760> CMS
• <00:43:49.480> approval<00:43:49.960> through actually sought CMS approval through
• actually sought CMS approval through Medicaid<00:43:50.760> funding,<00:43:51.280> and<

Keywords: 1189, house, all

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• And finally, this slide shows, again, public funding on the x-axis and CMS care quality ratings on the
• <00:18:05.720> the<00:18:05.840> x-axis<00:18:06.760> and<00:18:07.280> CMS
• public funding on the x-axis and CMS public funding on the x-axis and CMS care<00:18:08.240>

Keywords: 1187, senate, all

Transcript Highlights:

• Actually, we have a call at 4:30 this afternoon with CMS, trying to figure out whether we can zig or
• 00:32:04.799> this<00:32:05.120> afternoon<00:32:06.000> with<00:32:06.320> CMS
• 4:30 this afternoon with CMS 4:30 this afternoon with CMS uh<00:32:08.559> trying<00:32:08.799

Keywords: Government Structure - Room 409, 12 January, 2026; 2:00 P.M., 925, all

Summary: The committee held its first meeting under its new Government Structure Committee name and began by electing Senator Chris Johnson as secretary. The chair explained the committee’s purpose as improving efficiency, effectiveness, and stewardship of taxpayer dollars, and said members had asked statewide officials and agencies for ideas on streamlining government and reducing costs. Commissioner of Agriculture and Commerce Andy Gibson testified at length about ways his agency has found efficiencies, especially after the COVID-era consolidation of three agencies into one. He said state procurement and construction rules can add major time and cost to projects, citing a proposed $300,000 building that grew to about $1 million through the state process. He recommended raising repair and quote thresholds, streamlining construction procedures, reconsidering restrictions on payments between state agencies, and allowing more flexibility for agencies to help one another when authorized. Members questioned Gibson about the repair caps, the construction cost increase, Ticketmaster and other technology/vendor arrangements, and whether agencies should have more decentralized control over contracts. The chair and several senators agreed the committee should examine red tape, vendor relationships, and procurement rules, and Gibson said he would provide more information and work with the committee. No formal legislation was acted on in the portion provided. The transcript then shifted to testimony from the Insurance Commissioner, who said his department is heavily affected by IT and board structure issues and oversees 17 boards. He urged consolidation of some boards, criticized the effects of SB 2362 on special-fund agencies, and said the State Fire Academy and other operations have been constrained by general-fund treatment and limited authority. He also discussed insurance-rate pressures, including projected premium increases, wind pool rate concerns on the Gulf Coast, and the need for mitigation to stabilize costs.

Transcript Highlights:

• providers if there is a need for additional service availability as determined by ACCA and federal CMS
• providers if there is a need for additional service availability as determined by ACCA and federal CMS
• CMS. That is the bill, Mr. Speaker. Questions of the sponsor? Is there debate?
• CMS. That is the bill, Mr. Speaker. Questions of the sponsor? Is there debate?

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• aligning statute with guidance for time-based codes from the Minnesota Department of Health's rule and the CMS
• aligning statute with guidance for time-based codes from the Minnesota Department of Health's rule and the CMS
• aligning statute with guidance for time-based codes from the Minnesota Department of Health's rule and the CMS
• Aligning statute with guidance for time-based codes from the Minnesota Department of Health's rule and the CMS

Keywords: 1183, house