Transcript Highlights:

• award grants and work with those grant recipients to develop grant contracts and practices and procedures
• that we think are and procedures that we think are appropriate<00:59:45.319> and<00:59:45.480
• These ensure that the policies, practices, procedures, equipment, methods, and measurements that those
• That certification and that their testing methods and procedures are in alignment with national standards
• That work also takes a lot of time to build out policies and procedures to run a state agency, to get

Keywords: 1187, senate, all

Transcript Highlights:

• develop approximately 6 months to develop regulations<00:20:38.960> and<00:20:39.200> procedures
• <00:20:40.159> Amendment regulations and procedures.
• Amendment regulations and procedures.
• Uh, clerk will read the next bill. >> Senate Bill 294, Senator Love, Criminal Procedure, Protection of
• , victims of sexually criminal procedure, victims of sexually assaultive<01:36:23.840> behavior

Keywords: Senate streaming session for Tuesday, March 3, 2026, 960, senate, all

Summary: The Senate convened with an invocation, journalized the prayer, and recognized Read Across America Day with a special resolution congratulating the Maryland State Education Association on the program’s 28th anniversary. Senators also welcomed several guests and student groups, including Eleanor Roosevelt High School students, Maryland Federation of Republican Women members for Red Scarf Day, medical shadows from Johns Hopkins, a student page prospect, and a group from Matthew Henson Elementary School. The chamber then took up multiple Finance Committee consent calendars and individual local alcohol-related bills, all of which were reported favorably, adopted without objection, and ordered printed for third reading. Measures included changes to alcohol license fee refunds for uniformed service members, Anne Arundel County license classifications and compensation for liquor board officials, a Baltimore City racetrack license extension, a Cecil County license quota change, and new or expanded licenses for golf courses, sports venues, and barber shop/beauty salon establishments. The Senate also advanced bills on social work licensing, a rural readiness economic development program, a Maryland-Ireland Trade Commission extension, peer-to-peer car sharing insurance rules, telematics-based auto insurance disclosures and appeals, and veteran status notation on public profiles. Several bills were amended before being advanced, generally with technical or clarifying changes and no recorded opposition. Senate Bill 18 would create a provisional social work license; Senate Bill 351 would regulate insurer use of vehicle telematics data; Senate Bill 395 would revise insurance and liability rules for peer-to-peer car sharing; and Senate Bill 197 would alter comprehensive plan elements in land use law. Senate Bill 439, protecting fire and rescue public safety employees from adverse action based on medical cannabis certification, also moved forward without amendment. One measure, Senate Bill 69, which would make permanent the nonprofit navigator position in the Department of Commerce, was discussed at length after a member raised concerns about oversight of nonprofit grant funding. On request, the bill was special ordered to the next day for further consideration. All other bills discussed in the transcript were advanced to third reading by unanimous or near-unanimous voice action, with no recorded roll-call votes.

Transcript Highlights:

• manual and so forth, some of procedure manual and so forth, some of that<00:48:06.800> will<00
• It is a study that I'm the principal investigator of: trauma-informed procedural pain intervention.
• It is a study that I'm the principal investigator of: trauma-informed procedural pain intervention.
• <01:03:28.799> pain trauma-informed procedural pain trauma-informed procedural pain intervention
• We all follow a uniform set of guidelines and procedures, and it takes about 23 months to complete all

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:

• making it easy for state agencies to comply and addressing any lack of clarity in policies and procedures
• making it easy for state agencies to comply and addressing any lack of clarity in policies and procedures
• We we would policies or and procedures.
• One is, you know, a number of the changes being requested are fairly minor in terms of procedure and
• and practice um and and of procedure and practice um and and represent<00:52:27.920> no<00:52

Keywords: 1187, senate, all

Transcript Highlights:

• So a process or procedure that So a process or procedure that was performed a year ago is now about 12%
• zoning can still spend years navigating endless hearings, appeals, redesigns, continuances, and procedural
• zoning can still spend years navigating endless hearings, appeals, redesigns, continuances, and procedural
• Even seemingly minor procedural impediments can have outsized impacts on housing production.

