Transcript Highlights:

• I'm interested in Our bill created a temporary permit for five years, and so I'm interested in evaluating
• The board still evaluates potential impacts to water rights holders, fish and wildlife, water quality
• And so in terms of performance metrics of trying to, again, I think...”
• That's one of the things that you have to evaluate when you're trying to... ...a challenging task.
• That's one of the things that you have to evaluate when you're trying to...

Keywords: 988, house, all

Transcript Highlights:

• Lastly, implement a performance monitoring program using key performance indicators, or KPIs, to help
• quickly local capacity can be built, and how performance is being measured.
• But the cost shares that... and ongoing performance monitoring.
• We did a program evaluation, and we've had really good response.
• We've performed those. We've performed one in 2018.

Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.

Transcript Highlights:

• Coita's strong performance put them in the They did it in record-breaking fashion.
• in the incentive evaluation, so I would certainly look at that.
• So you're saying if money is spent, only then would it be evaluated by the Incentive Evaluation Commission
• My question was just an evaluation of the use of the money.
• Once the money is utilized, then it should be evaluated as to the ROI.

Bills: SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship

Summary: The House convened, completed the roll call, and heard an invocation, a Veteran of the Week recognition for Colonel William S. Hartzell, and several guest introductions and special presentations, including the Coeta Tigers wrestling team, the Murray State College shotgun team, and visitors from Taiwan. The chamber also recognized the Psychologist of the Day, Nurse of the Day, Doctor of the Day, and Pages of the Week, along with committee meeting announcements and a motion to adjourn at the end of business. Members then considered and passed a series of bills. Senate Bill 1290 on 211 services passed 82-0 and its emergency clause also passed. Senate Bill 1530 on state government and innovation/research funding passed 58-27. Senate Bill 1847 on Medicaid home and community-based services passed 78-10 with its emergency clause. Senate Bill 169 increasing longevity pay for state employees passed 85-4 with emergency. Senate Bill 1377 requiring DHS to provide duffel bags and hygiene items for foster children passed 88-4 with emergency. Senate Bill 1990 on the Incentive Evaluation Commission passed 88-4. Senate Bill 1991, a cleanup measure redirecting certain lease and land-sale revenues to O-CAMP, passed and its emergency clause also passed. The House also adopted H.R. 1050 reaffirming Oklahoma’s sister-state relationship with Taiwan, followed by remarks from Taiwanese officials. Senate Bill 1778, the Strong Readers Act, passed 87-5 with emergency after discussion about reading screeners, funding tiers, and an optional second-grade assessment. Senate Bill 1579, described as a taxpayer bill of rights related to ad valorem tax, drew extended debate over property taxes and state savings before passing 85-0. Senate Bill 1992, defining strategic financial partners for an income tax credit, passed 65-24. The House then moved to adjourn until Tuesday, April 14, 2026, at 9:30 a.m.

Transcript Highlights:

• be constantly evaluating our forward-leaning services.
• We should constantly be evaluating our customer service points.
• So you envision this new DOGE to perform oversight of local government.
• Doge to perform oversight of local government. Who performs that function currently?
• I think we need to have multiple people and multiple skill sets evaluating this.

Summary: The committee heard and approved several measures. HB 735 expanded Florida’s boating improvement program to fund parking for boat trailers at public ramps and offered a 10% sovereign submerged land lease discount for manufacturers using environmental best management practices; it passed unanimously. HB 4021 expanded the North River Ranch Improvement Stewardship District in Manatee County by 640 acres and was reported favorably. CS for HB 371, which promotes nature-based methods and green/gray infrastructure for coastal resilience, also passed unanimously after supportive testimony from resilience and environmental groups and committee members. The committee then took up HJR 1325, a proposed constitutional amendment to create an elected Commissioner of Government Efficiency (COGE) with authority to audit, investigate, and report on waste, fraud, and abuse in state and local government. The proposal would eliminate the lieutenant governor position, the Government Efficiency Task Force, and the legislature’s current auditor appointment, with many implementation details deferred to a future bill. Members debated the scope of the new office, its relationship to the Auditor General and inspectors general, whether it should cover the legislative and judicial branches, staffing, and the comparison to federal DOGE efforts. An amendment making a minor wording change was adopted, and the resolution passed 23-? with a favorable report after a split vote. The committee also approved two Gulf of America bills. HB 575 redesignated the Gulf of Mexico as the Gulf of America, and CS for HB 549 required Florida’s academic standards and newly adopted instructional materials to reflect the federal designation for materials acquired on or after July 1, 2025. Both measures drew criticism from members who argued the renaming was politically motivated, historically insensitive, and potentially confusing for students, while supporters said Florida should align with federal action. HB 575 passed and CS for HB 549 passed 18-7. Finally, HB 4071, a local bill adjusting the boundary between Coral Springs and Parkland in Broward County by about 8.7 acres, was amended and reported favorably with support from both cities and the Broward delegation.

Transcript Highlights:

• How often are we evaluating that trend if it's going down? Deputy Director.
• Regional center performance: we now have a base regional center contract, we have a regional center performance
• contract, and we have regional center performance measures.
• A performance measure without enforcement is just paperwork.
• Not to benefit the department needing more time to evaluate.

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• The audit also found that the board's executive director did not evaluate whether the established performance
• We're currently evaluating our performance metrics, performance incentive pay metrics, to make sure that
• We're currently evaluating our performance metrics, performance incentive pay metrics, to make sure that
• It might be Forest that has a performance incentive pay.
• , then you are rewarding within how people are performing rather than just saying it's pay for performance

Summary: The committee met as a Joint Health and Human Services Committee of Reference to hear sunset reviews and performance audit findings for several health-related boards. The first action taken was on the Arizona State Board of Pharmacy. The Auditor General reported that while the board met some licensing deadlines, it had significant problems enforcing controlled substances prescription monitoring program (CSPMP) requirements, timely investigating complaints, and documenting fee analyses and other compliance items. The board director said the agency had implemented some recommendations, was seeking legislative help on CSPMP enforcement and data issues, and described staffing and vendor challenges. A public member testified that the board was generally efficient but that statutory gaps limited its effectiveness. The committee then voted 13-0, with six not voting, to continue the Board of Pharmacy for six years until July 1, 2032, with statutory changes to improve its operations. The committee next reviewed the Arizona State Board of Nursing. The Auditor General found the board timely processed licenses but continued to resolve too many complaints late, with a large and growing backlog of open cases, and identified additional issues in oversight, accounting, public records, and conflict-of-interest practices. The executive director said the board had been under-resourced as nursing volume and complaints increased, requested 28 additional investigative positions, and described efforts to triage cases and improve tracking. The Arizona Nurses Association supported the board’s role and said it was working on a bill, House Bill 2408, to improve accountability, prioritization, and fairness in the disciplinary process. A nurse attorney testified that changes to complaint notice, the scope of investigations, and triage could shorten delays. The committee approved continuation of the Board of Nursing for four years until July 1, 2030, by a 14-0 vote with five not voting. The committee then heard the sunset review for the Arizona Board of Occupational Therapy Examiners. The Auditor General reported that the board generally met licensing timelines but had documentation problems verifying fingerprint clearance cards or criminal history checks, and it failed to act promptly on a renewal application involving serious sex-trafficking-related charges. The board said it had accepted all recommendations, had implemented most of them, had moved to a new licensing platform, and had hired help to address rulemaking delays. Members asked about fingerprint verification and the handling of the serious criminal charges. The committee voted 16-0 to continue the board for four years until July 1, 2030, with statutory changes to improve its performance. Finally, the committee began the review of the Arizona Regulatory Board of Physician Assistants. The Auditor General found the board had met some licensing and enforcement requirements but lacked adequate executive oversight, accountability, and tracking systems, and it had very high complaint-resolution delays. The report also criticized the board’s incentive pay structure, which paid all staff based on measures unrelated to complaint timeliness. The new executive director said the board had created formal investigative timelines, improved reporting, sought additional support staff, and was updating IT and incentive metrics; she also explained that the board is a shared agency with the Medical Board. The transcript ends during this presentation, before any vote on the physician assistant board is shown.

Transcript Highlights:

• It requires state agencies to submit an accountability and evaluation plan for programs and projects
• to support any questions. ...and Program Evaluation Function, here to support any questions.
• and then report on that evaluation on the back end.
• So, Madam Chair, Representative, right now there are no specific requirements in terms of evaluation
• LFC staff asks state agencies to develop evaluation plans and we report on what is presented by state

Keywords: 996, all

Transcript Highlights:

• Last question will be, once they are selected, how you're going to oversee their performance after the
• Instead of just giving the money away, there has to be performance measurements.
• We provide multidisciplinary evaluations for the state's most vulnerable children struggling at home
• It's in jeopardy not only the child or the person being evaluated, but also the physician, because we
• APCs presently perform first-trimester...

Summary: The committee met as a subcommittee until quorum was established, then took up a series of bills on business, professions, health, cannabis, and consumer protection. AB 72, creating an electric vehicle economic opportunity zone in Riverside County, drew questions about whether the state should target one region over others, but supporters argued it would help bring EV manufacturing and related jobs to the Inland Empire. The bill passed on a 8-1 vote to Senate Labor, Public Employment and Retirement. AB 685, which would create the Small Business Resiliency and Innovation Fund to support technical assistance and capital infusion programs, drew broad support from small business networks and chambers, but some groups raised concerns that the June amendments could affect eligibility and that the funding should be clearly supplemental rather than replacing existing support. The author said discussions were ongoing, and the bill passed 10-0 to Senate Appropriations. The committee also approved AB 173, a resolution, on a 7-0 vote, and AB 1760, a Dental Practice Act cleanup bill sponsored by the Dental Board, on a 10-0 vote. AB 1637, which would limit changes to physician-authored medical records and make unauthorized alterations a misdemeanor, was supported by physicians and labor groups who said it would protect patient safety and professional accountability; it passed 10-0 to Senate Appropriations. AB 1785, allowing online sales of pseudoephedrine products with existing age and quantity safeguards, passed 10-0. AB 1973, expanding the ability of advanced practice clinicians to perform procedural abortions within their training, drew strong support from reproductive health providers and strong opposition from anti-abortion witnesses who raised safety concerns; after questions about training and oversight, it passed 7-3 to Senate Appropriations. The committee then considered AB 2025, requiring disclosure when rental listings use digitally altered or AI-staged images. Supporters said it would prevent renters from being misled, while the California Apartment Association said it was working with the author on implementation; the bill passed 8-1 to Senate Privacy, Digital Technologies and Consumer Protection. AB 2697, allowing drive-through cannabis sales with local approval and security requirements, was supported by cannabis businesses and operators as a way to improve access and compete with the illicit market, while narcotics officers opposed it over ID verification and public safety concerns; it passed 7-3 to Senate Appropriations. Finally, AB 2249, responding to a state audit on cannabis packaging attractive to children by defining prohibited imagery and creating a public rubric and pre-review process, received support from the cannabis operators association and the state auditor’s office, while small independent farmers raised concerns that some categorical bans could sweep too broadly. The transcript cuts off during that bill’s opposition testimony, and no final action on AB 2249 is shown in the excerpt.

Transcript Highlights:

• And I'm glad you mentioned performance indicators.
• performance measures say.
• performance measures say.
• The Commission evaluated a number of criteria.
• So SPEP stands for Standardized Program Evaluation Protocol.

Summary: The committee met to hear an overview of the Appropriations Committee on Criminal and Civil Justice budget area and then received performance-measure presentations from the Department of Corrections, the Commission on Offender Review, and the Department of Juvenile Justice. Staff reviewed the roughly $7.4 billion criminal justice and judiciary budget, noting major funding areas such as corrections, law enforcement, victim services, courts, and due process, along with recent investments in prison health care, security equipment, fentanyl enforcement, court staffing, and juvenile justice salaries and education programs. Secretary Dixon of the Department of Corrections described staffing and population pressures, including growth in inmate population, overtime-driven deficits, and the opening of additional housing units. He emphasized the department’s use of performance measures and highlighted reforms such as incentivized prisons, administrative management units, reentry planning, faith-based programs, and expanded education and vocational training. Members asked about teacher hiring, public defender pay parity, fentanyl funding, staffing capacity, and the role of the National Guard; Dixon said teacher vacancies had improved, public defenders had received comparable pay increases, fentanyl funding would be addressed further by FDLE, and the Guard had helped stabilize staffing. The Commission on Offender Review reported on parole, conditional release, addiction recovery supervision, and revocations, saying its recidivism/success rates had improved over a three-year measurement period. Senator Rouson pressed the commission on clemency and pardons, saying that work was omitted from the presentation and asking for backlog and case data; the commission said it did not have those figures on hand and would follow up. The committee also discussed a conditional medical release pilot study, and members questioned the report’s conclusion that no suitable elderly inmate population could be identified, asking what criteria were used and whether stakeholders were consulted. Secretary Hall of the Department of Juvenile Justice outlined the agency’s prevention-to-residential continuum and its emphasis on education, data-driven decision-making, and evidence-based programming. He said salary increases had reduced vacancies, juvenile arrests and residential commitments had fallen sharply over time, and tools such as civil citations, risk assessments, and quality-improvement reviews were being used to guide placements and services. Hall also described the department’s use of dashboards, monthly data check-ins, and the dispositional matrix to improve outcomes and reduce recidivism.

Transcript Highlights:

• The audit also found that the board's executive director did not evaluate whether the established performance
• We're currently evaluating our performance metrics, performance incentive pay metrics, to make sure that
• So in regard to performance and pensions, All right. Perfect.
• It might be Forest that has a performance incentive pay.
• As far as compacts, these are good for performance... ...decisions.

Keywords: 1182, all

Transcript Highlights:

• To that note, I've been performing these in Gloucester, Mass. I performed DOT medical exams.
• In Gloucester, Mass., I performed DOT medical exams.
• But we perform it on bus drivers. We perform it on all other people, but not school bus drivers.
• And I actually perform many of these on CDL drivers.
• I also perform tests for private pilots.

Keywords: 995, all

Summary: The Joint Committee on Transportation held a hybrid hearing on 36 bills covering aviation, commercial vehicles, school buses, veterans license plates, and related transportation issues. Chair Jim Arciero and Senate Chair Brendan Crighton outlined the hearing procedures, then the committee heard testimony on a range of measures, including a bill to modernize alternative student transportation for vulnerable students such as those covered by McKinney-Vento, foster children, and students with disabilities; a bill on unmanned aerial systems that would define drones and restrict weaponization, interference with aircraft, and certain surveillance; and a bill addressing airplane noise and reporting at Beverly Regional Airport. Supporters of the student transportation bill argued it would update outdated school bus requirements while preserving safety standards, while drone-related testimony was split between sponsors and public safety advocates who supported stronger restrictions and industry representatives who warned the bills could conflict with federal law and harm legitimate commercial uses. The committee also heard testimony on workforce and school transportation bills. Representatives and industry witnesses supported a proposal to create a grant program and career outreach for the trucking industry, citing a persistent driver shortage and the importance of trucking to the state’s economy. Teamsters Local 170 supported a bill to ease unemployment job-search requirements for school bus drivers and monitors who are expected to return to work within a short period, saying the current rules create unnecessary burdens during summer layoffs. Another school transportation bill would create an under-the-hood exception for CDL licensing of school bus drivers; several chiropractors testified in support, saying they already perform DOT-style exams and should be explicitly authorized to do school bus driver medical certifications. Veterans-related testimony focused on license plate and disability-definition bills. Advocates supported a Medal of Fidelity license plate for Gold Star families and a separate bill to create an air medal plate. The Office of the Veteran Advocate testified in favor of revising the state’s definition of disabled veteran for RMV purposes, arguing the current language is tied to special monthly compensation categories and does not adequately reflect modern service-connected disabilities, including invisible wounds. The American Legion also urged clarification of the definition, while opposing a separate women veterans plate on the grounds that it could divide veterans unnecessarily. The committee took no votes during the hearing and ended with a motion to adjourn.

