Transcript Highlights:

• We support this bill.
• We support this bill and ask you to report it. Thank you. Thank you for that testimony.
• Well, that would probably be another bill, but I would probably support that.
• I'm testifying on behalf of TABA in strong support of House Bill 5323.
• And we appreciate the opportunity to support this bill. Thank you, Will.

Bills: HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40

Keywords: power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties

Transcript Highlights:

• I ask for your support. Thank you. And the governor is long overdue. I ask for your support.
• With that, members, I ask for your support on this life-saving bill, and I ask for your support.”
• Supporters call these measures necessary.
• So members, I ask that you support this bill and support our sponsor and agree with me that it is, in
• Members, I am beyond grateful for your support.

Keywords: 998, house, all

Transcript Highlights:

• Uh, they are supported by 34 divisions, uh, that are largely located here in the Austin area, but many
• those divisions also have division staff that are located in those districts to provide frontline support
• The Texas Department of Motor Vehicles supports mobility across the state by administering state motor
• Our designated strategic seaports specifically supporting Texas Army bases, humanitarian relief, and
• However, we don't receive direct funding or support, uh, from Techdot.

Transcript Highlights:

• With that, I ask for your favorable support.
• I ask for your favorable support.
• I ask for your favorable support.
• So I'm excited to support this bill.
• We should be proud of that history and stand up to support our unions that in turn stand up to support

Keywords: 998, house, all

Transcript Highlights:

• Please give us the time needed and your support to make those changes.
• The dentist told us they weren't supportive of it.
• They just decided to start supporting this.
• And so I would encourage you to support this bill.
• As I consider this bill, it looks like it's got a lot of support thus far.

Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would create efficiencies, reduce costs, and help address the denturist board’s ongoing deficit, while preserving separate scopes of practice and giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL-backed testimony said the change would maintain public protection and lower fees; denturists and their association opposed the bill, arguing it creates a conflict of interest, could allow competitors to influence education and licensing standards, and could threaten access and patient choice. After debate, the committee adopted a motion to send HB 935 to the floor with a due pass recommendation by a 4-3 roll call vote. The committee then took up House Bill 913, which would begin implementing the federal Medicaid work/community engagement requirements for able-bodied adults ahead of the January 1, 2027 deadline. The bill proposed a three-month look-back period and a process intended to give enrollees notice and time to comply before the federal requirement takes effect. The sponsor argued this would help the state prepare budgets, spread out redeterminations, and give people time to meet the requirements; supporters said it would encourage work and independence. Hospital, children’s advocacy, and other opponents warned that the three-month look-back would add administrative burden, increase costs, and risk erroneous coverage losses, with some urging a one-month look-back instead. After a failed substitute motion to send the bill to the 14th order for possible amendments, the committee voted to send HB 913 to the floor with a due pass recommendation and then adjourned.

Transcript Highlights:

• Please give us the time needed and your support to make those changes.
• The dentist told us they weren't supportive of it.
• They just decided to start supporting this.
• And so I would encourage you to support this bill.
• As I consider this bill, it looks like it's got a lot of support thus far.

Keywords: 989, all

Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would save money, address the denturist board’s negative cash balance, and preserve separate scopes of practice while giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL emphasized public safety, efficiency, and lower fees, while denturists and their representatives argued the change would create a conflict of interest because dentists and denturists compete for the same patients and dentists could influence education, licensing, and scope-of-practice decisions. After debate, the committee voted 4-3 to send HB 935 to the floor with a due pass recommendation. The committee then took up House Bill 913, which would begin implementing federal Medicaid work requirements for able-bodied adults and use a three-month look-back period before the January 1, 2027 effective date. Representative Van de Woude said the bill would help the state prepare budgets and give enrollees time to meet requirements such as work, job training, school, or community service. Testimony split between supporters, who framed the bill as encouraging responsibility and independence, and opponents, who warned that the added administrative burden could increase errors, costs, and confusion, especially while the department is already handling managed care and other Medicaid changes. Hospital, child advocacy, and other opponents urged a one-month look-back instead of three, while the sponsor defended the three-month period as better for long-term compliance and smoother implementation. The committee rejected a substitute motion to send HB 913 to the 14th order for possible amendments, then voted to send the bill to the floor with a due pass recommendation. The final vote on the motion passed after discussion, and the committee adjourned after completing its business for the day.

Transcript Highlights:

• So, $1.2 million dedicated and $1.2 million federal ongoing to support additional work in this area.
• We've cut the ACT teams and the peer support. We know we've had three deaths because of that.
• And originally, I was in support of this to go to the floor, and I was going to reserve my right.
• But at this point, I'm actually going to be supporting the original motion and then reserve my right
• For an administrative support position.

Summary: The Joint Finance-Appropriations Committee met with a quorum and first took up the Department of Health and Welfare’s Division of Medicaid. Members approved a 2026 supplemental for the Medicaid forecast adjustment, increasing general fund and dedicated fund spending while reducing federal funds, and also approved a separate budget-neutral 2026 supplemental to move hospital assessment funding into a dedicated fund and create a new hospital assessment budgeted program, as required by House Bill 345. Both motions passed with do-pass recommendations after roll-call votes. The committee then considered the 2027 Medicaid budget. Testimony covered MMIS procurement, estate recovery staffing, program integrity contract support, Medicaid purchasing staff tied to the Department of Administration, hospital assessment fund alignment, population forecast adjustments, and an additional governor’s initiative reduction. Three competing motions were offered: one from Representative Bruce, one from Senator Cook, and one from Senator Wintrow. After debate over provider-rate cuts, RESHAB funding, forecast assumptions, and whether to reduce the governor’s requested $22 million adjustment, the Bruce motion failed and the Cook substitute failed, while the Wintrow motion passed and received a do-pass recommendation. The committee next approved Idaho State Police budgets. It passed a Brand Inspection Division request for $288,100 in dedicated funds for replacement vehicles and equipment, a Division of Idaho State Police motion adding funds for the commercial vehicle safety grant, a mobile live scan pilot, and replacement items, and a POST Academy motion for $324,100 in dedicated funds for replacement items. The Department of Juvenile Corrections budget was also approved, including a clinician services transfer from Health and Welfare, replacement items, IT hardware, and restoration of direct care and mentoring funding with six FTPs. Finally, the committee considered the Department of Administration and Military Division budgets; after debate over Medicaid procurement staffing and a training position transfer, the committee approved a Department of Administration motion with reduced general fund and increased dedicated funding, then approved the Military Division’s request for emergency management overhead recovery and state education assistance funding. The meeting ended with announcements of the next Monday agenda and adjournment.

Transcript Highlights:

• It's an economic plan that's family-supporting.
• But as we support our proud past, we also need to make investments in our economic future.
• Our investments support close to half a million children. 487,000 children are supported through our
• They supported Proposition 1 with a passage in 2024, $6.38 billion.
• We're supporting local law enforcement.

Summary: The Assembly met, initially lacking a quorum, and the Clerk called the roll until a quorum was established. The chamber then proceeded through routine opening business, including prayer, the Pledge of Allegiance, recognition of Native lands, approval of procedural motions, and several unanimous-consent actions to re-refer bills and allow committees to notice bills pending re-referral. The Assembly also recessed regular session to convene a joint convention for the Governor’s State of the State address. In the joint convention, Governor Gavin Newsom delivered his final State of the State speech, focusing on California’s economic performance, education investments, housing reforms, public safety, homelessness, climate policy, insurance issues, and the state’s response to federal actions. He highlighted budget plans, including a proposed $248.3 billion general fund, increased reserves, major education funding, child care and after-school investments, housing and affordability measures, mental health and homelessness funding, infrastructure projects, clean energy goals, and wildfire recovery efforts. He also praised legislative collaboration on AI regulation, tax credits, and other policy areas while criticizing federal policies and calling for continued state action. After the address, the Governor’s speech was ordered printed in the journal, the joint convention adjourned sine die, and the Assembly returned to regular session. The Speaker announced the desk would remain open for introduction of the budget bill, noted the next floor session would be Monday, January 12 at 1 p.m., and the House adjourned on motion of the Majority Leader.

Transcript Highlights:

• It's an economic plan that's family supporting.
• Here's the number: our investments support close to half a million children. For me...
• Our investments support close to half a million children. 487,000 children are supported through our
• They supported Proposition 1 with a passage in 2024, $6.38 billion.
• We're supporting local law enforcement.

Keywords: 988, house, all

Transcript Highlights:

• President, for your long support of the certificate.
• I always stand up in support of this day because of that reason.
• Also, when you support a locally owned business, you're supporting local jobs.
• I stand in support of this certificate.
• I also want to support what you're doing with this bill.

Transcript Highlights:

• Supporting BJLI's vital work in expanding pathways to the legal profession for all Texans.
• Speaker, members, respectfully, I do not support this I believe that what we should be doing for the
• Members, I really appreciate your support on this bill.
• Let's keep supporting rural and low-income tax.
• I look forward to supporting it. Thank you so much. Move passage.

Bills: HB10, HB 12, HB147, HB1522, HB422, HB675, HB204, HB748, HB912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• And supporting a workforce of over 1,300 employees.
• for its resilience, community and They overcame challenges like the devastating 1979 tornado, demonstrating
• Because of the base, there's a large active duty and veterans population, which is well supported by
• And my vote is not a vote of not supporting.
• So thank you for supporting this members. Senator Hoffman.

Bills: SJR3, SB5, SB21, SB72, SB703, SB764, SB790, SJR36, SJR3, SJR34, SJR18, SCR9, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SJR3, SB5, SR172, SR176, SR177, SR190, SR193, SR194, SR202, SR203, SR208

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, cryptocurrency, bitcoin, investment reserve, economic resilience, financial security, vehicle rental, damage waiver

Transcript Highlights:

• Uh so over the last uh last year uh as I uh for uh to support the mineral uh for uh to support the mineral
• So how are they going to support education? How are they going to support the new states?
• </c> So how are they going to support So how are they going to support education?
• </c> fund, which is a fund that supports fund, which is a fund that supports school<00:54:36.880><c>
• </c> forward to supporting it. forward to supporting it.

Bills: HF3900

Keywords: permanent school fund, school endowment fund, Minnesota constitutional amendment, school aid, public school funding, State Board of Investment, investment income, distributable amount, school districts, property taxes, income taxes, voter approval, ballot question, constitutional amendment 2026, education finance, fund perpetuity, purchasing power, trust lands, swamp lands, internal improvement land fund

Transcript Highlights:

• </c><01:26:58.400><c> of</c> to exist and therefore was supportive of to exist and therefore was supportive
• ><c> to</c><01:27:00.560><c> this</c> me testifying in support to this me testifying in support to this
• > support</c><01:43:07.360><c> the</c><01:43:08.320><c> I</c><01:43:08.639><c> support</c> Um, I'm support
• I support the I support Um, I'm support I support the I support the<01:43:09.119><c> amendment.
• I I support any system that opposed.

Keywords: 928, house, all

Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.

Transcript Highlights:

• And this slide demonstrates that.
• </c><01:22:54.480><c> that</c> between I this slide demonstrates that between I this slide demonstrates
• I think it<01:24:44.880><c> demonstrates</c><01:24:45.520><c> that</c><01:24:46.000><c> that</c><01:24
• :46.400><c> what</c><01:24:46.560><c> we're</c> it demonstrates that that what we're it demonstrates
• Employees, and I would tell you that the numbers don't support that narrative.

Keywords: 910, house, all

Summary: The House Committee on Labor held an informational briefing on August 22, 2025, to receive an update from DEH on statewide recruitment efforts aimed at reducing vacancies across state departments. Director Hashimoto, joined by DEH staff, presented on two hiring initiatives: Wikiwiki Hire and Operation Hire Hawaii. The committee focused on how each program works, how quickly applications are screened and referred, and how the programs differ from standard recruitment procedures. For Wikiwiki Hire, DEH described it as an accelerated recruitment pathway used mainly for classes with multiple vacancies. DEH screens applications every two weeks, then sends qualified applicants a list of participating departments and recruiter contact information so applicants and departments can connect directly. Committee members asked about effectiveness data, timelines, and whether the process aligns with the merit principle. DEH said the program is intended to speed hiring, that departments are not required to interview every person on a list, and that applicants can be hired as vacancies are filled on a first-come, first-served basis so long as all qualified applicants have the same opportunity. DEH also said it could provide data later and that it is working through a backlog of screenings. The committee then discussed Operation Hire Hawaii, an executive-order-based hiring effort launched in February to expedite hiring, including for displaced federal workers but open to all applicants. DEH reported more than 6,000 applications, 127 recruitments, 81 closed recruitments, and 142 hires, with a goal of conditional offers within two weeks. DEH said it turns applications around daily, while departments do the initial screening, interviews, and hiring decisions, with DEH completing final qualification screening and suitability checks at the end. Members asked about the program’s duration, its low conversion rate, and what happens to applicants who are not hired; DEH said it can refer qualified applicants to other vacancies and that the pilot was originally intended to run about a year, with possible extension if departments want it to continue.

Transcript Highlights:

• </c> members of this committee would support. members of this committee would support.
• This last about support this concept.
• Um I I do support the concept.
• </c> guys, I've always been a huge supporter guys, I've always been a huge supporter of<01:19:09.840>
• </c> by 2028, this investment will support by 2028, this investment will support roughly<01:26:44.639

Keywords: Meeting Start: 00:00:04 Attendance Roll Call: 00:00:29 Approval of Minutes: 00:01:50 Kentucky Buy American Act: 00:02:08 Earn As You Learn: KY Building Trades Apprenticeship: 00:30:42 Worker Misclassification in the Construction Industry: 01:02:00 Investing in KY’s Future Workforce Through the Good Business Initiative: 01:20:44 Adjournment: 01:28:28, 958, all

Summary: The committee met on October 23, 2025, approved the September minutes, and heard testimony on a proposed “Kentucky by America” procurement preference bill. Representative Patrick Flannery described the concept as giving preference in public construction and public works contracts to iron, steel, aluminum, and other manufactured goods made in the United States, while emphasizing he wanted to avoid excessive taxpayer costs and was open to changes. Chad Connley of the United Steelworkers and Dustin Reinsteller of the Kentucky State AFL-CIO supported the idea, arguing it would strengthen domestic manufacturing, keep tax dollars in the local economy, and support jobs; Connley said the bill would include waivers for items not made domestically and noted Kentucky has opted out of the GPA trade agreement. Mike Buckington of Metals Innovation Initiative, testifying virtually, also supported the concept and said Kentucky’s metals sector has seen significant investment and can supply most construction needs, while stressing supply-chain reliability and national security concerns. Members generally expressed support but raised questions about implementation. Representative Branscum asked who would grant waivers and how contractors would know the rules during bidding; Flannery said he was open to revising the language and process. Representative Gentry supported the concept but said the bill would likely need editing to avoid harming businesses or markets. Senator Nun suggested aligning the bill’s definition of a U.S. good with industry country-of-origin standards to make compliance easier. Representative KC Carney asked for data on the impact of similar laws in other states, and Connley said he could provide numbers later but did not have them on hand. Senator Boswell supported the concept and asked about the cost threshold for waivers; Connley said the federal standard is a 25% cost increase, while the prior Kentucky version used 10%, and that the threshold is a key detail. The committee then shifted to an informational presentation on building trade apprenticeships. Eric Elie of the Kentucky State Pipe Trades Association, Nick Brown of Plumbers and Pipefitters Local 502, and retired IBEW training director Steve Willinghurst explained how union apprenticeship programs work. Brown described earn-while-you-learn training, with apprentices placed on jobs by signatory contractors and attending classes two nights a week for five years. He outlined the work of plumbers, pipefitters, welders, and HVACR technicians, emphasizing that these trades support construction, industrial facilities, distilleries, and other critical infrastructure. No votes or formal actions were taken on the policy topics beyond approval of the prior minutes.

Transcript Highlights:

• after October after the October 7th massacre instead of the United States uniting in solidarity to support
• The bills we're voting on today have strong bipartisan support.
• So I support Senator Paul's effort. Senator Paul's made a motion. We'll have a vote on it.
• It is repugnant to support the atrocities of October 7th.
• I'll support the bill if we get rid of the 11 definitions.

Bills: SB163, SB558

Keywords: civil rights, higher education, discrimination, complaints, awareness campaign, antisemitism, education, Civil Rights Act, IHRA definition, federal enforcement, Jewish community, anti-discrimination laws, Anti-Semitism Awareness Act, Protecting Students on Campus Act, First Amendment, Senator Tim Scott, free speech, college campuses, legislation, Trump administration

Summary: The committee meeting primarily focused on reviewing two significant bills: S558, the Anti-Semitism Awareness Act of 2025, and S163, the Protecting Students on Campus Act. Senator Tim Scott introduced S558, emphasizing its importance in combatting anti-Jewish violence and harassment, and providing the Department of Education with necessary tools to investigate incidents of anti-Semitism on college campuses. The bill sparked a vigorous debate among members who expressed concerns over potential implications for free speech, particularly regarding its definitions of anti-Semitism, and whether it would infringe upon First Amendment rights.

Transcript Highlights:

• My entire adult life has been spent in the defense sector and in support of the effort to address the
• In closing, I want to acknowledge the outpouring of support in my pursuit of this effort.
• Her love and support and her commitment to raising our children throughout my frequent absences is a
• I look forward to supporting you.
• I'm stunned at the lack of professionalism that this tweet demonstrates.

Keywords: defense industrial base, small business, workforce development, acquisition processes, national security, cybersecurity, critical minerals

Summary: The meeting of the committee revolved around critical discussions on enhancing the defense industrial base, focusing on small business engagement and the importance of streamlined processes in defense contracting. There was a significant emphasis on the need for more investment in the defense manufacturing sector, particularly in the face of competition from countries like China. Some members expressed frustration over the treatment of small businesses, citing barriers that prevent these innovative companies from effectively participating in defense contracts. The need for a workforce capable of meeting the common challenges posed by evolving technologies and geopolitical threats was also highlighted throughout the meeting.

Transcript Highlights:

• With that, I ask for your favorable support.
• I ask for your favorable support.
• So I'm excited to support this bill.
• And I appreciate your support on this bill.
• We should be proud of that history and stand up to support our unions that in turn stand up to support

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and doctor-of-the-day introduction, then moved through a long special-order calendar. Early proceedings included a resolution honoring former Governor and U.S. Senator Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber also heard several member introductions and recognitions before taking up bills. The most substantial debate centered on CS/CS/SB 1758 on public assistance and Medicaid/SNAP reforms. The bill would strengthen fraud enforcement, impose a Medicaid work requirement for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid pharmacy purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Senators Berman, Smith, Bracy Davis, Osgood, and others argued for Medicaid expansion and added protections for vulnerable SNAP recipients, while Gates defended the bill as a compliance and cost-saving measure. Multiple amendments were offered, including Berman’s Medicaid-expansion condition and Osgood’s SNAP photo-ID safeguards; both were defeated. The bill was placed on the calendar for third reading after extended questioning. The Senate then passed a series of bills, often substituting House companions before final vote. These included tax conformity legislation (7031/7048), technology and computer science education (1503/1694), Parkinson’s disease registry and related public-records measures (1443/1684), designation of the SS American Victory as the official state flagship (249/1656), electronic payments for local governments (967/1612), legal tender and related public-records exemptions for gold, silver, stablecoins, and virtual currency kiosks (1311/1588/1087/7044/1568), local government finance and spending transparency (1329/1566), digital voyeurism (1536), insurance customer representative licensing (1343/1504), and medical freedom legislation (1756) with amendments on anti-kickback rules and vaccine information materials. Most bills passed on largely party-line or near-unanimous votes, with several amendments adopted and some withdrawn; the medical freedom bill was still under consideration at the end of the excerpt.

Transcript Highlights:

• And so maybe demonstration of quality.
• I we're here to support that endeavors.
• illness, or to support a disabled child.
• illness, or to support a disabled child.
• In support for community living waiver.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.