Transcript Highlights:

• times for patients.
• How many times you find yourself sitting in a waiting room, watching the door, praying the person who
• When you are waiting on a diagnosis, time moves differently.
• what that waiting does to a person.
• So, at the proper time, appropriate time, I'd like to move favorable.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• We're not waiting over time to implement a project. Mr.
• Waiting to get the remaining funding to construct that project, you could wait for quite some time, even
• We'll wait on the floor. We'll wait on the floor? No point doing it twice.
• Wait, what? No, no. Does it? No. Try that one more time. I apologize.
• It is not timely.

Summary: The committee first heard House Bill 1157, which would create a Louisiana State Infrastructure Bank to provide another funding mechanism for transportation-related projects, including roads, bridges, rail, ports, airports, and other surface transportation needs. Chairman Borek and DOTD Secretary Glenn LaD said the goal is to leverage state, federal, local, and private dollars, using models from Florida and other states. Members asked about board makeup, staffing, project selection, administrative costs, and how the bank would differ from capital outlay and existing transportation programs. Testimony in support came from business and economic development representatives, including Michael Hecht of Greater New Orleans, Inc., who said infrastructure is critical to major economic projects and that the bank could attract outside capital. The bill was reported favorably without objection. The committee then took up several local and procurement-related bills. House Bill 860, allowing fillable electronic public bid forms, was reported favorably. House Bill 972, naming a portion of Highway 93 in Lafayette Parish the Desert Shield Desert Storm Memorial Highway, and House Bill 965, naming a portion of Highway 163 the Sergeant William Billy Earl Collins Jr. Memorial Highway, were both reported favorably after brief testimony honoring veterans and law enforcement. House Bill 692, authorizing local governments to enter group purchasing agreements, was amended and reported favorably. House Bill 685, allowing use of FAST Act cooperative procurement for public motor vehicles and rolling stock, drew support from transit officials and was reported favorably after a roll call vote, with one member voting no. The committee also advanced House Bill 982, which designates portions of highways in Morehouse Parish in memory of local residents killed in a crash after attending an LSU game; it was reported with amendments. House Bill 506, creating special prestige license plates for local high schools as a fundraiser, was amended and reported favorably. House Bill 839, lowering the contract limit for hospital service districts to use construction management at risk from $2 million to $1 million, was reported by substitute after testimony from hospital leadership and industry representatives. House Bill 1072, revising powers and emergency procurement authority for the Office of Louisiana Highway Construction, was amended and reported favorably after discussion about its relationship to DOTD and emergency repairs. Finally, the committee heard House Bill 887, which revises construction management at risk procedures, including committee makeup, scoring, and financial qualification requirements; it was amended and reported favorably. House Bill 647, creating timelines and an annual application process for waterway projects under a waterway assistance program and fund, was reported by substitute. The last major item discussed was House Bill 873, which would fund pursuit intervention technology and training for law enforcement through a $2 fee on driver’s licenses. The bill was presented alongside emotional testimony from the widow and daughter of Sergeant Grant Candies and from a St. John the Baptist Parish sheriff’s captain, all urging safer equipment and better training for officers. Members expressed strong support, and the discussion continued into funding and grant administration details.

Transcript Highlights:

• times for patients.
• How many times do you find yourself sitting in a waiting room, watching the door, praying the person
• When you are waiting on a diagnosis, time moves differently.
• what that waiting does to a person.
• So at the proper time, appropriate time, I'd like to move favorable.

Committees: Senate Health & Welfare , Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• Um, we thought about waiting to see what comes from that audit if we want to wait and utilize it after
• Um, we thought about waiting to see what comes from that audit if we want to wait and utilize it after
• Um, we thought about waiting to audit.
• So in that time there is a delay and there is a time frame impact.
• there is a delay and there is that time there is a delay and there is a<00:21:03.520><c> time</c><00

Committee: Joint Appropriations

Transcript Highlights:

• time between the withheld adjudications?
• There is waiting.
• That's when the five-year waiting period starts.
• One, I believe it's already expressed, removing the one-time limitation.
• At the same time, we do not want overreach.

Transcript Highlights:

• Most of the time, they're trying to get them onto some sort of medication.
• And then other times they can go to a facility.
• They are not really set up for a longer time.
• Or you then wait for a bed if ...
• Thank you for your time. I'm happy to answer any questions. Thank you.

Bills: SB670 , SB1388 , SB627 , SB912 , SB269 , SB528 , HB2711 , HB4819 , HB5248 , HB4175

Committee: House Public Health

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• out timely.
• , so it's a timing issue.
• They might redeem them all at one time. They may wait till later in the summer.
• And that takes time.
• Was there a waiting list before? Yes. And how many were on the waiting list before?

Committee: All LEGISLATIVE JOINT AUDITING

Summary: The committee met to adopt prior minutes and reports from its executive and standing committees, including counties and municipalities, educational institutions, and state agencies. Those reports covered routine audit activity, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, and several state agency audit items. The committee also reviewed and adopted the State of Arkansas annual comprehensive financial report for fiscal year 2025 and the related single audit report, both presented by Legislative Audit staff. The state financial report showed unmodified opinions on the state’s financial statements and described total assets of about $41.9 billion and liabilities of about $11.1 billion, along with retirement system assets of $39.9 billion and a net pension liability of $9 billion. Two material weaknesses were identified: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and a Division of Workforce Services methodology change for unemployment-related estimates that was not properly documented or approved. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; it resulted in 33 findings, 14 with questioned costs totaling $16.6 million, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Members questioned agency officials in detail about the Summer EBT questioned costs, DHS unresolved findings, broadband grant documentation, cyber security controls, workers’ compensation liabilities, and child care funding and reporting. DHS explained that the Summer EBT issue involved drawing federal funds in advance rather than as benefits were redeemed, and said the process has been corrected. Broadband officials said the questioned $6.6 million reflected documentation-detail disagreements across many invoices rather than missing payments. OST officials described new logging, endpoint detection, and phishing-training efforts, and DFA and Education officials addressed specific audit findings and corrective actions. The committee ultimately moved to hold the two large statewide reports over until the August meeting for further review, with discussion continuing on whether to release some agency staff in the meantime.

Transcript Highlights:

• For one-time costs, for year one-time cost, we would need one-twelfth of the funds appropriated in Schedule
• the wait is long.
• When I first started working, a long time... ...a long time ago, my first paycheck was just enough to
• This is the reality behind the wait list.
• We cannot afford to wait any longer.

Transcript Highlights:

• I spend a lot of time on Odyssey and a lot of time looking up cases, and I'm constantly pulling my hair
• We're here, and I don't want to waste a minute of your time or my time being here.
• We'll wait to see Mr. Baker's bills.
• We'll wait to see Mr. Baker's bills.
• So the seven-day waiting period law remains effective here in New Mexico at the present time. Mr.

Committees: Senate Senate Judiciary , Senate House Judiciary

Transcript Highlights:

• </c> to supplement full-time positions. to supplement full-time positions.
• did not formally, or at least at the time, track waiting lists, and its data collection on admissions
• Each facility, at the time of this report, tracked waiting lists differently and independently, and the
• </c><00:29:12.440><c> list</c> Um KDVA must improve its waiting list Um KDVA must improve its waiting
• tracked</c><00:29:16.240><c> waiting</c><00:29:16.600><c> lists</c> of this report, tracked waiting

Committee: Joint Veterans, Military Affairs, & Public Protection

Transcript Highlights:

• So, every time this happens, I'm going to have both officers sitting in the courtroom waiting to tell
• we used to get all the time is the officer sitting in the hallway waiting for cases to go and testify
• I Most of the time Just different time.
• </c> &gt;&gt; this several times. a few times. &gt;&gt; this several times. a few times.
• </c> have served time. have served time.

Committee: House Judiciary

Transcript Highlights:

• We are waiting for fin release on our end.
• We are waiting for fin release.
• We are waiting for fin release. And so, We are waiting for fin release.
• </c> And we are still waiting on fin release. And we are still waiting on fin release.
• We're waiting on fin release.

Bills: SB2876 , SB3253 , SB2125 , SB2781 , HB549 , HB1768 , SB2053 , SB2494 , SB2851 , SB3073 , HB1678 , HB1721 , HB2475 , HB2246 , HB1667 , HB1516 , SB2532 , SB3131 , SB3154 , HB2297 , HB1737 , SB2143 , SB2398 , SB2623 , HB1740 , HB1920 , HB1682 , SB2153 , SB3140 , HB1515 , SB2835 , HB2282 , SB3083 , SB2031 , SB2519 , SB2667 , SB2140 , SB2544 , SB2069 , SB2697 , SB874 , SB2043 , SB888 , SB2721 , HB2152 , HB1334 , HB2385 , HB1643 , HB2314 , HB1688 , HB1692 , SB2568 , SB2983 , SB2108 , SB3136 , HB1959 , SB3156 , HB1511 , HB1753 , HB1824 , HB2137 , HB1810 , HB2279 , HB2309 , HB1548 , HB2078 , HB2293 , SB3262 , SB2169 , SB2607 , SB2964 , SB3255 , HB2576 , HB1481 , HB1864 , HB1550 , SB2818 , SB3067 , SB2061 , HB1728 , HB1881 , HB2361 , HB2395 , HB1823 , SB2050 , SB2397 , SB2175 , SB2852 , SB847 , SB3001

Transcript Highlights:

• However, any time we start to see an increase in volume or we see that wait times are taking longer,
• You guys have heard several times today about the wait times, which went from like a few weeks to a few
• You guys have heard several times today about the wait times, which went from like a few weeks to a few
• You guys have heard several times today about the wait times, which went from like a few weeks to a few
• Families cannot afford to hold off on educating their children for weeks or months at a time while waiting

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• In the meantime, a small business owner, Sophia, is waiting on a permit and doesn't get a timely call
• Wait, right, wait, wait, wait, wait, hold on. Can somebody? You're sure, Serenielo. Thank you, Mr.
• Perfect timing. All right. Others in support of as Thank you very much. Perfect timing.
• We'll wait just a few moments here. I'll announce in just a minute how long we'll wait.
• At that time, we'll open the roll one last time, and then adjourn. Thank you. Adjourn. Thank you.

Committee: Senate Judiciary

Transcript Highlights:

• And then the funding that requested could be used to expand the program to reduce the wait time to enroll
• Wait a minute. They are, wait a minute. Yeah, they are eligible for release.
• Wait a minute. They are, wait a minute. Yeah, they are eligible for release.
• So at this time, I move for passage.
• At this time, I ask for passage and move for a dollar.

Summary: The Public Safety committee met and first considered HB 2993, as amended by a PCS, which would create 11 Council of Government-based positions to help rural law enforcement pursue grants and equipment funding. Members questioned the estimated $1.1 million annual cost, whether the program would mainly benefit rural areas rather than metro counties, and how the money would be administered through Oklahoma Homeland Security. The bill author explained that each COG would receive one funded position and that the money would stay within each COG. The committee voted 7-2 to report the bill favorably. The committee then heard HB 3850, which would require inmates to obtain a high school equivalency diploma as a condition of parole and would place the diploma in the inmate’s release file to improve employability and reduce recidivism. Questions focused on whether the requirement applied to all inmates, how it would affect release eligibility, and whether existing DOC programs already provide similar training. The author said the bill would build on current law and could help reduce waiting lists for equivalency programs. The committee voted 8-1 to pass the bill. Next, HB 3595, with a PCS, would create a revolving fund in the Department of Public Safety to award counties grants for traffic-control public safety equipment, especially for events where vehicles could be used to harm crowds. Members discussed the bill’s dependence on future appropriations and its status as a vehicle for the idea while budget issues are resolved. The committee voted 7-2 to report it out. The committee also unanimously passed HB 3763, requiring two hours of domestic violence training as part of continuing education for law enforcement, and HB 3760, a tax credit for donations to qualified law enforcement foundations, with the author noting a planned amendment to include COGs and certain other nonprofits. The chair announced one more meeting the following week and then adjourned the meeting.

Transcript Highlights:

• We are momentarily waiting for...
• I'm not going to take very much time here.
• The waiting times and capacity issues facing the South Shore are not going to go away.
• Your loved one suffering that emergency is now having a negative impact from that longer wait, waiting
• We talked a lot about the impact to our ambulance services, the longer transport time, the timing, the

Bills: H3599 , H5047 , S2922

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Keywords: Native American, easements, land access, property rights, public utility, vehicular access, eminent domain, health care access, land acquisition, Norwood hospital, public health, electric infrastructure, NSTAR, Eversource Energy, land conservation, Massachusetts legislation

Transcript Highlights:

• That's what you pay the $25, I guess, charged at the time you file late, at the time you file, yeah.
• So will it take some time?
• We spend our time on it.
• But so what we did was we said, wait a minute, we haven't touched the statute in a long time.
• But, so what we did was we said, wait a minute, we haven't touched the statute in a long time.

Committee: Senate Senate Finance Committee of Reference

Summary: The committee approved the March 9, 2026 minutes and held HB 29 and HB 2939 at the sponsor’s request. It then took up HB 2016, which would bar late-filing penalties when a taxpayer’s income tax liability is zero; after an amendment narrowed the bill to income tax filers, the Department of Revenue was neutral on the bill but supported the amendment, and members debated whether removing the penalty would reduce incentives to file. The committee adopted the amendment and returned HB 2016 with a do-pass recommendation on a 4-3 vote. The committee also heard HB 2289, which updates the property-value examples used in bond/override election pamphlets and truth-in-taxation notices from older low values to a $300,000 home example. The sponsor and Arizona Tax Research Association said the update would better reflect current home values and improve voter understanding, while some members argued the bill could confuse voters or that the second example should be closer to the current median home price. The committee passed HB 2289 on a 4-3 vote. Several bills related to school district bonding and agricultural property classification were then considered. HB 4103 would prohibit school districts from calling bond elections if enrollment is below 50% of capacity; supporters said districts should use or monetize excess space before seeking more debt, while school administrators and several senators argued it would block needed maintenance and local voter choice. HB 2104 and HB 2105 would give agricultural property owners a temporary reprieve from repeated reclassification and inspections after winning an appeal, with farm groups supporting the measures and county assessors opposing them as limiting oversight; both bills passed 4-3 after amendments. The committee also passed HB 2256 on a 7-0 vote, which creates a process for salvage auction dealers to obtain abandoned titles when insurers do not complete salvage title transfers, and HB 2979 and HB 2996 unanimously, addressing credit union regulatory timelines and clarifying that certificates of insurance do not alter policy coverage. Finally, the committee heard HB 2174 on insurance modeling organizations and HB 2477 on AZ 529 plan updates, with HB 2174 discussed at length over regulatory treatment of models and HB 2477 described as a conformity bill expanding K-12 and credentialing uses and rollover options.

Transcript Highlights:

• So, Representative Walner, even though I'm sure you weren't there at the time that the wait list came
• Representative Wiler, when was the last time anybody was on a wait list in this program?
• </c> go on a on a wait list. go on a on a wait list.
• a wait list in this time anybody was on a wait list in this program?
• </c> the wait list, people were on the wait the wait list, people were on the wait list.<03:14:38.479

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• On your left is the total average wait time.
• We saw a 38-day wait time. For children, we're continuing to see 23 days.
• FQHCs are still continuing to lag behind in terms of wait time.
• And I will note that their workforce challenges are very... ...wait time.
• So Tolland, Windham, and New London are our longest wait times, right?

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• They are waiting to testify.
• So thank you all for your time.
• Thank you for your time.
• I've been dropped from... ...the waiting room numerous times today, working at an event, trying to testify
• I've been in and out of the waiting room probably 20 times this morning.