Transcript Highlights:

• MEASUREMENT SYSTEM FROM HEALTHCARE EVALUATIONS TO EVALUATE THE QUALITY ACCESS AND OUTCOMES OF HEALTHCARE
• NEXT WE HAVE SERVICE AUTHORIZATION PERFORMANCE OUTCOMES.
• IS IT SOMETHING ONGOING NOW AS FAR AS THE PERFORMANCE PLAN.
• SUCH AS PERFORMANCE DECLINING PERFORMANCE AROUND MEASURES.
• AND BASICALLY THE PAST PERFORMANCE WAS A BETTER PREDICTOR THAN FUTURE PERFORMANCE THAN A PROPOSAL THAT

Transcript Highlights:

• The last set of recommendations we get into is about tracking TOD performance.
• Now I want to get to my last section, which is about tracking TOD performance.
• That also involves maintaining an auditing database and performing desk audits.
• That also involves maintaining an auditing database and performing desk audits.
• And as we advance the master plan, we will continue to evaluate policies.

Summary: The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls. The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly. The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions. Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• And despite the cost and the risk, Despite the cost and the rural logistics, this student performs on
• That's a federal eligibility evaluation, and if they meet those criteria, then they are able to access
• Evaluation do an evaluation on ILA and their model and to find any inconsistencies or recommendations
• By incorporating recommendations from the recent Office of Performance Evaluation report, this legislation
• Our first graders were at 55% proficient at the beginning and they're currently performing at 76%.

Keywords: 989, all

Summary: The committee first heard House Bill 531, which updates Idaho law on epinephrine delivery systems in schools by changing language from a single auto-injector reference to broader “delivery system” terminology. Sponsor Camille Blaylock and supporting testimony from a school nurse and Idaho PTA said the change would allow schools to use newer FDA-approved options such as nasal spray without adding fiscal or training requirements. The committee asked whether the bill required schools to keep epinephrine on hand, and was told it did not; the bill was then sent to the floor with a due pass recommendation. The committee then took up Senate Bill 1288, creating the Idaho High Needs Student Fund to reimburse districts and charters for unusually high special education costs above a $30,000 threshold, with higher reimbursement levels above that amount and a cap per student. Testimony from school boards, district administrators, educators, and parent advocates described large costs for nursing care, interpreters, behavioral supports, Braille materials, and other federally required services, and argued the fund would help districts meet IDEA obligations without destabilizing local budgets. Members asked about the rural/non-rural funding split, the prior year’s version of the bill, and the current special education funding gap; Superintendent Critchfield said districts are currently covering these costs from operations and that the broader funding formula still needs adjustment. The committee approved the bill and sent it to the floor with a due pass recommendation. Finally, the committee considered House Bill 624, which revises rules for virtual education programs and virtual charter schools, especially Idaho Home Learning Academy. The bill requires board approval of contracts with education service providers, residency verification, curriculum aligned to state standards, conflict-of-interest safeguards, limits on direct payments to parents, and Idaho certification for teachers, while preserving local control over approved expenses and teacher oversight. Supporters from Idaho Home Learning Academy, Boundary County, Bonneville, and Idaho Parents Unlimited said the bill balances accountability with flexibility and helps preserve public school choice for families, especially in rural areas. The committee moved the bill to the floor with a due pass recommendation and then adjourned after recognizing a Senate page.

Transcript Highlights:

• We perform targeted audits and oversight of counties based on performance data, and we go in and we sample
• We perform sort of targeted audits and oversight of counties based on performance data, and we go in
• dentists based on performance outcomes.
• You recently, the department, not you personally, but maybe yes, you, submitted an evaluation to the
• But I don't know offhand if those are in the interim evaluation. I can get back to you on that.

Keywords: 987, senate, all

Transcript Highlights:

• It will transition from a single assessment tool, which we currently use, the Optum contractor, to perform
• evaluation forms and prescription forms for physicians and PCP offices will significantly assist us
• They will then need to discuss with their PCP and have the PCP complete the evaluation referral.
• And that evaluation referral, it goes back...”
• “And that evaluation referral, it goes back to the provider like it does for the ADET, and then that

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• So we do a statewide evaluation of each cohort. So a good example is ACA.
• So there isn't an evaluation of evidence... ...review what's on our benefit package.
• They're supposed to be looking, evaluating outcomes.
• They're supposed to be looking, evaluating outcomes.
• And all states perform some rate review functions under the Affordable Care Act.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• But will you provide a list of the standards that you're looking at a performance measure?
• Texas 8th grade math performance has not... ...increased a commiserate 48%.
• Things like performance-based compensation, the TIA, et cetera.
• Where there is some degree of differential based upon performance for how much raises are earned.
• . evaluations, studies, and you will see some smaller projects.

Keywords: 1184, house, all

Transcript Highlights:

• For the cost-share policy evaluation, our focus is whether...
• quickly local capacity can be built, and how performance is being measured.
• I think, as I mentioned earlier, first we evaluated each system on its own.
• We did a program evaluation, and we've had really good response.
• We've performed those.

Keywords: 908, all

Transcript Highlights:

• Before you, you have seven quite excellent requests for evaluation.
• What we're asking here is the Office of Performance Evaluation to conduct a study of fund balance management
• And the question is sort of a performance evaluation: are the policies good, and are they following the
• For the record, my name is Tasha Schreter, and I'm a senior evaluator at the Office of Performance Evaluations
• Evaluation for their study.

Keywords: 989, all

Summary: The committee approved minutes from September 25 and December 2, 2025, then heard seven topic requests for possible Office of Performance Evaluations studies. Topics included the impacts of growth on agriculture and infrastructure, Medicaid hospital billing, Your Health Idaho plan selection, fund balance management for boards and commissions under DOPL, the Board of Community Guardians, sexual assault in women’s prisons, and drivers of prison population growth. Requesters emphasized issues such as conversion of farmland to development, possible Medicaid billing upcoding, uninsured Idahoans’ costs, uneven board fund balances after consolidation, gaps in guardianship services, prison safety and oversight, and factors driving incarceration growth. OPE staff said all were feasible, with some smaller, medium, or larger in scope depending on the topic. After a secret ballot, the committee selected four studies for OPE: the Board of Community Guardians, drivers of prison population growth, impacts of growth on agriculture and infrastructure, and oversight of sexual assault in women’s correctional facilities. Members noted the remaining topics received fewer votes, but the director said the office could potentially take on additional work later if capacity allowed. The committee also agreed to follow up on the Idaho Home Learning Academy report and the 2023 direct care workforce report, with follow-up timing suggested for December and June, respectively. The committee then received a follow-up report on Idaho’s 911 system. OPE said the system faces four major pressures: insufficient funding, staffing shortages, too many centers relative to call demand, and weak statewide data and oversight. The report recommended evolving the Idaho Public Safety Communications Commission into a statewide program with authority to oversee the system, collect standardized financial data, set performance standards, and clarify cost responsibilities. The committee heard responses from the IPSCC chairman, the Military Division, and others, who generally agreed with the need for better data and coordination but stressed local control, outdated radio infrastructure, and the lack of a clear funding estimate. The committee discussed whether to pursue a follow-up focused on funding gaps and system costs, and OPE said it could do additional background work with the commission and Military Division to see what data are available.