Transcript Highlights:

• coaching, doula screening, weight coaching, doula services,<00:29:56.200> et<00:29:56.320>
• Another great thing that MCOs can have is they can screen for levers outside of that clinical setting
• They're screening for other needs that a Medicaid member may need to get that access to care.
• Another example is colon cancer screening.
• So, in terms of colorectal cancer screening, we actually do fund colorectal cancer screening through

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• Capella, I'm going to share my screen and just show you some additional data that will give you a sense
• and just show you uh share my screen and just show you uh some<01:22:08.080> additional<01:22
• For example, this year we did provide background screenings for all of the teaching artists.
• for all of the teaching screenings for all of the teaching artists.<01:23:48.719> There<01:23
• We do conduct background screenings for the teaching artists as an additional safety measure.

Keywords: 910, house, all

Summary: The Committee on Culture and the Arts held an informational briefing on May 22 with the Hawaii Arts Alliance, the State Foundation on Culture and the Arts (SFCA), and the King Kamehameha Celebration Commission. Chair Capella said the purpose was to better understand the organizations’ work and strengthen relationships ahead of the interim and next session. The Hawaii Arts Alliance, led by Executive Director Gay Humphrey, described its mission to enrich Hawaii’s cultural fabric through arts education, advocacy, and community engagement, and highlighted its history tied to Alfred Price, including the creation of Hawaii’s 1% for art law and the alliance’s 45 years of service. The alliance outlined its current work, including administering SFCA-funded statewide programs such as Artist in the Schools and the new folk and traditional arts program, with 34 teaching partners serving more than 100 public and charter schools and Kumu Hawaii as the single grantee for traditional weaving instruction. It also discussed Arts First Partners, the incubation of Arts at Mark’s Garage, expanded advocacy efforts supported by Creative West grants, and new multi-year philanthropic support from the Hawaii Community Foundation and Atherton Family Foundation. The alliance said it is launching statewide listening sessions and an arts advocacy training program, and noted that most SFCA funds pass through the alliance to program partners, with the organization retaining 10 to 14 percent for administration. SFCA Executive Director Karen Ewald then described the agency’s role as the state arts agency, its strategic planning process, and its main programs, including Art in Public Places, the Capital Modern museum, Artist in the Schools, apprentice mentoring grants, community arts grants, the Hawaii State Poet Laureate program, a statewide cultural extension program, and the Hawaii Open Arts Program. She said SFCA has 21 staff with one vacancy, is awaiting a federal NEA partnership agreement, and is considering new revenue streams such as a cultural trust. She also noted that the King Kamehameha Celebration Commission was recently attached to SFCA, which has improved coordination and allows SFCA to provide funding for conservation and upkeep of the King Kamehameha statues statewide. No votes were taken; the meeting was informational only, with questions deferred until after the presentations.

Transcript Highlights:

• You know, more people get a colon screening as a result. So health care costs actually go up.
• This process requires counties to order a pre-petition screening, which confirms probable cause for higher
• counties in California currently do not have the processes in place to carry out the pre-petition screening
• severe for care, SB 1016 ensures the court orders the county to begin the Section 5200 pre-petition screening
• This bill authorizes a pre-petition screening by the County Behavioral Health Agency and allows the court

Keywords: 988, house, all

Transcript Highlights:

• So just give me one moment as I share my screen. I'm just a little difficulty here.
• Just open the document and then press share screen.
• I don't know if he's been able to share his screen. All right. We've got a little stretch out here.
• I want to share a screen. And we just want to remind, if there are folks listening...
• Yep, can you see my screen? Great, all right.

