Transcript Highlights:

• But the rates also have to be valid and reliable if CMS is going to approve our rate structure for rate-setting

Keywords: 988, house, all

Transcript Highlights:

• We requested 36 separate federal CMS 1135 waivers from the federal government.

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:

• new service in Minnesota's home and community-based statewide transition plan that was approved by CMS
• new service in Minnesota's home and community-based statewide transition plan that was approved by CMS

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• 33.720> the<01:24:33.840> larger Um, as Chair Wicklund noted, unfortunately our friends in CMS
• Madam Chair mentioned, last year's bipartisan statewide directed payment program may be scaled back by CMS

Keywords: 1187, senate, all

Transcript Highlights:

• It directs the commissioner, Department of Health and Services, to seek some waivers from CMS so that
• The Department of Health and Services would seek waivers from CMS so that caregiver support can be included

Keywords: 1189, house, all

Transcript Highlights:

• aligning statute with guidance for time-based codes from the Minnesota Department of Health rule and the CMS
• tighten up the billing and make it very clear, using the Minnesota Department of Health's rules and CMS

Keywords: 1183, house

Transcript Highlights:

• Again, with the CMS<01:30:00.440> model<01:30:00.840> that<01:30:01.160> the<01:
• 30:01.280> department,<01:30:02.080> the CMS model that the department, the CMS model that

Keywords: 916, all

Transcript Highlights:

• “I believe CMS considers any prosthetic outside of the daily function to be beyond medically necessary
• plans to provide notice to the Insurance Department of its decision to terminate its contract with CMS
• plans to provide notice to the Insurance Department of its decision to terminate its contract with CMS

Keywords: 1191, senate, all

Transcript Highlights:

• What's substantial at a 2 cm laceration compared to a three, and then you can do something?
• what's<03:33:46.479> substantial<03:33:47.359> at<03:33:47.920> 2<03:33:48.239> cm
• <03:33:48.720> laceration what's substantial at 2 cm laceration what's substantial at 2 cm

Keywords: 1189, house, all

Transcript Highlights:

• The amount that CMS is sending to New Jersey is going up this year, we established and confirmed.

Keywords: 1146, all

Summary: The Assembly Budget Committee met on June 28, 2026 and considered a long list of budget and policy bills, reporting many of them out of committee, often with amendments. Early measures included AB 2550 on continued dependent health coverage for certain adults with disabilities, AB 4794 allowing tax data sharing with the New Jersey Innovation Authority and Secure Choice Savings Board, and AB 3381/SB 1493 updating occupational therapy licensure requirements. The committee also advanced AB 4014, creating a social media research center at a public four-year institution, though one member opposed it as unnecessary spending given existing research on social media harms. Another bill, AB 5048/SB 1281, would ban certain apparel and diaper products with intentionally added PFAS; some members opposed it over safety and cost concerns, especially for firefighter gear, but it was reported. The committee also moved AB 383, which promotes volunteerism to help FamilyCare and SNAP recipients meet eligibility requirements, and AB 4357, extending telehealth pay parity, though one member objected to parity between telehealth and in-person care. The committee then took up several energy, environmental, and housing-related bills. AB 5188, the Advanced Grid Technologies Act, was released despite opposition from some members and labor interests. AB 2524 would let dual-use solar projects participate in community solar, and AB 5236 would strengthen pediatric psychiatry and behavioral health services; both were reported. AB 5348, allowing temporary use of open-space and related funds for certain municipalities, drew sharp criticism as a diversion of preservation money to fill budget holes, but passed. AB 5280 returned unexpended county appropriations to Hudson County and authorized supplemental operating aid; it also passed despite objections about prior bidding violations. AB 5347 provided certain motor vehicle-related funding to municipalities and was reported, as was AB 5334/SB 4423, appropriating Green Acres and CBT revenues for local open space and park projects. A major portion of the meeting focused on tax and business-related bills. AB 5329 increased the child tax credit for 2026-2028, with testimony urging that the expansion be made permanent; it was reported. AB 3899, the General Contractor Licensing Act, also passed. AB 5310/SB 4406 clarified sentencing under certain circumstances and was reported. AB 5330, allowing temporary transfers in the pension system, drew testimony from NJEA warning that the State Health Benefits Program was in crisis and asking for a longer repayment period to avoid rate spikes; the bill was still reported. AB 1326 created a higher education governance and funding task force and was amended to add a Talmudic institution or theological seminary representative. Later, AB 5333/SB 4424 appropriated additional Green Acres and CBT funds for recreation and conservation projects and was reported. The committee also advanced several business and alcohol-related measures, including AB 5235 establishing the School-Based Partnership for Access and Resilience for Kids program, AB 5325 reducing business formation fees, AB 4836/SB 2368 on portable solar devices, AB 4881 establishing an advanced nuclear energy procurement program, AB 3974/SB 3183 revising renewable energy incentive and solar interconnection rules, AB 4013 creating a social media research center focused on addictive behavior, AB 5225 making temporary alcohol beverage provisions permanent, and AB 5295 revising alcoholic beverage licensing laws. The most contentious debate came on AB 4085, the Fair Price Protection Act, which would restrict “surveillance pricing” and regulate grocery pricing practices. Consumer advocates supported the bill as a protection against individualized pricing, while retailers and chambers of commerce argued the language was too broad and could undermine loyalty programs, discounts, and electronic shelf labels. Despite those objections, the committee voted to report the bill after amendments. Finally, AB 4530/SB 3739 on EV supply equipment standards was reported, and AB 5322 imposing a temporary cap on net operating loss deductions under the corporate business tax sparked strong opposition from business groups and a policy debate over whether legitimate losses and investment-related deductions should be limited; the bill was still moved out of committee.

Transcript Highlights:

• In my role at the company, I work with all the insurance companies, state Medicaid, CMS, policy, and

Keywords: 995, all

Summary: The hearing of the Joint Committee on Consumer Protection and Professional Licensure opened with logistical remarks about testimony procedures, time limits, accessibility supports, and the large number of witnesses. The first bill discussed was H. 451, which would allow professional license applicants who do not have a Social Security number to use an ITIN instead. Supporters said the bill would help qualified workers, especially immigrants, enter licensed trades and professions without lowering training or testing standards, while addressing workforce shortages. Committee members asked a few questions, and the bill was framed as a uniform statewide licensing reform. The bulk of the hearing focused on S. 210 and H. 1278, two bills aimed at improving wheelchair repair and warranty protections. Supporters included the Attorney General’s Office, disability advocates, wheelchair users, clinicians, and legislators, who described long repair delays, missed work and medical appointments, loss of independence, hospitalizations, pressure injuries, and other harms caused by broken wheelchairs and slow service. They argued for stronger timelines, two-year warranties, required parts availability, loaner chairs, and enforcement mechanisms, with H. 1278 modeled on a Connecticut-style repair deadline and S. 210 focused on warranty protections. Several witnesses emphasized that wheelchairs are essential medical equipment, not ordinary consumer goods. Opposition came from NCart, which said it supports solutions but raised concerns that the bills, as written, could be difficult to implement for complex rehab technology. NCart said some warranty provisions may not fit wear-and-tear components and noted that MassHealth has already taken steps such as preventive maintenance, reduced prior authorization, and transportation support. Other witnesses and advocates countered that the current market is dominated by a few profitable companies and that the legislature needs to impose clear standards because voluntary fixes have not worked. The committee also heard testimony on S. 195, a toxic-free kids bill from Senator Comerford and Representative Hawkins, which would restrict PFAS and other toxic chemicals in children’s products and create disclosure and phase-out requirements. No votes were taken during the hearing.

Transcript Highlights:

• related to Medicaid, whether it's hospital services inpatient or outpatient or a managed care program or CMS

Keywords: 998, house, all

Transcript Highlights:

• And the House made two changes to the exemption on the CMS STAR quality rating system; the committee

Summary: The House met in a late-session floor session that began with prayer, pledges, quorum, and a series of excused absences and Senate messages reporting action on numerous bills, conference committee appointments, and conference reports. Members also adopted a memorial resolution honoring Mark James Hanna, a Capitol lobbyist and advocate for nurses, and a congratulatory resolution for Rishi Tarumalasetti, an eighth-grade civics bee winner from Katy. The chamber also received and recorded a parliamentary colloquy about an unusual Senate request on SB 293, with the Chair stating the House could not recede from only part of its amendments and could not suspend the rules because the bill had not been returned from the Senate. The bulk of the session was devoted to taking up conference committee reports and related procedural resolutions, especially the state budget. The House adopted a resolution allowing the SB 1 conferees to go outside the normal bounds, then adopted the SB 1 conference report on a 107-21 vote. Debate on the budget centered on public education funding, tax relief, health care, corrections pay, and judicial compensation, with supporters calling it a responsible compromise and opponents arguing it was overly expansive and insufficient on property tax relief. The House also adopted a technical correction resolution tying judicial pay increases in SB 1 to the House version of SB 293, and members discussed at length the relationship between judicial salaries and legislative pensions. The chamber then adopted a long series of conference reports on measures covering topics such as school library review and book challenges (SB 13), SNAP restrictions on sweetened drinks and candy (SB 379), hospital price transparency (SB 331), nursing home accountability (SB 457), school district personnel compensation conflicts (HB 3372), property notice rules (HB 2011), research and development tax credits (SB 2018), and several other bills affecting elections, permits, education, and criminal justice. Most reports passed by wide margins, though some drew significant opposition, especially SB 13 and SB 379. The House also granted several Senate requests for conference committees and introduced additional resolutions to suspend conferee limits on various bills as the session moved toward adjournment.

Transcript Highlights:

• CMS authorized ILOS in lieu of services in 2016 as a service or setting that works as a substitute for

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• kicked off the fight to make health care more transparent for Americans by implementing the infamous CMS

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• We’ll be looking at CMS and health care, social determinants of health screening, to make sure that we

Keywords: 1187, senate, all

Transcript Highlights:

• and I just want to remind, uh, you, if you don't mind, uh, we use a lot of acronyms, you know, DMS, CMS

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• villaflor Sergeant clerk bian venito C villaflor Sergeant at<01:12:52.800> Arms<01:12:53.600> CM

Keywords: Order of the Day: PENDING, 912, senate, all

Transcript Highlights:

• Why what's substantial at a 2 cm laceration compared to a three, and then you can do something?
• what's<03:33:46.479> substantial<03:33:47.359> at<03:33:47.920> 2<03:33:48.239> cm
• <03:33:48.720> laceration what's substantial at 2 cm laceration what's substantial at 2 cm

Keywords: 928, house, all

Summary: The committee heard House Bill 1331, which would allow the town of Derry to incorporate the Derry Cooperative School District as a department of the town through a charter amendment. The prime sponsor and several supporters argued the change would increase local control, streamline overlapping town and school functions, and potentially help align school spending with Derry’s tax cap. Supporters also said Derry is large enough to warrant a structure more like Manchester or Nashua, and one witness cited a 2018 nonbinding Derry ballot question that passed 597 to 547 in favor of seeking authorization for this change. Opposition came from NEA New Hampshire President Megan Tuttle, who said the association and the Derry Education Association opposed the bill because schools are not simply another municipal department and because Derry voters had already rejected merging the district into town government. She argued the state should respect local control and the community’s prior decision. Committee members asked about the scope of the proposed charter change, the role of the school board, and the reported prior vote, and the sponsor clarified that the amendment would be limited to this specific purpose rather than opening the entire charter. The hearing then moved to House Bill 1374, which would change the procedures for withdrawing from a cooperative school district. Representative Mary Murphy said current law gives other cooperative towns too much control over a withdrawing town’s decision, and her bill would remove the requirement for approval by the other towns while raising the withdrawing town’s approval threshold to a supermajority. She pointed to Francis Town’s 2024 withdrawal vote and said the bill was intended to protect students and local decision-making. The sponsor asked for an ought to pass recommendation, and committee members asked follow-up questions about the prior withdrawal vote and the number of voters involved.

Transcript Highlights:

• Specifically, to CMS, I wrote, and I quote: "The committee is also concerned about the potential for
• Specifically<05:25:20.798> to<05:25:20.958> CMS,<05:25:21.440> I<05:25:21.600>
• > wrote<05:25:22.000> and<05:25:22.240> I Specifically to CMS, I wrote and I Specifically
• to CMS, I wrote and I quote,<05:25:22.560> "The<05:25:22.798> committee<05:25:23.040><

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 4, 2025, 1012, house, all