Transcript Highlights:

• That will help us continue to make sure that we have program integrity in our Medicare and medical assistance
• It includes other small changes to the medical cannabis program that prioritize patient protections so
• they can access the medical programs they need.
• The goal is to continue refining the program to support patients.
• or debarring from other MDE programs.

Bills: HF2354, HF1672, HF2389, HF2870, HF2743, HF1918, HF2551, HF1671

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis

Transcript Highlights:

• integrity in our Medicare and program integrity in our Medicare and medical<00:10:51.760> assistance
• It includes other small changes to the medical cannabis program that prioritize patient protections so
• The goal is to continue refining the program to support patients.
• <00:12:56.160> These the program to support patients.
• These the program to support patients.

Bills: HF2354, HF1672, HF2389, HF2870, HF2743, HF1918, HF2551, HF1671

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis

Transcript Highlights:

• This is why this patient brokering bill is long overdue.
• And, you know, I can attest that this problem has assisted or our help has assisted with members of.
• Patient brokering is very real.
• And it is known as patient brokering.
• It's a voluntary admission by the patient coming in on the form.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Summary: The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.

Transcript Highlights:

• , HB3540 fails to ensure patient safety.
• the program. we saw with COVID.
• , so is not able to communicate that to patients.
• first and providing patient-centered care.
• We are still responsible for assisting EMS.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• And the changes are on lines 16 and 17, where the department is able to review medical assistance services
• Because one of the concerns is starting a grant program, you know, starting a grant program because we

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• goes along with the local assistance road program.
• Um the local assistance<00:48:01.119> road<00:48:01.520> program<00:48:02.480> set
• c><00:48:02.720> out<00:48:02.960> you<00:48:03.119> all assistance road program
• set out you all assistance road program set out you all passed<00:48:03.680> that<00:48:04.079
• Okay, the local assistance road program, we um, and again my staff, I have a great staff.

Keywords: 00:00:39 Roll Call 00:02:57 Severe Weather Damage 00:39:00 Work Zone Safety 00:47:12 Local Assistance Road Program 01:10:18 Admin. Regs 01:15:37 Aviation Impact Study, 958, all

Summary: The committee’s first interim meeting opened with roll call, a quorum, and a briefing from Transportation Cabinet officials on the Cabinet’s response to severe weather and tornadoes in Kentucky, especially the May 16–17 storms that caused deaths and widespread damage in Pulaski and Laurel counties, with an additional tornado noted in Washington County. Secretary Jim Gray, State Highway Engineer James Ballinger, and District 11 engineer Chris Jones described how crews in all 120 counties were placed on alert, how roads were cleared of debris, and how KYTC coordinated with emergency management, law enforcement, local governments, and utilities to restore access and power. They reported major impacts on roads, signals, and other infrastructure, including the EF4 tornado path through Pulaski and Laurel counties, and said KYTC also helped with debris hauling, airport cleanup, and delivery of water and meals. The officials gave specific recovery figures for Laurel County, including 1,800 loads of construction and demolition debris hauled, about 11,000 tons and 22,000 cubic yards removed, with roughly 50% of vegetative debris cleared at that point. They said all state roadways in Laurel County were reopened, the London-Corbin Airport was returned to flight operations by Sunday, and a transition plan was underway for Laurel County Fiscal Court’s contractor to take over debris operations. Gray also noted that KYTC had helped issue replacement IDs, licenses, registrations, and titles at no cost in disaster areas, and said the Team Kentucky Storm Relief Fund had raised nearly $1.5 million from more than 6,000 donors. Members praised KYTC staff as first responders and thanked them for their quick response and coordination. Several legislators recounted local impacts in Washington, Pulaski, and Laurel counties, including blocked roads, rescue challenges, looting concerns, and the scale of property damage. One member asked how KYTC inspects bridges and infrastructure after disasters to check for hidden damage, and officials said the process depends on the event and can include bridge inspections and checks of tall infrastructure such as light poles. No votes or formal committee actions were taken during the discussion.

Transcript Highlights:

• Of course, I don't personally know what programs these Commissions might have programs that people are
• Programs from these three entities.
• This is the Healthcare Workers Resources Act and the assistance program and board that went along with
• I don't know anything about what the assistance program was or if any assistance was ever actually provided
• They were with this program.

