Transcript Highlights:

• Senator may move to discharge from the Committee on Rules.
• Senator Salazar moves to discharge from the Committee on Rules.
• Senator Maine moves to discharge from the Committee on Rules.
• Senator Bailey moves to discharge from the Committee on Rules, Assembly Bill Number 9476, substituted
• It is to provide oversight of correctional facilities.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, adopted the resolution calendar, and heard an introduction welcoming the parents of Detective Wenjun Lu, with remarks honoring their family’s sacrifice and service. The chamber then proceeded through a lengthy reading of the calendar and passed a series of bills, most by wide margins, covering topics including social services, labor, insurance, mental hygiene, county law, education, financial services, criminal procedure, executive law, general business law, tax law, and powers and trusts law. Several measures were passed unanimously or with only one or a few dissenting votes, while others drew larger partisan splits. The main floor debate centered on Calendar 44, Assembly Bill 9516, a Correction Law bill expanding the membership of the State Commission of Correction from three to five and adding qualifications for certain appointees, including a former inmate and a health care, legal, or policy professional. Senator Murray argued the bill should require victims’ rights experience and said the criminal justice system should not ignore crime victims; Senator Salazar responded that the commission’s oversight role is focused on correctional facilities and that the bill does not exclude anyone with victims’ experience. Senators Rivera and Martins also explained their votes, with Rivera supporting the bill as part of a more rehabilitative approach and Martins opposing it, citing high recidivism and public safety concerns. After debate, the bill was restored to the non-controversial calendar and passed. The Senate then completed the remaining calendar items and adjourned until Thursday, January 29 at 11 a.m.

Transcript Highlights:

• First, modernizing our facilities, the slide's first bullet.
• The logistics facilities, Mr. Chair, we're short about 22,000 square feet.
• There was no public comment, so we have new rules in place.
• There was no public comment, so we have new rules in place.
• So our rules were not meant to be stricter.

Bills: S0048

Keywords: housing, accessory dwelling units, affordable housing, local government, zoning regulations, military families, density bonus, homeownership, property taxes

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard presentations on the Governor’s recommended budget for fiscal year 2026-27 and then considered one bill, CS/SB 48 on accessory dwelling units (ADUs). The Governor’s office outlined a $117.4 billion overall budget, with transportation and economic development receiving about $18 billion statewide and $601 million in general revenue. Agency heads then presented priorities for Commerce, Highway Safety and Motor Vehicles, Military Affairs, State, Transportation, Emergency Management, and the Florida State Guard, emphasizing workforce development, housing, tourism marketing, aviation and space infrastructure, law enforcement recruitment, emergency preparedness, and military readiness. In the Commerce presentation, Secretary Kelly highlighted funding for housing programs, the Hometown Heroes program, the Florida Job Growth Grant Fund, rural infrastructure and workforce grants, Reconnect and Florida WINS systems, law enforcement and firefighter recruitment bonuses, defense support, Visit Florida, Space Florida, and SelectFlorida. Senators asked about Visit Florida’s private match requirements and whether the agency fully leveraged prior appropriations; Visit Florida’s CEO said the match was met and exceeded, though it is difficult but important. The Highway Safety and Motor Vehicles presentation focused on trooper pay, pursuit vehicles, aviation assets, and enterprise data systems, with questions about immigration enforcement and body cameras. Military Affairs requested funding for readiness centers, training facilities, education and health benefits for Guardsmen, and maintenance of existing armories; members discussed Guard deployments, staffing levels, and a proposed firing range project. The Department of State requested funds for automated election audits, a conservation lab, and historic preservation, and defended its arts grant process and rule changes. Transportation’s budget emphasized a $14.3 billion work program, road and bridge maintenance, aviation and aerospace, safety initiatives, and seaport investments, while Emergency Management requested funding for preparedness, flood mitigation, WebEOC, grants management, and alert systems; senators also asked about the Alligator Alcatraz detention facility. For CS/SB 48, Senator Gates explained that the bill would require local governments to allow property owners to voluntarily create ADUs, while preserving local authority over setbacks, construction, and permitting. An amendment removed reusable tenant screening reports and clarified that conforming ADUs would be allowed by right without a separate hearing. The Florida Restaurant and Lodging Association supported the bill, saying ADUs could help provide long-term housing for service workers. After questions about local government and HOA authority, the committee adopted the amendment and then reported CS/SB 48 favorably by roll call vote.

