Transcript Highlights:

• Senate Bill 924, a bill to be entitled an act relating to coverage for fertility preservation services
• State insurance program coverage for standard fertility preservation services.
• And also in-state travel residence and amendments regarding certain temporary resident changes must be
• Currently, all temporary resident changes, including in-state travel, are reported in person.
• The Senate is now in temporary recess. Sergeant, please secure the chambers.

Bills: SCR4, SCR18, SCR43, SB227, SB269, SB330, SB434, SB437, SB438, SB463, SB528, SB584, SB604, SB663, SB668, SB682, SB747, SB841, SB912, SB968, SB1013, SB1020, SB1044, SB1137, SB1138, SB1143, SB1164, SB1169, SB1200, SB1236, SB1244, SB1299, SB1325, SB1335, SB1369, SB1410, SB1418, SB1422, SB1455, SB1468, SB1495, SB1534, SB1579, SB1580, SB1612, SB1624, SB1667, SB1734, SB1745, SB1746, SB1760, SB1784, SB1860, SB1862, SB1864, SB1896, SB1898, SB1920, SB1940, SB1952, SB1998, SB1999, SB2004, SB2032, SB2052, SB2068, SB2073, SB2121, SB2127, SB2141, SB2145, SB2161, SB2167, SB2196, SB2207, SB2216, SB2246, SB2323, SB2332, SB2395, SB2429, SB2431, SB2439, SB2443, SB2581, SB2601, SB2629, SB2702, SB2705, SB2717, SB2798, SB2873, SB2881, SB2964, SB3034, SCR4, SCR38, SB39, SB227, SB240, SB330, SB401, SB407, SB467, SB506, SB512, SB527, SB584, SB618, SB619, SB636, SB648, SB663, SB715, SB732, SB758, SB801, SB843, SB847, SB870, SB957, SB1013, SB1020, SB1065, SB1152, SB1164, SB1181, SB1183, SB1257, SB1283, SB1299, SB1325, SB1349, SB1395, SB1433, SB1455, SB1490, SB1558, SB1574, SB1624, SB1626, SB1640, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1789, SB1832, SB1845, SB1868, SB1920, SB1924, SB1964, SB2004, SB2018, SB2031, SB2037, SB2052, SB2073, SB2075, SB2080, SB2111, SB2117, SB2154, SB2161, SB2196, SB2206, SB2253, SB2268, SB2322, SB2323, SB2349, SB2533, SB2540, SB2570, SB2623, SB2626, SB2658, SB2660, SB2692, SB2705, SB2717, SB2722, SB2742, SB2743, SB2753, SB2788, SB2877, SB2900, SB2920, SB3031, SB5, SB260, SB1786, SB1, HJR4, HB135, HB 1109, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR38, SCR4, SCR18, SCR43, SCR46, SCR48, SCR19, SB2023, SB1257, SB240, SB1727, SB870, SB618, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1757, SB2050, SB1138, SB2458, SB1864, SB2201, SB1862, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB2073, SB3014, SB3013, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB843, SB1152, SB1164, SB1299, SB1349, SB1868, SB2037, SB2349, SB2788, SB39, SB1183, SB1717, SB1832, SB2743, SR429, SR432, SCR38, SB39, SB240, SB618, SB870, SB1183, SB1257, SB1717, SB1727, SB1832, SB2743, SB2, SB3058, SB3059, HB6, HB14, HB43, HB 100, HB136, HB149, HB204, HB206, HB307, HB467, HB685, HB 1130, HB1393, HB1644, HB2027, HB2118, HB2176, HB2468, HB2488, HB2525, HB2596, HB2890, HB2894, HB3077, HB3114, HB3204, SCR4, SCR18, SCR43, SB269, SB330, SB434, SB437, SB438, SB463, SB528, SB604, SB663, SB668, SB682, SB747, SB841, SB912, SB968, SB1020, SB1044, SB1138, SB1143, SB1236, SB1244, SB1325, SB1335, SB1369, SB1418, SB1422, SB1455, SB1468, SB1495, SB1534, SB1579, SB1580, SB1612, SB1624, SB1667, SB1734, SB1745, SB1746, SB1760, SB1784, SB1860, SB1862, SB1864, SB1896, SB1898, SB1920, SB1940, SB1952, SB1998, SB2032, SB2052, SB2068, SB2073, SB2121, SB2127, SB2141, SB2145, SB2161, SB2167, SB2196, SB2207, SB2216, SB2246, SB2323, SB2332, SB2395, SB2431, SB2439, SB2443, SB2581, SB2601, SB2629, SB2702, SB2705, SB2798, SB2873, SB2881, SB2964, SB3034, SB227, SB584, SB1013, SB1137, SB1169, SB1200, SB1299, SB1410, SB1999, SB2004, SB2429, SB2717, SB3058, SB3059, HB6, HB14, HB43, HB 100, HB136, HB149, HB204, HB206, HB307, HB467, HB685, HB 1130, HB1393, HB1644, HB2027, HB2118, HB2176, HB2468, HB2488, HB2525, HB2596, HB2890, HB2894, HB3077, HB3114, HB3204

Keywords: Pflugerville, Trail Capital, health and wellness, outdoor recreation, community connectivity, patriotism, town designation, community engagement, Trophy Club, Texas Town of Patriotism, Port Aransas, Mustang Island, Fishing Capital of Texas, Texas fishing, coastal tourism, charter fishing, deep-sea fishing, bay fishing, pier fishing, angling

Transcript Highlights:

• If Medi-Cal coverage is reduced or disrupted, we should be clear about what happens next.
• There are many holes and gaps in coverage, whether it is the IMD exclusion in Medicaid or services and
• They got we... ...nothing for us with job-based coverage. Nothing. We got nothing.
• This enhanced federal funding was always intended to be temporary.
• So we're actively listening to feedback received from our... ...coverage decisions.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• an act to amend Title 9 relative to oil field indemnification agreements and additional insured coverage
• an act to amend Title 9 relative to oil field indemnification agreements and additional insured coverage
• as an act men title nine relative to oil field indemnification agreements and additional insured coverage
• charging less to reinstate a driver's license for any individuals that have a lapse in insurance coverage
• The bill allows the establishment of temporary protection zones and is necessary to ensure public safety

Bills: SCR63, SCR12, HB89, HB451, HB595, HB617, HB621, HB730, HB1064, HB1125, HB221, HCR58, SB106, SB206, SB248, SB441, SB104, SB122, SB180, SB260, SB424, SB476, SCR9, SCR30, SB57, SB414, SB525, SB35, SB65, SB135, SB215, SB246, SB249, SB269, SB276, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB462, HB547, HB613, HB691, HB712, HB720, HB723, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB17, HB21, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: fiscal notes, legislation, legislative auditor, state policy, conflict of interest, logging, recognition, John Keith, environment, safety, HB89, Act 615, district attorney, assistant district attorney, retiree health insurance, group health insurance, retirement benefits, public employee benefits, Third Judicial District, Thirtieth Judicial District

Transcript Highlights:

• And these are all Medicaid coverage services under the prospective payment system.
• I think we know, you know, Medicaid Tier 1, there's still a high level of needs.
• I think we know, you know, Medicaid Tier 1, there's still a high level of needs.
• And Medicaid ends up taking it. But it's a shift, and then you do pay for outcomes.
• And Medicaid ends up taking it. But it's a shift, and then you do pay for outcomes.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• I think Medicaid expansion, having coverage for folks, having this value-based program in place, focusing
• I think Medicaid expansion,<00:11:56.560> having<00:11:57.040> coverage<00:11:57.440>
• This bill draft would extend Medicaid coverage to assisted living services.
• For reference, Kentucky is only one of three states that do not offer Medicaid coverage for assisted
• The General Assembly also created temporary peer support specialists who can bill Medicaid with almost

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:

• , and even states away, how will the state... ...term temporary housing in cities, counties, and even
• We had an immediate need for temporary housing for displaced staff.
• We ended up setting up a temporary location in our auditorium, but we're not a nursing home.
• We established temporary on-site housing for our staff and a food pantry for our We established temporary
• About 73% of our patients rely on Medicaid; another 14% are uninsured.

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:

• substitute for committee substitute for Senate Bill 924, a bill to be entitled an act relating to coverage
• Currently, all temporary residence changes, including in-state travel, are reported in person to DHSMV
• Leader Pizzo: So you took it out as a temporary fix, knowing you'd circle back around and be able to
• The Senate is now in temporary recess. Sergeant, please lock the chambers. Secure the chambers.
• The Senate is now in temporary recess. Sergeant, please lock the chambers. Secure the chambers.

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several recognitions, including guests from Miami Northwestern Senior High School, Clay County, and others. Senators also observed a moment of silence for Pope Francis. After routine announcements, the chamber moved to the special order calendar and took up a long series of bills, often substituting House companions for Senate bills before final passage. Among the measures approved were bills creating an expedited DNA testing grant program for local law enforcement, adding aggravating factors in capital cases involving gatherings for religious, school, or government activities, requiring state health coverage for fertility preservation services for cancer patients, authorizing indemnification for commuter rail providers, prohibiting abandonment of migrant vessels in Florida waters, and creating new specialty license plates. The Senate also passed bills on Alzheimer’s awareness, relocating the Council on the Social Status of Black Men and Boys to Florida Memorial University, charter schools, sex offender registration, utility worker protections, juvenile justice, student mental health reporting, foster home licensure transfers, water access facilities, Florida Virtual School, school readiness, sexual images involving children, tampering with electronic monitoring devices, certified recovery residences, the FSU Election Law Center, the Office of Faith and Community, and bonuses for county property appraiser employees. Several other bills were temporarily postponed, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, officers injured in the line of duty, school social workers, and Brownfields. Debate was especially extensive on the Office of Faith and Community bill, where an amendment to bar political activity by office staff was offered but failed 13-23 after arguments over election-related communications and the scope of existing law. The certified recovery residences bill also drew notable debate, with supporters emphasizing housing as essential to recovery and opponents raising concerns about implementation and local control. Most other bills passed with little or no opposition, though a few drew dissenting votes, including the capital aggravating factors bill, charter schools, and the Office of Faith and Community measure.

Transcript Highlights:

• House Bill 222 by Representative Barrow is an act in Title 40 relative to Medicaid coverage, to require
• Medicaid coverage for dental procedures in certain circumstances.
• House Bill 430 by Representative Chassion is an act in Title 40 relative to health insurance coverage
• require coverage for behavioral health crisis services.
• There have been delays in formulary coverage to block patient access.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Summary: The Senate convened with a quorum, heard a prayer from guest minister Troy Brigadio, and recited the pledge. The chamber then handled journal approval, committee and House messages, and a large number of resolutions and bills, with many items lying over or being referred to committees. Several Senate resolutions were adopted by voice or machine vote, including commendations for World Preeclampsia Awareness Day, Kathy Holloway, Jensen LeBlanc, and River Bend Station, and the Senate also recognized Senator Mike Reese’s new role as president of McNeese State University. The body spent much of the meeting concurring in or rejecting House amendments to Senate bills. Concurrences were approved on measures including SB 102, 133, 151, 165, 169, 170, 200, 280, 291, 303, 330, 396, 410, 425, 427, 436, 489, 521, 45, 156, 181, 203, 304, and 399. The Senate rejected House amendments on SB 217, SB 300, SB 274, and SB 379, sending those matters toward conference or further work. One notable floor debate occurred on SB 449, where Senator Moore objected to concurring in amendments affecting the North Orleans Belt Railroad; after discussion about corruption concerns and public bid laws, the chamber rejected the amendments 26-9. The Senate also took up numerous House bills on final passage, approving measures on local governance, public safety, education, tax policy, and infrastructure. These included HB 87 on Livingston Parish Gas Utility District per diem, HB 115 on abolishing the police chief office in Edgefield, HB 162 on a neighborhood improvement district fee, HB 195 allowing pepper spray on campus, HB 214 and HB 217 on optional ad valorem tax exemptions for rehabilitated blighted property, HB 233 on jury compensation, HB 354 renaming a bridge as the Caleb Easterling Memorial Bridge, HB 283 on protections for assaulted school employees, HB 290 recreating the Department of Treasury, and HB 319 adjusting civic education commission membership. Several of these passed unanimously or with only a few dissenting votes, and members frequently moved to reconsider and record objections after final passage.

Transcript Highlights:

• Um, and apparently it's being used effectively for CHIP and Medicaid managed care coverages, and it's
• for CHIP and Medicaid<01:04:35.119> managed<01:04:35.520> care<01:04:36.799> coverages
• <01:04:38.079> and<01:04:38.400> it's Medicaid managed care coverages and it's Medicaid
• also now been applied to ACA coverages. also now been applied to ACA coverages.
• in its Medicaid managed care program. in its Medicaid managed care program.

Keywords: 1191, senate, all

Transcript Highlights:

• Most of that is as a Medicaid, your typical FMAP. Okay, very good. Thank you.
• to receive 100% federal funds for Medicaid services that were provided.
• Children with family incomes below 152% are covered under regular Medicaid.
• changing, and so that went from Medicaid to CHIP.
• be covered with CHIP or Medicaid, whichever applies.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• The federal fund, for brevity, is all federal dollars that aren't for Temporary Assistance for Needy
• It's not the Medicaid program.
• but are not eligible for either coverage but are not eligible for either ma<00:12:57.279> or<
• through the exchange but they coverage through the exchange but they are<00:13:08.160> completely
• other um health insurance coverage other um health insurance coverage including<00:18:22.240>

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• Anthem won the bid for both medical coverage and pharmacy coverage.
• > and<01:08:39.040> I coverage and Pharmacy coverage and I coverage and Pharmacy coverage
• coverage or they want to buy up coverage coverage or they want to buy up coverage and<01:49:29.239
• It’s 2.07% of coverage.
• coverage for their workers.

Keywords: 928, house, all

Summary: The committee held a work session on the Department of Business and Economic Affairs budget, with testimony from Chase Hegman and Kathy Frederickson. Early discussion focused on staffing and vacancies, including a senior planner position tied to FEMA requirements, a program assistant funded by federal ORID dollars, a program specialist being considered for reclassification, two Housing Champions positions to be funded in the next biennium, and temporary welcome center positions. Members also reviewed the commissioner’s office, indirect cost recoveries tied to federal program administration, and the structure and staffing of rest areas and welcome centers, including the Turnpike-funded locations and seasonal staffing patterns. Members then moved through economic development and federal grant-related accounts. Hegman explained that a large share of the agency’s funding is federal, with some programs requiring state match, including the Apex Accelerator, which supports government contracting assistance for businesses. He described Apex as a small team that helps businesses with DOD and other contracting opportunities through webinars, matchmaking, and one-on-one support. The Office of Workforce Opportunity was described as largely federally funded through Commerce-related workforce programs and subrecipients, with some general fund support for agency-wide needs. The Northern Borders Regional Commission dues and capacity grant were also discussed, with officials explaining the state’s required contribution and the federal funds used to administer the program. A major point of discussion was the proposed reduction to the Small Business Development Center, which officials said provides one-on-one technical assistance to new and small businesses and has a strong return on investment. Members questioned the cut, the federal funding sources, and whether there was a waiting list for services; officials said they would provide more detail on matching requirements and funding. The committee also reviewed travel and tourism accounts, including the joint promotional grant program and tourism advertising funds, both of which are proposed to increase. Officials said the tourism marketing formula is based on a percentage of meals and rooms tax revenue and argued that the spending generates significant visitor spending and tax revenue, citing an outside ROI study and examples of advertising in test markets. No votes were taken during the work session.

Transcript Highlights:

• And these are all Medicaid coverage services under the prospective payment system.
• So unsheltered means you're in a homeless program funded to serve the homeless on a temporary basis.
• I think we know, you know, Medicaid Tier 1—there's still a high level of needs.
• of the Medicaid Tier 1 people end up in emergency rooms.
• And Medicaid ends up taking it, but it's a shift, and then you do pay for outcomes.

Keywords: 1204, all

Transcript Highlights:

• were forfeiting their grants due to H.R. 1 impacts, specifically for uncertainty around Medi-Cal coverage
• for non-emergency dental services, upcoming policy changes affecting reimbursement and coverage for
• But with the lessened amount of non-dental service medical coverage, there are a variety of different
• And that's because coverage does tend to be associated with higher utilization.
• As many of them are part of Covered California, as I said before, or part of Medicare and Medicaid.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• HB 1201 by Manuel relating to the pilot program to provide Medicaid coverage of dual-eligible services
• This prevents artificially low Medicaid reimbursement rates.
• Is this bill a bill to expand Medicaid? No, it does not expand Medicaid.
• Does this bill authorize any kind of payments from the Medicaid system?
• House Bill 1201 by Manuel relating to a pilot program to provide Medicaid coverage for doula services

Summary: The House convened with a quorum, heard the invocation and pledges, and then took up a series of memorial resolutions and recognitions. Members adopted memorial resolutions honoring former President Jimmy Carter and Dr. Alice Gail Hudgens, with remarks highlighting their public service and community impact, and adopted resolutions recognizing Victoria College’s 100th anniversary and May 2025 as Mental Health Awareness Month. The chamber also recognized Texas A&M system interns and later granted permission for several committees to meet while the House was in session. The House then moved through a long third-reading calendar, passing a number of bills on wide margins. Measures approved included SB 304 on municipal court jurisdiction over nuisance abatement ordinances, SB 608 on reporting evidence collection kits, SB 2312 creating a Texas Advisory Committee on Geopolitical Conflict, SB 494 creating a petroleum theft task force, SB 530 on postsecondary accreditation, HB 45 giving the Attorney General a role in prosecuting human trafficking cases, HB 35 on peer support for first responders, HB 47 and HB 3073 on sexual assault policy and prosecution, HB 318 and HB 3000 creating rural sheriff and ambulance grant programs, HB 554 on Juneteenth fireworks sales with county opt-in authority restored, HB 705 and HB 932 joining licensure compacts for cosmetology and occupational therapy, HB 849 allowing county park boards to meet by video conference, HB 1119 on mental health bed reporting, HB 3041 on students with nontraditional secondary education, HB 713 on maternal mortality review reporting, HB 3104 on Webb County bailiff appointments, HB 3970 on electricity planning for large loads, HB 4042 on Railroad Commission safety provisions for gas distribution pipelines, HB 4490 protecting next-of-kin information, HB 1731 on the physician assistant compact, HB 2607 on Walker County Hospital District governance, HB 3689 on Texas Windstorm Insurance Association funding, HB 1788 on continuing education for barbers and cosmetologists about abuse and trafficking, HB 1612 on hospital direct payments for uninsured patients, and HB 138 on health impact cost and coverage analysis. Several bills drew extended debate or amendments. HB 353, creating a trespass offense near schools and daycares, prompted questions about constitutional concerns and property rights before passing. HB 3211 on optometrists in managed care plans received a perfecting amendment and a Medicaid-related amendment setting a minimum payment level. HB 1056 on gold and silver specie and a state-based currency prompted detailed questioning about its mechanics and fees, followed by a point of order challenging the caption. The House also adopted or postponed a number of items, including postponing HB 2520 and HB 1359 until later in the calendar before later passing both, and laying several bills on the table subject to call. Many measures passed overwhelmingly, while a few, including HB 3326 on loan forgiveness for adjunct professors and HB 3237 on energy consumption goals, passed with narrower margins.

Transcript Highlights:

• How about under 439A, the apprentice permits and temporary permits? General statute?
• <01:40:46.080> permits Apprentice permits and temporary permits Apprentice permits and temporary
• permits or if it permits and temporary permits or if it was<01:41:28.840> in<01:41:29.199>
• Uh, section on temporary permits for that same subject area of law.
• provider of intensive Mental Medicaid provider of intensive Mental Health<02:09:11.559> Services<

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• Family planning and abortion care coverage, preserves direct access to hospice care, long-term care coverage
• Even government workers are paying hundreds of dollars for health care coverage.
• So, by definition, to qualify for this program, individuals must be eligible for Medicaid.
• Obviously, having to ratchet back on coverage and looking at these reductions will make that a little
• We oppose any premiums because we know payments of any amount cause people to lose coverage.

Keywords: 988, house, all

Transcript Highlights:

• Medicaid is a big part of the exponential growth that is leading to that deficit.
• <00:48:19.839> agency Medicaid agency Medicaid agency administers<00:48:22.520> the<00:
• They also have a Medicaid program called housing stabilization services.
• We end their coverage because they should have to provide for their own health insurance.
• <01:08:10.119> across<01:08:10.440> the on on Medicaid across the on on Medicaid across

Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• for non-emergency dental services, upcoming policy changes affecting reimbursement and coverage for
• But yeah, with that, with the lessened amount of non-dental service, medical coverage, I mean, there's
• Coverage does tend to be associated with higher utilization, but a lot of the folks who leave Medi-Cal
• Coverage does tend to be associated with higher utilization, but a lot of the folks who leave Medi-Cal
• Coverage does tend to be associated with higher utilization, but a lot of the folks who leave Medi-Cal

Keywords: 988, house, all

Transcript Highlights:

• House Bill 76 by Representative Freeman is an act in Title 22 relative to health insurance coverage to
• establish guidelines for coverage of orally administered anti-cancer medications.
• House Bill 76 by Representative Freeman is an act in Title 22, relative to health insurance coverage
• to establish guidelines for coverage of orally administered anti-cancer medications.
• Title 15 relative to temporary release of an inmate for limited purposes.

Keywords: 974, senate, all