Transcript Highlights:

• Again, the goal being we, we never want to raise taxes on our taxpayers of the tax reforms that we've

Bills: SJR 4

Keywords: term limits, state offices, constitutional amendment, governor, lieutenant governor, election reform

Bills: HB0150

Keywords: Wyoming business council, economic development, task force, evaluation, policy reform, 916, all

Transcript Highlights:

• today, first off, we're going to be doing House Bill 150, the Wyoming Business Council evaluation and reform
• Business Council evaluation and reform. Uh, and with that, I'll turn it over to the good Rep.
• It's a look at a potential structured transformation to evaluate and reform economic development and
• </c><00:01:32.720><c> economic</c><00:01:33.360><c> development</c> evaluate and reform economic development
• evaluate and reform economic development and<00:01:34.400><c> learn</c><00:01:34.799><c> from</c><00

Bills: HB0150

Keywords: Wyoming business council, economic development, task force, evaluation, policy reform, 916, all

Keywords: special education, legislation, Texas, personalized education, families testimonies, education reform, committee meeting

Summary: The committee meeting featured strong dialogues focused on improving educational provisions for special needs students in Texas. A key highlight was the discussion around legislation aimed at personalizing educational programs to cater to individual needs, which included testimonies from families who have benefited from similar initiatives. The overall sentiment was one of urgency to rectify past shortcomings in the education system and to foster an environment where every student is given the chance to thrive. Members also expressed frustration over delayed bills and a commitment to continue fighting for progress as the session approached its end.

Bills: HB1220

Keywords: accelerated degree, high-demand occupations, education reform, North Dakota, licensing, 908, all

Summary: The Workforce Development Committee reconvened to discuss House Bill 1119, which would create a child care advisory committee and authorize a Legislative Council program evaluation of child care services. Senator Hogan explained that the bill is intended to review child care licensing rules, child care assistance, and related laws and policies, while also giving child care providers a stronger voice in the rulemaking process. He described the proposal as a new model for legislative program evaluation and noted that leadership had been briefed and was supportive. Committee members raised concerns about the bill’s wording, scope, and structure. Senator Larson questioned the title and several sections, and multiple members suggested making the response language less directive and more collaborative, including changing “shall” to “may” in the section requiring a written response from the Department of Health and Human Services. Members also discussed limiting the advisory committee to the interim, clarifying that the evaluation would focus on child care services rather than broader early childhood programs, and adjusting language about enacted legislation to sound more neutral. The committee also discussed fiscal impact, with Hogan saying the evaluation would be done by Legislative Council staff and that any costs would likely be limited to meetings and existing DHS rulemaking activities. Members compared the proposal to other oversight models, including audit-style reviews and a possible DOGE process, and Hogan emphasized that the bill is meant to evaluate why child care issues keep recurring and why some laws are not fully implemented. No vote was taken; the committee agreed to continue refining the bill and planned to meet again the following Thursday.

Transcript Highlights:

• McMahon has the tall task of reforming the Department of Education that has lost its purpose. purpose
• Can we reform it? Yes. Should we abolish it? No.

Keywords: Department of Education, Ms. McMahon, educational reform, public testimony, federal responsibilities, local governance

Summary: The meeting of the legislative committee encompassed discussions on key bills including HB22, SB4, and HB2214, with significant focus on the implications surrounding the Department of Education. Members expressed varying opinions on the nomination of Ms. McMahon to lead the department, underlining the need for reform and accountability. The committee witnessed passionate exchanges regarding educational values and the responsibilities of the federal government versus local authorities. Public testimonies contributed to the discussions, highlighting the community's concerns about educational policies and their impact on students from diverse backgrounds.

Transcript Highlights:

• The House Committee that oversees Medicaid and Medicaid is responsible for funding 880 billion dollars
• Medicaid covers almost 40 million children.
• put that hospital in financial peril to lose Medicaid.
• We'll spend a trillion dollars this year on Medicaid.
• And he said the same thing about Medicaid.

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Keywords: Senate Bill 688, Senate Bill 9, equity, meritocracy, social progress, policy reform, public testimony

Summary: During this meeting of the committee, significant discussions centered around Senate Bill 688 and Senate Bill 9, with members expressing deep concerns over the implications of the proposed legislation. Chair Carol Alvarado initiated the meeting by addressing the audience and highlighting the need for robust dialogue regarding the bills in question. Senator Royce West actively contributed to the discussions, emphasizing the necessity to reform existing policies that some believe would regress social progress in the state. The debate revealed a passionate division among committee members, as they navigated the complexities of equity and meritocracy in legislation.

Transcript Highlights:

• Okay. the federal changes to the Medicaid the federal changes to the Medicaid program.
• </c> Medicaid state directed payment program. Medicaid state directed payment program.
• </c> necessary changes to Medicaid. necessary changes to Medicaid.
• Medicaid. Medicaid.
• , a few years later, Medicaid.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Bills: HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30, HB21, HB198, HB303

Keywords: HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test

Transcript Highlights:

• despite evidence that been reformed despite evidence that drug-free<00:12:33.279><c> zones</c><00:12
• </c> Kentucky, and U-Haul that have reformed Kentucky, and U-Haul that have reformed their<00:13:27.120
• Um, expanding automatic voter registration under these conditions is not reform.
• </c><01:16:44.560><c> Um</c><01:16:44.880><c> it's</c> conditions is not reform.
• Um it's conditions is not reform.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• Medicaid program.
• </c> Medicaid Services. Medicaid Services.
• </c> to our Medicaid uh managed care system. to our Medicaid uh managed care system.
• </c> accept new Medicaid patients. accept new Medicaid patients.
• </c> provider but don't accept Medicaid. provider but don't accept Medicaid.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• They accepted Medicaid and Medicare.
• If it’s Medi-Medi, Medicare and Medicaid, then we have an agreement with various insurance providers
• ><c> and</c> they they accepted Medicaid and they they accepted Medicaid and Medicare.<00:23:58.640><
• </c><00:24:18.560><c> and</c><00:24:19.040><c> 50%</c><00:24:20.040><c> is</c> up 50/50, 50% Medicaid
• </c> um the Medi-Medicaid um the Medi-Medicaid accepts<00:24:44.440><c> the</c><00:24:45.320><c> I'm<

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Bills: HB16

Keywords: judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments

Summary: The Committee on Judiciary and Civil Jurisprudence met with a quorum present and took up House Bill 16, the omnibus courts bill that had been vetoed by the governor after the regular session. The committee substitute made several changes, including moving certain court creation dates, creating a new county court at law for Maverick County, repealing a missed youth diversion article, removing a civil preference for the 456th District Court in Guadalupe County, clarifying the digital court recording study makeup, correcting a drafting error involving prosecutors in the Special Prosecution Unit, and allowing the Office of the Attorney General to represent SPU prosecutors. Megan LaVoie of the Office of Court Administration testified as a resource witness in support of the bill and thanked the committee for working with the judiciary on the measure. Steve Bresnan of the Texas Court Reporters Association also testified in support of the bill, but used his time to urge action on a separate anti-SLAPP appeal that he said had been pending for 47 months; he distributed materials and proposed an amendment to impose deadlines on the courts, though he said he was not expecting discussion of it that day. After public testimony closed, the committee adopted the substitute without objection. Representative Hayes moved that House Bill 16, as substituted, be reported favorably to the full House with the recommendation that it be passed and printed. The motion prevailed on a 10-0 vote, and the committee then adjourned.

Bills: HB16

Keywords: judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments

Transcript Highlights:

• We must prioritize reforms that uphold the rights and dignity of every individual, ensuring that justice

Bills: SB 9, SB 1047, SB 1048, SJR 17, SJR 49, SB 40, SJR 1, SJR 5

Keywords: bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, criminal procedure, public safety report, victim notification, family violence, bail bonds, public funds, political subdivision, injunction, taxpayer rights, violent crimes, sexual offenses, community safety, constitutional amendment, trafficking

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• </c> 4, birthing cent's Medicaid coverage. 4, birthing cent's Medicaid coverage.
• Jesse Springer, the state Medicaid agent, responded that Medicaid reimburses approximately $7,000 for
• 30% of our clients are Medicaid.
• > to</c><01:37:45.199><c> the</c><01:37:45.600><c> Medicaid</c> Medicaid clients going to the Medicaid
• The Medicaid client in the state.

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• out-of-state placements, but instead sets a measured timeline that allows for capacity planning and system reform
• :19:29.280><c> planning</c><00:19:29.679><c> and</c><00:19:29.919><c> system</c><00:19:30.320><c> reform
• </c> capacity planning and system reform. capacity planning and system reform.

Bills: HB1769

Keywords: criminal justice reform, rehabilitation, private prisons, racial equity, Native Hawaiians, community well-being, mass incarceration, 910, house, all

Summary: The committee heard House Bill 1769, which would require the Department of Corrections and Rehabilitation to incrementally reduce the number of people incarcerated in private out-of-state correctional institutions. The DCR director opposed the bill, saying the department does not control overall prison population levels because courts determine admissions, and arguing that Hawaiʻi’s in-state facilities are already over capacity, especially Halawa, which he said is 165% over design capacity. He said only a small portion of the population is under departmental control through furlough programs and argued that bringing people home would require building a new medium-security prison. Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Public Defender’s office, and several individuals, argued the bill creates a phased, accountable path to reduce reliance on mainland prisons and bring people home. Supporters emphasized the harms of separating incarcerated people from ʻohana and culture, the disproportionate impact on Native Hawaiians, and the need for diversion, treatment, re-entry support, and fair sentencing. Several testifiers also said the department has more control than it claimed, pointing to underused furlough options, reclassification, and empty beds at some in-state facilities, while others urged clearer statutory language and guardrails. Members questioned the director about whether people could be reclassified or moved to available beds at facilities such as Kulani and Waiawa, and about whether the department could do more through staffing and contract changes. The director said some proposals had been sent to the Department of Human Resource Development, but that major facility changes would be costly and that minimum-security facilities would need substantial upgrades to house medium-security inmates. After discussion, the chair said the committee would defer HB 1769 to Wednesday, February 18, 2026, at 11:30 a.m. for decision-making and adjourned the meeting.

Bills: HB16

Keywords: judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, 997, house, all