Transcript Highlights:

• You have clinical agreements, consistent approved clinicals for all the different areas—gynecology, pediatrics
• and says, “I need my money back,” and they’re not going to give it to them because you signed the agreement

Committee: House Education & Employment Committee

Summary: The Education and Employment Committee met with a quorum and considered one bill, HB 121 by Representative Overdorf, relating to nursing education programs. The sponsor said Florida’s nursing shortage is projected to worsen and argued that low NCLEX passage rates show some programs are not adequately preparing students. The bill would tighten probation for underperforming programs, require program directors to be accountable, authorize Department of Health on-site inspections, require admission criteria and public posting of NCLEX passage rates, and require tuition reimbursement and free remediation for students at programs with passage rates below 30 percent. Members asked about how the bill would interact with the Board of Nursing, the Commission for Independent Education, and other agencies, and whether it would address fraudulent or low-quality schools. An opponent from the Florida Association of Independent Nursing Schools said current law already requires Board of Nursing and commission review, institutional accreditation, and provisional status for programs on probation, and argued the bill could reduce the supply of nurses. He also said Florida’s NCLEX results had recently improved. A representative of the Florida Nurses Association supported the bill, saying weak programs waste students’ time and money and do not produce licensed nurses. During debate, several members described concerns about diploma mills, fraudulent programs, student debt, and the need for stronger screening and accountability. Others emphasized that raising standards would improve patient safety and help ensure better-prepared nurses. The chair noted the importance of private nursing colleges in the state’s nursing pipeline. The committee then voted 19-0 to report HB 121 favorably and adjourned.

Transcript Highlights:

• Senate Bill 1754, relating to the authority of a taxing unit to enter into an agreement to exempt from
• We came to some agreement to solve a big problem that Texas women were facing.

Bills: HCR35 , SJR59 , SJR84 , SCR30 , SB127 , SB317 , SB324 , SB457 , SB506 , SB511 , SB529 , SB547 , SB584 , SB619 , SB636 , SB646 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB904 , SB1026 , SB1049 , SB1065 , SB1181 , SB1224 , SB1250 , SB1383 , SB1467 , SB1524 , SB1528 , SB1531 , SB1568 , SB1585 , SB1640 , SB1681 , SB1754 , SB1757 , SB1777 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2055 , SB2069 , SB2080 , SB2119 , SB2138 , SB2139 , SB2154 , SB2201 , SB2225 , SB2268 , SB2306 , SB2308 , SB2310 , SB2330 , SB2366 , SB2375 , SB2392 , SB2401 , SB2422 , SB2480 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2589 , SB2610 , SB2615 , SB2623 , SB2660 , SB2662 , SB2693 , SB2695 , SB2707 , SB2722 , SB2742 , SB2753 , SB2807 , SB2843 , SB2844 , SB2858 , SB2880 , SB2885 , SB2891 , SB2925 , SB2938 , SB2986 , SJR3 , SJR18 , SB5 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SB1786 , SB326 , SB767 , SB769 , SB783 , SB1035 , SB1271 , SB1619 , SB1637 , SB1806 , SB1 , SB260 , HB135 , HB 1109 , HCR35 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB619 , SB2742 , SB646 , SB1026 , SB2880 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB584 , SB1085 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB2366 , SB1013 , SB2797 , SB2383 , SB1754 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2929 , SB1972 , SB2540 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB506 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB410 , SB659 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586 , HB1392 , HB22 , SB1551 , SB3039 , SB2819 , SB66 , SB629 , SB1015 , SB2342 , SB2903 , SB2933 , SB1965 , SB2477 , SB3029 , SB2605 , SB2419 , SB1957 , SB375 , SB250 , SB777 , SB628 , SB2523 , SB2367 , SB2703 , SB2608 , SB2778 , SB3044 , SB2965 , SB2521 , SB865

Transcript Highlights:

• We all signed a working agreement to work together on this, and... Correct.
• We collaborated to develop an agreement between us, the city of Montgomery, the county, the ATF, and

Transcript Highlights:

• So yes, what we've done over the last 10 years is we worked with a cooperative agreement through the
• So they own the milling, so we come in, we created an agreement between us and them, which basically

Transcript Highlights:

• First, the bill authorizes school districts and SAUs to enter into joint purchasing agreements for goods
• First, the bill authorizes school districts and SAUs to enter into joint purchasing agreements for goods
• for goods and purchasing agreements for goods and services.<00:22:29.840><c> This</c><00:22:30.080><
• </c><04:57:42.878><c> that</c> The 287(g) agreements that our law enforcement agencies have signed state
• </c> the federal law or the 287g agreement the federal law or the 287g agreement supersedes<05:04:43.920

Transcript Highlights:

