Transcript Highlights:

• And the agency has screened And we know this is not sustainable, and it's wrong.
• The pre-admission screening program for Floridians seeking Medicaid assistance The pre-admission screening
• things like hypertension screening, diabetes screening for pregnant women, and screening for depressive
• and care assessments are now taking less than eight days.
• We're screening and talk to the care assessors. It's less than eight days now.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• </c> clearly under the current po screening clearly under the current po screening policy<00:03:43.920
• </c> policy counties do not need to screen policy counties do not need to screen them<00:03:45.840><c
• </c><00:04:34.360><c> guidelines</c> problem because the screening guidelines problem because the screening
• I had called NAMI, so I had the screening document saying I shouldn't be screened in, but I also knew
• ><c> also</c> shouldn't be screening in but I also shouldn't be screening in but I also knew<00:07:30.840

Keywords: 1187, senate, all

Transcript Highlights:

• Those reports are added to this database that you can see on the screen on the public website.
• And so today we're going to be talking and getting an update on a situation assessment of Washington's
• So I'm going to ask staff if you can bring them up to hear, as I mentioned, a situation assessment of
• We did a needs assessment in relation to marketing: how do we enter into these markets?
• And the forum's work, you know, they assess... ...establish a comprehensive food strategy.

Summary: The House Agriculture and Natural Resources Committee opened its 2026 session with committee housekeeping, member introductions, and a reminder that schedules are set a week in advance and amendments must be submitted by the prior day’s deadlines. Chair Reeves emphasized solution-oriented, collaborative, and respectful participation, then outlined that the committee would focus on three interim reports relevant to its work this session: municipal water efficiency, ecosystem services, and food policy. The first presentation, from the William D. Ruckelshaus Center and WSU, reviewed Washington’s municipal water efficiency statute and regulation. Presenters said interviewees largely agreed on the need for better data collection, more technical assistance for smaller systems, and more state funding for both agency staffing and water system infrastructure. Most opposed shifting oversight of the conservation program from the Department of Health to Ecology, and the report recommended keeping oversight at DOH while improving collaboration across agencies and tribes. The presenters also urged broader statewide water planning, more consistent reporting using the AWWA water audit method instead of leakage percentage, re-evaluating the 500-connection threshold, and addressing outdoor water use, rebates, reuse, and public education. Members asked about creating a new office for water oversight, but the presenters said that idea was generally viewed as too costly and impractical under current budget conditions. DNR then presented its 2025 ecosystem services work group report. The department described ecosystem services markets it studied, including regulatory and voluntary forest carbon, avoided wildfire emissions, and water leasing, with lower potential identified for blue carbon, biodiversity, and water quality markets. DNR said about 15,000 acres of state forest land may have carbon-market potential, but emphasized that the analysis was broad and not project-specific, so the report recommends pilots, continued market monitoring, use of third-party developers, and clarification of authority through House Bill 2170. Committee members asked about economic feasibility, timber tradeoffs, and how success would be defined, and DNR said those questions would be better addressed in future, more detailed project-level work. The final presentation covered the Food Policy Forum’s 2025 report to the legislature. Speakers described broad consensus recommendations on food security, local foods in schools, farm-to-food-bank programs, a state farm bill, commercial access, and food system infrastructure. They highlighted pressures on agriculture from development, flooding, drought, water shortages, and the need to preserve farmland and support farmers, food banks, and local procurement systems. The committee chair thanked the presenters and noted that several related bills and policy proposals would be heard later in session. No votes were taken; the meeting concluded after the presentations and brief member questions.

Transcript Highlights:

• Senate Bill 890 creates the Emily Adkins Family Protection Act to improve screening for and treatment
• clearinghouse system and level two background screening requirements.
• clearinghouse system and level two background screening requirements.
• Has any assessment been done that has gotten us to this point with this bill?
• Has any assessment been done that has gotten us to this point with this bill?

Summary: The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session. The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0. The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.

Transcript Highlights:

• A bill to be entitled, an act relating to improving screening for and treatment for blood clots.
• A bill to be entitled, an act relating to improving screening for and treatment of blood clots.
• clearinghouse system and level two background screening requirements.
• Has any assessment been done that has gotten us to this point with this bill?
• Has any assessment been done that has gotten us to this point with this bill?

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several recognitions, including remarks from Senator Berman outlining Democratic priorities such as education, health care, environmental protection, and opposition to rollbacks on child labor, book access, and gun safety. The chamber also recognized military guests and an intern before moving to the special order calendar. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, Medicaid oversight at one point in the flow, and mammogram coverage, though the Medicaid oversight bill was later taken up and passed. The Senate passed a series of bills, often after substituting House companions and adopting technical amendments. Among the major measures approved were the dangerous dogs bill (the Pam Rock Act), which tightened penalties and procedures after fatal attacks; a local government land regulation bill that streamlined comp plan review and defined impact-fee circumstances, though members raised concerns about quasi-judicial hearing limits and local costs; a vessel-related bill combining boating safety and voter-freedom provisions; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act; fleeing and eluding penalties; concealed carry and firearm possession rules for certain officers and service members; timeshare management reforms; and public education on background screening requirements. The chamber also approved bills on disability history and awareness instruction, manufacturing and a related fee bill, utility service restrictions, educational opportunities for military children, health facilities authorities, and veteran and spouse nursing home beds. The disability instruction bill drew extended debate about the use of the term “disability,” inclusion, and whether the measure was consistent with broader DEI debates; it passed unanimously after emotional testimony from the sponsor and families. The manufacturing and utility bills focused on statewide economic policy and preemption of local restrictions, while the military children bill was presented as a student-driven proposal. Most measures passed with strong bipartisan support, with recorded votes ranging from unanimous to 33-3 on the firearm bill and 26-8 on the land regulation bill.

Transcript Highlights:

• Some of these required patient notification and screening.
• <00:29:12.320><c> within</c><00:29:12.640><c> Healthcare</c> assessments within Healthcare assessments
• do that screening.
• </c><00:53:27.280><c> and</c> uh community Health assessments and uh community Health assessments and
• , and the goal behind that assessment was to understand health status in New Hampshire.

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.

Transcript Highlights:

• regulations and parameters for the data those assessments must collect and the bars those assessments
• This just changes the Read by Grade 3 assessment from one assessment to another.
• in addition to the state assessment, and then they could turn off the state assessment, let's say mid-year
• pre-assessment, plus a midpoint assessment.
• the it counts assessment.

Bills: AB386

Keywords: AB386, Washoe County School District, reading assessment, literacy, elementary school, pupil assessment, statewide assessment, alternative assessment, reading proficiency, standards-based testing, valid and reliable test, State Board of Education, Department of Education, pilot program, school testing, assessment equivalency, education grant, Nevada education, NRS 388.157, school accountability

Transcript Highlights:

• Most notably, the assessment of whether a bachelor's degree should be incorporated into the Respiratory
• I look forward to answering any questions about the committee's work, including our assessment of the
• I look forward to answering any questions about the committee's work, including our assessment of the
• training and have the added general education that's needed for excellent communication skills and assessment
• Iridology is the non-diagnostic study of the colors, fibers, and structures of the iris to assess inherent

Keywords: 987, senate, all

Transcript Highlights:

• Let me get my presentation going here, and let me share my screen. Okay, looks good.
• And let me share my screen. Okay, looks good. Okay, looks good. Whenever you're ready. Great.
• They assist, assess medical histories, measure vital signs, and... procedures, including donor health
• They assist, assess medical histories, measure vital science, and I don't know.
• Requiring only nurses for screening diverts them from higher-level care.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• </c> long-term solutions to the assessment long-term solutions to the assessment process. process. process
• It's the you know, that's a screens.
• </c> assessment backlogs. assessment backlogs.
• </c> dollars to try to get this assessment dollars to try to get this assessment right?
• </c> absolutely Let's get this assessment absolutely Let's get this assessment right.<01:17:55.480><c

Keywords: 1187, senate, all

Transcript Highlights:

• These assessments are...
• , the new coordinated screening and progress monitoring system, as well as our statewide assessments
• I will briefly touch on other statewide assessments, the statewide requirements of those assessments
• So, some other assessment topics. There are other statewide assessments.
• There is a writing assessment that is delivered... There are other statewide assessments.

