Video & Transcript Research : 'CMS'
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AL
Transcript Highlights:
- The reason we’re doing that is because we do not have final approval from CMS yet on the application
- 00:41:17.920>
final <00:41:18.640>approval <00:41:19.119>from <00:41:19.359>CMS - <00:41:19.920>
yet <00:41:20.079>on not have final approval from CMS yet on not have - final approval from CMS yet on the<00:41:20.480>
application <00:41:20.960>process.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/25/26 - Part 1
Health Finance and Policy
Transcript Highlights:
- Hope, is busy doing other things with CMS and activities that are happening at the department today.
- ><00:37:27.440>
other <00:37:27.680>things <00:37:27.839>with <00:37:28.160>CMS - <00:37:29.200>
um, <00:37:29.520>and busy doing other things with CMS um, and busy - doing other things with CMS um, and and<00:37:30.320>
activities <00:37:30.800>that <00:
Keywords:
hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure
HI
Transcript Highlights:
- Healthcare financing, just with CMS alone, is very complicated.
- Healthcare financing, just with CMS alone, is very complicated.
- Healthcare financing just with CMS alone is very complicated.
- But there's many different contracts that a hospital would have with payers, including CMS.
Keywords:
accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle
Summary:
The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later.
On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/11/25
Commerce and Consumer Protection
Transcript Highlights:
- The Centers for Medicare and Medicaid Services, otherwise known as CMS, Office of the Actuary, found
- CMS estimated that the point-of-sale rebates would cause a 15% decline in rebates. with the plan sponsors
- CMA CMS estimated that the point of sale CMA CMS estimated that the point of sale rebates<00:56:44.280
HI
Transcript Highlights:
- and I think there was some anticipation of change in administration is why, you know, the staff at CMS
- know<00:39:52.680>
the <00:39:52.839>staff <00:39:53.119>at <00:39:53.680>CMS - is why you know the staff at CMS is why you know the staff at CMS um<00:39:56.280>
hurry <
Summary:
The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population.
The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information.
The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.
OK
Oklahoma 2026 Regular Session
Health and Human Services 2ND REVISED Apr 8th, 2026 at 10:00 am
Health and Human Services
Transcript Highlights:
- understand too that there is some funding tied to birth-friendly designation for hospitals through CMS
Keywords:
rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics
WV
West Virginia 2026 Regular Session
Senate in Session Mar 13th, 2026 at 05:50 pm
West Virginia Senate Floor Meeting
Transcript Highlights:
- I think the House amended the bill by reducing the rate from 400% to the current CMS rate of 200%.
Summary:
The Senate considered a series of House amendments and effective-date changes on several bills and largely concurred with the House changes. SB 4, relating to crimes against public justice, was amended to restore a cleaner definition of harassment and then passed 31-2. SB 59, on voter eligibility and residency requirements, was concurred in and passed 33-0, with an effective date of January 1, 2027. SB 104, concerning state mine inspectors, had its effective date set to July 1, 2026 by a 33-0 vote, and SB 200, increasing penalties for assault on public service workers, law enforcement officers, and police animals, was concurred in and passed 33-0. SB 481, relating to elections, was made effective from passage by a 33-0 vote, and SB 531, the First Amendment Preservation Act, was amended to add entities associated with foreign adversaries and passed 31-2, with an effective date of July 1, 2026.
The chamber also concurred in House amendments to SB 641 on above-ground storage tanks, narrowing the bill to brine water storage and reducing tank capacity thresholds; it passed 25-8. SB 645, prohibiting surprise billing for ground emergency medical services, was amended to reflect a lower reimbursement rate and removal of some balance-billing language, then passed 29-4. SB 800, clarifying jury service policy to allow some people with expunged or pardoned convictions to serve, passed 31-2. SB 878, creating the Office of Entrepreneurship within the Secretary of State’s office, was concurred in, passed 30-4, and made effective July 1, 2026 by a 34-0 vote.
Later, the Rules Committee reported House Bill 5381, a measure to develop a comprehensive energy development policy and plan for the Office of Energy, recommending it do pass. The Senate advanced the bill to third reading with the right to amend. The session then moved to remarks and adjourned until the next day at 11 a.m., with the Rules Committee scheduled to meet at 10:45 a.m.
HI
Hawaii 2026 Regular Session
HHS-AEN-EIG, HHS, HHS Public Hearings 02-02-2026
Health and Human Services
Transcript Highlights:
- I think it's not in—we did not request it—and I don't think it would have to be something CMS would come
- We're going to have a two-year implementation date to allow for CMS administrative rules.
- implementation date to have a two-year implementation date to allow<01:13:48.080>
for <01:13:48.480>CMS - allow for CMS administrative rules. allow for CMS administrative rules.
Summary:
The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise.
After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye.
The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services May 21st, 2025
Transcript Highlights:
- So we'll need to submit, before that, a waiver request to CMS.
- And so the grievance process that CMS is requiring all states to have is one that says if your IPP meeting
- CMS, I will add, is a little... ...of grievance about that.
- CMS, I will add, is a little bit vague about kind of what results from the grievance process.
- The second item that we have is a technical request related to the child welfare system, CWS/CMS.
Summary:
The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored.
Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants.
The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services.
Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.
MN
Minnesota 2025 1st Special Session
House Public Safety Finance and Policy Committee 3/26/34
Public Safety Finance and Policy
Transcript Highlights:
- In April of 2023, the Centers for Medicare & Medicaid Services, CMS, announced a new Section 1115 demonstration
- include Minnesota in this waiver, and DHS is requesting legislative approval and funding to apply through CMS
- include Minnesota in this waiver, and DHS is requesting legislative approval and funding to apply through CMS
- include Minnesota in this waiver, and DHS is requesting legislative approval and funding to apply through CMS
- include Minnesota in this waiver, and DHS is requesting legislative approval and funding to apply through CMS
Summary:
The committee approved the March 22, 2024 minutes and then took up House File 3761, the Safety Through Support Act, with a motion to lay the bill over. Representative Lee Finke said the bill is intended to improve re-entry outcomes and public safety by expanding prison visitation, including mentoring and access for mental health and medical professionals, and by creating a task force to support rehabilitation and re-entry. Testifiers in support included Holly Bot, who described how family visits helped her through incarceration and later into successful re-entry and business ownership, and Zeke Caliguri, who argued that consistent visitation and community connection are essential to humanity, rehabilitation, and reducing recidivism. Elliot Bhai of NAMI Minnesota also supported the bill, framing visitation as a form of needed mental health support in prisons.
Members raised several concerns and suggestions. Representative Hudson questioned the bill’s strip-search limitation language, asking what would count as a credible, documented security concern, and also worried the task force could create discriminatory access or favor certain viewpoints. Representative Finke said she did not view a conviction as making someone permanently a security risk and said the task force was meant to ensure meaningful visitation for everyone, not to enable discrimination. Representative Hollins and Representative N. supported the bill’s overall goals while suggesting language could be tightened and noting that maintaining outside ties helps people return as productive members of society. Representative Witte asked about the Department of Corrections commissioner’s presence, and the chair said questions for him could wait for a later bill.
Representative Mu asked about the fiscal note and the research behind the bill. Staff said a fiscal note had been requested but not yet signed off by the LBO, which was one reason the bill was being laid over. Finke said she could share the visitation study and noted that the bill responds to research linking visitation to lower recidivism; she also said remote visitation data shows value but can be costly. After closing remarks emphasizing that visitation is “medicine” and that most incarcerated people will return to the community, the chair renewed the motion and laid over House File 3761. The committee then moved on to House File 4959, with a motion to re-refer it to the Committee on State and Local Government Finance and Policy.
AZ
Arizona 2026 Regular Session
02/03/2026 - House Democratic Caucus Calendar #3
Transcript Highlights:
- There is a clarifying committee amendment that states the service is to be covered if approved by CMS
- There is a clarifying committee amendment that states the service is to be covered if approved by CMS
Summary:
The caucus reviewed a long list of bills and resolutions, with members frequently asking to pull measures from consent and noting party-line or unanimous votes. Topics included medical and vaccination restrictions (HB 2248, HB 2086), state investment and conflict-of-interest rules for the treasurer (HB 2303), budget and reporting requirements (HB 2688, HB 2015), procurement limits involving China-linked companies (HB 2170, HB 2134), homelessness administration (HB 2533), traffic and transportation measures (HB 2109, HB 2574, HB 2210), school testing and education policy (HB 2032, HB 2033, HB 2075, HB 2266, HB 2395, HCR 2003), and several health-care bills involving lactation services, gender-transition care for minors, abortion-related restrictions, and hospital immigration-status reporting (HB 2072, HB 2085, HB 2364, HB 2689, HB 2796). Members also discussed water policy, including desalination, groundwater transport, and water-use limits (HB 2052, HB 2056, HB 2098, HB 2758, HB 2328), as well as food and agriculture measures such as SNAP restrictions, cultivated-cell food labeling and bans, and the Beef Council extension (HB 2396, HB 2762, HB 2791, HB 2155). Several members criticized bills as unconstitutional, costly, or harmful to affordability, while sponsors described them as clarifications, consumer protections, or administrative fixes.
The caucus also considered a number of bills affecting labor, property, and consumer issues, including unemployment eligibility changes, mobile home park submetering fees, appraisal management company rules, digital goods seller requirements, property tax clarifications, and protections for minors in online content creation (HB 2690, HB 2459, HB 2501, HB 2010, HB 2120, HB 2192, HB 2261, HB 2279). Other measures addressed sexual extortion penalties, name-change procedures for sex offenders, and restrictions on abortion-inducing drugs and gender-transition procedures for minors (HB 2666, HB 2223, HB 2364, HB 2085). Members repeatedly raised concerns about federal preemption, constitutional issues, implementation costs, and unintended consequences, and several sponsors or members indicated they were working on amendments or stakeholder discussions.
At the end of the meeting, the caucus also heard memorials and resolutions, including a proposal to limit voting centers and precinct voting, and memorials urging withdrawal from the United Nations and defunding the IMF (HCR 2016, HM 2001, HM 2004). The meeting concluded with caucus announcements, including an affordability-themed award recognizing Rep. Betty Villegas, a Black History Month sign-up request, and reminders about upcoming affordability and Latino Caucus events. No final floor votes were taken in the transcript, but multiple bills were pulled from consent or noted for opposition.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Education Subcommittee REVISED: Agency presentation times revised Jan 20th, 2026 at 09:00 am
A&B Education Subcommittee
TX
Transcript Highlights:
- CMS is not required to be the only funder.
- It's only a funding cap from CMS.
Keywords:
special prosecutor, state law, criminal justice, accountability, law enforcement, stormwater management, counties, regulation, environment, water quality
Summary:
The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending.
Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending.
The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending.
Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.
FL
Florida 2025 Regular Session
February 12, 2025 - 03:30 PM
Transcript Highlights:
- So we do, and I think we all have this via CMS.
- their expectation or what they would have wanted from us so we do and I think we all have this via CMS
Summary:
The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs.
Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality.
On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/23/26
Health Finance and Policy
Transcript Highlights:
- This provision removes requirements in law that conflict with newly required guidance from CMS as well
- This provision removes requirements in law that conflict with newly required guidance from CMS as well
- 00:21:32.320>
as <00:21:32.559>well <00:21:32.720>as required um guidance from CMS - as well as required um guidance from CMS as well as federal<00:21:33.280>
law <00:21:33.600>- note because I mean the rebates on gene therapies are massive, and I do believe that they're currently CMS
Keywords:
healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/7/25
Health Finance and Policy
Transcript Highlights:
- We looked online at the CMS databases on nursing homes, where you find the rankings of nursing homes
- We looked online at the CMS databases on nursing homes, where you find the rankings of nursing homes
- We looked online at the CMS databases on nursing homes, where you find the rankings of nursing homes
- We looked online at the CMS databases on nursing homes, where you find the rankings of nursing homes
- On the CMS databases on nursing homes, where you find the rankings of nursing homes for the like.
Keywords:
health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation
MN
Transcript Highlights:
- One thing to know is that CMS generally categorizes providers into limited risk, moderate risk, and high
- to<00:19:55.679>
know <00:19:55.960>is <00:19:56.080>that <00:19:56.200>CMS - lure so um one thing to know is that CMS lure so um one thing to know is that CMS generally<00:19
- federal match on the services, and the service requirements are defined in our state plan agreement with CMS
- Have we had any interruptions in this federal match money coming in through CMS for these types of services
Summary:
The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity.
DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028.
Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (01/15/2025)
Health and Human Services
Transcript Highlights:
- statute specific to residential care facilities or where hospitals are recognized with deem status by CMS
- statute specific to residential care facilities or where hospitals are recognized with deem status by CMS
- CMS, as I mentioned already, conducts complaint investigations and publishes on their quality certification
- and I've provided or I will provide the committee with an example of one of these reports issued by CMS
- and I've provided or I will provide the committee with an example of one of these reports issued by CMS
MN
Minnesota 2025 1st Special Session
House Fraud Prevention and State Agency Oversight Policy Committee 12/17/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- So last week CMS asked us to implement additional enrollment pauses for additional services.
- So last week CMS asked us to implement additional enrollment pauses for additional services.
- So last week CMS asked us to implement additional enrollment pauses for additional services.
- So last week CMS asked us to implement additional enrollment pauses for additional services.
- So last week CMS asked us to implement additional enrollment pauses for additional services.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (01/28/2026)
Health and Human Services
Transcript Highlights:
- Uh, we refer to the Medicaid program as determining medical necessity because we apply the federal CMS
- Uh, we refer to the Medicaid program as determining medical necessity because we apply the federal CMS
- Uh, we refer to the Medicaid program as determining medical necessity because we apply the federal CMS
- Program as determining medical necessity because we apply the federal CMS rule for medical necessity.
- So ultimately, the CMS refers back to the Medicaid program.