Video & Transcript : 'training reimbursement' :
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 31st, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- So finally, the state must fund charter school reimbursements as well.
- So when reimbursements fall short, the resources are redirected away from the students.
- Charter school tuition reimbursement.
- Boston loses all of its Chapter 78 and then some to charter tuition reimbursement.
- In the meantime, we ask that the charter tuition reimbursement line item be fully funded in FY27.
Committee:
Joint Joint Committee on Ways and Means
NM
New Mexico 2025 Regular Session
IC - Water and Natural Resources Nov 18th, 2025
Water & Natural Resources Committee
Transcript Highlights:
- A program in regionally specific trainings that actually train you for those jobs in those communities
- I need it there for training our warriors.
- Keep In mind, also the school lunch reimbursements for the maximum reimbursement for lunch is 4 The focus
- Milk, fruit, and vegetables are included in every reimbursable lunch.
- Also cold chain training for our meat producers.
Committee:
House Water & Natural Resources Committee
AZ
Arizona 2026 Regular Session
02/24/2026 - House Democratic Caucus Calendar #7
Transcript Highlights:
- Let’s do some trains.
- This bill, though, requires someone to be trained in AED use, grades K through 12.
- I think schools could do that, but if you don't have an AED, why are you training someone for it?
- for claims to the firefighter reimbursement fund.
- for claims to the firefighter reimbursement fund.
Summary:
The caucus reviewed a large Minority Caucus Calendar and moved quickly through many bills, with staff often noting whether items were unanimous, party-line, or pulled from consent. Early items included HB 2130 on ADOA personnel financial systems, HB 2749 on felony sentence-completion designation, HCR 258 on Medicaid claim audits, and several agency or board continuation bills. Members also discussed HB 2745 on legislative subpoenas, HB 4027 naming Loop 202 the Charlie Kirk Highway, HB 2601 on Interstate 11 studies, and a number of education, health, labor, and public safety measures. Several bills were pulled from consent or flagged for later discussion, including HCR 258, HB 4027, HB 2375, HB 2601, HB 2408, HB 2444, HB 2923, HB 2182, HCR 2048, HB 2750, HB 2765, HB 2838, HB 4043, HB 2290, HB 2940, and others.
Testimony and caucus debate focused on a range of policy concerns. Members objected to bills involving school strikes, weapons detection systems, public records fees for legislators, union activity, school safety felony penalties, and restrictions on school clubs. Education bills drew extended discussion, including HB 2423 on automatic advanced math placement, HB 2478 creating a student outcomes commission, HB 2579 for free school meals, HB 2992 on child sexual abuse prevention, HB 4041 on spending authority for low-reading-performing districts, and HB 4043 requiring CPR/AED training. Health and professional regulation bills also prompted debate, including HB 2408 on nursing board investigations and expungement, HB 2444 on pharmacist testing authority, HB 2697 on expired opioid antagonists, and HB 4010 establishing a genetic counselors board. Members raised concerns about fiscal impacts, stakeholder opposition, and whether some measures were unfunded mandates or needed more amendment work.
The caucus also discussed immigration, labor, and public safety measures, including HB 2416 for DPS local border support, HB 2811 on obstructing governmental operations during lawful arrests, HB 2862 on unlawful masking penalties, HB 4070 on nonprofit incorporation restrictions tied to offenses, and HB 4117 creating a crime for disturbing religious services. Water, energy, and land-use bills were reviewed as well, such as HB 2099, HB 2263, HB 2330, HB 2341, HB 2492, HB 2757, HB 2782, HB 2912, HB 2918, and HCR 2020. The meeting ended with announcements, including an Affordability Award for Brian Garcia and a March 12 breakfast update on the Colorado River, before adjournment.
FL
Florida 2026 5th Special Session
Appropriations Committee on Pre-K - 12 Education Mar 26th, 2025
Transcript Highlights:
- The bill requires the department to develop a uniform reimbursement in The bill requires the department
- to develop a uniform reimbursement and invoicing process.
- So we're asking that the department have a uniform reimbursement and invoicing process that's used for
- So we're asking that the department have a uniform reimbursement and invoicing process that's used for
- Like when we go to submit the reimbursement, the dollars actually come to us.
Summary:
The committee first heard the Pre-K-12 education budget proposal for fiscal year 2025-26 and voted to adopt it as the committee’s recommendation to the full Senate Appropriations Committee. The proposed $34.7 billion budget includes increases for the FEFP, Family Empowerment Scholarships, VPK, school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. Members asked no questions on the budget before it was advanced, and staff was authorized to make technical corrections.
The committee then passed CS/SB 1402, which expands eligibility for dropout retrieval services to any individual who has withdrawn from high school and clarifies how school grades are calculated for virtual instruction providers that offer only dropout retrieval services. An amendment to clarify the grading calculation was adopted without objection, and the bill was reported favorably after a roll call vote. The committee also took up SPB 7030, a comprehensive scholarship-program bill sponsored by Senator Gates, which would separate Family Empowerment Scholarship funding as its own categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, change payments to a monthly schedule, require background checks for paid instructional providers, mandate annual FTE audits by the Auditor General, and standardize reimbursement and eligibility procedures. After extensive discussion and public testimony, the bill was adopted as a committee bill and reported favorably, with Senator Osgood voting no.
Finally, the committee considered CS/SB 508, which requires private schools participating in the Family Empowerment Scholarship Program to disclose in writing what accommodations, modifications, and services they will provide for students with existing plans such as IEPs, 504 plans, or ELL plans. An amendment was adopted to require public schools to consult with private schools about equitable services, and the bill was reported favorably. Public testimony included support from parent-choice advocates and concerns from private-school representatives about administrative burden and the scope of the required disclosures. The meeting concluded after the final roll call votes and adjournment motion.
FL
Florida 2026 Regular Session
Appropriations Committee on Pre-K - 12 Education Mar 26th, 2025
Appropriations Committee on Pre-K - 12 Education
Transcript Highlights:
- . $4 million for a new state grant to reimburse school districts for the cost of providing IEPs for the
- The bill requires the department to develop a uniform reimbursement in... at the scholarship funding
- to develop a uniform reimbursement and invoicing process.
- So we're asking that the department have a uniform reimbursement and invoicing process that's used for
- Like when we go to submit the reimbursement, the dollars actually come to us.
Summary:
The committee first heard the proposed Pre-K-12 education budget for fiscal year 2025-26, totaling $34.7 billion. The chair highlighted major increases for the FEFP, including $29.6 billion for public schools and K-12 scholarships, a $984 million year-over-year increase, along with higher per-FTE funding, $4 billion for the Family Empowerment Scholarship, $431.4 million for VPK, funding for school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. With no public comment, the committee adopted a motion for staff technical corrections and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee.
The committee then considered SB 1402 on dropout retrieval programs. The bill expands eligibility so any individual who has withdrawn from high school may enroll in dropout retrieval services and clarifies how school grades are calculated for virtual instruction providers that offer those services. An amendment clarifying the grading calculation was adopted, and the committee reported the bill favorably.
Next, the committee took up SPB 7030 on educational scholarship programs, a broad measure addressing school choice funding and administration. The bill would fund the Family Empowerment Scholarship as a separate categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, standardize payment timing to monthly installments, require continued eligibility verification, and add Level 2 background checks for providers receiving state funds. Members raised questions about background-check enforcement, payment timing, data sharing, and the impact on homeschool and private-school families. Public testimony included support from school-choice advocates and concerns from private-school representatives about added regulatory burdens and deadlines. The committee adopted the bill as a committee bill and reported it favorably, with Senator Osgood voting no.
Finally, the committee considered SB 508 on the Family Empowerment Scholarship Program, which requires private schools to disclose in writing what accommodations, modifications, and services they will provide to students with existing plans such as IEPs, EEPs, 504 plans, or ELL plans before enrollment. An amendment was adopted to require public schools to consult with private schools about equitable services. Testimony was mixed: supporters said the bill would give parents needed information for informed choice, while private-school representatives said the language could be burdensome and vague. The committee reported the bill favorably.
CA
Transcript Highlights:
- But right now, the state's reimbursement system is crushing providers too.
- Yet many providers are struggling to keep their doors open because reimbursement...
- Yet, many providers are struggling to keep their doors open because reimburseing.
- ACSA recommends many of the proposal shift to a more reimbursement-structured program. Thank you.
- ACSA recommends many of the proposal shift to a more reimbursement-structured program. Thank you.
Committee:
House Budget
FL
Florida 2026 Regular Session
Appropriations Committee on Criminal and Civil Justice Oct 8th, 2025
Appropriations Committee on Criminal and Civil Justice
Transcript Highlights:
- They are requesting $5.5 million for the next fiscal year for reimbursement for filed injunctions for
- So, $5.5 million is what the clerks are asking related to jury reimbursement, or excuse me, with reimbursement
- And hopefully we have one of those trained volunteers or pro bono attorneys, which is the backbone of
- There's a training to train therapists to be more culturally competent in treating the law enforcement
- population and a peer support training that I brought to FDLE.
Summary:
The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting.
The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases.
The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- Fund, $138.5 billion in federal funds, $35.3 billion in special funds, and about $6.5 billion in reimbursements
- Part of the request was to describe efforts to date to improve hospital reimbursements and the impact
- And this is really the result of the steps that we have taken to enhance reimbursements to hospitals
- A key one is that there's often a difference between gross and net reimbursement, and that's because
- She added that while cuts to PPS reimbursements and Proposition 56 dental provider rate funding will
Summary:
The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes.
The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time.
Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.
HI
Hawaii 2025 Regular Session
CPC Public Hearing - Thu Feb 20, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- </c><00:45:47.480><c> internationally</c><00:45:48.480><c> are</c> individuals trained internationally
- are individuals trained internationally are comparable<00:45:49.559><c> to</c><00:45:49.760><c> the<
- training programs after medical<00:46:28.440><c> school</c><00:46:29.119><c> and</c><00:46:29.319><c
- </c> um Physicians that are are trained um Physicians that are are trained outside<00:47:39.599><c> of
- You take it, and then you pay; you get reimbursed.
Committee:
House Consumer Protection & Commerce
Summary:
The committee on Commerce and Consumer Protection met on February 20, 2025, and heard testimony on several measures. HB 850, relating to condominiums, drew support from the Community Associations Institute and the Hawaii State Association of Parliamentarians, who said it would improve owner participation, clarify voting rules, and preserve the use of proxies as a personal choice. A Zoom testifier supported the bill’s intent but warned that special meetings can be abused and suggested further amendments to address board president authority. Members asked about proxies versus electronic voting and whether the bill would reduce proxy use; no vote was taken.
The committee also heard HB 48 on coffee labeling, with the Department of Agriculture in support, and HB 1370 on taxation, where a local brewery representative supported equal tax treatment for beer served from 5-gallon kegs and larger kegs when dispensed from a faucet, arguing the bill would clarify draft beer treatment and encourage sustainability. HB 1422 on motor carriers received comments from the Public Utilities Commission and the Department of State Parks, while representatives from a community-based shuttle initiative supported the bill and said nonprofit, community-led transportation solutions should not be regulated like traditional carriers.
HB 874, relating to child performers, received support from SAG-AFTRA, IATSE, and individual performers, who emphasized protecting minors’ earnings, safety, and schooling. Testimony also discussed whether to include social media influencers and whether to add annual income limits or trust-account protections; the Department of Labor and Industrial Relations said the issue was outside its wheelhouse. Later, HB 799 on healthcare drew support from health plans and HMSA, with the Department of Health requesting amendments such as a sunset date, a Maui-only pilot, and a report back before changing its position. HB 1379 on health received support from Hawaii Pacific Health, but the Hawaii Medical Board raised concerns about vague language and public-safety implications for internationally trained physicians, asking for more time to study national licensing recommendations. Finally, HB 439 on education was heard, with the Hawaii Teacher Standards Board opposing the bill as drafted and warning about licensing standards and predatory third-party loans affecting J-1 teachers; the transcript ends before any action or vote on these measures.
OR
Oregon 2026 Regular Session
Joint Emergency Board 06/17/2026 8:30 AM
Transcript Highlights:
- construction cash account to support the request that other funds expenditure increase the rest training
- Construction cash account to support the request that other funds expenditure increase the Reese Training
- Center firehouse and the Central Oregon unit training equipment site wash rack and oil-water separator
- Establish a federal funds capital construction expenditure limitation of $3,620,000 for the Reese Training
- The Federal Highway Administration's Emergency Relief Program reimburses eligible costs associated with
Summary:
The Emergency Board approved a series of consent federal grant applications from the Natural Resources and Public Safety subcommittees, along with several budget and position requests. The board approved grant applications for parks, transportation, judicial, emergency management, higher education, school nutrition, and other programs, including retroactive approvals where deadlines had passed. One member objected to the Natural Resources consent grants over concerns about future funding needs, but the motion still passed. The board also approved a one-time increase for Judicial Department court security, including digital privacy protections, circuit court security, and a statewide facilities assessment.
A major discussion centered on Southern Oregon University’s financial stability. The Higher Education Coordinating Commission reported on SOU’s structural deficits, declining enrollment, and projected cash shortfall. The subcommittee recommended, and the board approved, allocating $7.5 million from the special appropriation for short-term stability, with a required update at the September 2026 Emergency Board meeting and a future request for the remaining funds. Members debated the broader crisis in higher education, with several saying SOU’s situation reflects systemwide enrollment and funding pressures and that long-term restructuring will be needed.
The board also approved an AmeriCorps volunteer generation grant, an apprenticeship expansion grant, and a Department of Education nutrition equipment grant. In public safety, it approved funding for Oregon Military Department readiness facilities, a statewide evacuation planning tool, and a juvenile justice information system modernization report, while requiring a follow-up viability report. The Department of Justice received approval for additional antitrust positions and expenditure limitation, though several members raised concerns about the funding structure and incentives tied to settlement revenues; the motion passed despite objections.
In natural resources, the board approved funding for the Water Resources Department’s well abandonment, repair and replacement grants, an assistant water master position in Washington County, groundwater data collection in the Lower Umatilla Basin, a wetlands remote sensing pilot, and parks-related grant applications for operations, maintenance, and capital improvements. Members generally supported the requests but raised concerns about geographic equity, long-term sustainability, and whether some county responsibilities were being shifted to the state. The meeting also included discussion of a Department of Emergency Management evacuation tool as an urgent wildfire preparedness measure, with members emphasizing its potential to save lives.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Budget Subcommittee No. 1 on Health and Senate Budget Subcommittee No. 3 on Health and Human Services Apr 6th, 2026
Transcript Highlights:
- In particular, we submitted a comment letter opposing the Medicaid reimbursement rule, which would prohibit
- at risk, not just reimbursement for gender-affirming care.
- I trained as a fellow in adolescent medicine.
- You are a look-alike clinic, so you don't get that reimbursement.
- Right now, we just charge them $50. $50 is... we're not going to even get reimbursed at all, so lots
CA
California 2025-2026 Regular Session
Joint Hearing Senate Budget Subcommittee No. 3 on Health and Human Services and Assembly Budget Subcommittee No. 1 on Health Apr 6th, 2026
Transcript Highlights:
- In particular, we submitted a comment letter opposing the Medicaid reimbursement rule, which would prohibit
- at risk, not just reimbursement for gender-affirming care.
- I trained as a fellow in adolescent medicine.
- You are a look-alike clinic, so you don't get that reimbursement.
- Fifty dollars is... we're not going to even get reimbursed at all, so lots of problems with that.
Summary:
The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation.
Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California.
The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.
NH
Transcript Highlights:
- 10:07.360><c> that</c><00:10:07.600><c> can</c> requires a well-trained staff that can requires a well-trained
- But 988 needs to be funded trained.
- ,</c> cost of paying a salary, being trained, cost of paying a salary, being trained, getting<03:00:27.600
- We were able to calculated training.
- </c> overworked officers having to be trained overworked officers having to be trained to<03:26:39.920
Committee:
Senate Finance
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety May 19th, 2025
Transcript Highlights:
- Federal reimbursements themselves keep coming for disasters as far as 10, 15 years back.
- It takes a long time to get the federal funding reimbursed.
- And then when we got FEMA reimbursement, we put it back into that general fund.
- And then when we got FEMA reimbursement, we put it back into that general fund.
- And then when we got FEMA reimbursement, we put it back into that general fund.
Summary:
The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending.
For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed.
CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects.
For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 1st, 2025
Transcript Highlights:
- Children are considered potty trained at the age of three.
- Allowing CBOs, doulas, and CHWs to receive training, recognition, and reimbursement for conducting screenings
- Actually, I'll defer to the expert witnesses on the training.
- My understanding is that the training varies from...
- My understanding is that the training varies from county to county.
Summary:
The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved.
The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations.
The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Feb 11th, 2026
Professional Registration and Licensing
Transcript Highlights:
- Of supervisory training.
- I don't know about specific nurses; that depends on if they do have the ACLS training or ATLS training
- For NP and PA training, the requirements are much lower.
- NPs or nurse practitioners only reimburse at, or only get reimbursed at, an 80% rate.
- Make sure there's proper training.
Summary:
The committee first completed action on House Bill 3009, adopting an amendment, rolling the bill into a House Committee Substitute, and then voting do pass on the substitute by a 20-0 roll call vote. The meeting then moved into public hearing on House Bill 1963, which would reduce from five years to three years the amount of licensed practice required before certain social workers may supervise others. Representative Tara Peters said the change would help address Missouri’s behavioral health workforce shortage, especially in rural areas, and testimony from the National Association of Social Workers and Burrell Behavioral Health supported the bill as a way to remove a bottleneck without changing education or supervision-hour requirements. There was no opposition testimony on HB 1963.
The committee then heard House Bill 2557, which would require a physician to be physically present in an emergency department during all hours of operation. Representative George Hruza argued the bill would improve patient safety and standardize emergency care, while noting possible telehealth accommodations for low-volume critical access hospitals. Supporters, including physicians and medical associations, said patients expect physician-led emergency care and that physician presence is the gold standard. Opponents, led by the Missouri Hospital Association and several rural hospital administrators, argued the mandate is not realistic given physician shortages, could force rural ER closures, and would reduce access to care; they emphasized that current hospital models rely on teams, telehealth, and transfer protocols. The bill drew extensive discussion but no vote was taken.
Finally, the committee heard House Bill 311, which would modernize Missouri’s bail bond laws by creating a professional board and tightening training, oversight, and recovery procedures. Representative Brandon Phelps said the industry itself wants clearer standards and that he may revise the bill in committee substitute form to merge the new board with an existing board to reduce costs. A bail bond industry representative testified in support, saying the profession wants higher standards and accountability. The chair then adjourned the meeting after testimony concluded.
TX
Transcript Highlights:
- This is Senate Bill 204, the parental rights handbook and training.
- This is Senate Bill 204, the parental rights handbook and training.
- SB 1563 by Benendez, relating to county jailor training.
- the Major Events Reimbursement Program.
- It's the way the Major Events Reimbursement Program works.
Bills:
SB15 , SB646 , SB800 , SB790 , SB748 , SB571 , SB1957 , SB1923 , SB1896 , SB1760 , SB1335 , SB2368 , SB2477 , SB2587 , SB2986 , SB2965 , SB1563 , SB1467 , SB1164 , SB1137 , SB614 , SB705 , SB918 , SB955 , SB869 , SB850 , SB863 , SB1055 , SB2206 , SB457 , SB2337 , SB1610 , SB1362 , SB926 , SB1494 , SB251 , SB456 , SB500 , SB1307 , SB2615 , SB2995 , SB2321 , SB2972 , SB973 , SB865 , SB506 , SB1522 , SB1558 , SB510 , SB667 , SB763 , SB2073 , SB1858 , SB1660 , SB2900 , SB1433 , SB1540 , SB1964 , SB1300 , SB1644 , SB2217 , SB2373 , SB2431 , SB1758 , SB974 , SB2480 , SB3039 , SB3047 , SB2781 , SB826 , SB766 , SB527 , SB1946 , SB2885 , SB1243 , SB2610 , SB857 , SB2501 , SB66 , SB268 , SB331 , SB1302 , SB519 , SB2807 , SB13 , SB7 , SB1718 , SB1567 , SB1233 , SB413 , SB2177 , SB30 , SB2024 , SJR1 , SCR27 , SB2018 , SB1580 , SB2121 , SB1049 , SB1266 , SB1400 , SB1596 , SB2753 , SB2221 , SB1719 , SCR9 , SB204 , SB437 , SB568 , SB612 , SB672 , SB710 , SB823 , SB876 , SB904 , SB905 , SB968 , SB1084 , SB1207 , SB1230 , SB1313 , SB1504 , SB1790 , SB2232 , SB2366 , SB2367 , SB2398 , SB2515 , SB2520 , SB2589 , SB2786 , SB2790 , SB3048 , SB3050 , SB3052 , SB3053 , SB3056 , SB3029 , SCR3 , SCR18 , SCR30 , HCR146 , HCR148 , HCR149 , HCR153 , HCR155 , HCR157 , HB5560 , HB762 , HB1584 , HB 107 , HB 114 , HB138 , HB4386 , HB2495 , HB581 , HB3348 , HB5323 , HB4341 , HB6 , HB2712 , HB171 , HB3153 , HB143 , HB2688 , HB3464 , HB449 , HB3486 , HB4263 , HB2 , HB1522 , HB24 , HB 1237 , HB2637 , HB3126 , HB3233 , HB4310 , HB3487 , HCR9 , HB5331 , HB1397 , HB163 , HB3250 , HB3071 , HB3463 , HB5033 , HB35 , HB3824 , HB216 , HB4226 , HB3512 , HB18 , HB5154 , HB 103 , HB851 , HB647 , HB4520 , HB3016 , HB2313 , HB2818 , HB2851 , HB4486 , HB4264 , HB1500 , HB5081 , HB2974 , HB2080 , HB4384 , HB5659 , HB493 , HB4903 , HB2516 , HB4488 , HB4530 , HB3689 , HB145 , HB43 , HB5247 , HB2221 , HB5671 , HB700 , HB3711 , HB 120 , SB17 , SB1637 , SB1833 , SB2155 , SB21 , SB2778 , SB379
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 May 5th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- We implement an early and ongoing training program.
- We are committed to providing the best training and support available to the community. Mr.
- Members, we have the value-based reimbursement system in place.
- Additionally, we’ve also increased the reimbursement rate for nursing homes by 100 percent.
- That's how the reimbursement system was set up.
NM
Transcript Highlights:
- colleagues and I are seriously considering leaving New Mexico at the end of our training for states
- Training for these procedures must be held to a high standard to ensure patient safety.
- training program.
- Optometrists today have the education, training, and oversight for safely performing... Thank you.
- New Mexico continues to I think. training, and to ensure patient safety and accountability.
Committee:
House House Judiciary
VA
Transcript Highlights:
- of women at every level of political life, the NWPC of Virginia has worked tirelessly to recruit, train
- House Bill 416 permits any local government body that uses school buses to reimburse the school board
- Insurance reimbursed the legislature passed the House.
- Best sent with amendment. by local governing bodies, insurance reimbursed the legislature passed the
- House Bill 416 permits any local government body that use school buses to reimburse the school board