Transcript Highlights:

• > in 89,000 people received long-term care in 89,000 people received long-term care in their<00
• line above that that is the long-term line above that that is the long-term care<00:13:30.240>
• <00:14:02.839> care choose to receive their long-term care choose to receive their long-term
• where we've we had um you know limited where we've we had um you know limited growth<00:20:21.720
• So this would put a limitation, kind of a more standardized limitation, on the number of days, which

Keywords: 1183, house

Transcript Highlights:

• The Governor proposed a 50% limit at the May Revision.
• So it is more of a limit than in current law, but not as much of a limit as in the May Revision.
• , but for the long term.
• And to have to try to balance long-term issues with short-term, are we closing an emergency room?
• So I think it's important to note that, to be able to address near-term as well as long-term problems

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• And so the emphasis really is on rapid value creation and exit rather than long-term investments.
• There are very limited requirements on ownership structures, financing, or performance.
• capital that is raised from limited capital that is raised from limited partners,<00:03:38.959><
• inherent in private equity short-term inherent in private equity short-term extraction-driven<00
• Safeguards that place residents, not investors, at the center of long-term care policy.

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• This limits the maximum term of imprisonment for misdemeanors for offenses punishable by up to or not
• This limits the maximum term of 2731.
• This limits the maximum term of imprisonment<01:23:41.360> for<01:23:41.640> misdemeanors
• This limits the maximum term of imprisonment for misdemeanors or for offenses punishable by up to or
• This limits the<01:53:26.400> maximum<01:53:26.840> term<01:53:27.080> of<01:53:

Bills: SB2041

Keywords: land court, real property, legal documents, bureau of conveyances, judicial confirmation, property registration, working group, Hawaii Revised Statutes, reform, 912, senate, all

Summary: The committees heard SB 2041, which would repeal the Land Court, transfer its functions to the Bureau of Conveyances, and create a working group to recommend implementation. DLNR and Judiciary stood on their written testimony, while Realtors supported the bill and one testifier raised concerns about the loss of judicial authority, title disputes, adverse possession, and possible effects on Kuleana lands. Members questioned whether property could be deregistered and what the legal consequences would be, and the Bureau of Conveyances said deregistration is already available but burdensome. The committees ultimately recommended passage with amendments, and the measure was adopted by both committees. The Judiciary Committee then heard SB 2247, which restricts certain governor-appointed, Senate-confirmed executive branch employees from participating in campaign fundraising. The State Ethics Commission and Campaign Spending Commission supported the bill as a way to curb pay-to-play concerns and the appearance of undue influence, and several advocacy and civic groups also testified in support, with one person opposing. The committee agreed to amend the bill so the restrictions apply only after confirmation and continue until the person leaves the covered position. The committee voted to pass SB 2247 with amendments. Finally, the Judiciary Committee heard SB 2143, which would make the Attorney General the interim Chief Election Officer if that office becomes vacant until the Elections Commission appoints a replacement. Supporters argued the bill would provide continuity, prevent delays in certifying election results, and protect election integrity; opponents argued it would politicize the office, create a conflict of interest, and was unnecessary because current law already provides a process for filling vacancies. Testimony was extensive and sharply divided, with many speakers on both sides. The transcript provided does not include a final vote or action on SB 2143.

Transcript Highlights:

• To add insult to injury, the Learn Fair program uses the terms probation and sanction, terms derived
• So, you know, it's been around for a while in terms of a policy, but in terms of when we actually started
• The limits, you know, this bill, as Kelly spoke about, aims to amend limits and limitations on the shelter
• This limitation forces families to choose between a safe place to stay in shelter for a limited amount
• Even with my good eye, my death perception is limited.

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• when it comes to long-term care.
• seeking long-term care options.
• Medicare does offer limited coverage for some short-term skilled nursing care, but only under specific
• Given these limitations, many patients may need long-term care beyond what Medicare can provide.
• long-term services.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• As long as you have limits. That's under your spending limits and constitutional limits, yes.
• So there's typically two limits.
• We have several spending limits.
• is the newest limit.
• It's similar to the tax spending limit, but it limits. different pots of money.

Keywords: 1184, house, all

Transcript Highlights:

• pumps because it's proven that they improve maternal and infant health outcomes while reducing long-term
• So Louisiana's current Medicaid reimbursements are... ...long-term health care costs.
• Medicaid reimbursements are at $80, which is far below the national average of $140 a month, and may be limiting
• Where do you think this map is going to lead us in terms of future litigation, which I know has also
• Is that a legal term? Yes, it is. Okay. I've never seen it in the case, but...

Bills: SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• because it's proven that they improve maternal and infant health outcomes while reducing the long-term
• So Louisiana's current Medicaid reimbursements are long-term health care.
• Medicaid reimbursements are at $80 is far below the national average, which is $140 a month, and may be limiting
• Where do you think this map is going to lead us in terms of future litigation, which I know has also
• "Is that a legal term?" "Yes, it is." "Okay. I've never seen it in the case, but..."

Bills: SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate convened with a quorum, received a prayer and pledge, adopted the journal, and heard messages from the House reporting final passage of several Senate bills and concurrence in SCR 86 and 87. The chamber also observed personal privileges honoring the lives of Edith K. Kirkpatrick and Susan Ann Traylor Bidick, with family members present and a moment of silence held for Bidick. The House later refused concurrence on Senate amendments to HB 42 and HB 159. The Senate then took up a series of resolutions, most of which were adopted without objection. These included studies on energy infrastructure and modernization (SR 174, amended to add an alternative energy industry representative and a consumer advocate), breast pump Medicaid reimbursement (SR 175), digital student IDs (SR 176), lethality assessment protocols in domestic violence cases (SR 177), problem gambling prevention (SR 178), community water system grading (SR 179), condolences for Sharon Courtney (SR 180), and expansion of the Louisiana Tumor Registry (SR 181). The chamber also adopted SCR 85 honoring the Sam Houston High School Broncos baseball team after a recorded vote of 36 yeas and 8 nays. On bills returned from the House, HB 1222 on grocery initiative grants failed on final passage by a vote of 18 yeas and 19 nays. SB 312 had House amendments rejected, SB 348 and SB 485 had House amendments concurred in, and SB 121 on congressional redistricting was the subject of extensive debate over racial gerrymandering, district configuration, and expected litigation before the Senate concurred in the House amendments by 28 yeas and 10 nays. The Senate also concurred in several House concurrent resolutions, including studies or reports on flooded corn and migratory waterfowl, deer hunting with dogs in Kisatchie National Forest, support for a Senator Kennedy letter to the Fish and Wildlife Service, boating safety reporting, and subsurface data review. Finally, HB 944 creating a Women’s Health Consortium within the Department of Health was amended to address funding concerns and convert it into a more task-force-like structure, then passed 37-0 with nine coauthors. The Senate then recessed until 1:30 p.m. to continue work, including conference committee reports.

Transcript Highlights:

• This is what happens over the long term in terms of the wearing away of the infrastructure from pieces
• And then there's been very limited testing of that model in terms of the shocks to that system.
• If there is no posted speed limit on a county road in our state, the default speed limit is 50 miles
• Maybe an average speed limit, or an average speed of 40 to 45 instead of the speed limit of 50.
• . ...statutory limits.

Summary: The committee first heard an update on the Joint Transportation Committee study of transportation impacts if the Lower Snake River dams were removed. WSDOT and Jacobs described the study’s phases, including current work on geology, infrastructure risk, and a total logistics cost model. They explained that the study is examining how freight now moved by barge—especially wheat, fertilizer, and wood—could shift to rail and roads, and they outlined several scenarios ranging from no-dam future conditions to new unit-train terminals, short-line rail options, and a combined “many solutions” scenario. Members asked about irrigation, impacts in Idaho and Oregon, port capacity, emissions, competition, EV trucks, and whether the model could estimate transportation effects if grain volumes decline. The presenters said the study assumes current production levels continue, does not model irrigation changes or broader farm-economics impacts, but does account for transloading costs and can estimate transportation impacts under different volume assumptions. WSU’s independent review team said the model has improved substantially but still needed refinement, especially in routing, road data, and spatial detail, and that stakeholder engagement had been strong though delayed by model development. No votes were taken. The committee then received a presentation on the alternative sidewalk funding study. Staff and consultants said the study is exploring ways local governments could sustainably fund sidewalk maintenance, repair, and new construction, using a statewide survey, interviews, national research, and case studies in eight jurisdictions. They noted sidewalks are important for pedestrian safety and connectivity, but there is no dedicated funding source in Washington, and existing grants and local revenue tools are highly competitive or limited. The consultants highlighted sidewalk fees or utility-style charges as the most promising option to study, while a parcel tax was largely set aside because of state property-tax uniformity concerns. Members asked whether the study would duplicate existing funding or add to current taxes, and how a sidewalk fee would be collected; the consultants said the goal is to expand local options, not mandate adoption, and that fees would likely be billed through utilities rather than property taxes. A preliminary draft report is due December 15, with a final report due in mid-June. Next, staff gave a brief update on the ocean-going vessels study, which is examining shore power and emissions rules for vessels at berth. The presenter explained that federal Clean Air Act rules and California waiver authority create legal limits on how far Washington can go if it wants to adopt similar standards, and that deviations from California’s approach can increase litigation risk. The report will summarize stakeholder outreach and will be presented in draft form at the next JTC meeting. Finally, county engineers from Chelan and Douglas counties began a presentation on county transportation challenges, with the association’s director emphasizing collaboration with state agencies and local partners on issues such as fish passage barriers and infrastructure needs. The county presentation was only beginning when the transcript ended, and no committee action or votes were recorded.

