Transcript Highlights:

• Uh we function as a Grant County.
• So overall they need to be.
• <00:36:17.040> training their scope, but they do need training their scope, but they do need
• And that's what you need.
• is no need to rush for implementation. is no need to rush for implementation.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• Thank you, Representative Bixby. needs to be addressed but I'm not sure needs to be addressed but I'm
• <00:56:25.920> to testing that they need to testing that they need to sort<00:56:27.000>
• imminent and I think that really needs imminent and I think that really needs to<01:12:24.840>
• to be and it needs to be longer so needs to be and it needs to be longer so um<02:19:53.200> you<
• lot and I think we need need certainly a lot and I think we need need certainly a lot more<03:07

Keywords: 928, house, all

Summary: The meeting covered two main items. First, the solid waste subcommittee reviewed draft language for HB 707, focusing on landfill siting and permitting standards. Members and the Department of Environmental Services discussed replacing repeated references to “aquifer” with “drinking water well,” clarifying that aquifer is a broad term, and considering whether a statutory definition was needed. They also debated the bill’s setback and time-of-travel provisions, including the 10^-5 standard, a 1,500-foot distance, and whether the bill should rely more on performance-based criteria than prescriptive distances. Another major topic was permit denial language tied to applicants with significant histories of repeated serious violations or landfill-related litigation; the department said it already has related authority in current rules, but noted some wording was still too vague and could be tightened. No vote was taken, and the chair closed the hearing with plans to continue work later. The second item was a work session on HB 424, which would direct the Department of Agriculture, Markets and Food to create forms for businesses to request information about service animals and establish a study committee on fraudulent or untrained service animals. Several members said the problem raised by the bill was real but expressed concern that the legislature may be limited by the federal Americans with Disabilities Act. Others argued that a study committee would likely not produce a workable solution and might conflict with leadership’s direction to avoid unnecessary study committees. Members discussed whether the bill should be retained, amended, or instead replaced with a letter or resolution to the federal delegation. The committee appeared to lean toward ITL and possibly pursuing a letter to federal officials, but no final vote is reflected in the transcript.

Transcript Highlights:

• So if we need to go in and we need to address issues, and I'm sure there could be some that we need to
• I understand your point about needing to perform, not needing to perform a function, something that is
• As a result, the Department of Health cannot collect the information needed for essential functions like
• of we need to put penalties on them. They need to mean something.
• It doesn't need to be.

Summary: The Senate opened with prayer, the Pledge of Allegiance, introductions, and a moment of silence honoring service members killed in the conflict in Iran, including Florida native Captain Cody Cork. The chamber then moved through a special order calendar, taking up several bills on education, public safety, insurance, health, and local government policy. Many measures were accompanied by sponsor explanations and supportive remarks from members, often emphasizing constituent impacts, public safety, and administrative efficiency. The first major bill, SB 1062 on speech and debate education, was expanded through a delete-all amendment and passed 37-0 after extensive floor debate praising debate programs as a civic and educational tool. SB 1072 created an anti-Semitism task force in the Attorney General’s Office; an amendment clarified that criticism of Israel is not prohibited, and the bill passed 37-0. SB 1230/HB 1019 addressed PFAS “forever chemicals,” especially in firefighting foam, with phase-outs, testing, enforcement, and exceptions for certain federal, military, and emergency uses; it also passed 37-0 and was dedicated in memory of former firefighter Joe Casello. SB 1706 expanded the My Safe Florida Condominium Pilot Program with tighter eligibility rules, and SB 186 required broader seizure-response training and seizure action plans in schools; both passed unanimously. The Senate also approved SB 598 updating funeral and cemetery regulation, SB 990 authorizing protected cell captive insurance companies, SB 554 modernizing nonprofit corporation law, SB 560 streamlining foster care medication and oversight procedures, SB 684 easing electronic signature requirements for total-loss vehicle and vessel titles, and SB 778 revising forensic client services for certain defendants with intellectual disabilities or autism. Several bills were temporarily postponed, including SB 432, SB 928, and SB 620. Most of these measures passed by votes of 36-0 or 37-0 after brief debate or no debate. The most contentious item was SB 1134 on official actions of local governments related to DEI. The sponsor argued the bill would stop taxpayer funding and promotion of discriminatory or indoctrinating DEI practices, citing examples from several counties and cities. Multiple amendments sought to narrow penalties, protect good-faith officials, and preserve local proclamations and observances, including LGBTQ Pride Month and other cultural events, but those amendments were rejected. Debate centered on vagueness, local discretion, and whether the bill would chill legitimate government activity. The transcript cuts off during questioning on the underlying bill, before final disposition is shown.

