Transcript Highlights:

• We're also adding a new section four to read: any state agencies desiring to utilize exemptions from
• we're also adding a new section<00:02:22.760> four<00:02:23.040> to<00:02:23.239> read
• c><00:02:23.560> section<00:02:23.959> four<00:02:24.319> any section four to read
• section four any section four to read section four any state<00:02:24.800> agencies<00:02:25.280
• And so that's really what I'm kind of asking for, and when you read DCAB testimony...

Keywords: 912, senate, all

Summary: The committee met on February 4, 2025, for decision making on previously heard measures, then later held hearings on additional bills. Early action focused on several measures that were amended and advanced, including SB 161 on state project exemptions from county permitting, which was heavily revised to allow programmatic or project-specific agreements with counties, require public reporting of exempted projects, and create a working group to study broader permitting and construction coordination issues. The committee also advanced SB 635 on energy efficiency with changes shifting survey leadership to the Hawaii State Energy Office, SB 700 on resilience hubs after narrowing it to focus on emergency-service-capable hubs and removing distributed energy language, SB 869 on community outreach boards with a technical amendment, SB 1081 on a legislative budget office by converting it to a feasibility study, SB 711 on gubernatorial appointments with a salary threshold change, SB 405 on neighborhood board agendas with a committee-report note about OIP concerns, SB 381 with privacy issues deferred to Judiciary, SB 2 as a two-year pilot for fruit tree planting in selected districts, SB 239 on disaster preparedness with sheltering revisions, and SB 998 as introduced with a cost estimate for site selection work. Several measures were deferred or not advanced, including SB 615, which was deferred indefinitely, SB 1132, which the chair said would be set aside in favor of another childcare bill, and SB 111, which was not taken up further because of confusion during an earlier hearing. During the later hearing portion, SB 1175 on procurement drew testimony from the State Procurement Office, which supported the bill but corrected its estimated database revision cost from $7,500 to $30,000; the Department of Transportation also appeared, while the General Contractors Association submitted opposition. Committee members questioned whether the past-performance database should include more detailed quality information and whether a one-year post-completion review would be useful, but no amendment was adopted at that time. SB 1587 on retainage received written support from the Subcontractors Association of Hawaii and no opposition in the room. SB 1543 on government accountability, which would require justification for outside consultants and cap consultant spending, drew opposition from the American Council of Engineering Companies of Hawaii, which argued it could slow procurement, reduce flexibility, and worsen delays given existing vacancies and limited in-house expertise. The Public First Law Center supported the related transparency bill discussed in the hearing, arguing it would close a loophole by making contractor-created records used in government functions subject to disclosure under UIPA, while the Attorney General’s office opposed it. The transcript ends with that testimony still underway, and no final vote is shown for the later hearing bills.

Transcript Highlights:

• he read all of them.
• Senate bills on second reading to be referred. Senate Bill's on second reading to be referred.
• The bill passed to third reading.
• The bill passed to third reading.
• The bill passed to third reading.

Bills: HR188, HR189, HR190, HR191, HR179, HR180, HR181, HR182, HR183, HR185, HR186, HR187, HCR75, HCR76, HCR77, HCR78, HCR79, SCR24, SCR36, SCR39, SB64, SB107, SB152, SB185, SB217, SB232, SB278, SB290, SB294, SB320, SB321, SB419, SB424, SB436, SB440, SB468, SB470, SB476, SB482, SB489, HCR32, SCR11, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB679, HB745, HB749, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1193, HB1207, HB1218, HB1223, SB256, SB180, HR1, HR17, HCR5, HCR4, HCR47, HB59, HB74, HB159, HB330, HB364, HB414, HB458, HB525, HB568, HB786, HB1008, HB1033, HB1034, HB1041, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1176, HB1182, HB1196, HB1214, HB1241, HB87, HB115, HB162, HB368, HB433, HB441, HB447, HB466, HB481, HB741, HB1242, HB362, HB893, HB990, HB1007, HB1153, HB1243, SB162, SB349, SB350, SB382, SB383, SB127, SB244, HB615, HB864, HB1103, HB1175, HB31, HB225, HB608, HB664, HB897, HB977, HB1003, HB1160, HB1180, HB911, HB306, HB366, HB1161, HB1230, HB181, HB901, HR20, HR74, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB772, HB773, HB996, HB1035, HB1058, HB1082, HB1113, HB1189, HB1234, HB1240

