Transcript Highlights:

• And Senate Bill 1, the Rural Health Care Bill. So, Mr.
• President, we already have a rural health care fund.
• , our rural health care hospitals, and our clinics.
• Our FQHCs are also part of our rural health care delivery system. So Mr.
• to your town for health care, and we will collapse your system.

Transcript Highlights:

• We need to look at capacity, the continuum of care, and also focus on the transitions of care.
• care, but pediatric and OB.
• , and quality of care.
• that actually deliver the care to New Mexicans.
• Also, help motivate them to move these public institutions towards improving care and access to care.

Transcript Highlights:

• And can be mitigated through responsible self-care.
• It is important that we tell people that mental health care is just the same as health care.
• The 2020 full report on access to services and health care.
• So if you care about supporting young people, please.
• If you care about solving homelessness, if you care about protecting young people, then we also have

Keywords: 988, house, all

Transcript Highlights:

• I'm very pleased to see that we are taking care of our state employees.
• That should have been taken care of in appropriations, and it was on this side, but for that.
• To handle an appropriation that should have been handled and taken care of in that process.
• So, Madam Chair, And Chairpeople, I think that's the right direction we're going with.
• There are more than just physicians that care for our families every day.

Bills: SB240

Keywords: capital outlay, capital projects, severance tax bonds, general fund appropriations, supplemental severance tax bonds, UNM School of Medicine, University of New Mexico, infrastructure, state buildings, courts, schools, higher education, road improvements, water and wastewater, tribal infrastructure, tribal projects, public safety, housing, emergency services, bonding

Transcript Highlights:

• by their moral code, they take care of people.
• In and getting care, and we're generous.
• And so they're waiting longer and longer to get care.
• We deal with the issues of how and where people get care and when they get it, like primary care or the
• system, our health care delivery, our health care providers, and we have to keep our eye on this very

Keywords: 995, all

Summary: The Senate took up a series of resolutions and bills, beginning with unanimous adoption of resolutions congratulating two Eagle Scouts. It then advanced several local and special acts, including measures on Machado-Joseph disease awareness day, the Ipswich senior tax referral program, Swampscott conservation commission appointments, protections for individuals with disabilities in MassHealth day habilitation programs, continued employment in Brookfield, Marblehead parking fines, Natick’s home rule charter, and Boston affordable housing/branch library space. The chamber also suspended Joint Rule 12 to refer several House petitions to committees. The Senate enacted House bills authorizing additional wine and malt beverage licenses in Lexington and a means-tested senior property tax exemption in Melrose. It also passed Senate Bill 2603 on affordable car rentals after adopting an amendment; supporters said the bill would reduce rental costs by changing Massachusetts’ rental car insurance rules to align with most other states. Senate Bill 1057 on fentanyl test strips was also passed to be engrossed after Senator Creem argued the bill would expand access to a low-cost overdose prevention tool and save lives. Senator Moore then spoke in support of expanding Nikki’s Law to cover MassHealth day habilitation programs, describing the bill as a needed protection for people with autism and intellectual and developmental disabilities. A major portion of the meeting focused on House 4530, a FY2025 supplemental appropriations bill providing $234 million for hospitals and community health centers. Senators discussed the Health Safety Net shortfall, rising health care costs, underinsurance, and federal reimbursement; Ways and Means explained that about $93 million was expected back in federal financial participation, making the net state cost about $140 million. The Senate also took up House 4531 on the 2026 state primary election date, rejecting an amendment before passing the bill to engrossment. The chamber later adopted emergency preambles for House 4530 and House 4531, and all three final bills—Machado-Joseph Disease Awareness Day, the supplemental budget, and the primary election date bill—were enacted and sent to the Governor. The Senate adjourned in memory of Ricardo Barbosa after a memorial statement by Senator Miranda.

Transcript Highlights:

• So coordinating care for those kids is extremely important.
• Oftentimes, patients move from the hospital to an off-site clinic for further care or follow-up care
• It's not considered the normal course of care.
• It protects continuity of care. Of care where access is most fragile.
• When patients lose access to doctors, care is delayed.

Transcript Highlights:

• ><c> care.
• <00:34:57.280><c> care</c> I'm really having a care a care I'm really having a care a care management
• care.
• Nobody likes top-down<00:51:34.200><c> care.</c> top-down care. top-down care.
• in Care Partnerships in Care we<01:14:16.320><c> do.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• </c> that program or quote lose health care that program or quote lose health care are<00:37:17.760><
• </c> should not be getting free health care should not be getting free health care when<00:37:43.599>
• We can do hospitality, child care.
• </c> direct uh statements through the chair. direct uh statements through the chair.
• Speaker, by direction of the Mr.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 11, 2025, 1012, house, all

Transcript Highlights:

• </c> there are a lot of home care challenges. there are a lot of home care challenges.
• </c> healthc care doesn't exist in silo. healthc care doesn't exist in silo.
• So, I started an urgent care center in hopes that we could direct that business away from the ER because
• Thank you. see and get care. Thank you. see and get care. Thank you.
• ><c> care.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• And I want to direct your attention to the speakers right to my left.
• And this bill makes another step in that direction. Excuses don't get it, and times have changed.
• And this bill makes another step in that direction. Excuses don't get it, and times have changed.
• And this bill makes another step in that direction. Excuses don't get it, and times have changed.
• But again, we have to take a stand, and this is another step in that direction. Thank you.