Bills: SB1307, SB1425, SB1826, SB1365, SB1696

Keywords: SB1425, health care, healthcare workforce, workforce board, Health Care Workforce Resources Board, Health Care Workforce Resources Act, Oklahoma Health Care Workers and Educators Assistance Program, repeal, statutory repeal, health care workers, educators, workforce development, health professions, state board, assistance program, Oklahoma statutes, economic development, incentives, enterprise zones, local government

Bills: HB205, HB464, HB1361, HB2546, HB3229, HB205

Keywords: alternative fueling, grants, environment, public accessibility, transit authorities, scrap tires, tire dumping, illegal dumping, waste tire cleanup, environmental remediation, TCEQ, Texas Commission on Environmental Quality, county grants, public education, enforcement, prosecution, right-of-way, coastal waters, inland waters, solid waste

Bills: HB199, HB222, HB223, HB224, HB235, HB246, HB405, HB535, HB554, HB907, SCR3, SB43, SB52, SB54, SB113, SB168, SB219, SB222, SB270, SB311, SB359

Keywords: nursing facilities, moratorium, healthcare, patient care, data collection, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, Department of Children and Family Services, sunset law, statutory entities, regulatory authority, re-creation, termination dates, child welfare, foster care, children's rights, legal guardianship

Transcript Highlights:

• Now, I don't think I could buy... ...assistance.
• Programs like SNAP help reduce hunger and can make families eligible for other programs.
• We're just saying. we want people to be eligible under federal law and these programs.
• All of them get assistance under SNAP programs.
• That little bit of food assistance they get really helps them.

Bills: SB245, SB246, HB30, HB30

Keywords: SB245, public assistance, Medicaid, SNAP, food assistance, Alabama Medicaid Agency, Department of Human Resources, eligibility verification, self-attestation, data matching, fraud prevention, improper payments, program integrity, benefit eligibility, income verification, residency verification, asset verification, electronic benefit transfer, EBT, cross-checks

Transcript Highlights:

• uh for youth intervention program uh for youth intervention program grants,<00:10:40.520> and
• The programs are non-residential, excuse me, community-based programs that provide advocacy, education
• <00:14:27.880> appropriations programs appropriations programs appropriations that<00:14:30.400
• Minnesota, but because our CCAP program Minnesota, but because our CCAP program does<00:27:11.520
• Um, but I think we fundamentally disagree on the concept of creating a program to provide assistance

Bills: HF2136, HF4195, HF4548, HF4432, HF4174, HF3024, HF4389, HF3773

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

• What this bill does, it's an existing program that we have with the Alabama Student Grant Program administered
• Funds through the Alabama Student Grant Program will assist the university's work of reaching students
• .. participation in the program from 40% to 20%.
• veterans to participate in the scholarship program.
• This is a voluntary program; nobody has to do it.

Bills: HB46, HB379, SB22, HB487, HB273, HB525

Keywords: rural physician, tax credit, healthcare access, physician recruitment, Alabama, HB379, Alabama income tax, nonresident exemption, remote workers, traveling employees, mobile workforce, withholding tax, state tax reciprocity, multistate employees, temporary work, work location tracking, time and attendance system, remote work taxation, professional athlete, professional entertainer

Transcript Highlights:

• Supplemental Aid and General Assistance programs.
• This would align with other state cash assistance programs like General Assistance and MIP.
• aid and general assistance programs. aid and general assistance programs.
• align with other state cash assistance align with other state cash assistance programs<00:52:23.200
• like general assistance and programs like general assistance and MIP.<00:52:25.599> And<00:52

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• . program. program.
• We understand that there's this program.
• Sure, so this program actually leverages a good federal match, about 60%.
• So I'm the Assistant things.
• <00:39:37.880> Superintendent including Assistant Superintendent including Assistant Superintendent

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• If part of it is the assistance through private donations in that loan program, what comprises the rest
• This program offers low-interest home mortgage loans and down payment assistance.
• The Homes for Texas Heroes program provides down payment assistance to front-line professionals through
• This program assists with home ownership, which is one of the largest expenses faced by Texans.
• To alleviate this issue, HB 714 will allow Texas to create its own housing assistance program to help

Bills: HB158, HB714, HB 1198, HB1630, HB1998, HB3509, HB3788, HB3875, HB3948, HB3977, HB4097, HB4313, HB4314, HB4317, HB158

Keywords: housing, veterans, surplus government property, affordable housing, funding sources, housing assistance, homeless prevention, landlord incentives, rural housing, domestic violence, community development, tenant readiness, program participants, financial assistance, homelessness, rental support, Texas Tenant Readiness Program, tenant assistance, housing stability, Texas Department of Housing

Transcript Highlights:

• However, cities continue to consider incentive programs to achieve a similar outcome.
• I think it's kind of a bad idea to preempt cities from doing programs that could be beneficial to their
• One part of the City of Austin's pilot program aims to incorporate carbon emissions into their program
• The consumer is who pays any cost associated with any program.
• And those programs or products would need to be included per Chapter 395.

