Video & Transcript : 'behavioral support' :

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ID

Idaho 2026 Regular Session

Legislative Session Day 74 Mar 26th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • I urge your support. Thank you. Mr. President, are there any further comments?
  • This legislation has been very much supported by the Department of Education.
  • It has been supported by the Department, as you might expect.
  • For these reasons, I urge you to support this legislation. And with that, Mr.
  • So with that, I would ask you, please, to support these amendments.
Keywords: 989, all
TX

Texas 89th 2nd C.S.

Texas Supreme Court Investiture May 7th, 2026

Texas House Floor Meeting

Transcript Highlights:
  • Finally, we give thanks for the families, colleagues, and communities who support those who serve, often
  • speaker, Judge Don Willett, who grew up in Talty, Texas, where his mother, Doris, waited tables to support
  • But I am so, so grateful for the show of support from our friends in the executive branch: Governor Abbott
  • Zeus and I had to go to a special behavioral vet to undergo the treatment that we, the two of us, needed
  • Kelly Canavan, Allison Welch, Noah Frazier, and Madi Vosquez, I couldn't do this job without your support
Summary: The Supreme Court of Texas held a ceremonial investiture for two new justices, James Sullivan and Kyle Hawkins. Chief Justice Jimmy Blacklock opened the session with welcoming remarks and led the Pledge of Allegiance, followed by the National Anthem sung by Trooper Alena Gallardo. The event included an invocation by Father Dean Wilhelm, emphasizing the importance of justice and the rule of law. Governor Greg Abbott praised the new justices, highlighting their qualifications and the significance of their appointments to the court. Justice Samuel Alito administered the oath of office to Justice Hawkins, while Judge Thomas Griffith administered the oath to Justice Sullivan. Both justices expressed gratitude for their appointments and acknowledged the support of their families, mentors, and colleagues. The ceremony also honored former justices Jeff Boyd and Nathan Hecht, with heartfelt tributes reflecting on their contributions to the court and the legal community in Texas. The event concluded with a benediction by Reverend Greg Davidson, encouraging the justices to work diligently and honorably in their new roles.
AZ

Arizona 2026 Regular Session

03/16/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • the University of Arizona College of Medicine in Tucson and has held clinical leadership roles in behavioral
  • only work if we're all involved in this, helping people get a second chance, and I hope you will support
  • only work if we're all involved in this, helping people get a second chance, and I hope you will support
  • HB 2144, child support for pre-born children. Federalism and Family Law.
Summary: The Senate convened with prayer and the Pledge of Allegiance, recognized the doctor of the day and several guests, and then moved through a long floor agenda. Members received House messages, handled committee appointments, and considered a large number of bills in Committee of the Whole, including SB 1046 on information technology, SB 1066 on civil liability and fraudulent scientific research, SB 1332 on light rail expansion participation, and SB 1286 on veterinary prescriptions. Amendments were adopted on each of those measures, with SB 1332 drawing a notable objection from Senator Kuby over state interference in local transit decisions and preference for autonomous vehicles over light rail. SB 1286 was described as a compromise between stakeholders on electronic veterinary prescribing, including limits for antimicrobial drugs and longer windows for flea and tick medications. The Senate then took up third-reading votes on several bills. SB 1009 on school curriculum passed 16-10 after debate over AED training and whether it created an unfunded mandate. SB 1086 on the Arizona health care cost and payment system passed 18-8. SB 1317, appropriating money to the Attorney General for a coordinated jail reentry program, passed 22-4 amid discussion about the program’s success and concerns over the funding source. SB 1580, SB 1582, SB 1709, SB 1550, and SB 1761 also passed, with comments focusing on school safety funding, probation revocation for dangerous crimes against children, a Queen Creek-related appropriation, and university cooperative extension and experiment station needs. SB 1046 and SB 1286 later passed third reading as well. The chamber also paused for a St. Patrick’s Day recognition, welcoming Speaker Murphy of the Irish Parliament and reading a proclamation honoring Irish heritage and the Phoenix-Ireland relationship. Afterward, the Senate returned to business, received House requests to return HB 4027 and HB 2444 for reconsideration, heard a personal privilege statement on an ICE detention death, and announced upcoming committee meetings and caucus schedules. The Senate adjourned until Tuesday, March 17, 2026.
NY

New York 2025-2026 Regular Session

New York State Senate Session - 03/10/2026

New York Senate Floor Meeting

Transcript Highlights:
  • structural factors such as economic inequality, racism, and environmental injustice shape dietary behaviors
  • served as a stop along the Underground Railroad where local residents quietly provided shelter and support
  • I urge my colleagues to join me in supporting this resolution, as we reflect on Harriet Tubman's legacy
  • , I want to thank again the leader and this chamber for this resolution, and of course, I proudly support
Keywords: 993, senate, all
Summary: The Senate met on March 9, 2026, approved the prior journal, and took up several procedural items, including substituting identical Senate Bill 6734A for Assembly Bill 4382A and adopting a resolution calendar with exceptions for Resolutions 1718 and 1723. The chamber also received amendments on another bill and heard multiple guest introductions, including students from Ahavas Bas Yaakov of Monsey and Dr. Angela Odoms-Young, who was recognized for her work on food and nutrition policy and health equity. A major portion of the session was devoted to Resolution 1680 commemorating Bronx Day. Senators Fernandez, Bailey, Myrie, Serrano, Sepúlveda, Krueger, and others spoke in praise of the Bronx’s history, diversity, culture, resilience, and contributions to music, fashion, sports, and civic life. The Senate also adopted Resolution 1718 recognizing Harriet Tubman Day, with remarks highlighting Tubman’s work on the Underground Railroad, her Civil War service, and her later life in Auburn, and adopted Resolution 1723 marking the 61st anniversary of Bloody Sunday and emphasizing the continuing importance of voting rights protections. The Senate then passed a series of bills from the calendar. These included measures on general municipal law, public health, executive law, education, vehicle and traffic law, criminal procedure, labor law, and legislative law. Several members explained their votes on health-related bills: Senator Cleare spoke about period poverty and access to free menstrual products in educational institutions; Senator Webb supported a bill requiring hospital governing boards to include a registered professional nurse; and Senator Murray, joined by Senator Canzoneri-Fitzpatrick, described personal experiences with blood clots and pulmonary embolism in support of a bill creating a working group on the issue. Most bills passed with broad support, though some had notable negative votes, and the Senate adjourned until Wednesday, March 11 at 3:00 p.m.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, June 25, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • I am in full support of the 21st Century Road to Housing Act, Full support of it. Many others are.
  • support.
  • Overwhelming support.
  • And I'm very proud to say that I support what they've done. I support the bill. So we were...
  • What are we doing in nutrition support?
CA

California 2025-2026 Regular Session

Assembly Utilities and Energy Committee Jan 15th, 2026

Utilities and Energy

Transcript Highlights:
  • here to express our strong support of AB 710.
  • At this time, we'll hear from any additional witnesses in support.
  • Good afternoon, Alison Hilliard with the Climate Center in support. Thank you.
  • I'm prepared to support the bill today to let that work continue. Thank you. Thank you.
  • We strongly support the goal of accelerating transmission delivery.
Keywords: 988, house, all
FL

Florida 2025 Regular Session

Agriculture Mar 25th, 2025

Transcript Highlights:
  • And for for right now, I will not supported fun that way.
  • We support the right to repair. We strongly oppose the right to modify.
  • And we support those customers with both it support on their computers and training to use the software
  • L waiving in support waiving the okay.
  • So I'll support the bill today and then the debate.
Keywords: 999, senate, all
ID

Idaho 2026 Regular Session

Legislative Session Day 74 Mar 26th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • I urge your support. Thank you. Further debate?
  • It has been supported by the Department, as you might expect.
  • She asked members to support the amendments.
  • He asked for support.
  • With all due respect, I can't vote for this because the ACT team and the support peer support are still
Summary: The Senate met with a quorum present, opened with prayer and the Pledge, approved the prior journal, and then moved through committee reports, gubernatorial and House messages, and bill introductions. Several measures were referred to committees or held for later action, including new Senate bills on taxation, immigration-related enforcement, and refugee/illegal alien accountability, which were sent to Judiciary and Rules for printing. The Senate also received and processed numerous enrolled bills and committee reports on education, finance, resources, health and welfare, and state affairs. On the floor, the Senate considered and passed a series of bills. Among the measures approved were Senate Bill 1410 on Medicaid state plan amendments for federally qualified health centers and rural health centers; Senate Bill 1426 appropriating additional funds to the Idaho Transportation Department; Senate Bill 1427 funding the Department of Lands; House Bill 797 requiring fire protection sub-district appointees or electors to live in the district; House Bill 843 changing the homestead exemption so the full exemption applies once a complete application is approved rather than prorating it; House Bill 711 creating an alternative administrator authorization pathway for principals and superintendents; House Bill 832 revising CTE industry-professional qualification rules; House Bill 795 cleaning up definitions for obscene material and lewd matter; and House Bill 817 updating tobacco retailer permitting rules for cigar-related businesses while keeping age restrictions in place. The Senate also passed House Bill 831 on school polling places, House Bill 872 allowing constitutional amendments and initiatives to be printed within available ballot space, House Bill 893 making codifier’s corrections, House Bill 650 codifying a Tenth Amendment-based presumption favoring state authority, House Bill 674 streamlining telecom service discontinuance review by removing a duplicative state process, and House Bill 810 adding a 120-day fixed-habitation requirement for legislative candidates, though that bill drew constitutional objections. Most of these measures passed on roll calls, some by unanimous consent to reuse prior vote counts, and titles were approved before transmission back to the House or onward to the Governor as appropriate. The session also included a page graduation presentation and several brief recesses and announcements.
TX

Texas 89th Regular

Senate Session (Part II) May 27th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • HEAF is used to support... That are ineligible for available university fund support.
  • In total, 31 institutions received support from this fund.
  • So, again, Senator, I'm supportive of your bill.
  • And I'm thankful for your support. It does close the gap. And I'm thankful for your support.
  • I'm going to be supporting House Bill 4.
Summary: The Senate first adopted a motion by Senator Zaffirini to suspend Senate Rule 5.14 and move the intent calendar deadline to 8:00 p.m. that day, also allowing the Secretary to make the calendar available as soon as practicable. The chamber then took up and passed several House bills, often by suspending the regular order and the constitutional three-day rule. HB 2128, relating to a study of rural firefighting and technical rescue capabilities, passed unanimously. HB 4157, on liability protections for commercial spaceflight and exploration, passed 28-3. HB 2240, concerning certain void marriages, passed after adoption of a Birdwell amendment extending filing deadlines to 90 days for certain active-duty service members and Foreign Service officers. HB 367, on verification of excused absences for students with severe or life-threatening illnesses, passed unanimously after clarifying school district forms and TEA model forms. HB 1506, expanding expedited handgun license eligibility to certain retired county court judges, passed 29-2. HB 4449, on alcohol sales in annexed municipal areas, passed 29-2. HB 3812, on health plan prior authorization requirements, passed 30-1. The Senate also announced a long list of bills and resolutions signed in the presence of the Senate. A major portion of the meeting centered on HB 521, a voting-related bill on curbside voting for voters with disabilities. Senator Paxton described it as an anti-misuse measure requiring a signed eligibility form for curbside voting, creating a 20-foot electioneering buffer, limiting election officer assistance in marking ballots unless a second officer is present, and adding reporting requirements for people who assist seven or more curbside voters. Senators Miles, Menendez, Johnson, Campbell, Cook, and others questioned whether the bill would burden disabled voters, create a de facto registry of volunteers, and impose a harsh Class A misdemeanor penalty for failing to complete the form. Paxton said the bill was intended to protect legitimate curbside voters and curb abuse, and the chamber adopted Paxton Floor Amendment No. 1 after a recorded vote. Zaffirini’s Floor Amendment No. 2, allowing an escorting voter to receive his or her own ballot at the curbside or entrance, was adopted. Menendez’s Floor Amendment No. 3 to reduce the penalty failed. The bill was then passed to third reading on a 20-11 vote, with a motion by Senator Miles to have the exchanges reduced to writing and placed in the journal adopted. The Senate also passed HB 3000, creating a grant program for rural ambulance service providers, after a comptroller-related amendment; HB 5616, establishing the Texas Presidential Library Promotion Program and funding for traveling exhibits, after narrowing the bill to mobile exhibits only; HB 4211, addressing certain residential property interests controlled by entities, which passed 30-1; HB 1178, creating temporary educator certificates for out-of-state certified educators and military spouses, which passed unanimously; HB 2243, creating the Texas Commission on Teacher Job Satisfaction and Retention, which passed after debate over the need to streamline education mandates; and HB 42, increasing and reallocating the constitutional Higher Education Fund appropriation by 50% to $1.18 billion, which passed 31-0. Finally, HB 2512, a Fort Worth-specific bill limiting ETJ release for land subject to active development agreements, passed after debate over broader ETJ and de-annexation policy, with a local-only clarifying amendment adopted and a proposed broader amendment withdrawn. The meeting ended with the Senate beginning consideration of HB 3372, which would bar school district administrators from receiving financial benefits tied to outside consulting or contracting with education entities, though the transcript cuts off during questions on that bill.
ID

Idaho 2026 Regular Session

Legislative Session Day 31 Feb 11th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • Thank you for your support for her nomination. Debate is closed.
  • support from everyone else.
  • The Act also directly supports the Supremacy Clause of the U.S.
  • Constitution by supporting the mandate that the U.S.
  • Constitution by supporting the mandate that the U.S.
Summary: The Senate convened with 33 members present, heard prayer and the Pledge of Allegiance, approved the prior day’s journal, and received communications including a temporary substitute appointment for Legislative District 20. The chamber also received several committee reports and House messages, and welcomed numerous guests, including Idaho Farm Bureau members and other visitors in the gallery. The Senate acted on several gubernatorial appointments and memorials. It adopted committee reports confirming Brett Thomas to the Idaho Health Insurance Exchange Board, Erica Malman to the Idaho Personnel Commission, Michael Kennedy to the Idaho Judicial Council, and Representative John Weber to the State Insurance Fund Board. It also adopted House Joint Memorial 10, which urged federal officials to favor sugar over artificial sweeteners in school nutrition standards, with supporters arguing it promoted real food and Idaho’s sugar industry. The main floor debate centered on Senate Bill 1233, the “Constitutional Courts Act,” which would bar state courts from enforcing or applying religious or cultural law that does not conform to the U.S. and Idaho constitutions. Supporters said it protected constitutional supremacy and religious neutrality, while opponents argued it was unnecessary, legally risky, and potentially targeted religious law in a way that could invite constitutional challenges. After roll call, the bill failed by a vote of 15 ayes to 19 nays, with one absent and excused, and was filed in the Secretary’s office. The Senate also introduced and referred a slate of new bills, including measures on transportation, veterans, state employment, public employee retirement, accessory dwelling units, religious land development, housing covenants, and the Idaho Parental Choice Tax Credit. The chamber then moved to miscellaneous business, heard a few final announcements and introductions, and adjourned until 11 a.m. on February 12, 2026.
ID

Idaho 2026 Regular Session

Legislative Session Day 31 Feb 11th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • Thank you for your support for her nomination. Debate is closed.
  • I just rise in support of the memorial.
  • support from everyone else.
  • Constitution by supporting the man. directly supports the Supremacy Clause of the U.S.
  • Constitution by supporting the mandate that the U.S.
Keywords: 989, all
WA

Washington 2025-2026 Regular Session

House Education Jan 19th, 2026 at 01:30 pm

Education

Transcript Highlights:
  • And so I think some young people do get a lot of support to return to school.
  • We are testifying in support of this bill, pro.
  • So we're in support of this bill. We appreciate that it is permissive for school districts.
  • I, too, am here to speak in strong support of House Bill 2360.
  • I'm here to speak in strong support of House Bill 2360.
Bills: HB2246 , HB2360
Committee: House Education
FL

Florida 2026 4th Special Session

January 14, 2026 - 10:30 AM

Transcript Highlights:
  • Chair Alvarez: Florida Family Voice waves in support.
  • Molly Hudson waves in support. Thank you, ma'am. Thank you for coming. Florida PBA in support.
  • Lauren Donaldson in support. Thank you. Alec McNair, Florida Sheriffs Association in support.
  • God bless you and I am honored to support you.
  • Please support this bill. I hope to earn the support with more conversations later on.
TX

Texas 89th Regular

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • In support of HB2528.
  • I only support House Bill 2528.
  • We are in support of this bill, as Dr.
  • Obviously, we're here in support of HB3265.
  • Association in support of House Bill 2750.
Committee: House Insurance
MS

Mississippi 2026 Regular Session

MS Senate Floor - 1 April, 2026; 10:00 AM

Mississippi Senate Floor Meeting

Transcript Highlights:
  • Not to replace officers, but to support them. But let me be clear.
  • We're on the front edge, the leading edge, of supporting fathers, supporting family, establishing strong
  • support embedded in grades K through 1 and 7 ...
  • That is the cleanup language, and that's what prompt support does.
  • Um, um, um, I mentioned the intake officers support...
MN

Minnesota 2025-2026 Regular Session

Committee on Education Policy - 03/25/26

Education Policy

Transcript Highlights:
  • </c><00:13:01.160><c> No</c> standardizing support for CTSOs. No standardizing support for CTSOs.
  • . supports. supports.
  • , widely supported omnibus can look like.
  • ,</c> a really good, robust, and supported, a really good, robust, and supported, widely<00:42:36.360
  • </c> widely supported omnibus can look like. widely supported omnibus can look like.
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 12:00 pm

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • The legislation before us today, Senate Bill 2576, an act to enhance access, inclusion, support, and
  • We must continue to do everything in our power to make Massachusetts a welcoming and supportive home
  • Representative Stanley and all my Senate colleagues for supporting these efforts.
  • President, I just want to rise up in support of this amendment as well.
  • I rise today in support of House Bill 3388, which is an act. ...to our nation.
Keywords: 995, all
Summary: The Senate began with routine formalities, then took up several final-passage and engrossment matters. It adopted emergency preambles for House Bill 1590, establishing a sick leave bank for Eric J. Iwanek, and House Bill 1024, authorizing the Massachusetts Water Resources Authority to provide sewer service to a parcel in Sharon. The Senate also passed to be enacted Senate Bill 2528, allowing Marblehead to establish fines related to parking violations, and adopted a pair of congratulatory resolutions. Later, it ordered several House bills to third reading, including measures for an additional off-premises alcohol license in Somerset and sick leave banks for David A. Russell and Jean McCarran, and concurred in a gubernatorial amendment to a vital statistics bill. The chamber then considered major committee reports and amendments on military and veterans issues. It advanced a Ways and Means substitute for a bill on free expression and a substitute for a bill on assault and battery upon a transit worker, placing both on the Orders of the Day. The Senate also debated and amended Senate Bill 2503, the EASE Act for military-connected families, with remarks emphasizing school stability for military children, special education continuity, juvenile justice transfers, and use of military protective orders in domestic violence cases. Several proposed amendments were withdrawn or rejected, including tax relief proposals for 100% disabled veterans, while an amendment requiring tracking of veteran suicides was adopted. The bill was then ordered to third reading and passed to be engrossed by roll call, 39-0. Another major item was Senate Bill 2501, clarifying the duties of the adjutant general. The Senate adopted a Ways and Means substitute and considered multiple amendments, including one withdrawn proposal on entry by non-federalized armed forces from other jurisdictions and another adopted amendment requiring recruit training on lawful orders; other amendments were withdrawn. The bill was then ordered to third reading and passed to be engrossed. The Senate also passed House Bill 3388, designating September 22 as Military Service Members and Veterans Suicide Awareness and Remembrance Day. Throughout the session, members also offered and adopted several adjournment motions honoring the lives and service of Judge Leslie E. Harris, former Newton Mayor Seyi Warren, and Anthony P. Dwingnan, and the Senate adjourned to meet again the following Monday at 11:00 a.m.
FL

Florida 2025 Regular Session

January 14, 2025 - 01:00 PM

Transcript Highlights:
  • the past two years has been elevating the position of market conduct, which investigates insurer behavior
  • is that the only time that you can conduct this study into whether or not the insurance company's behavior
  • Floridian's voice is heard by your office so we can actually look into these insurance companies' behavior
Summary: The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin. The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials. Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.
NH

New Hampshire 2025 Regular Session

House Education Funding (01/31/2025)

Transcript Highlights:
  • So this is a broader term to be able to say we're going to provide them with supports.
  • Is this change supported by solid research? I'm just trying to find out. It's a cost.
  • and I would I I mean and then supports and I would I I mean and then this<00:17:56.880><c> is</c><00
  • </c> um is is this change supported um is is this change supported by<00:18:41.760><c> solid</c><00:18
  • I just can't remember off the Behavior I just can't remember off the top<00:28:46.480><c> of</c><00:
Keywords: 928, house, all
Summary: The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere. Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently. Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.
ID

Idaho 2026 Regular Session

Agenda May 28th, 2026

Transcript Highlights:
  • This is part of our support to states.
  • And then states had to work with CMS to Part of our support to states.
  • That is absolutely a noble goal and one that our office is here to support.
  • And so we're just here in support of the state. Very short timeline.
  • So we're here to support, absolutely. And we're doing the... So we're here to support. Absolutely.
Summary: The Rural Health Transformation Committee met with a quorum and approved the April 22 minutes. CMS officials Kate Sapra and Jonathan Jones joined as part of Idaho’s site visit and gave an overview of the federal Rural Health Transformation Program, describing it as a $50 billion, five-year cooperative agreement with all 50 states approved. Sapra emphasized CMS’s close oversight, annual rescoring, reporting requirements, and the need for states to obligate funds by October 30 and spend them by the following September, with unspent or unallowable funds subject to recovery. She said the first year will focus mainly on implementation milestones, with outcomes becoming more important in later years. Department of Health and Welfare Director Juliet Sharon then reviewed Idaho’s first round of year-one funding opportunities and the proposed review process. She said the department is moving quickly to post initial solicitations in June, using both full RFPs and sub-grants depending on the type of project. Early priorities include structural and administrative contracts, data and evaluation support, provider recruitment and retention administration, needs assessments, technology and infrastructure investments, transportation, and service-oriented sub-awards such as EMS, maternal and child health, behavioral health, and chronic disease prevention. Committee members asked for more detail on KPIs and requested access to the underlying RFP documents through SharePoint. Members also asked about reimbursement versus upfront funding, multi-year projects, minor renovations, and whether funds could be shifted between categories. CMS said funds cannot supplant existing financing, but states may structure awards to provide upfront funding if allowed under state procurement rules; it also said minor renovations are defined through CMS guidance and FAQs, not a strict federal definition. Sharon and Sapra said year-one category allocations would be difficult to change significantly, though adjustments may be possible later with CMS approval. The committee agreed to continue sending feedback through the co-chairs and set the next meeting for July 15, with the meeting adjourned afterward.