Transcript Highlights:

• Costs have risen over that time, and the asset limit must increase accordingly.
• I don't have much, and what I do have is well under the... ...limit.
• Sarah and others spoke about the MassHealth asset limit. Again, $2,000 since 1989.
• At the same time, because of the limited funding that already exists and more limited funding that's
• I am the Massachusetts State Long-Term Care Ombudsman.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• So, in plain terms, 1611 lets an MCO expert do the day-to-day work.
• Madam Chair, Rachel, the long-term care, long-term SMI I asked about—I probably more than you know I
• for this SMI long-term level of care.
• However, even members that have these limited housing units...
• to federal upper payment limits.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• decision to either extremely limit decision to either extremely limit access<00:18:59.600> or
• to work on with with Medicaid in terms to work on with with Medicaid in terms of<00:34:48.480>
• So we didn't hit that limit.
• we didn't hit that limit. we didn't hit that limit.
• in terms of things we set out from like in terms of things we set out from like from<01:24:15.520>

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• <00:00:43.320> for written testimony, the time limit for written testimony, the time limit
• So, we cannot if if we say the you limit So, we cannot if if we say the you limit it<00:07:56.800
• I think that's the limitations.
• <00:21:07.920> and as like the statute of limitations and as like the statute of limitations
• specific about how we define the term specific about how we define the term and<00:43:58.640>

Keywords: 912, senate, all

Summary: The committee first heard House Bill 2455, HD2, relating to employment practices. Testimony was limited, with support from the Hawaii State Commission on the Status of Women and UPW; the committee noted nine support, zero opposition, and zero comments. No vote was taken on this bill during the portion provided. The committee then took up House Bill 2165, HD2, relating to the Hawaii Employment Security Law. DLIR supported the measure but requested an amendment moving language in Section 2 from subsection A to subsection C to preserve the legal structure. Members questioned DLIR about a January 8 U.S. Department of Labor letter and whether the bill would keep Hawaii in conformity with federal unemployment insurance requirements. DLIR said the federal guidance requires the state to remove the carve-out for labor-dispute claimants, though unions with hiring halls and members in good standing could still be exempt from work-search requirements under an authorized list. UNITE HERE Local 5 opposed the bill and said the current law already gives the department discretion to exempt striking workers. The committee recessed the bill before any final action was taken in the portion shown. In the joint hearing with Commerce and Consumer Protection, the committees heard House Bill 1509, HD2, relating to workers’ compensation. DLIR supported the bill, DHER offered comments and requested an amendment, UPW supported it, and one Zoom testifier described personal experience with delayed care and urged faster decisions. After testimony, the committees voted to pass the bill with amendments. The adopted amendments restored the 7-day treatment-plan deadline from 10 days, changed the effective date to January 1, 2077, and struck the proposed $500 fine for employers who fail to respond within 10 days. Back in the Labor and Technology agenda, the committee heard House Bill 1515, HD2, also relating to workers’ compensation, with testimony noting seven in support, one in opposition, and one comment, but no action was taken in the excerpt. The committee also heard House Bill 1514, HD2, relating to workers’ compensation vocational rehabilitation plans. A Zoom testifier opposed the bill, arguing the 120-day timeline was unrealistic for complex cases. DLIR said the bill would give the director discretion to extend the vocational rehabilitation plan timeline beyond 120 days with no cap on extensions, and the committee noted five support, four opposition, and zero comments. Finally, the committee began House Bill 2458, HD3, relating to surveillance pricing. OCP said it stood on written testimony, while supporters argued the bill would prevent corporations from using personal data to set prices, especially for groceries. Retail and grocery interests opposed the measure, saying it was too broad and could restrict loyalty programs, promotions, and discounts; one witness asked that a loyalty-program exemption be restored.

Transcript Highlights:

• <00:20:49.840> to<00:20:50.080> medical limited um the access to medical limited um
• uh these are sort of time fix limited uh these are sort of time fix limited appropriations.<00:53
• And in terms of the fiscal basis.
• HR1 limits that for expansion states. We are limited to paying just 100% of the Medicare rate.
• <01:21:02.080> of what our strategy was in terms of what our strategy was in terms of pulling

Keywords: 1187, senate, all

Transcript Highlights:

• We have limited skilled nursing facility and long-term care facility, particularly long-term acute care
• But it surely does not limit any family to, early in the process, say we want...
• Designed or staffed to provide that long-term residential or custodial care.
• Ultimately, this limits the availability of respite care across our state.
• Long-term care.

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• The term voter suppression has become an overly used, emotionally charged, and triggering term, much
• like the term racist.
• Unfortunately, the scope of Section 203 is limited.
• Adult limited English proficient citizens in a county.
• a third term.

Summary: The Assembly Elections Committee met on July 1, 2026, heard a full agenda of election-related measures, and took final votes on several bills and one resolution. The committee also adopted two consent items, SB 1429 and SB 1430, without opposition. Members and the chair repeatedly noted committee membership changes and the final meeting of the session, and the chair emphasized the committee’s focus on protecting democracy and election integrity. Among the bills heard, SB 1369 would shorten the signature-gathering period for judicial recalls in larger counties and require paid gatherers to disclose they are compensated; supporters argued it would protect judicial independence, while the chair and some members noted the need to balance recall rights with county differences. SB 900 would reformat campaign disclosure language on large print ads and billboards to improve readability while preserving transparency, with broad support from outdoor advertising, clean money, and good-government groups. SJR 18, which condemns Citizens United and urges action against corporate spending in elections, drew support from reform advocates but also concerns about the resolution’s focus and scope; it was advanced on a party-line split with some members voting no. The committee also advanced SB 1164, a major voting-rights measure expanding California protections against vote dilution and voter suppression, adding preclearance-style review for some jurisdictions, and directing courts to interpret election laws in favor of voting access. Local government representatives opposed it unless amended, citing uncertainty, loss of safe-harbor protections, and implementation concerns, while civil-rights and labor groups strongly supported it. SB 1360, which expands language-access requirements for voters with limited English proficiency and lowers coverage thresholds, was supported by voting-rights and immigrant-advocacy groups but opposed by elections officials unless amended; the committee acknowledged the need for further work on county-level implementation and data standards. The committee also approved SB 1418, which extends protections against seizure of election records and voting systems beyond voted ballots, and SB 884, which creates a buffer zone around polling places and vote-by-mail drop locations to prevent interference with voting and ballot custody, though sheriffs and police groups opposed the arrest restrictions. SB 46, which would give the Secretary of State clearer authority to remove constitutionally ineligible presidential and vice-presidential candidates from the ballot, and SB 715, which moves candidate ballot-designation challenge deadlines earlier, also advanced. Most measures were sent to Appropriations or otherwise held on call for absent members, and the meeting ended with final roll calls and adjournment.

Transcript Highlights:

• And for everybody, a two-minute time limit on testimony.
• Next up is HB 1548 relating to sentencing limits, the maximum term of imprisonment for misdemeanors or
• Next step is hp, HP 1548 relating to sentencing limits, the maximum term of imprisonment for misdemeanors
• This limits the maximum term of imprisonment for misdemeanors, or for offenses punishable by up to, or
• limitations of section 40-68 from being claimed.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard and acted on several nominations and bills. It first recommended advise and consent for Governor’s Message 573, confirming Luann Blake to the Statewide Elections Accessibility Needs Advisory Committee after she described her experience as a blind voter and her goals of improving outreach and accessibility for voters with print disabilities. The committee then took up the judiciary supplemental budget bill, HB 2095, with testimony from the courts and several supportive organizations. The courts requested funding for security, cybersecurity, substance use treatment contracts, public guardian services, staffing, and capital projects; members questioned the lump-sum CIP request, the substance use contract funding, and the Kamanu Hale elevator project. The committee later voted to pass HB 2095 with amendments, including changes to cybersecurity funding, security-related report language, and other committee-report notes. The committee also heard HB 1520, which changes the five-year statute of limitations for criminal prosecutions of campaign finance violations to begin upon discovery by the Campaign Spending Commission. The commission supported the bill, saying it would prevent delayed reporting from avoiding prosecution, while one senator raised concerns about due diligence, tolling, and the difference between administrative and criminal enforcement. The bill drew broad support from advocacy groups and was advanced with an amendment clarifying “criminal prosecution.” HB 1548, which reduces the maximum sentence for misdemeanors and other offenses punishable by up to one year to 364 days, received strong support from the Public Defender, immigrant-rights groups, OHA, and others, who said the change would reduce immigration consequences for noncitizens. The committee later amended and passed the bill, limiting it to non-violent offenses. HB 2050, increasing partial public financing limits and available public funds, was supported by the Campaign Spending Commission and good-government groups, while OHA asked for parity with lieutenant governor races. The committee passed it with amendments increasing the public-fund match and funding levels, and requested additional appropriations in the committee report. HB 2494, which would set factors for warrantless arrests for petty misdemeanors and violations and require documentation of the justification, drew strong support from the Public Defender and civil-liberties advocates but opposition from the Attorney General’s office, prosecutors, police, and some business groups, who warned it would restrict officer discretion and trigger litigation. The committee nevertheless passed it with amendments. In a final decision-making agenda, the committee also passed HB 2250 with amendments, adding blank appropriations and committee-report language related to claims against the state, including claims involving exonerees and a disputed USEPA-related claim.

Transcript Highlights:

• Members who serve at one time and creates term limits for or faculty senate service.
• Yeah, I mean it and it limits us in terms of what what we You know can say I mean, there's no aspect
• I'm trying to limit it limits us in terms of what we can I appreciate Senator Creighton's clarification
• re-elected to another term. that so there's not term limits right as long as you know their colleagues
• We don't have term. limits at the University of Houston.

Bills: SB37, SB1489, SB452, SB724, SB1067, SB1741, SB1273

Keywords: higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation

Transcript Highlights:

• And so there's limited capacity out there.
• I know I may be a little bit limited on time.
• They were far more diligent this year, but very limited, to be perfectly honest, in terms of people that
• They are kind of going to the max of their limit.
• Long-term financial planning becomes more difficult.

Keywords: 908, all

Summary: The committee met to continue its tax reform and relief study agenda, approved the December 3, 2025 minutes, and announced a new subcommittee to examine property tax statement issues with counties, auditors, and the tax office. Representative Headland was named chair, Senator Rummel vice chair, and Representatives Dressler and Dr. Dr. and Senator Patton were also assigned. The chair noted the group may need an additional meeting and thanked staff and attendees. A major portion of the meeting focused on economic development incentives. The Department of Commerce presented on the Renaissance Zone program and TIF districts, describing Renaissance Zones as locally tailored tools that combine local property tax relief with state income tax incentives. Commerce said the program has supported thousands of projects since 1999 and cited examples from Beach and Mandan showing increases in property and taxable value, business retention, housing, and downtown revitalization. Committee members raised concerns that smaller rural communities often lack the staff and expertise to apply, and Commerce said it provides outreach through conferences, office hours, and one-on-one assistance. League of Cities and local officials from Bismarck and Ellendale echoed the capacity issue, discussed how the programs have worked in their communities, and suggested possible reforms or more targeted support for small towns. Ellendale’s mayor also described two TIF districts, one for industrial infrastructure in Oaks and one for housing infrastructure tied to a data center project in Ellendale. The committee then turned to stripper oil taxation. The Tax Department gave a comparison of oil and gas tax structures in selected states, noting that most have some form of stripper or marginal well provision, while Alaska does not appear to have a specific stripper-well exemption. Members asked for more detail on definitions and North Dakota’s annual adjusted rate. The Department of Mineral Resources followed with a detailed presentation on North Dakota stripper wells, explaining the statutory thresholds, the 12-consecutive-month production test, and the fact that once a well qualifies it remains on stripper status even if production later rises. DMR said about 11,332 stripper wells are active, representing roughly 54% of wells and about 16% of state production, and emphasized that stripper status can extend well life, preserve tax revenue, and reduce orphaned wells. Committee members and industry witnesses discussed refracs, the economics of keeping marginal wells active, and the competitive disadvantage created by North Dakota’s oil price discount. No votes were taken on these informational items.