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• The current rules and procedures of the rate-setting process fail to lead to adequate rates.
• The current rules and procedures of the rate-setting process—I'm sorry, the rules and procedures of the
• The rules and procedures of the rate-setting process failed to lead to adequate rates.
• These services included insurance assistance, medical procedure explanations, caregiver support, and

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• The first one is 40-7-02, salary administration procedures.
• The first one is 40702 salary administration procedures.
• Today, I will be providing information describing the procedure followed by the North Dakota Lottery
• I'd like to highlight several of the steps followed in our rulemaking procedure regarding public notices
• Pages 150 to 153 change section 6 of 71-02-05, which provides that disability application procedures,

Keywords: 908, all

Transcript Highlights:

• The first one is 40-7-02, salary administration procedures.
• Today, I will be providing information describing the procedure followed by the North Dakota Lottery
• Today, I will be providing information describing the procedure followed by the North Dakota lottery
• I'd like to highlight several of the steps followed in our rulemaking procedure regarding public notices
• Pages 150 to 153, change on section 6 of 71-02-05 provides that disability application procedures, time

Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.

Transcript Highlights:

• The first one is 40702 salary administration procedures.
• The first one is 407.02, salary administration procedures.
• Today, I will be providing information describing the procedure followed by the North Dakota Lottery
• I'd like to highlight several of the steps followed in our rulemaking procedure regarding public notices
• Pages 150 to 153 change section 6 of 71-02-05, which provides that disability application procedures,

Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.

Transcript Highlights:

• but with 100 members here, we have to have organization, we have to have process, we have to have procedures
• We have to have procedures. So if you want to be recognized, stand up. You can't just wave.
• So we've got to have process and continuity and procedure. You'll be recognized.
• Every bit of operations, procedure, practice runs through Ms. Lockwood.
• until the person who had control of the well and had the floor had to leave, because we don't take procedural

Summary: The meeting was a Girl State House session in which members received a brief orientation on chamber rules, decorum, voting procedures, and how to use the floor, followed by prayer, the pledge, and attendance. The parliamentarian and House leaders emphasized respectful conduct, recognition procedures, live microphones/cameras, and how motions such as immediate consideration work. After the rules overview, the chamber began considering bills in order. House Bill 1001, which would have prohibited over-the-counter diet pills from being sold or transferred to anyone under 18, drew debate over eating disorders, teen health, and whether parents or sellers would be affected. Supporters argued it would protect minors from harmful diet culture, while opponents raised concerns about medical exceptions and whether the age limit should be 21 instead. The bill failed, 42-55 with two present. House Bill 1002, allowing lottery winners to remain confidential, was amended during discussion to cover a $100,000 threshold and special rules for elected officials; supporters said it would protect winners from scams and harassment, while opponents raised transparency concerns. It passed 79-17 with one present. House Bill 1003, requiring schools to provide resources and courses on child labor/workplace laws, was debated as a workforce-readiness measure, but members questioned whether it should be a required course, an online option, or limited to older students. The bill failed 22-73 with three present. House Bill 1004, creating the Arkansas Head Injury Act and requiring helmets and face protection for motorized cycle operators and passengers, received strong support based on safety and personal testimony about motorcycle deaths; it passed 94-4. House Bill 1005, the Adult Preparedness Act, would have required a year-long personal finance course before graduation; members debated whether the material was already covered in existing classes and whether schools had time and staffing to implement it. It failed 35-60 with four present. House Bill 1006, increasing the teacher classroom investment tax deduction from $500 to $1,000, was broadly supported as a way to help teachers pay for classroom supplies and student needs, and it passed 97-0 with one present. House Bill 1008, aimed at encouraging entrepreneurial businesses by limiting national franchises in local economic zones, sparked debate over how to define zones, whether existing chains would be affected, and the impact on jobs and affordable shopping options; it failed 23-69 with six present. The session then moved to House Bill 1009, establishing a blue envelope program for people with intellectual disabilities during police interactions; the sponsor explained it would be optional and included in law-enforcement training, and supporters said it could reduce confusion and improve safety. The transcript cuts off before the bill’s final action.

Transcript Highlights:

• but with 100 members here, we have to have organization, we have to have process, we have to have procedures
• We have to have procedures. So if you want to be recognized, stand up. You can't just wave.
• So we've got to have process and continuity and procedure. You'll be recognized.
• Every bit of operations, procedure, practice runs through Ms. Lockwood.
• until the person who had control of the well and had the floor had to leave, because we don't take procedural

Summary: The meeting was a Girl State House session in which members received procedural guidance on chamber rules, recognition, voting, and decorum, then moved through a series of bills. The first bill, House Bill 1001, would have prohibited over-the-counter diet pills from being sold or transferred to minors; supporters argued it would protect teens from eating disorders and misuse, while opponents raised concerns about medical exceptions and the age cutoff. It failed 42-55. House Bill 1002, allowing lottery winners to keep their identities confidential for a period of time, was amended during discussion to a three-year confidentiality period and passed 79-17 after a motion for immediate consideration. House Bill 1003, requiring schools to provide resources and courses on child labor/workplace laws and readiness, drew debate over whether it should be mandatory, what age group it should cover, and whether schools could support it; it failed 22-73. House Bill 1004, the Arkansas Head Injury Act requiring helmets and protective gear for motorized cycle riders, passed 94-4 after testimony focused on safety for riders, other drivers, and first responders. Members then considered House Bill 1005, which would require a year-long personal finance course before graduation to teach budgeting, taxes, credit, and related life skills. Supporters said it would better prepare students for adulthood, while opponents argued the material is already covered in existing classes and raised concerns about scheduling and implementation; it failed 35-60. House Bill 1006 increased the teacher classroom investment income tax deduction from $500 to $1,000, with supporters emphasizing teachers’ out-of-pocket spending on classroom supplies and student needs; it passed 97-0. House Bill 1008 sought to limit the number of national franchise businesses in an economic zone to encourage local entrepreneurship and protect small businesses, but opponents argued it could hurt jobs, limit consumer options, and was unclear in scope; it failed 23-69. The House then passed House Bill 1009, creating a voluntary blue envelope program for people with intellectual disabilities to help law enforcement interactions, after supporters said it could reduce confusion and improve safety; it passed 87-5. The final bill introduced before the transcript ended was House Bill 2010, which would increase the income tax credit for Arkansas families supporting a child with special needs; the sponsor began by sharing a personal story about her brother with Down syndrome and the costs families face, but the discussion was cut off before debate or a vote.

Transcript Highlights:

• And the next question is to what extent they're approving the same medical procedures or using the same
• criteria when deciding whether to approve or deny a medical procedure.
• for publication, I did confirm that, in fact, these boards do have discretion, and so the medical procedures
• What are some of the lists of procedures that are approved versus what procedures are denied?

Keywords: 904, all

Summary: The Select Committee on Pension Policy approved its minutes by roll call vote, then postponed an OSA annual update due to a family emergency. The committee received an Open Public Meetings Act refresher from Assistant Attorney General Kate Adams, who reviewed key compliance points including quorum and serial meetings, notice and agenda rules, executive session limits, public comment requirements, and the consequences of violations. She also noted a litigation hold notice sent to members and provided resources for further guidance. Staff then briefed the committee on E2 Second Substitute House Bill 2034, which restates and terminates LEOFF 1 on June 30, 2029, creates a restated LEOFF 1 funded by transferred assets, and places excess assets into a pension surplus holding account that could later be used by the state. The bill requires DRS to seek IRS guidance, directs OSA to calculate the transfer amount and assess any future unfunded liability, assigns implementation duties to DRS, OSA, the Pension Funding Council, the State Investment Board, and the Treasurer, and requires two SCPP studies on LEOFF 1 medical benefits and policy oversight. OSA’s actuary estimated the transfer to the surplus holding account at about $3.9 billion under current assumptions and said the bill increases the modeled chance of future state contributions if the restated plan falls below 100% funded; members asked about IRS timing, the 2029 transfer date, and whether the 110% buffer is sufficient. The committee also received an update on the LEOFF 1 medical benefits study required by the bill. Staff said the study will examine the administration of pension boards and medical liabilities, likely focusing on medical benefits, and will gather anonymized data from local boards, cities, counties, and related agencies over the next three years. Members and public commenters discussed the number and structure of local boards, whether spouses receive medical benefits, and the possibility of regionalizing or consolidating administration. No action was taken, but staff said they would return with milestones and further updates. Finally, staff outlined a possible Plan 3 study, prompted by DRS, to evaluate whether the original goals of Plan 3 have been met after 30 years. The proposed study would review historical context, member choice outcomes, policy questions, and possible recommendations over a two-year period. The committee also heard an update on new correspondence procedures, including a new online web form, a correspondence log in meeting packets, and removal of correspondence from the public website. During public comment, retiree groups urged the committee to pursue an ongoing COLA for PERS and TRS Plan 1, with interim ad hoc COLAs until then, while LEOFF 1 retirees urged caution about changing the current board structure and emphasized the complexity of medical benefit administration.

