Transcript Highlights:

• the program and submit to the federal Centers for Medicare and Medicaid Services, commonly known as CMS
• the program and submit to the federal Centers for Medicare and Medicaid Services, commonly known as CMS
• requirements as a condition of Granite Advantage eligibility prior to submitting the Section 1115 waiver to CMS
• requirements as a condition of Granite Advantage eligibility prior to submitting the Section 1115 waiver to CMS

Keywords: 1191, senate, all

Transcript Highlights:

• But it's been approved by CMS, Trump's CMS, to cut Medicaid funding.
• Just like they were hurt when Trump CMS approved those rates.
• Just like they were hurt when Trump CMS approved those rates.
• The federal CMS would be able to deny our waivers.

Keywords: 919, house, all

Summary: Senate File 4612, a state government bill affecting the Department of Health, Human Services, and Children, Youth, and Families, was taken up with a House language amendment adopted at the outset. The bill’s authors gave sharply different perspectives: one described it as a limited, reactive measure tied to federal Medicaid changes and said it fell short of needed health care improvements, while the other argued it would avoid large federal penalties, add Medicaid work requirements, save taxpayer money, and help certain rural and disability-related services. Members then debated several amendments. A technical House research amendment was offered, followed by a contested amendment on the all-payer claims database. Supporters of that change argued the bill expanded data access and could allow sensitive health data to be sold or used outside the United States, raising privacy and jurisdiction concerns; opponents said the data would remain deidentified, access would be limited to researchers, and the fee structure was a cost-recovery mechanism rather than a sale. The amendment to the amendment failed on a 67-67 tie, and the underlying amendment was not adopted. The committee also adopted an amendment updating mortuary science rules for natural organic reduction and another that would automatically enroll certain people into medical assistance if they did not choose a program themselves. A later amendment creating a therapeutic psilocybin pilot program for mental health and PTSD treatment drew strong bipartisan support, especially from members citing veteran suicide, trauma, and promising research; it was adopted after discussion. The transcript ended while discussion continued on how the program would be administered, including questions about using the Office of Cannabis Management rather than the Department of Health.

Transcript Highlights:

• Research shows that private equity ownership is associated with worsening CMS ratings, increased health
• equity ownership is associated<02:20:17.840> with<02:20:18.240> worsening<02:20:18.880> CMS
• <02:20:19.439> ratings, associated with worsening CMS ratings, associated with worsening CMS
• Since CMS has not approved these increases, we will roll back the amounts to the previous amounts that
• were passed in 2025, the last amounts that were approved by CMS.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, we have not yet had the chance with CMS, with the federal government or administration, to have those
• have not uh had the the chance<03:58:49.120> yet<03:58:49.439> with<03:58:49.760> CMS
• /c><03:58:50.319> with<03:58:50.479> the<03:58:50.640> federal chance yet with CMS
• with the federal chance yet with CMS with the federal government<03:58:51.199> or<03:58:51.520
• I think we would be able to work with CMS on those reallocations.

Keywords: 916, all

Transcript Highlights:

• Although I have not seen the rural health transformation fund application, my understanding is that CMS
• Although I have not seen the rural health transformation fund application, my understanding is that CMS
• Although I have not seen the rural health transformation fund application, my understanding is that CMS
• Although I have not seen the rural health transformation fund application, my understanding is that CMS
• The rural health transformation fund application, my understanding is that CMS has indicated that the

Keywords: 1189, house, all

Transcript Highlights:

• Their staff cuts and restructuring have targeted the offices of minority health at CMS and SAMHSA.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 28, 2025, 1012, house, all

Bills: SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454

Keywords: minimum salary, education funding, teacher compensation, Oklahoma education, salary schedule, human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, SB1525, tourism, recreation, conference, Oklahoma Tourism and Recreation Department, Oklahoma Tourism and Recreation Commission, special agency account, private partnerships

Transcript Highlights:

• A nurse went to her home and found her 8 cm dilated.

Keywords: 918, senate, all

Summary: At this meeting, Senator Matt Klein and a group of Minnesota physicians and medical organizations described what they said was escalating ICE activity in and around hospitals and clinics, and argued it is deterring patients from seeking care and interfering with medical work. Speakers from emergency medicine, pediatrics, the Minnesota Medical Association, obstetrics/gynecology, and family medicine said patients are avoiding appointments, missing follow-up care, and in some cases suffering serious harm because of fear of detention or family separation. They emphasized that emergency departments and other health care settings should remain safe spaces where care is based on medical need, not immigration status. Several speakers gave examples they said showed actual patient harm, including missed prenatal and pediatric visits, delayed treatment leading to sepsis, perforated colon, burst appendix, and a patient with cancer who was detained and moved without medications. Pediatric and OB/GYN speakers focused on trauma to children and families, including fear of bringing children to appointments, requests for home births, and patients refusing transfer for higher-level care. Family medicine and emergency physicians also said staff morale is low, some workers are afraid to come in, and the situation is affecting diverse health care teams across the state. The discussion also touched on legal and policy questions. Speakers said they have tried calling police, hospital administration, and security to remove ICE agents from private patient areas, but reported that agents refused to leave. They said ICE may be allowed in public spaces but should not be in patient rooms or during private exams, and suggested there may be a role for legislation to codify best practices for law enforcement interactions in health care settings. No votes were taken; the meeting consisted of testimony, questions from reporters, and calls for collaboration and for ICE to stop enforcement activity in health care settings.

