Transcript Highlights:

• The legislative intent was to...
• And should we avoid that as a legislative goal in future legislation if we can't get it?
• impact that legislation.
• The legislative auditor's second recommendation is that the legislature should The legislative auditor's
• We've also put into effect system alerts.

Summary: The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office. Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September. JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met. The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.

Transcript Highlights:

• The Missouri House of Representatives Legislative Rules Committee shall come to order.
• And so it sends an alert to the office or to 911. What does it do?
• It'll alert those.
• This particular piece of legislation, I believe, and this is where we, we probably...
• Particular piece of legislation, I believe, and this is where we probably need to, we're checking on

Summary: The Missouri House Legislative Rules Committee met with a quorum and took up a long hearing agenda of House and Senate measures. Early in the meeting, Chair Cupps explained that the committee would not use the “bingo spinner,” would hear the bills in order, and would recommit Senate Substitute for Senate Bill 889 to the House committee of origin for further review because of language that appeared to affect corporal punishment in public schools. That recommit motion passed 9-2. The committee then moved through a large number of bills, most of which were reported due pass, including measures on tourism revenue, county health officers, library boards, child maintenance after DWI fatalities, initiative petitions, foreign law, post-conviction relief, property development applications, licensed child care facilities, administrative rules, workforce training grants, water resources, water service line fees, unemployment administration, school district operations and emergency response devices, military leave, health care provider networks, mobile food vendors, insurance regulations, tax credit cleanup, public water supply districts, downtown redevelopment incentives, workplace violence prevention in health care settings, pass-through entity taxation, county disability resource board levies, county finances, a civic recognition resolution, and a resolution for the America 250 Commission. Several bills drew brief questions about funding, scope, or policy effects, including whether school panic buttons were subject to appropriations, whether a hospital-zone speeding bill would affect emergency drivers, and whether a bill on initiative petition signature gatherers applied only to certain petition-related entities. A few measures drew recorded opposition or were not unanimous. House Bill 1734 on the Soil Erosion Control Fund failed to pass 5-6. House Bill 2291 on applications for property developments passed 6-5. House Bill 2693 on water resources passed 9-1 with one present vote. House Bill 3174 on emergency responses in schools passed 9-2 after discussion of wearable panic buttons and funding. House Bill 3210 on compensation for property owners in larger cities passed 9-2. House Bill 3383 on nonprofit corporations’ hiring practices passed 9-0 with two present votes after discussion of E-Verify and initiative petition signature gathering. The committee also gave due pass to House Committee Substitute for Senate Bills 1066 and 1088 on property taxation by a 9-2 vote. The chair said another committee hearing was likely later in the week, probably Thursday, and then adjourned the meeting.

Transcript Highlights:

• that originates in the House or Senate, all introduced by legislators.
• this vitally important piece of legislation.
• this vitally important piece of legislation.
• I testified on the same bill in the last legislative session.
• This is the third time... ...I've testified on fluoride legislation.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• measures to introduce legislation.
• This pertains to legislative bills and if or how those bills relate to tribal concerns.
• Legislative measures to introduce legislation.
• after the Amber Alert.
• Management. ...assessment and to provide a report to Legislative Management.

Keywords: 908, all

Summary: The Senate opened with prayer, roll call, and a quorum present, then moved through a series of conference committee appointments and reconsideration motions. Senator Axtman successfully moved to reconsider House Bill 1160, which had previously failed, and the chamber later passed it. HB 1160 creates a statewide bell-to-bell policy restricting personal electronic devices during instructional time; supporters argued it would reduce distractions, improve mental health and academic outcomes, and help teachers, while opponents raised local control concerns. The bill passed 42-4. The Senate also passed several other measures, including HB 1247 on protecting student victims of sexual offenses, HB 1489 consolidating civil protection orders into one chapter, HB 1032 making municipal courts courts of record and updating related procedures, HB 1487 authorizing a Minot facility for the Highway Patrol and Bureau of Criminal Investigation with a line of credit and emergency clause, HB 1469 requiring annual online statements of interest for public officials, HB 1199 creating the Missing and Indigenous People Task Force and related MMIP initiatives, HB 1169 regulating paid veterans benefits claim assistance with consumer protections, HB 1209 directing a foreign adversary threat assessment, and HB 3018 as amended to study water, wetlands, and taxation of inundated lands. Most of these passed with strong bipartisan support, though HB 1169 drew substantial debate over veterans’ service options and HB 1209 passed on a narrower 40-7 vote. The chamber rejected or declined several other measures. HB 1455, which would have required the Indian Affairs Commission to review introduced legislation for tribal implications, failed 7-40 after concerns about an unfunded mandate and duplicative duties. HB 1259, which would have put North Dakota on year-round daylight saving time, was defeated 15-32 after debate over time zones, construction, recreation, and whether the issue should be left to future legislatures. HB 1555, dealing with statements of ownership for foreign organizations of concern, also failed 3-44. The Senate then moved to announcements and committee scheduling for later meetings and conference committees.

Transcript Highlights:

• The point of this legislation was to cast the widest net so people would be aware of the potential sale
• Not to confuse the issue, but when legislation voted to allow towing operators to post their sales on
• As Sam mentioned in 2021, the legislation changed to allow free weekly publications like many of ours
• It is to alert friends, families, and neighbors that a sale is about to happen.
• I don't think there's any room for legislators and legislation to be in exam rooms and in hospitals.

Summary: The Judiciary Committee took up two bills. SB 98, by Senator Harrell, would let self-storage facilities advertise lien sales either in a newspaper or on a qualifying website, while keeping other notice requirements in place and updating contact information provisions. Supporters, including the Florida Press Association and several newspaper/storage owners, argued print and digital newspaper notices already provide broad public notice and that the bill could reduce notice effectiveness; the sponsor said the bill is an optional modernization and does not affect government notices. After debate, the committee voted 8-1 to report SB 98 favorably. The committee then heard SB 164, by Senator Grall, which expands Florida’s Wrongful Death Act to allow parents to recover civil damages for the death of an unborn child at any stage of development, with carve-outs for the mother and lawful medical care. The sponsor said the bill aligns civil law with Florida’s criminal protections for unborn children and gives families a remedy where current law may not. Opponents, including the ACLU of Florida, health care workers, and others, warned it could invite lawsuits against doctors, hospitals, friends, family members, and people involved in abortion access, and could worsen OB-GYN shortages and deter care. Supporters said it recognizes unborn life and should be treated consistently with existing wrongful death law. The committee approved SB 164 on a 4-3 vote and then adjourned.

Transcript Highlights:

• response plan on who may issue the emergency alert.
• They will be required, through this legislation, to create that reunification plan.
• That is not in this legislation.
• Well, that's in this legislation. The answers to that question are in the legislation.
• But we found Somehow, we found this beautiful compromise of legislation.

Transcript Highlights:

• I just want to point out that I believe that about 29 states have introduced legislation with similar
• This bill relates to alerting a person of a real-time imminent effort to arrest that same person by law
• And so regulating against just that type of alert would be a problem, but that's not what this does.

Keywords: 1182, all

Transcript Highlights:

• with you that in those situations the commissioners or heads of agencies be notified of that and alerted
• heads of agencies um are<00:09:00.000> notified<00:09:00.720> and<00:09:01.040> alerted
• <00:09:02.160> uh<00:09:02.240> when<00:09:02.480> the are notified and alerted
• uh when the are notified and alerted uh when the office<00:09:03.519> of office of office of
• to it so notified of that and alerted to it so that<00:09:23.360> they<00:09:23.600> can

Keywords: 1187, senate, all

Transcript Highlights:

• <00:18:44.559> waiting because you're always on alert waiting because you're always on alert
• I don't like legislating businesses.
• I don't like legislating<00:21:11.039> businesses.
• I don't like legislating businesses.
• And again, legislators the session.

Keywords: 1187, senate, all

Transcript Highlights:

• . >> Senators this legislation is the work product of discussions between the Department of Children,
• This legislation allows the most qualified individuals to serve on the assisted Technology Council.
• We very much support the legislation that Senator Simon knows.
• And there has been legislation past year that required high school students to be comes certified in
• And just like Senator Boyd said this, this legislation will save lives.

Keywords: 999, senate, all

Transcript Highlights:

• The state of Florida needs this legislation to extend these protections to all pre-existing facilities
• and consideration and co-sponsoring this crucial legislation to protect over 500,000 Floridians from
• surgical... crucial legislation to protect over 500,000 Floridians from surgical smoke.
• There are 100,000,... crucial legislation to protect over 500,000 Floridians from surgical smoke.
• This is just one of many, many examples in how this legislation will help caregivers be advocates for

Summary: The subcommittee first heard HB 103, which would require hospitals and surgical centers to adopt policies using surgical smoke evacuation systems during procedures. Representative Woodson and several nurses and health care advocates testified that surgical smoke contains harmful chemicals and pathogens, poses respiratory risks to operating room staff and patients, and that the bill is needed to protect nurses and address workforce shortages. Members from both parties voiced support, and the bill was reported favorably by a 17-0 vote. The committee then took up HB 223, as amended, which would allow residents of nursing home or assisted living rooms to use fixed cameras, with guardrails on consent, non-rotatable placement, and prohibitions on posting footage online. The sponsor said the measure is intended to help families monitor loved ones and deter abuse or neglect, while supporters from AARP and some caregivers described cameras as tools for accountability and peace of mind. Facility and industry representatives raised concerns about privacy, dignity, roommate consent, and the potential impact on personal care conversations and resident autonomy. After questions and debate, members discussed how consent would work, who could access recordings, and how the bill would handle roommate changes and misuse of footage. The sponsor said the bill would continue to be refined in later committees. HB 223 was reported favorably as amended by a 16-2 vote, with Representatives Campbell and Franklin voting no. The meeting then adjourned.

Transcript Highlights:

• So this legislation gives the court discretion to support that restitution.
• , which would allow victims to alert...
• A web-based 911 alert system, which would allow victims to alert public safety agencies via a unique
• But this legislation is more than a response to these statistics.
• Last year, legislation unintentionally limited TNCs' ability to provide paratransit services.

Summary: The committee heard and voted on a long series of criminal justice, public safety, victim protection, and regulatory bills. Several measures were reported favorably, including SB 1374 on school district reporting requirements, SB 1378 on restitution for leaving the scene of a crash, SB 1072 creating an expedited DNA testing grant program, SB 1140 establishing a Hillsborough County criminal offender substance abuse pilot program, SB 1266 revising public records protections for crime victims and certain law enforcement identities, SB 1546 delaying and refining background screening requirements for athletic coaches, SB 1430 on post-judgment execution proceedings related to terrorism victims, SB 1444 making a broad set of criminal justice changes, SB 240 on domestic and dating violence protections, SB 606 clarifying public lodging and food service removal procedures for nonpaying guests, SB 1450 giving law enforcement discretion in arrests involving people with significant medical conditions, SB 44 increasing penalties for impersonating law enforcement with unauthorized red or blue lights, SB 1000 expanding court-ordered sealing options, SB 1400 requiring platforms to remove altered sexual depictions, and SB 1696 addressing rideshare impersonation and transit service rules. Many of these bills were amended before final passage, often with strike-all amendments or technical changes, and several had support from law enforcement, advocacy groups, or industry representatives. Testimony was generally supportive on the public safety and victim-protection bills, with speakers emphasizing faster DNA testing, better protections for domestic violence survivors, clearer rules for hotel and motel operators, and stronger tools against fraud, impersonation, and trafficking. Some bills drew notable concerns or opposition. SB 1266 prompted questions about whether a 72-hour cooling-off period for officer identities could be extended too broadly, while SB 606 drew concerns that the bill could affect families living in hotels or extended stays during the housing affordability crisis. SB 1444 generated discussion about false reporting language, off-duty carry for prosecutors and judges, and the scope of automatic sealing changes. SB 1000’s expanded sealing relief received broad support but was narrowed by amendments excluding certain offenses such as DUI and indecent exposure. The most contentious measure was SB 1804, which would create a capital offense for trafficking a child under 12 or a mentally incapacitated person for sexual exploitation. The sponsor argued it targets the most severe trafficking cases and includes safeguards such as excluding minors from capital punishment and preserving life imprisonment if the capital procedure is invalidated. Opponents, including the Florida Conference of Catholic Bishops and Floridians for Alternatives to the Death Penalty, argued the death penalty is unconstitutional for non-homicide crimes, costly, and ineffective, and committee members raised concerns about whether the bill would incentivize traffickers to kill victims to avoid identification. Debate also touched on broader concerns about the death penalty’s constitutionality and whether life imprisonment is a more severe punishment. The transcript ends during that debate, without a final vote on SB 1804 included in the excerpt.

Transcript Highlights:

• The children are locked up inside when mountain lions are alerted, or there's a mountain lion alert.
• The children are locked up inside when Mount Lions are alerted or there's a mountain lion alert.
• Certainly, I think, in the legislation, You know, interface and how we navigate that.
• They noted that a legislative letter was signed by a number of legislators about a mobile high-volume
• She said that with as many legislators who signed the letter and were asking for an answer, this was

Keywords: 987, senate, all

Transcript Highlights:

• <00:19:12.840> to with your P pending legislation to with your P pending legislation to provide
• investigations um such as Amber Alerts investigations um such as Amber Alerts silver silver silver
• > person<00:34:57.320> clearing alerts the um missing person clearing alerts the um missing
• <00:41:56.560> or suspects um if there's Amber Alerts or suspects um if there's Amber Alerts
• document that's our legislative document that's our legislative authority<01:34:08.360> to

Keywords: 928, house, all

Summary: The Transportation Committee met for an opening/orientation session in which members introduced themselves and explained their interest in the committee. Several members noted backgrounds in trucking, piloting, boating, motorcycles, road safety, or constituent concerns about transportation issues. The chair also noted several absent members and said the committee would first hear agency presentations before covering committee procedures. The Department of Safety gave the main presentation, outlining its seven divisions and how they relate to transportation policy and the Highway Fund. The assistant commissioner emphasized that Highway Fund revenue supports both the Department of Transportation and the Department of Safety, with collections coming largely from the road toll/gas tax, DMV fees, and the new electric vehicle surcharge. He also noted that 12% of Highway Fund revenues go to local road repair through the DOT Betterment Fund, and warned that the fund has had a structural deficit for several biennia, requiring General Fund transfers that may be uncertain this session. He said the department aims to provide data and fiscal context on legislation and fiscal notes. State Police then provided a detailed overview of its structure and operations, including the Operations Bureau, Investigative Services Bureau, and Justice Information Bureau. Testimony highlighted Troop G’s role in vehicle inspections, commercial motor vehicle enforcement, fraud investigations, and consumer complaint handling, as well as statewide staffing shortages. The division reported rising calls for service, motor vehicle stops, DWI arrests, and other arrests despite a vacancy rate of about 17%. It also described aviation, K-9, bomb squad, special events response, SWAT, narcotics, major crime, forensic laboratory, and other specialized units, with statistics on drug seizures, investigations, and lab workload. No votes or formal committee actions were taken during this portion of the meeting.

Transcript Highlights:

• This graph from the 2024 RDAQ legislative report shows the number of Florida Medicaid recipients from
• The next few slides summarize the recommendations from the 2025 ARDAQ legislative report.
• One example is the Florida special needs shelter registry, which provides alerts when a special need
• This Which provides alerts when a special needs shelter opens in an area.
• One, for the ARDAQ itself, we do an annual legislative report, which is a high-level summary of the activities

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• establish a bipartisan legislative establish a bipartisan legislative inspector<00:15:47.040>
• One of the people that I talked to was the legislative auditor, and the legislative auditor actually
• One of the people that I talked to was the legislative auditor, and the legislative auditor actually
• alert for it. it. it.
• legislation that created that position. legislation that created that position.

Keywords: 919, house, all

Summary: The committee took up Senate File 856, a bill to create a statewide Office of Inspector General to combat fraud. Representative Norris presented a delete-everything amendment that would keep most of the Senate bill but add more emphasis on fraud prevention, fully fund the office, avoid duplicating work already done by the BCA’s financial crimes division, and preserve subject-matter expertise by keeping some existing inspectors general in their agencies. He said the amendment would retain strong investigative powers, including subpoenas, while using the BCA for arrests, and he acknowledged his original version was likely too broad, so he planned to offer smaller amendments if needed. Chair Nash and other members challenged the DE on both process and substance. Nash said the amendment had not been shared with key stakeholders, noted that the Senate author had publicly distanced herself from it, and pointed to a governor’s office document saying the administration wanted a different approach than the Senate bill. He argued the Senate bill was a bipartisan, bicameral product and said the committee should be careful about accuracy and process. Representative Davis questioned Norris about the claim that the Senate bill was underfunded and about the governor’s role in selecting the inspector general, arguing that the governor should not have broad control over the office. Norris responded that the Senate bill’s fiscal note estimated roughly $12 million for the biennium, but the bill appropriated less than that amount, and he said the Constitution requires the governor to appoint the inspector general if the office is in the executive branch. He said the DE tried to preserve independence through a bipartisan advisory commission, Senate confirmation, a five-year term, restrictions on partisan activity, and removal only for cause with a public hearing. After debate from several members, the committee held a roll call and the DE failed on a 7-7 tie, so it was not adopted.

Transcript Highlights:

• That is a legislative responsibility.
• do our responsibility, our legislative do our responsibility, our legislative responsibility,<00
• <00:43:58.640> out the ground breaking uh legislation out the ground breaking uh legislation
• And with this legislation, I Minnesota.
• legislative administration. legislative administration.

Keywords: 1183, house

Transcript Highlights:

• So the version that we enter the conference committee with added legislators to the commission, someone
• And then subsection two on Fix recommended by legislative council.
• So the version that we enter the conference committee with added legislators to the commission, someone
• council. and then subsection two on fix recommended by legislative council.
• But on line two, and this could be wordsmithed by support from our legislative intern, but at students

Keywords: 908, all

Summary: The conference committee on HB 1308 met to review Senate amendments related to the Human Trafficking Commission and continuing education language for regulated professions. Senator Beauchay explained that the bill would make the commission more independent and robust by changing permissive language to mandatory language, adding members from DHS/Children and Family Services, school districts, the State’s Attorneys Association, and the governor’s office, and designating the Attorney General or designee as presiding officer. The committee also discussed a new duty for the commission to provide annual human trafficking prevention and awareness education for students, with a proposed cross-reference to DPI curriculum law to avoid conflict with HB 2330. Members raised questions about the size of the commission, quorum concerns, and how the existing human trafficking task force differs from the commission. Testimony from Amy Boyd-Bomey of YouthWorks supported broader representation, especially from child welfare, schools, and tribal entities, and emphasized that trafficking of youth in North Dakota disproportionately affects Native youth. Committee members discussed the need for tribal representation, including a single representative chosen by tribal chairs, and suggested adding language to ensure that perspective. Boyd-Bomey also noted that the statute already references designees from state, local, and tribal agencies, though the committee considered making that more specific. No final action was taken. Representative Davis was asked to draft possible language changes, and the committee agreed to stand at ease and reconvene later, but ultimately the chair announced that more time would be needed and that another meeting would be scheduled.

Transcript Highlights:

• Uh, increase dental reimbursement as part of this upcoming legislative session.
• There's been a Paris alert.
• They then There's been a Paris alert.
• They also prioritize unresolved Paris alerts that have gone 60 days.
• unresolved Paris alerts that have gone 60<01:18:18.960> days.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Jehlen, legislation relative to assisted living residences in the Commonwealth, and petition of Michael
• Moore, legislation relative to medication administration in rest homes, severally to the Committee on
• Court officers will alert the members that a quorum roll call is in progress and will remain open for
• Speaker, I also join my colleague in hoping that the body support this legislation. Thank you.
• Support this legislation. Thank you.

Keywords: 995, all

Summary: The House received a Governor’s message on fiscal year 2026 supplemental appropriations, which was referred to the Committee on Ways and Means. The Committee on Rules reported several resolutions, including honors for Abby Goodman, a resolution reaffirming Massachusetts-Taiwan friendship, recognition of the Cambodian-American community’s Khmer New Year celebration, and Elks National Youth Week; the House suspended the rules and approved them. The House also concurred with Senate petitions on assisted living residences and medication administration in rest homes, sending them to the Committee on Aging and Independence. The main legislative business was House Bill 5279/5375, the transportation bond bill financing long-term improvements to municipal roads and bridges. Ways and Means recommended a substitute bill, House 5375, with a $2.737 billion general obligation bond authorization, and the House adopted the amendment and ordered the bill to a third reading. Later, the House took up House 5375 directly, heard support from members emphasizing Chapter 90 road funding, municipal flexibility, rural road mileage distribution, and broader transportation investments, and then passed the bill to be engrossed by roll call vote, 155-0. The House also passed House Bill 5371, authorizing grants of easements or takings of certain parcels of land to the city of Boston, to be engrossed. In addition, the chamber received and filed the Secretary of the Commonwealth’s report on the March 31, 2026 special election for the 5th Essex District, adopted an order to escort the Governor and Executive Council into the chamber, and administered the oaths of office to Representative-elect Andrew Tarr. The session ended with an order to adjourn until the next day at 11 a.m. in informal session.