• Again, this is about the right to even enter bargaining, not what the bargaining agreement will be. go
• 28.800><c> bargaining</c> bargaining, not what the bargaining bargaining, not what the bargaining agreement
• </c><02:06:31.280><c> And</c><02:06:31.440><c> when</c><02:06:31.679><c> we're</c> agreement will be.
• And when we're agreement will be.
• If you're going to, attorneys have to do this, you have to have some kind of agreement, and you should

Transcript Highlights:

• offices of education, to charter schools, and for school districts to directly enter into these agreements
• standard practice to integrate the cost of repairing this damage into rates, fees, and franchise agreements
• the well-established practice of integrating road maintenance costs into utility service provider agreements

Transcript Highlights:

• direct result of the bargaining representative's violation of an existing collective bargaining agreement
• the direct result of the bargaining representatives violation of an existing collective bargaining agreement
• We're in the last stages of finalizing an agreement so that there won't be surprises for you and there

Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.

Transcript Highlights:

• direct result of the bargaining representative's violation of an existing collective bargaining agreement
• direct result of the bargaining representative's violation of an existing collective bargaining agreement
• We're in the last stages of finalizing an agreement so that there won't be surprises for you and there

Transcript Highlights:

• Now there's still some agreements we have to work out with various legislative bodies, the Attorney General
• But that being said, I'm in agreement in terms of the numbers.
• But that being said, I'm in agreement in terms of the numbers.

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of auto insurance and vehicle-related bills. Testimony focused heavily on autonomous vehicle regulation, auto insurance rating by ZIP code, rental car liability coverage, and surcharge thresholds for minor accidents. Representative Polito supported a bill to regulate autonomous vehicle testing and deployment, arguing for school-zone restrictions, slower speeds, a remote kill switch, and minimum insurance requirements to protect the public. Representative Mendez and Senator Payano testified for legislation to reduce racial and socioeconomic inequities in auto insurance pricing by limiting the weight insurers may place on territorial loss costs, while the Mass Insurance Federation and Consumer Federation of America offered opposing and supporting views, respectively, on the fairness and actuarial impact of geographic rating. The committee also heard support for a bill to remove inspection-sticker violations from license-point calculations, and for a bill to raise the damage threshold for insurance surcharges and minor/major accident classifications. A substantial portion of the hearing addressed House Bill 1301 on rental car liability. Enterprise Mobility, the American Car Rental Association, and a small Massachusetts rental company supported the bill, saying personal auto insurers should be primary when their insureds drive rental cars, that Massachusetts is an outlier compared with most other states, and that the change would reduce costs and simplify claims handling. The Mass Insurance Federation opposed the bill, arguing that current Massachusetts law already clearly makes the vehicle owner’s policy primary and that shifting liability would raise costs for private-passenger policyholders. Committee members asked detailed questions about how rental coverage works, whether premiums or rental rates would change, and how other states handle the issue. The committee also heard testimony on a bill to adjust surcharge rules for at-fault accidents, with sponsors arguing that repair costs and vehicle values have risen sharply and that the current thresholds are outdated. Members discussed how the point system affects drivers, whether the proposal should apply cumulatively or per incident, and how Carfax and out-of-pocket repairs factor into consumer costs. At the end of the hearing, the chair noted written testimony could still be submitted and, during a brief personal privilege, recorded support for two underinsurance bills, H. 1109 and S. 748. The committee then moved and seconded a motion to adjourn, and the hearing ended without any votes on the bills themselves.

Transcript Highlights:

• As we consider these recommendations, I want to emphasize the importance of consensus in finding agreement
• consumer protection, or explore ways to make it easier to develop new life plan communities, finding agreement
• I'd imagine that you would probably exit that agreement, the care navigators would help get you into

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.

Transcript Highlights:

• and the amendments would include individuals who perform motor club services pursuant to a written agreement
• agents, broker-dealers, and investment advisors who operate under written independent contractor agreements
• agents, broker-dealers, and investment advisors who operate under written independent contractor agreements

Committee: Senate Senate Budget and Appropriations

Transcript Highlights:

• Fourth, performance goals and measures should be built into every agreement.
• it does require that agencies adopt their own rules for awarding grants and entering into grant agreements
• however, Commerce had no internal procedures for managing contracts nor broader procedures for grant agreements

Summary: The Joint Legislative Audit and Review Committee subcommittee heard three State Auditor’s Office performance audits: implementation of the Law Enforcement Training and Community Safety Act, Washington’s digital equity planning, and the Department of Commerce’s Digital Navigator Program. In the law enforcement training audit, the State Auditor found the Criminal Justice Training Commission had developed most required training content but had not developed all required topics, lacked a systematic project management approach, and had weak tools to ensure participation and compliance. Auditors said most officers had not completed the required 40 hours, patrol tactics training was a major bottleneck, and the Commission’s reporting did not clearly show statewide compliance. The Commission said it generally agreed with the recommendations and had begun implementing some changes. Committee members raised concerns about staffing, liability, incentives, and whether the law had enough enforcement “teeth.” In the digital equity audit, auditors said Washington lacked a comprehensive, unified statewide plan, a designated leader, and reliable funding for digital equity efforts. They said existing plans were fragmented, with the NTIA-approved plan the most complete but no longer fully funded after federal changes. The State Auditor recommended the legislature establish oversight authority and require a lead organization to coordinate and evaluate statewide digital equity efforts and develop a unified plan. The Department of Commerce and Office of Equity agreed with the need for clearer leadership and coordination, and a public witness described ongoing coalition and local planning work. Committee members asked about best practices from other states and whether the auditor could provide additional research on coordination models. In the Digital Navigator Program audit, the State Auditor concluded Commerce did not consistently follow core grant-management practices, including competitive award processes, vetting of grantees, clear contracts, performance monitoring, and reimbursement controls. Auditors said Commerce expanded grants without a new competition, lacked adequate documentation and reporting, and paid out millions without sufficient support; they also cited management decisions that overrode staff concerns. Commerce said it had already begun major contract-management reforms, created a new contracts and compliance structure, and was working on risk assessments, documentation standards, and staff training. Members pressed Commerce on accountability, possible recoupment of improper payments, ethics issues, and whether the agency had clear performance metrics for the program. No votes were taken, and the hearing ended after public testimony and committee discussion.

Transcript Highlights:

• “There's a provision that allows agreement between the Department of Corrections and DMH to proceed with
• There's a provision that allows agreement between Department Corrections and DMH to proceed with that
• junior lien holder to do their due diligence and decide that they're willing to sign a subordination agreement

Summary: The House convened with prayer and the Pledge of Allegiance, approved the House Journal for the prior day by a 126-0 vote, and then heard several points of personal privilege, including recognition of National Fentanyl Awareness Day and a moment of silence for journalist Ray Hartman. Members also introduced numerous student groups, interns, and special guests visiting the chamber. The chamber then took up conference committee business on House Bills 2637 and 3155, a large public safety/criminal justice package. Members discussed the bill’s juvenile justice provisions, including narrowing prosecutorial certification of juveniles to certain serious offenses, changes to age language, juvenile detention facility funding, outpatient mental health treatment, cyberstalking provisions, drone restrictions, prosecutorial salaries, and sex offender registry language. The House approved the motion to exceed the conference differences, adopted the conference committee report by 124-13, passed the bill 119-18, and adopted the emergency clause for the drone-related sections by 125-15. The House also passed Senate Bill 834, a consumer protection measure dealing with mortgage modifications and sale-leaseback transactions, by 139-1 after discussion of its protections for homeowners. Senate Bill 937, a land transfer bill authorizing the governor to dispose of certain state properties, was amended and passed 137-2-1. Senate Bill 938, which raises recording fees from $4 to $6 to support the state land survey program and recorder of deeds offices, passed 121-21-2 after supporters said the increase was overdue and necessary to sustain the program. Finally, House Committee Substitute for Senate Bill 973, concerning wholesaler disclosures and land banks, was amended to remove a school property provision and add land bank authority, then passed 110-36. The House adjourned after announcements and was set to return the next day with several bills on the agenda.

Transcript Highlights:

• “There is a provision that allows agreement between the Department of Corrections and DMH to proceed
• There's a provision that allows agreement between Department Corrections and DMH to proceed with that
• junior lienholder to do their due diligence and decide that they're willing to sign a subordination agreement

Summary: The House convened with prayer and the Pledge of Allegiance, approved the previous day’s journal by a 126-0 roll call, and then heard several points of personal privilege, including recognition of National Fentanyl Awareness Day and a moment of silence for journalist Ray Hartman. Members also introduced numerous student groups, interns, and other guests in the gallery. The chamber then took up conference committee action on House Bills 2637 and 3155, a large public safety/criminal justice package. Debate focused on juvenile justice changes, including narrowing prosecutorial authority to seek juvenile certification, provisions for juvenile detention facilities, assisted outpatient mental health treatment, cyberstalking, drone restrictions, and related sentencing and sex-offender registry provisions. The House adopted the conference committee report 124-13, passed the bill 119-18, and then adopted an emergency clause for the drone-related sections by 125-15. Members also passed Senate Bill 834, a consumer protection and mortgage-related bill covering mortgage modifications and sale-leaseback disclosures, by 139-1, and Senate Bill 937, a land transfer measure authorizing the governor to dispose of certain state properties, by 137-2-1. Senate Bill 938, which raises recording fees to support the Missouri land survey program and recorder of deeds offices, passed 121-21-2. Senate Bill 973, dealing with wholesaler disclosures and adding land bank provisions while removing a school property right-of-first-refusal section, passed 110-36. The House then moved to announcements, noted upcoming committee meetings and Kentucky Derby Hat Day, and adjourned until April 30, 2026.

Transcript Highlights:

• 00:13:46.960><c> for,</c> we wait for, we wait for, um,<00:13:48.000><c> the</c><00:13:48.120><c> agreement
• 48.600><c> we</c><00:13:48.680><c> can</c><00:13:48.839><c> all</c><00:13:48.920><c> work</c> um, the agreement
• that we can all work um, the agreement that we can all work together. together. together.

Summary: Senate leaders and supporters held a press availability focused on passing a state capital investment, or bonding, bill this session. Chair Sandy Pappas said the state has received more than $7 billion in project requests and is pushing for a $1.4 billion bonding package to address infrastructure needs such as clean water, state parks and trails, college and university repairs, sewer capacity for housing growth, and other public facilities. She and other speakers stressed that delaying projects raises costs and that they do not expect a special session, making action before adjournment especially important. Testimony from labor and legislative leaders emphasized the economic benefits of bonding. Anthony Wilkie of SMART Local 10 said public bonding projects create work hours for skilled trades and cited Fraser Hall at the University of Minnesota as an example of a project that employed union members. Senator Nick Frentz argued that bonding supports jobs, especially in greater Minnesota, and highlighted water infrastructure needs, including communities facing manganese contamination and high water rates if they must finance treatment plants alone. Senator Ann Johnson Stewart pointed to PFAS-related water treatment costs in Minnetonka Beach and said she would support higher education and water projects. Majority Leader Erin Murphy said the Senate is working toward the $1.4 billion target, noting the state’s AAA bond rating and the need to keep borrowing costs low. She also said the recent Metro Surge period led to about 4,000 lost construction jobs, strengthening the case for a bill this year. In response to questions, Pappas said negotiations with Senator Housley and House leaders were underway but still early, with no final target set yet; she said staff are preparing project lists and language, and that some items, such as HCMC, may move separately. No formal vote was taken in the exchange, but the speakers expressed optimism about reaching a bipartisan agreement before session end.

Transcript Highlights:

• just this year in the state of Missouri, we actually just passed a bill that codified the sharing agreement
• The gentleman from Cape Girardeau has moved for agreement on the title.
• The gentleman from Cape Girardeau has moved for agreement on the title. Discussion on the title.

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by a 117-1 vote. Members then spent a large portion of the morning introducing guests, including students, civic groups, fraternity and sorority members, county officials, and visitors from various districts. The Speaker also suspended business several times to sign enrolled bills, including Senate substitute for House Bill 261, House Bill 2641, Senate substitute for House Bill 2423, and House Bill 2934. The chamber then debated House Concurrent Resolution 48, which urges Congress to pass the SAVE Act requiring documentary proof of citizenship to register to vote. Supporters argued it would protect election integrity and prevent non-citizens from voting, while opponents said it would create burdens, function like a poll tax, and disenfranchise eligible voters, especially women, rural residents, students, military members, and people who move or change names. After a motion for the previous question passed 93-42, the House adopted HCR 48 by a vote of 92-43. The House also passed House Concurrent Resolution 23, a federalism resolution affirming state control over elections, by a unanimous 137-0 vote after committee leaders said it had broad bipartisan support. The House then perfected and printed House Bill 2855, which adjusts workers’ compensation fund tax increments from 0.5% to 0.1% to better match receipts with expenditures; an amendment allowing replacement of attorneys in long-running permanent total cases was adopted first. Members also perfected and printed House Bill 1906, a short bill allowing township counties to authorize annual, semiannual, or quarterly payment of real and personal property taxes by ordinance. The session ended with announcements and a motion to recess until 2 p.m.

Transcript Highlights:

• And so I see you nodding your head in agreement to that.
• And so I see you nodding your head in agreement to that.
• entities to submit not just timely but to just submit right and so I see you not in your head in agreement

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

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:

• I think there's agreement there and cybersecurity infrastructure for our state relies on to carry out
• third-party vendors selling our private data that you may have given consent for, and like these Facebook agreements
• third-party vendors selling our private data that you may have given consent for, and like these Facebook agreements

Bills: SB1037 , SB1040 , SB1259 , SB1281

Committees: House Federalism, Military Affairs & Elections , House House Federalism, Military Affairs & Elections Committee of Reference

Keywords: elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs

Transcript Highlights:

• committed to if this bill makes it through this committee, that I will be striking title until we have agreement
• The agreement was we were not going to put Another layer of restriction on small communities unless they
• will be coming off of this, and at At that point, it's not going to move forward unless we have agreement

Bills: HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457

Committee: House Health and Human Services Oversight

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing