Transcript Highlights:

• Pass coverage for services, this very bill, for the private payers but stop short of coverage for all
• Ultimately providing These services mean lower costs for patients and payers, and most importantly, deliver
• We did do this for those commercial payers last year.

Transcript Highlights:

• The primary reasons were prices at the pump almost doubled from $1.91 to $3.80 and stayed that way for
• So the primary factors in play, What factors are in play?
• So the primary factors in play most recently are unemployment in Arizona.
• So while it is helpful to have a report on... of those policies being put into place regular rate payers

Bills: HB2014, HB2031, HB2078, HB2102, HB2103, HB2117, HB2261, HB2262, HB2264, HB2278, HB2428, HB2494, HB2756, HB2758, HB2762, HB2782, HB2932, HB2933, HB2986

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, water rights, groundwater, Willcox, active management area, certificate of grandfathered rights, Arizona legislature, aggregate mining, reclamation plans, environmental protection, public safety, land use, domestic water, improvement district, water delivery, water hauling

Summary: The committee began with an informational presentation from Gordon Shemp of Nemecu Analytics on Arizona transportation fuel supply and pricing. He explained that Arizona sits at the end of the pipeline system, relies on limited terminal inventories, and can experience only about a seven-day fuel supply if pipelines are disrupted. He attributed recent price spikes to constrained pipeline capacity, Kinder Morgan pressure reductions after PHMSA anomaly reviews, and recovering demand, and he also discussed California refinery closures, increased imports from overseas, and proposed new pipeline capacity into Phoenix from the east. Committee members asked about fuel formulations and pipeline logistics, and Shemp said the proposed project would not change fuel specifications, only transport capacity. The committee then took up House Bill 2758, which would allow eligible entities in La Paz County’s McMullen Valley groundwater basin to transport groundwater to AMAs under specified limits and conditions, with related provisions on fees, districts, and water improvement programs. Supporters, including Stan Barnes, Jim Downing, and Barry Arons, argued the bill follows the Harquahala model, provides needed augmentation for urban Arizona, and includes local benefits and guardrails. Opponents, including La Paz County Supervisor Holly Irwin, Devonna Sater, and Ed Curry, said the bill would worsen groundwater decline, subsidence, and well failures in Salome and Wenden and favored outside investors over rural residents. After debate, the committee approved HB 2758 on a 4-3 vote. The committee also heard and advanced several other water-related bills. HB 2031, extending the deadline to apply for grandfathered groundwater rights in the Wilcox AMA from 15 to 27 months, passed 5-2 after some members said the extension was unnecessary and would delay protections. HB 2102, allowing county improvement districts in subsequent AMAs or groundwater transportation basins to use eminent domain for a well and standpipe site and water hauling, passed 4-3 after Sierra Club testimony called it a limited “band-aid” rather than a real solution. HB 2103, which would let water improvement programs accept gifts and dedicate groundwater transportation fee revenue to local residential water hauling and delivery, also passed 4-3. HB 2117, a technical cleanup bill shifting Environmental Special Plate Fund administration to the Natural Resource Conservation Board and raising education-center distributions from $5,000 to $10,000, passed 5-2 despite concerns about the fund’s administration. The committee then considered HB 2261, which changes agricultural property tax terminology and valuation rules. County assessors and the Arizona Association of Counties opposed it, warning it would effectively exempt many agricultural improvements from taxation and shift costs to residential taxpayers; the Arizona Farm Bureau supported it as a clarification that would provide certainty for agriculture. The bill passed 4-3. Finally, HB 2262, transferring the Resource Analysis Division from the State Land Department to the Arizona Geological Survey and revising geospatial advisory responsibilities, was introduced, with State Land Department staff saying they were neutral but noting the bill would need clearer statutory duties if RAD is removed.

Transcript Highlights:

• I'm also an emergency physician, and our primary interests are metragynine, and then there is less of
• We've expanded prescribing within primary care to reduce silos and improve timely access to treatment
• It leverages mid-levels and our primary care physicians.
• We engage the private sector, payers, providers, and business groups.

Keywords: 985, all

Transcript Highlights:

• The total amount that comes in through private payers and all that, I'll have to get that for you.
• the right-hand side there, you can see the first one that we did: the maternal and child health and primary
• For maternal and child health and primary care, we've put in about $432 million in total.
• So $35 per service on expansion adults, except primary care, mental health, and substance use disorder

Transcript Highlights:

• No, my primary reason for promoting nuclear is that it produces electrons to power the system, but not
• Let me say that the Nuclear Regulatory Commission's primary responsibility is not to regulate the industry
• Again, the primary purpose of the NRC is to ensure that there's no harm to the public.
• CPS Energy, being a municipally owned utility, is owned by the rate payers. So as the CEO of...

Bills: SB1468, SB1612, SB1789, SB2530, SB2571, SB2717, SB2967

Keywords: utility systems, Texas A&M, regents authority, construction, improvement, construction contracts, trust funds, property rights, mechanics lien, contractors, trustee liability, mechanic's lien, liability, attorney's fees, windstorm insurance, Texas Windstorm Insurance Association, insurance regulation, administrative penalties, coastal counties, catastrophe year

Transcript Highlights:

• reviews of education when we receive an applicant who completed their education at an out-of-state primary
• That's our primary job, to protect individual rights.
• maybe we can spread that across there, but in the end, that goes to the bottom line of the insurance payer
• Right now, our primary methods of communication with injured employees are the fax machine and snail

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• It's deciding whether or not we add this type of system, uh, which then gets passed on to the rate payers
• It's deciding whether or not we add this type of system, uh, which then gets passed on to the rate payers
• 40.560> rate uh which then gets passed on to the rate uh which then gets passed on to the rate payers
• 42.520> to<00:36:42.920> increase<00:36:44.120> uh<00:36:44.480> their payers
• to all have to increase uh their payers to all have to increase uh their fees<00:36:45.160> and

Keywords: 1187, senate, all

Transcript Highlights:

• operating a data center could go bankrupt and any unpaid costs would then be set on the lapse of rate payers
• It protects our residents, it protects our rate payers, first and foremost.
• We've seen in other states, particularly in Virginia, where a lot of their rate payers have seen a job
• It protects our residents, it protects our rate payers, first and foremost.
• We've seen in other states, particularly in Virginia, where a lot of their rate payers have seen a job

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions, including guests from the press, Florida State women’s soccer, and former Senator Janet Cruz. Members also announced there would be no conference that weekend. The chamber then moved to the special order calendar and began taking up a series of bills, often substituting House companions and proceeding quickly to third reading and final passage. Among the measures approved were bills modernizing trust settlement and trustee discharge procedures; revising military affairs laws, including leave protections, retirement eligibility, and assistance programs; creating uniform cash-rounding rules as Florida prepares for the end of the penny; refining podiatric medicine rules on cellular/tissue-based products and informed consent; expanding veterans’ court access statewide; clarifying RV park special assessments; establishing concurrent state-federal jurisdiction for juveniles on military installations; reauthorizing alcoholic beverage loss deductions; and revising bail bond and pretrial release laws, including training, electronic notices, forfeiture timing, and related procedures. Members also passed bills on eyewear insurance licensing, expanding the Linking Industry to Nursing Education Fund into health science education, streamlining recovery residence regulation, enhancing felony battery penalties, and updating child welfare rules to reduce repeated background checks, make the Step Into Success program permanent, and create a best-practices program. Several bills drew brief supportive remarks, especially those affecting veterans, the National Guard, foster youth, and military families. One bail bond bill prompted questions about charitable bail bonds, with the sponsor stating the current statute would remain unchanged. Most bills passed unanimously or near-unanimously; the bail bond measure passed 36-1, while the others noted here passed with no or minimal opposition. The Senate also adopted an amendment to the military affairs bill and a delete-all amendment to the military-installation jurisdiction bill before final passage. A major portion of the meeting was devoted to honoring Senate Democratic Leader Lori Berman on her farewell. Members from both parties offered extended remarks praising her leadership, preparation, collegiality, advocacy on issues such as voting rights, women’s rights, Israel, anti-Semitism, breast cancer, school safety, and family law, and her effectiveness in committee and on the floor. Berman delivered an extended farewell speech reflecting on her 16 years in the Legislature, her family, her district, and her legislative priorities, and the Senate ordered her remarks spread upon the journal before recessing and later returning to continue the calendar.

Transcript Highlights:

• such, HB 4903 establishes the Quad Agency Child Care Initiative to promote collaboration among the primary
• Then third, it allows us to aggregate a number of claims with the same payer, not necessarily specific
• She does not have a pharmacy or a primary care facility.
• There is not a primary care physician within an hour of her community.
• It removes primary care and antineoplastic cancer treatments, pediatric hospice, neonatal abstinence

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• 01:00:01.920> lowest<01:00:02.560> income<01:00:03.040> tax<01:00:03.360> payers
• , benefits our lowest income tax payers, benefits our lowest income tax payers, the<01:00:04.320>
• families, and the EITC, the tax payers families, and the EITC, the tax payers who<01:00:08.880><
• ,<01:00:48.160> the um if you are a single tax payer, the um if you are a single tax payer
• <03:26:11.040> care primary care primary care here<03:26:12.600> in<03:26:12.760> Hilo

Bills: HB2459, HB1616, HB1799, HB1604, HB1732, HB1736, HB1931, HB772, HB2153, HB2122, HB2009, HB2012, HB1779, HB2296, HB2397, HB2398, HB1596, HB2233, HB1976, HB1563, HB815, HB1655, HB1851, HB1941, HB2037, HB1635, HB2201, HB1943, HB1163, HB2452, HB2429, HB2148, HB2306, HB2007, HB2049, HB2616

Keywords: food innovation, agribusiness, food safety, market access, branding, economic diversification, performance indicators, agriculture, aquaculture, commercial activity, swine production, Korean natural farming, housing development, commercial projects, county authority, public works, construction standards, exemption, zoning, housing

Transcript Highlights:

• new pharmacy formulary and reimbursement methodology that will continue to prioritize high public payer
• High public payer hospitals, assessment changes, and new spending that will require CMS approval.

Keywords: 995, all

Summary: The House took up several routine and ceremonial matters first, including a resolution honoring the Solomon Northup Committee and commemorating the arrival of the Solomon Northup sculpture in Boston, which was adopted. Members also adopted an order extending the Revenue Committee’s reporting deadline on House No. 4606, concurred in a Senate sick leave bank petition for Jeffrey Yatson, and suspended Joint Rule 12 for a similar sick leave bank petition for Jean McCarran. The House then advanced House No. 4413, a bill on the terms of certain Commonwealth bonds, to third reading and later passed it to be engrossed. The main floor debate centered on House No. 4601, the fiscal year 2025 supplemental appropriations bill. The bill was described as a $2.25 billion supplemental budget with a net Commonwealth cost of about $750 million, covering MassHealth, snow and ice deficiencies, Home Base, universal school meals, reproductive health care supports, a sports and entertainment fund, and other items. The bill also included outside sections on public health and finance, and it ratified seven collective bargaining agreements. The House adopted Amendment 70, which added Health Safety Net funding measures, including higher hospital assessments and a $50 million transfer from the Commonwealth Care Trust Fund, after supporters said it would help avert a projected shortfall and generate federal Medicaid revenue. A separate amendment on Home Base eligibility was rejected. The House also adopted a consolidated amendment that included provisions affecting western and central Massachusetts municipal health insurance costs and changes to violent injury benefit language for first responders, including clarifying the definition of a weapon and tightening the standard for covered injuries. Another consolidated amendment was adopted by roll call, and the bill itself was then passed to be engrossed by a recorded vote. The session ended with an order to meet the next day at 11 a.m. and a motion to adjourn in memory of former House members Thomas and George, which was agreed to before adjournment.

Transcript Highlights:

• Currently, members with the primary psychiatric condition are excluded from AHCCCS.
• But the Department of Defense, one of the primary responsibilities of the things that push down to the
• They are not a payer. They have been in charge of our American Indian Health Program.
• We are often told staffing shortages are the primary issue.
• 1814 establish a standing over site study committee on substance use disorder to bring providers, payers

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• And so we had wanted to try to address that so you could, because that's a savings to the rate payer.
• <00:33:53.120> And<00:33:53.520> also savings to the rate payer.
• And also savings to the rate payer.
• be most efficient as we can, save the be most efficient as we can, save the rate<00:36:31.200> payer
• the most money while getting rate payer the most money while getting miles<00:36:33.640> of<00

Bills: SB8

Keywords: utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, Meeting Start 00:00:00 Attendance Roll Call 00:00:51 Approval of Minutes 00:02:07 Legislator Comments 00:02:18 LIHEAP Public Hearing 00:04:19 PSC Update on RS 26 SB 8 00:32:18 WaterStep Presentation 01:04:08, 958, all

Transcript Highlights:

• And make sure if you are a component unit and you are essentially part of a primary government that gets
• Viewed through this lens, salaries and benefits are our primary cost at 69%, plus an additional 5% for
• They've got to find a bill payer when they're just coming together to be part of a team.
• Then you start to talk about the money a little bit more, figure out who the payers are.

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• Committee on Judiciary and Civil Jurisprudence, HB 5105 by Rosenthal relating to the imposition on a payer
• HB 5106 by Rosenthal relates to the information a payer of the proceeds of the production from For the
• of a candidate's ineligibility on the basis of filing an application for a. place on the general primary
• HB5548 by Wilson relates to prohibiting certain food items from being included in primary and secondary

Keywords: 1184, house, all

Transcript Highlights:

• really different in 2011 than it does now, and it's evolved since then, both on the provider and the payer
• Both on the provider<00:15:53.600> and<00:15:53.720> the<00:15:53.800> payer<00:
• provider and the payer side. provider and the payer side.

Keywords: 919, house, all

Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.

Transcript Highlights:

• We didn't have to rely on shifts to other payers like the counties.
• We didn't have to rely on shifts to<00:12:18.639> other<00:12:18.880> payers<00:12:19.279
• <00:12:20.399> We to other payers like the counties.
• We to other payers like the counties.

Keywords: 1183, house

Transcript Highlights:

• of just, you know, scooping out of their salaries to decrease the cost of electricity for our rent payers
• electricities for decrease the cost of electricities for our<01:04:03.119> rent<01:04:03.359> payers
• > I<01:04:03.920> should<01:04:04.000> say<01:04:04.160> our our rent payers
• or I should say our our rent payers or I should say our utility<01:04:04.960> users,<01:04:05.599

Keywords: 910, house, all

Summary: The House convened with 46 members present and five excused, deferred reading of the journal, and noted there were no messages from the governor or Senate communications. Members then offered several introductions recognizing guests in the gallery, including LifeSmarts awardees, DCCA and LifeSmarts program officials, former Representative Pono Chong and his children, an intern from District 39, a landback advocate, and staff from the Education Committee office. The chamber also marked the close of Education Week 2025 with applause and recognition of the visiting students and supporters. The main floor presentation was House Resolution 211, which congratulated the first- and second-place teams at the 2025 Havi LifeSmarts State Competition and the 2025 U.S. Senate Youth Program delegate. Representative Tam presented the resolution, praising the Eolani Raiders for winning first place and wishing them well at the upcoming Chicago competition. Representative Hashimoto recognized Kalanianaole High School’s second-place team, and Representative Woodson honored Wilson Chow of Maui High School for his leadership and service. The resolution was adopted by voice vote, and the House recessed briefly to allow members to congratulate the honorees. After recess, the House took up a large block of standing committee reports, moving reports 1406 through 1504 with a series of member notations including no votes, reservations, and a few brief explanations. Several members raised concerns about specific measures involving emergency readiness centers, immigration-related legal access, blank votes on ballot questions, electricity costs and Hawaiian Electric, and gambling. Some members spoke in support of measures while noting reservations about cost, process, or policy effects. The full package of reports was ultimately adopted by voice vote. During announcements, Representative Garcia read a statement from Representative Jean Ward announcing her resignation effective at the end of the month due to ongoing health issues, including anemia, sciatica, and pneumonia, after nearly 27 years of service. The House then adjourned by voice vote until 12:00 noon on Monday.

Transcript Highlights:

• So we are the policy driver for Medicaid payer as the Medicaid entity.
• we were doing the working group that they brought together legislators, providers, and DHS as the payer
• So that becomes a critical piece of this, is that we don't have another payer.

Keywords: 1204, all

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Wooldridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system focused on access, workforce, reimbursement, and reducing red tape. Members raised concerns about provider shortages, licensure barriers, rural access, reimbursement rates, jail-based services, non-emergency transport, and the need for step-down options and crisis diversion before people end up in jail or the state hospital. DHS Director Paula Stone outlined the behavioral health system, emphasizing that Medicaid pays for most behavioral health services in Arkansas and that many services cannot be billed once a person is in jail or the state hospital. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder unit, forensic evaluation and restoration changes, and a planned IMD waiver to allow Medicaid payment for certain psychiatric and residential services. She also explained the backlog at the state hospital and in forensic restoration, the role of therapeutic communities, and the challenges of serving rural and difficult-to-serve populations. Members asked about crisis stabilization units, civil commitment, dashboards for bed availability, and whether Arkansas should expand step-down or long-term facilities. Stone said the state has supported crisis stabilization units in several cities, with mixed results, and noted that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock. She said DHS does not yet have a statewide bed dashboard but sees it as a useful tool. The meeting ended with agreement that the discussion was a starting point and that the committee would continue the work, tentatively in August, to develop policy ideas for the 2027 session.

Transcript Highlights:

• So we are the policy driver for Medicaid payer as the Medicaid entity.
• we were doing the working group that they brought together legislators, providers, and DHS as the payer
• So that becomes a critical piece of this, is that we don't have another payer.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.