Transcript Highlights:

• We have pretty much lost control of the border as it relates to the military.
• And don't wait for a retainer from the Border Patrol.
• Long before Donald Trump started talking about border control, Montgomery County.
• Referred to border control as the border between Montgomery County and Harris County, and so we would
• It is known that border communities have lower violent crime rates than non-citizens. border communities

Bills: SB9, SB1047, SB1048, SJR17, SJR49, SB40, SJR1, SJR5, SB 9, SB 40, SJR 1

Keywords: bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, criminal procedure, public safety report, victim notification, family violence, bail bonds, public funds, political subdivision, injunction, taxpayer rights, violent crimes, sexual offenses, community safety, constitutional amendment, trafficking

Transcript Highlights:

• I am the Deputy Securities Commissioner of the Texas State Securities Board.
• Choa, there's a test about what type of security, what is the security?
• -Mexico border.
• security operations.
• security operations.

Keywords: 1185, senate, all

Transcript Highlights:

• purview of the Arizona Health Care Cost Containment System and the Arizona Department of Economic Security
• purview of the Arizona health care cost containment system and the Arizona Department of Economic Security
• House Bill 2728 continues the Arizona Department of Economic Security for four years.
• from the state general fund to the Department of Public Safety in fiscal year 2027 to provide local border
• from the state general fund to the Department of Public Safety in fiscal year 2027 to provide local border

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• Y'all are trying to secure Republican House seats because the tables are turning.
• The actions of the Texas legislature to follow the demands of the federal DOJ just to... to secure the
• With respect to the border, I agree.
• The claim that the deficit, fentanyl, and border justify the requested outcome cannot be sustained.
• It goes all the way directly to the borders of Louisiana and to the east of the state. What a mess.

Keywords: 1185, senate, all

Transcript Highlights:

• It offers a secure, ad-free learning environment free from misinformation and harmful content, and supports
• It offers a secure<00:08:52.240> ad-free<00:08:52.959> learning<00:08:53.360> environment
• <00:08:54.000> free secure ad-free learning environment free secure ad-free learning environment
• We're located in North Central Minnesota, two and a half hours away from the east and west borders of
• Minnesota, an hour and a half south of the Canadian border, and four and a half hours north of St.

Keywords: 1187, senate, all

Transcript Highlights:

• Transparency and voter security are not mutually exclusive, but this... Voters.
• We're not talking about Social Security data.
• We're not talking about Social Security data. We're not talking about restricted data.
• We secured... ...when federal cuts threaten access all across our state.
• We secured $66 million in critical funding for our public schools.

Summary: The House convened, opened with prayer and the Pledge, approved the journal, and welcomed several guests in the gallery, including a high school student and an advocate connected to the domestic violence bill HB 2995. The chamber then moved through multiple Committee of the Whole calendars, first advancing HB 4155, HB 4156, and HB 4157, then HB 4164, HB 4165, and HB 4166, all with do-pass recommendations and no substantive amendments on those calendars. Later, the House also considered SB 1326, a victims’ rights measure, adopted a floor amendment, and reported it out as amended. The House corrected an earlier clerical error regarding HB 4155-4157 being referred to engrossing rather than third reading. The House then took up a long series of final passage votes on Senate bills. SB 2174, SB 2611, SB 1011, SB 1012, SB 1016, SB 1018, SB 1038, SB 1039, SB 1040, SB 1053, SB 1055, SB 1057, SB 1060, SB 1061, SB 1068, SB 1069, SB 1075, SB 1100, SB 1113 on reconsideration, SB 1160, and SB 1170 all passed. SB 2873, SB 1004, SB 1009, SB 1042, SB 1043, SB 1049, SB 1093, and SB 1143 failed. SB 2995, the emergency family-law/domestic-violence bill known as the Alec and Lydia Act, passed with the required two-thirds vote after extensive debate; supporters said it would better protect children and clarify judicial standards, while opponents argued its definitions were overly broad and could harm families. SB 1018 on foreign laws also drew extended debate over Sharia law, with supporters framing it as a defense of American values and opponents calling it unnecessary and discriminatory. Several votes included explanations focused on policy concerns. SB 1004 on sex-offender registration and monitoring drew debate over whether electronic monitoring is effective. SB 1040 on voter registration transparency prompted arguments over public access to voter rolls versus privacy and security. SB 1118 on municipal zoning and historical homes was debated as a property-rights and local-control issue, with supporters saying it could help preserve affordable housing and opponents warning it would override local decisions. The House also adopted motions to reconsider prior actions on SB 1043 and SB 1100, and it requested the Senate return SB 1552 for reconsideration. The session ended with the House still processing additional Committee of the Whole business, including HB 4158, HB 4159, HB 4160, HB 4161, HB 4162, and HB 4163, with HB 4162 and HB 4163 receiving floor amendments and do-pass recommendations.

Transcript Highlights:

• <00:43:16.240> attacks<00:43:17.520> uh security attacks uh security attacks uh fuel<00
• <00:47:02.560> water can still come to our uh border water can still come to our uh border
• water supply, just speak for >> for border water supply, just speak for the<00:50:40.000> border
• Uh given the the border water supply.
• Quick follow, Mark. secured solely by all real property secured solely by all real property taxes<01:

Bills: SB2190, SB2338, SB2424, SB2356, SB2981, SB3028, SB3187, SB2378, SB2398, SB2192, SB2155, SB3219, SB3218

Keywords: affordable housing, employment contracts, salary caps, housing finance, public housing authority, executive compensation, parking minimums, off-street parking, transit-oriented development, TOD, housing supply, smart growth, redevelopment, adaptive reuse, micro units, rail transit, public transit stations, county zoning, land use, urban planning

Summary: The House Housing Committee heard testimony on a series of housing-related Senate bills. SB 2190 SD2 on inclusionary zoning drew support from HHFDC, Hawaii YIMBY, Grassroot Institute, Housing Hawaii’s Future, and Hako Seed Center, with opposition from OHA and Aloha Independent Living Hawaii. SB 2338 SD1, dealing with housing agency personnel authority, received comments from the Attorney General cautioning that the bill should be clarified to avoid conflicts with civil service and collective bargaining laws and recommending removal of a provision limiting employment contracts; HHFDC said its comments addressed those concerns and supported the measure. SB 2424 SD1, concerning HHFDC, received broad support from housing, business, and community groups, with one opposition. Testimony focused on changing the definition of “qualified resident” so people who already own an HHFDC-assisted unit could later purchase another if their housing needs change; HHFDC said the current rule forces people to sell before buying again and that the bill would help people move up the housing ladder and encourage more housing development. SB 2356 on parking also drew broad support from state agencies, housing advocates, business groups, and local officials, with Unite Here Local 5 in opposition. SB 2981 on land use had strong support from many organizations and 67 individuals, with Unite Here Local 5 opposing. SB 3028 SD2 on property conveyance generated the most detailed policy debate. Supporters, including Catholic Charities Hawaii, Hawaii Children’s Action Network, Indivisible Hawaii, and others, backed restructuring the conveyance tax into a marginal rate system and urged changes to revenue allocations, including dedicated funding for homeless services, DHHL, and the rental housing revolving fund. The Tax Foundation of Hawaii supported the marginal-rate concept but opposed dedicated special-fund allocations and criticized the bill’s blank sections. Committee members questioned the historical purpose of the conveyance tax, and the Tax Foundation explained it was originally a modest tax tied to property-value tracking when the state still ran the property tax system. The committee also heard SB 3187 SD2 on off-site construction, SB 2378 SD2 on housing permitting, and SB 2398 SD2 on residential housing utilities. OPSD supported SB 3187 but said it preferred the House version and wanted clarification that off-site certification should apply to factories in Hawaii, not out of state, to avoid outsourcing labor; it also suggested starting with a small scope. SB 2378 SD2 drew support from engineering, housing, and labor groups, with testimony that the House version included needed fixes to make the program insurable. On SB 2398 SD2, the Board of Water Supply opposed the bill, saying it could require disclosure of sensitive infrastructure information beyond ordinary water-availability assessments and raise critical-infrastructure and cybersecurity concerns; developers and housing groups supported the measure. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• While that is one way to limit water use, the reality is that water crosses town and city border lines
• We're a year into the permitting process, and we finally secured enough permits.
• I'm Bill Zinney from the town of Hardwick, which borders the east side of the Quabbin Reservoir.
• So we ask: what is securing the purity? What is securing the purity?
• Yet towns protecting that right, What is secure, so we ask, what is securing the purity of the Quabon

Keywords: 995, all

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• about someone who lives across the Line that isn't working in Oklahoma but they live right on the border
• He's wanting this, and this is a business owner in a border town in rural Oklahoma.
• basically drying up, this brings people in to our state, spending money in the small towns along these border
• If it's going to be over 200 personnel, how what would be the increase of prison security personnel that

Bills: HB2947, HB3257, HB3264, HB3834, HB3940, HB3944, HB3979, HB4003, HB4118, HB4326, HB4346, HB4421

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, veterans, disability benefits, federal law, Oklahoma Statutes, military service, criminal justice, minimum sentences, parole eligibility, violent crimes, Oklahoma statutes, HB3834, Oklahoma Breakthrough Therapy Act, ibogaine, ibogaine-based therapeutics, ibogaine analogs

Transcript Highlights:

• Jill Dixon and Katie Anderson so that we can discuss food banks and food security efforts across the
• There are over 500 partners in the Food Security Network. Of New Mexico.
• There are over 500 partners in the Food Security Network that are led by those five food banks in those
• local, private sectors—do you see as the most critical in the next two to five years to make food security
• Border Patrol Training Academy and the Indian Police Academy where all cadets receive their basic training

Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.

Transcript Highlights:

• Give us the resolve to act on the climate crisis, to secure clean air and water, and to defend the most
• Give us the resolve to act on the climate crisis, to secure clean air and water, and to defend the most
• Arizona aerospace industry is a powerful and reliable engine of employment, innovation, national security
• Senate Bill 1365 is further referred to the Committee on Military Affairs and Border Security.
• And so, for example, there's a place up near the border of Arizona and New Mexico.

Keywords: 1182, all

Summary: The Senate opened with prayers, the Pledge of Allegiance, a journal approval, and a series of guest introductions recognizing groups at the Capitol for Environmental Day, Women’s and Reproductive Health Day, Arizona Nurses Day, Aerospace Day, and International Mother Language Day, along with a Doctor of the Day and a judicial proclamation honoring Justice Daphne Barak-Erez. The chamber also made temporary committee appointments and referred several bills between committees before moving into Committee of the Whole and later third reading votes. The main floor action centered on several SNAP-related bills. SB 1002, dealing with public assistance verification, passed the Committee of the Whole after a Kavanagh floor amendment and then passed third reading 17-9-13, with supporters saying it targets fraud and lowers error rates and opponents arguing it duplicates existing checks, adds bureaucracy, and could harm eligible families. SB 1331, on SNAP military employment and training, SB 1333, on SNAP error-rate audit and penalties, SB 1334, on SNAP work requirement waivers and exemptions, and SB 1368, on SNAP purchase restrictions, all advanced from Committee of the Whole and then passed third reading by the same 17-13 margin, with Democrats and some others warning they would increase hunger, burden rural and tribal communities, and restrict access, while supporters said they promote work, accountability, and healthier choices. The Senate also considered SB 1638, a tax conformity bill. A Sundareshan floor amendment to narrow the bill to standard deduction conformity was debated at length, with supporters saying it would protect most taxpayers from filing confusion and limit revenue loss, and opponents arguing it removed other agreed-upon tax provisions and still left uncertainty. The amendment failed 17-13, the Finance Committee amendment was adopted, and SB 1638 then passed as amended. Finally, SCR 1011, a concurrent resolution calling for a federal constitutional convention on congressional term limits, received a do pass recommendation and passed the Committee of the Whole.

Transcript Highlights:

• The 126th MP Company based out of Las Cruces will deploy to the southern border this fall.
• President, will be training at Fort Bliss supporting the Department of Homeland Security.
• National security threats. These deployments, Mr.
• , whether combating terrorism, sustaining operations, or securing the border.
• The border, or by the way, being here at home, Mr.

Transcript Highlights:

• as part of our state energy security as part of our state energy security planning<00:04:17.239>
• The federal security activities.
• popping in and out of the on border popping in and out of the on border states<00:06:36.760>
• work is really about energy security work is really about energy security planning<00:09:58.200>
• and provides energy security. and provides energy security.

Keywords: 1187, senate, all

Transcript Highlights:

• Trunk Highways 36 and 120 included in this filing lies at the nexus point for several agencies, the borders
• Trunk Highways 36 and 120 included in this filing lies at the nexus point for several agencies, the borders
• We continue to work with MnDOT and Hennepin County to secure full funding for the project.
• <00:09:04.640> full<00:09:04.880> funding and hen County to secure full funding and
• So we know the project needs significant resources, which won't be easy to secure.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, yeah, so the border states.
• Uh yeah, so the border >> Thank you.
• <00:59:30.640> illegally, includes crossing the border illegally, includes crossing the border
• <01:01:16.240> and people that just cross the border and people that just cross the border
• As [snorts] of Homeland Security.

Bills: HF3432, HF3411

Keywords: resident tuition, employment, higher education, Minnesota, tuition rates, state universities, immigration status, immigration, postsecondary education, privacy, data access, federal officers, 1183, house

Transcript Highlights:

• <00:36:22.200> water<00:36:22.560> security are essential to a secure water security
• are essential to a secure water security for<00:36:23.760> our<00:36:24.079> future<00
• because that's the basis of why border because that's the basis of why border of<00:38:04.240>
• says here are the spots where the border says here are the spots where the border of<00:54:55.880
• sensitive to all the concerns Border sensitive to all the concerns Border Water<01:28:21.960>

Keywords: 910, house, all

Summary: The informational briefing focused on the City and County of Honolulu’s effort to site a replacement landfill for Oahu before the Waimanalo Gulch landfill closes in 2028. Chair Nicole Lowen and other legislators opened the meeting by framing the issue as important statewide and encouraging recycling, composting, and proper use of the curbside bins. The city’s Department of Environmental Services, led by Director Roger Babcock and Deputy Director Mike O’Keefe, then presented the background and siting process. ENV explained the legal and technical constraints that shaped the search, including the 2019 Land Use Commission decision requiring closure of Waimanalo Gulch by March 2, 2028, and the 2020 Act 73 restrictions on landfill siting near residences, schools, hospitals, conservation districts, airports, and tsunami inundation areas. They said a landfill advisory committee reviewed six candidate sites in 2021-2022 and rejected them because they fell within the Board of Water Supply’s no-pass zone. After further evaluation and an extension of the naming deadline, the city selected a site in central Oahu near Wahiawa, on agricultural land currently used as a Dole pineapple field. City officials said the selected site was chosen as the best of the evaluated options and, in their view, could be permitted under state and federal law. They described planned environmental protections, including a modern sanitary landfill design with double liners, leachate collection systems, monitoring wells, and post-closure monitoring, and said the existing Waimanalo Gulch landfill has operated for 35 years without leachate leaks. They also emphasized that the site would still require a special use permit, Department of Health approvals, an environmental impact statement, and other public permitting processes, and that public engagement would continue over the next several years.

Transcript Highlights:

• and passed Committee Substitute for Senate Bill 723, clarifying law enforcement cooperation with bordering
• Senate Bill 723, clarifying law enforcement cooperation with bordering states.
• eliminated We have eliminated the state income tax for our seniors with respect to their Social Security
• So now none of our seniors will pay personal income tax on their Social Security.

Keywords: 994, senate, all

Summary: The Senate first considered confirmations from Senate Executive Message No. 4. On a 33-0 vote, it confirmed all nominees except number 54, then separately confirmed nominee 54 on a 30-3 vote. The special order of business was then closed. The chamber then took up a series of House-amended bills and generally concurred in the amendments before passing each bill. These included SB 723 on law enforcement cooperation with bordering states; SB 947 on birth certificate copies for homeless minors; SB 392 on personal income tax reduction; SB 54 on criminal penalties for abuse or neglect of incapacitated adults; SB 228 on technology in child abuse and neglect investigations, including a three-county caseworker aid pilot; SB 231 on value-based payment requirements; SB 402, the Workforce Readiness Opportunity Act, with House removal of tax credits and other provisions while retaining micro-credential programs; SB 553 on transfer of contractor licenses to qualifying immediate family members; SB 575 on refusal review hearings; SB 686, the Coal Tenancy Modernization and Miners' Protection Act; SB 906 on lawful prescription of crystalline polymorph psilocybin under FDA recommendations; and SB 1226 on penalties for disturbing religious worship. Most final passage votes were unanimous or near-unanimous, and several bills were made effective from passage or given a specific effective date. Later, the Senate concurred in House amendments to SB 63, the Creating Sustaining Opportunities for Academics and Rural Schools Act, after discussion noting the House removed county charter school language and changed the effective date. The bill passed 32-2 and was made effective from passage. The Senate also concurred in amendments to SB 502, the Women's Collegiate Sports Protection Act, and SB 153, creating the Unemployment Automation and Administration Fund; SB 502 was set to take effect July 1, 2026, and SB 153 was also made effective July 1, 2026. Finally, the Senate reconsidered and again passed SB 392 by a 32-2 vote. The session ended with several introductions, announcements, and a recess until 5:30.

Transcript Highlights:

• United States under false pretenses to give birth and secure citizenship for their children.
• And TEXEVER includes system, edit, and security checks to help with this.
• Picture of surrogacy in Texas, showing it to be overall safe and secure in our state.
• It shouldn't surprise anybody that a border hospital might... Wouldn't surprise me.
• But it's a measure of security, fairness, and respect to the surrogate.

Keywords: 1185, senate, all

Transcript Highlights:

• I mean, we have seven border states.
• I mean, we have seven<00:35:01.839> border<00:35:02.160> states.
• Um, as you all seven border states.
• to border states and elsewhere.
• Back from across the border, back into our state. >> Dr.

Keywords: 958, all

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

Transcript Highlights:

• He is our commissioner of the New Hampshire Employment Security.
• How could I forget employment security. How could I forget you?
• The problem is these people were not properly vetted at the border.
• So in the properly vetted at the border.
• there's no defined territorial border. there's no defined territorial border.

Keywords: 1191, senate, all