Transcript Highlights:

• The bills listed on today's introduction calendar are given their first reading and referred as indicated
• the bills listed on today's introduction calendar are given their first reading and referred as indicated
• and referred as indicated. and referred as indicated.
• ><00:20:26.160> the<00:20:26.400> Senate<00:20:26.720> has<00:20:27.039> performed
• say that the Senate has performed say that the Senate has performed admirably<00:20:28.960> this

Keywords: 1187, senate, all

Transcript Highlights:

• Their analysis indicates no fiscal impact. Representative Motsenbacher: Thank you, Mr. Speaker.
• Their analysis indicates no fiscal impact. Mr. Speaker. Representative Moshenbacher. Thank you, Mr.
• Their analysis indicates no fiscal impact. Representative Bolinsky: Thank you, Mr. Speaker.
• The Ag Commission may reimburse members for expenses incurred in the performance of the duties in the
• EPA, displays a label consistent with the most recent human health assessment performed under FIFRA,

Keywords: 908, all

Summary: The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition. House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1. The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1. The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.

Transcript Highlights:

• in this Commonwealth is a right reflection of the mercy you have shown, the healing miracles you performed
• for the sick, the fish you served to the multitudes, and the grace that you You performed for the sick
• She's here with her son, Finnegan, who's going into the sixth grade at Pittsburgh Creative and Performing
• The Chair recognizes the Majority Whip, who indicates there are none.
• The Chair recognizes the Minority Whip, who indicates there are none.

Keywords: Scheduler, 973, house, all

Transcript Highlights:

• There is a quality subcommittee that’s focused on population and performance improvement, and I’m going
• We were selected several years ago by CMS to support performance improvement in this area.
• By CMS to support performance improvement in this area.
• Because they don’t have ongoing support from us, from a performance improvement perspective, to see where
• So we use this as a recruitment tool, but then we use it as a performance improvement tool.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• It requires design professionals to perform services using the level of skill and care expected of a
• It requires design professionals to perform services using the level of skill and care expected of a
• It requires design professionals to perform services using the level of skill and care expected of a
• It requires design professionals to perform services using the level of skill and care expected of a
• Wendy, I don't see Wendy, and Wendy did not indicate support or opposition, but we have in the record

Summary: The Judiciary Committee met and took up a series of bills, beginning with SB 620, which would require candidates for federal, state, county, district, judicial, and school board offices to disclose any citizenship in countries other than the United States. The bill was presented as a transparency measure, with one opponent waiving time, and it was reported favorably on an 8-0 vote. The committee then heard SB 1396 on litigation financing consumer protection. Supporters from the Florida Justice Reform Institute, American Tort Reform Association, and U.S. Chamber Institute for Legal Reform argued the bill would add transparency, limit funder control, and require disclosure of foreign entities involved in litigation funding. Opponents, including the Florida Justice Association, argued the bill would create strategic advantages for defendants and could affect discovery and settlement dynamics. The bill passed 7-2. The committee also approved SB 192, removing a $1,500 cap on patient funds chiropractors may hold in trust; SB 888, limiting indemnity and insurance requirements in design-professional contracts; CS/SB 332, creating a temporary closed-meeting exemption for pre-suit Burt Harris litigation strategy discussions; SB 820, requiring quarterly reporting on problem-solving courts; SB 1500, updating uncontested probate procedures; SB 1224, making fraudulent entry into rental dwellings a third-degree felony; and SB 1000, setting a floor and ceiling for interest rates on law firm trust accounts. Each of these bills was reported favorably, with broad support and little or no opposition. The committee also advanced CS/SB 694, which would compensate the descendants of the Groveland Four. Senator Bracey Davis described the bill as a final step in addressing the wrongful convictions, deaths, and long-term harm suffered by Charles Greenlee, Walter Irvin, Samuel Shepard, and Ernest Thomas. Family members and advocacy groups testified in support, urging the state to complete its acknowledgment of wrongdoing with monetary compensation. An amendment was adopted to divide any appropriation equally among the four families. The bill passed unanimously. Finally, SB 144 creating a public records exemption for personal information of Judicial Qualifications Commission employees and their families was approved 9-1. Several members also requested to be recorded as voting in the affirmative on specific bills before the committee adjourned.

Transcript Highlights:

• subject to these performance subject to these performance metrics.<00:26:26.240> Am<00:26
• these performance mechanisms, right? these performance mechanisms, right?
• So if you were to do a performance-based rate making or to do a performance incentive mechanism, you
• :29:17.760> mechanism<00:29:18.080> you performance incentive mechanism you performance
• meeting or exceeding the performance meeting or exceeding the performance target<00:38:10.480>

Keywords: 1191, senate, all

Transcript Highlights:

• After performing the initial analysis on all districts, we assign risk points to each district that meets
• The declining reserves still indicate higher financial risk, as the district could eventually exceed
• If a negative balance indicates the district does not have funds available, there are some circumstances
• For that would, yes, that is what that would indicate. Okay. Thank you.
• So this is a similar argument I hear from a lot of districts that have low performance overall.

Keywords: 1182, all

Summary: The committee first heard the January 2026 follow-up to the special audit of the Arizona State Board of Chiropractic Examiners. The auditor’s contractor reported that the board had implemented or was in the process of implementing most of the 28 recommendations from the 2024 audit, but three remained unimplemented: resolving complaints within 180 days and two open meeting law recommendations. The follow-up also identified new concerns about outdated or incomplete public disciplinary records and the lack of a complete public records request log and response procedures. Committee members pressed the board on open meeting compliance, complaint delays, transparency, and lobbying activities, while the executive director said the board had adopted new policies, added staff and investigators, created an intake committee, improved complaint prioritization, and was transitioning to a new licensing platform. She also said the board had ended broad subpoenas, improved conflict-of-interest tracking, and was working to formalize its practices in rule. The committee did not take a vote or other formal action in the transcript provided. The committee then received the Arizona school district financial risk analysis for January 2026. The Auditor General’s office reported that the number of highest-risk districts increased from two to nine, and districts approaching the highest-risk category increased from seven to nine. The presentation explained the financial risk measures used, common risk patterns among the highest-risk districts, and the district action plans posted on the report website. Tucson Unified School District was used as an example of a highest-risk district, and Scottsdale Unified as an approaching-highest-risk district. Members asked about declining enrollment, reserve balances, negative fund balances, and the use of capital monies for operations. Sierra Vista Unified School District then presented its response to being identified as financially at risk. The superintendent said she had recently taken over and was implementing a turnaround plan that included a school closure, staffing reductions through attrition, spending freezes, tighter purchase controls, a three-year sustainable spending plan, and efforts to stabilize enrollment through outreach, customer-service changes, and alternative program offerings. She also said the district was redirecting some capital assistance to operations, renegotiating contracts, and improving communication with families and staff. Committee members questioned the district about declining enrollment, instructional spending, school safety, academic performance, and whether the action plan adequately addressed those issues. No formal vote or action was taken on the school district item in the transcript provided.

Transcript Highlights:

• that there were no indications of cognitive decline.
• in Scientific American which indicated that<00:41:33.040> there<00:41:33.280> were<00:
• 41:33.440> no<00:41:33.680> indications<00:41:34.319> of that there were no indications
• of that there were no indications of cognitive<00:41:35.119> decline.
• <00:41:45.760> better<00:41:46.000> in water actually performed better in water actually

Keywords: Meeting Start 00:00:10 Roll Call 00:00:24 HB 108 Discussion 00:03:45 HB 108 Vote 00:05:15 HB 194 Discussion 00:07:13 HB 194 Vote 00:09:45 HB 276 Discussion 00:11:53 HB 276 Vote 00:13:35 HB 290 Discussion 00:15:32 HB 290 Vote 00:18:29 HB 103 Discussion 00:20:31 HB 103 Vote 00:46:59 Adjournment 00:50:36, 958, all

Summary: The committee met for its first meeting of the session and took up several local government bills, beginning with House Bill 108 on residual waste landfills. The bill would keep current rules in place when a landfill and the related company are in the same county, but would make projects subject to local determination when the landfill and industry are in different counties. The sponsor said it only affects residual waste landfills, not solid waste landfills. There was no opposition, and the bill passed with favorable expression by a 13-aye, 2-pass vote. The committee then approved House Bill 194, as amended by a committee substitute that changed a sales threshold from 15% to 25%. The bill creates a narrow exemption allowing cigar smoking inside tightly defined cigar bars, while not changing smoke-free laws for other public places. One member explained a no vote as a local control concern, but the bill passed with favorable expression. House Bill 276, which would authorize backyard chickens and prevent local governments from banning fewer than six chickens while still allowing setback rules, also passed with favorable expression. Supporters said it would not affect homeowners associations or commercial use, while one member opposed it as a local control issue. House Bill 290, dealing with county law libraries, passed unanimously with favorable expression. The sponsor said the bill would let local bar associations use their own funds for online legal research and computers instead of only books, noting that many law libraries are underused because legal research is now mostly online and that the libraries remain open to the public. Finally, the committee took up House Bill 103 on fluoride in public water systems after adopting a committee substitute that clarified an immunity clause for water districts. Sponsors said the bill would make fluoridation a local decision rather than a state mandate and argued that newer research raises health concerns, while opponents from the dental community and Kentucky Voices for Health testified that community water fluoridation is safe, cost-effective, and important for preventing cavities, especially for low-income and Medicaid populations. The transcript cuts off during the opposition testimony, before any final committee vote on HB 103.

Transcript Highlights:

• Chairman, Senator Meyer, yes, I believe that's the indication of this bill. Yes.
• Estimates indicate that families would save between $1,000 and $1,500 per child.
• Estimates indicate that families would save between $1,000 and $1,500 per child.
• It seems to indicate that, but it's never been put up against something else.
• They'll perform better and improve our public health. Thank you. Questions?

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• I just wanted to indicate one other thing that didn't happen, that we tried to make happen, is a carve-out
• There's indication that we wanted to. The chair, I believe, indicated a willingness to do so.
• that now the committee— Last week, there was no indication that the casino dealers at that time wished
• that now the committee— That indicated that now the committee wished for a carve-out for casino dealers
• a service for a customer and performing a service for a customer and being<00:38:12.200> tipped

Keywords: 1189, house, all

Transcript Highlights:

• The A-BEST framework provides a crucial benchmark for assessing our performance in student success.
• Next question, regarding the Tiger Fleet modernization, you're indicating that...
• Now about FEMA, there is an indication that the role of FEMA could be changing.
• As we look at performing universities, it's important to focus on these things.
• How is the Katy campus performing? The Katy campus is served by both UH and UH West.

Bills: SB1, SB 1

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

Transcript Highlights:

• are engaged in their schools and communities and fine arts participation. well known to improve performance
• Finally, to align with the focus on special education, school boards will have to discuss the performance
• It is, there is a performance requirement, though, to access. Facilities funding for a charter.
• I don't think there's any criteria except for performance that we are.
• I think about testimony we've heard here before last session of a. a very high-performing charter in

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• The members will answer the roll call by indicating their presence on it.
• The members will answer the roll call by indicating, The House will come to order.
• It makes it a Section 1 bill that DMAS has and already currently performs.
• It makes it a Section 1 bill that DeMass has and already currently performs.
• House Bill 905 relates to persons other than ministers who may perform rights of marriage.

Keywords: March 11, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• exempting prior auth for good doctors, and you're exempting prior auth for doctors that are poor-performing
• She had 13 decayed teeth, needing extractions, nerve treatments, crowns, treatment that we had to perform
• We're trying to get more doctors in, and the standards, evidently, are very high, would seem to indicate
• But if you did make this all available publicly, you would know who the top-performing doctors were in
• But the FBI recently indicated that the OIG's language was overly broad and needed further refinement

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• So the notice for this proposal indicated that no existing requirements were being changed other than
• So the the notice for<00:08:01.919> this<00:08:02.160> proposal<00:08:02.720> indicated
• indicated that no existing<00:08:04.639> requirements<00:08:05.280> were<00:08:05.520>
• So when we indicated we'd be happy to make changes to that provision if there was something better out
• So when we indicated we'd be happy to make changes to that provision if there was something better out

Keywords: 928, house, all

Summary: The committee opened with routine business, including the Pledge of Allegiance, seating alternates, and approval of the minutes and consent calendar. Both were approved without opposition. The committee then moved to the regular calendar, beginning with Department of Environmental Services drinking water rules (2532). Staff noted that the final proposal deleted requirements that had been in the initial proposal, making the published notice technically inaccurate because it said there were no substantive changes. The agency responded that the requirements still exist in other rules, that regulated entities and the Water Council were notified, and that the public had notice through related hearings. After discussion about whether a new noticed hearing was needed, the committee approved the rule. The next item was Department of Administrative Services personnel rule 2510 on seniority and employee performance evaluation. Staff raised informational comments and one unclear comment about language that appeared to require a checkbox even though no form exists, and about evaluation categories that could overlap. The agency said the checkbox language should be removed, but defended the overlapping categories as part of a long-standing template used by agencies for the past 10 years. Members discussed whether the language was too ambiguous or could lead to inconsistent application, but the committee ultimately approved the rule with a condition striking the checkbox language in the affected sections. The committee then considered personnel rule 25109 on investigations, discipline, non-disciplinary communications, and non-disciplinary removal. Staff recommended clarifying language distinguishing license suspension from termination for cause, and questioned whether the sexual-harassment discipline language was too broad because the same conduct could fit multiple discipline levels. The agency agreed to add the suggested clarification for the license-suspension provision, but argued the sexual-harassment language should remain because another rule already provides the factors for determining the appropriate discipline and the agency needs discretion for fact-specific cases. The discussion included concerns about how non-verbal conduct might be treated, but the committee moved toward conditional approval with the agreed clarification and approval of the rest of the rule as written.

Transcript Highlights:

• In the proposal to CMS, Access indicated they were... Okay?
• of AISP plan performance and member choice.
• their panel... ...to assess AISP utilization and cross-reference providers who have indicated their
• The significance of this is that the allegations indicate providers have had to resort to litigation,
• Provider appeals jumped from 332 in 2023 and 219 in 2024 to 577 in 2025, indicating escalating provider

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.

Transcript Highlights:

• I know that the CSFR indicates that Texas is out of compliance.
• Because you indicate the date that you visited with the child? Right.
• And that would also be in another county where it's a paper document you indicate. the date that you
• I and the foundation fully opposed the first draft of this bill, which my reading of it indicated that
• Sutliff indicated.

Bills: HCR10, HB1814, HB2160, HB2353, HB2643, HB2971, HB3282, HB3382, HB3996, HB4507, HB4509, HB4805, HB5551, HB1863, HCR10

Keywords: family abduction, child safety, custodial rights, parental kidnapping, awareness day, marriage license, informal marriage, family code, identity verification, child support, family law, child custody, court interview, parent-child relationship, child welfare, attorney ad litem, compensation, legal representation, government entity, HB 2643

Transcript Highlights:

• We continue to see quite extreme disparities in the financial performance of California hospitals.
• Hospitals performing at the top of the gap are generating profit margins as high as 15%, whereas the
• The foundation for hospitals to achieve improved operations and better financial performance includes
• for entities that violate their performance improvement plan that we would look to the penalties.
• Your agenda also indicates two local assistance funding sources.

Keywords: 988, house, all

Transcript Highlights:

• While effective in ensuring quality standards, research has indicated that the accreditation process
• So everything you talked about, we can measure performance.
• There's performance metrics that we can ask universities to put in.
• dual credit, and roughly 5,521 of those students came through using the PSAT as a college readiness indicator

Summary: The Senate Committee on Education K-16 heard several bills and took no final votes, leaving each measure pending. The first major item, SB 1322 by Senator Hagenbuch, would create a Texas Higher Education Accrediting Commission to evaluate and approve accrediting agencies for public colleges and universities using outcome-based metrics such as retention, graduation, employment, debt, and repayment. Supporters, including Kate Byerley of the Texas Public Policy Foundation, argued the bill would add competition and align accreditation with Texas workforce needs; Senator Menendez questioned the need for a new bureaucracy and noted the $3.6 million fiscal note, suggesting existing reporting and oversight structures could serve the same purpose. The committee then heard SB 1998, which would establish a pediatric subspecialty preceptorship program to encourage medical students to enter pediatric subspecialties. Dr. Lauren Gamble testified in strong support, saying the program would help address shortages and improve access for children, especially in rural and underserved areas. SB 2788, authored by Senator Menendez, would add the PSAT as an accepted assessment for dual credit and Texas Success Initiative purposes; Priscilla Camacho of Alamo Colleges supported the bill, citing strong student outcomes and widespread use of the PSAT as a readiness indicator. Senator Creighton laid out SB 2076, which would remove or modify certain Capitol view corridor restrictions affecting the UT Austin Academic Medical Center project, including the planned specialty hospital and MD Anderson Cancer Center expansion. He said the existing corridors are outdated and limit development. The committee also heard SB 1418, a cleanup bill replacing outdated references to ACT Plan with Pre-ACT and removing obsolete SAT subject test language. After brief testimony and no opposition on the later bills, the committee closed public testimony and left SB 1322, SB 1998, SB 2788, SB 2076, and SB 1418 pending before recessing for the floor session.

Transcript Highlights:

• So the homeschool would go to performance-based. It would exempt special needs.
• So the homeschool would go to performance-based. It would exempt special needs.
• And you get the money on the back end after performance.
• After that, then you go to performance standard.
• The added accountability measures tied to student performance—let me emphasize performance—and the standardization

Keywords: 1204, all