Keywords: 995, all

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on diversity, equity, and inclusion in Massachusetts; no bills were heard or voted on. Chairs Bud Williams and Liz Miranda opened by framing the hearing as a response to recent federal actions they said threatened DEI efforts, funding, and civil rights protections in education and other sectors. They said the committee would hear from experts, agencies, advocates, and businesses about the legality and benefits of DEI and the impact of federal actions on the Commonwealth. Secretary of Education Patrick Tutwiler testified virtually that Massachusetts is pushing back against federal efforts to restrict DEI, including guidance and certification demands directed at schools. He highlighted state investments in early education, child care, early college, career and technical education, and educator diversity, arguing these efforts help close opportunity gaps for Black and brown students, students with disabilities, English learners, and other underserved groups. In response to member questions, he said federal education dollars are core to services for students and that the state is prepared to fight funding cuts while monitoring impacts across K-12, early education, and higher education. Elizabeth Matos of the Attorney General’s Office said DEIA programs remain legal under state and federal law and described AG guidance issued to help institutions navigate federal confusion. She reviewed litigation the office has joined or won, including efforts involving withheld school funds, museums and libraries, the Minority Business Development Agency, Head Start, AmeriCorps, and other federal actions. Members asked about immigration-related fear and profiling, and Matos pointed to existing Know Your Rights guidance, said complaints to the Civil Rights Division have increased, and noted the office is seeing issues involving housing discrimination, employment, public accommodations, and threats to call ICE. She also said the office is open to further legislative ideas but did not discuss specifics. Evelyn Carter, a social psychologist, testified that diversity, equity, and inclusion are often misunderstood and defined the terms plainly, emphasizing that diversity is a group characteristic, equity addresses unequal starting points, and inclusion is about belonging and access. She argued that DEI matters because it creates guardrails against bias, helps make environments accessible, and addresses ongoing inequities. In response to questions, she suggested practical strategies such as using clear criteria and written records in decision-making, broadening who is considered part of one’s in-group, and pairing bias awareness with concrete behavior-change tools. The hearing also included testimony from Meredith Tewitt of the Massachusetts Commission on the Status of Women, who spoke about the importance of DEI for women, veterans, and people who rely on federal institutions, and urged lawmakers to continue supporting inclusion and access.

Transcript Highlights:

• Take a look at the screen up here.
• Take a look at the screen up here.
• Within other parts of the bill, we have those that are buying land and that have been screened by this
• I just want to point out to the body that any time a screening device, a screening mechanism, or a profiling
• ... ...a screening mechanism or a profiling mechanism to determine risk, to do a risk assessment on a

Bills: HJR1088, HJR1090, HJR1091, HB1370, SB2154, HJR1092, HJR1093, HJR1095, HJR1099, HJR1100, HB3021, SB893, SB206, SB248, SB259, SB423, SB563, SB604, SB633, HJR1077, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1437, SB1531, SB1543, SB1806, HB3004, SB1572, HB4342, SB1618, SB2, SB237, SB1632, SB1687, SB1726, SB1859, SB1894, SB1461, HB4432, SB1948, SB1589, SJR52, SR46, HCR1030, SB2071, SB2182, SB1451

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry

Summary: The Senate met with a quorum, prayer, pledges, and recognition of two student pages before taking up a long agenda of House joint resolutions and bills, mostly related to administrative rules and agency approvals. The chamber advanced and passed H.J.R. 1088, 1090, 1091, 1092, 1093, 1095, 1099, and 1100, which approved permanent rules for education, energy and agriculture, business and commerce, building code, health-related agencies, general government agencies, the Oklahoma Health Care Authority, and OMES. Several senators criticized the process for moving rule resolutions quickly and without committee vetting, while supporters said the calendar delays required direct consideration. The Senate also adopted conference committee reports and passed SB 206, SB 248, and HB 3021, with HB 3021 making small changes to graduation requirements, including science/math course language, Oklahoma history flexibility for some military families, and personal financial literacy counting toward math in some cases. A major portion of the meeting focused on House Bill 1370, which was described by its author as repealing an automatic state trigger that would replace any federal gasoline tax if the federal government suspended it. Supporters argued the bill would prevent Oklahoma drivers from paying more if the federal gas tax were repealed and framed it as tax relief; opponents argued it could reduce highway and bridge funding and create a budget hole. The Senate suspended several rules to bring the bill up, but rejected a motion to suspend the fiscal-impact rule for a proposed amendment. After debate, the chamber passed the measure 41-7 and then approved it as an emergency measure. The Senate also took up Senate Bill 893, a conference report dealing with foreign ownership near critical infrastructure and agricultural land. The bill would restrict certain foreign adversary ownership or leasing within 10 miles of critical infrastructure, add training zones and other protected areas, delay implementation until July 1, 2027, and create an enforcement process involving Attorney General review and whistleblower-style reporting. Senators raised concerns about enforcement, possible misuse, and profiling, while the author said the bill was aimed at national security and infrastructure protection. The conference report was adopted and the bill passed. Later, the Senate received notice that the House was ready to convene in joint session, and the chamber briefly stood at ease before returning to continue its work.