Transcript Highlights:

• and they don't have to be what they need and they don't have to be what they need to<00:24:01.400
• PUC, need support.
• I think that this, you need voice, you need everyone's voice at the table, but I don't think this is
• this you need voice you need everyone's this you need voice you need everyone's voice<02:06:22.599
• <02:06:27.239> to necessarily need to necessarily need to ensure<02:06:29.079> um<02

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with SB 48 SD2 HD1 relating to combat sports. The Attorney General offered a technical comment on the bill’s effective date, and several testifiers from the combat sports community strongly supported the measure with amendments. They argued that boxing and MMA should be treated separately, that the current regulatory structure has made events too costly and reduced opportunities, and that more local oversight would help revive the sport and give youth a constructive outlet. Committee members questioned whether the bill’s medical staffing requirements would apply to boxing, MMA, or both, and whether the added requirements would increase costs and reduce access. The witness from the combat sports community said amateur boxing is already regulated through USA Boxing, that the DCCA should focus on professional boxing, and that for safety he would support two physicians and one ambulance for boxing and MMA events. The committee then took up SB 117 SD2 HD1 relating to transportation. The Department of Transportation and the Ulon Initiative testified in support, and the bicycling community was listed as supporting as well. Members focused on the bill’s rebate program for electric transportation devices, asking how successful it had been and whether removing the rebate would affect use. DOT said the program began in February 2023 and had issued about 500 rebates totaling roughly $166,000, aimed at helping people without vehicles access transportation options. The department explained that the bill would broaden access and increase the rebate amount, including additional assistance for low-income applicants. Finally, the committee heard SB 897 SD3 HD1 relating to energy and wildfire liability. The Division of Consumer Advocacy, the Public Utilities Commission, the Attorney General, Clearway Energy Group, Ulon Initiative, Kawai K, IBEW Local 1260, and Hawaiian Electric all testified in support, while the Hawaii Association for Justice was listed as opposed but not present. Supporters said the bill would help finance wildfire mitigation and infrastructure improvements through securitization, reduce wildfire risk, and address utility cost and credit concerns. Hawaiian Electric emphasized that the bill is forward-looking, would help protect customers from future wildfire-related cost increases, and requested amendments including a study on a future wildfire recovery fund. In questioning, members pressed Hawaiian Electric on the liability cap, asking whether it would have applied to the Maui wildfires and whether it would cover personal injury or wrongful death; the witness and company counsel clarified that the aggregate cap applies only to qualifying property damage, not personal injury or wrongful death, and said they would follow up on how the cap would calculate in a Maui-type event. Hawaiian Electric also said it would seek financing under the bill if enacted and updated members on settlement funding efforts, including raising the first $550 million in equity and divesting assets to help meet its obligations.

Transcript Highlights:

• need to do. need to do.
• We need to define What do we need to do?
• These are children that need to learn information in order to become functioning adults.
• functioning adults. functioning adults.
• You need to need to have history?

Keywords: 916, all

Transcript Highlights:

• They help veterans function despite them.
• They help veterans function despite them.
• We need to improve our helicopter route charts.
• We need to improve our helicopter route charts.
• We need to improve our helicopter route charts.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 23, 2026, 1012, house, all

Transcript Highlights:

• Um so with that both of those functions.
• <01:01:28.400> in documents, and witnesses they need in documents, and witnesses they need
• information it needs quickly. information it needs quickly.
• forward to say, "I need this protection. forward to say, "I need this protection.
• What public function does library card. What public function does that<01:29:13.520> accomplish?

Keywords: 1191, senate, all

Transcript Highlights:

• We need transparency, and transparency is the key to that avenue.
• They need to create an additional document in a separate format.
• Should we ask HHSC to come and explain why they need 10 people?
• I was going to see if I needed to send an open record request.
• My agency, my entity, we don't perform governmental functions.

Bills: HB 111, HB1545, HB2145, HB2467, HB2520, HB4136, HB4181, HB4214, HB4218, HB4219, HB4359, HB4437, HB4822, HB111

Keywords: Texas Public Information Act, open records, public records, government transparency, confidentiality, attorney-client privilege, governmental body, Chapter 552, public information law, nonprofit association, quasi-governmental entity, economic development, trade secrets, proprietary information, commercial financial information, Alamo restoration, local workforce board, TDCJ contract facility, civil commitment facility, water supply corporation

Transcript Highlights:

• Uh, for those again who are on Zoom, uh, you could use the chat function, uh, to chat with the technical
• /c><00:07:45.280> uh<00:07:45.400> to<00:07:45.560> chat could use the chat function
• <00:13:35.760> the corrections officer really needed the corrections officer really needed
• to be ratified the next contract cycle, and if it's not, it needs to go away.
• But as they mentioned, this does not necessarily need to be in statute.

Keywords: 910, house, all

Transcript Highlights:

• So there's no need for the envelope anymore.
• So there's no need for the envelope anymore.
• So there's no need for the envelope anymore.
• legislative findings to support the need legislative findings to support the need for<00:12:45.960
• needed for a long time. needed for a long time.

Keywords: Accountability, Efficiency, Transparency - Room 210, 3 March, 2026; 2:30 P.M., 925, all

Summary: The committee first took up House Bill 1596, which Senator Johnson explained as a companion to another crypto-kiosk bill. He said the measure was being used to open the code and remove new kiosk language temporarily while lawmakers work on a regulatory framework for crypto kiosks, which are being used in scams involving callers posing as law enforcement and directing victims to deposit cash into kiosks. Members discussed the lack of reporting and registration data, the estimated number of kiosks in the state, and whether regulation might require identification and registration of the devices. The committee adopted the motion for title sufficient, do pass as amended, and reported the bill out. The committee then considered House Bill 859, which would eliminate the in-person absentee voting envelope while keeping the 45-day in-person absentee voting period and existing excuse requirements. Senator England said voters would still complete an affidavit and cast the ballot directly into an OMR machine, and he noted that circuit clerks preferred this version. The committee asked a few clarifying questions and then passed the bill, reporting it out. Next was House Bill 925, the CLEAR Act, which Senator McMahan described as a revised PEER-related bill that had been worked on with the governor’s office after a prior veto. He outlined provisions creating a PEER review program for agency rules, Medicaid transportation evaluations, a State Board of Health Professions, changes to the corporation work initiative program, and PEER subpoena and enforcement language. An amendment was adopted to delete the subpoena-related sections that had raised constitutional concerns and to retain the reverse repealer. After questions about the advisory role of the new board, the committee passed the bill as amended. The committee also heard House Bill 1171, a strike-all that Senator Sparks said would mirror a Senate bill on grant transparency. The measure would require clearer grant objectives, objective eligibility criteria, disclosure of conflicts and board relationships, reporting by grantees and subgrantees, and signed documentation under penalty of perjury with CPA review. Members asked about enforcement, and Senator Sparks said improper reporting could lead to loss of funds, audits, and possible criminal consequences. The committee adopted the strike-all and reported the bill out. Finally, the committee considered House Bill 1393, which would create an energy development fund at the Mississippi Development Authority for long-term infrastructure planning tied to large industrial energy users. Members asked whether the fund would cover water resources as well as electricity; the sponsor said it was intended for energy infrastructure, not water, and was aimed at large industrial projects such as steel mills. The committee adopted the strike-all and moved to report the bill out.

Transcript Highlights:

• <00:03:44.239> Fraudsters those who need them most. Fraudsters those who need them most.
• We need to move on. Thank you. Okay.
• <00:24:14.880> We we need to step up our game, too. We we need to step up our game, too.
• heavily on this uh decisions that need heavily on this uh decisions that need to<00:34:45.359>
• Uh, and they need to be replaced.

Keywords: 1183, house

Transcript Highlights:

• It's just gonna make it a lot easier for the boards to function and have, well, maybe not half, several
• Uh, I do believe this bill will allow these boards to be more accountable, more functionable, and more
• council to even understand that, but that's, that's actually why he even added more in here than he needed
• So they need to be included with all of that. That's what I think.
• in Albuquerque, so I really want to understand uh what it's doing and make sure that it meets the needs

Transcript Highlights:

• Many of these CEQA exemptions are sensible and promote needed development.
• That is the program functioning as designed.
• That is the program functioning as designed.
• That is the program functioning as designed.
• Most importantly, we need a set statutory fee for registration.

Summary: The Assembly Labor and Employment Committee heard several bills focused on labor standards, worker safety, and public transparency. SB 954 by Senator Blakespear would revise last year’s CEQA exemption for advanced manufacturing by adding worker protections such as prevailing wage, a skilled and trained workforce, high-road employment standards, and environmental guardrails. Supporters from labor, environmental justice, and conservation groups said the bill restores promised safeguards after SB 131, while business groups argued the added requirements would undermine the exemption and discourage investment. The committee voted 5-0 to do pass and re-refer SB 954 to Appropriations, leaving the roll open for absent members. The committee then considered SB 966 by Senator Gonzalez, which would codify refinery worker participation and safety protections adopted in 2017 after the 2012 Chevron Richmond fire. Supporters, including United Steelworkers and a former refinery worker, said the bill would preserve workers’ ability to report hazards, select representatives, and stop unsafe work, preventing future disasters. The Western States Petroleum Association opposed the bill, arguing it could be preempted by federal labor law and would add regulatory uncertainty. The committee passed SB 966 3-0 and re-referred it to Appropriations, with the roll left open. Next, SB 1203 by Senator Smallwood-Cuevas sought to modernize private security guard training, expand de-escalation instruction, strengthen accountability, and create a clearer professional pathway for the industry. The author and many security workers testified that guards are often first responders in volatile situations and need more practical training and better standards; opponents from industry and business groups warned the bill would raise costs, worsen staffing shortages, and create implementation problems, especially around third-party training and a new wage order. The committee voted 4-1 to do pass and re-refer SB 1203 to Public Safety, with one no vote and the roll left open. The committee also heard SB 1284 by Senator Smallwood-Cuevas, a transparency bill requiring DHCS to publish the names of large employers with workers enrolled in Medi-Cal and the estimated taxpayer cost. Supporters said the measure would show how low wages and unaffordable coverage shift health costs to the public, while opponents argued Medi-Cal enrollment depends on many factors and that naming employers would be misleading and amount to public shaming. After discussion, the committee voted 4-2 to do pass and re-refer SB 1284 to Appropriations, leaving the roll open. The transcript then began discussion of SB 1054 by Senator Cabaldon, which would improve workforce data collection and sharing to better evaluate job-training pathways, but the excerpt cuts off before testimony or action on that bill.

Transcript Highlights:

• I feel we need a bill for all of Hawaii. I feel we need a bill for all of Hawaii.
• needs.
• needs.
• So, we need to re-envision this.
• I think we need to have the discussion. I think we need to have the discussion.

Bills: HB1817, HB2056, HB2616, HB1718, HB1842, HB1740, HB1919, HB1616, HB1774, HB1984, HB1603, HB2171

Keywords: fishing regulation, ʻamaʻama, striped mullet, bag limit, overfishing, Hawaii fisheries, funding, appropriations, Honolulu, housing, construction, grant-in-aid, community development, Banyan Drive, Hawaii community development authority, cultural revitalization, special fund, public safety, economic development, affordable housing

Summary: The committee heard HB 1817, which would create a daily bag limit for amaa/ama fish to protect Hawaii’s fisheries. DLNR said the biggest stressor on amaa populations is diversion of freshwater flows that cut off food sources for juvenile fish, and suggested that place-by-place rulemaking with fishers and stakeholders would be the most effective approach. A teacher and several Waialua Elementary students testified in strong support, describing research on declining catch data, cultural importance, and the need to preserve the fish for future generations. Other supporters said the fish is being outcompeted by invasive species and cited historical declines, including testimony that bag limits in Hilo Bay have helped increase populations. Committee members asked DLNR about traditional and cultural gathering rights, whether the bill’s bag limit would apply to native Hawaiian practices, and whether the limit was 10 per day or per season. DLNR said constitutional Hawaiian practices are protected, but also noted that if the bag limit is set in statute it would limit the department’s flexibility to tailor rules by area. Members also asked about other conservation efforts, and DLNR said fish pond revitalization and amaa production are underway statewide. One member raised concern that a statewide statutory limit might not fit conditions on every island, and DLNR said it has authority to adopt area-specific rules through rulemaking, though that process can take months to more than a year. The committee then moved to HP 206, an appropriations measure for the City and County of Honolulu involving school land transfers, and HP 266B relating to Banyan Drive. On HP 206, the county said the request is a one-time item and estimated costs were about $3.25 million, with the city and county already spending more than $350,000 on the transfers. On HP 266B, HCDA said it is conducting a master planning effort for Banyan Drive and plans a community visioning exercise this summer. Testimony from the Banyan Drive redevelopment agency emphasized the need for more flexible land-tenure rules, while OHA supported the bill with amendments to include cultural specialists and lineal descendants in the redevelopment process and to protect ceded lands. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• I am here if you need pictures.
• <00:50:39.359> or the key things that needs to happen or the key things that needs to happen
• the this is this something that we need the this is this something that we need to<01:03:28.119>
• rules that are coming out you need rules that are coming out you need product<01:06:46.720> to
• <01:22:06.679> people always evaluating where we need people always evaluating where we need

Keywords: 1183, house

Summary: The Minnesota House Commerce Committee held its inaugural meeting with Chair Tim O’Driscoll and co-chair Representative Greg Davids opening the session and inviting members to introduce themselves. Members briefly described their districts, business backgrounds, and priorities, with recurring themes including small business competitiveness, insurance and health care access, property and real estate issues, agriculture, and making Minnesota easier to do business in. Committee staff also introduced themselves and reminded members and testifiers about sign-in procedures and microphone use. The committee then heard an overview from Eric Toell, interim director of the Office of Cannabis Management, on the agency’s work and budget priorities. He said the office now oversees adult-use cannabis, medical cannabis, and hemp-derived cannabinoid products, has grown from about nine employees to 90 full-time staff plus temporary workers, and has been working with a Cannabis Advisory Council on testing, warning labels, and implementation issues. He also described outreach efforts, including webinars, newsletters, guidebooks for local governments, and office hours for applicants, along with enforcement of hemp-derived product rules through more than 3,000 inspections and an increase in compliance rates from about 35% to 75%. Toell also reported that the medical cannabis program has surpassed 51,000 patients and nearly 2,500 registered health care providers, and that a chronic pain report found more than a third of patients reported decreased pain. On the adult-use side, he said the office has posted proposed rules for public comment, plans to adopt them after review, and will open a licensing window from February 18 to March 14. He explained that the office is also managing community reinvestment grants and a technical assistance grant, with an emphasis on safeguards to ensure funds reach intended recipients. No votes were taken during this meeting.

Transcript Highlights:

• But we do need to say so loudly and clearly, as you did, Mr.
• But the federal court should perform that essential function as courts do, by deciding particular cases
• If the committee's true goal is to improve the functioning of the judicial system writ large, and not
• In your view, what are the most pressing reform needs when it comes to the federal courts?
• No, and that's critical for the functioning of the judiciary and people's confidence in the process.

Keywords: universal injunctions, legislative reforms, judicial authority, executive power, balance of power, judicial overreach

Summary: During this meeting, the committee focused on the implications of universal injunctions, which have become a significant concern in recent years. The discussion centered around various legislative proposals aimed at addressing the perceived overreach of district judges who issue nationwide injunctions that affect policies across the entire country. Several members expressed the belief that such injunctions undermine judicial authority and disrupt the balance of power between the judiciary and executive branches. Expert witnesses testified about the historical context of universal injunctions and the necessity for reforms that would limit the power of courts to grant remedies benefitting non-parties.

Transcript Highlights:

• <00:27:07.159> to program so they would simply need to program so they would simply need to
• <01:32:42.480> for only grown increasing the need for only grown increasing the need for properly
• understanding that r2v 3 companies need understanding that r2v 3 companies need to<01:35:10.880>
• build of this magnitude really needs build of this magnitude really needs more<01:43:42.719>
• <01:54:15.239> um operate and fulfill customer needs um operate and fulfill customer needs

Keywords: 1187, senate, all

Transcript Highlights:

• They need to submit an application, and we need to review it.
• Need funding to support them.
• We don’t think we need them.”
• We don’t think we need them.”
• They would need to come in.

Keywords: 928, house, all

Summary: The committee heard a presentation from the Department of Environmental Services on proposed changes in House Bill 2 and related technical changes in House Bill 1 tied to the governor’s permitting realignment initiative. The proposal would move environmental review staff from Fish and Game and DNCR to DES to create a more centralized “one-stop shop” for applicants needing DES permits, especially for wildlife and natural heritage reviews. DES said the goal is to speed permitting, support a 60-day review clock, and improve coordination among agencies while keeping the substantive review work in place. Members asked about staffing impacts, the scope of the transferred duties, and whether the change would create redundancy or weaken the other agencies. DES said most of the affected staff work primarily on these reviews, though Fish and Game staff also handle other state and federal reviews, which is why the proposal was adjusted to keep one of the four Fish and Game positions there and move three to DES, along with two positions from DNCR. DES also described a new supervisory position in HB 2 to manage the transferred staff within its land resources bureau. Officials said the reviews would still be done by specialists, but under DES supervision, and that the agencies would continue to coordinate recommendations on species impacts and mitigation. The committee also discussed fee increases intended to offset costs, including a 50% increase in wetlands fees and a 100% increase in alteration-of-terrain fees, with the department saying the changes would cover the new positions. Members raised concerns about impacts on private homeowners, possible incentives to work without permits, and whether fines should be used more as a revenue source or for mitigation. DES said wetlands permits are roughly split between homeowner-related and commercial projects, that permit-by-notification already creates a two-tier structure for smaller projects, and that enforcement relies partly on public complaints and online permitting systems. The department also said most fines currently go to the general fund and vary widely year to year, with about $75,000 budgeted, and that the proposal would also create permit-by-notification authority for alteration-of-terrain projects between 100,000 and 150,000 square feet, mirroring language in Senate Bill 110. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• <00:24:27.480> the me to get our veterans in need the me to get our veterans in need the assistance
• When a football team needs new helmets, we are there.
• When a park needs to add equipment for children with disabilities and special needs, we are there.
• function function like<00:41:28.240> limits<00:41:28.560> on<00:41:28.760> apps
• <01:19:23.040> to<01:19:24.040> um we're going to need to um we're going to need to

Keywords: 1187, senate, all

Transcript Highlights:

• With that, I need a motion for the January 7th meeting minutes. I have a motion. I have a second.
• This is a needed service across the state, particularly in that area of the state.
• So we look to other ways of doing the same function, program integrity function, to ensure that we're

Summary: The committee opened with prayer, approved the January 7 meeting minutes, and then reviewed several Department of Human Services rules. One rule would allow rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, addressing a service gap, especially in Jefferson County. Another rule would let DHS participate in a CMS cell and gene therapy model to support value-based payment agreements for treating sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS explained that recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prohibits contingency arrangements of that kind. DHS said the state already has multiple other program integrity layers, including internal reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the role of recovery audit contractors, and DHS responded that they perform post-payment audits and recoveries. All three DHS rules were reviewed without objection. Near the end of the meeting, Representative Pilkington asked about a reported increase in uninsured individuals in a DHS postpartum report, but DHS said it was not prepared to answer and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. The committee then adjourned.