Transcript Highlights:

• > care older adults as well as um facility care older adults as well as um facility care for<00
• <00:16:06.519> waivers the long-term care facilities waivers the long-term care facilities
• programs um or even nursing facilities programs um or even nursing facilities we<00:32:15.880>
• <00:43:26.680> sector Nursing Facility sector Nursing Facility sector um<00:43:28.040>
• average depends on the type of facility average depends on the type of facility and<00:59:21.520

Keywords: 1187, senate, all

Transcript Highlights:

• So that the rule making process takes.
• Typically, we have chapters of rules.
• [snorts] So that's one piece the rules.
• Again, so much of it is contingent on that rules process and then enough time after the rules are adopted
• enough time after the rules are then enough time after the rules are adopted<00:22:39.760> for

Keywords: 1189, house, all

Summary: The committee first approved the minutes from its October 3 meeting unanimously. It then reviewed follow-up status on prior performance audits, beginning with the Department of Corrections’ sex offender treatment program. DOC said all audit items from the 2016 review were resolved except one related to tracking benchmarks, progress, and recidivism. Officials explained that a new offender management system, Chorus, was recently implemented but has had rollout problems affecting operations, including restitution checks, and that they hope the system will be stable enough within about six months to begin tracking the needed metrics. Members asked about treatment inside prison and after release; DOC described in-prison treatment, parole aftercare, probation and parole oversight, administrative restrictions, and reassessment if conditions are not met. The committee next heard from OPLC on the Real Estate Commission audit. OPLC reported that all but one finding is substantially or fully resolved, with the remaining issue involving review of applicants’ adverse financial history and liabilities. The delay is tied to ongoing rulemaking, and OPLC said the commission is amending its criteria and integrating universal application procedures into board rules. The office estimated substantive completion by March 2027, with rule filing expected sooner. The committee then took up the Board of Pharmacy audit, where OPLC said most findings remain partially resolved because the board is in the middle of a major rule overhaul and a new licensing software project. Officials described a shift toward a compliance bureau and more routine, risk-informed inspections, rather than inspections driven only by complaints, and said updated manuals and forms will follow the new rules and technology. Finally, the Legislative Budget Assistant reported on ongoing audits. For special education, staff said they are writing the report, have 25 completed observations, and have expanded to 70 identified observations, with a full draft expected in the first quarter of 2026 and a final report by summer 2026. For education freedom accounts, 40 observations have been identified, 15 finalized, and a draft is expected by midspring with a fiscal committee presentation in summer. For the Doorway program, the audit plan was finalized with DHHS help, financial activity was isolated, fieldwork is expected to finish by Thanksgiving, and a draft report is planned for January or February 2026, with a final report by March or April 2026. The committee discussed scheduling its next meeting for February 6 at 10 a.m. and emphasized the value of follow-up on older audits; the meeting adjourned after members agreed the follow-up process should continue.

Transcript Highlights:

• <00:20:50.640> um, the tariff as well as in the rules um, the tariff as well as in the rules
• the new rules? the new rules?
• um due to the fact that House rules um due to the fact that House rules require<02:04:35.599>
• Uh one of the facility in Penrook.
• <05:14:05.840> We're like that to the facility. We're like that to the facility.

Keywords: 1189, house, all

Transcript Highlights:

• DTSC can shut down a facility that poses a danger to the surrounding community, and requiring facilities
• Why is it that this facility gets to be so close to homes and schools?
• of the solid waste facilities.
• It's dangerous for workers to be around a non-compliant facility.
• Let's go ahead and call the rule.

Keywords: 988, house, all

Transcript Highlights:

• This is the facility that is covered.
• Senator Harrell confirmed that if an entity is located, or co-located, at an airport or at a facility
• This bill seeks to clarify the rules for the storage of electric vehicles in towing yards.
• It also is recognizing the recent Florida State Fire Marshal has adopted a rule, 69A, related to the
• . ...essentially limit maybe what their capacity could be to adhere to these rules.

Summary: The Transportation Committee met with a quorum and first took up SB 1362 on advanced air mobility. Senator Harrell described the bill as creating a framework for vertiports and eVTOL operations, including DOT oversight, vertiport licensing, preemption of local design and operational regulation, and limited liability protections. An amendment was adopted that removed the bill’s sales tax exemptions and narrowed the sovereign immunity language so it would apply only to vertiports co-located at airports, aligning the bill more closely with the House companion. Supporters from eVTOL companies praised Florida’s leadership and the regulatory clarity, while the Florida Justice Association urged caution about extending immunity to unproven entities. The committee then reported the bill favorably. The committee next considered SB 260 on storage and cleanup of electric vehicles after crashes. An amendment narrowed the bill to EVs with visible battery or battery-compartment damage or saltwater submersion, clarified that the fee applies to storage rather than towing, and tied the proposal to existing fire marshal rules requiring damaged EVs to be stored away from structures. Insurance and rental-car industry representatives supported the narrowed approach but asked for more data reporting, clearer limits on cleanup language, and safeguards against overcharging or cost shifting. The bill was debated as a response to the space and safety burdens placed on tow operators, and it was reported favorably after amendment. The committee also approved SB 1352, which creates a secure online portal for license plate seizure/confiscation processing, allows disabled veterans to retain their DV plate alphanumeric designation, authorizes immediate issuance of DV plates by tax collectors, bans license plate covers/overlays that obscure plates, and routes online driver license/ID renewals to the customer’s county tax collector with service fees remitted accordingly. SB 1370 was reported favorably as well; it closes a loophole so drivers who never had a license can still be treated similarly to suspended-license offenders for habitual traffic offender purposes after repeated offenses. Finally, the committee considered SB 1220, FDOT’s transportation package, which included updates to trail prioritization, SunTrail materials and sponsorships, seaport and airport resilience planning, drone delivery and personnel delivery device provisions, LiDAR coordination, turnpike toll programming changes, and felony penalties for damaging autonomous vehicles. An amendment removed some provisions, including digital driver license authorization and the rapid rail transit compact, and added advanced air mobility corridor language and an FDOT study on alternative-fuel revenue impacts; after support from several stakeholders, the committee reported the bill favorably and adjourned.

Transcript Highlights:

• A nuclear facility is a quiet operation.
• A nuclear facility is a quiet operation.
• Same rules, same regs. Our families live here.
• You got to see a lot of the EERC facility today.
• You got to see a lot of the EERC facility today.

Summary: The committee met in Grand Forks, approved the February 26 minutes by voice vote, and recessed for a tour of Minnkota Power Cooperative before hearing presentations on large energy consumers and related infrastructure issues. The first presentation, from the North Dakota Transmission Authority, focused on the need for better local decision-making tools for counties, townships, and planning and zoning boards facing major projects such as transmission lines, pipelines, data centers, wind, solar, and large-scale agriculture. The speaker urged more objective, data-driven analysis, noted that local officials often have limited time and resources, and said the state should support training and tools through groups like the League of Cities and the Association of Counties. Members asked about proactive outreach, data center ordinances, and how to avoid subsidizing large loads or causing reliability problems. The Division of Air Quality then discussed environmental oversight of data centers, emphasizing that North Dakota’s air remains among the cleanest in the country and that the agency’s role is limited to air, water discharge, stormwater, and waste—not zoning or water use. The presentation explained that data centers generally have low direct emissions but may rely on diesel backup generators when the grid is unavailable, which creates air-quality concerns; the department said it is requiring air monitors at some projects to collect real-world data and guide future decisions. Members asked about generator emissions, misinformation, monitoring costs, and staffing succession, and the agency said permit applicants pay for the monitors while the state handles some QA work. The Department of Water Resources followed with an overview of North Dakota water law and data center water use. The director explained the state’s prior-appropriation system, the public-interest review for permits, and the large overall water supply available from groundwater and the Missouri River. He said most proposed data centers use closed-loop cooling systems and generally request relatively small amounts of water compared with other uses such as power plants, irrigation, and oilfield operations, and that even a worst-case data center scenario would use only a tiny fraction of Missouri River flow. Questions focused on downstream impacts and comparisons to fracking water use, and the director said the state’s use is too small to materially affect downstream users. Later, McLean County State’s Attorney Ladd-Erickson testified online about data center zoning and permitting. He asked the committee to have Legislative Council gather information on how other states handle data center permitting and to keep the topic on the interim agenda. He argued that local zoning should remain local, but said counties lack the technical and legal resources to manage complex reclamation or bonding requirements and that state-level enabling legislation may be more appropriate. He also recommended eliminating tax incentives for data centers. The committee chair said staff would prepare a document on other states’ zoning and permitting approaches. After a lunch recess, the committee reconvened at the EERC, where CEO Charles Gorecki gave an overview of the center’s 75 years of work and its role in oil and gas, carbon management, and other energy technologies, highlighting enhanced oil recovery and carbon dioxide utilization as major opportunities for future production and tax revenue.

Transcript Highlights:

• Witnesses today, under House Rule 4, Section 13, are subject to the same rules of decorum that govern
• They don't have ordinance-making abilities like city councils or some home rule cities.
• I'm assuming that this would be for more than one facility; this would be for all facilities within the
• Over the past year, our facilities have experienced over 2 million visitors coming.
• as a safety net facility.

Bills: HB334, HB583, HB605, HB1327, HB1646, HB2115, HB2379

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, fencing, reservoirs, local government, regulation, land use, conservation capacity, property regulation, fence regulation, reservoir safety, county authority, fencing regulations, counties

Transcript Highlights:

• That rule has a second part.
• That rule has a second part.
• That rule has a second part.
• That rule has a second part.
• That rule has a second part.

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• The adequacy standards are not intended for new facilities to be minimized.
• , because that's not the point of the rules.
• A longer-term conversation about facilities and how we use the rules we have and the guidelines to this
• I am the Facilities Manager and the Director of the School for the Deaf.
• We did receive a request for a pre-K facility or reserve.

Transcript Highlights:

• There are ways we could tweak rules There are ways we could tweak rules to<00:10:30.760> allow
• change the IHS rules. change the IHS rules. Senator<00:16:07.440> Wicklund.
• services in assisted living facilities services in assisted living facilities and<00:20:34.320><
• rules surrounding them. rules surrounding them.
• ,<00:49:57.160> or services with an agency, facility, or services with an agency, facility

Keywords: 1187, senate, all

Transcript Highlights:

• We apply these rules consistently to all people who participate in our proceedings, regardless of the
• And the rules for today's hearing are the following: no talking or loud noises from the audience.
• Please be aware that violations of these rules may be subject to removal or other enforcement actions
• are not considered logistics use facilities and therefore not subject to AB 98.
• Facilities represent a tremendous opportunity for economic growth in many of these areas.

Summary: The committee hearing began with housekeeping rules, including limits on public comment and a reminder that testimony would be in person, with written testimony accepted through the committee portal. One agenda item, SB 423 by Senator Gonzalez, was pulled, and the committee then took up SB 415 by Senator Reyes, a cleanup bill related to last year’s AB 98 warehouse and logistics facility law. The author explained that SB 415 would clarify that manufacturing facilities are not treated as logistics use facilities, give local governments more time to update truck routes and circulation elements, provide safe-harbor language for good-faith compliance efforts, exempt cities with no logistics facilities from certain circulation updates, and allow truck routes to be established by ordinance outside warehouse concentration zones. Testimony on SB 415 was largely supportive. Supporters included the American Planning Association, California State Association of Counties, Rural County Representatives of California, League of California Cities, California Business Properties Association, International Warehouse Logistics Association, California Grocers, California Business Roundtable, Pacific Merchant Shipping Association, and others, who said the bill would make AB 98 more workable and provide needed implementation flexibility, especially for local governments and rural areas. One opponent argued the bill would still harm rural counties, reduce economic development opportunities, and eliminate high-paying jobs tied to warehouse and logistics construction and operations. CalChamber supported the cleanup provisions but raised a process concern about a separate bill and the broader negotiation process around related policy. The author and committee chair closed by emphasizing the year-long negotiations and the intent to balance community, environmental justice, and industry concerns while improving implementation of AB 98. The committee then voted to pass SB 415 on a 10-0 vote, and the hearing was adjourned.

Transcript Highlights:

• House Bill 527, supplemental appropriation to the Department of Health Facilities.
• Engrossed House Bill 527, supplemental appropriation to the Department of Health Facilities.
• Engrossed House Bill 527, supplemental appropriation to the Department of Health Facilities.
• Having voted affirmative, I declare the constitutional rule dispense with.
• I declare the constitutional rule dispensed with. The clerk will read the bill.

Keywords: 994, senate, all

Summary: The Senate met with prayer, the Pledge of Allegiance, journal approval, and numerous introductions of pages, guests, and visitors, including a large McDowell County Day delegation. The chamber also adopted Senate Resolution 66, designating March 14, 2026, as McDowell County Day at the Legislature, with remarks highlighting the county’s history, resilience, and economic importance. On legislation, the Senate rejected House amendments to Senate Bill 493 on open captioning for motion pictures and asked the House to recede. It then took up and passed Senate Bill 587, adjusting the salary schedule for elected county officials, after adopting an amendment restoring county control over future pay increases; the bill was made effective July 1, 2026. The Senate also received a gubernatorial executive message containing 76 nominations and set consideration of those nominations as a special order for 4 p.m. The Senate quickly advanced and passed several supplemental appropriation bills, all by unanimous 34-0 votes and made effective from passage: House Bill 527 for the Department of Health Facilities and three hospitals; House Bill 528 for the Department of Agriculture’s spay-neuter assistance fund; House Bill 5307 for the Department of Tourism, Division of Culture and History; Committee Substitute for House Bill 5317 for the Division of Natural Resources; and House Bill 5694 for the Department of Education, which removed unnecessary budget language. The chamber then recessed for 30 minutes.

Transcript Highlights:

• Each local delegation operates according to its own internal rules.
• A delegation may choose to adopt the relevant portions of the House rules to govern meetings.
• Many delegations have adopted rules requiring proposed local bills...
• This includes certifying that the bill complies with House Rule 5.5A, which means that the...
• So, as you mentioned, certain delegations have different rules.

Summary: The Intergovernmental Affairs Subcommittee heard and passed two measures before receiving a staff presentation on the local bill process and local delegation meetings. HB 4007, by Rep. Snyder, would cap reimbursement for certain inmate emergency medical services in Martin County at 110% of the Medicare rate, with a higher cap if a provider shows it is operating at a loss. Snyder said the bill is intended to create predictability and save taxpayer dollars; members asked about fiscal effects and whether other counties could adopt similar language. Public testimony came in support from Martin County and related local officials, and the bill was reported favorably by a 17-0 vote. The committee also passed HM 4005, by Rep. Daly, which urges Congress to increase Florida National Guard force structure. Daly argued Florida’s troop allocation is outdated and inadequate for the state’s population and disaster demands, contributing to burnout and recruiting problems. Members asked about the basis for the current allocation, possible budget and infrastructure impacts, and the National Guard’s needs; there was no opposition or public testimony, and the memorial was reported favorably by a 17-0 vote. After the votes, Reps. Holcomb and Kendall gave a detailed presentation explaining how local bills differ from general laws, constitutional limits on local legislation, required local delegation meetings and notice, certification and economic impact forms, and amendment procedures. Members asked several process questions, including about multi-county delegations and Miami-Dade’s special status. The meeting ended with a few recognitions and adjournment before session.

Transcript Highlights:

• 24(c), 35, 41(b), and 42(e) of the Uniform Rules of the Alaska State Legislature concerning House Bill
• House Concurrent Resolution 301 by the House Rules Committee, suspending Rules 47 and 55 of the Uniform
• Rules of the State Legislature relating to the carryover of bills into a special session.
• Confidentiality rules for AGDC are narrower than the House version.
• House Bill 3001, by the House Rules Committee, by request of the Governor, entitled: An act relating

Keywords: 905, all

Transcript Highlights:

• So, with that, member from Poultney, can you please offer us a motion to suspend our rules to take up
• Madam Speaker, I make a motion to suspend rules in order to take up off the notice calendar for immediate
• These facilities also require millions These facilities also require millions of gallons of water to
• They're important for some of our facilities, our health care facilities, for running government.
• We couldn't We couldn't get an Amazon distribution facility developed here in the state.

Keywords: 926, house, all

Transcript Highlights:

• But it's a unique facility.
• this facility.
• Develop mental health treatment facilities on campus.
• Develop mental health treatment facilities on campus.
• He was transferred to a residential facility.

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• Paula Stone, talk about the emergency rule on hospital-based residential treatment.
• This is an emergency rule that was heard by ALC last week.
• And does Medicaid not pay, like, in each other type of treatment facilities, the private type facilities
• You have already approved our rule overall for electronic visit verification.
• This rule will help with that.

Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling. The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor. No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.

Transcript Highlights:

• <00:15:10.160> around specifies very particular rules around specifies very particular rules
• Hospitals are charged per bed, while other facilities are charged per facility.
• facilities am I not on Health Facilities facilities am I not on Health Facilities by by by right
• I think facilities is up next, and I don't see a PowerPoint for the facilities.
• facility operations.

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.