Transcript Highlights:

• education in our state, from transitional kindergarten to community schools, the universal early screening
• How do we invest in more dyslexia screening programs?
• If we had an appointed commissioner, we would not currently have the dyslexia screening funding that
• years, a bill that originated in this House, in the Senate, that would fund and support dyslexia screening
• years, a bill that originated in this House, in the Senate, that would fund and support dyslexia screening

Keywords: 987, senate, all

Summary: The joint Senate Education and Budget Committee hearing focused on Governor Newsom’s education governance proposal, which would reorganize state K-12 education leadership by shifting day-to-day management of the Department of Education from the elected Superintendent of Public Instruction to a governor-appointed education commissioner, while giving the superintendent a more policy-focused role and voting seats on the State Board of Education and the California Community Colleges Board of Governors. Brooks Allen, for the State Board of Education and Governor’s office, argued the change would reduce fragmented authority, improve accountability, and align California with other states that use appointed chief education officials. Amber Alexander of the Department of Finance outlined the budget-neutral staffing transfers and transition timeline, and LAO analyst Sarah Cortez said the LAO supports the shift to an appointed commissioner but recommends Senate confirmation, clearer statutory duties, preserved legislative oversight, and a cost-neutral fiscal plan. Committee members raised substantial concerns about timing, constitutionality, voter expectations, and whether the proposal would actually improve student outcomes. Senator Cabaldon argued the change would effectively alter the meaning of the constitutionally created superintendent office during an election year without voter approval, and questioned whether governance restructuring has evidence of improving achievement or should instead yield savings. Other senators asked how the new structure would work in practice, who would be accountable if it failed, whether a governor-appointed commissioner was the best model, and whether local districts would truly see clearer lines of authority. Allen responded that the Legislature retains plenary authority over education, that the transition would be minimally disruptive, and that the proposal was designed to create a single line of management and clearer communication for local districts. The discussion also covered the Legislature’s role in curriculum and education policy. LAO staff explained that the Legislature has broad authority over education and can direct curriculum-related policy, though it has generally delegated detailed curriculum work to the State Board and the Instructional Quality Commission. Several senators said the current system already creates confusion for voters and local educators, while others argued the proposal adds another layer of bureaucracy and overpromises on results. No vote was taken at this hearing; members continued questioning witnesses and indicated the proposal would be examined further in later panels, including testimony from local education leaders.

Transcript Highlights:

• And you can see down at our screen-in percentages, for a very long time our screen-in percentage has
• But just for your information... ...all of the green, everything we screen out, is quality assured that
• If the screen-in percentage stays the same, then obviously it increases our workload.
• I authored HB 2480, now codified as ARS 8-5306, requiring random drug testing, screening of group home
• foster homes, and employees, mandating that drug screening results be submitted to the department within

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• Americans for the Arts, followed by Jolie Fisher, who’s the National Secretary-Treasurer for the Screen
• I mean, just look at the wonderful art form we've cultivated here on big screens and small screens alike
• They're screening several short films by young students, student films.
• They're screening several short films by young students, student films.
• Wang Gang Yo, who you see on the screen, was one of these immigrants.

Summary: The joint informational hearing focused on how recent federal actions are affecting arts, culture, humanities, libraries, museums, and the creative economy in California. Chair Ben Allen and Vice Chair Chris Ward opened by describing the hearing as a response to proposed and ongoing federal cuts to the NEA, NEH, IMLS, and public broadcasting, as well as grant terminations and leadership changes at cultural institutions. Several members emphasized the economic and civic importance of the arts, while one Republican member argued for greater ideological diversity in the arts and noted the loss of music programs in small schools. Testimony from Aaron Harky of Americans for the Arts and Jolie Fisher of SAG-AFTRA described the impact of federal policy on grants, jobs, and production. Harky said executive orders and the FY 2026 budget proposal threaten arts agencies and arts education, and that rescinded grants are causing hiring freezes, shutdowns, and losses for small organizations, especially in rural and underserved communities. Fisher focused on runaway film and television production, outdated tax rules, and the need for federal incentives, intellectual property protections, and action on AI and digital replicas. Members also discussed bipartisan support, the role of business and tourism partners, and the need to include more diverse voices in arts advocacy. The second panel featured Rick Noguchi of California Humanities, Greg Lucas of the State Library, and Danielle Purcell of the California Arts Council. Noguchi said NEH funding was cut immediately, putting California Humanities’ grantmaking and documentary programs at risk and prompting consideration of litigation and possible state support. Lucas reported that IMLS funding for California libraries was briefly canceled but partly restored, though a budget gap remains. Purcell said the California Arts Council is still awaiting federal award language for state partnership funds, but NEA grant terminations and the proposed elimination of federal cultural agencies create major uncertainty; she also said the council is assessing the damage and tracking impacts on grantees. Members asked about measuring outcomes, AI’s threat to creative work, documentary funding losses, and possible state and national strategies to protect cultural institutions and jobs.

Transcript Highlights:

• Oh, it's not on the screen. Hold on, members. Back up.
• The amendment was slow to come up on the screen, but it's up now.
• Oh, it's not on the screen. Hold on, members. Back up.
• We're waiting for the amendment to appear on the screen. Mr. Turner for what purpose?
• Yeah, the amendment was slow to come up on the screen, but it's up for now.

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• Amendment number two requires the Maryland Medical Assistance Program to provide coverage for screening
• <01:31:04.320> for provide coverage for screening for provide coverage for screening for perinatal
• a perinatal behavioral health screening a perinatal behavioral health screening program<01:31:38.800
• <01:31:41.720> a perinatal behavioral health screenings a perinatal behavioral health screenings
• as required under the health screenings as required under the original<01:31:59.920> text<01:

Keywords: House streaming session for Thursday, March 19, 2026, 957, house, all

Summary: The House convened with 122 members present, opened with prayer, and approved the previous day’s journal. The chamber then took up two congratulatory resolutions: one honoring Layla Wishard of Hagerstown for winning gold with Team USA at the Junior Roller Derby Association World Cup in Australia, and another recognizing Delores Millhouse as the 2026 Maryland Mother of the Year. Both resolutions were read and adopted with applause. The House then considered a series of committee reports, primarily from the Committee on Economic Matters, and advanced multiple bills to third reading after adopting committee amendments and favorable reports. Measures included consumer contract protections in House Bill 103, workers’ compensation presumptions for hypertension in House Bill 347, broadband access and affordability in House Bill 382, housing and land-use changes in House Bills 548 and 894, data privacy in House Bill 711, franchise law changes in House Bill 730, a blockchain-based real property title pilot program in House Bill 810, bankruptcy exemptions in House Bill 1098, and telecommunications infrastructure protections in House Bill 1100. Several bills drew questions and were special ordered for further review. House Bill 711, the Data Privacy Act, prompted extended discussion about whether its geolocation provisions could affect stadium and venue security tracking; the sponsor said the bill was intended to close loopholes around cell phone and vehicle location data and would not change existing permission-based rules, but the bill was still special ordered until the next day. House Bill 894, the transit-oriented development bill, also drew questions about local government concerns and was special ordered, with the floor leader saying county and municipal groups were generally satisfied with the amendments. House Bill 1100 was also taken up after the amendments were adopted, and the title amendment process began as the transcript ended.

Transcript Highlights:

• It was my job to make sure that all those products were processed and screened and all appropriate, what
• we call... ...were processed and screened and all appropriate, what we call good manufacturing practices
• It should be fair. were processed and screened and all appropriate what we call good manufacturing practices

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its fourth public hearing of the 2025-26 session on recognitions, definitions, and designations related to veterans. Chairs John Velis and Joseph McGonagle opened the hybrid hearing with housekeeping rules and noted the committee’s reporting deadlines. The hearing focused on several bills honoring veterans and military-related service, including H. 3825 to include reserve components in flag half-staff recognition for service members killed in action, S. 2499 to place a State House marker honoring three Medal of Honor recipients from the war on terror, S. 2498 to add Merchant Marine recognition at veterans cemeteries and the State House and create a Massachusetts merchant mariner medal, and H. 2500/S. 2500 to have Massachusetts fly the Honor and Remember flag for Gold Star families and fallen service members. A major portion of the hearing centered on H. 3871 and S. 2467, which would update the Commonwealth’s definition of “veteran.” Testimony came from the Office of Veterans Services, veterans organizations, Public Health Service and NOAA representatives, National Guard and Reserve veterans, and Gold Star advocates. Witnesses argued the current state definition is inconsistent with federal law and excludes some service members who should be recognized, especially members of the U.S. Public Health Service Commissioned Corps, NOAA Commissioned Officer Corps, reservists, and some National Guard members. Supporters said the bills would improve fairness, consistency, and access to benefits and services, while several speakers emphasized that service in uniform should be honored regardless of branch. Some testimony also urged a broader moral recognition of all who raised their right hand, while others focused on aligning state law with federal definitions and closing gaps in eligibility. Committee members asked questions about the practical and fiscal effects of broadening the definition, including how the proposed language would interact with existing federal standards and state benefit programs. Witnesses explained that the bills would remove the current 180-day and 90-day active-service calculations and instead recognize certain active service and six-year reserve or Guard commitments, though some members noted that this could create a broader state standard than the federal one. No votes or formal actions were taken during the hearing, and the committee concluded after hearing from the final witness and adjourning.

Transcript Highlights:

• And then we use assessment fees, which is what's on your screen.
• really great things we don't tell you about: disaster preparedness, public health reporting, newborn screening
• The witness continued that, because of EMTALA, hospitals must screen all patients and, if they have the

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• House Bill 433, this conference report relates to newborn screening and evaluation of disorders for inclusion
• requirement for VDH to establish a structured process for evaluating potential additions to the newborn screening
• It narrows eligibility to conditions with an available screening test and an FDA-approved treatment.

Keywords: March 14, 2026 - Regular Session Part 2, 976, house, all

Transcript Highlights:

• You only had one screen that you can see and therefore that material it was uncensored in the what we
• encouraging reading, getting off of your phone in participating in life rather than being stuck to your screens
• They actually want to read the LA and our library and screen books.

Transcript Highlights:

• The next item that we want to highlight is a proposal for $2.5 million for the background screening clearinghouse
• upon by eight different state agencies and over 100,000 providers and users to complete background screening
• The clearinghouse allows employers to manage requests and screening results and enables state agency

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• The next item that we want to highlight is a proposal for $2.5 million for the background screening clearinghouse
• upon by eight different state agencies and over 100,000 providers and users to complete background screening
• The clearinghouse allows employers to manage requests and screening results and enables state agency

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• And I'm just going to go by the screens I'm seeing up above. Representative Abel...
• So right now, what you're looking at on the screen right now, and I would have to say is you're probably
• One last one, David: the Spokane home, if that's built as you showed it on the screen, what's the capacity

Summary: The Joint Committee on Military and Veterans Affairs heard presentations on several military and veterans-related topics. Dr. Dan Calvert briefed the committee on the JBLM Sentinel Landscape Partnership, explaining its voluntary conservation work to reduce encroachment around the base by protecting prairie habitat, supporting agriculture, and managing sensitive species. He described REPI funding, recent and proposed projects, and possible policy support such as state designation, dedicated funding, management endowments, prescribed fire flexibility, and water-right transfer tools. Members asked about seed sourcing, the distinction between natural-resource encroachment and development-related encroachment, and the impact of federal REPI staffing cuts. David Puente of the Washington State Department of Veterans Affairs updated the committee on plans for a new state veterans cemetery in the Tri-Cities area and a replacement Spokane Veterans Home. He said the cemetery project has two candidate sites near Richland/West Richland, with pre-design funded by the legislature and a future request expected for land purchase and construction; he also noted the current cemetery funding source is limited and would not support a second cemetery without additional state operating funds. On the Spokane home, he described the current facility’s limitations and said the replacement would be a 120-bed, small-house model on a larger site, with the VA expected to cover 65% of construction costs if the state provides the match. He also reviewed agency budget reductions, including vacant positions, reduced outreach, cuts to counseling and wellness funding, and reduced support for veterans service organizations. Blue Star Families’ Puget Sound chapter also presented on its programs for military-connected families, including Coffee Connects, a children’s book club, outdoor programming, career support, and Blue Star Welcome Week. The group said it is expanding beyond the South Sound and is using local outposts and online networks to reach more families, while also helping with food insecurity through grocery gift cards and partnerships with local nonprofits. Committee members discussed the need to expand the organization statewide and the ongoing food-security challenges facing military families. During the final discussion on potential legislation, members raised ideas including restoring Washington National Guard retention efforts, expanding E-CAP eligibility to military families, revisiting the composition of the Veterans Affairs Advisory Committee, and addressing veterans’ preference issues for service members who have not yet received a DD-214. The committee did not take any formal votes or actions, but members and presenters discussed future policy and budget requests, and the chairs thanked the presenters and staff before adjourning.

Transcript Highlights:

• eligibility and compliance checks that will be coming, allowing for a higher volume of on-site screenings
• You know, this is a blue screen, and it's ancient—back from the late 80s, I believe, or maybe early 90s
• I visited counties and tribal nations, and I got to see the very same green screens that you're talking

Transcript Highlights:

• procedures and also, you know, the savings that can happen from... you know, performing, you know, screening
• about what they're voting on, it's just we want to see the balance there. like some sort of a cancer screening
• for instance a cancer patient it may take up to a month to get insurance to agree to any kind of a screening

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• As you see on the screen, Florida is a leader in computer and electronics, manufacturing, life sciences
• By far as you can see on the screen for every 100 durable goods, manufacturing jobs, 744 other indirect
• When you look at the screen, you'll see that Florida manufacturers export more than the nation's average

Keywords: 999, senate, all