Transcript Highlights:

• And now you got this problem with plumbing and that problem with electrical, and it becomes a huge, huge
• And now you got this problem with plumbing and that problem with electrical, and it becomes a huge, huge

Keywords: 928, house, all

Summary: The subcommittee began its first meeting on retained education funding bills, focusing on HB 366, which concerns school building aid for eligible projects, and HB 295, which would make school building aid program funds non-lapsing. The chair framed the discussion around broader questions about how school building aid should work, noting the state’s limited available funding, the existing debt service obligations, and whether the current formula should continue or be changed. He also raised concerns about the state’s overall revenue constraints and the need to consider renovation, new construction, and possibly leasing within any future program. Members and the Department of Education representative discussed whether school building aid is a state or local responsibility, the current backlog of projects, and the condition of school facilities statewide. Tim Carney of the Bureau of School Facilities described his background and answered technical questions about current programs. Representative Luno argued that under the ConVal decision the state has responsibility for school buildings, including construction and renovation, and that the program also serves an equity function by helping districts with less property-tax capacity. Representative Papich urged the committee to focus on policy structure and fairness rather than just available dollars, saying the current system creates winners and losers and suggesting a simpler per-capita or similar allocation model, while acknowledging a possible transition for projects already in the pipeline. The discussion also covered CTE facilities and leasing. Carney explained that charter schools, and possibly CTE centers, can receive limited leasing aid, and that CTE capital requests are funded through a state capital process, while federal Carl Perkins funds cannot be used for construction. He and others described a separate rotational funding approach for CTE centers, but several members said that model can leave programs waiting too long and may not match changing workforce needs. The chair and others noted that a report from a related study group on CTE policy and funding was still pending, and that its absence could affect legislation for FY28. No votes were taken and no bill was acted on in the portion of the meeting provided; the discussion ended with interest in modeling alternatives, reviewing the waiting list, and examining the tradeoffs of reducing upfront state aid versus funding more projects overall.

Transcript Highlights:

• Lines 342 to 344 show revenue increases to these same funds as a result of the electric vehicle surcharge
• c><01:58:38.800><c> result</c><01:58:38.960><c> of</c><01:58:39.119><c> the</c><01:58:39.360><c> electric

Committee: Senate Finance

Keywords: 1187, senate, all

Transcript Highlights:

• and responsibility, and invest in key workforce training technology for careers in construction, electrical
• and responsibility, and invest in key workforce training technology for careers in construction, electrical

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• That job classification was classified the same as a high-voltage electrical lineman.
• I have done it myself, but I will tell you that is not in the same category as a high-voltage electrical

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• LaBarge project contains an estimated 17 million board feet of timber that can provide a real steady supply
• provide a board feet of timber that can provide a real<02:09:01.520><c> steady</c><02:09:01.880><c> supply
• </c> real steady supply real steady supply uh<02:09:03.320><c> to</c><02:09:03.440><c> the</c><02:09:

Committee: Joint Select Federal Natural Resource Management Committee

Keywords: 916, all

Transcript Highlights:

• We supplied open-book cards on the table, nothing to hide because we want our son to be successful.
• We<02:24:43.120><c> supplied</c><02:24:43.920><c> open</c><02:24:44.319><c> book</c> We supplied open
• book We supplied open book cards<02:24:46.640><c> on</c><02:24:46.880><c> the</c><02:24:47.040><c> table

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• And what we have added to it would be equipment, forester equipment, fencing supplies such as posts,
• that would be um a equipment, forester equipment,<00:27:25.760><c> fencing</c><00:27:26.240><c> supplies
• </c><00:27:26.880><c> such</c><00:27:27.039><c> as</c> equipment, fencing supplies such as equipment,
• fencing supplies such as post,<00:27:27.679><c> wire</c><00:27:28.080><c> gates,</c><00:27:28.960><c

Keywords: MS Senate Floor - 9 February, 2026; 2:00 PM, 925, all

Transcript Highlights:

• Americans across the country face rural hospitals that are closing, higher prices for back-to-school supplies
• closing, higher prices<00:40:58.160><c> for</c><00:40:58.480><c> back-toschool</c><00:40:59.200><c> supplies
• ,</c> prices for back-toschool supplies, prices for back-toschool supplies, double-digit<00:41:00.720

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, September 11, 2025, 1012, house, all

Transcript Highlights:

• They protect our food supply, ensure veterans receive their benefits, and respond when disaster strikes
• <04:27:06.640><c> protect</c><04:27:06.880><c> our</c><04:27:07.120><c> food</c><04:27:07.359><c> supply
• ,</c><04:27:08.319><c> ensure</c> They protect our food supply, ensure They protect our food supply,

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 6, 2025, 1012, house, all

Transcript Highlights:

• In addition, we focus on seizing volumes of drugs that affect the drug supply in our area rather than
• 22.319><c> drug</c> of volumes of drugs that affect the drug of volumes of drugs that affect the drug supply
• <02:38:22.960><c> in</c><02:38:23.200><c> our</c> supply in our supply in our area<02:38:24.960><c> rather

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• 30.520><c> to</c> Accounting unit 8410, which is on page 102, includes our facility food and nutrition supply
• it includes our facility food and and it includes our facility food and nutrition<01:59:25.639><c> supply
• </c><01:59:26.000><c> chain</c><01:59:26.760><c> Environmental</c> nutrition supply chain Environmental
• nutrition supply chain Environmental Services<01:59:28.880><c> accounting</c><01:59:29.199><c> unit<

Keywords: 928, house, all

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• The cost of equipment, sterilization, materials, and supplies are the same for every patient regardless
• The cost of equipment, sterilization, materials, and supplies are the same for every patient regardless
• The cost of equipment, sterilization, materials, and supplies are the same for every patient regardless

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• continue monitoring for any potential environmental toxins that might be already leeching into the water supply
• continue monitoring for any potential environmental toxins that might be already leeching into the water supply
• continue monitoring for any potential environmental toxins that might be already leeching into the water supply

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing on the second anniversary of the Maui wildfires, with Chair Dela Alani framing the discussion around emergency preparedness, recovery, and lessons for future disasters. The main presentation came from researchers involved in the Maui Wildfire Exposure Study, who described the project as a grassroots academic-community partnership that has enrolled more than 2,000 adults and children for health screenings, social assessments, and biomonitoring. They said the study has documented elevated mental and physical health conditions, housing instability, unemployment, barriers to care, and exposure to heavy metals and other toxicants, while also noting some modest improvement in adult mental health and self-rated health compared with the prior year. The presenters emphasized that wildfire impacts remain severe two years later. They reported that about half of adult participants had worsening health since the fires, roughly 40% had direct or frequent fire exposure, and many adults showed chronic disease burdens such as hypertension, diabetes, and respiratory impairment. They also said about half of adult survivors reported depressive symptoms, about a quarter had moderate to severe anxiety, more than 4% had considered suicide in the prior month, and nearly one in four had PTSD. A clinician from the Lahaina Certified Community Behavioral Health Center described the clinic’s no-turn-away model, with case management, therapy, psychiatric evaluation, and medication management for anyone who needs it, and urged lawmakers to fund and expand that approach. The researchers also highlighted environmental findings, saying urine testing of more than 1,200 adults found heavy metal signatures that differed between burn-zone residents and those on the perimeter, with higher levels associated with displacement and ash re-exposure. They said about 20% of participants had higher-than-expected heavy metal levels 6 to 12 months after the fires, and cited a negative association between nickel levels and lung function. They argued for long-term monitoring, better cleanup methods, and a centralized health surveillance system tied to community outreach. No vote or formal committee action was taken during the briefing; the chair said the presentation materials and related reports would be posted for public access, and members were invited to ask questions after the presentation.

Transcript Highlights:

• Inflation is set to surge as the cost of everyday goods rises, reshaping supply chains and hurting Minnesota
• Inflation is set to surge as the cost of everyday goods rises, reshaping supply chains and hurting Minnesota
• Inflation is set to surge as the cost of everyday goods rises, reshaping supply chains and hurting Minnesota

Keywords: 1183, house

Transcript Highlights:

• indicated on there, whether it’s on report, you know, your income is over, whether you know you didn’t supply
• indicated on there, whether it’s on report, you know, your income is over, whether you know you didn’t supply
• indicated on there, whether it’s on report, you know, your income is over, whether you know you didn’t supply

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.

