Transcript Highlights:

• they're in every medical device through the postmarket surveillance system that FDA operates. well as CMS
• there is a, at some point it's It seems to be that there's a clear chain of oversight. the hospital, CMS

Bills: SB264, SB542, SB924, SB1008, SB1029, SB1036, SB1057, SB1058, SB1185, SB1202, SB1358, SB1364, SB1376, SB1569, SB1664, SB1697, SJR50

Keywords: SB 264, Texas Workers' Compensation Act, group self-insurance, self-insured groups, workers' compensation, Texas Department of Insurance, commissioner of insurance, certificate of approval, guaranty fund, trust fund, wind down, dissolution, labor code, insurance regulation, employer coverage, risk pool, business and commerce, trade workforce economic development, property owners' association, water conservation

Transcript Highlights:

• depending on the application procedure and the definitions around this waiver, assuming it's approved by CMS
• But this is just for this year until we get CMS approval.

Transcript Highlights:

• through the system, the technology that we have, were not being recorded accurately when they arrived at CMS
• through the system, the technology that we have, were not being recorded accurately when they arrived at CMS
• through the system, the technology that we have, were not being recorded accurately when they arrived at CMS
• through the system, the technology that we have, were not being recorded accurately when they arrived at CMS
• through the system, the technology that we have, were not being recorded accurately when they arrived at CMS

Keywords: 912, senate, all

Transcript Highlights:

• Next reason is that the contracting rules under CMS requirements require actuarial soundness for rates
• 03:48.159> contracting<00:03:48.799> rules<00:03:49.200> under<00:03:49.519> CMS
• is that the contracting rules under CMS is that the contracting rules under CMS requirements<00:
• But the way it works out, we have to the actuarial soundness that CMS requires, we have to pay all their
• But the way it works out, we have to the actuarial soundness that CMS requires, we have to pay all their

Keywords: 1187, senate, all

Transcript Highlights:

• A BIG PIECE OF THIS IS COMING FROM THE CMS PROGRAM.

Keywords: 999, senate, all

Transcript Highlights:

• > authorized<00:07:21.120> a<00:07:21.440> 11:15<00:07:22.160> re-entry CMS

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• current Secretary of Health was a surgeon before she became Secretary of Health and also worked at CMS
• current Secretary of Health was a surgeon before she became Secretary of Health and also worked at CMS
• current Secretary of Health was a surgeon before she became Secretary of Health and also worked at CMS
• current Secretary of Health was a surgeon before she became Secretary of Health and also worked at CMS
• <01:25:46.960> also<01:25:47.360> worked<01:25:47.600> at<01:25:47.840> CMS

Keywords: House streaming session for Friday, March 20, 2026, 957, house, all

Summary: The House met in Annapolis with 107 members present and proceeded through the journal and a series of Appropriations Committee reports. Several bills were advanced on favorable reports without amendment, including measures on constitutional officers’ salaries, correctional officer retirement systems for Dorchester and Allegany counties, Carroll and Calvert County public facilities bonds, higher education financial assistance for incarcerated individuals, and a bill on community college promise scholarship eligibility for Delmar High School graduates. Other bills received amendments before being ordered for third reading, including measures on community college trustee membership, Frederick Community College board meeting and training requirements, Howard County school funding disclosures, courts administrative judges’ stipends, correctional officers retirement membership clarifications, the Children’s Cabinet Fund, and a law enforcement pension bill limiting military service credit eligibility to helicopter pilots in state aviation units. The chamber also considered HB 1581 on horse racing facility ownership, development, licensing, and operations. Amendments expanded the bill to include additional economic development provisions for the Prince George’s County Blue Line corridor, Pimlico-related funding and community input requirements, a larger lottery-fund distribution for the racing community development financing fund, and changes to the bus rapid transit grant program. The bill’s favorable report as amended was adopted, and it was ordered for third reading. During debate on a separate amendment to HB 894, the Maryland Transit and Housing Opportunity Act, members argued over project labor agreements: opponents said PLA requirements raise costs and limit competition, while supporters said the provision was optional, supported stability and predictability, and was part of a broader compromise. The amendment was rejected after discussion, and the bill remained amended. The House also took up HB 1430 on charter school facilities funding, adopting amendments that reduced the per-pupil amount and narrowed eligibility for certain districts, then advancing the bill as amended. In addition, HB 1248 was amended to convert a part-time state employment pilot program into a work group, and HB 680 was amended to adjust future appropriations for local management boards. Across the session, most actions were routine committee report adoptions and amendment votes, with no recorded roll-call counts in the excerpt except the initial quorum call.

Transcript Highlights:

• Under CMS regulatory authority, the CNO is ultimately responsible for staffing, and yet under this bill
• Under CMS regulatory authority, the CNO is ultimately responsible for staffing, and yet under this bill
• Under CMS regulatory authority, the CNO is ultimately responsible for staffing, and yet under this bill

Keywords: 1187, senate, all

Bills: HB3257, HB3176, HB3544, HB3619, HB3546, HB1782, HB2293, HB4358, HB3081, HB3983, HB3790, HJR1023, HB4139, HB3297, HB3041, HB3673, HB4105, HB3338, HB3048, SR33, SCR21, SCR20, HB4030, HB4031, HB4032, HB4034, HB4036, HB4037, HB4038, HB4040, HB4041, HB4042, HB4043, HB4045, HB4046, HB4047, HB4048, HB4044, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4071, HB4065, HB4067, HB4072, HB2992, HB4338, HB4170

Keywords: veterans, disability benefits, federal law, Oklahoma Statutes, military service, Oklahoma, Gas Hub, artificial intelligence, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development, social AI companions, minors, emotional attachment, safety protocols, civil penalties, parental controls, geographic information

Bills: HB517, HB98, HB235, HB236, HB237, HB238, HB239, HB240, HB241, HB242, HB565, HB517, HB98, HB235, HB236, HB237, HB238, HB239, HB240, HB241, HB242, HB565, SB380

Keywords: underground damage prevention, one-call notification system, utility locating, excavation safety, dig safe, call before you dig, 811, utility lines, underground utilities, pipeline safety, gas pipeline, electric utility, telecommunications, water utility, wastewater, cable television, locate request, premark, tolerance zone, positive response

Transcript Highlights:

• new service in Minnesota's home and community-based statewide transition plan that was approved by CMS
• new service in Minnesota's home and community-based statewide transition plan that was approved by CMS

Keywords: 1183, house

Transcript Highlights:

• actually saw was a difference that was actually non-private equity hospitals getting better due to CMS
• There was a 1% decline in CMS patients, Medicare and Medicaid patients, in short-term private equity

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Third, while CMS has informally suggested that they could adjust billing rules, private insurers already
• We have in conversations with payers, and of course we cannot speak for CMS.

Keywords: 985, all

Transcript Highlights:

• It requires the chief actuary for CMS to certify that Section 1115 demonstration waivers are budget neutral
• It requires the chief actuary for CMS to certify that Section 1115 demonstration waivers are budget neutral

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• District 16 in Albuquerque, which is kind of the Southeast Northeast Heights near the University of CM—the
• It's also known as, that's more of a CMS term. We've been collecting that data consistently.

Transcript Highlights:

• Furthermore, a 2023 CMS guidance underscores the importance of direct care worker registries as a tool
• Furthermore, a 2023 CMS guidance underscores the importance of direct care worker registries as a tool

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• This is Amendment Nine to an existing contract, and this is for the CMS-required closeout conditions

Summary: The committee first considered an $88,000 used tire program contract for District 4 with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could worsen cash flow before funding was confirmed. Questions were also raised about procurement language in the RFP that excluded bidders under corrective action plans. After discussion, a motion was made and approved to hold the contract until next month so the tire board could appear and answer questions. Members then reviewed a large slate of methods of finance, alternative delivery projects, and discretionary grants. These included capital projects at ASU Mid-South, Arkansas Tech, Ozarka, UA Fayetteville, UA Little Rock, UAMS, and UCA; a new UCA multi-purpose arena project estimated at $75.5 million; and DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition, hearing-loss follow-up, HIV services, and rural hospital quality improvement. All of these items were reviewed without objection. The committee also heard a ratification request from UAMS for a Family and Medical Leave Act outsourcing contract with FMLA Source. UAMS said an amendment had been prepared but never submitted for review, and payments continued after expiration; members expressed frustration and asked UAMS to review whether other contracts had similarly lapsed. The committee then reviewed numerous construction-related, intergovernmental, out-of-state, and in-state contracts, including airport economic impact study work, parking guidance technology at the University of Arkansas, veteran nursing services, and multiple DHS service contracts. Most items were reviewed without objection, and the meeting adjourned after reports of routine contract amendments and minor contracts were presented for information.

Transcript Highlights:

• So that’s federal dollars from CMS or from where? Federal dollars from wherever it comes from.

Bills: SB1128, SB1137, SB1144, SB1145, SB1186, SB1235, SB1238

Keywords: scrap metal theft, study committee, Arizona, regulated industries, public safety, underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire

Summary: The Committee on Regulatory Affairs and Government Efficiency heard several bills and took action on three of them. Senate Bill 1137 would update underground facility excavation rules by requiring white lining before notice, creating coordination meeting requirements for large projects, adding an interactive response system, and directing the Arizona Corporation Commission to adopt rules. Supporters from SSC Underground, Arizona 811, and the Associated General Contractors said the bill would improve communication, reduce delays, and modernize the 811 system; the League of Arizona Cities and Towns raised concerns about staffing, project scope, meeting requirements, and liability, but said it was working on amendments. The committee passed SB 1137 on a 7-0 vote. Senate Bill 1145 would shift licensing and regulation of behavior analysts to the Committee of Behavior Analysts under the Psychology Board, reduce the board from 10 to 8 members, and remove the requirement for two behavior analysts on the board. Supporters said the current structure creates delays and that the change would let the board focus on psychology issues while the committee handles behavior analyst matters. A self-advocate also supported the bill, citing long waitlists and the importance of behavior analysts for people on the autism spectrum. The committee passed SB 1145 on a 7-0 vote. Senate Bill 1128 would create a study committee on scrap metal theft to review current laws, industry compliance costs, and penalties, and report recommendations by December 1, 2026. The Arizona Scrap Recyclers Association supported the bill as a way to evaluate whether current reforms remain effective, while members discussed the difficulty of tracing stolen metal and the need to keep the process bipartisan. The committee passed SB 1128 on a 7-0 vote. Senate Bill 1238, which adopts the Physician Assistant Licensure Compact to allow multistate licensure privileges, also received support from the Arizona State Association of Physician Assistants, who said it would improve workforce mobility, help military families, and expand access to care; the committee passed it on a 7-0 vote. The committee then held SB 1235 at the sponsor’s request and adjourned.

Transcript Highlights:

• people who are under this complex care aid statute, they have to complete 70 hours of standardized, uh, CMS

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• Under this complex care aide statute, they have to complete 70 hours of standardized, CMS-approved home

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation