Transcript Highlights:

• reimbursement and coverage rates.
• Department of Insurance to study and make recommendations regarding issues related to insurance coverage
• Relative to ambulatory surgical centers, to provide for Medicaid reimbursement rates.
• Is my understanding that most of the fraud that we see as it relates to the Medicaid program is fraud
• The audit itself cannot remove someone from Medicaid or SNAP.

Bills: SCR12, HB1259, HB221, HB509, HCR117, HCR58, SCR29, SCR33, SB295, SB312, SB326, SB348, SB485, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HCR5, HCR95, HB75, HB198, HB244, HB302, HB325, HB623, HB719, HB749, HB755, HB761, HB797, HB823, HB1028, HB1049, HB1194, HB1199, HB1201, HB1222, HB17, HB27, HB36, HB41, HB73, HB140, HB166, HB181, HB211, HB223, HB226, HB271, HB308, HB337, HB399, HB410, HB487, HB690, HB712, HB730, HB750, HB759, HB762, HB775, HB906, HB966, HB968, HB1006, HB1009, HB1018, HB1036, HB1062, HB1081, HB1086, HB1098, HB1107, HB1112, HB1203, HB1215, HB1220, HB1242, HB1252, HB1256, SB208, SB217, SB274, SB283, SB300, SB341, SB382, SB387, SB389, SB401, SB408, SB449, SB469, HB74, HB119, HB134, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1117, HB1236, SB29, SB42, SB43, SB78, SB149, SB441, HB210, HB258, HB359, HB468, HB784

Keywords: logging, recognition, John Keith, environment, safety, HB1259, mask penalty, masked felony, face covering, conceal identity, evade identification, sentencing enhancement, enhanced penalty, felony sentencing, crime deterrence, public safety, Louisiana criminal law, R.S. 14:313.2, R.S. 14:313, R.S. 14:329.7

Summary: The Senate convened with 26 members present, heard a prayer from Dr. Steve Horn, and recited the pledge. The chamber then handled messages from the House, including concurrence in SCR 83 and appointment of conference committee members on several disagreements. A number of Senate resolutions were introduced or adopted, mostly creating study task forces or commending individuals and organizations, including resolutions on energy infrastructure, breast pump access, insurance coverage for auto repairs, biomarker testing, higher education funding, public-private partnership contracting, and various commendations. Several resolutions were adopted without objection, while others were returned to the calendar or concurred in by recorded vote, including SCR 29 and SCR 33 with House amendments. The Senate also considered House and Senate bills and resolutions returned from the House, with many measures adopted or concurred in. Notable actions included concurrence in HCR 117 on homeowner insurance claims processes, adoption of HCR 5 on special red drum harvest permits, and passage of bills on TOPS Tech eligibility (HB 325), vapor product permitting (HB 623), ABLE/Tuition Trust administration (HB 749), design services contracting (HB 755), rare cancer advisory board composition (HB 761), non-emergency medical transportation reimbursement (HB 1028), public meeting notices (HB 1049), healthy food retail financing (HB 1194), genetic testing coverage for SCN2A disorders (HB 1199), grocery initiative grants (HB 1222, which failed), and a constitutional amendment on retirement debt repayment order (HB 27). The chamber also adopted HCR 95, creating a joint rule requiring a fiscal review of certain tax measures for sales and use tax uniformity. Several measures drew extended debate. HB 181, which would allow the legislative auditor access to Medicaid and SNAP-related tax information for eligibility verification and fraud review, prompted concerns about privacy and scope but ultimately passed 26-8. HB 1220 on the State Board of Medical Examiners generated amendment discussion about board composition and transparency, including live video broadcasting of meetings, but was returned to the calendar before final action. HB 1018, creating a temporary local moratorium on certain alcohol permits in one Shreveport district, passed after discussion about broader policy solutions. The Senate then recessed for lunch at 2 p.m. after completing the subject-to-call list for the morning session.

Transcript Highlights:

• serve individuals receiving Medicaid serve individuals receiving Medicaid funded<00:09:01.400>
• Section nine, 8 V.S.A. subsection 4092, prescription drug coverage.
• insurance coverage for that drug. insurance coverage for that drug.
• > Director, Medicaid and Health Systems Director, Medicaid and Health Systems Director, Agency
• If it's a livestock animal, the temporary security amount is $2.50 per animal per day for food.

Keywords: 926, house, all

Summary: The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment. The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith. The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.

Transcript Highlights:

• It could be services that temporary agency staffing services at New Hampshire Hospital or Glen Cliff,
• /c><00:05:42.880> agency services that uh temporary agency services that uh temporary agency staffing
• <00:16:36.000> um have no uh insurance, no Medicaid. um have no uh insurance, no Medicaid.
• The RSA 171A requires that the Medicaid.
• <00:21:39.679> directly be able to bill Medicaid directly be able to bill Medicaid directly

Keywords: 928, house, all

Summary: The committee met after recess to hear a Department of Health and Human Services overview of its contract structure, with CFO Nathan White explaining that DHS currently has 969 active agreements spanning service contracts, grants, data-sharing agreements, use-of-premises agreements, and MOUs. He said contracts are budgeted across multiple class lines and accounting units, often braided with federal funds, which makes the system complex; he also noted that the department’s top spending list was limited to 18 items rather than 20 and included both individual contracts and grouped regional/provider contracts. White emphasized that many contracts support direct services to residents, while others support departmental operations such as software support and staffing. Commissioner Hardy said the listed contracts are essential to serving vulnerable populations and supporting required administrative infrastructure, and she stressed that the department tries to work with providers and families rather than impose changes on them. In response to questions about area agencies and developmental disability services, DHS officials said the agencies’ duties are spelled out in contract and statute, including family support services, billing-related functions, and services tied to the state’s community-based system; they said some billing duties have already been moved outside the contract. They also explained that the department rejected a previously discussed two-tier waiver concept after stakeholder feedback in October 2023 and instead shifted to rate-based work, including CIS assessments, to better align payment with individual need. Members also raised concerns about possible waste, sole-source contracting, and subcontracting. Hardy said she had not seen specific evidence of waste beyond a whistleblower call mentioned by a member, but acknowledged that inefficient execution can occur in government and said the department is trying to improve management. On procurement, she said sole-source contracts require her approval and that competitive procurement is the default when possible. White added that subcontracting is allowed only with written state permission under the standard P-37 terms, and subcontractors must meet the same obligations as the prime contractor. No votes or formal actions were taken.

Transcript Highlights:

• Assembly Bill 234 by Assembly Member Anderson requires Medicaid coverage for screening for certain forms
• Department of Health and Human Services to seek to establish certain rates of reimbursement under Medicaid
• Assembly Bill 428, by Assembly Member Dondero Loop, requires certain health plans to include coverage
• Assembly Bill 234, introduced by Assembly Member Anderson, requires Medicaid coverage for screening for
• Assembly Bill 234, introduced by Assembly Member Anderson, requires Medicaid coverage for screening for

Keywords: 909, all

Transcript Highlights:

• has not yet been assigned a Medicaid ID number, they may use the mother's Medicaid.
• eligibility, the process for applying for Medicaid for their child, and how to use the mother's ID for
• coverage.
• House Bill 3940 relating to the provision of certain information about Medicaid benefits in relation
• Members, House Bill 3159 creates a temporary severance tax exemption for inactive oil and gas workers

Bills: SB731, SB801, SB867, SB2082, SB2717, SB2919, HB4, HB26, HB103, HB108, HB117, HB126, HB144, HB145, HB186, HB201, HB223, HB229, HB272, HB493, HB521, HB551, HB621, HB700, HB748, HB1106, HB1234, HB1403, HB1500, HB1661, HB2017, HB2026, HB2035, HB2038, HB2073, HB2080, HB2221, HB2253, HB2294, HB2306, HB2313, HB2427, HB2512, HB2516, HB2593, HB2674, HB2761, HB2818, HB2820, HB2844, HB2851, HB2885, HB3010, HB3016, HB3053, HB3057, HB3133, HB3151, HB3159, HB3180, HB3181, HB3225, HB3234, HB3250, HB3254, HB3284, HB3333, HB3512, HB3556, HB3595, HB3689, HB3711, HB3732, HB3749, HB3812, HB3833, HB3866, HB3928, HB3940, HB3966, HB4063, HB4112, HB4157, HB4264, HB4281, HB4384, HB4454, HB4486, HB4488, HB4520, HB4530, HB4666, HB4690, HB4743, HB4749, HB4751, HB4795, HB4848, HB4903, HB5081, HB5115, HB5138, HB5149, HB5154, HB5247, HB5308, HB5394, HB5436, HB5659, HB5671, HB5674, HB5680, HB5696, HCR40, HCR108, HCR118, SJR5, SJR59, SB4, SB8, SB9, SB10, SB12, SB22, SB23, SB25, SB27, SB34, SB36, SB37, SB38, SB40, SB261, SB650, SB777, SB924, SB1188, SB1318, SB1333, SB1398, SB1448, SB1566, SB1621, SB1723, SB1862, SB2405, SB2406, SB2407, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, HB300, HB2525, 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, HB2674, HB3556, HB26, HB4384, HB748, HB5652, HB3395, HB2516, HB180, HB1306, HB3966, HB4112, HB322, HB126, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4751, HB4690, HB4464, HB4063, HB3623, HB3016, HB2520, HB2221, HB2213, HB700, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB4743, HB4666, HB3812, HB3595, HB3057, HB2035, HB721, HB346, HB2512, HB5695, HB5694, HB5671, HB5674, HB2038, HB3185, HB2761, HB2593, HB2348, HB2073, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, 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, HCR141, HCR118, HCR40, HCR59, HCR76, HCR108, HB26, HB108, HB144, HB145, HB201, HB272, HB493, HB551, HB621, HB700, HB1500, HB1661, HB2017, HB2038, HB2073, HB2080, HB2221, HB2253, HB2294, HB2306, HB2313, HB2427, HB2516, HB2593, HB2761, HB2818, HB2844, HB2851, HB2885, HB3010, HB3016, HB3133, HB3151, HB3159, HB3254, HB3284, HB3595, HB3689, HB3711, HB3866, HB3928, HB3940, HB3966, HB4063, HB4112, HB4264, HB4281, HB4384, HB4454, HB4486, HB4488, HB4520, HB4530, HB4666, HB4743, HB4749, HB4751, HB5081, HB5308, HB5394, HB5659, HB5671, HB5680, HB5696, HB2674, HB3556, HB223, HB1403, HB3053, HB5115, HCR108, HCR118, SB20, SB33, SB75, SB213, SB269, SB458, SB528, SB647, SB648, SB681, SB740, SB840, SB843, SB1061, SB1120, SB1121, SB1150, SB1202, SB1253, SB1423, SB1535, SB1574, SB1709, SB1789, SB2037, SB2078, SB2268, SB2544, SB2570, SB1198, SB2601, SB2778

Keywords: SB 731, Texas, Texas Department of Housing and Community Affairs, TDHCA, low-income housing tax credits, LIHTC, affordable housing, senior housing, 55 and older, elderly housing, multifamily housing, apartment buildings, high-rise, four-story building, water pressure booster, water pressure system, emergency water supply, building safety, housing development regulations, Government Code Chapter 2306

Transcript Highlights:

• Four in five work full-time, yet only about half have employer or union health coverage.
• Four in five work full-time, yet only about half have employer or union health coverage.
• Under existing law, large employers are already required to offer affordable coverage.
• Reporting or purchasing coverage that is not truly protecting the workers.
• The licensing requirements include a requirement to file workers' compensation coverage.

Summary: The Assembly Labor and Employment Committee heard several bills focused on labor standards, worker safety, and public transparency. SB 954 by Senator Blakespear would revise last year’s CEQA exemption for advanced manufacturing by adding worker protections such as prevailing wage, a skilled and trained workforce, high-road employment standards, and environmental guardrails. Supporters from labor, environmental justice, and conservation groups said the bill restores promised safeguards after SB 131, while business groups argued the added requirements would undermine the exemption and discourage investment. The committee voted 5-0 to do pass and re-refer SB 954 to Appropriations, leaving the roll open for absent members. The committee then considered SB 966 by Senator Gonzalez, which would codify refinery worker participation and safety protections adopted in 2017 after the 2012 Chevron Richmond fire. Supporters, including United Steelworkers and a former refinery worker, said the bill would preserve workers’ ability to report hazards, select representatives, and stop unsafe work, preventing future disasters. The Western States Petroleum Association opposed the bill, arguing it could be preempted by federal labor law and would add regulatory uncertainty. The committee passed SB 966 3-0 and re-referred it to Appropriations, with the roll left open. Next, SB 1203 by Senator Smallwood-Cuevas sought to modernize private security guard training, expand de-escalation instruction, strengthen accountability, and create a clearer professional pathway for the industry. The author and many security workers testified that guards are often first responders in volatile situations and need more practical training and better standards; opponents from industry and business groups warned the bill would raise costs, worsen staffing shortages, and create implementation problems, especially around third-party training and a new wage order. The committee voted 4-1 to do pass and re-refer SB 1203 to Public Safety, with one no vote and the roll left open. The committee also heard SB 1284 by Senator Smallwood-Cuevas, a transparency bill requiring DHCS to publish the names of large employers with workers enrolled in Medi-Cal and the estimated taxpayer cost. Supporters said the measure would show how low wages and unaffordable coverage shift health costs to the public, while opponents argued Medi-Cal enrollment depends on many factors and that naming employers would be misleading and amount to public shaming. After discussion, the committee voted 4-2 to do pass and re-refer SB 1284 to Appropriations, leaving the roll open. The transcript then began discussion of SB 1054 by Senator Cabaldon, which would improve workforce data collection and sharing to better evaluate job-training pathways, but the excerpt cuts off before testimony or action on that bill.

Transcript Highlights:

• But after that, Medicaid stops.
• DDD and ALTCS have federal Medicaid funding. SMI people don't.
• At the same time, Medicaid reimbursement rates have not kept pace with inflation.
• This bill is only going after access Medicaid insurance plans under Title 36.
• This bill is only going after access Medicaid insurance plans under Title 36.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• And it looks like to me that we would have around 88,000 Individuals losing Medicaid coverage, another
• , we still are covering—we're seeing 254,000 people through the Medicaid expansion who didn't have coverage
• For Medicaid, you cannot get coverage through the exchange, through BeWell.
• in order to get coverage.
• Ultimately, that makes it harder to get coverage, harder to keep coverage, and harder to afford coverage

Transcript Highlights:

• So we will start thinking about Medicaid changes. So we will start thinking about Medicaid changes.
• So Medicaid coverage for the low-income adult population has increased the number of clients that receive
• There's the Medicaid state plan, Medicaid waivers, and then non-Medicaid state or federal-only programs
• coverage.
• Medicaid, I think we're still trying to dig in. ...legally been receiving Medicaid and won't lose Medicaid

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• That's where Medicaid presumptive eligibility comes in.
• This expedited process allows for an immediate determination of Medicaid eligibility.
• This gives immediate temporary coverage while an application for health insurance is being processed.
• Determination, but because this determination process takes time, we think that establishing temporary
• If they don't apply for that disability determination, the coverage would end at, I think, 60 days.

Transcript Highlights:

• I want to note, though, that for folks who lose Medicaid coverage, maybe you got a raise and you're now
• of Medicaid coverage is a reason to trigger a special enrollment period.
• <01:45:59.280> coverage, who are um you lose Medicaid coverage, who are um you lose Medicaid
• marketplace because loss of Medicaid marketplace because loss of Medicaid coverage<01:46:15.040>
• <01:46:32.639> coverage people who lose Medicaid coverage people who lose Medicaid coverage

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• health plans is if there are<00:30:17.519> gaps<00:30:17.799> in<00:30:18.039> coverage
• if<00:30:19.279> we<00:30:19.399> need<00:30:19.559> to are gaps in coverage
• right if we need to are gaps in coverage right if we need to allocate<00:30:20.159> $9<00:30:
• 30:21.679> supplement allocate $9 million to supplement allocate $9 million to supplement coverage
• through the health plans is coverage through the health plans is there<00:30:23.960> something

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• The lion's share of that is in the Medicaid area. It's $38 to $40 billion annually in Medicaid.
• and Medicaid sorry that our Medicaid families have access to preventive services and interventions that
• HB 26 and your dedication to keeping our Medicaid families healthy.
• Medicaid clients informed about SNAP eligibility? Sure.
• How will offering the nutrition, the nutrition counseling affect Medicaid costs?

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health

Transcript Highlights:

• This gives immediate temporary coverage while an application for health insurance is being processed.
• This gives immediate temporary coverage while an application for health insurance is being processed.
• This gives immediate temporary coverage while an application for health insurance is being processed.
• This gives immediate temporary coverage while an application for health insurance is being processed.
• This gives immediate temporary coverage while an application for health insurance is being processed.

Keywords: 1183, house

Transcript Highlights:

• House Bill 1199 by Representative Jordan, relative to health insurance, requires coverage for genetic
• testing of SCN2A-associated disorders and provides for medical necessity determinations and coverage
• HCR 4 puts a temporary pause on the feeding ban.
• Next bill: House Bill 224 by Representative Barrow, Medicaid coverage for dental procedures, to require
• Medicaid.

Bills: HR195, HR196, HR197, HR198, HR199, HR200, HR201, HR202, HR203, HR204, HR205, HR206, HR207, HR208, HR209, HCR87, HCR88, HCR89, HCR90, HR192, HR193, HR194, HCR80, HCR81, HCR82, HCR83, HCR84, HCR85, SB235, SB416, SB425, SB435, SB439, HCR15, HCR41, HCR76, HCR77, SCR3, HB91, HB167, HB227, HB243, HB264, HB321, HB335, HB398, HB492, HB623, HB624, HB660, HB689, HB708, HB719, HB802, HB804, HB884, HB906, HB926, HB934, HB940, HB955, HB968, HB969, HB978, HB985, HB1005, HB1022, HB1028, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1185, HB1187, HB1199, HB1201, HB1203, HB1217, HB1220, SB66, SB68, SB76, SB139, SB336, SB475, HR1, HR17, HCR5, HCR4, HCR47, HCR32, HR38, HR96, HR160, HCR31, HCR61, SCR19, HB64, HB68, HB92, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB745, HB749, HB752, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1207, HB1218, HB1223, HB316, HB549, HB578, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1192, HB1195, HB1198, HB1244, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, HB306, HB366, HB911, HB1161, HB1230, HB59, HB481, HB772, HB897, HB1003, HB1008, HB1112, HB1180, HB1189, HB525, HB1058, HB181, HB1118, HB1082, HB901, HR20, HR74, HB225, HB284, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB864, HB996, HB1035, HB1113, HB1234, HB1240

Keywords: Louisiana Young Heroes Day, Louisiana Public Broadcasting, LPB, house resolution, ceremonial resolution, special observance, youth recognition, student achievement, community service, public service, high school students, youth leadership, disability advocacy, autism, diabetes, epilepsy, foster care, STEM, robotics, literacy

Summary: The House convened with a quorum, opened with prayer and the pledge, adopted the journal, and then spent much of the day on recognitions and resolutions. Members recognized NAMI and proclaimed Mental Health Awareness Month, honored fourth graders from Alpine Christian School, Hunter Nation supporters, Vermilion Parish visitors, and Louisiana Young Heroes. The chamber also observed a moment of silence for Martha Odom, a Lafayette student killed in the Mall of Louisiana tragedy, and heard remarks condemning political violence and social-media harassment. Several resolutions were adopted or advanced, including measures on rural mental health day, domestic violence prevention, nurses’ day, wildlife studies, child abuse reporter training, privacy/FISA reform, and Law Institute studies on property, foreign-entity terminology, and carbon sequestration issues. The House then moved through a long series of committee reports and floor actions on bills covering criminal justice, education, health, insurance, transportation, alcohol regulation, wildlife, elections, retirement, and public benefits. Many bills were advanced unanimously or near-unanimously, including measures on school emergency plans, impaired driving, victims’ compensation, sexual assault response, Medicaid dental coverage tied to other procedures, TOPS Tech eligibility, early childhood student IDs, highway priority program deadlines, CDL rules, and toll dispute procedures. Some bills were recommitted to Appropriations or returned to the calendar, and several were amended before being sent onward. On final passage, the House approved H.R. 1 adopting the annual State Integrated Coastal Protection Plan for FY 2026-2027 by 101 yeas, and also passed H.R. 17 on TOPS return-on-investment study, H.C.R. 4 suspending certain feeding and baiting restrictions in chronic wasting disease areas by 63-30, H.C.R. 47 on child abuse reporter training, H.R. 30 on FISA reform, H.B. 12 expanding death benefits for reserve auxiliary law enforcement officers, H.B. 205 allowing parish supplementation of election commissioner pay, H.B. 224 on Medicaid dental coverage for related procedures, H.B. 324 on judicial salaries, H.B. 325 on TOPS Tech eligibility, H.B. 350 expanding a charter school’s grade levels, H.B. 745 extending special vehicle permit sunsets, H.B. 797 creating the Bayou Gold Program, H.B. 807 creating a workforce instructor capacity investment program, H.B. 821 moving the Center for Safe Schools, H.B. 896 on toll signage and customer service, H.B. 979 increasing first responder survivor benefits to $404,000 via amendment, H.B. 992 assigning early childhood student IDs, H.B. 1000 on highway priority program administration, H.B. 1024 creating a Democratic Party license plate, H.B. 1050 on CDL age and hazmat rules, and H.B. 1173 on installment agreements for OMV fines and late fees. Several other bills were reported favorably, amended, or recommitted, with no recorded opposition on most of the final votes.

Transcript Highlights:

• Department for Medicaid Services, Department for Medicaid Services, Division<00:23:39.880> of
• Medicaid program that exists. So, so did Medicaid program that exists.
• So, we program for Medicaid that exists.
• <00:51:21.720> program invalidate the entire Medicaid program invalidate the entire Medicaid
• Centers for Medicare and Medicaid Centers for Medicare and Medicaid Services<00:51:49.040> last

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• Uh, it's I Medicaid Fraud Control Unit.
• withholding or reduction of temporary withholding or reduction of payment<00:11:57.480> actions.
• The next person on the list is Nick Wanka, Director of Medicaid Fraud Control Unit.
• I'm the director of the Medicaid Fraud Unit.
• > Unit<00:32:12.080> through Funding the Medicaid Fraud Unit through Funding the Medicaid

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• In terms of if it’s Medicaid-specific procurement, we may have the authority to do it on our own.
• And Medicaid has huge for Arizona negotiating power.
• Kohler, all right, you said the Medicaid pricing is higher.
• "All right, you said the Medicaid pricing is higher. I thought I heard you say that." "Mr.
• The Medicaid prices is lower.

Bills: HB2775, HB2874, HB2940, HB4014, HB4067, HB4115, HCM2010, HCR2051

Keywords: international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land