Keywords: hunting dogs, field trials, working dogs, dog training, greyhound protection, Farm Bill, federal overreach, sportsmen, sportswomen, wildlife management, conservation, rural communities, Louisiana hunting, hunting tradition, animal welfare, dog breeders, dog owners, outdoor recreation, Kathy Taylor, musical achievements

Transcript Highlights:

• However, our screening rates are very low.
• That message encouraged me to talk to my doctor about lung cancer screening.
• That screening found my lung cancer at an early stage.
• , even though those screenings are already covered without cost sharing.
• At the same time, screening rates for other cancers are much higher.

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.

Transcript Highlights:

• >> Newborn >> Newborn >> Newborn screening screening screening >> annual<01:41
• present the newborn screening report. present the newborn screening report.
• > is<01:45:27.600> dedicated The newborn screening team is dedicated The newborn screening
• :43.440> 98.7% Screening timeliness increased to 98.7% Screening timeliness increased to 98.7%
• currently being screened for. currently being screened for.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• One of my jobs is I quickly read all the letters as they come in at the end of the program.
• I'll only read part of it to you: 'Balloons released in the sky don't go to heaven.
• This allows them to be screened.
• <03:20:24.680> there's this allows them to be screened there's this allows them to be screened
• looking at Aiden doing a network screen looking at Aiden doing a network screen of<04:27:20.680>

Keywords: 1189, house, all

Transcript Highlights:

• It involves careful screening and preparation, sessions, a supervised therapeutic experience, as well
• This bill creates essential safeguards: health screening, informed consent, trained facilitators, and
• Psilocybin you can read dramatic dramatically reduce addiction and depression.
• We do know that in the letters that I was reading, all the support letters...
• I also saw and read stories about cancer patients. I lost my dad to cancer and many of my family.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• <01:15:27.360> every this president right here reads every this president right here reads
• <01:55:48.159> and submitting for drug screens and submitting for drug screens and providing
• I don't know without reading that. I just know that we have the science of reading.
• learning how to read. learning how to read. >> They<02:57:38.960> are.
• so that you actually know how to read so that you actually know how to read the<03:03:30.160>

Keywords: 1136, house, all

Transcript Highlights:

• the emergency room have been screened.
• 98% of patients visiting the to screen 98% of patients visiting the emergency<00:30:33.679> room<
• new mothers for hospitals to screen new mothers for postpartum<00:32:17.679> depression<00:32
• from the hospital if a patient screens from the hospital if a patient screens positive<00:32:26.159
• Hospitals have undertaken a vital effort in screening patients and referring them to resources.

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

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

Transcript Highlights:

• Reports of committees will be deemed read, and amendments deemed adopted.
• The clerk will read.
• The clerk will read.
• We'll begin with our second reading file, items 1 through 15.
• The clerk will read: Senate Bill 719, 830, 1175... Items 1 through 15, the clerk will read.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then handled a series of procedural motions, including re-referrals of several Senate bills, notices for committee hearings, and a successful motion to suspend rules so ACA 20 could be taken up later in the week. The chamber also recognized former Assembly Member Christina Garcia and later moved into a Pride Month observance. The main ceremonial item was House Resolution 115 recognizing June 2026 as LGBTQ+ Pride Month. Assembly Member Ward opened on the resolution, and multiple members from different caucuses spoke in support, highlighting Pride history, LGBTQ+ rights, and the contributions of LGBTQ Californians. Assembly Member DeMaio offered supportive remarks while noting policy differences, and the resolution was adopted by voice vote after 53 co-authors were added. The Assembly then held a Pride honoree ceremony recognizing 15 individuals and groups for contributions to the LGBTQ community. On the floor file, members also adopted several resolutions by voice vote after adding co-authors: ACR 187 on Men’s Mental Health Month, ACR 157 marking the 50th anniversary of the Surface Mining and Reclamation Act, ACR 222 declaring Alzheimer’s Disease and Brain Awareness Month, and ACR 224 recognizing Social Media Harms Victim Remembrance Day. Each drew personal testimony from members about the underlying issues, including suicide prevention, caregiving and dementia, mining reclamation, and harms to youth from social media. The Assembly also concurred in Senate amendments to AB 46 on mental health diversion by a 51-1 vote, and later adopted the consent calendar 66-0. The House adjourned until June 25, 2026, at 9 a.m.

