Transcript Highlights:

• <00:03:38.239> and struggling to find surplus coverage and struggling to find surplus coverage
• designing the HHRF hurricane coverage. designing the HHRF hurricane coverage.
• surplus lines coverage. surplus lines coverage.
• coverage to be very candid about it. coverage to be very candid about it. Sure. Understood.
• or $200 million of coverage.

Keywords: 912, senate, all

Transcript Highlights:

• Senate Bill 295 by Senator Wheat, provide relative to the coverage of medically necessary treatment for
• Senate Bill 295 by Senator Wheat, provide relative to the coverage of medically necessary treatment for
• Senate Bill 464 by Senator Barrow, coverage for abuse treatment; provide for cost calculations, duties
• of the Department of Insurance, legislative appropriations, and minimum coverage standards.
• of the Department of Insurance, legislative appropriations, and minimum coverage standards.

Bills: HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, SCR40, SCR60, SB112, SB131, SB145, SB194, SB268, SB307, SB312, SB319, SB333, SB341, SB346, SB464, SB466, SB488, SB495, SB503, SB507, SB509, HR9, HR196, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR20, HB123, HB251, HB625, HB662, HB709, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB97, SB105, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB66, HB153, HB165, HB326, HB387, HB455, HB513, HB603, HB660, HB719, HB762, HB766, HB802, HB816, HB833, HB940, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, HCR32, HB798, HB998, HB1084, HB1223, HB59, HB955, HB1191, HB1234, HB646, HB824, HB341, SB397, SB442, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB926, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB47, SB82, SB89, SB149, SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Summary: The House met with a quorum, opened with prayer and the pledge, adopted the journal, and received a large number of Senate messages, committee reports, and bill referrals. Members also introduced several resolutions and recognized guests, including students from Allen Parish, federal appointees Brandon Beach and Paul Hollis, and other visitors. The chamber then moved through a lengthy agenda of House and Senate measures, with many bills and resolutions reported favorably, amended, or referred to committee. Among the notable floor actions, the House adopted H.R. 32 urging the Port of New Orleans to obtain backup motors for the St. Claude Avenue Bridge. It also passed bills on a wide range of topics, including local court and ordinance procedures for Alexandria, prohibiting reporting criminal fines and fees to credit bureaus, veterans’ lottery benefits, police chief residency in Tickfaw, fire marshal plan review authority, expanding the definition of first responder to include public works employees, NIL protections for student athletes, salary increases and additional positions for assistant district attorneys, limiting OMV debt referrals for unpaid reinstatement fees, watershed restoration and flood control funding, a sexual assault survivor task force, elderly consumer protection education, recreation of the Public Service Commission, Medicaid reimbursement for non-emergency medical transportation, local sales tax audit procedures, alcoholic beverage definitions for salons and similar businesses, transfer of removed monuments to state park property, hearing aid dealer regulation updates, a permit fee for small in-state distillers, expanded city court jurisdiction in Avoyelles Parish, and a narrowed version of the Alexandria administrative adjudication bill. Several measures were amended on the floor before passage, including the Alexandria ordinance bill, the sales tax audit bill, the alcohol/beverage bill, and the monument transfer bill. The House also temporarily returned some bills to the calendar for later consideration. Most measures passed overwhelmingly, though House Bill 153 on criminal court debt reporting passed with 67 yeas and 18 nays, House Bill 660 on assistant district attorney salaries passed 94-1, House Bill 719 on additional ADA positions passed 95-0, House Bill 883 on the sexual assault task force passed 86-2, House Bill 1028 on non-emergency medical transportation passed 81-15, and House Bill 1215 on monuments passed 78-14.

Transcript Highlights:

• The compromise with the Senate expands coverage for remote patient monitoring for high-risk pregnant
• It also directs DMAS to assess coverage for pregnant individuals age 35 and older through the full postpartum
• November 1, 2026, with the goal of informing potential future expansion of remote patient monitoring coverage
• It also directs DMAS to assess coverage for pregnant individuals age 35 and older through the full postpartum
• So this month could not have come at a better time for transparency.

Keywords: March 13, 2026 - Regular Session Part 2, 976, house, all

Transcript Highlights:

• There is a financial transparency piece because it does provide where everything's got to be disclosed
• HB 383388 authorizes group property and casualty coverage for personal lines.
• Allowing personal lines will benefit Texans and provide a greater choice for coverage.
• for personal lines of property and incidental liability coverage.
• That means that for personal line group policies, the coverage limit you buy is your coverage, and one

Transcript Highlights:

• First, we will hear about the implementation of House Bill 1349, which addressed guardian transparency
• to create a guardianship database for use by judges in judicial guardianship cases, providing transparency
• In terms of oversight, OPPG contracts with 15 offices of public guardians to ensure statewide coverage
• In terms of oversight, OPEG contracts with 15 offices of public guardians to ensure statewide coverage
• Again, this provides tremendous transparency for the public.

Summary: The Human Services Subcommittee met to receive updates on implementation of House Bill 1349, which created guardianship transparency measures, and on the Department of Elder Affairs’ Office of Public and Professional Guardians (OPPG). The Clerk of Courts Operations Corporation described the statewide guardianship database for judges and a public-facing website, noting the system went live in March 2025 after a soft launch in 2024. Officials said the database now includes information from all 67 clerks, with 388 users, about 6,400 wards, and 518 professional guardians. Members asked about unique identifiers, data duplication, training, and how the system is being used; CCOC said it is working to use registration numbers as identifiers, improve search functions, expand training, and seek continued funding. Secretary Michelle Branham then outlined OPPG’s implementation of HB 1349 and its broader oversight role. She said the department has doubled education requirements, expanded transparency through the Sentry system, and brought investigations fully in-house in August 2024. She described the complaint and investigation process, including legal sufficiency review, regional investigators, mandatory in-person interviews, and possible outcomes ranging from corrective training and fines to suspension or revocation. Members asked about complaint categories, disciplinary actions, whether guardians can be suspended during investigations, and how older cases are handled; the secretary said most complaints are administrative/technical, serious allegations are referred to law enforcement, and one older case discussed remained ongoing. The Auditor General’s office presented its operational audit of OPPG, covering July 2022 through January 2024 and follow-up on prior findings. The audit identified problems with monitoring private professional guardians and public guardian offices, complaint processing timeliness, incomplete public profile information, late registration renewals, failure to assess contract penalties, weak collection safeguards, missing follow-up on required public guardian reports, lack of needed rules, and Sentry system access/security controls. In response, Secretary Branham said the department does not dispute the findings and has already taken corrective steps, including launching Sentry, hiring additional monitors, moving investigations in-house, adding automated renewal reminders, updating forms, and drafting new rules. She also said the department plans to seek subpoena power and stronger fines in the next legislative session. The subcommittee took no formal vote and adjourned after members’ questions were completed.

Transcript Highlights:

• To ensure transparency, this bill also requires a 48-hour public notice before any closure, which is
• What we're doing here is not only creating transparency and allowing for, or imposing, a 48-hour window
• What we're doing here is not only creating transparency and allowing for, or imposing a 48-hour window
• And remember, it also is creating a framework so that we have better transparency.
• Senate Bill 2729 by Cook, relating to Medicaid coverage and reimbursement for the treatment of obesity

Summary: The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day. The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection. On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.

Transcript Highlights:

• And transparency is essential, and that's all that this bill is about.
• Too many Californians pay for dental coverage they cannot effectively use.
• Too many Californians pay for dental coverage. sponsor AB 1629.
• Too many Californians pay for dental coverage they cannot effectively use.
• The Dental Board can enforce to ensure cost transparency.

Keywords: 987, senate, all

Transcript Highlights:

• House Bill 4535 is about transparency and empowerment. Thank you for your time, Mr.
• At GHMA, we believe in transparency, accountability, and safety.
• House Bill 5274 would bring order and transparency to the system.
• Two of these facilities offer 24/7 coverage, including obstetrical coverage and response to emergencies
• And there is a lapse in coverage of meeting their medical direction model.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• But insurance can be complicated in buying or providing it, or even what the coverage is.
• No one wants to be on the short end of coverage when you need travel insurance.
• Not in just travel, the coverage is.
• These machines are widely used to scam people, and they charge high fees and lack transparency.
• <02:30:42.080> and strengthening transparency and strengthening transparency and accountability

Keywords: 919, house, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a performance of the national anthem, then established a quorum and approved the previous day’s journal. Members handled routine business including second readings of several Senate files, first readings of House files 5067 through 5073, and messages from the Senate transmitting bills and requesting concurrence on House File 3437 and House File 1410. The House concurred in Senate amendments to HF 3437, a commerce bill with a technical cross-reference correction, and passed it 133-0. It also concurred in Senate amendments to HF 1410, a public safety bill on correctional officer procedures, and passed it 132-2 after members described the changes as clarifying and balanced for labor and management. The chamber then took up House File 3404, which increases penalties for impersonating a peace officer. The bill would raise the base offense from a gross misdemeanor to a felony, create aggravated offenses for impersonation involving unauthorized access, misleading orders, law-enforcement-style vehicles, or possession of a firearm, and add a duty for officers to identify themselves while protecting undercover work. Supporters, including the author and several members, tied the bill to the June 14, 2025 killings and said it was needed to restore public trust and protect both the public and legitimate law enforcement. The House passed HF 3404 134-0 after a moment of silence. The House also passed House File 3155, which closes a loophole in gift card fraud law by allowing prosecution based on the value stored on the card rather than just the plastic card itself. Supporters described organized retail crime schemes in which stolen gift cards are drained after activation and said the bill would help retailers, consumers, and law enforcement. The bill passed 134-0. Senate File 3958, which changes the deadline for a disaster assistance contingency account report from January 15 to January 31, also passed 134-0. Finally, the House considered House File 3875, the judiciary policy bill. An author’s amendment removed a section that had been unintentionally left in the bill, and members then discussed provisions allowing courts more flexibility in publishing notices, streamlining some notification requirements in dissolution cases, and making restitution orders permanent unless rescinded by court order. The transcript cuts off during discussion of the bill, before any final vote is shown.

Transcript Highlights:

• The assignment of benefit signed by the dentist and the patient brings transparency in making sure the
• The assignment of benefit signed by the dentist and the patient brings transparency in making sure the
• The assignment of benefit signed by the dentist and the patient brings transparency in making sure the
• This bill takes the presumption out and clearly states that all health insurance coverage mandates are
• When entrepreneurs and startups understand consistent and transparent rules, they are far more likely

Keywords: Meeting Start: 00:00 Roll Call: 00:30 HB421 Discussion: 01:28 HB421 Vote: 02:19 HB184 Discussion: 03:20 HB184 Vote: 05:44 HB210 Discussion: 07:28 HB210 Vote: 08:14 HB415 Discussion: 09:05 HB415 Vote: 09:43 HB701 Discussion: 11:16 HB701 Vote: 13:42, 958, all

Summary: The committee met with a quorum and moved quickly through several House bills related to health insurance, insurance regulation, dental benefits, and digital assets. Members repeatedly noted the need to keep testimony brief because of overlapping committee schedules and the late-session pace. The chair also reminded House members to coordinate floor sponsors since consent calendars were not being used this year. House Bill 421, presented by Rep. Amy Neighbors with support from Dr. Russell Williams, would require full coverage of FDA-approved bowel preps with no out-of-pocket cost and no prior authorization barriers. House Bill 814, presented by Rep. Mike Klein and explained by Sen. Girdler, would extend the insurance regulatory sandbox through December 2030; supporters said the committee substitute was a vetted NAIC model already adopted in 28 states. House Bill 210, presented by Rep. Pollock with Dr. Steve Robertson of the Kentucky Dental Association, would clarify assignment-of-benefit provisions so dentists are paid directly and with more transparency. House Bill 415, also by Rep. Pollock, would clarify that health insurance coverage mandates apply only to primary major medical policies. House Bill 701, presented by Rep. Adam Bowling with Ash Gun of Coinbase, would establish clearer rules for blockchain and digital assets, affirm Kentuckians’ right to hold and transact digital assets, align money transmission licensing with digital assets, and specify that certain crypto activities are not securities. Members discussed the bill in general terms, including a light exchange about crypto market volatility, but no substantive opposition was raised. Each bill received a favorable expression by roll call, and the committee adopted the committee substitute and title amendment on HB 814. The meeting ended with a motion to adjourn, and the chair said another meeting later in the week was possible.

Transcript Highlights:

• Additionally, loss of Medi-Cal coverage could create fiscal pressures for regional centers to pay for
• There's been a long push for more transparency. I'm not saying they're wrong.
• There's been a long push for more transparency. I'm not saying they're wrong.
• The families don't need more barriers; they need support, transparency, empathy, and rapid responses.
• The only thing that I'm asking today is for transparency.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly. LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited. On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.

Transcript Highlights:

• regards to FEMA, and how a state has to interact with reimbursements, because I want to be very transparent
• Drug Assistance Program that helps many people living with HIV not only be able to get health care coverage
• and back then, at least, the department brought in bioethicists and worked with us in a really transparent
• But thanks to the CFO's website on transparency, we begin to find out where this shortfall could possibly
• I just wanted to take a brief moment and compliment you on your presentation and transparency through

Summary: The Appropriations Committee first took up SB 7010, which would authorize Roth contributions in state and local deferred compensation plans. Senator Mayfield explained that current law only allows pre-tax contributions, and the bill would let the Department of Financial Services and local governments offer post-tax Roth options. The bill had one support appearance card, no debate, and was reported favorably by roll call vote. The committee then received a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended “Floridians First” budget, totaling $117.4 billion and $53.2 billion in general revenue. The presentation highlighted reserves, debt paydown, tax relief, and proposed reductions and efficiencies, along with major spending areas in education, health care, public safety, corrections, transportation, and economic development. Key proposals included higher K-12 funding, teacher salary increases, funding for Everglades and water quality projects, emergency preparedness, corrections staffing and facility funding, cybersecurity, law enforcement recruitment bonuses, and affordable housing and infrastructure investments. Members asked extensive questions about property tax reserves, litigation funding, emergency response fund balances and spending, the Alligator Alcatraz detention facility and federal reimbursement, the Second Amendment sales tax holiday, animal abuse hotline funding, Hope Florida, corrections staffing, and teacher pay. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV medication program, with senators and a public witness expressing concern about access to life-saving medications and possible misuse or redirection of funds. The committee did not take further action on the budget presentation, and the meeting ended after additional comments supporting the budget and the corrections funding, with SB 7010 already approved.

Transcript Highlights:

• The reimbursement in Senate Bill 93 is very clear and very transparent.
• The other item, and I do want to address the transparency issue... ...I want to address the transparency
• I have no problem with the transparency that they want to add.
• So I think from a legislative standpoint, the transparency is huge, and I fully support that.
• You know, afford that prescription coverage; that's what concerns me.

Keywords: 923, senate, all

Transcript Highlights:

• HB 863 IS A STRAIGHTFORWARD CONSUMER TRANSPARENCY BILL THAT ALIGNS CITIZENS PROPERTY INSURANCE CORPORATION
• IT SIMPLY ENSURES TRANSPARENCY, INFORMED CONSENT, AND PUBLIC CONFIDENCE WITH THE STATE OPERATOR AS ITS
• FOR FULL TRANSPARENCY I DO WANT TO CLEAR SOMETHING UP.
• THOUGH IT IS VERY TRANSPARENT THOSE DECISIONS ARE DETAILED IN THE FINAL ORDER AS YOU HAVE HEARD THE CEO'S
• THIS BILL PROVIDES TRANSPARENCY AND DISCLOSURE THAT CONSUMERS NEED TO BE ABLE TO MAKE AN INFORMED CHOICE

Transcript Highlights:

• That perhaps we'll get a little bit better cell coverage in my area.
• You know, we've espoused transparency in this data from the very beginning.
• It requires $25,000 coverage, $2,550 under the minimum liability insurance coverage of the state of Missouri
• It requires $25,000 coverage, $2550 under the minimum liability insurance coverage of the state of Missouri
• To date, there are no transparent standards.

Keywords: 959, house, all

Bills: HB3257, HB3176, HB3544, HB3619, HB3546, HB1782, HB2293, HB4358, HB3081, HB3983, HB3790, HJR1023, HB4139, HB3297, HB3041, HB3673, HB4105, HB3338, HB3048, SR33, SCR21, SCR20, HB4030, HB4031, HB4032, HB4034, HB4036, HB4037, HB4038, HB4040, HB4041, HB4042, HB4043, HB4045, HB4046, HB4047, HB4048, HB4044, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4071, HB4065, HB4067, HB4072, HB2992, HB4338, HB4170

Keywords: veterans, disability benefits, federal law, Oklahoma Statutes, military service, Oklahoma, Gas Hub, artificial intelligence, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development, social AI companions, minors, emotional attachment, safety protocols, civil penalties, parental controls, geographic information

Bills: HB34, HM7, HM8, HM17, HM3, HM11, HM14, HM15, HM21, HM25, HM34, HB95, HB111, SB1, HJR1, HM4, HM22

Keywords: HB34, school nurse, school nurses, nurse licensure, licensure, charter school, charter schools, school district, public education, Department of Health, Public Education Department, registered nurse, RN, mentorship, evaluation, competency, teacher salary parity, minimum salary, level one license, level two license

Bills: SB 2, SB 3, SB 4, SB 5, SB 6, SB 7, SB 8, SB 9, SB 10, SB 11, SB 12, SB 13, SB 14, SB 15, SB 16, SB 17, SB 18, SB 34

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, redistricting, election

Transcript Highlights:

• in that KCHIP type coverage, removed them from the number of eligibles because they're not eligible
• :45.200> that<00:19:45.360> Kchip<00:19:45.919> type<00:19:46.160> coverage,<
• /c> were in that Kchip type coverage, were in that Kchip type coverage, removed<00:19:47.280> them
• <00:29:51.520> Um<00:29:52.240> that'd little bit more transparency.
• Um that'd little bit more transparency.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• They're not purchasing coverage for their employees because they're self-insured.
• They are purchasing coverage. They're getting bids, etc.
• It is medical assistance, but it is now the third largest source of coverage in the United States.
• 24.680> for They're not purchasing coverage for They're not purchasing coverage for their<01:10
• They are purchasing coverage. they do. They are purchasing coverage.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.