Transcript Highlights:

• There was additional reimbursement that CMS provided for Medicare Advantage plans that helped those plans

Transcript Highlights:

• inspections to ensure they meet standards set by the Centers for Medicare and Medicaid Services, or CMS

Summary: The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office. Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September. JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met. The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.

Transcript Highlights:

• They would have to submit a plan to um CMS Center for Medicare and Medicaid Services, um, in order to

Transcript Highlights:

• A CMS investigation confirmed that the hospital had violated EMTALA laws and placed Jojo in imminent

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• We received approval from CMS in March of 2024.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• And we have a deadline from CMS to implement it by December 31st, 2027.
• And we have a deadline from CMS to implement it by December 31st, 2027.
• And we have a deadline from CMS to implement it by December 31st, 2027.
• And we have a deadline from CMS to implement it by December 31st, 2027.

Keywords: 1189, house, all

Transcript Highlights:

• And it made sure that people were watching this, and there are requirements by CMS federally to screen
• are watching this and they are and there are requirements<03:22:46.960> by<03:22:47.279> CMS
• <03:22:48.080> federally<03:22:48.720> to<03:22:49.279> screen requirements by CMS
• federally to screen requirements by CMS federally to screen and<03:22:50.640> uh<03:22:51.040

Keywords: 1191, senate, all

Transcript Highlights:

• bill directs the Department of Health and Human Services to resubmit the 1115 demonstration waiver to CMS
• 58:26.399> demonstration<03:58:27.080> waiver<03:58:27.479> to<03:58:27.680> CMS
• 1115 demonstration waiver to CMS 1115 demonstration waiver to CMS regarding<03:58:29.000> Community

Keywords: 1191, senate, all

Transcript Highlights:

• federal HR1, and through the federal administration,<00:26:16.000> through<00:26:16.240> CMS
• <00:26:17.279> Um,<00:26:17.679> I<00:26:18.000> think administration, through CMS
• Um, I think administration, through CMS.

Keywords: 916, all

Transcript Highlights:

• . >> Uh, to what degree and such, we have yet, we won't know that until we hear back from CMS.
• "And the big beautiful bill, if you will, and CMS does not allow provider taxes to be initiated any longer

Keywords: 920, all

Summary: The Senate convened with prayer, the pledge, and a roll call establishing a quorum. It adopted motions to excuse absent senators, dispense with reading the prior journal, and allow bills and committee reports to be taken up throughout the day. The chamber received multiple House messages and a gubernatorial confirmation, including House Bill 1 on motor vehicles, Senate Bill 170 on health insurance, and Senate confirmation 90 for Chenica Johnson Anom to the Alabama Cickle Cell Oversight and Regulatory Commission, all of which were referred to the appropriate committees. The Senate later concurred in the House amendment to Senate Bill 170 by a 29-0-1 vote. Committee reports covered a wide range of measures, with favorable reports and, in several cases, amendments or substitutes. Judiciary reported favorably on House Bills 228, 132, 347, 405, 86, 263, and 302, and on Senate Bills 318 and 260; State Government Affairs reported favorably on House Bills 435, 97, and 407 and Senate Bill 361; Education Policy reported favorably on Senate Bills 337 and House Bills 520 and 75; Fiscal Responsibility and Economic Development reported favorably on House Bills 303 and 477 and Senate Bills 360, 325, 329, and 330; Transportation and Energy reported favorably on Senate Bills 341, 354, and 340; Veterans and Military Affairs reported favorably on House Bills 465 and 307 and Senate Bills 338 and 359; and Local Legislation reported favorably on Jefferson County Senate Bill 243 and Shelby County House Bill 532. These reports generally advanced the bills to second reading and placement on the next legislative day’s calendar. The Senate also confirmed George Pierce to the Alabama Ethics Commission by a 33-0 vote after a favorable committee report, with several senators offering brief remarks of congratulations. In motions and resolutions, the chamber adopted Senate Joint Resolution 77 honoring the Section boys basketball team and Senate Joint Resolution 78 honoring the North Sand Mountain girls basketball team for state championships. It also adopted Senate Joint Resolution 79 establishing a legislative study commission on child sexual abuse laws and policies. A senator additionally urged colleagues to support broadband expansion efforts in rural Alabama and to ask the education chair to place HB 4 on the agenda. The most substantial floor discussion concerned Senate Bill 146, the state general fund budget substitute. The sponsor explained several budget provisions, including a $12 million transfer and an additional $5 million for the judiciary to address funding for newly created judgeships, a conditional $40 million for the Department of Corrections tied to progress on the Elmore and Escambia prison projects, conditional funding for DHR tied to reducing its federal error rate and developing a SNAP-related plan, conditional mental health funding tied to reporting and data requirements, and language preserving legislative control over certain federal rural health care funds. The Senate adopted the committee substitute for SB 146 by a 32-0-1 vote and then continued with the budget explanation as the transcript ended.

Transcript Highlights:

• . >> So this isn't a complete solution to the problem or even an answer, but under CMS, Centers for Medicare
• those readmissions. >> So this isn't a complete solution to the problem or even an answer, but under CMS
• Boley. >> So this isn't a complete solution to the problem or even an answer, but under CMS, Centers
• Boley. >> So this isn't a complete solution to the problem or even an answer, but under CMS, Centers
• Boley. >> So this isn't a complete solution to the problem or even an answer, but under CMS, Centers

Keywords: 916, all

Transcript Highlights:

• CMS requires health care facilities to prevent abuse and neglect.

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version. Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors. Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.