Bills: HB158, HB714, HB 1198, HB1630, HB1998, HB3509, HB3788, HB3875, HB3948, HB3977, HB4097, HB4313, HB4314, HB4317, HB158

Keywords: housing, veterans, surplus government property, affordable housing, funding sources, housing assistance, homeless prevention, landlord incentives, rural housing, domestic violence, community development, tenant readiness, program participants, financial assistance, homelessness, rental support, Texas Tenant Readiness Program, tenant assistance, housing stability, Texas Department of Housing

Transcript Highlights:

• Uh everybody knows that it's the one of the most program. And I think if we could show, program.
• And the program is working.
• . program. program.
• This program works.
• It supports This program works.

Bills: HF3279, HF1879, HF1417, HF2462

Keywords: housing, sales tax, homeownership, rent assistance, community stability, education, counseling, financial assistance, housing development, culturally appropriate services, HF1417, manufactured home parks, manufactured housing, mobile home parks, housing development fund, Minnesota Housing Finance Agency, MHFA, infrastructure grants, infrastructure loans, affordable housing

Transcript Highlights:

• Uh provide a assistance road program.
• So she assistance road program projects.
• and the local assistance road program?
• Local assistance road program made modifications to the county priority projects program.
• <01:08:28.719> road program and the local assistance road program and the local assistance

Keywords: 0:00:15 Call to Order and Roll Call 0:01:15 Maintenance Update 0:21:07 Approval of Minutes 0:21:32 Regional Offices 0:43:47 SHIFT Scoring 1:04:24 Local Assistance Road Program 1:16:41 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met without a quorum and first received a maintenance update from Kentucky Transportation Cabinet officials James Ballinger and John Moore. They described how repeated disasters, including floods, tornadoes, and ice storms, have strained routine road maintenance and forced crews to focus on emergency response, snow and ice removal, pothole patching, ditching, signal repairs, mowing, striping, sign work, and other day-to-day upkeep. They said snow and ice costs have averaged about $60 million to $61 million annually in recent years, disaster response has totaled hundreds of millions of dollars over five years, and the cabinet often must carry those costs until FEMA or FHWA reimbursement arrives. They also said maintenance work is increasingly contracted out because of staffing and resource limits, and that competitive pay is needed to retain employees and contractors for around-the-clock emergency work. Members then discussed traffic roundabouts and other intersection designs. Senator Hickden asked about their cost savings and safety benefits compared with traffic signals, and cabinet staff said they would provide life-cycle cost figures later. They emphasized that roundabouts and related designs reduce serious injuries and fatalities, with serious injuries down roughly 70% to 80% and fatalities over 90% in their experience. Chair Douglas and others asked about roundabout sizing for trucks and farm equipment, and staff explained that designers tailor the inscribed diameter to local traffic needs and context. The committee also briefly discussed red-light running and traffic-light cameras, with members stressing the safety risks of drivers ignoring signals. The committee adopted the minutes from the prior meeting by motion and voice vote. It then heard from Sarah Jackson and Matthew Cole on the Real ID and driver licensing transition. They said the cabinet has expanded from almost no regional offices to 35, grown driver licensing staff from 89 to 400, and now issues about 1.3 million credentials annually. They reported improvements in office capacity, queue management, staffing, and compensation, including added workstations, new or expanded offices in Louisville, Lexington, and Bardstown, and the use of contract staff. They said statewide average wait times have fallen to just under 30 minutes, and Kentucky’s Real ID adoption rate has risen to 42.9%. Members asked follow-up questions about driver testing and CDL scheduling. The presenters said all permit and CDL testing is coordinated through Kentucky State Police, with written tests available in most regional offices and CDL testing at a smaller number of KSP locations. Senator Douglas asked when the driver testing requirements were last updated, and the presenters said that was set by KSP. The discussion ended with additional questions about which regional offices lack KSP testing presence, but no further action was taken before the transcript ended.

Transcript Highlights:

• In practice, too many patients never find out about these programs.
• Most patients leave the hospital without any knowledge of these programs.
• Our research has found that only 29% of eligible patients actually receive financial assistance.
• We've helped patients apply for hospital financial assistance programs at almost every hospital in the
• One patient, a 38-year-old. ...le to navigate the system and seek assistance.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians