Transcript Highlights:

• I was wondering if in the contracts or or even in the district I procurement policies, have you specified
• I'm curious the contracts with the district is it stipulated that the vendor has to delete any data that
• they own after termination of that contract?
• Yes, in that in many of our district contracts, that is a key requirement depends on the state, but that
• And that's, you know, like you said line one of the contract, which is that none of that information

Transcript Highlights:

• was created out of a 2024 budget proviso to study the underground economy in the construction and contracting
• requirements, and avenues to trigger wage and hour enforcement activities by L&I in any construction or contracting
• Labor brought some recommendations around limiting the number of independent contract Labor brought some
• And we don't need to have that contract reliability provision. Thank you, Ms.
• Employers can become training agents at any time of year, signing a contract with the program sponsor

Summary: The committee heard a report on the Underground Economy Task Force in Washington’s construction industry. Labor and Industries said the task force, created by a 2024 budget proviso, met 11 times and developed consensus recommendations to improve enforcement against worker misclassification, unregistered contractors, and unpaid taxes and premiums. Consensus items included defining and regulating construction labor providers, improving interagency data sharing, increasing penalties for repeat offenders, expanding L&I authority over successor accountability, reviewing agency penalty rules, and exploring tracking of cash payments. Majority-but-not-consensus ideas included posting subcontractor notices at job sites, setting an independent-contractor threshold that would trigger L&I review, holding direct contractors liable for unpaid wages owed by subcontractors, and reviewing reporting requirements. Testifiers from labor, business, and the Attorney General’s Office generally supported stronger enforcement and transparency, while business representatives cautioned against overregulation and said any new rules should avoid burdening legitimate contractors or restricting lawful cash payments and independent contracting. L&I said the final report would be distributed by December 31 and the task force work group would be reconvened. The committee then reviewed the wage recovery work group report. L&I explained current wage complaint procedures and said the work group, made up of labor and business representatives, reached five consensus recommendations: allow L&I to prioritize wage complaints strategically, permit aggregation of related complaints, raise the minimum penalty under the Wage Payment Act from $1,000 to $1,500 and create a penalty matrix, improve employer awareness with materials for new hires, and establish a wage recovery fund. The fund would be seeded by penalties, would not require new employer assessments, and would allow limited early payments to eligible workers facing hardship, with a proposed cap of $2,500 and a later review of the program. Business and labor representatives both supported the overall framework, though business raised concerns about fraud safeguards and recovery of funds if a claim is later found invalid. Members also received an overview of Washington’s apprenticeship system. L&I described the state’s apprenticeship agency structure, the Washington State Apprenticeship and Training Council, and the difference between Washington’s state apprenticeship standards and the federal Office of Apprenticeship system. The presentation highlighted current participation levels, program approval and objection processes, and strong post-completion outcomes, including median annual earnings above $100,000 and an estimated $7.80 return for every public dollar invested. Committee members asked about how apprentices apply, how sponsors work with L&I, and whether recurring objections could be addressed earlier in the process. Finally, the committee heard updates on wildland firefighter respiratory protection, federal cuts to NIOSH, and economic and federal policy impacts on unemployment insurance and workforce services. L&I said wildland firefighters face significant smoke exposure and cancer risk, but current rules do not require respiratory protection for that work because of technical and operational challenges; the agency is watching efforts in other jurisdictions and at the federal level. On NIOSH, L&I warned that federal staffing and grant cuts could weaken occupational safety research, training pipelines, and programs affecting Washington workers, including firefighter cancer tracking and Hanford exposure assessments. ESD reported rising UI claims, a stable unemployment rate, and pressure on the trust fund, while also describing technology and process changes that have improved claims handling. ESD also said HR1 will significantly increase demand on WorkSource services through new work-search requirements for SNAP and Medicaid recipients, creating an unfunded mandate that the agency is preparing to implement with partner agencies.

Transcript Highlights:

• Long-Term Support Administration with the case management, eligibility determination, and community-contracted
• The data source is the health plan negotiated rates with contracted hospitals and other providers.
• The data source is the health plan negotiated rates with contracted hospitals and other providers.
• The current laws and rules do not require any of the players in the market to post non-contracted rates
• doesn't mean that regulations couldn't be expanded to require that in addition to posting their contracted

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

Transcript Highlights:

• Also, the plan has to include language about providing services directly or by contract to meet that
• So also, the plan also has to include language about providing services directly or by contract to meet
• that patient's needs such as an urgent care system. is directly or by contract to meet that patient's
• We are in the process of finalizing a contract with the University of Florida to develop the preceptor
• And then the contracts with those 13 regional providers do require that they build a network in every

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• You were contracted to implement the Kevin S. settlement agreement.
• Are you still on that contract, or is that job going to be given to someone else?
• And I do want to point out that your contract and Brenda Donald's contract were two of the contracts
• My contract is over, though, but I'll send it anyway. Yeah, I still like a copy of it, thank you.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• And then the second piece of that is the contract... Contribution rates.
• I mean, the stock market and then, you know, the contract...
• Happenings that are occurring with those carriers and contracts that we have.
• For vision, we continue to have a contract with Davis Vision, and then we offer the supplemental term
• That's in addition to the overhead for the insurance companies that you contract with.

Committee: House Investments & Pensions Oversight Committee

Transcript Highlights:

• They may contract with someone else, so we may be storing gold for Arkansans as well.
• We contracted with a vendor, Lone Star Tangible Assets.
• That the comptroller may contract with a private vendor to establish the gold and silver contract currency
• Will you contract with the vendor, and then what would those other... Performance duties be?
• The bill anticipates contracting services with a private provider for a digital platform and, yes, the

Bills: SB524 , SB782 , HB42 , HB1056 , HB2894 , HB3033 , HB3474 , HB3594 , HB4738 , HB5246 , HB42

Committee: Senate Finance

Keywords: SB 524, Texas franchise tax, veteran-owned business, new veteran-owned business, business tax exemption, filing fee exemption, Tax Code Chapter 171, Business Organizations Code, Comptroller, small business, veterans, entrepreneurship, tax repeal, privilege tax, beginning date, franchise tax exemption, severance tax, oil, gas, restimulation wells

Transcript Highlights:

• psychiatrists, while most health plan directories are a quarter or a third inaccurate for all their contracted
• Essential Utility, a database where providers can go to update their information once for all of their contracted
• fully appreciating that this endeavor was always intended to be a shared responsibility between contracted
• utility, and with that database, providers are able to update their information once for all their contracted
• utility and with that database on providers are able to update their information once for all their contracted

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

Transcript Highlights:

• We typically have about a three-year contract.
• I know sometimes with contracts, it's not necessarily the lowest bid when it's, you know, fiscally the
• It depends on the characteristics of the contract. Is that the same with electric? Yeah, typically.
• Contracts.
• In an electricity contract, I would imagine it would be more on a competitive basis, with the lowest

Bills: HB511 , HB972 , HB 1035 , HB2481 , HB2723 , HB2742 , HB2894 , HB2962 , HB3077 , HB3093 , HB3307 , HB3684 , HJR67 , HJR72

Committee: House Ways & Means

Keywords: ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support

Transcript Highlights:

• Importantly, we can maintain our victim services contract because this process is really difficult for
• before for the DOC to make significant requests for supplemental funding after the settlement of contracts
• We also have a contract for and are implementing more broadly.
• You had mentioned that it changes having to do with a contract.
• That was a one-year contract, and we'll be going out to bid. Thank you, Commissioner Snell.

Bills: HF2432

Committee: House Public Safety Finance and Policy

Keywords: HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board

Transcript Highlights:

• Department of Health holds people accountable, then I don't see the concern of why we have this contract
• though, during residency that have made me consider broadening my horizons instead of signing a contract
• though, during residency that have made me consider broadening my horizons instead of signing a contract
• That have made me consider broadening my horizons instead of signing a contract right now.
• It's something that's keeping me from being able to sign a contract, which I'm already being offered

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• We have contracted beds in the community hospitals; there are 214, and then we have 285 beds in our state
• Is that to contract existing beds? Yes, we would have 75% of the funds.
• There is nothing about our contracting process that automatically builds in an inflationary adjustment
• That’s important. billion and 27%, and that's important because, in simple terms, our contract with the
• This is when the feds push down something that we have to do to stay in compliance with our contract,

Keywords: 924, joint, all

Transcript Highlights:

• This bill would force the remaining 25 school districts into even-year elections, breaking the contract
• This bill would force the remaining 25 school districts into even-year elections, breaking the contract
• This bill would force the remaining 25 school districts into even-year elections, breaking the contract
• This bill would force the remaining 25 school districts into even-year elections, breaking the contract
• This bill would force the remaining 25 school districts into even-year elections, breaking the contract

Committee: Senate Elections

Keywords: 1187, senate, all

Transcript Highlights:

• timely. ...hired and working and delivering that service timely, and we moved that to one single contract
• So we changed the Community Mental Health Center contract and rebid that.
• But we have specific scope of work in our Community Mental Health Center contracts for them to go into
• So that was a special contract that we awarded them because we did not have a qualified bidder.
• think one of the things we tried to do was to add some things to the community mental health center contract

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• those people hired and working and delivering that service timely, and we moved that to one single contract
• So we changed the Community Mental Health Center contract and rebid that.
• We have specific scope of work in our community mental health center contracts for them to go into those
• So that was a special contract that we awarded them because we did not have a qualified bidder.
• think one of the things we tried to do was to add some things to the community mental health center contract

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• timely. ...hired and working and delivering that service timely, and we moved that to one single contract
• So we changed the Community Mental Health Center contract and rebid that.
• But we have specific scope of work in our Community Mental Health Center contracts for them to go into
• So that was a special contract that we awarded them because we did not have a qualified bidder.
• think one of the things we tried to do was to add some things to the community mental health center contract

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• Currently, public education contracts alienate tens of thousands of teachers who are denied the right
• current system, outstanding educators, both union and non-union educators, are forced to abide by contracts
• that neither recognize nor reward the hours they put in beyond the contracted day or work beyond their
• amendment would allow teachers and administrators to willingly abide by collectively negotiated contracts
• if they choose, or it would allow them to choose to negotiate their own contracts.

Summary: The House convened with prayer, the Pledge of Allegiance, guest recognitions, and a quorum call before moving into committee reports and floor action. Committees reported a number of bills and resolutions, including measures from Local Government, Energy, Health, Judiciary, Appropriations, Rules, and Finance. The chamber also announced caucus and committee meetings, then recessed and later reconvened for final consideration of legislation. Several bills passed the House finally, including House Bill 2299 on body cameras for county probation officers, House Bill 167 designating a scenic byway along Allegheny River Boulevard, House Bill 95 requiring disclosure when content or advertising is generated or substantially modified by artificial intelligence, House Bill 1944 expanding medical amnesty and Good Samaritan protections on campuses, House Bill 2443 creating a child victim recovery fund, House Bill 246 updating references from the Public Welfare Code to the Human Services Code, and House Bill 2586 establishing title protection for music therapists. The House also adopted House Resolution 463 recognizing Korean-American Citizenship Day, House Resolution 499 recognizing Juneteenth Independence Day, and House Resolution 547 directing a study of electronic monitoring as an alternative to incarceration. The House spent significant time on amendments to House Bill 133, which concerns reinstatement of parental rights, and House Bill 138, which addresses parental incarceration and termination of parental rights. Both bills received bipartisan amendments adding guardrails and exceptions, and the amendments were adopted unanimously. The chamber also debated House Bill 2224, the Fair Act, with multiple amendments on utility rates, return on equity, and scope; some amendments were adopted, several tied votes failed, and the bill was left amended for reprinting. House Bill 2544, dealing with school administrators’ rights and negotiations, saw an amendment to allow individual bargaining, but that amendment failed and the bill was agreed to. The session ended with a correction to the record on House Bill 1944, a motion to recommit several bills to Appropriations, and adjournment until June 22, 2026.

Transcript Highlights:

• I'm the Health Program Associate, overseeing the ASO contract that we have with CHNCT. Thank you.
• Overseeing the ASO contract that we have with CHNCT.
• is to track what we call alternate payment models, right, which is the fancy term for value-based contracts
• What we call alternate payment models, right, which is the fancy term for value-based contracts, right
• to the lottery question right off because what happens is the Center for Medicare Advocacy has a contract

Keywords: 962, all

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

Transcript Highlights:

• work is, and I have a great example from my area: Textron just announced recently a $450 million contract
• The one that has the Louisiana contract right now is the GovBid or GovBid.com or whatever.
• The local auctioneers cannot seem to be able to bid on it to get that contract.
• state law allows a 10% above outside-state-of-Louisiana companies to be able to do some kinds of the contracts
• In the old days, before COVID, the state of Louisiana, in fact, we at one time had that contract, went

Bills: HB316 , HB549 , HB646 , HB752 , HB824 , HB873 , HB1129 , HB1157 , HB1170

Committee: House Appropriations

Keywords: literacy, adolescent, teacher education, high-dosage tutoring, reading intervention, workforce development, training programs, Bayou Growth Opportunity, funding, employment, skills gap, qualified employer, credential recognition, government growth limit, recurring revenue, state finance, Louisiana Income Tax Elimination Fund, fiscal responsibility, legislative sessions, regular sessions

Summary: The House Appropriations Committee met on April 22 and first considered Chairman Beaulieu’s House Bill 646, a constitutional amendment limiting the amount of State General Fund money that may be appropriated in a fiscal year. After adopting a set of amendments creating the Louisiana Income Tax Elimination Fund and making conforming changes, the committee reported the bill favorably as amended. The companion bill, House Bill 824, which establishes the growth limit formula based on CPI, medical CPI, and population change, was also amended and reported favorably as amended. Supporters framed both measures as a way to keep spending within recurring revenues and create a path toward reducing or eliminating the state income tax. The committee then reported favorably as amended House Bill 1157, creating the Louisiana State Infrastructure Fund to help finance infrastructure-related projects, with testimony that it would leverage private and federal dollars and initially focus on rail, port, road, and bridge projects. House Bill 316, which provides a framework for student literacy reforms for grades four through eight, was presented as having no new cost because the Department of Education said the work was already covered by existing resources; it was reported favorably. House Bill 549, creating the Bayou Growth Opportunity Workforce Program to provide employer-based training grants, also received support from business groups and was reported favorably as amended. House Bill 1129, dealing with the sale of state-owned surplus movable property, drew support from Louisiana auctioneers who argued local firms should be allowed to bid on the state’s auction contract instead of relying on an out-of-state vendor; it was reported favorably. House Bill 873, which would fund pursuit intervention technology through a $2 driver’s license fee, generated significant concern about adding fees and whether the money should instead come from existing budgets. After discussion of the proposed technologies and training, the committee deferred the bill voluntarily to work on alternatives, including a possible sunset and other funding options. Finally, House Bill 752, which would change the timing and duration of regular legislative sessions by joint rule, was reported without action after members noted the revised fiscal note showed a decrease in state general fund expenditures. The meeting then adjourned.

Transcript Highlights:

• work is, and I have a great example from my area: Textron just announced recently a $450 million contract
• The one that has the Louisiana contract right now is GovBid, or gov.com, or whatever.
• The local auctioneers cannot seem to be able to bid on it to get that contract.
• law allows a 10% advantage for outside state of Louisiana companies to be able to do some kinds of contracts
• In the old days, before COVID, the state of Louisiana, in fact, we at one time had that contract, went

Bills: HB316 , HB549 , HB646 , HB752 , HB824 , HB873 , HB1129 , HB1157 , HB1170

Committee: House Appropriations

Keywords: literacy, adolescent, teacher education, high-dosage tutoring, reading intervention, workforce development, training programs, Bayou Growth Opportunity, funding, employment, skills gap, qualified employer, credential recognition, government growth limit, recurring revenue, state finance, Louisiana Income Tax Elimination Fund, fiscal responsibility, legislative sessions, regular sessions