Summary: The Senate Committee on Pre-K through 12 Education received a Department of Education presentation from Deputy Commissioner Juan Copa on Florida’s K-12 assessment system, including FAST progress monitoring, end-of-course exams, science, writing, alternate assessments, English language acquisition testing, and VPK progress monitoring. Copa reported year-over-year gains in ELA and mathematics, noted that end-of-course and science results also improved, and explained how assessment data are used for school grades, third-grade promotion, graduation requirements, and other accountability measures. He also reviewed the independent study required by SB 1048, which recommended keeping PM3 as the primary accountability measure, proceeding cautiously on further test-length reductions and remote testing expansion, and using PM1/PM2 only as supplemental evidence in limited cases. Committee members focused on whether the new system is improving student outcomes enough, what supports teachers and schools need to use the data effectively, and how Florida compares nationally. Chancellor Dr. Burns said the department is emphasizing implementation of the new standards, high-quality instructional materials, coaching, professional learning, collaboration, and school improvement support, and also pointed to resiliency education standards and mental health supports. Copa said Florida’s latest NAEP results remain mixed but still generally outperform the nation in some grades, while members pressed for more information on best practices, other states’ approaches, and how districts are using the data. Several members requested follow-up information, including the independent review report, breakdowns of PM1/PM2/PM3 results by grade and subgroup, details on VPK outcomes by provider type and full-day versus half-day programs, and data on use of the CLT versus SAT/ACT for graduation concordant scores. The committee also discussed third-grade retention outcomes, computer-based testing, district assessment calendars, and whether some districts still administer additional local testing. No votes were taken on legislation, and the meeting adjourned after Senator Davis moved to adjourn.

Transcript Highlights:

• Go and assess the dog right away, you know. Go and assess the dog right away, you know.
• clearinghouse system and level two background screening requirements.
• Let's take up Tab 10, CS for SB 524, on newborn screenings by Senator Harrell.
• Let's take up Tab 10, CS for SB 524, on newborn screenings by Senator Harrell.
• of things that we screen for in newborns.

Summary: The committee took up a series of criminal justice, health, and public safety bills, with several measures reported favorably after brief sponsor presentations and mostly no opposition. CS for SB 1782 on dangerous excessive speeding, CS for SB 306 on Medicaid provider network access, CS for SB 716 on mandatory minimums for certain sexual offenses by registered offenders, CS for SB 1084 on intimate image dissemination and digitally forged images, and CS for CS for SB 1604 on corrections-related litigation and sentencing changes all passed the committee. Members also approved CS for SB 1838, which increases protections for court officials from tampering, harassment, and retaliation, and CS for SB 1252, which directs FDLE to study a statewide pawn data database. CS for SB 468 on fleeing or eluding, CS for SB 490 on off-duty concealed carry for certain officers, and CS for SB 890 on blood clot screening and treatment also received favorable votes, with SB 890 drawing supportive testimony from the bill sponsor, medical and patient advocates, and family members affected by blood clots. The most extensive debate centered on CS for CS for SB 1804, which would create a capital offense for adults trafficking children under 12 or mentally incapacitated persons for sexual exploitation. Senator Martin defended the bill as a response to especially heinous crimes and argued it fit within constitutional punishment principles, while several members raised concerns about the Eighth Amendment, the risk of lengthy and costly litigation, and the possibility of retraumatizing victims. The Florida Conference of Catholic Bishops and the Florida Association of Criminal Defense Lawyers testified in opposition, citing moral objections, due process concerns, and constitutional precedent; the bill nevertheless was reported favorably. The committee also approved CS for CS for SB 572, the “Pam Rock Act,” which tightens dangerous-dog rules, adds enclosure, microchip, insurance, and penalty requirements, and allows stronger enforcement actions after serious attacks. The Rock family and animal control supporters testified in favor, describing the bill as a response to fatal dog attacks and urging stronger accountability for owners. For SB 572, members discussed insurance requirements, the role of local authorities in classifying dangerous dogs, and whether the bill would affect ordinary pet insurance or only liability coverage after a serious attack. The sponsor said the measure is not breed-specific and is aimed at dogs that have already caused significant harm. The committee also heard testimony from family members of Pam Rock and other victims, along with supporters from animal control and sheriff’s offices. All of the bills taken up in the meeting that were voted on were reported favorably, and no roll-call votes failed.

