Transcript Highlights:

• Similar programs to this exist program.
• program through end of season program program through end of season program evaluations. evaluations
• Thank you for... programs? programs?
• program.
• . program. program.

Keywords: 1189, house, all

Transcript Highlights:

• that program, but because the closure of this program has put in... ...program, but because the closure
• program.
• Programs.
• Intervention Program.
• Today I'm going to go over what the North Dakota EHDI program is, where EHDI programs came from, program

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• And whereas beginning with her initial roles as program manager and program administrator at the Department
• And whereas in her roles as program manager and program administrator at the Department of Human Services
• I have family who is a potential vendor for likely participants in the program.
• I have family who is a potential vendor for likely participants in the program.
• I know that we've applied for a waiver. Is that what this is for? No, ma'am.

Summary: The meeting began with a quorum call, prayer, and approval of the previous minutes. Members then adopted a resolution honoring Lori McDonald of the Department of Human Services for nearly 28 years of state service, with remarks praising her legislative work, constituent services, leadership, and emergency response roles. McDonald thanked the committee, and the Senate also presented her with a citation, flag, and commemorative coin. The committee received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and a projected surplus of $585.8 million. The executive subcommittee report was adopted, covering emergency rules for DHS and the Department of Education, school district waiver requests, committee fund allocations, cancellation of the July ALC meeting, and authorization for subcommittees to meet in July on urgent matters. The administrative rules report was also adopted after members noted that most rules were approved, with a few pulled by agencies or held. Members then heard a lengthy exchange on the Arkansas Education Department’s ClassWallet contract and delays in expense review for education savings account payments. Department officials said they were meeting regularly with ClassWallet, enforcing contract standards, keeping some reviews in-house, and adding staff and technology improvements to speed processing while maintaining oversight. The committee also adopted reports from Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel, including a Department of Commerce reallocation tied to a broader shared-services realignment. Under review of communications, members filed several retirement system investment items as reviewed, approved rural community grant funding, gave favorable advice for state park additions, approved special maintenance funding for state parks, and filed Office of State Technology service-rate changes as reviewed. The meeting concluded with no new business and adjournment.

Transcript Highlights:

• <00:11:46.640> to basically pivot from being a waiver to basically pivot from being a waiver
• the program.
• <00:16:44.399> to we need to go from having a waiver to we need to go from having a waiver
• saying we're implementing the program. saying we're implementing the program. um<00:16:49.120>
• > on<00:31:24.320> the<00:31:24.559> program someone who's already on the program

Keywords: 1189, house, all

Transcript Highlights:

• And you can see that DD has five, 1915(c) waivers, long-term care has four waivers.
• To take a deeper dive here into these programs, the inpatient program is small, five beds.
• and Food Assistance Program.
• Such as Supplemental Nutrition Assistance Program and Food Assistance Program.
• state program.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• North Carolina have all approved 1115 demonstration waivers to allow their states to fund respite programs
• Type of state waiver programs that would otherwise provide that much-needed service.
• waiver programs are available, the application process of taking 60 to 90 days up...
• Another key opportunity is for us to be able to explore any type of waiver program for patients who cannot
• , medical waivers, or TEFRA.

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

Transcript Highlights:

• New waiver approved.
• . program. program.
• programs at each of the add districts. programs at each of the add districts.
• uh program administered nationally. uh program administered nationally.
• program program with<01:21:33.200> less<01:21:33.640> overhead?

Keywords: 958, all

Summary: The committee first approved the August 12 minutes and then handled a large agenda of 355 contracts totaling about $278.7 million. It agreed to defer three Office of Energy Policy items to the October 2025 meeting and reviewed a deferred Kentucky Educational Television contract without objection. The main substantive discussion centered on two University of Louisville legal services PSC amendments and a Seven Counties Services MOA item. For the University of Louisville items, members questioned a large increase in hourly rates and the scope of the legal services, especially complex litigation work and a Colorado estate matter. University officials said the contracts followed an RFP, involved specialized litigation, included local counsel where required, and were expected to be offset by savings in other PSCs and by a potential financial recovery in the Colorado matter. The committee also discussed whether the $125 hourly rate was a statutory requirement or committee policy; the chair later said staff would verify whether it was an executive-branch regulation or statutory rate. Both University of Louisville items were ultimately approved, though Senator Meredith voted no on one and Senator Douglas explained his support while urging future adjustments and more information sharing. The Seven Counties Services contract drew questions about how the $18.7 million would be used and whether federal changes could affect future funding. Cabinet officials described 988 crisis response, outpatient mental health and substance use treatment, prevention, recovery, and harm-reduction services, and said they were monitoring federal developments daily. Representative Petrie and Senator Thomas pressed the cabinet on the long-running Seven Counties bankruptcy and the need to push for resolution; officials said the matter was pending on a motion for reconsideration and that they would try to help move it along. The contract was approved. At the end of the meeting, the committee approved the remaining agenda items as reviewed without objection, but Senator Meredith voted no on the blanket approval motion because of numerous retroactive contract requests and what she said were insufficient explanations such as administrative error or staff being on conference. She said retroactive approvals should be rare and supported stronger internal controls.

Transcript Highlights:

• This bill appropriates $250 million for the grant program.
• This bill also replaces the existing unauthorized alien transport program with a new program where transport
• I had to get help from programs and family members to keep my children.
• That's why we haven't eliminated the waiver.
• Currently, the 287(g) program is only in jails. That's it.

Summary: The Senate opened with prayer, the pledge, and a moment of silence honoring former Senator and Judge Thomas Gallen. The chamber then moved to special order items focused on immigration and related enforcement measures. Senate Memorial 6C, urging the U.S. Department of Homeland Security to provide guidance and training for 287(g) agreements, passed by voice vote. The Senate then took up Senate Bill 4C, an immigration measure that would impose a mandatory death penalty for unauthorized aliens convicted of capital felonies and create state crimes for illegal entry and re-entry. Senators Pizzo, Polsky, and Sharief raised concerns about constitutional issues, plea bargaining, trial and penalty-phase procedures, prosecutorial discretion, and the effect on victims’ families. Supporters, including Senators Fine and Gruters, argued the bill was a strong deterrent and a response to serious crimes committed by undocumented immigrants. The bill passed 25-11. The chamber next debated Senate Bill 2C, a broader immigration enforcement package. The bill would create a State Board of Immigration Enforcement, expand local-federal cooperation, fund detention and enforcement efforts, strengthen pretrial detention rules for unauthorized aliens, and end in-state tuition waivers for undocumented students. Senators Davis and Pizzo questioned enforcement mechanics, jurisdiction, bond procedures, and whether local agencies were actually mandated to participate; supporters said the bill was designed to maximize cooperation with federal authorities and the Trump administration. A late-filed amendment by Senator Pizzo to preserve tuition waivers for current students failed 14-22, and a second amendment was withdrawn after discussion. Debate then continued on the bill, with opponents arguing it was costly, federal in nature, and harmful to Dreamers and other students, while supporters said it was necessary to crack down on illegal immigration and align state policy with federal enforcement priorities.

Transcript Highlights:

• And whereas beginning with her initial roles as program manager and program administrator at the Department
• And whereas in her roles as program manager and program administrator at the Department of Human Services
• Concerning a waiver request under Act 929 for Jonesboro Water and Light.
• I have family who is a potential vendor for likely participants in the program.
• I know that we've applied for a waiver. Is that what this is for? No, ma'am.

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• And whereas beginning with her initial roles as program manager and program administrator at the Department
• And whereas in her roles as program manager and program administrator at the Department of Human Services
• Concerning a waiver request under Act 929 for Jonesboro Water and Light.
• I have family who is a potential vendor for likely participants in the program.
• I know that we've applied for a waiver. Is that what this is for? No, ma'am.

Keywords: 1204, all

Transcript Highlights:

• program individuals this is a focused program which<00:01:24.400> spends<00:01:24.880> over
• experts who administered the program.
• The program utilizes state funds.
• <00:03:58.480> utilizes the community um the program utilizes the community um the program
• <00:08:33.560> for with the housing support program for with the housing support program for

Keywords: 1183, house

Transcript Highlights:

• program.
• leadership development program. leadership development program.
• program initiatives. program initiatives.
• the body armor grant program. the body armor grant program.
• program support. program support.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:23 HB 503 Discussion 00:01:00 HB 503 Vote 00:02:17 HB 504 Discussion 00:02:53 HB 504 Vote 00:04:48 HB 500 Discussion 00:05:19 HB 500 Vote 00:29:18 HB 900 Discussion 00:32:02 HB 900 Vote 00:33:00, 958, all

Summary: The Kentucky Senate Appropriations and Revenue Committee met with a quorum and first took up House Bill 503, the legislative branch budget, adopting a committee substitute and reporting it favorably. The chair said the Senate version fully funds defined calculations, provides 2% raises in each fiscal year for legislative employees, removes a paragraph on operating expense reductions, and includes $1 million in the first year for a judicial branch salary study. House Bill 504, the judicial branch budget, was then amended and reported favorably; changes included 2% annual raises for judicial employees, revised operating expense language, $1 million each year for county current services, retention of Boyle County fit-up language, reporting requirements for smaller capital projects, full funding for nine judges added in 2022, and removal of furlough prohibitions and certain budget implementation language. Both bills passed the committee unanimously with favorable expressions to the floor. The committee then considered House Bill 500, the executive branch budget, adopting a committee substitute before hearing a lengthy summary of major spending and policy changes. The chair described statewide 2% annual employee raises, agency base reductions with many exemptions, increased school safety and 911 funding, veterans and military funding, local government and severance-related changes, attorney general and auditor funding, pension and retirement system support, education funding changes including SEEK, postsecondary and scholarship provisions, public safety and corrections funding, and multiple capital projects. The chair also highlighted Medicaid-related provisions, including added waiver slots, increased state-directed payments, a 2.5% reduction in managed care vendor payments for plan years 2027 and 2028 with savings redirected to fee-for-service rates, and additional funding for behavioral health and public health programs. The bill was reported favorably after members explained their votes, with several noting they had only recently received the full 228-page bill and wanted more time for detailed review. Finally, the committee adopted a committee substitute for House Bill 900, an appropriation measure for government agencies, and reported it favorably. The chair said the bill remains a work in progress and that one-time funding requests from across the Commonwealth and across party lines would continue to be addressed as the process moves forward. All measures considered during the meeting passed the committee with unanimous or near-unanimous favorable votes, and the meeting adjourned after no further business.

Transcript Highlights:

• Residency Program.
• that are working, our apprenticeship programs, and our residency programs.
• Teacher Grant Program.
• loan repayment program, the Public Interest Attorney Loan Repayment Program.
• For our programs.

Summary: The Assembly Budget Subcommittee on Education Finance heard an extended discussion on state efforts to recruit, prepare, and retain teachers, with a focus on whether current programs are sustainable and well targeted. Testimony from the Learning Policy Institute, the Commission on Teacher Credentialing, the Department of Education, and the Legislative Analyst’s Office described persistent shortages, especially in special education, math, science, bilingual education, and high-need schools. Speakers emphasized that residency programs, Golden State Teacher Grants, National Board incentives, classified employee pathways, and undergraduate teacher pipelines have helped increase preparation and retention, but many of these efforts rely on one-time funding and lack long-term certainty. Committee members repeatedly raised concerns about the “leaky pipeline,” working conditions, the burden of student debt, and whether the state should simplify and institutionalize support for aspiring teachers rather than rely on a patchwork of grants. The agencies presented data showing continuing shortages and uneven distribution of fully credentialed teachers. CTC reported projected hiring needs of roughly 20,000 to 25,000 teachers annually, with the highest needs in self-contained classrooms, special education, and certain regions of the state. It also noted that emergency permits, waivers, and intern credentials remain high, and that teachers entering through those routes have higher turnover. LPI cited research showing residency-prepared teachers are more effective and more likely to stay, and argued that Golden State Teacher Grants attract candidates who might not otherwise enter teaching and help them complete preparation. CDE stressed that most new demand comes from attrition and urged support for multiple entry points, tuition assistance, and campus-based coursework. Several members also discussed the role of community college pathways, dual credentialing, and support for school leaders as part of retention. The LAO recommended rejecting the educator pipeline proposals under discussion, citing limited evidence of effectiveness and suggesting that any new spending should be more narrowly targeted to the highest-need schools and long-standing shortage subjects. The LAO also said that if the Legislature funds new programs this year, Proposition 98 would be preferable given the state’s fiscal condition. Committee members pushed back on the idea that declining enrollment or layoffs would solve shortages, noting that shortages and layoffs can coexist in different subject areas and regions. The discussion ended with agreement that staff would continue working with agencies on how to make teacher pipeline investments more consistent, coherent, and easier for candidates to navigate. The committee then turned to the Golden State Teacher Grant Program. Finance proposed $50 million in one-time General Fund support to extend the program for one additional year, while the LAO recommended rejecting the proposal because the first CSAC evaluation is not due until later in the year and because the funding would be non-Proposition 98. CSAC supported the extension, saying demand has been strong, over 20,000 aspiring educators have been served since 2021, and the agency had to pause applications after receiving more than 9,200 this year; it also said more than 2,500 candidates had already expressed interest for next year. Members asked how many students the new funding would serve, and CSAC estimated just under 5,000 awards at $10,000 each. The discussion also covered whether the grant could be moved into Proposition 98 and how the one-time nature of the funding affects confidence among prospective teachers.

Transcript Highlights:

• unemployment insurance tax and program. unemployment insurance tax and program.
• is a pay for performance program. is a pay for performance program.
• into this program. into this program.
• This is a program program standards.
• <01:30:38.360> waiver Medicaid waiver Medicaid waiver quickly<01:30:40.480> rather<01:30

Bills: HF3843, HF3597, HF4003, HF3167, HF4193

Keywords: workforce development, appropriations, nonprofit organizations, employment services, state funding, paid leave, S corporations, employment law, exemptions, Minnesota Statutes, cancer, healthcare, appropriation, Rural Cancer Institute, Minnesota clinicians, pilot program, nursing, education, University of Minnesota, equity

Transcript Highlights:

• Amber's the CEO of it now, and Marcus founded the program after he discovered Ibogaine.
• programs, is referred to the Committee on Human Services.
• programs, is referred to the Committee on Human Services.
• HB5389 by Perez of El Paso relates to the establishment of the grant program.
• HB5639 by Garcia-Bear relates to establishing a pilot program.

Keywords: 1184, house, all

Transcript Highlights:

• program, or the storm assistance for immigrants program, which provided state-funded disaster relief
• It was updated throughout the emergency with updates on the waivers and federal approval of those waivers
• We do not administer any programs.
• We actually did request that and were denied staffing waivers.
• We make sure that the program staff have everything.

