Transcript Highlights:

• After they resolve any of those protests or objections, then they have 120 days to get a petition of
• They came to the house the next morning and found that they were unlawfully operating 20 children in
• The second is that middle housing incentives are inherently incompatible with the existence of historic
• world to do anti-terrorism program, I had SEALs, I had Green Berets, I had all kinds of special operations
• people that can operate millions of dollars' worth of equipment.

Keywords: 1182, all

Summary: The committee first heard HB 2079, which authorizes a memorial for Arizona journalist Don Bolles in Wesley Bolin Plaza. The sponsor described the memorial as a no-cost way to preserve Arizona history and honor Bolles, who was assassinated in 1976 while investigating corruption and drug cartels. The bill was moved and passed unanimously, 7-0, for a due pass recommendation. Members then considered HB 2080, a strike-everything amendment addressing deed and title fraud. The bill would require photo identification for certain county recorder filings, add identifying measures for deeds and real property documents when notarized, create an assessor alert system tied to property addresses, and increase penalties for knowingly filing false claims or forged real property documents from a misdemeanor to a class 4 felony. Testimony from county assessors, the Attorney General’s Office, and a fraud victim emphasized the scale of the problem and the need for layered protections. The committee adopted the amendment and passed the bill 7-0. HB 4064, concerning municipal improvement districts, drew more debate. The bill would move the petition requirement earlier in the process before a city or town adopts a resolution of intention for an improvement district. Supporters from Camp Verde, the League of Arizona Cities and Towns, a developer, and the Yavapai Apache Nation said the change would improve transparency, reduce wasted planning costs, and help finance sewer and infrastructure projects in rural areas. Opponents argued it could force property owners into infrastructure they do not want and infringe on property rights. The bill passed 5-2. The committee also approved HCR 2048, which would withhold pay for statewide elected officials and legislators if the general appropriations bill is not enacted by April 30 and send the measure to voters. Supporters said it would create a stronger incentive to finish the budget on time; opponents said more work was needed on session length and bill volume. The resolution passed 4-3. Later, HB 2324, allowing municipalities with their own fire codes to petition for county buildings inside city limits to be inspected under local code through an intergovernmental agreement, passed 7-0 after testimony from county and state fire officials who supported the concept but wanted technical amendments. The committee then passed HB 4087, authorizing a memorial plaque for former legislator Barbara Leff, with the family covering costs. Finally, HB 2239 created a child care grant program and infrastructure fund to expand child care in underserved and rural communities. Supporters described severe child care shortages, economic impacts, and safety concerns; the sponsor framed it as an investment in workforce participation and child well-being. The bill passed 5-0 with one present and one not voting. The committee then began hearing HB 2375 on historic districts and middle housing, but the transcript cuts off before final action on that measure.

Transcript Highlights:

• conclusion to that fight going outside of the state of Minnesota for the software that actually operates
• conclusion to that fight going outside of the state of Minnesota for the software that actually operates
• Second, operations aligned to common templates and workflows that make service delivery plan.
• Its budget is 1.3% of total operating expenses compared to the peer average of 4.1%.
• What we don't understand is all these programs operate in different programs.

Keywords: 1183, house

Transcript Highlights:

• those three, even though the auditor isn't in the above, because we understand that there are some inherent
• Well, they don't have the same inherent conflict where they don't have any oversight into the AG's office
• And that's the difference between the two, I think, is because we see that inherent conflict, the and