Bills: HB1800 , HB1860 , HB2250 , HB472 , HB649 , HB1391 , HB1481 , HB1509 , HB1511 , HB1515 , HB1518 , HB1541 , HB1548 , HB1576 , HB1618 , HB1642 , HB1643 , HB1661 , HB1667 , HB1678 , HB1682 , HB1688 , HB1692 , HB1707 , HB1710 , HB1711 , HB1713 , HB1718 , HB1721 , HB1728 , HB1737 , HB1740 , HB1741 , HB1785 , HB1801 , HB1802 , HB1804 , HB1810 , HB1815 , HB1824 , HB1838 , HB1839 , HB1853 , HB1854 , HB1864 , HB1870 , HB1881 , HB1888 , HB1890 , HB1891 , HB1894 , HB1920 , HB1959 , HB1960 , HB1969 , HB1973 , HB1974 , HB2023 , HB2050 , HB2078 , HB2094 , HB2095 , HB2104 , HB2137 , HB2152 , HB2158 , HB2171 , HB2207 , HB2218 , HB2246 , HB2270 , HB2271 , HB2272 , HB2279 , HB2282 , HB2289 , HB2293 , HB2297 , HB2300 , HB2309 , HB2310 , HB2314 , HB2319 , HB2329 , HB2338 , HB2339 , HB2344 , HB2361 , HB2385 , HB2395 , HB2417 , HB2429 , HB2443 , HB2452 , HB2474 , HB2475 , HB2498 , HB2505 , HB2547 , HB2576

Keywords: supplemental appropriations, state budget, Hawaii budget, biennial budget, capital improvement projects, CIP, general fund, special fund, green fee, special land and development fund, clean energy revolving loan fund, agricultural development revolving fund, community grants, nonprofit grants, Office of Community Services, housing, affordable housing, homelessness, health care, mental health

Transcript Highlights:

• said, like in real world, so the two people who got killed or died and were stashed in one of the electrical

Summary: The Senate Committee on Budget and Fiscal Review heard the 2026-27 budget package, including AB 111 and AB 112 plus 16 trailer bills and two policy bills. Chair Laird described the budget as balanced over two fiscal years, with about $351.7 billion in total spending, $251.5 billion General Fund, and record reserves, while emphasizing investments in child care, homelessness, housing, Medi-Cal, education, courts, and other core programs. The Department of Finance presented each bill, outlining major items such as Medi-Cal adjustments tied to federal H.R. 1, child care and early learning funding, education and higher education investments, human services, developmental services, health, skilled nursing, resources, energy, transportation, housing, labor, state government, courts, taxation, and two policy bills on education governance and ballot measure placement. The LAO said it had no additional comments but was available for questions. The committee later achieved quorum and moved to member questions and comments, with no votes taken in the portion provided. Members largely focused on the budget’s fiscal structure and policy implications. Several senators praised staff and noted the compressed timeline, while Vice Chair Niello criticized the process as overly complex and burdensome. Senator Smallwood-Cuevas supported the budget but raised concerns about Medi-Cal changes for people with unsatisfactory immigration status, asking about access to care, the number affected, and county eligibility support; Finance said about two million people would transition to fee-for-service and that $39 million was included for care coordination, along with additional county eligibility funding. Senator Durazo said the agreement delayed, but did not resolve, cuts to immigrant health coverage, dental, and clinic payments, and argued that the budget did not create a true restoration mechanism. Senator Richardson highlighted hospital funding, public hospital definitions, DMV data protections, and court construction and maintenance needs, while Senator Grove questioned the sustainability of spending, the Medi-Cal savings assumptions, distressed hospital funding, Planned Parenthood transparency, developmental services changes, high-speed rail costs, and the property tax postponement program. Other members emphasized different priorities. Senator Blake Spear praised climate and parks investments, support for HAP homelessness funding with accountability, transit stabilization, and Care Court referral funding, while expressing concern about the lack of wildlife coexistence funding and long-term transit operating support. Senator Weber Pearson raised a technical concern in the health trailer bill regarding menopause language, arguing that the bill should refer to perimenopausal symptoms and should not narrow provider participation through contracting language. Throughout the hearing, Finance repeatedly explained that many of the budget’s savings came from reduced caseloads or delayed implementation of prior proposals, while some new spending was added to mitigate impacts and support administration of the changes. No final committee action or vote was shown in the excerpt.

Transcript Highlights:

• said, like in real world, so the two people who got killed or died and were stashed in one of the electrical

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all

Transcript Highlights:

• Womack, relative to adult residential care providers, to provide for generators or alternative electrical

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Senator Womack, relative to adult residential care providers to provide for generators or alternative electrical

Bills: HR267 , HCR105 , HCR107 , HCR110 , HCR113 , HCR114 , SB4 , SB52 , SB57 , SB145 , SB152 , SB194 , SB237 , SB333 , SB433 , SB483 , SCR37

Committee: House Health and Welfare

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening