Transcript Highlights:

• test that's really going to hurt a lot of people.
• We have not modeled a different asset test.
• test that's really going to hurt a lot of people.
• to implement the asset test again, or test?
• We are opposed to the Medi-Cal asset limit test.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Sometimes people mistakenly think those rights apply to your breath test.
• There is the requirement to take that test in.
• A lot goes in before we even think about chemical tests.
• We're not making on what we think the chemical test is going to be.
• stop the testing.

Keywords: 999, senate, all

Transcript Highlights:

• This is where we screen 60,000 newborns for 63 conditions annually, and just last year tested almost
• This is where we screen 60,000 newborns for 63 conditions annually, and just last year tested almost
• This is where we screen 60,000 newborns for 63 conditions annually, and just last year tested almost
• This is where we screen 60,000 newborns for 63 conditions annually, and just last year tested almost
• 100,000 I had almost 100,000 tests 100,000 I had almost 100,000 tests performed<00:16:07.079>

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood. Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs. Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.

Transcript Highlights:

• You know the potential for cancer on a screening mammogram if you get a screening.
• Just a quick question on the additional screening. Do you mean a diagnostic mammogram or another?
• Yes, and you said it may require additional testing, so would that be a diagnostic mammogram?
• Because it's still a screening study. So you could get a screening ultrasound study.
• Screening or anything like that.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• for. under the Newborn Screening Program.
• They were to strengthen laboratory testing, again, not just for COVID, but for all infectious disease
• I would love to see what did the test. Did you say Mr. Dears? Mr. Dears, yes. Is he gone? Mr.
• I know that there's a lot of data out there in regards to screen time and just the dangers of screen
• But what happened is the data and knowledge around screen time and the dangers of screen time, especially

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• and early, early screening, not vaccinating people is an even better way.
• There is no early screening.
• That came out of that work was um the testing for COVID, how, how that was led.
• We're gonna test up, set up test beds at Reese Technology Center and EM effects on critical infrastructure
• Hold on my screen window.

Transcript Highlights:

• You vote on the screen, you vote on a computer screen, a computer screen. but then it prints out the
• . both before and after each election, such as acceptance testing, logic and accuracy testing, hash values
• And so we have not only do we do internal testing, we do external testing on these.
• Your logic and accuracy test, county by county, how are those turning out?
• Not operating as it should, you discover it during the logic and accuracy test.

Keywords: 1184, house, all

Transcript Highlights:

• This would also be a chance to do a test to make sure that they have... ...be a chance to do a test to
• I'm going to just unshare my screen so I can see you. ...support them.
• Can you see my screen? Yeah, yes.
• Would it be okay if I shared my screen again? Oh, please go ahead, yes.
• We have an option to include or exclude COVID tests because that really spikes utilization and spending

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• helped prepare her for the test.
• So many libraries also offer other resources for free, like GED, SAT, ACT Test Prep.
• That way, he would be ready to take his test. You can switch the slide.
• Can go to their doctor, receive a very quick screening.
• You can subscribe from your computer screen and enjoy helping people who need this too.

Keywords: 996, all

Transcript Highlights:

• abuse and that we had to wait for an ambulance to arrive and take Willa to Children's for further testing
• was late, so they transferred us to a room where we would stay overnight and Willa would undergo testing
• We also agreed we'd be willing to take a polygraph test.
• They asked her to take a polygraph test, but she refused to cooperate any further and got a lawyer.
• Then they're having to figure out how to use what we call green screen technology.

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras

Transcript Highlights:

• This bill will cut the testing time in half for Washoe County students.
• This bill will cut the testing time in half for Washoe County students.
• and test prep.
• When is the State Board going to choose the test?
• We have MAPS testing. We have i-Ready testing in Washoe County. We have SBAC testing.

Bills: AB386

Keywords: AB386, Washoe County School District, reading assessment, literacy, elementary school, pupil assessment, statewide assessment, alternative assessment, reading proficiency, standards-based testing, valid and reliable test, State Board of Education, Department of Education, pilot program, school testing, assessment equivalency, education grant, Nevada education, NRS 388.157, school accountability

Transcript Highlights:

• to test that.
• an easy way people can test test to see if there's content. sort of an easy way people can test to see
• So everything we test goes out to additional testing that has GC-MS and LCQ-TOF-based testing.
• Some people test exclusively before they use. And then they test after they use.
• Some people test exclusively before they use. And then they test after they use.

Keywords: 995, all

Summary: The Special Commission on xylazine held its first meeting, with House Chair Mindy Domb and Senate Co-Chair John Keenan outlining the commission’s charge and a proposed work plan. The commission is tasked with studying the public health and safety impacts of xylazine in the illicit drug supply, including whether it should be scheduled as a controlled substance, how to regulate its production and distribution, and how to improve outreach and treatment for people exposed to it. Members were told the report deadline had been extended to March 30, 2026, and staff proposed a series of public hearings and working groups leading to a final report. The meeting also included attendance, packet materials, and procedural planning. The first major testimony came from BSAS Director Deirdre Calvert, who described xylazine’s appearance in Massachusetts drug supply data, the state’s public health alerts, and DPH’s partnership with Brandeis, CDC, and harm reduction organizations. She emphasized four priorities: reducing stigma and discrimination in health care, expanding self-directed wound care support and coverage for supplies, expanding access to drug checking and test strips, and supporting low-barrier services such as mobile vans and drop-in centers. Commission members asked about first responder awareness, medical education, and whether harm reduction services might face federal restrictions; Calvert said misinformation remains a problem and noted ongoing training efforts, including collaboration with public safety agencies. Several other speakers reinforced the need for low-barrier care and drug checking. Dr. Raghini Jala, an infectious disease and addiction medicine physician, said xylazine has become a common component of the unregulated opioid supply and urged support for rapid-response education teams, community-based drug checking, and better hospital and detox protocols for xylazine withdrawal and wounds. Recovery coach Alan Young testified from lived experience, describing severe wounds, fear of inadequate withdrawal treatment in emergency settings, and the value of mobile care vans that can provide methadone, buprenorphine, and wound care in the community. Dr. Sarah Wakeman echoed the need for naloxone, rescue breathing, low-threshold treatment, and non-stigmatizing health care settings, while Sarah Macon of the Boston Public Health Commission described Boston’s harm reduction and drug checking work, including on-site testing, wound care, and a decline in opioid mortality. Tracy Green of the Massachusetts Drug Supply Data Stream explained that xylazine has declined in recent samples while metatomidine is rising, said drug checking is increasingly used but still not enough, and argued for more funding, staffing, and statewide access to real-time drug checking and harm reduction services.

Transcript Highlights:

• So there's two screens... I know what else is.
• I'll see if I can get the other screen to actually come back up here.
• Penetration testing as well is another one. Penetration testing as well is another one.
• they're not bringing in outside firms to do penetration testing today.
• I mentioned the penetration testing that we'll do upon request as well.

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.

Transcript Highlights:

• So with that, we're going to have the first presentation on the screen.
• But as you can see, this is a little easier to read on the screen. I can see that.
• They underwent extensive testing, including functional MRIs, electroencephalograms, and monitored psychometric
• The testing occurred before a one-time administration of ibogaine, The testing occurred before a one-time
• We have to have the opportunity to test new variations of these synthetic compounds. Thank you.

