Transcript Highlights:

• Campus were signed in October of 1994.
• Normally, account holders can sign up to get those outage alerts with life watch.
• I've got a 94-year-old mom she doesn't necessarily pay attention to her messages.
• This sign has been in Tomé for 28 years, and it wasn't new then.
• I have not signed one yet that is not 250,000.

Transcript Highlights:

• If you are interested in signing on, I would like to call the meeting of the House Ways and Means Committee
• And in cases where we haven't met standards, we just don't sign off.
• And in cases where we haven't met standards, we just don't sign off.
• off because we meets standards we signed off because we believe<00:45:49.040> it<00:45:49.240
• so therefore it met stands and we signed so therefore it met stands and we signed off<00:46:07.680

Bills: HF3

Keywords: legislative auditor, reporting, accountability, state finance, executive agency oversight, 1183, house

Transcript Highlights:

• Just for edification of everybody here, we do have quite a list of folks signed up to testify today.
• We also have a number of people that have signed up to testify virtually.
• All right, we still have a number of people signed up to testify. All right.
• We still have a number of people signed up to testify.
• That exhausts our list of everybody that was signed up to testify.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• lowering the business profits tax, the business enterprise tax, and really overall sending this clear message
• There's a lot of variables.
• There's a lot of variables. the problem. There's a lot of variables.
• , I'd like to know to what extent the credits go out to any part of New Hampshire which is showing signs
• , I'd like to know to what extent the credits go out to any part of New Hampshire which is showing signs

Keywords: 1189, house, all

Transcript Highlights:

• Also, on tips and gratuities, that's a variable. It's a variable rate. They don't have any control.

Bills: SB1241, SB1242, SB1442, SB1592, SB1623, SB1625, SB1913, SB1940, SB1949, SB2102, SB592, SB992

Keywords: ticket sales, resale, consumer protection, fraud, bots, transparency, refunds, event tickets, medical marijuana, cannabis, marijuana license, commercial grower, grow operation, bond requirement, land reclamation fee, revolving fund, environmental remediation, redevelopment, Oklahoma Medical Marijuana Authority, OMMA

Transcript Highlights:

• . >> You know, I think it it can be very variable among the plans and among the region's on the on the
• As far as the well child care of is that I think like I mentioned before, you know, the variables that

Transcript Highlights:

• <03:39:41.840> things and so due to those variable things and so due to those variable things
• So, we don't need that one. 403 has been signed by the governor 403 has been signed by the governor and
• That's has been signed by the governor.
• <05:12:21.520> into Senate Bill 295 that was signed into Senate Bill 295 that was signed into
• No, because we signed this later. Mr. Supers, if we sign this later. All right.

Keywords: 928, house, all

Summary: The committee of conference on HB 1 and HB 2 met to review revenue estimates and begin working through a side-by-side of the budget. New Hampshire Lottery Director Charlie McIntyre testified that lottery revenues are outperforming prior estimates, projecting a $27 million return to the state this year, up $7 million, and $200 million per year in the next biennium, up $6.5 million per year. He attributed the increase to stronger scratch ticket sales, no negative impact from Massachusetts sports betting, and overall better performance. Members questioned the assumptions behind the higher numbers, including the proposed $50 scratch tickets, the effect of inflation, and whether the projections were conservative enough. McIntyre said the $50 ticket could produce modest growth and that the estimates were intentionally cautious. The discussion also covered gaming revenue assumptions for historical horse racing and video lottery terminals, with McIntyre saying the state market is not yet saturated and that future conversions from HHR to VLTs should be net positive for the state. Members also discussed differences between House and Senate revenue numbers for gaming, including machine counts, daily revenue assumptions, and the tax split. The Senate version used higher machine counts and a 31.25% tax rate, with a quarter-point reserved for responsible gaming and the remainder split between charities and the state. The House had used a 30% rate with a different distribution. McIntyre and committee members also reviewed House Bill 2 items affecting Kino hours and local option games of chance, with McIntyre explaining that the bill would expand playing hours and shift towns to an opt-out model. No votes were taken during the lottery discussion, but the committee indicated it would continue refining the revenue model and circulate the spreadsheet used for the estimates. The committee then moved through the HB 1 detail change sheet, accepting several Senate positions and holding others for later. It agreed to a zero-cost realignment in the Department of Safety moving the international fuel tax agreement function from administration to motor vehicles, and it restored eight passenger motor vehicle inspection positions for later discussion in HB 2. The Department of Corrections reorganization was set aside for a later, more detailed discussion. The committee also accepted no-change positions for the Department of Employment Security and agreed to a technical footnote fix in the Judicial Council section. It discussed a new HB 2 item moving contract counsel for involuntary mental health admissions from the judicial branch to the Judicial Council, funded at $100,000 per year, and noted that the public defender funding issue would be revisited when the overall budget picture is clearer. The meeting ended with the committee continuing its review of the remaining pages of the detail change sheet.

Transcript Highlights:

• the conflict in Ukraine we saw a sign the conflict in Ukraine we saw a sign significant<00:31:28.480
• <01:13:13.600> agreements metering um members to sign agreements metering um members to sign
• ...of the remaining load, and when you sign up for a group host project, you can only subscribe
• Well, no, the 900 rules say you cannot sign multiple agreements and participate in on-bill crediting,
• Members who participate under the net metering program have variable loads and exports throughout the

Keywords: 1191, senate, all

Transcript Highlights:

• Some would require the legislature to pass a bill and get it signed by the governor.
• I signed up for Water and Natural Resources and never have made one meeting this year.
• There for the first presentation to sign their voucher, and then you don't see them again.
• I'm tired of seeing members go in, sign their voucher, and disappear.
• And this number shows up, signs his voucher, and disappears and gets the same paycheck that I do.

Transcript Highlights:

• did the assistant commissioner did sign did the assistant commissioner did sign a<03:54:56.880><
• We do care, and so that's not what I signed up for.
• We do care, and so that's not what I signed up for.
• We do care, and so that's not what I signed up for.
• We do care, and so that's not what I signed up for.

Keywords: 1189, house, all

Transcript Highlights:

• So it's variable.
• So it's variable.
• On a non-scheduled drug, it signs. If for a scheduled drug, it asks me to verify...
• Non-scheduled drug, it signs.
• I don't think one person should just say, I'm doing this and I'm signing off on it.

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• Second, this bill would require that before adult content or media is uploaded, the uploader must sign
• About 40% of new nurses have had to sign a debt trap.
• or increasing fees. ...about monthly housing costs due to variable or increasing fees.
• When they sign the rental agreement, you can never increase the electricity fees are going up.
• When they sign the rental agreement, you can never increase the electricity fees are going up.

Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.

Transcript Highlights:

• . >> All opposed, like sign. Very good.
• impact uh the reconciliation bill signed impact uh the reconciliation bill signed by<00:13:27.040
• It may not be the final destination because there's many different variables.
• there's many different variables. there's many different variables.
• Thank you very much, sir. >> Uh, we'd have one person who has signed up for a public comment.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• This is a life-saving shift in how we recognize and respond to signs of crisis.
• This is a shift in how we respond to signs of crisis in this already vulnerable population.
• When I signed up in in 99, and my family from zero to 40, there's a thing we have no wife, no kids.
• Because he's in Germany, which offers euthanasia services, he signed up. for it.
• Programs like the Texas AIM have shown promise but are not universally applied leading to the variability

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• This section requires that CCAP providers sign each bill that they submit and declare under penalty of
• DE does not reflect the signed agreement between the chairs, and specifically Article 5, Section 2, related
• to House File 15, removing the camera requirement, was not in the signed agreement.
• From the county's perspective, these Administrative fees per youth per day have high variability in what's
• However, in practice, the out-of-home placement plan needs to be completed and signed. by the court before

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras

Transcript Highlights:

• And I wanted to make sure that we that we captured both direct cost variable cost, meeting costs that
• So about 20 years on the last contract was signed and central Florida in July, 1st of 2004 and also Miami
• We knew that day that that to be able to sign that we were 25 million dollars short for the state because

Keywords: 999, senate, all

Transcript Highlights:

• and determine if we are able to find a more consistent calculation that would reduce some of the variables
• <00:33:30.159> that<00:33:30.279> we're<00:33:30.519> currently the variables
• that we're currently the variables that we're currently seeing<00:33:31.600> um<00:33:31.919>
• number of contracted special education transportation cost versus district-owned, which can have a variable
• <01:45:33.480> um owned uh which can have a variable um owned uh which can have a variable

Keywords: 1183, house

Transcript Highlights:

• A familiar pattern: we see declines in signed purchase agreements, or declines in housing demand, in
• the slides a couple of times because he likes that, but it all comes down to the impact as another variable
• 00:45:29.920> impact<00:45:30.520> as<00:45:30.760> another<00:45:31.359> variable
• <00:45:31.880> of the the impact as another variable of the the impact as another variable

Keywords: 1183, house

Transcript Highlights:

• I'm aware of no sir I didn't think so it's obviously to to variable and too deterministic on the state
• Signify sign up with the It's your full FTEs that you've been allocated the dark line is filled position
• That's the sign of a healthy herd and as that's happened because we've been able to keep CWD prevalence
• 2024, that virus jumped out of the waterfowl or birds and into dairy. cattle, which caused clinical signs
• That was the initial clinical sign along with a couple of other things that really keyed the Dairyman

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• FOLLOWED BY, YOU SIGNED UP TWICE SO I WILL CALL YOU ONCE.
• I SAT NEXT TO A NO TRESPASSING SIGN ONCE I FOUND A SPOT.
• THANK YOU THIS REQUIRES THAT A WAIVER BE SIGNED. MADAM CHAIR? YOU ARE RECOGNIZED.
• YOU CAN SIGN IT. YOU DON'T CONSIDER THAT COERCION?
• BUT PARENTS HAVE TO SIGN OFF ON IT.

Keywords: 999, senate, all