Transcript Highlights:

• On to our procedural motions.
• Madam Majority Leader, you are recognized for your procedural motions. Good morning, Mr. Speaker.
• Members, this is a procedural vote. It is not debatable. The clerk will open the roll.
• Madam Majority Leader, you are recognized for your procedural motion.
• Madam Majority Leader, you are recognized for your procedural motion.

Keywords: 988, house, all

Summary: The Assembly convened after a quorum call, prayer, and pledge, then handled a long daily file with several procedural motions and guest introductions. Members also adopted a resolution recognizing CASA volunteers and welcomed student, school, sports, and community groups to the chamber. The body approved a motion to suspend rules for several procedural purposes, including moving bills between committees and allowing a bill to be heard on shortened notice. On the floor, the Assembly concurred in Senate amendments to AB 1389, which ratifies and extends a tribal-state gaming compact with the Yurok Tribe through December 31, 2026. Members then passed a series of bills on third reading, including AB 1632 on removing the notarization requirement for trespass letters, AB 2380 on county pest control fee authority, AB 2080 on county investment delegation, AB 2149 on reporting pupil achievement gaps, AB 1625 on Sacramento Regional Transit board meeting and stipend changes, AB 2179 on expanding e-filing for workplace violence restraining orders, and AB 2753 barring registered sex offenders from running for or holding elected office. AB 2636, AB 1544, AB 1637, AB 2534, and AB 2595 also passed, addressing juvenile firearm possession, court access, medical record integrity, forced marriage protections, and local e-bike restrictions for children under 12 in San Mateo County. The Assembly adopted several resolutions, including ACR 173 reaffirming California’s sister-state relationship with Jalisco, ACR 163 designating May as Missing and Murdered Indigenous People Awareness Month, ACR 180 designating Compost Awareness Week, and ACR 182 establishing Youth Mental Health Awareness Week. These resolutions drew extensive supportive remarks from members across caucuses, with strong emphasis on Indigenous justice, mental health, agriculture, and environmental stewardship. AB 108, a budget bill providing up to $25 million in emergency bridge funding for distressed hospitals, received broad bipartisan support and was sent to the Governor immediately after concurrence in Senate amendments. The chamber also added coauthors to multiple resolutions and removed AB 2512 and AB 1956 from the consent calendar at the author’s request.

Transcript Highlights:

• The failure to obtain safety review for the new map is a new procedural violation and is not a recycled
• that authorizes a special district with a budget of less than $150,000 to engage in agreed-upon procedures
• For lean special districts with smaller budgets, other procedures still provide fiscal oversight without
• district, we learned it requires comprehensive financial audits, performance evaluations, process and procedures
• subject to conflict-of-interest rules, and it’s included in the county’s accounting manuals and procedures

Summary: The Senate Committee on Local Government met to hear a long agenda of local government, housing, labor, and transparency bills. The committee first adopted the consent calendar for SB 1187 and SB 1388, then heard SB 983, which would authorize the Port of San Diego to use job order contracting for repairs and repetitive maintenance work. Supporters said the bill would speed emergency and small repairs and reduce costs, while opponents raised concerns about construction definitions and project labor agreement language. The bill was ultimately moved forward on a 2-2 vote after discussion of amendments and labor negotiations, and later the committee’s final roll call showed it passing out on a 5-2 vote. The committee also heard SB 1256, aimed at limiting duplicative litigation over a San Diego County housing project, and SB 992, which would make permanent and expand a small special-district audit flexibility by raising the revenue threshold from $150,000 to $250,000. SB 1256 drew support from the author and project counsel, who argued the project had already been litigated and was delaying needed housing, while opponents said the bill would interfere with wildfire and subdivision-map review. SB 992 had support from county auditors and special districts, with no opposition, and was approved 5-0. SB 1115, addressing governance failures at the Tulare County Public Cemetery District by allowing county supervisors to remove an individual trustee for cause, also passed unanimously after testimony describing serious dysfunction and opposition from the California Special Districts Association. The committee then took up SB 1193, which would impose transparency and approval requirements on Alameda County discretionary funding to nonprofits and other entities. The author and supporters described the bill as a response to grand jury findings and alleged conflicts of interest, while Alameda County argued its current process is already transparent and that the bill would add burdens and could harm services. After amendments and discussion, the bill passed 5-0. SB 1383, a density bonus law bill clarifying that local labor standards cannot be waived through density bonus concessions, was supported by labor groups and moved forward despite no opposition, with the final roll call showing it passing out 5-1. SB 1361, intended to prevent local governments from undermining transit projects because of SB 79 density concerns, also passed after support from L.A. Metro and labor and no formal opposition, with the final vote recorded as 5-2. The committee later resumed to hear SB 1272, the CASH Act, which would limit certain sanctions on homeowners for prior unpermitted work by previous owners; the transcript cuts off before that bill’s full testimony and vote.

Transcript Highlights:

• We've intake procedures to enroll people and screen them properly and make sure that they're healthy
• We've intake procedures to enroll people and screen them properly and make sure that they're healthy
• We've intake procedures to enroll people and screen them properly and make sure that they're healthy
• And we have all those procedures that.
• We have a review article about all the step-by-step procedures for setting this up.

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• It establishes procedures for submitting a request through the treating agency, requiring the request
• This is specifically to the guidelines and procedures in our court system.
• This is specifically to the guidelines and procedures in our court system that have not been updated
• standpoint, the department will continue to implement these practices and currently address any existing procedures
• be descriptive and not include instruction on sexual activity, behavior, contraception, abortion procedures

Bills: HB2035, HB2086, HB2434, HB2611, HB2732, HB2733, HB2830, HB2923, HB2932, HB4004

Keywords: kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health

Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.

Transcript Highlights:

• So just checking, because we procedurally did it correct this time, does anybody's votes change?
• For the most important procedure I got last year, I chose to do it because without it, my body would
• The procedure I got last year I chose to do because without it, my body would have gone through some
• That procedure was an abortion, which was also the only procedure I had to pay fully out of pocket for

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• not included or not changed in the LCC book include Senate-specific policies, Senate compensation procedures
• Senate specific policies, Senate Senate specific policies, Senate compensation<00:02:13.760> procedures
• <00:02:14.319> and<00:02:14.560> salary compensation procedures and salary compensation
• procedures and salary ranges,<00:02:15.440> job<00:02:15.760> classifications<00:02:17.040
• 28.880> updated<00:16:29.440> the ...software library, and then updated the purchasing procedure

Keywords: 918, senate, all

Summary: The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed. Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed. The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved. After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.

Transcript Highlights:

• We had three hospital rules under 59A-3 that we had to update, licensure procedures.
• It also has to include procedures to educate patients on the appropriate setting for their health care
• It also has to include procedures to educate patients on appropriate setting for their health care needs
• Again, we had to update our license procedures rule for our hospitals to require them to submit their
• it's fine to say we don't want you to come in the emergency room anymore, we're going to have a procedure

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• different handbooks, including the International Classification of Diseases (ICD), the Healthcare Common Procedure
• Coding System (HCPCS), the Current Procedural Terminology (CPT), and Formulary.
• The second two are standardized ways to codify medical procedures and services.
• I did have a bill this year for hospitals to have to publish the price for certain procedures.
• to, following Colorado and I believe Ohio's leads, where hospitals have to publish a list of 150 procedures