Transcript Highlights:

• To do a study on how to enhance regional collaboration, how is this not duplicative of the role of your
• I mean, who better to ferret out waste, fraud, and abuse, duplication, fragmentation, mission overlap
• I know the LAO put forward a number of proposals, which would require lots of changes to statute and
• The statute expressly states that pre-existing condition must be labor disabling and as and as said some

Keywords: 988, house, all

Transcript Highlights:

• of civil uh liability and the uh statute of civil uh liability and the uh statute of<00:13:24.800
• I'm looking at the current statute, and the current statute says the department shall immediately, by
• I'm I'm looking at the current statute I'm I'm looking at the current statute and<04:38:44.920><
• 46.680> the and the current statute says the and the current statute says the department<04:38
• statutes and there's multiple statutes statutes and there's multiple statutes especially<04:43:17.160

Keywords: 1189, house, all

Transcript Highlights:

• It was a bill to insert the word 'not' into a statute.
• Section 2, original Section 77-1720, Reissue Revised Statutes of Nebraska, is repealed.
• Section 68-1202, Revised Statutes Supplement, is amended to read.
• Section 3, original Section 75-7.1, Reissue Revised Statutes of Nebraska, is repealed.
• Section 37-443, as revised by statute, and sections 37-438 and 37-440, Revised Statutes Supplement 2025

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• Section four updates section<00:13:33.680> statute<00:13:34.160> 62M.07 section statute
• <00:14:17.160> This or duplicative services. This or duplicative services.
• , clarity and consistency in the statute, clarity and consistency in the statute, and<00:36:47.000
• <00:56:15.800> to um they just worked on some statutes to um they just worked on some statutes
• There are some additional workings in statute that would need to be adjusted in order for this to be

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• Our statutes and rules are available. Our online complaint portal.
• How many of the classes you offer or instruction that you offer are mandated in statute?
• The statute says that counties. shall take our training program and our classes.
• The LEAT is required to supply us with a secretary according to statute.
• Because it was created by statute, wasn't it? It was in 2010.

Keywords: 914, all

Transcript Highlights:

• We put into statute that there's five-year milestones, so each entity that has a load allocation and
• The Legislature amended in 2023 the Water Quality Improvement Grant statute to direct the department
• The legislature amended in 2023 the water quality improvement grant statute to direct the department
• So we try to make sure that match sources are compatible and not duplicative. Follow up.
• They're all scored under the same criteria that's listed in statute and implemented by rule.

Summary: The Natural Resources and Disaster Subcommittee heard two informational presentations. First, the Department of Environmental Protection gave an overview of Florida’s water quality framework, explaining how numeric nutrient criteria, monitoring, TMDLs, and Basin Management Action Plans (BMAPs) are used to address impaired waters. DEP described recent changes intended to increase accountability, including five-year milestones in BMAPs, requirements for advanced wastewater treatment by 2033 in certain cases, limits on new conventional septic systems where sewer is available, enhanced nutrient-reducing septic requirements where sewer is not available, and a new agricultural regional water quality improvement element. The department also highlighted the Water Quality Improvement Grant Program, which has received nearly $1.4 billion over four years and funded more than 300 projects, as well as a public dashboard showing funded projects and a forthcoming trend-analysis dashboard for monitoring data. Members asked about enforcement of BMAP milestones, septic-to-sewer coordination with local governments, PFAS and microplastics monitoring, septic system performance standards, wastewater facility compliance, and how many facilities remain below advanced wastewater treatment standards. DEP said it can enforce BMAP obligations through administrative orders, consent orders, court action, fines, and permit conditions, and that it inspects and verifies wastewater facilities while relying on reporting and site inspections for sewer infrastructure. The department also said nutrient-reducing septic systems must achieve a 65 percent reduction in nitrogen and phosphorus, with verification required when projects seek BMAP credit. The committee then heard from the chief resilience officer on the Resilient Florida program, created in 2021 to address sea-level rise and coastal flooding. The presentation reviewed planning grants, vulnerability assessments, and the statewide critical-asset assessment, noting that all counties and most municipalities are expected to complete assessments by the end of 2026 and that vulnerability is now an eligibility requirement for future project funding. The program reported major statewide outcomes, including stormwater storage, miles of infrastructure and roadway protection, acres restored, and coastal protection projects, and highlighted examples such as breakwater improvements and lift-station elevation. Members asked about project delays, funding totals, overlap with other funding sources, and project prioritization; the program said delays often stem from design and permitting after award, that its reported totals reflect only grants it administers, and that projects are scored under the same criteria rather than being prioritized by asset type. The meeting ended with no further business and adjournment.

Transcript Highlights:

• We did notice a couple things over the summer in statute that were just duplicative and some conflicting

Keywords: 00:00 - Call to Order/Roll Call 01:28 - Discussion of 26RS HB 393 03:05 - Roll Call Vote on 26RS HB 393 04:11 - Discussion of 26RS HB 385 04:44 - Roll Call Vote on 26RS HB 385 05:44 - Discussion of 26RS HB 388 06:39 - Roll Call Vote on 26RS HB 388 08:00 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and heard three bills. House Bill 393, sponsored by Rep. Rebecca Raymer with testimony from Mackenzie Wallace of the Alzheimer’s Association, would clean up statutes governing the Alzheimer’s disease and related disorders council, add another caregiver seat, and require the council to develop and distribute an early detection/diagnosis toolkit for health care providers. Wallace said the bill mainly resolves duplicative language and conflicting deadlines and aligns the statute with current Office of Dementia Services work. The committee took a motion and second, asked no questions, and passed the bill with favorable expression. House Bill 385, sponsored by Rep. Marianne Proctor, was described as a simple cleanup bill changing a statutory definition from “institution” to “facility.” The committee moved and seconded the bill, asked no questions, and approved it with favorable expression. House Bill 388, sponsored by Rep. Robert Duval, was presented as a cleanup bill for Casper requested by the OIG office and related to prescription drugs; Duval noted it had previously passed the House 90-4. The committee again took a motion and second, had no substantive discussion, and passed the bill with favorable expression, with one member briefly registering a vote after the roll call. At the close of the meeting, the chair noted that consensus had been reached on all three bills in advance and that a lot of work had gone into them. The committee announced its next meeting for February 5 at noon in Annex Room 149 and then adjourned.

Transcript Highlights:

• Sixth, eliminate the. private market cap for state reimbursement rates in RMR statute.
• form the Early Childhood system support, and we're already at work to ensure coordination, not duplication

Keywords: 988, house, all

Transcript Highlights:

• :35:28.640> had<00:35:28.960> already<00:35:29.599> in So, we had already in statute
• I think the whole section's a duplicate except for the 98 versus 110. Mr.
• These two sections, they're duplicate. These two sections, they're duplicate. Yep.
• These two sections, they're duplicate. Yep.

Keywords: 1187, senate, all

Transcript Highlights:

• So in other words, according to the Legislative Analyst's Office, this would be duplicative of a program
• We also know that it's unclear whether the segments currently report all the data required by statute
• recommend that the Legislature approve the consolidation of reporting on those student needs to reduce duplication
• So however we can streamline and not make things duplicative, I completely agree with you all.

Keywords: 987, senate, all

Transcript Highlights:

• And then House Bill 66 um approaches the um workers' compensation statute, and Xandra and I were talking
• basically the message said that the ACA already does a lot of outreach and this would be probably duplicative
• very general terms with the expectation that if they progress, that there'll be um more specific statutes

Transcript Highlights:

• The further statute, 153:10D, actually allows the fire departments to do annual inspections of these
• The further statute, 153:10D, actually allows the fire departments to do annual inspections of these
• The further statute, 153:10D, actually allows the fire departments to do annual inspections of these
• It's in the statute, but there's a little nuance to that.
• This statute is to bring people to work with the certifying body.

Keywords: 1189, house, all

Transcript Highlights:

• In your compliance with this statute, or you're at risk of us coming to get it.
• It's noted through the statute.
• This proposed legislation duplicates existing federal regulations and... taxpayers' dollars.
• All I'm trying to... ...do is clarify a statute that clearly gives him powers to investigate.
• So that’s how I read the statute, but I am not a lawyer. And I don’t play one on TV.

Bills: HB256, HCR19, HB256, HB1308, HB1554, HB1743, HB2308, HB2351, HB2858, HB3676, HB3784, HB4312, HB4552, HB4823, HB4852, HB5007, HB5010, HB5520, HB5524, HCR19

Keywords: severe weather, adaptation plan, vulnerability assessment, environmental protection, state agencies, federal agents, transparency, law enforcement, identification, public trust, immigration enforcement, HCR 19, Texas concurrent resolution, federal immigration enforcement, masked agents, facial coverings, visible identification, uniforms, badges, name tags

Transcript Highlights:

• Um, and it just I don't know if there's any duplication that's going on with during that process that
• Um, and it just I don't know if there's any duplication that's going on with during that process that
• Um, and it just I don't know if there's any duplication that's going on with during that process that
• that's going on with during duplication that's going on with during that<00:26:51.520> process
• <00:27:09.200> your you know, being not duplicating your you know, being not duplicating your

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• <00:59:39.079> the established throughout statute the established throughout statute the requirement
• Do they understand what that statute is?
• Do they understand what that statute is?
• Do they understand what that statute is?
• B30 that's the um section of Statute B30 that's the um section of Statute that<01:18:50.800>

Keywords: 1187, senate, all

Transcript Highlights:

• licensure by allowing qualified professionals to practice across participating states without negative, duplicative
• licensure by allowing qualified professionals to practice across participating states without negative, duplicative
• removing barriers to care for PA practice, this legislation updates outdated supervisory language in PA statutes
• Removing barriers to care for PA practice, this legislation updates outdated supervisory language in PA statutes
• so that both CRNAs and physician anesthesiologists personally administer anesthesia instead of a duplicative

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• <00:48:26.280> entry, screens and and duplicative entry, screens and and duplicative entry
• . statute. statute.
• That's the language in statute.
• That's the language in statute.
• , happened, and we need straight statute, happened, and we need straight statute, as<03:10:21.920

Keywords: 1187, senate, all

Transcript Highlights:

• That's duplicated.
• That's duplicated.
• That's duplicated.
• That's duplicated.
• That's duplicated. ITIN, I N, sorry. That's duplicated.

Keywords: 981, all

Transcript Highlights:

• I think this might be a little bit of a duplicate.
• I think this might be a little bit of a duplicate and maybe too much in this.
• This creates a system where parents can be ordered into programs that are undefined in the statute and
• This creates a system where parents can be ordered into programs that are undefined in the statute and
• However, in 14-09-06.6.6, which is our modification of residential responsibility statutes, one cannot

Keywords: 908, all

Transcript Highlights:

• Right now, we have a lot of duplication of administration.
• Right now, all of our workforce statutes just say to go look at the federal statutes, and if those are
• It feels a little duplicative to what you're doing, Mr. Chair and Secretary.
• Yes, within the confines of the statute.
• The title of the fee in the statute is oversight and inspection.