Transcript Highlights:

• stand in recess for the Committees to meet and leave the journal open until such time as the clerk compiles

Keywords: 1136, house, all

Transcript Highlights:

• Different states and countries have used different statutory and regulatory mechanisms to try to align
• You'll see that in light of that, we're recommending both some statutory changes and some regulatory
• Again, we have a statutory requirement to plug its strata and protect environmental resources.
• external party to re-examine some of the financial assurance rules that we have in place enacting the statutory
• And this is just a compilation that this has been a chronic performance challenge in this particular

Transcript Highlights:

• We don't get to be somewhere for 25 years, and not just a compiler, not just somebody who sat in a seat
• But the thread and needle comes out when it comes down to legislative statutory construction.
• AND NOT JUST A COMPILER, NOT JUST SOMEBODY WHO SAT IN A SEAT JUST TO SIT IN A SEAT, THIS WAS SOMEBODY
• BUT THE THREAD AND NEEDLE COMES OUT WHEN IT COMES DOWN TO LEGISLATIVE STATUTORY CONSTRUCTION.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then processed a series of motions to discharge bills from committees and substitute identical Senate bills, which were so ordered. Several bills were also recalled from the Assembly, had reconsideration votes taken, and were restored to the third reading calendar after receiving 58 ayes. Amendments were received on a number of bills, and those measures retained their place on the calendar. The main business of the day was Privileged Resolution 2318, sponsored by Leader Stewart-Cousins, honoring Senator Michael Gianaris with the President Pro Tempore and Senate Majority Leader’s Legislative Legacy Award. The resolution and floor remarks reviewed his long career in the Assembly and Senate, his role as Deputy Majority Leader and floor leader, and his work on housing, criminal justice, voting rights, labor, environmental, consumer, transit, animal welfare, and other major legislation. Members from both parties spoke at length, praising his strategic skill, mentorship, humor, and influence, while also noting his support for younger members and his commitment to family. Several senators described personal experiences showing Gianaris’s mentorship and political guidance, and many referenced his Greek American identity, Queens roots, and interests such as Star Wars and the Mets. Senators also emphasized that he was leaving on his own terms to spend more time with his wife and daughters. The resolution was adopted with broad support, and Gianaris then spoke in response, reflecting on nearly 30 years in state government, the major laws passed during his tenure, and the relationships he built in the chamber.

Transcript Highlights:

• December 31, 2026, and each year thereafter... ...for December 31, 2026, and each year thereafter to compile
• Number three applies the statutory procedures for monuments and memorials.
• Number three applies the statutory procedures for monuments and memorials within the governmental mall
• removes the prescribed investment advisory team membership and requirements, moves the addition of the statutory

Keywords: 1182, all

Transcript Highlights:

• And do we have the statutory authority that we gave you to continuously track the property taxes, or
• so what I did in front of this committee, I believe it was in Sheridan maybe a few years ago, was compile
• And do we have the statutory those?
• And do we have the statutory authority<00:57:32.400> that<00:57:32.640> we<00:57:32.960
• all of the reported ago, was compile all of the reported exempted<00:59:44.799> amounts<00:59

Keywords: 916, all

Transcript Highlights:

• "To allow me to put in a compilation of provider fraud that's been found and prosecuted in Kentucky and
• "To allow me to put in a compilation of provider fraud that's been found and prosecuted in Kentucky and
• "To allow me to put in a compilation of provider fraud that's been found and prosecuted in Kentucky and
• put<01:35:16.639> in<01:35:17.280> um<01:35:17.920> a<01:35:18.239> compilation
• >> To allow me to put in um a compilation >> To allow me to put in um a compilation

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Department of Health estimated that it'd be about $10,000 in 2026 and $2,500 in 2027 in order to compile
• Department of Health estimated that it'd be about $10,000 in 2026 and $2,500 in 2027 in order to compile
• Department of Health estimated that it'd be about $10,000 in 2026 and $2,500 in 2027 in order to compile
• 2027<01:36:50.960> in<01:36:51.199> order<01:36:51.440> to<01:36:51.920> compile
• <01:36:52.639> the $2,500 in 2027 in order to compile the $2,500 in 2027 in order to compile

Keywords: 1183, house

Transcript Highlights:

• And then, you know, compiling the data and putting it out there for people to use.
• Uh, and the way it's done is that IEPs are compiled.
• Uh, and the way it's done is that IEPs are compiled.
• Uh, and the way it's done is that IEPs are compiled.
• Uh, and the way it's done is that IEPs are compiled.

Keywords: 1189, house, all

Transcript Highlights:

• You can look it up that UNH compiles every year that shows how, you know, where they operate, who operates
• <00:29:01.120> up<00:29:01.279> that<00:29:01.440> UNH<00:29:02.000> compiles
• You can look it up that UNH compiles You can look it up that UNH compiles every<00:29:02.799>

Keywords: 928, house, all

Summary: The meeting opened with roll call and approval of the prior minutes, including a requested correction to Thomas Han’s statement about a Granite State Division of the Society of American Foresters subcommittee studying the timber yield tax and current use forest land tax assessment formula. The correction was adopted, and the minutes were then approved as amended. The main agenda item was a hearing of landowners on forest taxation and carbon credits. Several scheduled speakers canceled, so the committee received a letter from Ross Karen, a Coos County landowner and forester, who opposed carbon credit sales because of “leakage” and argued that diverse local markets and productive forests are better than carbon sales. Aean Kelly of White Mountain Lumber and the Randolph Town Forest also testified, saying many Coos County landowners and forest managers have declined carbon credit offers because they do not fit New Hampshire’s working-forest tradition. He argued that carbon agreements should be treated on a level playing field with traditional harvesting and that, if they are to be encouraged, they should face a fiscal adjustment comparable to the timber tax. Kelly also gave a detailed history of the timber tax, explaining that it was created in 1948 to replace uneven local property taxation on standing timber, discourage clearcutting, and stabilize the tax base while preserving working forests. He said the tax was intended to be collected when timber is harvested, not to stop logging, and that a later commission found the 10% rate roughly matched the revenue towns lost. In response to questions, he said pre-1948 assessments varied widely by town and tax collector, and that carbon projects today are already being valued by sophisticated models, so he believes carbon should be included in the assessment system. He also said short-term carbon agreements may simply monetize existing forest value, while 100-year agreements raise enforceability concerns. No votes or other formal actions were taken beyond approving the amended minutes.

Transcript Highlights:

• They compile into larger numbers, and in order to manage that claim, the managed care organization uses
• I want to kind of quickly maybe dispel what I believe is some faulty statutory interpretation.

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• The Apaka study is for whatever future legislation we might want to compile together, but not for what
• speaking, though, you could design, put a shovel on the ground, and build out something by the time the statutory

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several guest and staff introductions. The chamber then took up returning messages from the House and acted on multiple bills, with votes recorded on each. Senate Bill 628 on transportation facility designations was concurred in as amended and passed 31-4 after discussion about naming roads for deceased individuals and an exception for President Trump. The House amendment to the Live Local affordable housing package, CS/CS/HB 1389, was also concurred in and passed 35-0; Senator Claudio explained it as the fourth iteration of the Live Local Act, including new provisions allowing certain affordable housing on qualifying religious property, extending some timelines, and removing accessory dwelling unit language. CS/CS/HB 1451 on utility services was concurred in and passed 30-6 after questions about phasing out surcharges and reporting requirements. The chamber also substituted CS/CS/HB 1279 for SB 7038 and adopted an education amendment package before passing the bill 36-1, while several other measures were temporarily postponed. The Senate then considered CS/CS/SB 484 on data centers and concurred in the House amendment 383-957, passing the bill 31-6. Senator Avila said the amendment strengthened ratepayer protections, required a PSC tariff filing, and directed an OPAGA study on large-scale data centers. Several senators pressed concerns about the removal of the Senate’s nondisclosure agreement prohibition, the possibility of delayed public awareness of data center projects, and whether costs could be shifted to other ratepayers; Avila responded that the amendment preserved local land-use authority and that ratepayer costs could not be borne by the general body of ratepayers. Debate reflected a split between senators who supported the bill as a needed regulatory framework and those who objected to the transparency changes and the loss of the Senate’s original NDA language. Later, the Senate took up land use and development regulations, substituting CS/CS/CS/HB 399 for SB 208. An amendment by Senator Jones to remove language affecting a Fontainebleau Hotel water park project in Miami Beach failed 17-20 after debate over local control and preemption. Senator McLean’s amendments then added a sunset date and other changes, and Senator Claudio’s amendment preserved Miami-Dade’s urban development boundary supermajority protections and related planning provisions. The chamber then began extended debate on Senator Martin’s amendment creating a process for property owners to challenge rural boundary designations and seek compensation or removal from the designation without going to court; supporters framed it as a property-rights and due-process measure, while opponents argued it would undermine local planning, impose costs on taxpayers, and weaken voter-approved rural boundaries in Orange and Seminole counties. The transcript ends amid that debate, with no final vote shown on the rural boundary amendment in the excerpt provided.

Transcript Highlights:

• The Apaka study is for whatever future legislation we might want to compile together, but not for what
• speaking, though, you could design, put a shovel on the ground, and build out something by the time the statutory

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several member introductions of guests and staff. The chamber then took up returning messages from the House and acted on several bills, including transportation facility designations (SB 628), affordable housing/Live Local Act changes (HB 1389), utility services (HB 1451), education (HB 1279 substituted for SB 7038), data centers (SB 484), and land use/development regulations (SB 208/HB 399). Several other measures were temporarily postponed, including education, emergency services, and environmental rule ratification bills. On SB 628, the Senate concurred in the House amendment and passed the bill 31-4. On the affordable housing bill, senators discussed the fourth iteration of the Live Local Act, including a new provision allowing certain affordable housing on religious institution property, removal of accessory dwelling unit language, and changes to tax exemption and expiration provisions; the Senate concurred in the House amendment and passed the bill 35-0. On the utility services bill, the House amendment shortened the surcharge phase-out timeline and advanced reporting dates; the Senate concurred and passed the bill 30-6. The education package was substituted with the House companion, amended to include agreed-upon provisions on student health and safety, early learning, math, virtual instruction, career and technical education, school choice, accountability, tuition protections, and financial aid, and passed 36-1. The data centers bill drew extensive debate over transparency and ratepayer protections. Senators questioned the removal of the Senate’s nondisclosure agreement prohibition, the 12-month confidentiality period, and whether costs could be shifted to residential and commercial customers. Supporters said the amendment strengthened ratepayer protections and maintained local land-use authority, while critics objected to the loss of transparency and the possibility of local NDAs. After debate, the Senate concurred in the House amendment and passed the bill 31-6. The land use and development bill generated the most contentious discussion. Amendments addressed a Fontainebleau/Miami Beach resort water park issue, a sunset provision, and a major rural boundary/property rights proposal affecting counties such as Orange and Seminole. Senators debated whether the rural boundary language protected property rights or undermined local planning and environmental safeguards, with concerns raised about takings, county liability, and the use of an Attorney General opinion. The transcript cuts off during extended debate on that amendment, so no final vote on the land use bill is shown in the excerpt.

Transcript Highlights:

• Most states are just compiling everything into a single report.
• Is finding some statutory language that would essentially say for certain water projects, which we have

Transcript Highlights:

• The Washington, Oregon staff have compiled all the responses for the September surveys and determine
• The Washington, Oregon staff have compiled all the responses for the September surveys and determine
• The staff compiled all the responses for the September surveys and determined the next meeting.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• The chart next to me was compiled by George Washington University.
• The chart next to me was compiled<08:44:21.600> by<08:44:21.760> George<08:44:22.080>
• > Washington compiled by George Washington compiled by George Washington University.<08:44:24.160
• And when this chart was compiled about a year ago, a little more, it was nearly 200,000 pages.
• Last time it was compiled, it was around 60,000 pages.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 7, 2025, 1012, house, all

Transcript Highlights:

• This data will be shared with the Department of Health Care Access and Information, HCAI, to be compiled
• unnecessary intervention. ...with the Department of Health Care Access and Information, HCAI, to be compiled

Keywords: 988, house, all

Summary: The Assembly Business and Professions Committee heard several Senate bills focused on workforce training, public safety, health, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand and modernize private security guard training, especially de-escalation training, and drew strong support from security workers and labor groups who described dangerous encounters and inadequate preparation. Opponents, including security firms and business groups, argued the bill would impose major costs, create staffing shortages, and push employers toward unregulated alternatives. The committee ultimately voted to pass the bill to Labor and Employment, with some members noting support contingent on future amendments about training capacity. SB 936 by Senator Blakespear would restrict retail sales of larger nitrous oxide canisters while preserving legitimate medical, culinary, and automotive uses. Supporters, including Orange County Supervisor Katrina Foley, counties, public health groups, waste agencies, and law enforcement organizations, said misuse of nitrous oxide is causing addiction, impaired driving, neurological harm, and disposal hazards. There was no organized opposition on the record, and the committee passed the bill to Public Safety. SB 1271 by Senator Reyes would require the Medical Board to collect data on licensed midwives’ capacity to serve as preceptors and train new students, with the information reported to the Legislature. Supporters said California’s midwifery pipeline is strained, especially in rural and birth-desert areas, and that more data is needed to expand training access. The committee passed the bill to Health. SB 903 by Senator Padilla would prohibit AI chatbots from being advertised or used as therapists without appropriate licensed-professional oversight and informed consent, and would reinforce confidentiality and patient-protection rules. Testimony centered on the death of a teenager after extensive interactions with an AI chatbot, with supporters urging stronger guardrails and opponents asking for amendments; the committee passed the bill to Privacy and Consumer Protection. The consent calendar item, SB 1165 by Senator Caballero, was also approved and sent to Revenue and Taxation.

Transcript Highlights:

• This data will be shared with the Department of Health Care Access and Information, H-Kai, to be compiled
• Thank you. with the Department of Health Care Access and Information, H-Kai, to be compiled in a report

Summary: The Assembly Business and Professions Committee heard several Senate bills, with most of the discussion focused on worker training, public safety, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand training and de-escalation requirements for private security officers. Supporters, including security workers and labor groups, said the bill would better prepare officers who often respond first to mental health crises and violent incidents. Opponents, including security industry representatives and business groups, argued it would impose major costs, create training bottlenecks, and could reduce licensed security coverage. The committee ultimately voted the bill out on a due pass recommendation to Labor and Employment, with some members noting future amendments to address training capacity and employer-provided training. The committee also approved SB 936 by Senator Blakespear, which would restrict retail sales of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Support came from county officials, public health groups, waste management organizations, law enforcement, and local governments, who described rising misuse, impaired driving, and recycling hazards. No opposition testimony was presented, and the bill passed to Public Safety. SB 1271 by Senator Reyes, aimed at strengthening California’s midwifery training pipeline by requiring data collection on licensed midwife preceptor capacity, also passed unanimously to Health. Supporters said the bill would help address shortages in rural birth care and improve access to training for aspiring midwives. SB 903 by Senator Padilla, which would place guardrails on the use of AI in mental health and psychotherapy settings and prohibit AI from being marketed as a therapist, drew emotional testimony from a mother whose son died by suicide after extensive chatbot interactions. Health and behavioral health groups supported the measure, while several industry and health organizations were opposed unless amended; the committee nevertheless sent it to Privacy and Consumer Protection on a unanimous vote. The committee also approved SB 1165 on consent and then adjourned.

Transcript Highlights:

• In addition, it has the statistic about our completion rate, which is a compilation of the enrolled headcount
• What you are currently seeing on the screen is a compilation of academic and personal milestones.

Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.

Transcript Highlights:

• Our expectation is that, with timely reports being returned, they are compiled as they come in.
• Our expectation is that, with timely reports being returned, they are compiled as they come in.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• federal judge get quite so mad at the Attorney General's office and order that those records be compiled
• Hey, this packet has been in the works for several years, and we compiled this this morning on our office

Bills: SB1037, SB1040, SB1259, SB1281

Keywords: elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs

Summary: The Committee on Federal and Military Affairs and Elections heard a lengthy presentation on an investigative referral concerning alleged voter registration anomalies in Arizona from March 2023 onward. The chair described examples involving out-of-state residents, deceased registrants, military voters, duplicate or mismatched registrations, and registrations tied to Service Arizona, ACCESS, third-party vendors, and NGOs. Members also discussed alleged mismatches between county recorder data and Secretary of State reports, possible issues with automatic voter registration, and concerns about public records compliance. At the end of the presentation, members were asked whether they wanted to sign onto a criminal referral to the Department of Homeland Security and the Department of Justice; several declined, while others agreed, and the committee proceeded after correcting a signature-block issue. The committee then considered Senate Bill 1259, which would allow certain protected individuals to use an alternate mailing address and attest to their residential address on candidate and financial disclosure filings. After questions about residency verification and confidentiality, the bill received a do pass recommendation by a 6-1 vote. Senate Bill 1281, dealing with state land department procedures for covered federal designations and notification of land takings, was heard next; after opposition testimony from the Sierra Club Grand Canyon Chapter, it passed 4-3. Senate Bill 1037, concerning election equipment security and internet connectivity, drew substantial debate. A Marquez strike-everything amendment that would have shifted the bill toward voting centers, ERIC participation, early voting changes, and election funding failed on a 4-3 vote. The underlying bill then failed to receive a do pass recommendation on a 3-3-1 vote. Finally, Senate Bill 1040, which would make voter registration rolls publicly accessible online and downloadable, passed 4-3 after questions about what information would remain redacted and concerns about public access to voter data.