Transcript Highlights:

• On OTPs specifically, opioid treatment programs, states have leveraged their regulatory powers to incentivize
• States have leveraged their regulatory powers to incentivize more use of opioid treatment programs.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• She's done regulatory work and some criminal work, worked for the attorney a new member of our team.
• She's done regulatory work and some criminal work, worked for the attorney general offices and the like

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• emergency medical services for the New Hampshire Department of Safety, working on the licensing and regulatory
• :15:30.960><c> the</c><03:15:31.200><c> licensing</c><03:15:31.920><c> and</c><03:15:32.319><c> regulatory

Keywords: 928, house, all

Summary: The committee first took up several liquor-related bills. Senate Bill 24, allowing students under 21 to taste wine in educational settings, drew no opposition or amendment and was reported out 6-0. Senate Bill 79, authorizing self-pour automated systems under the liquor commission, also faced no opposition and was voted ought to pass 6-0. Senate Bill 80, shifting licensing, auditing, and enforcement for wholesale and retail e-cigarette sales to the liquor commission, prompted discussion about whether the change would add cost; members heard that the liquor commission already handles similar enforcement and that the change was meant to address nonreporting. It was voted ought to pass 6-0. The committee then discussed Senate Bill 87, concerning alcohol service in salons, barbershops, and spas. Members and staff focused on how to limit the amount served, whether to require recordkeeping, and privacy concerns about tracking what patrons drank. The discussion settled on removing references to alcohol type and quantity and keeping only patron records, with the understanding that the agency would set the details by rule. The bill was not formally amended at the meeting, but members agreed an amendment would be drafted for the following week; the bill itself was reported ought to pass with that amendment to be determined. Finally, the committee heard testimony on Senate Bill 245, the EMS No Surprises Act and System Stabilization Act. The sponsor, Senator Suprena, said the bill would prohibit balance billing for emergency ambulance calls and unscheduled transfers, while setting reimbursement at either locally set public rates or 325% of Medicare. She explained that the proposal was based on national work on ground ambulance billing and was intended to stabilize struggling EMS providers. Committee members sought clarification that the bill did not eliminate balance billing for non-emergency transfers, and the sponsor confirmed it did not. A second witness, Jerry Stringham, testified in support, citing his reimbursement background.

Transcript Highlights:

• So then another note with respect to efficiency, we tried to address administrative efficiency, and so
• Potential modifications to increase efficiency or effectiveness.
• Uh we did efficiency or effectiveness.
• </c> to increase efficiency or effectiveness. to increase efficiency or effectiveness.
• type of tax administratively efficient type of tax expenditure.

Keywords: 1183, house

Transcript Highlights:

• It's for efficiency and streamlining.
• I'm sure this will be a nice, efficient report.
• I applaud efficiencies, so again, the question is not that.
• These sweeps are being coded as efficiencies.
• These sweeps are being coded as efficiencies.

Summary: The hearing opened with budget framing from the chair and the LAO, who said the May Revision addresses roughly a $14 billion budget problem and that the environment and transportation subcommittee’s proposals account for about $1.9 billion of the solution. The LAO urged members to focus on solutions that do not worsen out-year deficits, to preserve reserves, and to defer major policy changes that are not necessary to pass the budget, including the newly introduced water-related trailer bills. Members also raised concern about a late-dropped Olympic-related trailer bill, which the LAO likewise suggested should be deferred for fuller review. The first major item was the Delta Conveyance Project and related water quality control plan trailer bills. The administration argued the proposals would streamline permitting, water rights proceedings, judicial review, and land acquisition, and would clarify DWR’s bond authority for the project. DWR said the project is needed to protect water supply reliability against drought, earthquakes, sea level rise, and other climate-related disruptions, and that the tunnel would help move water when conditions are wet and safer for the environment. Committee members from both parties questioned the timing, the use of budget trailer bills for major policy changes, the scope of the CEQA and water-rights changes, the lack of a bond cap, cost growth, and eminent domain protections. The LAO recommended deferring both water trailer bills without prejudice. Public comment was sharply divided, with labor, water agencies, and some business groups supporting the project as climate adaptation and reliability infrastructure, while environmental, tribal, fishing, county, and community groups opposed it as an attempt to bypass public process and weaken protections. The committee then briefly heard the DMV’s Digital Experience Platform fee trailer bill, which would reinstate a $1 system improvement fee to help fund the vehicle-registration phase of the project. DMV said the fee would raise about $7 million annually and offset roughly $59 million to $60 million of project costs, while the LAO noted it would help but would not solve the Motor Vehicle Account’s broader structural gap. The hearing then moved to California High-Speed Rail, where the new CEO presented an updated plan and said the project remains a major climate and infrastructure investment. He reported a revised Merced-to-Bakersfield cost range of $34.9 billion to $38.5 billion, said the agency is trying to reduce risk through direct procurement of materials, and argued that stable annual funding is needed to avoid higher costs from delays.

Transcript Highlights:

• It's a thing that's going to happen, and let's make it as efficient and as good for Idahoans as possible
• And I've applied a lot of the efficiencies that I've learned and a lot of the strategic planning to my
• These developments use land efficiently and often include parking, making them more cost-effective and
• These developments use land efficiently and often include parking and are more cost-effective, making
• and reducing delays and cost, and is supported by the... ...energy efficiency and reducing delays and

Summary: The committee first approved the January 29, 2026 minutes without objection. It then considered three RS drafts: RS 33116 on land use planning and short-term rentals, which Senator Harris said was intended to balance local control, property rights, and regulation of short-term rentals, including limits on business licensing requirements for smaller operators; RS 33133 on insurer investments, which Senator Guthrie said would give insurance companies more flexibility in making investments; and RS 33190 on PERSI reemployment rules, which Senator Lakey said would treat certain appointed officials filling vacancies the same as elected officials for retirement benefit purposes. All three RSs were moved to print and the motions carried. The committee also heard several gubernatorial reappointments. Kevin Settles was reappointed to the Idaho Health Insurance Exchange Board and described his long service and focus on efficient administration. Todd Lakey was reappointed to the State Insurance Fund Board and spoke about the board’s customer-service improvements and ongoing changes. Representative John Weber was reappointed to the State Insurance Fund Board, and Robert Cuio was reappointed to the Idaho Health Insurance Exchange Board; both were moved to the Senate floor with recommendations for confirmation, and those motions carried. The remainder of the meeting focused on three rule dockets from DOPL and the Idaho Building Code Board. Two dockets made temporary fee reductions permanent for factory-built structures and building permits, with no public comments and no impact on the general fund. The final docket adopted Idaho-specific updates based on the 2024 building, residential, and energy codes, including provisions on taller wood-frame buildings, mass timber, lithium-ion battery safety in garages, and an alternative prescriptive path to replace blower-door testing. Testimony from building officials and home builders strongly supported the changes as more flexible, affordable, and practical, and the committee approved all three dockets before adjournment.

Transcript Highlights:

• We're so committed to moving people and goods efficiently around Idaho.
• We visit with them regularly to make sure that we're most efficient in the work that we do.
• Our economy is strengthened when we help people and goods move from point A to point B most efficiently
• Our employees take great pride in being efficient and finding better ways of doing the work.
• The problem is, you prove that you guys can be extremely efficient and get the job done quickly.

