Transcript Highlights:

• So I guess in that process of, like, oh, it's switching hands, make sure that the family is updated in

Committee: Joint Tribal and State Relations Committee

Keywords: 908, all

Transcript Highlights:

• So I guess in that process of, like, oh, it's switching hands, make sure that the family is updated in

Summary: The Tribal and State Relations Committee met at Standing Rock with tribal council members, state legislators, and agency representatives to discuss state-tribal coordination and local priorities. Early discussion focused on process concerns, including the short agenda time and the need for better communication, more advance notice, and more relevant state department staff at future meetings. Tribal leaders asked for lists of state tribal liaisons and bills affecting tribes, and state members said they would follow up, share grant and deadline information, and plan another meeting in Bismarck with program experts and agency staff. A major portion of the meeting centered on health, child welfare, law enforcement, housing, infrastructure, and sovereignty issues. Tribal speakers said rural health transformation funding and other state programs often do not fit direct-service tribes or IHS-funded systems, and they raised concerns about Medicaid, ICWA, foster care delays, human service zones, housing shortages, and the placement of Native children off-reservation. They also discussed missing and murdered Indigenous people, search-and-rescue cooperation, cross-deputization, extradition and banishment ordinances, and the need for stronger law enforcement partnerships that respect tribal sovereignty. Other concerns included poor roads, water and sewer needs in Sioux County communities, census accuracy, and the impact of data centers and other development on water and health. Economic development and regulatory issues were also discussed. Standing Rock representatives raised concerns about charitable gaming and e-pull tabs, saying the machines function like Class III gaming and have harmed tribal revenue while spreading into local businesses. They also described problems with county-issued fireworks permits and state/county liquor licensing rules that they said undermine tribal authority within reservation boundaries. In response, legislators said the committee would continue to look at these issues, and one member suggested possible legislation such as limiting e-tabs near tribal lands. The committee also heard from Joseph McNeil of Sage Development Authority about a 235-megawatt wind project on tribal, allotted, and fee land; he said federal permitting delays have stalled the project and asked for state support to help move it forward. The meeting concluded with a presentation from Dave Archambo of Wojou, a nonprofit focused on land regeneration, buffalo, food sovereignty, cultural programming, and youth wellness. He described the organization’s work on buffalo processing, gardening, fishing, hunting, language, and arts programs, and framed it as a response to historical trauma and community healing. The committee then broke for lunch and planned to resume with the Wojou presentation after the recess.

Transcript Highlights:

• And that's because we're switching them from managed care to fee for service?

Summary: The Senate Committee on Budget and Fiscal Review heard the 2026-27 budget package, including AB 111 and AB 112 plus 16 trailer bills and two policy bills. Chair Laird described the budget as balanced over two fiscal years, with about $351.7 billion in total spending, $251.5 billion General Fund, and record reserves, while emphasizing investments in child care, homelessness, housing, Medi-Cal, education, courts, and other core programs. The Department of Finance presented each bill, outlining major items such as Medi-Cal adjustments tied to federal H.R. 1, child care and early learning funding, education and higher education investments, human services, developmental services, health, skilled nursing, resources, energy, transportation, housing, labor, state government, courts, taxation, and two policy bills on education governance and ballot measure placement. The LAO said it had no additional comments but was available for questions. The committee later achieved quorum and moved to member questions and comments, with no votes taken in the portion provided. Members largely focused on the budget’s fiscal structure and policy implications. Several senators praised staff and noted the compressed timeline, while Vice Chair Niello criticized the process as overly complex and burdensome. Senator Smallwood-Cuevas supported the budget but raised concerns about Medi-Cal changes for people with unsatisfactory immigration status, asking about access to care, the number affected, and county eligibility support; Finance said about two million people would transition to fee-for-service and that $39 million was included for care coordination, along with additional county eligibility funding. Senator Durazo said the agreement delayed, but did not resolve, cuts to immigrant health coverage, dental, and clinic payments, and argued that the budget did not create a true restoration mechanism. Senator Richardson highlighted hospital funding, public hospital definitions, DMV data protections, and court construction and maintenance needs, while Senator Grove questioned the sustainability of spending, the Medi-Cal savings assumptions, distressed hospital funding, Planned Parenthood transparency, developmental services changes, high-speed rail costs, and the property tax postponement program. Other members emphasized different priorities. Senator Blake Spear praised climate and parks investments, support for HAP homelessness funding with accountability, transit stabilization, and Care Court referral funding, while expressing concern about the lack of wildlife coexistence funding and long-term transit operating support. Senator Weber Pearson raised a technical concern in the health trailer bill regarding menopause language, arguing that the bill should refer to perimenopausal symptoms and should not narrow provider participation through contracting language. Throughout the hearing, Finance repeatedly explained that many of the budget’s savings came from reduced caseloads or delayed implementation of prior proposals, while some new spending was added to mitigate impacts and support administration of the changes. No final committee action or vote was shown in the excerpt.

Transcript Highlights:

• And that's because we're switching them from managed care to fee for service?

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all

Transcript Highlights:

• Those peer coaches, they are the switch that helps change ideas around it, certainly.

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• Then I became an employee and also switched to being the board treasurer.

Summary: The hearing opened in a Washington State Office of Administrative Hearings matter involving Legislative Ethics Board complaint 2025-5 against Representative Tara Simmons. The ALJ outlined the process, the issues on appeal, and the burden of proof, which centered on whether Simmons violated the Ethics Act by using her legislative position for others’ benefit and by holding outside employment that conflicted with her duties, and what sanction would be appropriate. Several exhibits were admitted by stipulation or without objection, while Exhibit 2 was initially held for later ruling but was ultimately admitted after testimony from the witness who prepared it. The board also granted a motion to sequester witnesses and took under advisement a motion to exclude three defense witnesses until after the staff case-in-chief. In opening statements, board staff alleged Simmons violated RCW 42.52.020 and RCW 42.52.070 by sponsoring a proviso that benefited her outside employer, Equity and Education Coalition (EEC), by using campaign surplus funds to help hire a friend, by intervening in a dispute over the proviso-funded work, and by sending text messages to influence others. Staff said it would seek penalties of up to $5,000 per violation plus costs. Defense counsel argued the allegations were technical ethics issues, denied Simmons profited personally, and contended the proviso funding her employer was permitted under prior board guidance; counsel also argued the campaign donation and later contract dispute were lawful and context-dependent. The first witness, Kimberly Gordon of American Equity and Justice Group (AEJG), testified that AEJG received state proviso funding and donations from Simmons, including $10,000 and later $40,000, which Gordon said were intended to fund the hiring of Antoine Coleman, Simmons’s romantic partner. Gordon said AEJG returned the donations and terminated Coleman after learning of the relationship and potential conflict of interest. She also testified about a later 2024 proviso involving EEC, a subcontract between AEJG and EEC, and a dispute over EEC’s performance under that subcontract. Gordon said AEJG raised concerns with the Administrative Office of the Courts, met with contract manager Chris Stanley, and ultimately rewrote the subcontract after Stanley, allegedly after speaking with Simmons, directed them to do so. The hearing then recessed for lunch, and cross-examination of Gordon was set to continue afterward.

Transcript Highlights:

• But awareness without capacity is a dangerous bait and switch.

Keywords: 988, house, all

Transcript Highlights:

• But awareness without capacity is a dangerous bait and switch.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• So when this switches over to an adult account, the pedophiles, the sex extortionists, the child traffickers

Keywords: 1183, house

Transcript Highlights:

• If you want to switch places, I believe it's Ms. Hicks, has a card and support and wishes to speak.

Committee: House Administration of Criminal Justice

Summary: The committee first deferred HB 374 without objection. It then heard SB 46, which creates the crime of unlawful operation of a group home aimed at protecting vulnerable adults living in unsafe, unlicensed residences where operators control residents’ assets. The Attorney General’s office described severe neglect and exploitation in some homes, while the Louisiana Fair Housing Action Center opposed the bill over concerns it could create confusion, criminalize legitimate recovery or disability housing, and chill protected housing arrangements. After discussion, including assurances that the bill was narrowly targeted at bad actors, the committee reported SB 46 favorably. The committee next took up HB 276, which sets a statewide minimum bail amount for certain sexual offenses against minors. Testimony from a victim’s mother and an anti-trafficking expert supported the bill as a way to keep dangerous offenders detained and protect children, while members debated whether the original $50,000 minimum was too low and could be treated as a benchmark. The committee amended the bill in committee to raise the minimum to $1 million and to add human trafficking involving a victim under 18 to the covered offenses, then reported HB 276 favorably as amended. Members then heard SB 42 and SB 110, both addressing AI-generated child sexual abuse material. SB 42 expands the definition of child sexual abuse material to include digital and AI-generated depictions, while SB 110 prohibits using a child’s image to train AI to produce such material. The Attorney General’s office and survivor advocates supported the measures as necessary updates to keep pace with technology and protect children; the committee reported both bills favorably. HB 998, dealing with forensic medical exams and reimbursement for domestic violence victims, especially strangulation cases, was also heard and amended to remove human trafficking references and set implementation steps; advocates said the bill would improve evidence collection and reimbursement, and it was reported favorably with amendments. Finally, the committee heard SB 51 on fraudulent representation of military service or awards, which was supported as a tool to address stolen valor and was reported favorably, and HB 323 on notification and reporting of inmate deaths, which was presented as a transparency measure after a family testified about learning of a relative’s death from the news rather than the facility.

Transcript Highlights:

• Can you speak to the impact of switching that definition from a clinical medical definition to a legislative

Committee: House Administration of Criminal Justice

Summary: The committee first handled several housekeeping items, voluntarily deferring HB 123, HB 255, and HB 994 without objection. It then took up SCR 3 by Senator Brock Myers, which would delay and revise implementation of a state police rule affecting criminal history background checks for licensed ambulance personnel and certain health care workers. After adopting Amendment Set 434 to remove a provision involving parish and local law enforcement checks, the committee reported SCR 3 as amended favorably. The committee also heard HB 978 by Rep. Lecombe, which as amended raises the population threshold for municipalities required to remit certain special costs to the District Indigent Defender Fund from under 5,000 to under 9,000; with support from the town of Addis and related stakeholders, the bill was reported favorably as amended. The committee then considered HB 967 by Rep. Moore, which sought to remove language limiting parole eligibility for certain pre-July 2, 1973 life-sentenced offenders to those who had pleaded guilty, thereby allowing a small group of elderly inmates convicted at trial to seek parole consideration. Supporters argued the bill would only create an opportunity for review, not release, and cited rehabilitation and fairness concerns; opponents, including district attorneys and corrections officials, argued the 2022 law already addressed the intended group and that the current bill would reopen cases involving serious violent crimes. After extended debate, the motion to report HB 967 favorably failed on an 8-3 vote. Finally, the committee took up HB 1107 by Rep. Melerine, a bill on determining intellectual disability in capital cases. The bill, as amended, raised the burden of proof to clear and convincing evidence, set an IQ threshold framework, required expert reports and Daubert-type reliability review, and limited the article to post-conviction capital cases. The Attorney General’s office and district attorneys supported the bill as a way to create clearer procedures and speed resolution of Atkins claims, while criminal defense lawyers, disability advocates, clergy, and medical experts opposed it as inconsistent with current clinical standards and potentially unconstitutional, warning that rigid IQ cutoffs and presumptions could wrongly expose people with intellectual disabilities to execution. The transcript ends during closing remarks on HB 1107, with no final committee vote shown.

Transcript Highlights:

• Before that, they banned incentives to switch to mail-order programs.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• Before that, they banned incentives to switch to mail-order programs.

Bills: HB62 , HB124 , HB182 , HB193 , HB198 , HB203 , HB223 , HB237 , HB469 , HB486 , HB574 , HB779 , HB796 , HB919 , SCR2 , SB4 , SB36 , SB38 , SB109 , SB152 , SB168 , SB195 , SB216 , SB221 , SB236 , SB404

Committee: House Health and Welfare

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Transcript Highlights:

• Now we switch over to funding by self-generated revenues.

Committee: House Appropriations

Summary: The committee met on March 17 to review the FY27 budgets for the Department of Education and several special schools and commissions. Fiscal staff outlined the Department of Education’s roughly $6.4 billion budget, noting that most funding goes to the Minimum Foundation Program and subgrantee assistance. Major changes discussed included the removal of one-time teacher pay stipends, increases for the LA GATOR scholarship program, and projected adjustments in early childhood funding. Members also reviewed the constitutional amendment proposal tied to using about $2 billion to pay down teacher retirement obligations and provide future teacher pay raises. Dr. Cade Brumley testified that Louisiana’s education outcomes have improved and answered questions on math performance, charter school funding, the LA GATOR scholarship, and the special education Choice program. Members pressed the department on the sustainability and balance of funding between LA GATOR and Choice, the number of applicants and current recipients, and outreach efforts. Brumley said charter schools are funded through the MFP like other public schools, that LA GATOR currently serves about 5,500 students with applications recently reaching about 17,000, and that the Choice program serves about 500 students with a waiting list of about 700 applicants. He also said the department would implement whatever funding levels the legislature approves. The committee then heard the special schools and commissions budget, including the Special School District, Louisiana School for Math, Science, and the Arts, Thrive Academy, École Pointe-au-Chien, Louisiana Public Broadcasting, and BESE. Testimony focused on facility needs, enrollment, and program outcomes. LSU? No—LSM leaders described urgent roof and ceiling repairs estimated at about $800,000, while Thrive Academy highlighted student achievement, community service requirements, and economic impact. LPB said it is facing a federal funding loss of about $2.5 million and is responding with higher Passport fees, underwriting, and private fundraising. BESE’s small staff and administrative role were also explained, with members asking about board operations and the use of statutory dedication funds.

Transcript Highlights:

• So when we talk about level A or level one, I like to use numbers, so I'm going to switch to numbers.

Keywords: 908, all

Summary: The committee met to discuss special education funding and retention, beginning with approval of the prior meeting minutes and then hearing a presentation from North Dakota United on a statewide special education survey and retention rubric. Presenters described how the rubric and survey were developed from special educator input around four domains: paperwork and due process support, workload, student and staff safety, and paraprofessional management. They reported high levels of stress and burnout, including increased workload, difficulty taking prep and lunch time, concerns about mental health, and widespread difficulty filling special education positions. Committee members questioned the survey’s lack of a general-education comparison group, the interpretation of terms like “rarely” and “sometimes,” and whether results could be broken down further by district size, unit, or disability area. The survey results showed the weakest area was workload, with respondents reporting caseloads increasing without corresponding adjustments, little additional support or compensation when workloads rise, and few negotiated-agreement protections. Paperwork and due process also scored poorly, with many teachers saying they rarely receive dedicated time during the duty day, often work outside contract hours without compensation, and take work home on evenings and weekends. Student and staff safety scored somewhat better but still showed gaps in crisis follow-up, notification about violent behavior, protective gear, and leave options after incidents. Paraprofessional management also drew concern, especially low pay, insufficient staffing, limited administrative support, and the burden placed on teachers to supervise and train paras. Several teachers then testified directly about the practical impact of these issues. One special education teacher described the job as combining instruction, legal compliance, and paraprofessional supervision, often requiring work beyond contracted hours and contributing to burnout and turnover. Another testified that special education case managers are effectively doing three full-time jobs and that the paperwork and caseload demands are a major reason people avoid or leave the field. Committee members discussed whether the problems are primarily local or state-level, whether more funding would solve them, and whether changes to the funding formula or weighting for high-cost students might be needed. No formal vote or action was taken beyond a recess and return to order for the next presentation, which continued the discussion of possible special education study objectives and potential policy directions.

Transcript Highlights:

• We've had less than 1% of our members who change to a biosimilar from a biologic that have switched back

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• We have someone on Zoom that we'd like to switch to and then in person, or should we do the in-person

Bills: SB41 , SB153 , SB165 , SB261 , SB264

Committee: Senate Senate Judiciary

Keywords: sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, procurement, contracting, small business, local government, disaster recovery, emergency procurement, certification, public spending, juvenile justice, delinquency, rehabilitation, community corrections, risk assessment, public safety, health regulations

Transcript Highlights:

• We have someone on Zoom that we'd like to switch to and then in person, or should we do the in person

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: Senate House Judiciary

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

Summary: The committee first took up a lengthy informational presentation on the Patient Compensation Fund (PCF) and New Mexico medical malpractice insurance. Teresa Hassey, a plaintiffs’ attorney, described the PCF’s origin in the 1976 Medical Malpractice Act, its role as a state-backed excess coverage system, and her view that it was mismanaged when hospital participation expanded without individualized risk assessments. She argued that hospitals underpaid surcharges, that the fund was depleted by claims, and that the 2021 amendments and later legislative infusions were meant to shore up deficits and phase hospitals out. Superintendent of Insurance Alice Kane and LFC analyst Julia Rodriguez presented a different perspective, emphasizing recent general fund infusions, current surcharge collections, the use of actuarial reviews, and the PCF’s budget and settlement activity. Kane said the market is highly concentrated, New Mexico’s malpractice costs and defense expenses are high, and the fund still provides lower-cost coverage than the open market, while also noting ongoing issues with future medical claims, TPA transition, and investment management. Committee members questioned the presenters at length about why New Mexico malpractice premiums are so high, whether defense costs were being conflated with claim payouts, how the PCF works with primary coverage and excess coverage, and whether hospitals were properly assessed when they entered the fund. Several senators raised concerns about punitive damages, corporate practice of medicine, and whether the state’s legal environment is driving doctors away. Others challenged the data comparisons, noting differences between one-year figures and multi-year averages, and asked why New Mexico’s costs remain far above neighboring states. Kane and Hassey disagreed on the causes, with Kane pointing to high claims and defense costs over time and Hassey arguing that hospital participation and punitive-damage exposure distorted the market. The chair concluded the discussion by saying the committee had not exhausted the topic and that he still wanted a clear path to reducing doctors’ insurance costs. After a break, the committee moved on to Senate Bill 41. Senator Charlie introduced the bill, which would eliminate the statute of limitations for the most serious sexual crimes in New Mexico. He argued that trauma, coercion, fear, and delayed disclosure often prevent survivors from reporting promptly, and said the law should reflect that reality. The bill was presented as a response to survivor testimony heard in a prior hearing, and the sponsor framed it as part of a broader effort to modernize the justice system for sexual violence cases.

Transcript Highlights:

• So on the radio side of the house, you would have routers and switches.

Keywords: Call to Order and Roll Call- 00:00:23 Approve Minutes from January 15, 2026- 00:01:03 Kentucky State Police Update on SERVS- 00:01:47 Adjournment- 00:54:18, 958, all

Summary: The committee received an update from Kentucky State Police on the SERVE radio system project, with David Barker and consultant Brandon Marshall explaining progress across multiple phases. They reported that Mayfield PD fire/EMS and Graves County Sheriff are fully operational on the system, Phase 2 is 77% complete with 48 existing sites finished and 13 new sites pending acquisition, and Phase 3A remains funded but not yet complete. They also said router upgrades are complete, radio dispatch positions and mobile/portable rollout are complete, and microwave replacement is nearly finished, with one remaining site delayed by weather. A major part of the discussion focused on why the project has taken so long and why equipment is being purchased before some sites are built. KSP said the project began as a radio system upgrade but expanded as they discovered additional infrastructure needs, including routers and microwave links that were not in the original scope. They explained that equipment must be purchased in advance to match versions and preserve warranty coverage, and that older existing tower sites are being refurbished rather than replaced to make use of existing public-safety infrastructure. They also said all expenditures are tracked in inventory and accounting records and that the project remains transparent. Members pressed for a master plan and timeline, with Representative Smith arguing the project needs clearer structure and fewer layers of decision-making. KSP acknowledged the need for a timeline, said they had plans but not a full timeline earlier, and stated that if the remaining funding is approved they expect to complete the remaining existing sites and 25 new sites by June 30, 2027. They said 56 new-build sites remain, identified as the yellow-dot sites on the maps, and that some sites may be able to use existing Demar/National Guard tower locations. The committee did not take a vote on the project during this portion of the meeting.

Transcript Highlights:

• Switching gears totally, uh, procedurally.

Keywords: Meeting start 00:00:09 Roll call 00:00:24 Election of Co-Chairs 00:01:11 Office of Education Accountability Annual Report 00:04:41 Office of Education Accountability District Data Profiles, School Year 2024 00:23:50 Update from the Education Professional Standards Board 00:58:19 Adjournment 01:08:00, 958, all

Summary: The subcommittee opened its first meeting with roll call and procedural business, including elections of co-chairs. The House elected Representative Truett as House co-chair, and the Senate elected Senator Denine as Senate co-chair. After the organizational votes, the committee heard the Office of Educational Accountability’s annual report, beginning with Brian Jones and Deborah Nelson describing OEA’s investigations and research divisions and recent staffing turnover. On the investigations side, OEA said it handled complaints only when submitted in writing and generally opened cases only when it had enough facts to evaluate. Jones reported complaint volume declined from 805 in 2023 to 738 in 2024, with 325 in the first half of the current year. He outlined the kinds of matters OEA investigates, including school-based council issues, open meetings, board eligibility, nepotism, conflicts of interest, certification, activity funds, and surplus property, while noting that routine personnel matters, bullying, child interviews, and cases tied to litigation are generally handled locally or referred elsewhere. He also said OEA refers special education, assessment/testing, discrimination, and serious misconduct matters to the appropriate agencies, and that he did not see a need for statutory changes to improve OEA’s work, though he said cases should move more quickly. The research division presentation focused on OEA’s district data profiles and annual research agenda. Nelson explained that OEA reviews KDE-reported data and underlying datasets to verify accuracy, analyze trends, and produce reports for the General Assembly. She highlighted 2024 publications on district governance models and student achievement, and said this year’s agenda includes district data profiles, student discipline analysis, and a review of early childhood regional training centers. She also noted OEA received an NCSL notable document award for its 2023 staffing shortages report, its 10th such award. Sabrina Smith then walked through the district data profiles, which compile demographic, staffing, finance, and performance data for all 171 districts, plus statewide and comparative data. She noted changes in the report format, the continued availability of an online interactive version, and several trends: adjusted average daily attendance declined statewide from 2015 to 2024; the counselor-to-student ratio has improved but has not yet reached the statutory goal of one counselor per 250 students; the share of teachers moving from rank three to rank two has declined; special education identification has risen from 13% to 16%; and starting teacher salaries vary widely by district, with Kentucky’s average starting salary around $40,000 ranking near the bottom compared with surrounding states and the nation. Members asked about the history of the research division and whether the paper copies of the district profiles would continue, and staff said the printed versions would continue unless legislators asked otherwise.