Keywords: 1182, all

Summary: The Senate Ad Hoc Committee on Access to Breakthrough Mental Health Therapies met to discuss psychedelic-assisted treatments for serious mental health conditions, with a focus on psilocybin, ibogaine, MDMA, and related compounds. The chair framed the issue as a clinical and access problem for veterans, first responders, and others with PTSD, depression, TBI, addiction, and suicidal ideation, emphasizing that these therapies are intended for supervised medical settings rather than take-home use. Members reviewed research claims and policy trends, including FDA breakthrough therapy designations, state-level psychedelic legislation, and the role of Arizona’s right-to-try law in expanding access once federal approval is in place. Testimony came from Alan Mullen, a retired Army Special Forces veteran, who described his PTSD/TBI history and said ibogaine treatment helped him confront trauma and showed promise in reducing symptoms under strict medical monitoring. Dr. Sue Cisley of Scottsdale Research Institute described ongoing FDA-controlled trials in Arizona, said current medications often fail high-need patients, and urged removal of research barriers and preparation for right-to-try and expanded access. Dan Freiberg of the Professional Firefighters of Arizona said firefighters face chronic exposure to trauma, often rely on alcohol or other coping mechanisms, and need effective alternatives beyond traditional therapy. Dr. Chung Trin discussed late-stage psychedelic trials, the FDA breakthrough pathway, safety oversight, and the need for state readiness when approvals occur. Committee members asked about how the treatments work, whether they require psychotherapy support, safety concerns including suicidality and black-market abuse, patenting and synthetic versus natural versions, and costs compared with ketamine and other treatments. Witnesses said the therapies are administered with extensive screening, monitoring, and integration support, and argued that addiction potential appears low under medical supervision. The discussion ended with interest in sending correspondence to federal officials to support right-to-try cooperation and in continuing the research and policy work; no formal vote or action was taken in the portion provided.

Transcript Highlights:

• Senate Bill 1889 by Schwertner relating to vision screenings for students in public or private schools
• Senate Bill 1891 by Perry relating to test years used for rate-making purposes by certain water and sewer
• Senate Bill 1898 by Johnson relating to the discharge or use of certain firefighting funds for testing
• Senate Bill 1955 by Parker relating to the health benefit plan coverage for cancer screening, imaging
• , and genetic testing to Health and Human Services.

Transcript Highlights:

• My screen went out. Okay, everything else is good. That this is, you know, increasingly rare.
• program, families volunteer with fully informed consent to have their baby's genome sequenced and screened
• approximately 250 to 600 conditions, in addition to the 60 conditions included in traditional newborn screening
• defining the gene panel, the range of conditions up to 600 that will be included in the first round of testing
• Institute at FSU, which will be providing consultation to families and more rapid availability of testing

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• at select locations across our state where the institutions are prepared for that level of screening
• His doctor did genetic testing, and we found out it was Friedreich's ataxia.
• So now, being on the newborn screening, you would be able to start that medication...
• So now, being on the newborn screening, you would be able to start that medication immediately.
• I'm a total believer in newborn screening.

Summary: The Senate Committee on Education Postsecondary met with a quorum present and first considered CS/SB 1356, relating to the Florida Institute for Pediatric Rare Diseases. Senator Burton explained a delete-all amendment that would create the institute at Florida State University, establish the Sunshine Genetics Pilot Program for newborn screening at select sites, and form a Sunshine Genetics Consortium to coordinate researchers and clinicians. The amendment also included $5 million in recurring funding for the institute and $2 million in nonrecurring funding for the pilot program. The committee heard supportive testimony from Gavin Lambert and his mother, who described the benefits of earlier diagnosis for Friedreich’s ataxia, along with support from representatives of Alexion Pharmaceuticals, FSU, BioFlorida, and the Biotechnology Innovation Organization. Senators Berman and Harrell spoke in favor of the bill, emphasizing early detection and collaboration. The amendment was adopted, and CS/SB 1356 was reported favorably on a roll call vote. The committee then took up SB 892, which would codify the Florida State University Election Law Center in statute and make it eligible for recurring funding. Senator Simon said the center was created in 2023 with a $1 million nonrecurring appropriation and that the bill would help sustain its work and attract talent in election law and related fields. Senator Berman asked about current funding and whether the center would be supported through recurring General Appropriations Act funding in the future; Senator Simon responded that the bill would allow it to compete for recurring dollars. Jack Rowan, an FSU law student, testified in support and highlighted the center’s work, including a Bush v. Gore 25th anniversary conference. Professor Michael Morley and Lena Rojas also supported the bill. No opposition was presented, and SB 892 was reported favorably by roll call vote. The committee then adjourned.

Transcript Highlights:

• And it looks like that went away from the screens. Is that okay? I can leave it at this screen.
• So the test itself is the thing. The test itself is the thing. The kid has a bad testing date.
• And then we have test fairness.
• And we are already field testing. And it is basically like our test was too difficult.
• We had a very high-end test.

Summary: The committee met to hear presentations on dual credit programs from North Dakota higher education leaders, a school superintendent, and teachers. Valley City State University described its dual credit model, emphasizing quality control through annual teacher training, syllabus and outcomes alignment, faculty qualification review, school visits, and pathways aimed at the College Studies Certificate. Members asked about teacher employment, course scheduling, revenue, scholarships, and whether a centralized model might improve efficiency; VCSU said most instructors are K-12 employees, online offerings are still small, and centralization could weaken local relationships and choice. Lake Region State College similarly stressed access and partnerships, noting about half of its headcount is still in high school, with both online and face-to-face dual credit options, district reimbursement arrangements, and support for rural schools. Lake Region also said dual credit helps students who might not otherwise see themselves as college-bound, but reduced tuition can still be a barrier for some families. Fargo Public Schools reported continued growth in dual credit, with 50 courses offered in partnership with several NDUS institutions and a 12.61% increase in participation. The superintendent highlighted a growing education pathway, including students completing Introduction to Education and field experience, and said the district is exploring a grow-your-own teacher pipeline. He also raised concerns about inconsistent institutional processes, teacher credentialing requirements, and transfer clarity, arguing for more aligned statewide systems. In response to questions, he said AP and dual credit can coexist, with AP often better for highly selective out-of-state colleges and dual credit better for students targeting North Dakota institutions, and he described some use of Arizona State online courses in earlier rural partnerships but said Fargo is focused on local institutions. Two teachers then testified on the classroom perspective. A West Fargo anatomy and physiology teacher said dual credit has expanded access, lowered costs, and prepared students well, but agreed that foundational science courses may be more effective when taken later in high school to reduce knowledge loss before college. A Drake-Anamoose English teacher, who has taught dual credit for more than 20 years, said the program has supported many students who went on to a wide range of careers and emphasized that small rural schools rely on dual credit to provide opportunities they otherwise could not offer. No formal votes or actions were taken in the portion of the meeting provided.

Transcript Highlights:

• can't see the colors, but on the screen can't see the colors, but on the screen the<00:05:20.400
• of that are highlighted on the screen. of that are highlighted on the screen.
• <00:35:40.160> and determined through field testing and determined through field testing and
• Um, but they went ahead with the testing Um, but they went ahead with the testing of<00:36:31.520
• ><00:36:38.000> that during the test and the modeling that during the test and the modeling that

Keywords: 1183, house

Transcript Highlights:

• in and intends a public school is eligible to receive an ESA of $1,000, but I don't see the means-testing
• Hoke, that means test, that 500% was specifically supposed to be for the students that go to a non-partisan
• So that means test was specifically for the non-public students.
• Sorry, I have a few screens up. We're estimating about. We're estimating about.
• Sorry, I have a few screens up.

Keywords: 908, all

Summary: The committee reconvened to work on re-engrossed Senate Bill 2400, which dealt with education savings accounts and related school-choice provisions. Members discussed several amendments already incorporated into version 4.006, including changes affecting the Center for Distance Education, homeschool language, marketplace penalties, and an increase in the ESA amount from $500 to $1,000. The committee first reconsidered its prior action, then adopted the 4.006 amendments unanimously, while noting that an updated fiscal note was still needed. A Department of Public Instruction fiscal officer, Adam Tessier, explained the revised fiscal impact. He estimated the bill would cost roughly $124.4 million in the first year, based on assumptions about student participation and utilization rates. He also clarified that the means test at 500% of poverty applied to non-public students in participating schools, and estimated that the private-school portion of the bill accounted for about $5 million of the total cost. Members asked several questions about the assumptions behind the estimate and the scope of the program. After discussion, Representative Conmy moved a do not pass recommendation, citing concerns that the marketplace structure was administratively cumbersome and that direct aid through another mechanism would be preferable. The committee voted 11-3 to adopt the do not pass motion. Representative Hauck was designated to carry the bill to the floor.