Transcript Highlights:

• Giving them the right bus routes to go to their outpatient treatment center.
• The fee-for-service claim disputes were 66 in 2023, 87 in 2024, and 338 in 2025.

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• building permit ordinances in effect at the time the board of the regional transit authority chooses the route
• For low-income residents, it's lower at around 66%, and they often rely on other methods of transportation

Summary: The committee first heard HB 2517, which would give regional transit authorities, especially Sound Transit, more flexible permitting tools for high-capacity transit projects. Staff and the bill sponsor said the goal is to let permit applications and technical reviews proceed concurrently with property acquisition and land use decisions, reducing delay and uncertainty for large transit projects. Sound Transit testified that the bill could save as much as nine months, while a city representative from Bothell asked for an amendment requiring notice to property owners before permits are advanced on land not yet owned or controlled by the agency. The committee then took testimony on HB 2313, concerning publicly owned grocery stores in underserved areas. The bill would let cities acquire land, build or rehabilitate stores, seek capital grants, and create tax increment financing areas for grocery access projects, with annual reporting requirements. Supporters, including the sponsor, Food Lifeline, and Northwest Harvest, argued that grocery closures and food deserts are real problems and that local governments need tools to fill gaps when private grocers leave. Opponents, including grocery industry groups and several students, warned that public stores could undercut private grocers, burden taxpayers, and create operational and property-rights concerns; some testimony also questioned the need for government ownership and the use of tax increment financing. A proposed substitute removed eminent domain and tax increment financing provisions and narrowed the bill to grant-funded stores in underserved areas. Next, the committee heard HB 2451, a major rewrite of local tax increment financing rules. The bill would tighten notice, consultation, reporting, and mitigation requirements for TIF areas, strengthen the “but-for” test, limit where increment areas can be located, and protect existing taxing districts by excluding certain levies and requiring negotiation, mediation, or arbitration when impacts are significant. Cities, ports, counties, libraries, fire chiefs, and hospital districts largely described the bill as a negotiated compromise that improves transparency and addresses unintended impacts, though some local governments said they still wanted more flexibility or protections for existing projects. One city testified against the bill, arguing the new restrictions would make TIF much less useful for large redevelopment efforts. The committee then heard HB 2298, which would authorize county auditors to create voluntary property title protection programs to help prevent land-record fraud by allowing owners to record a protection instrument that delays recording of a title transfer for up to five business days unless identity verification is provided. Auditors, treasurers, and county officials strongly supported the bill as a practical response to rising deed fraud, while title and foreclosure industry representatives said the proposal was too limited, could interfere with foreclosures or other transfers, and would only delay—not prevent—fraud. The final bill heard was HB 2566 on local government procurement, which would raise certain small-purchase and small-public-works thresholds for counties, remove some differences between larger and smaller counties, and give counties more options when no bids are received. County representatives supported the bill as a needed update to procurement rules and a way to reduce bureaucracy and keep pace with inflation.

Transcript Highlights:

• then many of you probably recall, and your constituents certainly recall, Hurricane Irma that affected 66
• So those alternate routes that you alluded to, you've got to build those in as part of that program.

Committee: Senate Regulated Industries

Summary: The committee met to hear invited presentations on storm recovery and storm protection from the Florida Public Service Commission, Florida Power & Light, Duke Energy, Tampa Electric, Chesapeake Utilities, and the Office of Public Counsel. The PSC reviewed the history of storm restoration financing and utility hardening efforts after major storms such as Hurricane Andrew, the 2004-05 hurricane seasons, Irma, and Michael, explaining storm reserve funds, storm recovery bonds, and the current three-year storm protection plan process. The commission’s role in approving plans and later reviewing prudence of actual costs was emphasized, along with the types of work included in the plans such as vegetation management, pole replacement, undergrounding, feeder hardening, and substation flood protection. The utilities described their own storm-hardening investments and recent storm performance. FPL said it has spent about $4.9 billion on storm protection and recovery-related efforts, highlighted improved restoration times during Helene and Milton, and said it is expanding undergrounding, feeder hardening, and smart-grid technology. Duke Energy reported more than 40,000 hardened poles and structures since 2021, major gains from self-healing grid technology, and faster restoration during recent storms. Tampa Electric described a roughly $200 million annual storm protection effort, including vegetation management, undergrounding, substation hardening, and new storm surge protections, and Chesapeake Utilities discussed its smaller-scale hardening program, vegetation work, pole replacement, and rapid restoration after Helene in Nassau County. Committee members asked about how utilities prioritize neighborhoods for lateral hardening, whether maps of planned projects could be shared, how much each utility has spent on undergrounding and hardening, and how reliability comparisons are normalized against the national average. Public Counsel Walt Trierweiler argued that storm recovery and hardening costs fall too heavily on investor-owned utility customers, said the current framework lacks a meaningful cost-benefit or prudence check at the planning stage, and urged broader sharing of storm costs because the benefits extend to the whole state. Senators also discussed whether the commission can review the reasonableness of approved programs and whether future reports or recommendations from Public Counsel would be helpful. No votes or formal actions were taken.

Transcript Highlights:

• Section 1 of that article relates to the Alliance Housing court decision and this provision would clarify
• 58.120><c> the</c> Section 1 of that article relates to the Section 1 of that article relates to the Alliance
• 59.600><c> uh</c><00:03:59.680><c> court</c><00:03:59.960><c> decision</c><00:04:00.520><c> and</c> Alliance
• Housing uh court decision and Alliance Housing uh court decision and this<00:04:00.800><c> provision
• I think hopefully can go down the route of the Norris bill and then we'll just have to, as a committee

Keywords: 1183, house

Transcript Highlights:

• school safety interoperability fund, that may be a challenge for a school if they decided to go that route
• And we added a lot, so we're about 65, 66 schools now.
• concerns with the school, they actually got a new school superintendent and chose to go a different route
• concerns with the school, they actually got a new school superintendent and chose to go a different route
• They actually got a new school superintendent and chose to go a different route.

Committee: Joint Joint Legislative Audit Committee

Keywords: 1182, all

Transcript Highlights:

• 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 Thank you very much. 71 Thank you.
• The chair lays out Senate Bill 66 and recognizes its author.
• Senate Bill 66 would allow persons with SDMAs to use their supporters at their own risk. own expense
• Any questions for the Dean on Senate Bill 66?
• or against Senate Bill 66. Seeing and hearing none, public testimony is closed. Mr.

Bills: SB66 , SB2165 , SB2342 , SB2878 , SB2903

Committee: Senate Jurisprudence

Keywords: disability, supported decision-making, legal assistance, confidentiality, access to justice, autonomy, civil rights, advocacy, Texas Family Code, DFPS, Department of Family and Protective Services, child welfare, foster care, substitute care, missing child, missing from placement, permanency hearing, parent-child relationship, SAPCR, conservatorship

Transcript Highlights:

• And we're acting as a subcommittee until the rest of the members who are en route get here.
• the California Manufacturers and Technology Association, along with ADAC, the Aerospace Defense Alliance

Summary: The Assembly Committee on Revenue and Taxation heard several bills focused on transit funding, veterans’ tax relief, clean energy incentives, housing development costs, and tax conformity. SB 63 would authorize a Bay Area regional sales tax measure for transit agencies facing fiscal shortfalls; supporters said it was needed to avoid major service cuts, while the California Taxpayers Association opposed it on Proposition 13/218 concerns. SB 56 would exclude veterans’ disability compensation from income calculations for the disabled veterans’ property tax exemption, and SB 296 would expand property tax relief for 100% disabled veterans and certain surviving spouses; both drew broad veterans’ support. SB 86 would extend and expand the California Alternative Energy and Advanced Transportation Financing Authority sales and use tax exemption program, including fusion energy, and SB 302 would conform state tax law to federal clean energy credit monetization provisions; both were backed by industry, labor, and clean energy advocates. SB 328 would cap Department of Toxic Substances Control fees on contaminated-soil remediation for infill and master-planned housing projects, with housing groups arguing the current fee structure can make projects infeasible. SB 711 would update California’s tax conformity date to January 1, 2025 to reduce complexity and inconsistencies with federal law, and was supported by tax professionals and business groups. Several bills were held or sent to suspense, while others advanced with amendments. After quorum was established, SB 63 passed the committee 4-2 and SB 86, SB 302, SB 328, and SB 711 were referred to suspense, with SB 86 and SB 302 later approved out of suspense with amendments. SB 56 was held in committee, SB 296 was made a two-year bill, and SB 284 and SB 723 were held. The committee also approved a number of additional suspense-file bills, including SB 293, SB 359, SB 419, SB 587, SB 603, SB 663, SB 710, and SB 785, while SB 591 was approved with amendments and SB 353 was made a two-year bill. The hearing concluded with the committee adjournment after final roll calls and bill actions.

Transcript Highlights:

• Jessica Gott on behalf of the California Alliance of Child and Family Services.
• Barriers as well as opportunities for going further down that route and through that we learned that

Committee: House Business and Professions

Keywords: 988, house, all

Transcript Highlights:

• Medical Advocates for Healthy Air, San Diego 350, Move L.A., 350 Bay Area Action, CCAAJ, and the Safe Routes
• Jordan Grimes, on behalf of Greenbelt Alliance and the Student Homes Coalition, strong support today.
• Francine Mata, Sacramento Lowrider Commission, California Lowrider Alliance.
• co-founder of the Sacramento Lowrider Commission, and president and co-founder of the California Lowrider Alliance
• So on behalf of the Sacramento Lowrider Commission, the California Lowrider Alliance, and the families

Summary: The Assembly Transportation Committee heard several bills focused on active transportation, transit, road safety, and local enforcement. SB 569 would restrict removal or downgrading of bikeways built with state General Fund dollars for at least 20 years, require public hearings before major changes, and was supported by bicycle advocates and some local and environmental groups. The City of Encinitas opposed the bill, arguing it could limit needed safety fixes and should apply only to future projects; committee members discussed whether the bill still allowed safety-based modifications. The bill passed on a due pass vote to Appropriations. SB 741 would streamline the Low-Carbon Transit Operations Program by reducing administrative burden and giving transit agencies more flexibility to use funds for service improvements, fare programs, and other transit needs while maintaining oversight and disadvantaged community requirements. Transit agencies and advocacy groups supported the measure, saying it would help agencies respond to post-pandemic ridership and financial challenges. The committee approved the bill on a due pass as amended vote to Appropriations. The committee also heard SB 1167, which would tighten consumer protections by clarifying that high-powered e-motos and similar motor vehicles are not e-bikes, requiring clearer disclosures and labels, and improving crash reporting. Supporters said the bill would reduce confusion and improve safety for riders, pedestrians, and parents; the Motorcycle Industry Council opposed unless amended, arguing the term “e-bike” is used broadly and the bill could affect existing businesses. The bill passed to Appropriations. Later, SB 953, dealing with vehicular manslaughter cases dismissed through misdemeanor diversion, would add DMV points so fatal conduct remains reflected on driving records; the bill was supported by the victim’s family and safety advocates and passed to Appropriations. The committee then heard SB 1218, which would let local agencies boot vehicles tied to repeated unpaid illegal dumping citations instead of using DMV enforcement. Oakland officials and community groups supported the bill as a needed deterrent, while the ACLU opposed it as punitive debt collection without a sufficient nexus to the vehicle. The bill passed to Appropriations. Finally, SB 739 would revise the Clean Miles Standard for rideshare companies by allowing CARB and CPUC to adjust electric vehicle mileage targets in light of current market conditions; Uber and Lyft supported the flexibility, while clean air advocates began raising concerns about weakening climate goals as the transcript cut off.

Transcript Highlights:

• for DMV to meet the federal Real ID requirements and authorizes automated enforcement for the Games route
• Michael Henning, California Alliance of Child and Family Services.
• Michael Henning, California Alliance of Child and Family Services.
• And then separately, on behalf of the AAPI Equity Alliance, I wanted to express our thanks for reauthorizing
• Stop the Hate funding. ...AAPI Equity Alliance wanted to express our thanks for reauthorizing Stop the

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• I take the same route to school every day.
• or all their time, with fellow Jewish peers, or they’ll spend virtually all their time with the Alliance
• The International Holocaust Remembrance Alliance, or IHRA, definition makes this clear.
• The International Holocaust Remembrance Alliance, or IHRA, definition makes this clear.
• The International Holocaust Remembrance Alliance or IRA definition makes this clear.

Keywords: 995, all

Summary: The Special Commission on Anti-Semitism met for its 11th meeting and approved the minutes from its August 7 meeting. Co-chairs said the commission had recently completed preliminary K-12 recommendations and would continue work on higher education, with additional topics such as workplace issues, the medical sector, and the arts to be addressed before the November 30 reporting deadline. They also said another public comment meeting would be held this fall. The first testimony came from Dr. Mark Posnansky of Harvard Medical School, who described anti-Semitism affecting STEM, research, and higher education. He said Jewish and Israeli students and faculty reported ostracism, gaslighting, intimidation, discrimination, and hiding Jewish identity, and he urged clear leadership statements, mandatory anti-Semitism education, and stronger reporting and discipline procedures. Commissioners asked about Harvard training, spillover into teaching hospitals, and whether anti-Semitic climates were causing students to leave; he said some students had turned down opportunities because of the environment and that concerns also affected healthcare settings. Lindsey Gabbo, a Harvard Law student and mother, testified that campus discourse after October 7 had made Jewish and Zionist students feel isolated and unwelcome, with protests, defaced hostage posters, and a student council BDS vote contributing to the climate. She said Harvard had sent some emails acknowledging anti-Semitism but that she had not seen meaningful steps to restore dialogue, and she argued the school needed more structured venues for conversation. Commissioners also asked about campus security, the effect on students’ mental health, and the impact of chants and protests that she said many Jewish students understood as calls to violence. A panel of concerned Jewish faculty and staff then offered contrasting views. Professor Jeremy Menchick argued the commission should use data carefully, include non-Zionist Jews in its analysis, and avoid reinforcing divisions within the Jewish community. Professor Hilary Lustick described restorative-practice approaches and said structured dialogue could address conflict without immediate punishment. Professor Jonathan Feingold warned that anti-Semitism was being weaponized by the Trump administration and right-wing groups to attack universities and DEI, and he urged the commission not to adopt approaches that could be used to undermine civil rights institutions. Commissioners pushed back on claims that the problem was being exaggerated or reduced to a “problem” rather than a “crisis,” and the discussion ended with continued debate over data, context, and how to balance anti-Semitism concerns with broader civil-rights protections.

Transcript Highlights:

• Nicole Woods from Women's Resource Center, Angie Thomas from Alliance Defending Freedom, Anurika Nzing
• Chairman Miller [member_2887] and members of the committee, I'm Angie Thomas, Senior Counsel with Alliance
• Alliance Defending Freedom. But last week, I think you testified on support on behalf of NIFLA.
• Patrice Lewis, Acadiana Pregnancy Center, Deborah Melvin, Crossroads Pregnancy Center, Angie Thomas, Alliance
• lesser cost of going to LCTCS schools, the demographics of those students that go the associate degree route

Committee: House Health and Welfare

Summary: The committee first took up House Bill 611 by Rep. Freeman, which would require pregnancy-related service centers that provide health care services to be licensed or, as amended, to clearly disclose that they are not a licensed medical facility regulated by the Louisiana Department of Health. Rep. Freeman and supporting witnesses argued the bill was prompted by a legislative auditor report and concerns that some centers provide ultrasounds, STI testing, pregnancy tests, and related services without clear medical oversight. The Louisiana State Board of Medical Examiners’ executive director testified that interpreting ultrasounds and performing certain tests can constitute the practice of medicine, while opponents argued the centers already operate under medical directors and that the disclosure requirement was unconstitutional under the NIFLA case. The committee adopted an amendment, but after debate on the amended bill, a motion to report favorably failed on a roll call vote, and the bill was voluntarily deferred. The committee then heard House Bill 902 by Rep. Marcelle, which directs the Louisiana Department of Health to develop trauma-informed training. Supporters said the bill grew out of a task force on student behavior, mental health, and discipline, and that educators need a more consistent, evidence-based trauma-informed curriculum than what is currently available online. Some members raised concerns about cost and whether the bill would mandate new school obligations, while a witness from the Louisiana Baptist Convention opposed the measure as mission creep and argued trauma-informed care is too specialized for general teacher training. Other members supported the bill as a way to help educators identify and respond to children facing trauma. The bill was amended with technical changes and then discussed further, but the transcript ends before a final vote on HB 902 is shown.

Transcript Highlights:

• we targeted young people that were socially, economically challenged that wouldn't usually choose a route
• Texas Regional Advisory Council's perinatal medical director and the founding chair of the RAC-PCR Alliance
• The RAC-PCR Alliance consistently works collaboratively...
• The RAC-PCR Alliance consistently works collaboratively with the 22 RACs and their hospitals to improve
• Part of that work is education, and with funding, the RAC-PCR Alliance would be able to coordinate delivery

Bills: HB18 , HB37 , HB 116 , HB388 , HB879 , HB913 , HB 1151 , HB2216 , HB2358 , HB2809 , SB577 , SB1590 , SB1782 , SB1887 , SB2744

Committee: Senate Health & Human Services

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• I am the founder and CEO of the Alliance for Longevity Initiatives.
• Now your alliance nonprofit is out of where?
• Now your alliance nonprofit is out of where?
• ,</c><02:07:18.240><c> so</c> BioAge via an FDA-regulated route, so BioAge via an FDA-regulated route
• </c> eventually go the bigger route. eventually go the bigger route.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• I got 66 by DeWitt. I'm going to do it. 66 by DeWitt.
• HB 66, I'll forget the end of the end of the end of the Witt. H.B. 66 by Rep. DeWitt.
• The chairman has moved HB 66 as amended. Seeing no objection, HB 66 will be reported as amended.

Summary: The Local and Municipal Affairs Committee met with five senators present and first adopted the May 7 minutes. The committee then took up a series of local bills, beginning with HB 481, which revises the statutory cap on charges per character for public notices; after brief discussion, it was reported favorable. HB 1051, dealing with Shreveport commercial properties that have received insurance payments after fire damage and are dilapidated, was also reported favorable after questions about insurance, spoliation, and consultation with local departments. HB 1080, a related Shreveport measure clarifying the city’s authority to sue after filing a lien on dangerous property, likewise passed favorably after discussion of insurance-related issues. The committee next considered HB 864, which addresses combustible materials left under bridges and was amended to remove imprisonment as a penalty; it was reported favorable as amended. HB 893, concerning procurement rules for the New Orleans Sewage and Water Board as the city assumes more responsibility, was reported favorable. HB 107, creating a local improvement district, and HB 1153, establishing a statewide framework for parish and municipal burn bans after the I-12 fire, both received favorable reports. HB 213, restructuring the downtown development district and adding homeowners and lease owners to the board, and HB 433, renaming the Baton Rouge Chamber of Commerce in law to the Greater Baton Rouge Economic Partnership, were also reported favorable. HB 326, requiring the police chief of Tickfaw to reside in the village, passed without objection. HB 66, which adds administrative adjudication procedures for Alexandria and defines housing violations, was amended and reported favorable. Senator Barrow then presented SB 343 regarding the Baton Rouge Recreation and Park Commission, but said she would turn it into a study resolution; the committee deferred the bill without objection. HB 867, allowing the mayor to appoint the police chief in certain municipalities instead of election, was reported favorable. HB 1254, changing the New Orleans Regional Business Park board from 12 to 11 members and adjusting mayoral appointments accordingly, was briefly deferred at the author’s request and then reported favorable after discussion of avoiding tie votes. The meeting ended with a motion to adjourn, adopted without objection.

Transcript Highlights:

• , but as long as they are therapeutically equivalent, I do not believe that they're limited on the route
• injections of insulin to be allowed by these certified individuals, and it was added to the list of routes
• My name is Stephanie Nichols, and I'm legal counsel for Family Council and Education Alliance, and we
• we began to see how many of our members, and when I say our members, we also have the Education Alliance
• if you were concerned it might not be reimbursable, or you could just go the regular reimbursement route

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• Along the lines of your question, if we were to go that route and I have like three vehicles, I wouldn't
• So what we did is we got with the organizer, got the plan, got the route set up, so it was all safe,
• He is signed in as neutral, Alliance for Automotive Innovation. Mr. Gardner, welcome.
• I represent the Alliance for Automotive Innovation. We are the manufacturers. We've been...
• And what the reason for me going this route is, so many times monies that are meant to go somewhere are

Bills: HB2003 , HB2057 , HB2109 , HB2111 , HB2112 , HB2114 , HB2256 , HB2259 , HB2317 , HB2323 , HB2398 , HB2443 , HB2446 , HB2574

Committee: House Transportation & Infrastructure

Keywords: driver education, instruction permit, underage drivers, motorcycle licenses, traffic regulations, special plates, centennial, Arizona Department of Transportation, vehicle registration, commercial discounts, Arizona Centennial, distracted driving, portable wireless communication devices, motorcycles, traffic safety, civil penalties, driver license, examinations, motorcycle awareness, public safety

Transcript Highlights:

• initially made a set of recommendations that MassHealth should enforce the existing overtime cap at 66
• The 66-hour time cap went into effect again, and so we are once again enforcing that.
• I just had a question going back to the PCA hours from 66 to 60.
• So this just means that the 66-hour cap means that, oh, sorry, I'm going to sneeze.
• This just means that one worker can't work more than 66 hours.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• It is day 66, 66 days after the governor has proposed her balanced, bipartisan executive budget that
• It is day 66, 66 days after the governor has proposed her balanced, bipartisan executive budget that
• Republican majority to release the plan, show Arizona how you plan to pay for your tax cuts to corporations. 66
• days and no plan. 66 days and no vision for Arizona. 66 days of lacking leadership in this chamber and

Keywords: 1182, all

Transcript Highlights:

• initially made a set of recommendations that MassHealth should enforce the existing overtime cap at 66
• The 66-hour time cap went into effect again, and so we are once again enforcing that.
• I just had a question going back to the PCA hours from 66 to 60.
• So this just means that the 66-hour cap means that, oh, sorry, I'm going to sneeze.
• This just means that one worker can't work more than 66 hours.

Keywords: 1212, all

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with roll call, approval of prior minutes, and a presentation from Leslie Darcy, chief of LTSS at MassHealth. The main discussion focused on the Personal Care Attendant (PCA) working group, which had completed its legislatively mandated review and submitted recommendations. Darcy said several earlier recommendations were already implemented, including reinstating the 66-hour overtime cap, strengthening program integrity efforts, and removing paperwork-related authorized hours for EVV users. The group then reached consensus on additional recommendations to reduce the overtime cap from 66 to 60 hours, set a seven-hour weekly meal-prep support limit, and continue work on benchmarks, though no consensus was reached on a benchmark standard. Darcy said the proposed changes were intended to preserve program integrity while addressing rapid cost growth in PCA services. Darcy also reviewed the expected effects of a recent federal Medicaid-related bill, estimating that Massachusetts could lose about $3.5 billion by January 2028. She described upcoming changes affecting Medicaid eligibility for certain immigrant groups in October 2026, work requirements for some non-disabled adults beginning in January 2027, six-month redeterminations for certain adults, and shorter retroactive coverage periods. She emphasized that people with disabilities and people on Medicare would be exempt from the new work requirements and six-month redeterminations. Members asked about the impact on community hospitals, the health safety net, and ACA premium subsidies; Darcy said federal changes could worsen uncompensated care pressures, but Massachusetts used state funds to offset the loss of enhanced ACA premium tax credits, helping keep premiums lower for middle-income families. In response to questions about the FY27 budget, Darcy said MassHealth expected targeted reductions, some one-time measures, and likely a rate freeze rather than large base cuts, with further cost-containment work to follow in FY28. She noted that LTSS is a major share of MassHealth spending and that programs such as PCA, adult foster care, and adult day services are state-plan entitlements once adopted by the state, even though the federal government does not require them. Charlie Carr and other members stressed that the PCA work group had been difficult but collaborative, and Carr said the recommendations were modest compared with other options considered. The meeting ended with a brief planning discussion about a February guest presentation from the Department of Public Health and a motion to adjourn, which was approved.