Keywords: 959, house, all

Transcript Highlights:

• We provide basically three things: direct services to people who are blind, serving about 2,500 people
• And we all know there are lots of the reasons, health care related issues and other things that exist
• We all know there are lots of the reasons, health care related issues and other things that exist for
• This is directed, and it has a cap of $50,000, so there's no, yeah.
• . ...no anticipated direct material effect on governmental expenditures, but it was sent to us anyways

Summary: The House Committee on Appropriations met on April 7, 2026, with a quorum present. After housekeeping and announcements, the committee noted several bills were voluntarily deferred, including HB 603, HB 619, HB 763, HB 810, HB 222, HB 490, and HB 981. The committee also recognized a visiting Jack and Jill group before taking up legislation. The committee reported favorably HB 82 on DWI penalties, HB 670 on wood pellet manufacturing, HB 672 on brick manufacturing, HB 773 on state procurement preferences for prison enterprises and nonprofits serving blind, disabled, and veteran workers, HB 145 on extraordinary medical and dental expenses for injured police and firefighters, HB 430 on health insurance coverage for families of Lafayette Parish officers killed in the line of duty, HB 143 on the per diem for housing state inmates in parish jails, HB 874 on adding credentials to LA Wallet, HB 160 on penalties for domestic violence strangulation offenses, HB 445 on moving the STEM Advisory Council to Louisiana Works, and HB 781 on fleet vehicle registration. HB 82, HB 670, and HB 773 were amended before passage; HB 430 also received amendments narrowing coverage terms and age limits. Most of the discussion centered on fiscal impact and policy scope. Members questioned whether several bills created new costs or unfunded mandates, and sponsors repeatedly emphasized zero or already-budgeted fiscal notes. HB 773 drew the most debate, with members raising concerns about competition, preferential treatment, and the shift from a 15% cap to fair market value; the sponsor said the bill was intended to give blind, disabled, and veteran-serving nonprofits a fair chance to compete. HB 145 prompted questions from the Louisiana Municipal Association about exposure and whether the benefit should already be covered by workers’ compensation, while HB 430 was narrowed to Lafayette Parish after concerns about statewide costs. The meeting ended with all remaining bills reported favorably and the committee adjourned.

Transcript Highlights:

• First, they provide direct services to people who are blind, serving about 2,500 people a year.
• And we all know there are lots of the reasons, health care related issues and other things that exist
• We all know there are lots of the reasons, health care related issues and other things that exist for
• This is directed, and it has a cap of $50,000, so there's no, yeah.
• . ...no anticipated direct material effect on governmental expenditures, but it was sent to us anyways

Bills: HB82, HB143, HB145, HB160, HB222, HB430, HB445, HB490, HB603, HB619, HB670, HB672, HB763, HB773, HB781, HB810, HB874, HB981

Keywords: DWI, driving under the influence, vehicular homicide, penalties, criminal justice, inmates, department of public safety, per diem, local correctional facilities, jail funding, firefighters, law enforcement, medical expenses, dental expenses, disability benefits, domestic violence, domestic abuse, battery of a dating partner, domestic abuse battery, strangulation

Transcript Highlights:

• If you did enrollment, then we wouldn't care, you know.
• And we still have a lot of our students that work or take care of siblings. Thank you.
• 100 kids going out to the farms, but we have several hundred others that are babysitters that take care
• And this bill moves us in the opposite direction. And this bill moves us in the opposite direction.
• And this bill moves us in the opposite direction.

Summary: The committee first approved the minutes from February 12 and 13, then recognized page Ethan Cowell for his service before moving into legislation. House Bill 599 was explained as a technical change to how funding for digital curriculum grants is awarded, shifting from first-come, first-served to a need-based application process using a rubric from the State Department of Education. The committee voted to send HB 599 to the floor with a due pass recommendation. The committee then introduced RS 33436, a proposal related to the state endowment fund. The sponsor said the measure would not change the amount of money distributed to schools, but would send endowment dollars directly to schools as a separate line item rather than blending them into the general school funding formula. After a brief question about average daily attendance, the committee voted to introduce the RS. House Bill 710, which would set a statewide public school start date of the Tuesday after Labor Day, drew extensive testimony. The sponsor argued for a uniform start date for predictability and said schools could adjust by shortening breaks, while opponents—including superintendents, the Idaho PTA, and the Idaho School Boards Association—said the bill would override local control, disrupt harvest schedules, and create problems for districts with four-day weeks or calendars built around community needs. The Idaho Lodging and Restaurant Association supported the bill, saying later starts would help tourism businesses. After debate, a motion to send the bill to the floor without recommendation failed, and the committee then voted 9-5 to hold HB 710 in committee. Finally, the committee considered RS 33230C1, which would create a performance-based funding flexibility model for charter schools. The sponsor said it would reward strong academic, financial, and governance performance with greater spending flexibility. Members discussed whether similar flexibility should also be available to traditional school districts, but the sponsor did not agree to broaden the RS. An amended motion failed, and the committee then voted to introduce RS 33230C1.

Transcript Highlights:

• These programs have a direct correlation to better student learning.
• NMSBA supports legislation to provide direct aid with the flexibility necessary for school boards and
• Community schools, school-based health centers, and caring adults that recognize the impact that they
• Be very careful about those kinds of requests.
• So I'm not sure I have any direct. Thank you all for your questions.

Keywords: 996, all

Transcript Highlights:

• Courts, sophisticated arbiters, and Texas can take care of Texas problems. Mr.
• This is not directed to any one person; whoever would like to answer.
• So there is no direct nexus. Thank you. Thank you, Mr. Chairman. Thank you, Senator.
• The thought was that competition would take care of it.
• The economics of it will take care of itself.

Bills: SB388, SB455, SB917, SB925, SB1006

Keywords: dispatchable generation, electricity, natural gas, ERCOT, energy credits, utilities regulation, renewable energy, arbitration, insurance contracts, surplus lines, Texas law, insurance policy, boiler inspection, boiler safety, inspection report deadline, certificate inspection, authorized inspector, inspection agency, Health and Safety Code, board of boiler rules

Transcript Highlights:

• I would like to first have someone take care of the minutes. Do I have a motion? Mr.
• I guess my thought is this could be a prevention measure for having adequate child care available.
• Seeing that this grant being directed to this council on domestic violence and victim assistance seems
• Seeing that this grant being directed to this, grant being directed to this council on domestic violence
• Because I think this could be a really great opportunity for us, not only to help with that direction

Summary: The committee first approved the January 29, 2006 minutes, then moved into discussion and recommendations on several Idaho Millennium Fund-related requests. Members repeatedly emphasized that funding should align with the committee’s prevention-focused mission, especially youth substance abuse prevention, and several members raised concerns about the lack of clear performance measures, oversight, and long-term “home” agencies for some programs. There was also discussion about whether some proposals were more like childcare or system-support efforts than direct prevention, and whether future committees should be bound by multi-year commitments. The committee recommended funding for the Idaho Children’s Trust Fund ($692,240 one-time), the Idaho Safety Assessment Center Coalition ($1 million one-time through the Department of Juvenile Corrections), the Idaho Network of Children’s Advocacy Centers ($3 million one-time through the Idaho Council on Domestic Violence and Victim Assistance), the Up River Youth Leadership Council recovery center ($150,000 ongoing through Health and Welfare), and a statewide drug awareness media campaign ($5 million one-time through the Office of Drug Policy). Most of these motions included direction that appropriation language should address distribution, oversight, and reporting criteria, and members discussed the need for a state agency to oversee each program. The Children’s Bridge request for $3.5 million one-time was discussed but the motion died for lack of a second. The committee also debated the governor’s recommendation to appropriate $25 million one-time from the Millennium Fund to the Department of Health and Welfare, Division of Medicaid, to mitigate the impact of the updated Medicaid forecast on the general fund. Some members objected that Millennium Fund dollars should not be used for Medicaid, while others supported the transfer as a one-time budget-balancing measure given the state’s fiscal pressures. The motion ultimately passed, with a request that any unused funds be paid back if possible. The meeting ended after a brief question about whether the ongoing portion of the recovery center funding required a separate motion, and the committee adjourned.

Transcript Highlights:

• issues have been reported on previously, the amount of attention and outcry that you are seeing is a direct
• issues have been reported on previously, the amount of attention and outcry that you are seeing is a direct
• Next, we would like the Walz administration to conduct a full review of money directed to nonprofits
• administration had been serious about wanting to root out fraud, they would have already been taking care
• that was referenced by Leader Niska earlier, when there was a pattern of fraud as we saw in the child care

Keywords: 1183, house

Transcript Highlights:

• LIF works with child care providers, which enables them to build new child care facilities, serving more
• It is such a critical need for child care centers and day care centers and their essential role in the
• I’ve been a champion for child care facilities, more child care slots, and child care funding since I
• I also want to thank you for highlighting this, such a critical need for child care centers and day care
• I’ve been a champion for child care facilities, more child care slots, child care funding, since I first

Keywords: 987, senate, all

Transcript Highlights:

• But we had to make very careful decisions.
• I care deeply about the protection of students on college campuses.
• So you can imagine we care deeply about higher ed and follow higher ed issues closely.
• I care deeply about this university in its community and I want to see them thrive.
• Sure, and but direct from the classroom to career success.

Keywords: 999, senate, all

Transcript Highlights:

• Then in medical school, we spend literally over 10,000 hours studying with direct patient care to master
• the function and disease of the human body as a whole. ...studying and with direct patient care to master
• Floridians deserve this quality care. We are also over 1,700 This quality care.
• Covered care.
• As you know, I do care about it. I care about people.

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.