Summary: The Assembly Health Committee held an informational hearing on the health impacts of wildfires and the effects on health care systems and access to care. The first panel focused on public health consequences, with testimony from UCLA and UCSF physicians, a community organizer, and an Altadena recovery leader. Witnesses described acute and long-term physical harms from wildfire smoke and ash, including asthma and COPD exacerbations, cardiovascular and stroke risks, pregnancy impacts, infection risk, and possible added hazards from lithium-ion battery fires. They also emphasized mental health effects such as anxiety, depression, PTSD, “firebrain,” and the need for psychological first aid, trauma-informed community networks, and youth-focused resilience programs. Community advocates stressed that Latine, Indigenous, undocumented, and Black communities face disproportionate harm because of language barriers, unsafe work conditions, lack of insurance, and exclusion from disaster aid, and they called for stronger language access, worker protections, permanent disaster relief, and better outreach. Committee members asked about air monitoring, masks, wind events, lithium-ion batteries, and how to reach communities with translation and emergency information. Panelists said AQI is useful but incomplete, that N95s help for smoke but P100 masks are needed for ash/asbestos exposure, and that communities should be warned to stay indoors and avoid windy dust-ups after fires. They also discussed the importance of building relationships during non-emergency periods, using text alerts and trusted community organizations, and providing culturally and linguistically appropriate information. Several members and witnesses highlighted the need for more research on long-term health effects, especially for people with chronic lung disease, workers who cannot stay indoors, and residents exposed to repeated disasters. The second panel addressed health care system response and access to care. DHCS and DMHC described emergency flexibilities used during the Southern California fires, including federal waivers, extended Medi-Cal renewal deadlines, reinstated coverage for some disenrolled members, suspension of prior authorization and prescription refill barriers, out-of-network access at in-network cost-sharing, and communication through websites, toll-free numbers, and social media. Hospital and community health center leaders described major operational strain: emergency room surges, canceled surgeries, dialysis disruptions, staff displacement, temporary housing needs, and financial losses. Huntington Health and AltaMed reported using incident command systems, temporary care spaces, bilingual and culturally tailored services, mobile clinics, infection control measures, and community health workers to keep care going. Members and witnesses also discussed the need for better disaster staffing pools, more flexible facility rules, stronger mental health coverage, child care planning, and statewide coordination for future emergencies; no formal votes were taken.

Transcript Highlights:

• and the elderly waiver.
• and the elderly waiver.
• and the elderly waiver.
• and the elderly waiver.
• and the elderly waiver.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, so now we'll move to agenda item 20 which is the administrative waiver of fines, uh.
• Giving that information, staff recommends a full waiver for the 2024 eight-day report and no waiver or
• It was not eligible for any waiver or reduction.
• Therefore, those reports were not eligible for waiver or reduction.
• At this time, staff can recommend no waiver or reduction.

Transcript Highlights:

• education programs or only workforce programs.
• That's not a program cost.
• Now, WIOA is not the Pell Grant program. WIOA is not the student loan program.
• So are you really, really... ...programs and also for our workforce programs.
• So are you really saying that we could apply for a waiver for some of these programs, for those eligibility

Summary: The committee heard testimony from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, on efforts to better align workforce, education, and human services programs. Moore argued that WIOA, Perkins, and ESSA were designed to function as an integrated talent system, but that federal and state bureaucracy has kept them siloed. He said the Department of Labor and OCTAE are working on more integrated state plan guidance, including a 2026 plan modification timeline, combined Perkins/WIOA plans, and greater use of labor market information to align training with in-demand jobs and Workforce Pell. Moore emphasized reducing overhead, cross-training staff, using common intake and integrated case management, and focusing on the “shadow labor force” of people facing benefit cliffs, child care barriers, or other obstacles to work. He repeatedly urged states to use waivers and flexibility where possible, to consolidate or streamline local workforce structures, and to hold programs accountable through measures such as labor force participation, training-related employment, retention, and cost per successful outcome. Members asked about the balance between flexibility and accountability, the role of employers versus postsecondary institutions, rural “training deserts,” state waivers, and data systems such as Mississippi Spark and Arkansas Launch. Moore said states should use technology and integrated intake to co-enroll eligible participants in multiple programs and better match people to jobs. In response to questions, Moore said some federal rules cannot be waived, but many reporting and administrative requirements can be streamlined, and he encouraged Arkansas to propose ideas for waivers or state-level integration. He also discussed the need for enhanced wage records and state longitudinal data systems to improve workforce planning and economic development. After Moore’s presentation, DHS Secretary Janet Mann and Director Jay Hill gave a brief update on reimbursement rates, saying the department had compiled more than 100 public comments, recommended holding the current rate, and was awaiting executive review; they estimated the process could take 30 to 60 days. The committee then adjourned, noting a later audit presentation scheduled for the afternoon.

Transcript Highlights:

• It expands our current Medicaid waiver program for medically fragile children so that it can serve all
• We're not quite ready to go for the waiver.
• But are we moving this program due to the waiver, the model waiver, that we're now having to go into?
• care centers program, safety net program, the sexual abuse treatment program, and the Title IV program
• These programs all stay under DOH.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.