Transcript Highlights:

• And anytime you have people rolling off Medicaid and not being able to qualify for Medicaid services,
• On top of that, we're anticipating that patients will lose access to Medicaid and exchange coverage.
• We're very concerned that 200,000 to 250,000 people who have Medicaid coverage right now will no longer
• have that coverage.
• It is the place they go to purchase coverage.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• Um, so the House had included the text of that bill prohibiting Medicaid coverage of elective circumcision
• text of that bill prohibiting Medicaid text of that bill prohibiting Medicaid coverage<01:47:59.280
• So it makes this temporary.
• of health coverage. of health coverage.
• But these sections require insurance coverage, including Medicaid coverage of biomarker testing.

Keywords: 10am HB 1 & HB 2, 928, house, all

Summary: The committee of conference on HB 1 and HB 2 reviewed comparison documents and worked through a long list of House and Senate positions, agreeing on some technical or already-enacted items while setting aside others for later discussion. Early on, members agreed to delete a House Bill 2 section tied to a bill already passed into law, and a representative explained a technical amendment to the EFA provisions clarifying enrollment-cap repeal language and compulsory attendance rules for EFA students. That amendment was discussed but a vote was postponed because not all members were present. The committee also noted that the overall EFA budget numbers had already been settled separately. Several items were either agreed to or held for further negotiation. Members agreed to delete sections already covered by other enacted bills, including BTLA-related language, and to accept a technical amendment changing "municipalities" to "political subdivisions" in a section affecting funding eligibility. They also agreed on some items involving workers’ compensation second injuries, certain pilot-program language, and some sections related to state loan repayment and other technical corrections. In contrast, they set aside or disputed items involving site evaluation, lottery-related provisions, opioid abatement, the Commission on Aging, Granite Advantage premium costs, renewable energy/offshore wind funding, special education funding, and several education trust fund and unique-fund provisions. The committee spent substantial time on policy disputes. The House side argued against keeping money in dedicated Fish and Game funds rather than increasing the main Fish and Game fund, while the Senate side defended its approach and raised concerns about fee impacts, including one tied to the fishing license. The members also discussed a housing appeals board proposal, with one member suggesting a possible compromise that would preserve some function while shifting duties and possibly sunsetting the arrangement later; the contracts for the positions were noted as running through June 30, 2028 and June 30, 2029. Another extended discussion concerned the child advocate records-access section, which one side wanted removed as policy that should go through the normal bill process, while another member asked to hold it and suggested a possible middle-ground, time-limited approach. Later, the committee agreed to remove sections already handled in other bills, including House sections 254 and 255, and discussed but did not resolve disputes over liquor licensing functions, cannabis-related language, cost containment, special education, and several fee and fund provisions. The Senate explained its position on the governor’s commission language, saying opioid abatement trust funds could not be used for that purpose and that the commission should continue to be funded through 5% of gross liquor profits; it also described renaming the body the Commission on Addiction Treatment and Prevention and expanding its scope to include problem gambling. The meeting ended with several major items still open for later negotiation.

Transcript Highlights:

• The subcommittee approved two contracts: one for consulting services for the hospital, Medicaid, and
• Representative Mary Bentley, you are recognized for the Medicaid report. Thank you, Chairman.
• Melissa Weatherton, Director for Medicaid Specialty Populations.
• But the one for the Arkansas Health Center is highly Medicaid funding.
• For the Arkansas Health Center, it is highly Medicaid funded. What's the federal-state match?

Summary: The council opened with a prayer, approved the prior meeting minutes, and received the February 2026 Monthly Revenue Report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year to date, and said the updated forecast now shows a larger expected surplus. Members asked about declines in some tax categories, natural gas severance fee fluctuations, inflation, and economic development incentives; Silva attributed several changes to timing, refunds, tax cuts, weather, and price volatility, and generally described the state’s revenue trend as positive. The Executive Committee, Administrative Rules, Claims Review, Game and Fish, Higher Education, Infrastructure Investment and Jobs Act, Medicaid studies, Occupational Licensing Review, State Insurance Programs Oversight, and other subcommittee reports were adopted. The Medicaid studies report drew extended discussion about DHS staffing and contract nursing costs at state hospitals and human development centers; DHS officials said they were working on a recruitment and retention plan, reported significant vacancies and turnover, and said the state was not at risk of overspending the contracts. Several members urged reducing reliance on contract labor and moving staff onto state payrolls. The Review Subcommittee report prompted questions about a Department of Public Safety aircraft maintenance item and a Department of Shared Administrative Services contract for Deloitte to implement performance and goals management software tied to the state’s new personnel system. After discussion, the aircraft maintenance item was held briefly and then withdrawn from the hold, while the shared services contract was explained as a one-time integration/configuration project for a system that will support employee evaluations and performance-based pay; the report and the separate contract vote were approved. The Personnel Subcommittee also heard testimony from Commerce Secretary Hugh McDonald about reductions in force at the Division of Services for the Blind, which he attributed to funding shortfalls and fiscal mismanagement; members questioned the impact on blind and visually impaired clients, the status of board appointments, and whether federal funds could be at risk. The report was adopted with immediate consideration, and the meeting ended after filing the remaining APER report and adjourning.

Transcript Highlights:

• unemployment and increased Medicaid unemployment and increased Medicaid funding.<00:04:28.240>
• Medicaid Medicaid expenditure.<00:10:44.480> Minnesota<00:10:45.040> received<00:10:45.519
• <00:17:18.640> match all is some enhanced Medicaid match all is some enhanced Medicaid match
• Thank you so much for your presentation, and we really appreciate it. temporary restraining temporary
• Medicaid Medicaid eligibility. eligibility. eligibility.

Keywords: 1183, house

Transcript Highlights:

• calculations, duties of the Department of Insurance, legislative appropriations, and minimum coverage
• Senate Bill 433 by Senator Boudreaux, Medicaid coverage of certain medications, requiring coverage of
• Medicaid coverage of certain medications require coverage of FDA, weight loss medications, qualifying
• Temporary return, Madam Clerk. Rep. Willable. Can you come see, please? Mr.
• Temporary return. Next bill. Rep. Cruz, are you here? Temporarily return. Next bill.

Bills: HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, HR223, HR224, HR225, HR226, HR227, HR229, HR230, HR231, HR232, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, SCR31, SCR33, SCR35, SCR37, SCR56, SCR57, SB171, SB251, SB252, SB353, SB367, SB433, SB461, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HB66, HB153, HB165, HB326, HB387, HB454, HB455, HB484, HB513, HB603, HB660, HB719, HB762, HB766, HB793, HB802, HB816, HB833, HB940, HB947, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SCR2, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB233, SB326, HR171, HCR49, HCR65, HCR72, HR37, HCR64, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB89, HB341, HB451, HB456, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1191, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, HCR32, HB955, HB284, HB617, HB730, HB926, HB1125, HB1194, HB1203, HB798, HB998, HB1084, HB1223, HB646, HB824, HB901, HB79, HR20, HR74, HB59, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1234, HB1240, SB89, SB68, SB149

Keywords: disclosure, local law, public notice, legislative transparency, Artists at the Capitol Day, art education, Louisiana Art Education Association, recognition, community engagement, House Resolution 247, HR247, Laura Lewis, birthday commendation, 104th birthday, centenarian, longevity, St. James Parish, Louisiana House of Representatives, Mount Calvary Baptist Church, ceremonial resolution

Transcript Highlights:

• school or college or training program at least half time, if they are meeting the work rules for Temporary
• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• So for example, let me use adult education because they're our biggest provider with the most coverage
• Now we're going to shift topics and talk about Medicaid community engagement requirements.

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• I can imagine things like trailers, temporary stalls, booths, things like that.
• Also, I want to mention that juveniles who have active Medicaid coverage when they become incarcerated
• the household still has active Medicaid coverage, we can add the kid back to the case without... ...
• household still has active Medicaid coverage, we can add the kid back to the case without them having
• But initially, we just suspend the coverage.

Summary: The committee heard extensive public testimony from youth advocates and public health speakers urging action on vaping. Witnesses said flavored products and social media are driving youth use in Arkansas, described nicotine addiction and health harms, and asked lawmakers to prohibit vaping in public indoor spaces, align vape rules with smoke-free laws, and expand prevention efforts. Committee members thanked the speakers and encouraged them to continue building support for future legislation. The main presentation was an overview of Arkansas’s Rural Health Transformation Program, a five-year federal initiative funded through CMS. State officials said Arkansas received about $209 million for the first year and may receive roughly $1 billion over five years if performance is strong. They emphasized that the program is intended for targeted, locally driven transformation rather than general operating support, debt relief, or new construction, and outlined four initiatives: Heart, PACT, Rise, and Thrive, focused on prevention, access and coordination, workforce development, and technology. Officials said applications would open in the spring, with a reimbursement-based process and a goal of launching all four initiatives by June. Members asked detailed questions about eligibility, rural definitions, school gardens, faith-based and nonprofit partnerships, mobile clinics, EMS, behavioral health, residency slots, and whether urban providers serving rural patients could apply. Officials said the program would favor regional collaboration, could support targeted renovations and expansion of existing programs, and would allow residency growth and some equipment or infrastructure purchases, but not food purchases or permanent new construction. They also said a committee of state health and finance officials would review applications, with heavy technical assistance and an expectation of quick turnaround. The committee also reviewed two DHS/Health Department rules. One implemented Medicaid and CHIP coverage and care coordination for eligible incarcerated youth before and after release, including targeted case management and screening services, with no public comments received. The other updated audiology licensing rules to reflect recent acts expanding scope of practice and changing the renewal deadline. Both rules were reviewed without objection, and the committee adjourned.

Transcript Highlights:

• Director of Medicaid Enterprise Development, Division of Medicaid Services, DHHS.
• :44:46.680> Medicaid<00:44:47.400> services division of Medicaid services division of Medicaid
• in the Medicaid program.
• coverage coverage I'm<00:48:10.599> calling<00:48:10.960> Sarah<00:48:11.920> any
• that pretty much we have 100% coverage that pretty much we have 100% coverage um<00:49:46.920>

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.

Transcript Highlights:

• These are common in the commercial coverage space.
• in Medi-Cal, but new enrollees would not have access to comprehensive coverage. coverage.
• Also, those with temporary protected status?
• So for one additional year, she would have coverage.
• In many ways, it negates the effects of coverage at all because you have coverage, but you can't see

Keywords: 988, house, all

Transcript Highlights:

• . >> THIS BILL IS SIMPLE AND DIRECTS THE AGENCY FOR HEALTHCARE ADMINISTRATION TO PROVIDE COVERAGE FOR
• THEIR FORCING FAMILIES TO LIVE IN POVERTY TO QUALIFY FOR MEDICAID. DEVASTATING.
• EARLY PERIODIC SCREENING DIAGNOSTICS SCREENING FEDERAL LAW THAT'S OF PEOPLE IN MEDICAID.
• MEDICAID SERVES ABOUT 4.3 MILLION FLORIDIANS AND THAT'S ONE THIRD OF THE STATE BUDGET.
• THE DEPARTMENT OF HEALTH IS REQUIRED TO ISSUE TEMPORARY PROVISIONAL LICENSES TO NURSING GRADUATES WHO

Keywords: 999, senate, all

Transcript Highlights:

• Senate Bill 1847 allows individuals who qualify for the Advantage Waiver Medicaid program to reside in

Bills: SB169, SB1991, SB1992, SB1204, SB1339, SB182, SB1847, SB1360, SB1346

Keywords: longevity pay, state employees, Oklahoma government, salary increase, emergency declaration, capital planning, funding allocation, state budget, infrastructure, emergency measures, income tax credit, qualified project, economic development, infrastructure funding, small population areas, school employees, teachers, support personnel, support employees, public schools

Transcript Highlights:

• SBOE members may also participate, just like ours, as long as the member pays the full cost of that coverage

Bills: HB1342, HB2889, HB3002, HB3254, HB4820, HJR40, HJR40

Keywords: private activity bonds, housing, residential rental projects, low-income, affordable housing, bond measures, funding equality, political subdivisions, public communications, election fairness, debt collection, consumer rights, disclosures, Fair Debt Collection Practices Act, settlement agreements, State Board of Education, group benefits program, health insurance, state employees, dependents eligibility

Transcript Highlights:

• Remember, this is my bill we heard previously that would add lactation consultation to Medicaid coverage
• Members, this is the bill we heard previously that relates to a pilot program to provide Medicaid coverage
• You know, and I think a lot of times, I mean this is really so frustrating because Medicaid.
• Who in the hell want to be on Medicaid? Who wanna be on TF? Who wanna be on Snap? Nobody.
• People do not have access to Medicaid I mean medical services, and this is the problem.

Bills: HB 741, HB 1199, HB 2070, HB 2402, HB 2542, HB 2665, HB 2789, HB 3096, HB 3396, HB 3595, HB 3747, HB 4116, HB 4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• in the next track is a Medicaid in the next track is a Medicaid consent<00:55:57.960> some
• <00:57:11.760> it get reimbursed for that by Medicaid it get reimbursed for that by Medicaid
• requirements under the State Medicaid requirements under the State Medicaid Program<03:58:33.439
• There is a coverage gap in Georgia.
• State Medicaid plan to include coverage for biomarker testing upon discussion and collaboration among

Keywords: 1191, senate, all

Transcript Highlights:

• So I see where it goes to Medicaid. I don't see where it goes to the health safety net.
• ... ...because it's improved Medicaid reimbursements.
• It was a shock to the Medicaid system, right? I remember living through that.
• It was a shock to the Medicaid system, right? I remember living through that.
• Wholesalers do not determine 340B pricing decisions or coverage decisions.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• school or college or a training program at least half time, if they are meeting the work rules for Temporary
• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• They provide statewide coverage with the exception of Mississippi County, and that is only because the
• So for example, let me use adult education because they're our biggest provider with the most coverage
• Now we're going to shift topics and talk about Medicaid community engagement requirements.

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• Medicaid rules. Medicaid rules.
• Without Medicaid coverages, hospitals will not be paid.
• So, hear me on this.<02:54:36.000> Without<02:54:36.479> Medicaid<02:54:37.120> coverages
• Without Medicaid coverages, this.
• Without Medicaid coverages, hospitals<02:54:39.279> will<02:54:39.600> not<02:54:40.080

Keywords: 919, house, all

Summary: Senate File 4612, a state government bill affecting the Department of Health, Human Services, and Children, Youth, and Families, was taken up with a House language amendment adopted at the outset. The bill’s authors gave sharply different perspectives: one described it as a limited, reactive measure tied to federal Medicaid changes and said it fell short of needed health care improvements, while the other argued it would avoid large federal penalties, add Medicaid work requirements, save taxpayer money, and help certain rural and disability-related services. Members then debated several amendments. A technical House research amendment was offered, followed by a contested amendment on the all-payer claims database. Supporters of that change argued the bill expanded data access and could allow sensitive health data to be sold or used outside the United States, raising privacy and jurisdiction concerns; opponents said the data would remain deidentified, access would be limited to researchers, and the fee structure was a cost-recovery mechanism rather than a sale. The amendment to the amendment failed on a 67-67 tie, and the underlying amendment was not adopted. The committee also adopted an amendment updating mortuary science rules for natural organic reduction and another that would automatically enroll certain people into medical assistance if they did not choose a program themselves. A later amendment creating a therapeutic psilocybin pilot program for mental health and PTSD treatment drew strong bipartisan support, especially from members citing veteran suicide, trauma, and promising research; it was adopted after discussion. The transcript ended while discussion continued on how the program would be administered, including questions about using the Office of Cannabis Management rather than the Department of Health.

Transcript Highlights:

• Bill 1199 by Representative Jordan is an act in Title 22 relative to health insurance to require coverage
• act to amend Title 40 relative to nursing facilities, providing for the Centers for Medicare and Medicaid
• Members, this bill outlines changes to the temporary dealer plates and temporary registration plates.
• It's aimed to enhance security, durability, and regulation of temporary plates while providing flexibility
• Baer, which is an act to amend Titles 22 and 40 relative to health insurance, to require coverage for

Bills: SR130, SR131, SR132, SR133, SCR74, SCR12, HB582, HB221, HCR74, HCR58, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB1017, HB1234, HB712, SCR3, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB78, SB112, SB124, SB125, SB174, SB190, SB201, SB208, SB236, SB273, SB307, SB347, SB357, SB385, SB387, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB222, SCR9, SCR58, SB480, SB514, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HCR47, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB514, HB799, HB1039, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449, HB134, HB258, HB359, HB782, SB149

Keywords: E. Joseph Savoie, Dr. Savoie, University of Louisiana at Lafayette, UL Lafayette, higher education, Louisiana Board of Regents, commissioner of higher education, president emeritus, Carnegie R1, research university, student financial aid, needs-based aid, community and technical college system, teacher education, hurricane Katrina, hurricane Rita, retirement resolution, commendation, senate resolution, public service

Summary: The Senate convened with 29 members present, opened with prayer by Oren Connor, the Pledge of Allegiance, and a musical performance by the Chuck Wagon Gang. The chamber also recognized several guests and observances, including birthdays for Senators Seabaugh, Fesi, and Price, White Coat Wednesday participants, Tourism Day, the Louisiana Oil Marketers Association, Chenault International Airport’s 40th anniversary, and visiting fair queens from Washington and Tangipahoa parishes. The Senate dispensed with reading the journal and received numerous House and Senate messages, committee reports, and resolutions. Several Senate resolutions were taken up and adopted, including commendations for Isaac Herzenberg, condolences for Kathleen Sessomson and former Senator Louis Lambert Jr., recognition of White Coat Wednesday and Tourism Day, and a study resolution on transfer-on-death and payable-on-death accounts. The Senate also adopted a conference committee report on House Bill 782, which concerned vapor and alternative nicotine products and was described as giving the state more tools to combat illegal vapes. A number of Senate bills returned from the House with amendments were either concurred in or rejected, including SB 54, SB 72, SB 129, SB 164, SB 232, SB 287, SB 374, SB 375, SB 386, SB 409, SB 112, SB 124, SB 125, SB 174, SB 190, SB 207, SB 236, SB 307, SB 357, SB 385, SB 387, SB 458, SB 477, SB 590, SB 593, SB 618, SB 655, SB 692, SB 707, SB 732, SB 738, SB 748, SB 776, SB 807, SB 860, SB 868, SB 887, SB 888, SB 905, and SB 961, with votes generally passing by wide margins. The chamber also considered several House bills on final passage. Among those approved were measures on local security districts, budget review authority, school activity access for virtual students, electronic bid forms, brake equipment and trailer safety, construction management at risk contracts, temporary registration plates, the Louisiana Maritime Academy name change, OMV fee and ID issues, ferry operations, group purchasing for local governments, the Green Envelope Program for drivers with disabilities, OMV field office fees, LED fee updates, port development priorities, workforce instructor capacity, and a campus disciplinary process bill tied to hazing prevention. Some House bills were passed after amendments, while others were passed over or rejected for later conference, including bills on virtual school participation, historic preservation, civil service, suicide prevention, local government training, and economic development districts. The Senate also rejected House amendments on SB 78 and SB 208, and rejected amendments on SB 387, sending those matters toward further negotiation.

Transcript Highlights:

• This is for temporary staffing services for ASU.
• Enterprise and Medicaid Management System.
• This is for actuarial services for the Medicaid program.
• The Medicaid program. Fifty-one is with Optum Government Solutions.
• This is for a Medicaid administrative hearing officer. 141 is with Stanley M.

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• I wanted to temporary restraining order.
• certain enrollees in the Medicaid certain enrollees in the Medicaid program.<01:00:42.480> So
• the legal non-citizen full Medicaid the legal non-citizen full Medicaid coverage<01:02:21.200>
• So this made a coverage restrictions.
• Um um as existing services in Medicaid.

Keywords: 1187, senate, all