Keywords: 908, all

Summary: The Senate State and Local Government Committee reconvened and reviewed the status of several bills. The chair said bill 1377 could not be acted on until the House finished work on campaign finance bill 2156, and bill 1535 likely would not be ready because of unresolved concerns from Representative Davis and planned meetings with Highway Patrol and BCI. The committee therefore focused on bill 1601, which dealt with when the Attorney General may refuse or revoke special assistant attorney general appointments for certain state offices and entities. Members debated the policy and constitutional implications of the bill, including whether it was solving a real problem or creating a potential conflict, and whether statewide elected officials and independent bodies should have their own counsel. After testimony from the Chief Deputy Attorney General clarifying current law and the appropriations process, the committee amended the bill to add the Ethics Commission to the list of entities and to narrow the affected offices to the Governor, State Auditor, and Ethics Commission. The committee also changed one provision from “and” to “or” to clarify the standard for refusal or revocation. The committee then approved the bill as amended on a 6-0 vote and designated Senator Braunberger as the carrier. The chair said the committee would not meet the next morning and would instead reconvene the following week at the call of the chair.

Transcript Highlights:

• By and large, it is very resolve.
• other and resolve a local issue through other and resolve a local issue through state<01:20:07.120>
• <01:54:55.440> can have already demonstrated operators can have already demonstrated operators
• the<02:04:41.679> bill operator obligations throughout the bill operator obligations throughout
• amendment states is that the operator amendment states is that the operator shall<02:40:28.319><

Keywords: 981, all

Summary: The House convened, established a quorum, and approved the journal. Members then made several announcements about upcoming committee meetings, including Appropriations, Agriculture/Water/Natural Resources, State/Civic/Military/Veterans Affairs, and Finance. The chamber also observed a moment of silence honoring the 13 victims of the Columbine High School shooting on its anniversary, with names read into the record. The House adopted Senate Joint Resolution 19, which celebrates Colorado’s sister-state relationship with Taiwan, supports stronger trade and academic ties, supports the double-taxation agreement, and endorses Taiwan’s participation in international organizations. Supporters highlighted Colorado exports, especially beef, and the long-standing economic and democratic ties between Colorado and Taiwan. The resolution passed on a 60-yes vote with five excused. The House then moved into special orders, including House Bill 1346, which would allow the Department of the Treasury to use a third-party purchaser to sell remaining insurance premium tax credits. Supporters argued the bill would help fully place the credits and avoid a revenue shortfall, while opponents criticized it as a form of borrowing against future revenue and market gaming. After debate, House Bill 1346 passed. The chamber also began consideration of Senate Bill 40, a Prop 123 cleanup bill related to affordable home ownership and land banking. Amendments L16 and L17 passed, while amendment L18, which would have required more reporting on project costs and outcomes, failed. Debate on the bill centered on housing affordability, program flexibility, and whether the state is effectively measuring results.

Transcript Highlights:

• All those inherent personal things with those officers come out, and they are exercised many times against
• All those inherent<00:19:12.520> personal<00:19:13.080> things<00:19:14.159> with
• ><00:19:14.520> those inherent personal things with those inherent personal things with those

Bills: SB293, SB293

Keywords: SB293, Lee County, solid waste, waste collection fees, garbage fees, trash collection, county commission, fee exemption, low-income households, poverty level, federal poverty level, public sanitation, local act, municipal services, waste management, first responder, interference, criminal law, public safety, law enforcement

Transcript Highlights:

• <02:52:48.399> We that we're operating in great peril.
• We that we're operating in great peril.
• So we are able to resolve the conflicts by simply striking these sections.
• they are inherently worthy of that care. they are inherently worthy of that care.
• But we have to be honest about the constraints that we are operating under.

Keywords: 981, all

Summary: The House convened, established a quorum, and approved the journal from April 10, 2026. After a brief opening that included the Pledge of Allegiance and roll call, the chamber moved into third reading. The first item was House Bill 1348, concerning use of money from the broadband infrastructure cash fund, which passed on final passage. The House then took up a series of bills dealing largely with education funding and program changes, including House Bills 1349 through 1358, covering prevention services in early childhood, school food programs, Healthy School Meals for All funding, Colorado reading and social studies assessment changes, repeal or phase-out of several teacher and school-related programs, and the Colorado Academic Accelerator Grant Program. Most of these measures were adopted, with some receiving notable no votes but still passing. The chamber also considered House Bill 1359, which would credit money from removal of natural resources on public school lands to the state public school fund, and House Bill 1360, concerning the affordable housing financing fund. HB 1360 drew extended debate. Supporters argued it was consistent with Prop. 123 and TABOR-related funding rules, while opponents said it would divert money from the general fund, exceed what voters authorized, and create a precedent for using reserve-like funds to cover budget shortfalls. Despite the opposition, HB 1360 passed after a member changed a vote from yes to no. The House then adopted House Bills 1361 and 1362, repealing the pay for success contracts program and the Decarbonization Tax Credits Administration Cash Fund, respectively. The final major item was House Bill 1363, which temporarily reduces the general fund reserve. This bill prompted the strongest opposition, with members arguing that the state was using a rainy day fund to cover self-inflicted budget problems, relying on future money, and failing to address underlying spending growth. Supporters of the bill said the reserve reduction was necessary to balance the budget and reflected difficult choices by the Joint Budget Committee. The bill nonetheless passed, and the House completed action on the listed third-reading calendar items.

Transcript Highlights:

• In some sense, the arbitrage operations, ...a hospital system or is independent.
• Because for doctors, hospitals, everybody operates across the board.
• I mean, you're out really trying to hire operators or machinists, et cetera.
• You know, just for example, operating room inefficiencies.
• The operation of a nonprofit hospital operates exactly the same as a for-profit hospital, but just with

Keywords: 1184, house, all

Transcript Highlights:

• over and above their regular operations to make sure they can recruit and hire.
• over and above their business operation over and above their regular<00:34:39.800> operations
• This undermines core government operations and administrative capacities.
• This undermines core government operations and administrative capacities.
• It does this through operating budget.

Keywords: 1191, senate, all

Transcript Highlights:

• support operate operating subsidies can support operate operating subsidies can support long<
• <02:35:16.960> a incentivize a park owner to operate a incentivize a park owner to operate
• that uh, condominiums are inherently that uh, condominiums are inherently commercial.<04:44:59.360
• of the condominiums are really operating of the condominiums are really operating uh<04:46:50.320
• , we operate on Organizationally, we operate on extremely<06:10:36.480> lean<06:10:37.120>

Keywords: 1189, house, all

Transcript Highlights:

• I passed Senate Bill 1365 to address the Third Court of Appeals ruling and ensure the continuing operation
• and education, by prohibiting school district administrators, defined as those with significant operational
• and collaboration that occurs in my school goes beyond studying groups because my peers do not inherently
• This would introduce an inherent bias against Texas students that can negatively affect residency opportunities
• This would introduce an inherent bias against Texas students that can negatively affect residency opportunities

Bills: HB4, HB20

Keywords: district composition, congressional election, Texas, legislature, voting districts, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Summary: The committee first took up House Bill 2853, which would allow the UT System Board of Regents to adjust the University of Texas at El Paso student union fee above the current statutory cap, subject to student approval, to help fund a new student union building. Senator Blanco explained the bill and the committee substitute, there were no questions or witnesses, public testimony was closed, and the committee adopted the substitute and left the bill pending subject to the call of the chair. The committee then heard House Bill 610, which would limit severance payments for terminated independent school district superintendents to six months’ salary and benefits. Senator Paxton described large severance payouts and said the bill had passed the House overwhelmingly. There were no witnesses, public testimony was closed, and the bill was left pending. A lengthy hearing followed on House Bill 4623, which would waive school district immunity in certain cases involving negligent hiring, supervision, or employment of professional school employees who commit abuse or related misconduct against students. Senator Paxton and several witnesses, including survivors and parents, argued the bill was needed to address cover-ups, delayed reporting, and repeated failures to remove dangerous employees; some members raised concerns about liability caps, litigation, and how the bill would interact with the Tort Claims Act. The committee also heard from TEA staff and employee-group witnesses who discussed possible injunctions and stronger no-hire protections. Public testimony was then closed and the bill was left pending. Finally, the committee heard House Bill 4, an accountability and assessment bill that would restore A-F ratings, change the state testing system, and replace STAAR with shorter, more instructionally useful assessments. Senator Bettencourt explained the committee substitute, including annual ratings, limits on taxpayer-funded lawsuits, and a phased-in testing redesign with beginning, middle, and end-of-year assessments. Testimony was generally supportive from education and business groups, though some witnesses favored norm-referenced testing while others emphasized criterion-referenced, TEKS-aligned assessments; one witness noted social studies assessments were restored in the bill. The hearing concluded with additional invited testimony and no final vote reported in the transcript.

Transcript Highlights:

• So, if there's inherent bias and it could be, right, in a hiring situation, it could be that somebody
• ><00:10:13.880> So,<00:10:14.040> if<00:10:14.120> there's<00:10:14.320> inherent
• So, if there's inherent bias the bill.
• So, if there's inherent bias and<00:10:15.400> it<00:10:15.760> could<00:10:15.960>

Keywords: 1183, house

Transcript Highlights:

• Um, I am a former 911 operator from my community and a former deputy in Chisago County.
• <00:05:24.440> in assistance and Court operations in assistance and Court operations in Ramsey
• Pursuits have some inherent risk, and if we can avoid those, we prefer to obviously.
• Pursuits have some inherent risk, and if we can avoid those, we prefer to obviously.
• financially successful while operating financially successful while operating under<01:00:48.640

Keywords: 1183, house

Transcript Highlights:

• Right to Life that every life, whether they're in the womb or outside of the womb, has the same inherent
• that from the instant a unique human being exists, with their own DNA, a developing heartbeat, and inherent
• In fact, the last figures that I saw were that it was 0.00-something of operating costs.
• support of HB 2265 because it goes to the heart of whether Arizona's criminal justice system is operating
• It is impossible for vital agencies to plan or operate efficiently when their budgets are tied to the

Bills: HB2043, HB2046, HB2126, HB2131, HB2132, HB2133, HB2223, HB2265, HB2411, HB2666

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, education, funding, school districts, state aid, education reform, venue, employee conflict, superior court, legal proceedings, workplace disputes, weapons, explosives, trafficking, firearm regulations

Summary: The committee heard several criminal justice and victims’ rights bills. HB 2131 would remove the financial-gain element from weapons/explosives trafficking and impose stricter sentencing, including no early release for trafficking three or more weapons; it received a due pass recommendation on a 6-1 vote. HB 2132 would lower the fentanyl trafficking threshold from 200 grams to 100 grams and adjust related motor-vehicle language; supporters said it would help prosecutors and law enforcement, while opponents warned it would sweep in heavy users and lacked data on current prosecutions. It passed 4-3. HB 2223 would require sex offenders seeking a name change to notify prosecutors and victims, and to register under the new name with the old name as an alias; it passed 6-1. The committee also considered HB 2411, creating the crime of coerced abortion for secretly or forcibly administering abortion-inducing drugs without a pregnant woman’s knowledge or consent. Supporters argued existing laws do not clearly cover situations where the drug is given but no death occurs; opponents said assault, manslaughter, homicide, and food-contamination statutes already address the conduct and warned the bill was unnecessary and aimed at abortion access. The bill passed 4-3. HB 2043 would add unborn children to the felony-murder statute; supporters called it a cleanup measure closing a loophole, while opponents said it was an abortion/personhood measure with broader implications. It passed 4-3. HB 2046 would require victims of sex offenses to be notified of pre-hearings in probation review matters involving young sex offenders; victims and prosecutors said the change would ensure meaningful participation, and it passed unanimously 7-0. HB 2666 would increase penalties for sexual extortion involving 15-, 16-, and 17-year-olds when committed by an adult, and it passed unanimously 7-0. HB 2265 would eliminate court fees and assessments tied to public defenders, jury trials, appeals, and related criminal-case charges; supporters framed it as protecting constitutional rights, while counties warned of lost revenue, and it passed 7-0. Finally, HB 2133 would require commercial websites hosting sexual material to verify consent and age of depicted persons, retain records, and treat synthetic depictions as images; the sponsor said it was meant to curb CSAM and revenge porn, while testifiers raised concerns about breadth, record retention, and constitutional issues.

Transcript Highlights:

• We don't receive any operating funds from the >> Uh thank you, Mr.
• We don't receive<00:52:32.559> any<00:52:32.800> operating<00:52:33.359> funds<00
• :52:33.599> from<00:52:33.760> the We receive any operating funds from the state, although
• Um that it is an inherent<03:32:38.000> conflict<03:32:38.399> of<03:32:38.640> interest
• <03:32:39.520> that<03:32:39.760> if inherent conflict of interest that if inherent

Keywords: 928, house, all

Summary: The Housing Committee opened with a public hearing on HB 196, which would repeal the Housing Champion program. Representative Matt Drew, the prime sponsor, argued the program is an unnecessary and poorly targeted subsidy, saying it rewards municipalities after projects are completed and may not be limited to new housing production. He questioned the transparency of the program, cited difficulty finding required annual reports, and noted a fiscal note suggesting the state could recover up to $3 million if obligations are terminated. Committee members and witnesses debated whether the program’s criteria amount to political favoritism or a standard grant process; supporters said the rubric is specific and that municipalities are evaluated against objective requirements. Representative Priest, Nick Taylor of Housing Action New Hampshire, and Karen Benfield of Stay Work Play New Hampshire all opposed repeal, saying the program encourages local zoning and regulatory changes, helps smaller communities participate, and supports housing supply and young people’s ability to stay in the state. The hearing on HB 196 was then closed. The committee then opened a hearing on HB 1405, a bill establishing an affordable housing guarantee program within the Housing Finance Authority. Prime sponsor Representative Chris Muns said the bill would reduce lender risk by guaranteeing up to 80% of principal on qualifying loans for affordable housing, with a cap of $30 million per lender per year and $300 million outstanding at any time. He described the measure as a low-cost public-private partnership backed by the full faith and credit of the state, and said it was identical to a prior Senate bill that had received unanimous bipartisan committee support before dying later in the process. He framed the bill as one part of a broader housing package aimed at financing, infrastructure, workforce, zoning reform, and other housing-related issues. No votes were taken during the portion of the meeting provided. The only formal actions were opening and closing the public hearing on HB 196 and opening the public hearing on HB 1405, with testimony continuing on HB 1405 at the end of the transcript.

Transcript Highlights:

• Chairman, it's inherently complicated, and the SIPA repeal is designed to start to uncomplicate it.
• 19.760> And<00:27:20.000> so<00:27:20.400> the<00:27:20.640> kind of operation
• And so the kind of operation in the US.
• have good processes in place to protect that data because I feel as public servants, we have an inherent
• responsibility to make sure we inherent responsibility to make sure we protect<01:16:16.719> that

Bills: HB0075, HB0128

Keywords: virtual currency, kiosk, financial institutions, regulation, Wyoming Money Transmitters Act, penalties, severance tax, oil production, tax exemption, energy sector, economic impact, 916, all

Transcript Highlights:

• At the end of 2022, there were more than 8,000 marijuana farms operating in Oklahoma.
• This bill gives all of the room plus more for the good businessmen to continue to operate.
• This is nothing against them inherently.
• And if we didn't have that, we would not have been successful at least in the daily operations.
• So sometimes they will run up against situations that they can't actually resolve.

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Transcript Highlights:

• It is further resolved that an official copy of this resolution be prepared for Dr.
• SB 2581 by Hancock, relating to the repeal of a provision governing the operation of a jail commissary
• ESDs operate under a governing board, and this bill simply gives approved employees discretion to pay
• SB 2129 by Johnson, relating to the operation of a vehicle at railroad grade crossings and increasing
• Those offenses are inherently more difficult to discover. I move passage.

Bills: SB263, SB370, SB663, SB924, SB987, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SCR8, SB31, SB33, SB3, SB1405, SB1948, SB243, SB20, SB217, SB264, SB269, SB650, SB681, SB528, SB502, SB740, SB916, SB995, SB2581, SB3031, SB24, SB2570, SB1566, SB552, SJR1, SB646, SB379, SB1171, SB1121, SB1120, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SB263, SB370, SB663, SB924, SB987, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SCR5, SCR32, SCR8, HB3228, HB2802, HB45, HB1318, HB5560, HB2894, HB4344, HB4238, HB2775, HB34, HB33, HB 12, HB148, HB 130, HB4273, HB4850, HB2733, HB4783, SB1833

Keywords: SB 263, Texas franchise tax, cost of goods sold, COGS, broadcasters, television broadcasting, radio broadcasting, media tax, broadcast license, FCC, 47 C.F.R. Part 73, 47 C.F.R. Part 74, film production, television production, tax deduction, margin tax, Texas Tax Code, depreciation, amortization, broadcast rights

Transcript Highlights:

• However, DSB did not take steps necessary to continue to operate the programs in accordance with the
• So there's an inherent problem there, and we're seeing the results of it right now.
• Okay, and so out of the 56, we have just five that are just kind of in operation.
• they're operating.
• Like, statutorily, like, they're operating within the statute.

Summary: The committee first took up several personnel and compensation requests. It approved a Department of Parks, Heritage and Tourism reclassification that would trade three administrative coordinator positions for one park superintendent, one maintenance supervisor, and one park manager. It also approved one-time bonus and recruitment plans for the Department of Commerce and Department of Veterans Affairs, including up to $5,000 bonuses tied to the unemployment insurance modernization project and $2,000 bonuses for certified nursing assistants at the state veterans homes. A Department of Health request to reinstate a previously frozen fiscal support manager position for the State Medical Board was also approved; members were told the position was already authorized and would not increase total positions. The committee then reviewed a Department of Commerce reduction in force affecting the Division of Workforce Services for the Blind and Employment and Training divisions. Secretary Hugh McDonald and Workforce Connections Director Cody Waits explained that the cuts were driven by over-obligated federal funds, a prior realignment, and what they described as long-standing fiscal mismanagement in the Division of Services for the Blind. They said 56 employees remained furloughed, five employees in a separate grant group were still working, and 17 positions were on the permanent RIF list. Senators questioned the division’s accountability structure, the role of the independent board, and whether the layoffs were being handled fairly, including a request for racial composition data on the workforce and the RIF group. Members also discussed quarterly employment and overtime reports. Staff explained that the reports cover average staffing levels over each quarter, and members focused on overtime spending, especially in DHS, the Department of Correction, and the Department of Transportation. OPM said overtime is being reviewed, direct care positions remain exempt from the hiring freeze, and agencies have been hiring more staff since the new pay plan took effect. The committee asked for additional reporting on overtime trends, and the meeting adjourned without further action.

Transcript Highlights:

• Select Medical owns and operates four of those in the state.
• <01:17:46.239> And operates four of those in the state.
• And operates four of those in the state.
• These are all the hospitals that tax LTAC where we operate.
• We have 104 still not be in operation.

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Operation Midway Blitz has torn apart the Chicago land area.
• , decree so that crane operators, decree so that crane operators, laborers,<00:41:49.520> and<
• Operated by the southern Indiana.
• Restaurants, most of which are small businesses, operate on very thin margins.
• This bill resolves a might make.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, January 13, 2026, 1012, house, all