Transcript Highlights:

• way to States uh to support uh services way to States uh to support uh services and<01:03:26.880
• must provide safe and reliable service must provide safe and reliable service to<01:16:17.480>
• <01:21:41.280> quality in annual utility service quality in annual utility service quality
• allows us to maintain current service allows us to maintain current service levels<01:24:53.920>
• <01:32:21.880> to innovative ways to provide service to innovative ways to provide service

Keywords: 1187, senate, all

Transcript Highlights:

• of the massage service.
• activity is part of the massage service. activity is part of the massage service.
• their services. their services.
• Fish and Wildlife Service.
• <02:05:17.800> On goods or services involved. On goods or services involved.

Keywords: Senate streaming session for Tuesday, March 10, 2026, 960, senate, all

Summary: The Senate convened on March 10, 2026, established a quorum, and began with an invocation by Reverend Damien Flowers, which was journalized without objection. The chamber then recognized several guests and honorees, including Dr. Courtney Glickman for being named 2025 Play Therapist of the Year, Sigma Gamma Rho Sorority, Dr. Sonja B. Santelises for her leadership of Baltimore City Public Schools, students shadowing legislators, Navy Alliance representatives, the Maryland Alliance for Advocacy for Sickle Cell, and Ms. Kimberly Body for her lupus advocacy. The Senate also journalized prior remarks about the 6888 regiment. The Finance Committee report then moved several bills forward. Senate Bill 348 would allow hospitals and freestanding birthing centers to contact, rather than only call, patients after high-risk pregnancies; its amendments were adopted and the bill was ordered to third reading. Senate Bill 390 on Wicomico County liquor licenses was laid over under the rule. Senate Bill 492, addressing massage therapy advertising and prohibiting misleading sexual-service advertising, was amended and sent to third reading. Senate Bill 562, concerning pharmacist-prescriber agreements for opioid use disorder treatment, was amended and advanced. Senate Bill 773 would let pharmacists order certain vaccines, including intranasal flu vaccines, for self-administration and was advanced without amendment. Senate Bill 53, on Maryland Port Administration land acquisition notice in Anne Arundel County, was amended and advanced. Senate Bill 428 would bar cost-sharing for collaborative care model services under Medicaid and private coverage and was advanced without amendment. Senate Bill 473 would require human trafficking awareness training for for-hire and transportation network drivers; its amendments were adopted and it was sent to third reading. Senate Bill 585 would shift administration of the human relevant research fund from Health to Agriculture and was advanced. Senate Bill 606, the Easy Pass Commuter Fairness and Transparency Act, would require an MDTA report on commuter plans and unused trips; its amendment was moved as the transcript ended. During debate on Senate Bill 917, which would expand the definition of audiology practice to include certain screenings and non-radiographic imaging, a senator questioned whether the bill would make Maryland the only state restricting a health occupation from performing Medicare-required screenings. The floor leader said the committee had heard that claim in testimony but had not verified it, and the senator moved to special order the bill for amendment, which was granted without objection. Most other bills were reported favorably, with committee amendments adopted without objection and several bills ordered printed for third reading.

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• with ADRD as long as those services are optional and available. ...services to residents with ADRD as
• long as those services are optional and available to all residents of the facility.
• The budget reflects this committee's proposed health and human services budget.
• The budget reflects this committee's proposed health and human services budget.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• Right, Legislative health and human services.
• Um, additional topics may be, you know, drafting and legal research services, uh, maybe constituent services
• the way the, the memorial is written, it has to be directed from council service.
• You could direct, uh, council service to undertake this. Madam, uh, thank you, Mr. Speaker.
• So, it's my understanding that that's what the council service is going to do.

Transcript Highlights:

• WHEN YOU LOOK AT WHAT WE DO IN THE AREAS OF SERVICES AND CHILDREN AND FAMILIES IN NEED OF SERVICES A
• AND I WAS CONTRACTING WITH SOMEONE WHO HAS THE HISTORY OF PROVIDING HIGH QUALITY EDUCATION SERVICE AND
• AND FLDS IS A CONTRACTED OPERATOR OF THE SERVICES ON BEHALF OF THE SCHOOL SYSTEM.
• THE OTHER THINGS I WANT TO POINT OUT HERE ALL OF OUR KIDS THEY ARE GETTING ESC, ELL SERVICES.
• THEY GET THESE SKILLS AND TAKE ADVANTAGE OF THESE PROGRAMS WITH OUR SERVICES AND SUPPORTS.