Transcript Highlights:

• Give me a second; I can share my screen, and this would be the handout that should be in your packets
• Give me a second; I can share my screen, and this would be the handout that should be in your packets
• Our team is lean, as you can see from the chart that I on the screen.
• There’s a handful of examples of loans that have already been issued on the screen.
• You just read my eyes. I didn't even have to ask.

Keywords: 1183, house

Transcript Highlights:

• And I do want to read just one quote from CT Stud. And I do want to read just one quote from C.T.
• I, too, was surprised to read that... I, too, was surprised to read that this is a bill.
• when I read some part... ...my reading of the bill, because when I read subpart D, I see that a firefighter
• At least that's the way I read the bill. So can you please tell me, am I reading it wrong?
• Credo, am I reading the bill wrong, though? The part that I'm reading says that it's voluntary.

Bills: HB2665, HB2904, HB2917

Keywords: manslaughter, suicide encouragement, assisted suicide, online harassment, social media, text messaging, directed communication, minor suicide, youth suicide prevention, criminal liability for speech, online bullying, free speech, homicide, class 2 felony, Cade's Law, Arizona criminal law, sovereignty, border security, health crisis, drug cartels

Summary: The House Committee on Public Safety and Law Enforcement heard three bills. HB 2665, named Cade’s Law, would expand Arizona’s manslaughter statute to cover intentionally directed communications—verbal, written, or electronic—that encourage a minor to die by suicide, while excluding general public commentary and non-directed discussion of suicide or mental health. The sponsor and several parents and suicide-prevention advocates testified in support, emphasizing teen suicide risks and the need to address online communication. Some members raised concerns about ambiguity, peer-to-peer counseling, and whether minors could be swept into the statute. After a verbal amendment clarifying the communication language, the bill passed 10-4 with several members voting present due to drafting concerns. HB 2904 declared fentanyl trafficking across the Arizona-Mexico border a public health crisis and directed state health officials to act within their authority. The sponsor argued the bill was needed to combat cartels and protect Arizona from fentanyl-related deaths. The ACLU of Arizona opposed it, saying the bill used vague and unprecedented terms such as “unlawful invasion,” could sweep in asylum seekers or low-level drug offenders, and might affect bail and sentencing. After a contentious debate over border security, sovereignty, and the bill’s definitions, the committee gave HB 2904 a do pass recommendation by an 8-6 vote. HB 2917 would create a firefighter cancer registry at the Department of Health Services to collect and analyze data on cancer among Arizona firefighters. Firefighter representatives supported the measure as a way to better understand occupational exposure and improve prevention, but members questioned whether the bill’s reporting requirements were truly voluntary, since the draft appeared to require participation and provider reporting of medical information. The sponsor and supporters said the intent was not to mandate disclosure and were open to amendments to clarify consent and privacy. The committee approved the bill 12-1, with one present vote and one absence, while noting that cleanup amendments would be needed before floor consideration.

Transcript Highlights:

• you later to read more from that<01:12:53.320> slide.
• This was at the end, and um I'll just read it to you.
• It says, um I'll just read it to you.
• Um, if someone can enable screen sharing, if they could do that and take down the other screen share,
• <01:44:21.560> sharing, if someone can enable screen sharing, if someone can enable screen

Keywords: 1187, senate, all

Transcript Highlights:

• I don't know if that that we screen for.
• offenses that we screen for. offenses that we screen for.
• section maybe that could be read section maybe that could be read differently differently differently
• My reading of it, I think you're referring to the section that reads: the New Hampshire Air National
• My in reading add or their designate.

Keywords: 1189, house, all

Transcript Highlights:

• That's not how I read it. So that's just false.
• That's not how I read it. So that's just false.
• That's not how I read it. So that's just false.
• That's not how I read it. So that's just false.
• I saw you activate your screen. screen. screen.

Keywords: 958, all

Summary: The Kentucky Legislative Ethics Commission met on November 18, 2025, approved the October 14 minutes, and then took up five motions in ethics matters 24LEC3 and 24LEC6. Those motions included a renewed motion to dismiss and motion to quash by Representative Daniel Gberg, a renewed motion to compel/sanctions and continuance request by Mr. Jenkins, and competing motions in limine concerning evidence and redaction of deposition transcripts. Vice Chair Mike Schaw was appointed hearing officer for the motion practice, and the commission agreed to hear the motions one at a time in open session. Representative Chris Lily joined later by Zoom. Counsel for Representative Gberg argued the remaining allegations were minor, that the commission lacked key exculpatory materials such as an alleged LRC report, policies, procedures, and training materials, and that the record did not support the ethics charges. She also argued the case had been broadened by extraneous allegations and that the respondent had been unfairly prejudiced. Enforcement counsel responded that he had produced all materials in his possession, that any LRC materials were not in the commission’s custody, and that the commission’s probable-cause findings were based on sworn testimony and affidavits already in the record. He argued the motions to dismiss and for summary judgment should be denied because genuine issues of material fact remained and the commission had already found probable cause on three ethics violations. Commission members questioned both sides about the alleged LRC report and whether it was part of the commission’s record. The chair stated the commission had not relied on any LRC report and had not withheld anything, while another member emphasized that the proceeding concerned alleged violations of the ethics code, not LRC sexual-harassment policy. A commissioner also noted the unusual structure of the proceeding and questioned whether the complaints, taken as true, stated a basis for dismissal. The transcript ends during continued discussion of the standard for dismissal and summary judgment, with no final ruling on the motions captured in the excerpt.

Transcript Highlights:

• I don't expect you to read the whole thing, but this is out there.
• And as I showed you on the previous screen, in the vast majority of instances in the office, that means
• 39.039> the<00:08:39.200> vast<00:08:39.519> majority<00:08:40.000> of screen
• , in the vast majority of screen, in the vast majority of instances<00:08:40.640> in<00:08:40.880
• I've had a chance to read it and reread it, and I still have some questions.

Keywords: 958, all

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

Transcript Highlights:

• How does he screen for dementia, or she screen for dementia? When do they refer out?
• As far as doctors, I would say this: for me, even when I go to try to read medical things, it's difficult
• I've been up in my office reading stuff on Alzheimer's, but I'm used to 1:30 meetings for the afternoon

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Transcript Highlights:

• How does he screen for dementia, or she screen for dementia? When do they refer out?
• As far as doctors, I would say this: for me, even when I go to try to read medical things, it's difficult
• I've been up in my office reading stuff on Alzheimer's, but I'm used to 1:30 meetings for the afternoon

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.

Transcript Highlights:

• I've lost my screen here. There we go. Thank you, Mr. Chairman.
• I just want to make sure that I'm following because I think if I'm going to maybe read between the lines
• two contracts be honest with you so sorry about that Senator Disman you're recognized I've lost my screen
• thank you mr. chairman I just want to make sure that I'm following because I think if I'm gonna maybe read

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Transcript Highlights:

• DON'T DO CHEVY YOU DO CHEVROLET BECAUSE THAT IS WHAT THE DROP DOWN MENU IN FLEET THAT IS HOW THEY READ
• THEY HAVE A CHECK ENGINE LIGHT AND THEY PLUG A DEVICE INTO THE CAR UNDER THE DASH AND PLUG IT IN AND READ
• VEHICLE THROUGH YOUR PURCHASING SYSTEM YOU WILL GIVE THEM THIS TRACKER TO PUT IN WHO WILL WATCH THE SCREEN
• BECAUSE YOU'RE GOING TO PUT IT ON A MONITOR SCREEN.

Transcript Highlights:

• I just want to jump in really quick and reiterate: when we read these books, we were reading them for
• When we read these books, we were reading them for the specific language in the statute, the objective
• I've read a lot of these books, and I can understand some of them.
• No one had ever even read it. So is there any... No one had ever even read it.
• And this last slide is, and it's kind of off screen here, but, sorry.

Keywords: 985, all