Transcript Highlights:

• law and that the provider taxes, since they are in place now, they will remain in place with the new CMS

Bills: SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146

Keywords: SB143, solid waste, garbage collection, trash fees, refuse collection, municipal fees, county fees, fee exemption, veterans benefits, veteran household, disabled veteran, VA benefits, Social Security exemption, low-income households, poverty level, county commission, municipal governing body, Alabama solid waste law, certificate of exception, public health

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.

Keywords: 1191, senate, all

Transcript Highlights:

• And they were giving us what the Centers for CMS wanted was just a one-pager.
• for CMS wanted was just a one pager. for CMS wanted was just a one pager.
• c><03:12:36.720> a<03:12:37.680> waiver<03:12:38.000> through<03:12:38.319> CMS
• <03:12:38.880> or this require a waiver through CMS or this require a waiver through CMS or
• maybe we haven't had approval from CMS maybe we haven't had approval from CMS or<03:12:46.880>

Keywords: 1187, senate, all

Transcript Highlights:

• In fact, you know, just anecdotally, there was a period of time in the pandemic where CMS had made a
• In fact, you know, just anecdotally, there was a period of time in the pandemic where CMS had made a
• c> where a period of time in the pandemic where a period of time in the pandemic where um um um CMS
• um had had made a rule change and CMS um had had made a rule change and the<00:37:57.560> courts<
• On page 68 is something CMS tracks in terms of the number of measures that New Hampshire participates

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.

Transcript Highlights:

• transformed our two veteran homes, which for the first time in history have DPH licensure, one of which is CMS
• In February 25th, we welcome CMS surveyors for a four-day certification survey, followed by a two-day
• These homes were not licensed by DPH, not certified by CMS, and were operated by administrators not licensed
• These homes were not licensed by DPH, not certified by CMS, were operated by administrators not licensed

Keywords: 995, all

Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Not long ago, we received a notification from CMS, which I know doesn't directly have much to do with
• 00:28:44.440> a<00:28:44.600> notification<00:28:45.399> from<00:28:45.640> CMS
• <00:28:46.320> which<00:28:46.440> I received a notification from CMS which I received
• a notification from CMS which I know<00:28:46.799> doesn't<00:28:47.240> directly<00:28

Keywords: 1191, senate, all

Transcript Highlights:

• is for an acute care hospital to be licensed and operate, they have to conform and be certified by CMS
• Hospitals to be licensed and operate have to conform and be certified by CMS, or Centers for Medicare
• Uh, then we received some grant funds from CMS, spent about $166,000 for a study over the year, because

Keywords: 916, all

Transcript Highlights:

• If you’re reducing the number of judges from 12 to 10, 12 to 8, CMS modifications have to be done.”
• “CMS modifications have to be done.
• They are required because the CMS contains embedded business logic tied to a total of 12 judges, creating

Bills: SCR59, SCR70, HR275, HR279, HR282, HR289, HR307, HCR112, SCR61, SCR62, SCR64, SB121, HR310, HR314, HR316, HR317, HR321, HCR117, SCR5, SCR29, SCR33, SCR37, SCR63, SCR30, SCR40, SCR65, HCR3, HCR49, HCR66, HCR67, HB54, HB137, HB321, HB368, HB386, HB414, HB431, HB552, HB555, HB578, HB590, HB593, HB618, HB638, HB670, HB692, HB707, HB708, HB715, HB718, HB732, HB741, HB748, HB776, HB796, HB807, HB822, HB848, HB856, HB887, HB888, HB917, HB921, HB1082, HB1243, HB1246, HB1, HB2, HB42, HB45, HB71, HB79, HB126, HB133, HB159, HB213, HB218, HB222, HB289, HB291, HB312, HB313, HB324, HB352, HB383, HB398, HB403, HB429, HB457, HB459, HB549, HB571, HB579, HB591, HB608, HB616, HB624, HB766, HB769, HB783, HB804, HB864, HB874, HB909, HB951, HB971, HB983, HB1005, HB1017, HB1051, HB1056, HB1126, HB1186, HB1193, HB1223, HB1224, HB1235, HB1249, SB259, SB295, SB312, SB348, SB444, SB485, SB441, SB149, HB359, SB29, SB43, SB78, HB463, HB998, SB197, SB268, SB123, SB276, SB326, SB80, HB901, HR20, HR74, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB479, HB74, HB119, HB134, HB210, HB258, HB468, HB784, HB870, HB953, HB956, HB1117, HB1236, SB42, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB449, SB487

Keywords: Major Richard Star Act, veterans, military retirement, disability compensation, VA benefits, combat-wounded, medically retired, military retirees, service members, veterans benefits, Department of Veterans Affairs, Department of Defense, concurrent receipt, retirement offset, combat-related disability, bipartisan support, memorial resolution, Congressional memorial, Louisiana delegation, Richard Star

Summary: The House convened with a quorum and opened with prayer by Archbishop Checchio, the pledge, and the national anthem. Members also used personal privilege to recognize visiting officials, university leaders, grocers, Governor’s Fellows, and several special guests and honorees, including Grambling State University for its 125th anniversary, Tiger Athletics, and the Tiger Marching Band, as well as CASA volunteers and advocates. The chamber adopted a number of ceremonial resolutions and made several conference committee appointments and committee discharge motions. The floor then took up a series of Senate and House resolutions, many of which were adopted without objection or after brief debate. These included resolutions creating or studying task forces on topics such as homeowner catastrophe claims and insurance-related litigation, the Louisiana-Ireland Trade Commission, informed consent laws, fiscal note procedures, K-12 student success pathways, and military funding alignment. Members also adopted resolutions on domestic violence protective-order access, flood risk mapping, seismic activity in North Louisiana, illegal dumping enforcement, toll signage and customer service, and other local or commemorative matters. Several Senate resolutions were temporarily returned to the calendar, while others were adopted by recorded vote, including SCR 29, SCR 33, SCR 37, SCR 63, SCR 30, SCR 65, and SCR 40. The House then considered Senate Bill 259, which authorizes an online application process for civil protection orders and restraining orders for domestic violence victims; it passed 93-0. Senate Bill 312, dealing with public-sector labor organizations and dues/withdrawal procedures, prompted extended debate focused on whether the bill unfairly singled out teachers’ unions and whether teachers already have the ability to opt out; the bill ultimately passed 60-38. Senate Bill 348, allowing the City of St. George to contract for administrative assistance in motor-vehicle crash response, passed 84-9 after questions about citations, reports, and the role of third parties. Senate Bill 485, concerning St. George’s municipal fiscal authority and insurance premium taxes, passed 91-0 after an amendment removed new public facility charge authority. The House also debated Senate Bill 197, which would reduce the number of judges on the Fourth Circuit Court of Appeal from 12 to 10 based on a workload and population study by the National Center for State Courts. Supporters cited the circuit’s smaller population and lower per-judge workload, while questions focused on the study’s publication and whether it actually recommended a reduction. The transcript ends during that debate, before final disposition is shown.

Transcript Highlights:

• Yes, we are in support of SB 2271, allowing hospitals to demonstrate compliance through any CMS-recognized
• by OKH and the Department of Health for this particular measure, just to change the word to approve CMS-approved
• by OKH and the Department of Health for this particular measure, just to change the word to approve CMS-approved

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• But there still are limitations on what CMS at the federal level allows them to do with the money.
• And so if we significantly change the parameters that CMS has already agreed to in our application process
• have had and heard in testimony in the bill so far to date from the Department of Human Services and CMS

Keywords: 908, all

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.

Transcript Highlights:

• You're probably familiar with CMS star ratings.
• We've taken patients that have CMS star ratings that they're... ...the practices have two to three star
• CMS is not required to explain their decisions or share clinical reasoning.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• CMS provides guidance on those rules and laws, and the legislature then can get information from the
• CMS provides guidance on those rules and laws, and the legislature then can get information from the
• CMS provides guidance on those rules and laws, and the legislature then can get information from the

Keywords: 1183, house

Transcript Highlights:

• like to lift up is the bill originally that was signed by the president on July 4th... ...said that CMS
• I'm concerned that if we try to do too much too quickly, and I think CMS and other parts of the rule

Keywords: 928, house, all

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• And we're still waiting for guidance from CMS about some of the specifics around implementation for work
• We have heard from CMS.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• This isn't just our members either, and we've collected some CMS data on Washington SNFs that tell a
• CMS recognized that less than half the hospitals were actually putting out quality information, and you

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• CMS to use these providers to be able to, you know, OIG would contract with them.
• Peer support is an evidence-based practice recognized by CMS and is already included in over 39 state

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• change will ensure patients receive timely and high-quality diagnostic care and aligns with federal CMS
• It aligns California law with federal CMS policy, which since 2020 has allowed virtual direct supervision

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• it ER resulting me taking to a different hospital where he died of septic shock despite the sea of CMS
• So even though CMS found the hot against the hospital and now was jojo's plenary guardian and he was

Keywords: 999, senate, all

Transcript Highlights:

• Just brings clarity and aligns with CMS standards that also govern these institutions.

Keywords: 1182, all

Summary: The meeting was a Republican caucus review of several Senate and House bills, with staff summarizing committee amendments and members indicating whether sponsors concurred with Senate changes. Topics included electronic monitoring in residential rooms (SB 1041), dental school complaint forwarding and licensure exemptions (SB 1168), revitalization district contracts (SB 1189), timeshare salesperson licensing (SB 1274), veterinary telehealth prescribing (SB 1286), insurance zero-estimated-exposure policies (SB 1428), advanced air mobility funds for border security (SB 1457), death benefits for law enforcement pilots (SB 1503), ATV definitions (SB 1519), pet and fowl restrictions in planned communities (SB 1582), and pharmacist independent testing/treatment authority (SB 1713). The caucus also reviewed education-related measures on school district self-insurance procurement (SB 1497) and a strike-everything amendment to SB 1118 that instead allowed duplexes, triplexes, fourplexes, and townhomes in historic areas if compatible with surrounding character. The group then considered several blue-sheet House bills. HB 2120 made technical changes to align property-tax disability language with updated statute; the sponsor concurred. HB 2174 changed terminology from advisory organization to modeling and data organization and required model filing; the sponsor concurred. HB 2203 directed ADE to review statutory reporting requirements and report recommendations to the legislature; the sponsor concurred. HB 2383’s Senate amendment simply designated a 2014 trampoline court law as “TIE’s law,” with the sponsor concurring. HB 2877 was amended into an alternative education pathway for certified veterinary technicians, and HB 2875 adjusted municipal and county drone restrictions near airports, expanding the relevant airport buffer and preserving some local authority. Additional bills discussed included HB 2428 on voluntary county emissions-reduction credit permits, HB 2176 on DHS health care institution complaint investigations, and HB 2050 on radiologic technology standards and radiologist assistant supervision. Members discussed that HB 2050’s Senate changes narrowed some supervision provisions to rural counties and critical access hospitals, prompting questions about the scope. Finally, HB 2010 on digital goods refunds was amended to shorten the refund window from 10 years to five years, but a sponsor said the amendment contained a drafting error and refused concurrence, meaning a conference committee would be needed. The caucus then concluded.

Transcript Highlights:

• We got a big change in the CMS-approved amendments for the state home and community-based services.
• CMS required the removal of age-based limitation tied to certain services, including customized living
• <00:07:48.440> CMS<00:07:48.880> required community-based services.
• CMS required community-based services.
• CMS required the<00:07:49.560> removal<00:07:50.040> of<00:07:50.240> age-based<

Bills: HF4338

Keywords: 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, postpayment review, surety bond, compliance training, case management, targeted case management