Keywords: 999, senate, all

Transcript Highlights:

• <01:03:57.520> the services. Corporatization i.e. the services.
• development of medical services. development of medical services.
• . services. services.
• tax base, far in excess of the services tax base, far in excess of the services they<03:13:31.840
• dedication of our armed services members dedication of our armed services members and<04:23:38.159>

Keywords: 1189, house, all

Transcript Highlights:

• This creates a lag in services.
• This specific services we provide.
• management and substance use services. management and substance use services.
• services and its septical services services and its septical services within<00:07:49.039> our
• lot of uh, parallel services available. lot of uh, parallel services available.

Keywords: 1187, senate, all

Transcript Highlights:

• One in seven children are eligible for services who actually receive those services.
• We received this one-time state funding that allowed us to enhance our service and put more service out
• We were looking at hourly service to now where we get 15-minute service.
• We were looking at hourly service to now where we get 15 minutes service.
• We were looking at hourly service, and now we get 15-minute service, and we're not dropping routes.

Keywords: 988, house, all

Summary: The committee heard several local government-related bills. AB 1578 by Assembly Member Jackson would require elected local and state officials to take anti-hate speech training through existing sexual harassment training. Supporters said hate rhetoric can embolden prejudice and officials should be accountable for their words; opponents argued the bill lacks a legal definition of hate speech and could chill protected speech. The chair indicated support, but no quorum was present at that point, so no vote was taken. AB 2083, also by Assembly Member Jackson, would authorize creation of a regional child care special district for Moreno Valley and Paris to expand child care programs and facilities. The author said the district would help underserved communities and support families with nontraditional work hours. The California Association of Local Agency Formation Commissions opposed the bill’s mechanism, though it said it supported the goal and had been working with the author. The bill was discussed without a final vote in the excerpt. AB 1783 by Assembly Member DeMaio would prohibit state and local mileage taxes and block state agencies from studying or advancing them. The author argued Californians already pay too much in gas and car taxes and that mileage taxes would burden drivers. Opponents, including the State Building and Construction Trades Council, Transportation California, NRDC, and others, said the state needs to study road user charges as a fairer replacement for declining gas tax revenue. After quorum was established, the committee voted 3-2 to pass and re-refer the bill to the Revenue and Taxation Committee, with the roll left open. The committee also advanced AB 1693 by Assembly Member Suber, which would streamline retail tenant improvement permits by allowing qualified professionals to certify plans and imposing review deadlines on local building departments. Support came from retail, business, property, and chamber groups, and there was no opposition. The committee voted 5-0 to pass and re-refer the bill to the Business and Professions Committee. AB 1679 by Assembly Member Gonzales would create a temporary commercial activation permit for pop-up businesses in vacant storefronts; supporters said it would help revive downtowns and reduce barriers for small businesses, while local government groups had no position. The committee approved it 7-0 and re-referred it to the Health Committee. AB 2418 by Assembly Member Gonzales would set timelines for nonresidential plan checks and allow private plan checkers after delays; business groups supported it, local government associations had no position, and the committee passed it 7-0 to the Judiciary Committee. The committee also heard AB 1820 by Assembly Member Schiavo, which would cap EV charger permit fees and allow higher fees only with written findings; supporters said it would reduce barriers to charger deployment, while cities and counties argued current fees reflect actual costs and that the bill would shift costs to local governments. The discussion was extensive, but no vote is shown in the excerpt.

Transcript Highlights:

• television service.
• service there telephone or television service there are<00:05:21.479> still<00:05:21.720>
• , so a provider sells telecommunication services, internet access, and video services all as part of
• a bundle, using the same network for telecommunications services and pay television.
• once you have internet access, those services are provided.

Keywords: 1187, senate, all

Transcript Highlights:

• SB 306 addresses those persistent... ...emergency services.
• Thank you for your service. Senator Leak. Thank you for your service.
• Budget waiver services.
• How does your bill, In those services.
• Is there any contemplation about how we provide these services and increase the number of service providers

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

Transcript Highlights:

• Uh with a retirement plan, service.
• That would violate the bona fide break in service rule from the IRS.
• That would violate the bona fide break-in-service rule from the IRS.
• ,<00:13:59.680> percentages, years of service, percentages, years of service, percentages,
• <00:25:04.000> credit they also have a lower service credit they also have a lower service

Keywords: Finance - Room 216, 2 February, 2026; 3:00 PM, 925, all

Summary: The committee first heard a bill concerning tax increment financing (TIFs). The sponsor explained that the measure would not change the existing financing structure, but would add an optional arrangement cities could negotiate with developers: a revenue bond guaranteed by taxes generated from the development. The goal was to let developers guarantee the bond and access funds sooner on the front end of a project rather than waiting to see whether tax revenues meet projections. After no questions, the committee adopted a motion that the title was sufficient and reported the bill out do pass as a committee substitute. The next bill, Senate Bill 2873, came from the Department of Revenue and dealt with enforcement of the state’s vape registry law. The sponsor said the bill fills a gap left by prior legislation by creating a statutory forfeiture process for seized products valued at $20,000 or less, including notice, a right to contest, and rules for disposition of forfeited property. The committee then moved the bill title sufficient and do pass, and it was reported out. Senate Bill 2894 addressed local improvement projects funded in 2021 through 2024 that had not been executed or had unspent money remaining. The bill would require return of certain funds after a memorandum of understanding was not signed or after three years with unspent balances, require remittance of unspent interest, allow withholding of some city diversion or state aid road funds for noncompliance, and require periodic status reports to the Legislative Budget Office. The sponsor also offered an amendment giving entities 60 days from the bill’s effective date to request a one-time six-month extension; the amendment and the bill both received favorable votes and were reported out. Senate Bill 2910 would require employers in the PERS system to settle the books if a unit of government or other employer terminates participation. Senate Bill 2911 proposed a new return-to-work option for PERS retirees, shortening the separation period from 90 days to 30 days and allowing certain retirees to return to public employment at up to 80% of the stated salary, with employer-paid retirement contributions and possible health insurance support. The sponsor said the bill would exclude elected officials, K-12 superintendents, and IHL/community college administrators, and he discussed the bill’s expected effect on PERS funding with questions from members about actuarial impact and whether the proposal would affect existing retirement rules. Both bills were discussed but the transcript excerpt does not show final committee action on Senate Bill 2911.

Transcript Highlights:

• Vietnam service medal Marksman badge Vietnam service medal Vietnam<00:29:40.640> campaign<00:
• Let me give you one example. commitment to service thank you now commitment to service thank you now
• <00:33:09.720> members<00:33:10.559> and service members and service members and Veterans
• they didn't vote to have our service they didn't vote to have our service members<00:34:17.440><
• <00:49:56.240> rise supply of goods and services rise supply of goods and services rise as

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, February 12, 2025, 1012, house, all

Transcript Highlights:

• And Elizabeth Pittman, Director for Division of Medical Services, Department of Human Services.
• This is a needed service across the state, particularly in that area of the state.
• So this allows us to be able to reimburse for those services.
• This is a needed service across the state, particularly in that area of the state.
• So this allows us to be able to reimburse for those services. That's a proper explanation.

Keywords: 1204, all

Transcript Highlights:

• And Elizabeth Pittman, Director for Division of Medical Services, Department of Human Services.
• This is a needed service across the state, particularly in that area of the state.
• So this allows us to be able to reimburse for those services.
• Service across the state, particularly in that area of the state.
• So this allows us to be able to reimburse for those services. That's a proper explanation.

Summary: The committee opened with prayer, approved the January 7 meeting minutes, and then reviewed several Department of Human Services rules. One rule would allow rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, addressing a service gap, especially in Jefferson County. Another rule would let DHS participate in a CMS cell and gene therapy model to support value-based payment agreements for treating sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS explained that recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prohibits contingency arrangements of that kind. DHS said the state already has multiple other program integrity layers, including internal reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the role of recovery audit contractors, and DHS responded that they perform post-payment audits and recoveries. All three DHS rules were reviewed without objection. Near the end of the meeting, Representative Pilkington asked about a reported increase in uninsured individuals in a DHS postpartum report, but DHS said it was not prepared to answer and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. The committee then adjourned.

Transcript Highlights:

• Court did not receive at least one ordered social service or support.
• Despite not paying for services, the cost of Care Court is astronomical.
• Despite not paying for services, the cost of Care Court is astronomical.
• SB 1309 focuses on follow-up services, which come later in the process.
• Kahomida with Public Counsel, a legal services nonprofit organization based in Los Angeles.

Keywords: 988, house, all

Transcript Highlights:

• Services can be efficiently provided.
• Cities are the best equipped to provide urban services; counties are not.
• Services are provided. Water's installed. Sewers installed.
• Or a disincentive for them to require that and add cost to their service provisions.
• Staff capacity is a real challenge across development services in general.

Keywords: 904, all

Transcript Highlights:

• Madam Chair, members, House Bill 2759, appropriation Department of Veterans Services, appropriates $500,000
• Madam Chair, members, House Bill 2177 access waivers, American Indians service authorizes the director
• Are they going to cut disability services? Are they going to cut support for veterans?
• Madam Chair, members, House Bill 2406, Department of Veterans Services Study, requires DVS to conduct
• Madam Chair Members, Houseville 2406, Department of Veterans Services Study, requires DVS to conduct

Keywords: 1182, all

Summary: The committee worked through a very long minority caucus calendar covering a wide range of bills, with many items being described and then either left on consent, pulled from consent, or noted for votes. Topics included bullion and state depository proposals, a produce incentive appropriation, a biennial budget change, veterans services funding, driver licensing and traffic enforcement measures, procurement and public records changes, school board and school facilities rules, SNAP work requirements and verification, child welfare and juvenile justice provisions, housing and homelessness measures, energy and fuel policy, election administration, and several tax, commerce, and licensing bills. Members repeatedly raised concerns about constitutionality, federal preemption, duplication of existing law, and whether some measures were policy priorities that had been vetoed in prior sessions and were returning unchanged. Several bills drew extended debate. Members objected to English-proficiency requirements for commercial drivers and motor carriers, arguing federal law and the supremacy clause would bar them. Earned wage access regulation prompted strong opposition over consumer harm, overdraft cycles, and high effective APRs. School-related bills were criticized for overregulating public schools while not imposing similar requirements on ESA/private-school programs, especially on fingerprint clearance and reporting. SNAP-related bills were also opposed as setting unrealistic mandates and repeating vetoed proposals. Other contested measures included a drag-show criminalization bill, a bill restricting photo enforcement, a bill limiting local regulation of unmanned aircraft, and a bill conforming Arizona tax law to federal changes, which members said would benefit wealthy taxpayers and corporations without a clear funding source. The committee also heard a number of supportive or less controversial measures, including bills on veterans awareness, dementia care telemonitoring, Braille transcription funding, CPA licensure pathways, cash acceptance by retailers, and some child safety and court administration changes. Several bills were pulled from consent for further discussion, while others were noted as having unanimous or near-unanimous votes. The meeting ended with caucus announcements, including an affordability award presentation, an upcoming Latino Caucus discussion on community land trusts, and an invitation to African American Legislative Day activities, followed by adjournment.

Transcript Highlights:

• Uh, Department of Human Services in support. Hawaii Primary Care Association in support.
• Uh, Department of Human Services<00:13:11.200> in<00:13:11.600> support.
• I have Department of Human Services in support. Uh, Department of Health in support. Great.
• <00:14:26.399> in have Department of Human Services in have Department of Human Services in
• <00:15:23.839> and<00:15:24.000> I'm services they need to thrive. and I'm services

Keywords: 910, house, all

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• And then it was up to $50 to a veteran service organization per funeral, providing a funeral service.
• And then it was up to $50 to veteran service organization per funeral, providing a funeral service.
• Chair, the reason for that would be for the veteran service officers.
• And then the county veteran service officers paid 44% more.
• Because we contract with each service. Oh, I— well, say that again, please.

Keywords: 908, all

Summary: The committee took up Senate Bill 2025, the Veterans Home/Veterans Affairs budget, and worked through the long sheet line by line. Members discussed base payroll, salary and health insurance increases, FTE pool adjustments, IT rate increases, operating expenses, transportation grants, the PTSD service dog program, salary equity requests, temporary help/intern funding, a Veterans Benefit Specialist FTE, accrued leave, and several one-time or carryover items including the Fisher House, document scanning, and veterans medical transportation. The committee also reviewed proposed policy language that would shift governance authority for the Veterans Home and Department of Veterans Affairs from the Administrative Committee on Veterans Affairs to the governor, and would remove board authority over salary-setting and related hiring powers. A major portion of the meeting focused on clarifying the commissioner salary equity line and how the agency had shifted operating dollars to fund the commissioner’s current salary increase. After discussion with agency staff and Lonnie, the committee voted to remove the separate commissioner salary equity increase line and instead restore operating funding, ultimately setting the operating line at $50,000 above the prior amount rather than fully funding the executive request. The committee also approved funding for the Veterans Benefit Specialist FTE, approved a carryforward/exemption for accrued leave, approved authority to accept $200,000 in federal transportation grant funds, approved the $500,000 transfers related to veterans homelessness, and approved the exemption language for certain federal/state fiscal recovery funds after discussing whether the funds were properly obligated. On the governance amendment, members expressed concern about making a major policy change in an appropriations bill, but also frustration over the board’s salary actions. After debate, the committee adopted the amendment transferring governance authority to the governor by a 7-1 vote. The committee also approved a smaller amount for veteran service officer salary equity than requested, and rejected funding for temporary salaries and an intern. The chair then directed staff to prepare the amended bill for further action, with the committee planning to revisit it once the revised version was ready.

Transcript Highlights:

• What services are that gets families communicating with us.
• Behavioral health services for nursing homes. We talked about that.
• Was there at some point a mention of the daily cost of providing services?
• No, Youth Works is the half million in the Human Services subdivision.
• And that's because all of the core facility is there to provide the services.

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.