Summary: The committee first approved the January 20 minutes without objection. It then received a lengthy update from Idaho Transportation Department Director Scott Stokes, who described ITD’s responsibilities, staffing, budget sources, major highway and bridge projects, winter maintenance, DMV and aeronautics services, and the department’s safety and innovation efforts. He emphasized the department’s focus on operating, preserving, restoring, and expanding the transportation system, and answered questions about funding growth, freeway and work-zone safety, emergency repairs, and workforce needs. Members then considered several RS drafts for introduction. RS 32984 would eliminate the requirement to display vehicle registration stickers, with the sponsor citing reduced cost and redundancy; it was introduced. RS 32869 would allow parents to teach driver’s education even in urban districts, restoring flexibility after prior changes; it was introduced after discussion about safety and possible fiscal effects tied to Idaho Digital Learning Alliance enrollment costs. RS 32834 would consolidate proof-of-identity and DMV registration processes for out-of-state customers; it was introduced. The committee also heard RS 32841 C1, a cleanup bill to streamline distribution of vehicle registration fees and taxes and to raise the annual transfer for local bridge inspections from $175,000 to $300,000 to help draw down federal matching funds. After questions about the funding flow and match requirements, the committee voted to introduce the measure. The meeting then adjourned.

Transcript Highlights:

• Texas-Mexico region continues to experience unprecedented growth of fresh produce, imports and improved efficient
• It's efficiency is crucial to the fresh produce industry where fast, faster transportation reduces cost
• As demand for fresh produce rises, particularly for Mexico, efficient border crossings like FAR are essential
• That's streamlining, that's efficiency.
• By funding CBPA overtime for ag specialists, reducing delays in inspection, improving efficiencies.

Transcript Highlights:

• To be more efficient, we need more staff related to counseling and mental health.
• increased in order to attract more qualified candidates, which would hopefully... lead to a more efficient
• In an effort to increase the commission's efficiency, it directs OCA to compile a a judicial directory
• My focus remains on holding. judiciary accountable, improving its efficiency, and restoring public trust
• Just one question, I appreciate all the efforts regarding judicial efficiency and outcome.

Bills: SB260, SB263, SB293, SJR18

Keywords: school safety, Foundation School Program, education funding, student allotment, Texas education, SB 263, Texas franchise tax, cost of goods sold, COGS, broadcasters, television broadcasting, radio broadcasting, media tax, broadcast license, FCC, 47 C.F.R. Part 73, 47 C.F.R. Part 74, film production, television production, tax deduction

Transcript Highlights:

• To be more efficient, we need more staff related to counseling and mental health, and we believe that
• be increased in order to attract more qualified candidates, which would hopefully lead to a more efficient
• In an effort to increase the commission's efficiency, it directs OCA to compile and make available a
• My focus remains on holding the judiciary accountable, improving its efficiency, and restoring public
• Yeah, just one question, um, I appreciate all the efforts regarding judicial efficiency and, and, and

Transcript Highlights:

• May decisions be shaped by conscience as much as calculation, by compassion as much as efficiency.
• the bill a third time: Senate Bill 320, a bill to be entitled, an act relating to administrative efficiency
• the bill a third time: Senate Bill 320, a bill to be entitled, an act relating to administrative efficiency
• Senate Bill 320, a bill to be entitled and act relating to administrative efficiency in public schools
• A bill to be entitled and act relating to administrative efficiency in public schools.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, and introductions recognizing the YMCA’s 175th anniversary, Youth and Government participants, and Dr. Thomas Clem as Doctor of the Day. Senators also noted the presence of guests from the YMCA and Lakeland Regional, and the chamber received a birthday acknowledgment for President Gates. The chamber then took up several bills on the special order calendar. Senate Bill 100 adopted the 2026 Florida Statutes and the 2025 session’s enacted statute materials; Senate Bill 102 removed statutory provisions that had already been repealed or expired; and Senate Bill 104, the general reviser’s bill, deleted obsolete language and corrected cross-references and errors. Each of these bills passed 36-0. Senate Bill 320, relating to administrative efficiency in public schools, was explained as reducing district-level requirements, expanding teacher apprenticeship and certification flexibility, adjusting assessment and budgeting rules, and increasing district flexibility in VPK and facility planning; it also passed 36-0. The Senate also passed Senate Bill 7010, which authorizes Roth post-tax contributions in state and local deferred compensation plans, by a 36-0 vote. Senate Bill 1720 on public school personnel compensation was withdrawn from further consideration. At the end of the session, the Senate waived rules to immediately certify the passed bills to the House and then adjourned until the next scheduled meeting.

Transcript Highlights:

• , efficiently for everyone.
• Uh, our association is all for fairness, transparency, and efficiency.
• And you talk about an efficient process doubling the number of hearings, it seems like it would slow
• Um, again, we are all for transparency, efficiency and fairness.
• It's really a matter of efficiency.

Bills: HB148, HB203, HJR30

Keywords: HB 148, Texas Education Code, Texas Education Agency, TEA, artificial intelligence, AI, machine learning, automated scoring, constructed response, open-ended answers, student assessments, state testing, standardized tests, public schools, education policy, assessment instruments, school accountability, test scoring, 2026-2027 school year, ad valorem tax

Transcript Highlights:

• systems that deliver that help efficient systems that deliver that help without<00:15:36.000><c> delay
• And if we could save that money and apply those staff towards other ways of providing more efficient
• And, well, if government worked a little bit more efficiently, they wouldn't need to have property taxes
• government worked a little<00:17:31.120><c> bit</c><00:17:31.200><c> more</c><00:17:31.440><c> efficiently
• ,</c><00:17:32.320><c> they</c> little bit more efficiently, they little bit more efficiently, they wouldn't

Keywords: 1187, senate, all

Transcript Highlights:

• President, I move the Committee on Regulatory Affairs be discharged from further consideration of House

Keywords: 983, senate, all

Transcript Highlights:

• It creates no new programs, no new regulatory bureaucracies, and poses no cost to the Commonwealth.

Summary: The House opened with routine procedural actions, including suspension of Joint Rule 12 for two petitions and suspension of Rule 7A to take up several bills immediately. Members advanced multiple Ways and Means bills to third reading, including measures on campaign finance reporting for statewide ballot questions, tax-free medical devices, fairness for Massachusetts Water Resources Authority employees, releasing land use restrictions in Revere, and authorizing a land taking in Norwood. Several engrossed local and special bills were then passed to be enacted, including measures affecting Boston police age waivers, the Hudson charter, Plymouth’s land acquisition account, Falmouth sewer-related costs, and Randolph’s charter. The House also considered Senate Bill 2916 on campaign finance reporting for ballot questions. Supporters said the bill would strengthen disclosure, close reporting loopholes, and improve transparency around ballot question committees and signature gathering, while also creating a commission to review the initiative petition process. Amendments were adopted, including changes to the commission’s membership and a separate amendment related to signature-gathering provisions. After debate, the bill passed to be engrossed by roll call vote 149-0. Members then took up the fiscal year 2027 budget conference report, House No. 5555, totaling about $63.4 billion. Supporters highlighted funding for Chapter 70 education aid, local aid, Fair Share investments in education and transportation, MBTA and regional transit support, housing and homelessness programs, food assistance, and immigration legal aid. The conference report was adopted by roll call 142-6, the emergency preamble was adopted, and the budget bill was passed to be enacted by the same vote. The House also declined concurrence on Senate Bill 3064, “to build resilience for Massachusetts communities,” and appointed a committee of conference, and later appointed a conference committee on House Bill 4646, enhancing child welfare protections. The session ended with a moment of silence for community figures and adjournment to the next day.

Transcript Highlights:

• It creates no new programs, no new regulatory bureaucracies, and poses no cost to the Commonwealth.

Keywords: 1212, all

Transcript Highlights:

• If Pennsylvania wants to win that competition, our regulatory structure must remain on the cutting edge

Summary: The Senate convened with prayer and the Pledge of Allegiance, received committee reports, and approved the prior day’s journal by a 50-0 vote. Several members were granted leaves of absence, and the chamber also took up a number of procedural motions, including re-referring Senate Bill 1212 to Appropriations and moving Senate Bill 911 from the table to the calendar. The Senate later recessed for committee meetings and party caucuses, then reconvened to continue floor action. On the calendar, Senate Bill 1206 passed 50-0 after supporters said it would help Pennsylvania’s life sciences industry by allowing manufacturers to pursue state licensure while federal FDA approval is pending, without weakening safety standards. Senate Bill 1273 passed 48-2; its sponsor said it would clarify that turnpike automated plate-reading data may be shared with investigators in missing or endangered persons cases, including Amber Alerts. Several other bills were either agreed to and re-referred to Appropriations or ordered over in their place, including House Bill 681, Senate Bills 1061, 1303, and 1355, and House Bill 1505 and 1667. The Senate also considered Senate Resolution 326, where an amendment by Senator Mastriano was adopted and the resolution was then held over as amended. In executive session, the chamber returned several nominations to the governor, then confirmed a slate of gubernatorial nominations, including appointments to the Pennsylvania Drug, Device, and Cosmetic Board, the State Board of Osteopathic Medicine, and several Pennsylvania Army National Guard promotions, by a 50-0 vote. The Senate additionally approved committee-reported bills from Appropriations and Health and Human Services, and signed House Bill 1344 in the presence of the Senate. During petitions and remonstrances, Senator Tartaglione urged action on minimum wage legislation, noting Pennsylvania has not raised the wage since 2006 and pointing to House Bill 2189. Senator Dush delivered extended remarks on the nation’s founding and the religious views of Benjamin Franklin. The Senate then adopted a motion to recess until June 25, 2026, at 9:30 a.m., unless recalled sooner.

Transcript Highlights:

• and I serve as the Executive Director of Quality Improvement for the YMCA of Delaware, overseeing regulatory

Bills: SB293, SB279, SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The House Education Committee met and first heard Senate Bill 293, the Youth Camp Licensing Act, which would amend child care licensing rules for youth camps. The sponsor said the bill, with amendments, would remove accreditation language, clarify shelter requirements for outdoor camps, and eliminate limits that had restricted the number of children camps could serve, especially for families using purchase-of-care assistance. YMCA and school representatives testified in support, saying the measure would expand access to safe, affordable summer care for low-income working families. The committee voted to release the bill. The committee then approved Senate Bill 328, which would require the Department of Education’s school facility evaluation instrument to be established by regulation and to include lead-based paint hazards in the standard of good repair. The Childhood Lead Poisoning Prevention Advisory Committee supported the bill, explaining that lead had not been included in the original evaluation tool and that the new language would improve transparency and public comment. Senate Bill 318, updating the Delaware State Education Association special license plate program, also passed after DSEA testified that proceeds support scholarships for educators and students pursuing education careers. House Bill 443, dealing with background checks for education volunteers and mentors, passed as well. The sponsor said it would allow DOE to continue receiving wrapback reports for mentors in the state mentoring program and ensure state and federal criminal background checks remain in place. The committee also released Senate Joint Resolution 15, which directs DOE to reevaluate Delaware’s use of the SAT, modernize the accountability framework, and develop additional measures of student achievement and readiness; supporters argued the SAT does not capture career and technical pathways or other indicators of success. House Bill 459, which prohibits the sale of energy drinks on public middle and high school campuses during school hours or events, passed after discussion focused on whether the bill would affect possession versus sale and whether it could lead to student discipline; DOE said the bill only bans sales, and the sponsor said an amendment would clarify intent. Finally, House Concurrent Resolution 137 passed, directing DOE to review math instruction and MTSS supports statewide; testimony emphasized low math proficiency and the need for stronger, more coherent interventions. The committee also began hearing Senate Bill 279 on occupational therapist salary placement, with discussion centered on aligning OT compensation with other specialist roles and broader salary regulation updates, though the transcript cuts off before final action is shown.

Transcript Highlights:

• Nuclear Regulatory Commission. These rules were open for public comment.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• Nuclear Regulatory Commission. These rules were open for public comment.

Keywords: 1204, all