Transcript Highlights:

• Um, there are national standards called EHDI, early hearing detection and intervention.
• 18:24.679> and EHDI early hearing and detection and EHDI early hearing and detection and intervention
• But, hands down, are highly cost-effective surgical interventions regardless of age.
• I'm happy to answer any questions that you might have. surgical interventions regardless of surgical
• interventions regardless of age.<00:30:26.400> And<00:30:26.520> there's<00:30:26.680><

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 SB 6 Discussion 00:40 SB 6 Vote 00:13:30 Cochlear Implants 00:16:25, 958, all

Summary: The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor. The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.

Transcript Highlights:

• Unlike jurisdictions across the country that have used investment, data-driven intervention, and coordinated
• Without the robust data, we cannot design the interventions that protect pregnant and postpartum patients
• prevention strategies are working. robust data, we cannot design the robust data, we cannot design the interventions
• > that<00:24:11.600> protect<00:24:12.159> pregnant<00:24:12.480> and interventions
• that protect pregnant and interventions that protect pregnant and postpartum<00:24:13.679> patients

Keywords: 1183, house

Summary: The committee heard House File 3668, authored by Chair Beerman, which would create a state Office of Gun Violence Prevention. Beerman and several supporters framed gun violence as a public health crisis, arguing the office would improve research, coordination, data collection, and evidence-based prevention. Supporters cited firearm deaths among children and adults, the trauma experienced by survivors and families, and Minnesota’s need for a centralized structure to guide policy and prevention efforts. Testifying in support were representatives of the Minnesota Medical Association, Protect Minnesota, a parent affected by the Annunciation school shooting, family physicians, an OB-GYN, and a pediatric emergency physician. They described gun violence as a daily clinical and community reality, pointed to rising firearm deaths and injuries, and said Minnesota should apply the same public health approach used for motor vehicle safety, tobacco, and other crises. Several witnesses emphasized the impact on children, suicide prevention, maternal health, and the need for Minnesota-specific research and coordinated responses. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a taxpayer-funded bureaucracy that could be used to advance gun control policy and treat lawful firearm ownership as a public health problem. The group said the state should focus instead on enforcement, prosecution, and victim services. Vice Chair Nidau offered an A2 amendment to move the office from the Department of Health to the Department of Public Safety, citing data-sharing and accountability, but withdrew it after discussion with Chair Beerman. The hearing ended with additional member discussion, including concerns about existing violence-prevention spending and whether school safety investments would be a better use of funds; no final vote was taken in the portion provided.

Transcript Highlights:

• the national average, and we believe that the root of that crisis lies in excessive government intervention
• the national average, and we believe that the root of that crisis lies in excessive government intervention
• that crisis lies in excessive root of that crisis lies in excessive government<00:30:18.720> intervention
• <00:30:19.600> restrictive government intervention restrictive government intervention restrictive

Keywords: 919, house, all

Summary: The committee heard House File 1987, the Minnesota Starter Home Act, and first adopted the A1 author’s amendment, which made minor cleanup changes, removed sections two and three, adjusted ADU language, and tweaked density language. The bill authors described the measure as a bipartisan effort to address Minnesota’s housing shortage by allowing more starter homes, duplexes, townhomes, and accessory dwelling units, while also limiting some local zoning barriers and preserving city protections in certain sensitive areas. They emphasized that the state has a large housing gap, rising home prices, and that the bill is intended as one part of a broader housing package. Supportive testimony came from the Minnesota Chamber of Commerce, Housing First Minnesota, Habitat for Humanity, AARP Minnesota, and Americans for Prosperity. These witnesses argued that workforce and starter-home shortages are hurting families, employers, and economic growth; that restrictive zoning and lengthy approval processes raise costs; and that more middle housing and ADUs would expand options for older adults, caregivers, working families, and people seeking homeownership. Several supporters said the bill would reduce regulatory barriers, lower development costs, and help communities add needed housing supply. Opposition or cautionary testimony came from city and municipal representatives, including officials from Cambridge, Eagan, and Mankato, as well as the League of Minnesota Cities and related groups. They argued that local governments already are approving substantial housing growth and need flexibility to manage zoning, parking, infrastructure, stormwater, and community input. They warned the bill could weaken local control, remove practical standards, and create unintended impacts such as more rental conversion in some neighborhoods or development without adequate infrastructure. No final vote on the bill itself was shown in the transcript beyond adoption of the A1 amendment.

Transcript Highlights:

• I'm an interventional spine specialist.
• I'm an interventional spine specialist.
• I'm an interventional spine specialist.
• I'm an interventional spine specialist.
• I'm an interventional spine specialist.

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 167, a PFAS-related measure to add ski, snowboard, and boat wax to the state’s list of banned consumer products containing PFAS. The sponsor said the product is already banned in many other places, alternatives exist, and the concern is that these products go directly into water rather than landfills. She cited high PFAS levels in several New Hampshire lakes and argued the bill would help stop further contamination. A member of the public also described personal experience with ski wax products disappearing from the market, suggesting PFAS may have been the reason. The chair then closed the hearing on HB 167. The committee next opened a hearing on House Bill 312, dealing with college athletes’ name, image, and likeness (NIL) rights. Representative Moffett explained the bill was prompted by the U.S. Supreme Court’s NCAA v. Alston decision and was modeled on New Jersey law. He said the bill would prevent colleges from restricting NIL compensation, require athletes to use licensed attorneys or registered sports agents, and limit certain endorsements involving addictive drugs, adult entertainment, firearms, and weapons. He framed the measure as a proactive response to a changing college sports landscape and noted possible future conflicts involving schools, agents, and endorsements. Committee members raised several concerns and suggested changes. One member questioned the bill’s exclusion of two-year institutions, another objected to the weapons restriction, and others asked how the bill would affect scholarships. The sponsor said the intent was to protect scholarships, especially athletic scholarships, and clarified that need-based scholarships were not meant to be affected. He also acknowledged discomfort with the endorsement restrictions and said the committee might want to broaden or revise the language. The hearing remained open for further consideration, with no vote taken in the excerpt.

Transcript Highlights:

• referring and making really— —warm handoff connections through that referral process for early intervention
• they need, making sure that those babies are having the— —well-child visits, getting the early intervention
• those warm handoffs for other referral services, particularly out of ECECD, whether it’s early intervention
• those warm handoffs for other referral services, particularly out of ECCD, whether it's early intervention
• tribal health councils as well as the other health councils throughout our state, that they provide intervention

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• And that was later changed to also allow them to use it for federal intervention funding.
• And that was later changed to also allow them to use it for federal intervention funding.
• legislative session, as I mentioned, PSC had come forward to request additional funding for federal intervention

Summary: The Budget Section Leadership Division met with a quorum and approved the March 18 minutes before hearing a series of informational updates. The Petroleum Council reported that North Dakota oil production is expected to remain relatively flat at just under 1.2 million barrels per day, with activity shifting northward in the Bakken as technology improves and three- and four-mile laterals boost well performance. The presentation also discussed oil and gas prices, gas taxation, flaring concerns, the importance of pipelines and other linear infrastructure, and enhanced oil recovery pilot projects supported by state and federal funding. Members asked questions about gas production taxes, natural gas liquids, and the outlook for drilling rigs and future production. The Office of State Tax Commissioner then reviewed the federal “big beautiful bill” and its estimated effect on North Dakota individual and business income tax collections. Staff explained that most of the individual income tax impact comes from the permanent increase in the standard deduction, while temporary provisions such as senior deductions, tip and overtime exclusions, and auto loan interest deductions have smaller or limited-term effects. They also noted that business tax changes, especially depreciation and expensing provisions, create a larger near-term cash impact, and that some FY25 collections likely reflected one-time oil field transactions that may have inflated the baseline used in earlier estimates. OMB provided updates on major capital projects and facility funding. For Capitol grounds improvements, officials described plans for 18th-floor renovations, wayfinding upgrades, public seating, lighting, tree management, and possible restroom and lobby reconfiguration, while also noting the governor’s residence security project and the discovery of human remains on the Capitol grounds. OMB and its consultants also reported on the state facility maintenance fund, including window replacement, boiler work, roof and foundation repairs, and a new facility conditions assessment covering more state buildings. Updates were also given on the new state hospital in Jamestown, the Minot state office building, and the use of federal state fiscal recovery funds, including possible future reallocations to the Department of Corrections. Finally, Legislative Council staff summarized the interim compliance report on legislative intent and trust fund activity, highlighting the status of lines of credit, Bank of North Dakota profit transfers, the statewide litigation pool, the new Office of Guardianship and Conservatorship, corrections planning, HHS program updates, and a likely future general fund request for the unemployment insurance modernization project. No formal votes were taken beyond approval of the minutes; the meeting was primarily informational, with members asking clarifying questions throughout.

Transcript Highlights:

• effects on EMS are as follows: our increased transport times, requiring patients needing emergency interventions
• Our increased transport times requiring patient requiring emergency interventions spend considerably
• They require some airway management interventions and some advanced-level medication.

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• student's IEP, and on paraphrasing, individualized accommodation plan, Section 504 plan, behavior intervention
• Individualized accommodation plan, Section 504 plan, behavior intervention plan, or individualized health
• , they weren't even able to identify a single instance which warrants this level of government intervention

Bills: SR119, SCR65, HCR47, HB196, HB218, HB256, HB325, HB352, HB434, HB448, HB476, HB608, HB624, HB626, HB632, HB749, HB818, HB1059, HB1112, HB1242, HB1249

Keywords: SR119, Senate Resolution 119, D-D Breaux, Sara Breaux, LSU gymnastics, LSU Gymnastics Training Center, LSU Board of Supervisors, facility naming, honorary resolution, public buildings and grounds, women's athletics, Title IX, college gymnastics, SEC gymnastics, Louisiana State University, Tiger Athletic Foundation, women in sports, coach recognition, sports legend, campus naming

Summary: The Senate Education Committee met with four members present and took up a long agenda of education-related bills. Early items included SCR 65, which would create a K-12 student success task force to study statewide career and academic pathway advising; the committee adopted a substantive amendment adding designees and then reported the resolution favorably. The committee also reported favorably on SCR 119, honoring Coach D.D. Breaux, after brief remarks about her LSU gymnastics legacy and the request that LSU study naming its gymnastics training facility in her honor. Several bills affecting school operations and student support were heard and reported favorably, including HB 434 on probationary school bus driver employment and superintendent authority over dismissal; HB 484 expanding scholarship benefits for children and spouses of fallen or disabled firefighters and police officers; HB 749 and HB 1059 on savings accounts and TOPS math eligibility alignment; HB 218 adding food insecurity questions to student questionnaires, which was amended and reported favorably; HB 325 expanding TOPS Tech eligibility through dual enrollment and part-time use; HB 476 requiring Safe Haven law postings in middle and high school restrooms; HB 1249 clarifying access to school-based health centers, with an amendment adopted; HB 1242 allowing more than one early learning center license at the same location under certain circumstances; HB 632 improving data protections and functionality for LA First; and HB 352 on behavioral health services for public school students, which was amended to address IEP and dispute-process concerns before being reported favorably. Two bills drew extended debate over transparency, privacy, and school autonomy. HB 608 would create confidentiality for intercollegiate athletics revenue-sharing documents; LSU representatives argued the bill was needed to protect student-athletes and competitive information, while PAR and the Louisiana Press Association opposed it as an improper secrecy carve-out for state-generated revenue. Despite the opposition, the committee reported HB 608 favorably. HB 1112, which would exempt BESE-approved non-public pre-K programs from certain licensure and safety requirements and adjust related definitions, was amended and then heard with testimony from the Pelican Institute in support, arguing it corrects overreach from prior law and protects private school autonomy and parental choice.

Transcript Highlights:

• We have been in the intervention and child mentoring business for 25 years, and you've supported those
• Summer allows us to do an intervention at the middle school level, which I believe.
• I will tell you that even if it's not in our mission, we need this type of intervention with our kids

Keywords: 996, all

Transcript Highlights:

• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions
• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions
• in safe communities through reforms like limiting no-knock warrants, funding for violent crime interventions

Keywords: 919, house, all

Summary: Lawmakers and advocates from the POCI Caucus held a news conference focused on protecting recent DFL-enacted policies in a newly divided Legislature. They highlighted accomplishments from the last biennium, including earned sick and safe time, ethnic studies, unemployment insurance changes, environmental protections, and MinnesotaCare coverage for undocumented immigrants, and argued these measures should not be rolled back in budget negotiations. Speakers said Republicans were pushing cuts or carveouts that would disproportionately harm Black, brown, immigrant, women, and low-income communities, and they urged the House and Governor Walz to reject those changes. A major theme was opposition to proposed carveouts to earned sick and safe time. Amanda Otero of TakeAction Minnesota said the proposed changes would remove benefits from more than 100,000 workers based on employer size, and lawmakers said sick leave should be universal. Another major topic was MinnesotaCare for undocumented immigrants. Representative María Isa Pérez Vega, Council Member Jason Chavez, and others argued the program is affordable, reduces uncompensated emergency care, and improves public health by expanding preventive care. Chavez and Emilia Gonzalez Avalos shared personal stories about family members who benefited from health coverage and said cutting access would worsen disparities and hurt families and communities. The event also included remarks on ethnic studies and historical memory. Representative Samantha Sencer-Mura connected the Ethnic Studies for All Act to her family’s experience with Japanese American incarceration during World War II, and Sally Sudo described her family’s removal and imprisonment under Executive Order 9066. Speakers framed these stories as warnings against scapegoating and exclusion. In the question-and-answer portion, lawmakers said they were still in negotiations but emphasized that certain protections were non-negotiable and that any compromises should be distributed equitably rather than targeting specific groups.

Transcript Highlights:

• students from the classroom of engaging in certain conduct and the requiring of a drug prevention intervention
• HB 4942 by Curry relating to certain services of interventions ordered in a suit affecting the parent-child
• HP 5002 by Lu Hannerlings of the study of pilot program by the identifications and interventions provided

Transcript Highlights:

• > urgent congenital disorder that required urgent congenital disorder that required urgent intervention
• 39.199> passing<00:15:39.680> as<00:15:39.839> amended<00:15:40.319> in intervention
• after passing as amended in intervention after passing as amended in the<00:15:40.600> Human<

Keywords: 1187, senate, all

Transcript Highlights:

• Research shows that high-quality early intervention improves language, social-emotional, and academic
• enabled me to work directly with my students, to mentor new teachers, and to advocate for early intervention
• critical staff such as licensed specialists in school psychology, speech pathologists, dyslexia intervention

Bills: SB26, SB 26

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, SB 26, Texas Property Code, colonia, colonias, Spanish translation, bilingual contract, real estate contract, executory contract, residential property, border county, international border, economically distressed area, consumer protection, language access, translator certified in Spanish

Transcript Highlights:

• So as I mentioned, our various programs through the division, our first is our early intervention programs
• And so the legislature, thank you very much, many, many years ago, funded services for early intervention
• And so the legislature, thank you very much, many, many years ago, funded services for early intervention

Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.

Transcript Highlights:

• And gentlemen, you know I'm for intervention. I just want to ask this question.
• That keeps me who's over here waiting to try to get in the intervention. Uh, did the committee...
• try to get in the intervention. try to get in the intervention.
• courts and allow them the intervention courts and allow them the the<04:39:54.880> opportunity
• <04:40:51.720> to need that little bit of intervention to need that little bit of intervention

Keywords: MS House Floor - 31 March, 2026; 10:00 AM, 925, all

Summary: The House convened with prayer, a guest vocalist, and the Pledge of Allegiance before moving into routine business. Members first recognized several special guests and school groups, including championship teams from Simpson County Academy, New Albany High School, Tougaloo College, Madison-Richland Academy, East Rankin Academy, Morton High School, and others, along with honorees such as Dr. Katrina Cox, Pamela Moody, Joe Helen Joey Walker, and Jimmy Carr. The chamber also noted a prior resolution honoring Reverend Dr. Victor Dixon and the Copiah County Ministerial Alliance, and Dr. Dixon led the opening prayer. On the calendar, the House adopted a conference report on House Bill 1752 dealing with judicial salaries. The report set new salary amounts for state court judges effective January 1, 2027, froze district attorney salary increases until January 1, 2028, and then tied DAs to 95% of circuit and chancery judges’ pay. It also removed mandatory raise language for judges and county court judges, and members briefly discussed the broader issue of legislative compensation. The report passed 115-2. The House then adopted a conference report on House Bill 377, the missing persons bill, which clarified definitions, added forensic genetic genealogy testing provisions, and set timelines for law enforcement to enter credible missing-person reports into NamUs and NCIC. That report passed 120-0. The chamber also adopted a conference report on House Bill 525, changing the penalty for sexual battery in a position of trust or authority from a 0-to-30-year range to a 5-to-30-year range; it passed 112-0. Later, the House adopted a conference report on House Bill 925 after removing veto-message language, and adopted another conference report on House Bill 939 combining a low-sat repealer change and a fire truck acquisition program that creates a Fire Equipment Fund supported by recurring black tag revenue. The House also approved unanimous-consent amendments to Senate Bill 3105 and recommitted Senate Bill 2747 for further work.

Transcript Highlights:

• hospital, juvenile detention, or with the county because families have lacked access to early intervention
• hospital, juvenile detention, or with the county because families have lacked access to early intervention
• By providing timely preventive services, chronic disease management, and early intervention in a trusted
• A little history: the legislature established the early intensive developmental and behavioral intervention
• which is the EIDBI benefit intervention which is the EIDBI benefit in<01:54:36.640> 2013.

Keywords: 1187, senate, all

Transcript Highlights:

• I work for the Early Hearing Detection and Intervention Department.
• Um, I'm not saying that on behalf of the Early Hearing Detection Intervention.
• I also work for Intervention Department.
• <01:42:28.960> I'm<01:42:29.199> saying<01:42:29.360> it detection intervention
• I'm saying it detection intervention.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Well, for public health intervention, perhaps our division interim director or deputy director could
• speak better to this, but it's sort of about the public health interventions that are put right.
• <02:05:01.280> Do<02:05:01.440> you interventions and needs there.
• Do you interventions and needs there.
• supply challenges, where we don't have enough now and we can expect to lose more without state intervention

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• And, you know, I will just say this: the Youth Interventions Study Group has a great report.
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention
• Infants who test positive for congenital or heritable disorders often require urgent medical intervention

Keywords: 1183, house

Transcript Highlights:

• about one of the things that I struggle with is making sure that we're doubling down on those interventions
• <00:35:19.040> down<00:35:19.359> on<00:35:19.680> those<00:35:19.839> interventions
• doubling down on those interventions doubling down on those interventions that<00:35:20.720>
• :35:36.720> identify<00:35:37.119> if<00:35:37.359> this<00:35:37.599> intervention
• for us to identify if this intervention for us to identify if this intervention is<00:35:38.400>

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill