Transcript Highlights:

• It says that the JPE program shall publish the performance evaluation report for each judicial officer
• It says that the JPE program shall publish the performance evaluation report for each judicial officer
• It says that the JPE program shall publish the performance evaluation report for each judicial officer
• It says that the JPE program shall publish the performance evaluation report for each judicial officer
• It says that the JPE program shall publish the performance evaluation report for each judicial officer

Keywords: 1189, house, all

Summary: The committee began a work session on House Bill 1600, concerning access to the centralized voter registration database on election days. Secretary of State David Scanlan testified that the state already has a new statewide voter registration system connected to town clerks and supervisors of the checklist, and that the bill was probably unnecessary but acceptable if the legislature wanted it. He raised concern about language that could require direct electronic access in every polling place, noting that some polling locations lack reliable internet or cell service and that municipalities can change polling locations, which could make a rigid requirement expensive and impractical. Members discussed whether the bill should be clarified to allow direct or indirect access, including use of a phone-based workaround, and the secretary said that would address his concern. The committee then voted on HB 1600. Representative Maguire moved ought to pass with an amendment adding “direct or indirect access” on page one, line seven, and the motion was seconded. The amendment was adopted 9-0 by voice vote, and the committee then voted 9-0 to OTP the bill. The chair stated that HB 1600 would be placed on consent. The committee next took up House Bill 1197F FN, a technical correction to insurance laws. Members noted it had already passed the House with amendment and that the fiscal note was effectively indeterminate but would not affect the general fund because the insurance agency is self-funded. The committee voted 9-0 to OTP the bill; the chair said consent calendar placement would be decided by the full committee. Finally, the committee opened a work session on House Bill 11:30 FN regarding judicial performance evaluations. Representative Lynn, the bill’s sponsor, argued that the fiscal note overstated the immediate cost and said the judicial branch could likely manage through the current biennium while implementing the new system. He also supported making judges’ names public and said the bill’s anonymity provisions were aimed at protecting the identities of questionnaire respondents, not the judges being evaluated. Members asked about public disclosure, internal access to evaluation materials, and the removal of language allowing the governor and executive council to receive evaluations on request; discussion continued on those points, but no final vote on HB 11:30 FN was taken in the portion provided.

Transcript Highlights:

• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• It amends an existing contract for evaluation support for the statewide stroke program.
• It amends an existing contract for mandated ongoing evaluation of the seven tobacco settlement programs

Keywords: 1204, all

Transcript Highlights:

• We've had this program evaluated by WestEd over a number of years.
• the program.
• the program.
• What are the assessment or evaluation requirements for the program?
• What would the LAO recommend in terms of an evaluation for a program like this?

Summary: The Assembly Budget Subcommittee on Education Finance heard an extended discussion on state efforts to recruit, prepare, and retain teachers, with a focus on whether current programs are sustainable and well targeted. Testimony from the Learning Policy Institute, the Commission on Teacher Credentialing, the Department of Education, and the Legislative Analyst’s Office described persistent shortages, especially in special education, math, science, bilingual education, and high-need schools. Speakers emphasized that residency programs, Golden State Teacher Grants, National Board incentives, classified employee pathways, and undergraduate teacher pipelines have helped increase preparation and retention, but many of these efforts rely on one-time funding and lack long-term certainty. Committee members repeatedly raised concerns about the “leaky pipeline,” working conditions, the burden of student debt, and whether the state should simplify and institutionalize support for aspiring teachers rather than rely on a patchwork of grants. The agencies presented data showing continuing shortages and uneven distribution of fully credentialed teachers. CTC reported projected hiring needs of roughly 20,000 to 25,000 teachers annually, with the highest needs in self-contained classrooms, special education, and certain regions of the state. It also noted that emergency permits, waivers, and intern credentials remain high, and that teachers entering through those routes have higher turnover. LPI cited research showing residency-prepared teachers are more effective and more likely to stay, and argued that Golden State Teacher Grants attract candidates who might not otherwise enter teaching and help them complete preparation. CDE stressed that most new demand comes from attrition and urged support for multiple entry points, tuition assistance, and campus-based coursework. Several members also discussed the role of community college pathways, dual credentialing, and support for school leaders as part of retention. The LAO recommended rejecting the educator pipeline proposals under discussion, citing limited evidence of effectiveness and suggesting that any new spending should be more narrowly targeted to the highest-need schools and long-standing shortage subjects. The LAO also said that if the Legislature funds new programs this year, Proposition 98 would be preferable given the state’s fiscal condition. Committee members pushed back on the idea that declining enrollment or layoffs would solve shortages, noting that shortages and layoffs can coexist in different subject areas and regions. The discussion ended with agreement that staff would continue working with agencies on how to make teacher pipeline investments more consistent, coherent, and easier for candidates to navigate. The committee then turned to the Golden State Teacher Grant Program. Finance proposed $50 million in one-time General Fund support to extend the program for one additional year, while the LAO recommended rejecting the proposal because the first CSAC evaluation is not due until later in the year and because the funding would be non-Proposition 98. CSAC supported the extension, saying demand has been strong, over 20,000 aspiring educators have been served since 2021, and the agency had to pause applications after receiving more than 9,200 this year; it also said more than 2,500 candidates had already expressed interest for next year. Members asked how many students the new funding would serve, and CSAC estimated just under 5,000 awards at $10,000 each. The discussion also covered whether the grant could be moved into Proposition 98 and how the one-time nature of the funding affects confidence among prospective teachers.

Transcript Highlights:

• Heather Maitner from Evident Change, a program director, introduced herself.
• Whenever we've got this program, you've got this program, and it's my understanding that is contingent
• Whenever we've got this program, you've got this program, and it's my understanding that is contingent
• For example, the WIC program, school lunch program, and other programs have more nutritional requirements
• I think we will definitely be doing the evaluation.

Summary: The committee reviewed three DHS service contracts: a $690,000-plus sole-source contract for DCFS with Evident Change for maintenance and operation of the Child Welfare Structured Decision-Making Assessment tools; a $1.2 million contract with Sifter Solutions for a SNAP waiver compliance solution and related app; and a $156,000 contract with Samaritan Integrative Services for psychiatric services at the Southeast Arkansas Human Development Center. Staff said the Evident Change contract was needed to keep daily safety risk assessments, case planning, and reunification tools functioning, and that the vendor’s proprietary system made it sole source. Members questioned DHS about reliance on the vendor, the lack of an off-ramp, whether the state was paying more or less annually, and why the contracts were not aligned on the same cycle. DHS and the vendor said the new Evident Change contract was limited to maintenance and operations, that no additional services or employees were being added, and that the broader CQI/review contract would come up separately later. For the SNAP waiver contract, DHS explained that the waiver is intended to exclude certain unhealthy foods from SNAP purchases to improve nutritional value, and that Sifter Solutions would provide a dynamic list for retailers and an app for clients to check products by barcode. DHS said the contract is sole source because it is tied to the waiver implementation and because the vendor can provide the needed dynamic list and education features. Staff said the contract would be funded with remaining federal SNAP Nutrition Education dollars that would otherwise revert to the federal government, and that the University of Pennsylvania would conduct the evaluation at no cost. Members asked about the public benefit, future renewals, and whether the state would own the application; DHS said the two-year term was designed to match the waiver period and allow time to reassess future procurement options. Members also asked about the nutrition education component, and DHS said it is developing videos with a nutritionist on preparing budget-friendly healthy meals and plans to link them to the app and website. After discussion, no objections were raised, and the items were reported as reviewed. The meeting then adjourned.

Transcript Highlights:

• branch, including human resources, finance, legal research, information technology, and statewide program
• management the Chief Justice of program management the Chief Justice of course<00:04:26.639> leads
• The need for forensic medical evaluations in criminal and civil commitment cases has really surged in
• At the same time, we've seen printing, postage, and other costs strain our jury program budget.
• At the same time, we've seen printing, postage, and other costs strain our jury program budget.

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee heard a presentation from State Court Administrator Jeff Shorba on the Minnesota judicial branch’s 2026-27 budget request. He outlined the courts’ structure and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court cases annually, and a current budget of about $479 million. Shorba emphasized the courts’ constitutional role, the fact that court fines and fees are deposited into the general fund rather than retained by the branch, and recent legislative investments that helped reduce pandemic-era backlogs, improve technology, sustain treatment courts, and raise interpreter and examiner pay. The budget request focused on several areas: a 6% judicial salary increase to address recruitment and retention problems, including a 15% rise in turnover and a 27% drop in applicants since 2020; funding for health care and office lease cost increases; digital accessibility compliance work required by new federal ADA rules; a modernized justice partner access system for court records; higher pay for forensic psychological examiners, whose workload has risen sharply; increased juror compensation from $20 to $100 per day and mileage adjustments; and ongoing funding for interpreters, jury services, and cybersecurity. Shorba said the total request would be a 12% increase over the FY 2026-27 base budget. Members asked follow-up questions about funding for newly launched treatment courts and how those courts are financed after federal grants expire. Shorba said he would provide more detail later and noted the branch generally starts treatment courts with federal funding before seeking state support. Representative Ric also asked about labor negotiations, and Shorba explained that the judicial branch negotiates its own contracts rather than using the executive branch, with three unions involved and many unrepresented employees. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• <00:50:44.880> based previously had a similar program based previously had a similar program
• program.
• Voting stations are open for 30 seconds. affordable housing programs, programs we affordable housing
• Speaker, this bill changes the judicial evaluation process, making evaluations public.
• Speaker, this bill changes the judicial evaluation process, making evaluations public.

Keywords: 1189, house, all

Transcript Highlights:

• we can um have our um J1 program we can um have our um J1 program individuals<01:18:47.800> be
• <01:23:36.719> so said they use the nasus evaluation so said they use the nasus evaluation
• > where<01:23:38.480> they it's an evaluation company where they it's an evaluation company
• assistant-to-teacher pilot program.
• program well the apprenticeship program program well the apprenticeship program you<01:39:49.320

Keywords: 912, senate, all

Summary: The joint Committee on Education and Committee on Public Safety and Military Affairs heard Senate Bill 422, which would authorize the Department of Education to award a high school diploma to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The Department of Education testified in support, noting a prior law that created the Kono diploma program before it sunset in 2020. Several members of the public also testified in support. Both committees later recommended passage of SB 422 without amendments, and the recommendation was adopted by voice votes. The committees then heard Senate Bill 530 on Braille literacy. The bill would establish Braille literacy as state policy, require Braille-related literacy assessments for eligible blind and low-vision students, authorize DOE rulemaking, create a Braille Literacy Resource Center, and appropriate funds. DOE and the Department of Human Services supported the measure, as did the National Federation of the Blind, Hawaii Disability Rights Center, and a blind testifier who described the importance of early Braille instruction. The Attorney General’s office raised concerns about statutory language requiring yearly assessments and suggested revisions so annual decisions remain with IEP teams. The committees voted to pass SB 530 with amendments, including the Attorney General’s suggested changes, and adopted the recommendation. The next measure was Senate Bill 532, which would allow school staff and agents trained by a licensed clinician to volunteer to administer medication to students in public schools under certain conditions and clarify who may prescribe such medication. DOE and Department of Health testimony supported the bill. The Attorney General recommended replacing the term “licensed clinician” with the defined term “health care professional.” The Hawaii Academy of Physician Assistants supported the bill but asked that physician assistants be included among providers who may prescribe medications for school administration. After questions about current school health aide duties and field-trip medication procedures, the committees voted to pass SB 532 with amendments, including the Attorney General’s terminology change, and adopted the recommendation.

Transcript Highlights:

• We also help with evaluation plans collecting and analyzing evaluation data as I tell programs along
• And that's where our program leaders of established programs and one other important critical program
• And so essentially what we're doing any time we put a program out, we are evaluating it.
• evaluation on a program that's called parents for parents.
• We wanted to program evaluation.

Keywords: 999, senate, all

Transcript Highlights:

• This just simply establishes an agency to evaluate accreditation.
• This is a new agency that we're building just to evaluate the agencies, right, to help determine ones
• You can choose from them, and we're going to evaluate them based on our criteria.
• On a personal note, I owe my career trajectory to the current primary care preceptorship program.
• These programs make meaningful, lasting impacts on our students.

Summary: The Senate Committee on Education K-16 heard several bills and took no final votes, leaving each measure pending. The first major item, SB 1322 by Senator Hagenbuch, would create a Texas Higher Education Accrediting Commission to evaluate and approve accrediting agencies for public colleges and universities using outcome-based metrics such as retention, graduation, employment, debt, and repayment. Supporters, including Kate Byerley of the Texas Public Policy Foundation, argued the bill would add competition and align accreditation with Texas workforce needs; Senator Menendez questioned the need for a new bureaucracy and noted the $3.6 million fiscal note, suggesting existing reporting and oversight structures could serve the same purpose. The committee then heard SB 1998, which would establish a pediatric subspecialty preceptorship program to encourage medical students to enter pediatric subspecialties. Dr. Lauren Gamble testified in strong support, saying the program would help address shortages and improve access for children, especially in rural and underserved areas. SB 2788, authored by Senator Menendez, would add the PSAT as an accepted assessment for dual credit and Texas Success Initiative purposes; Priscilla Camacho of Alamo Colleges supported the bill, citing strong student outcomes and widespread use of the PSAT as a readiness indicator. Senator Creighton laid out SB 2076, which would remove or modify certain Capitol view corridor restrictions affecting the UT Austin Academic Medical Center project, including the planned specialty hospital and MD Anderson Cancer Center expansion. He said the existing corridors are outdated and limit development. The committee also heard SB 1418, a cleanup bill replacing outdated references to ACT Plan with Pre-ACT and removing obsolete SAT subject test language. After brief testimony and no opposition on the later bills, the committee closed public testimony and left SB 1322, SB 1998, SB 2788, SB 2076, and SB 1418 pending before recessing for the floor session.

Transcript Highlights:

• the programs.
• Not every single program the programs.
• So there may be a recommendation for a certain type of program, but then there's an programs, programs
• that program, not an evaluation to decide whether or not we have made a decision that you like.
• Um programs.

Keywords: 924, joint, all

Transcript Highlights:

• We also offer psychological evaluations, and most of our...
• for programs where, not so much a single-county program, but those programs that cover multiple counties
• I have the honor of serving on the steering committee for this program.
• To address this, the Florida Network has prioritized expanding our program evaluation and quality assurance
• To address this, the Florida network has prioritized expanding our program evaluation and quality assurance

Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.

Transcript Highlights:

• So, our TNC programs, including two key programs established oversight, annual reporting to the CPUC
• Program.
• And can we expect that the CPUC will publish an analysis or report to evaluate the program, and will
• There's a couple of key components in the program that will provide an analysis and evaluation.
• Of the firm escapes me, but they will be an evaluator of this driver's assistance program and will be

Keywords: 988, house, all

Transcript Highlights:

• To be completed is an initial flushing program and a unidirectional flushing program, and a plan
• connection control program. connection control program.
• Um Navy will be required to put together a risk evaluation, environmental risk evaluation.
• Um in that risk evaluation evaluation.
• conducted the risk evaluation. conducted the risk evaluation.

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill received an update from the Hawaii Department of Health and EPA Region 9 on regulatory oversight of the Red Hill facility, the Navy drinking water system, and ongoing environmental investigation and cleanup. The agencies reviewed the authorities governing the work, including DOH’s emergency orders, EPA’s 2023 administrative consent order, and the older 2015 agreement, and explained that the newer framework is being used for most current oversight because it includes closure, remediation, drinking water protections, and stronger community engagement requirements, even though some requirements overlap. EPA and DOH reported major milestones and current work. Defueling was completed in March 2024, with about 104 million gallons removed, and the agencies said this eliminated the risk of another catastrophic release. They described the current tank-closure phase, expected to finish in July 2029, along with site assessment, site investigation, remediation, and long-term monitoring that may continue through at least 2040. They also summarized drinking water actions: emergency response flushing and sampling after the 2021 spill, lifting of the public health advisory in 2022, completion of extended drinking water monitoring in 2025, and ongoing system improvements such as repairs, flushing plans, valve work, complaint-response protocols, and upgrades to storage tanks and pumps. Members asked several questions about monitoring results, the meaning of TPH, the status of the 2015 agreement, and the Navy’s groundwater model. EPA said its sampling and the Navy’s results were in alignment during extended monitoring, and that it plans to issue a summary report covering the full response period. On the groundwater model, EPA and DOH said they have not yet approved it for decision-making, are reviewing it iteratively with outside experts and University of Hawaii data, and may approve it for specific uses in the future. DOH said its latest comment letter states the model cannot yet be used for decision-making purposes, and noted that UH’s separate modeling work is contingent on funding and may not be completed until next spring. The agencies also said they continue community outreach through open houses, webinars, neighborhood boards, legislative hearings, and fuel tank advisory committee meetings.

Transcript Highlights:

• We do have an evaluator with our program that evaluates all of our programs.
• We do have an evaluator with our program that evaluates all of our programs.
• It amends an existing contract for evaluation support for the statewide stroke program.
• UAMS, it amends an existing contract for evaluation support for the statewide stroke program.
• It amends an existing contract for a mandated ongoing evaluation of the seven tobacco settlement programs

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• programs and 193 PN programs.
• education programs, 317 RN programs, and 193 PN programs.
• It also measures curriculum, excuse me, but it also measures program evaluation in a very detailed, specific
• I'm sorry, it also measures curriculum, excuse me, but it also measures program evaluation in a very
• detailed specific way that looks measures program evaluation in a very detailed specific way that looks

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• This amendment adds terms for several of the programs and includes... ...for several of the programs
• and adds funds for the state program and three of the federal programs.
• So how's... ...added for the BEAD program. So how's the BEAD program?
• But no other independent research evaluator is embedded into the pathways program.
• programs.

Keywords: 924, joint, all

Transcript Highlights:

• For comparison, the other programs my husband and I evaluated for our daughter: one was 35% higher, and
• The two other programs that my husband and I evaluated—one was 35% higher.
• The two other programs that my husband and I evaluated—one was 35% higher, and a second program was more
• I recently evaluated two of the large university-based residency programs, our programs at Texas Tech
• My question when going into this evaluation was: are these programs producing teachers who stay?

Keywords: 1184, house, all

Transcript Highlights:

• PCMH program member attribution.
• As part of the DSS PCMH program, As part of the DSS PCMH program, we encourage the practices to work
• That is a separate program from PCMH. It is a DSS program, and it is managed by Carolan.
• It's the pro fee or cleaning and the oral evaluation, periodic oral evaluation.
• And so we can evaluate that way.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• <00:39:10.319> Shoreland he runs the wetlands program Shoreland he runs the wetlands program
• used for mitigation or other programs used for mitigation or other programs damage<00:54:39.520>
• c> the<02:06:59.000> site<02:06:59.280> evaluation impacts does the site evaluation
• administrator of the site evaluation administrator of the site evaluation Committee<02:07:21.079
• money we are not eliminating program money we are not eliminating program we're<02:36:11.800>

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:

• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS waiver services and the PACE program, Program for All-Inclusive Care for the Elderly
• Specifically, the AR Choices Program, the Living Choices Program.
• These are two HCBS Waiver Services and the PACE program, program for all-inclusive care for the elderly
• And that evaluation referral, it goes back...”

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.