Transcript Highlights:

• Sovereign immunity was originally waived in 1961, amended in 1963, and the version you see on the screen
• The two relevant statutes are on the screen.
• There are limitations for acts before June 6, as laid out on the screen.
• that have broad waivers of immunity and no general caps on damages, and they're displayed on the screen
• I think you can see the screen behind you, though. She's there.

Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.

Transcript Highlights:

• </c><00:26:37.799><c> do</c> and the kindergarten fall assessment do and the kindergarten fall assessment
• This may also be known as early childhood screening.
• ><c> Childhood</c><00:40:00.480><c> screening</c> screening The Early Childhood screening screening The
• </c> an enrollment at minimum and screening an enrollment at minimum and screening outcomes<00:40:51.920
• </c> encourage districts efforts to screen encourage districts efforts to screen early<00:41:06.160><

Keywords: 1187, senate, all

Transcript Highlights:

• It also requires emergency departments to conduct the National Pediatric Readiness Assessment created
• Do you think there could be some kind of qualitative assessment done?
• They do pre-screening. As you have heard from Senator Harrell, the private schools do not.
• A due pre-screening. As you have heard from Senator Harrell, the private schools do not.
• limits on the amount of this assessment in each compact's model legislation.

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• We need to still assess what the full scope and extent of the plume is.
• And they have been doing assessment work on many of those traumatic sites.
• And they are working on those assessments.
• Dual-screened wells. Let me just take a moment and explain what this means.
• screens in the well.

Keywords: 996, all

Transcript Highlights:

• So on the screen, you'll see a number of issues that the court found at the time.
• related to assessment scores, graduation rates, college-going rates, and median income.
• assessment results.
• And so you'll see the assessment results and the graduation rates tomorrow.
• Well, it's not showing on the screen. I guess it's not going to How do I get back to that?

Summary: The meeting began with approval of the prior minutes and then shifted to an update from Department of Education Secretary Jacob Oliva and Deputy Commissioner Stacey Smith on early childhood education, especially the state-funded Arkansas Better Chance (ABC) program. They said Arkansas had received a federal Preschool Development Grant and described ABC as a large state program with about 23,800 funded slots and roughly $114 million in annual appropriations. Department officials said they are reviewing slot allocations because about 1,000 seats are funded but unfilled, while more than 2,000 families are on waiting lists, and they plan to reduce or reallocate slots from providers that have not filled them over several years. They also said they are examining whether income thresholds, curriculum expectations, daily rates, and summer programming should be updated, and members raised concerns about access, local control, transportation, and whether the program should better align with K-12 choice and school readiness goals. The committee agreed to form an early childhood subcommittee and asked the Bureau of Legislative Research to help gather historical data and other information for future discussion. The committee then received a legal presentation from BLR attorney Taylor Lloyd on the constitutional and statutory framework for education adequacy in Arkansas. She reviewed the Dupree and Lake View cases, explaining that the state must maintain a general, suitable, and efficient system of free public schools, and that adequacy and equity are distinct but related concepts. She emphasized that the General Assembly is responsible for defining adequacy, studying whether the system meets that standard, and reacting to the evidence, while the courts ultimately decide constitutional compliance. Lloyd also explained the current adequacy definition, the role of the matrix as a funding tool rather than a spending mandate, and the distinction between unrestricted foundation funding and restricted categorical funding. BLR’s Elizabeth Bynum followed with a historical overview of how Arkansas responded to the court cases and developed the current adequacy process. She traced major legislative actions from the 1980s through the Lake View litigation, including the creation of funding formulas, categorical aid, isolated funding, declining enrollment funding, and the 2003-2004 adequacy study that led to the Continuing Adequacy Evaluation Act and the matrix used to set foundation funding. She also described later changes to the adequacy statute, the financial reporting requirements for districts, and the ongoing use of surveys, stakeholder testimony, and consultant studies in the biennial adequacy process. Members asked questions about whether private or homeschool programs could use public funds for expenses like utilities, whether stakeholders should include those groups, the difference between average daily membership and attendance, and whether school board members are surveyed; staff said those issues would need further research or were outside the scope of the presenters’ role.

Transcript Highlights:

• And then we use assessment fees, which is what's on your screen.
• Does every hospital pay an assessment fee?
• And then the state share of that total payment is what the assessment fee is.
• And so they get very irritated that they have to pay an assessment without getting a benefit of the assessment
• Like that's why we're willing to put that assessment up to get the dollars back.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• And our risk ID, you know, universal screening of all veterans is very much that strategy.
• We support the use of the Columbia Protocol as the sole requirement screening tool.
• Second, screening and eligibility.
• While some of our partners support the Columbia a protocol as the main required screening.
• Chief among them is the required use of the Columbia screening tool.

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• For CII, the bill requires assessments for large-scale projects.
• Maybe they have a water right, assessments of that type of stuff.
• I think Chalet is going to be on our screen, and we have Heather Cooley.
• Should I share my screen, or...? Oh, I'm showing up yet. Hmm. Okay, so...
• Okay, so let me make it a full screen. Okay, here. All right, so you can all see my screen.

Summary: The informational hearing focused on California’s future water supply and, in particular, how the state tracks and manages commercial, industrial, and institutional (CII) water use, including data centers. The chair and members framed the issue as a “trifecta” of climate-driven supply uncertainty, limited monitoring of CII uses, and rapidly changing industries with significant water demands. Committee members emphasized the need for better data before imposing broad regulations, while also expressing concern about protecting ratepayers and ensuring new large users pay their fair share. Representatives from the Department of Water Resources and the State Water Resources Control Board reviewed the state’s existing framework: urban water management plans, water supply assessments for large projects, SBX7-7’s 20% by 2020 conservation goals, and the 2018 Making Conservation a California Way of Life law. They explained that process water, including data center cooling water, is statutorily excluded from some conservation targets, and that current CII reporting is aggregated rather than facility-specific. They also noted that local water suppliers and land use agencies retain major responsibility for approving development, while state rules and groundwater sustainability requirements provide additional checks. Committee members pressed the agencies on whether data centers should be treated differently, how recycled water is categorized, whether process water should remain exempt, and whether the state has enough information to understand the water impacts of new facilities. The agencies said they could not recommend specific water sources for individual facilities, but could support community-by-community planning and best management practices. They also said the Legislature could direct additional data collection if needed. No votes were taken; the hearing was informational only. The second panel, from CalWEP and California Water Service, described how suppliers are implementing CII programs in practice. They said CII use varies widely by sector and location, making one-size-fits-all benchmarks difficult. They highlighted tools such as AI-assisted customer classification, mapping of disclosure buildings, outreach guides, and customized rebate programs for high-use customers. Examples included water-saving projects at a hydrogen plant, a commercial laundry, and fire department training systems. Speakers stressed that CII conservation work is resource-intensive, often takes years, and works best when paired with local planning, customer outreach, and targeted incentives.