Transcript Highlights:

• However, attendance-based payments are destabilizing to providers' finances.
• Without full and sustainable reimbursement, as was committed to last year, facilities like mine will
• Personally, the Medicaid rates and changes in the program reimbursements over the last two years have
• When reimbursement falls short, those services are strained.
• PBMs have not and will not increase reimbursements to cover these costs.

Summary: The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up. Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions. Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects. The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.

Transcript Highlights:

• This strike-all amendment removes the following from the bill: the Most Favored Nation Upper Payment
• prescriptions to their own affiliated pharmacies, and they're sending the lowest reimbursement to my
• This bill creates an efficient statewide mechanism to resolve payment disputes by allowing either party
• This bill will allow providers and payers to go to the federal process to determine a fair rate for payment
• a very small amount in most instances, forcing the providers to go into litigation to get a fair payment

Transcript Highlights:

• The improper payments have not been recovered.
• The improper payments on this one have not been recovered as well.
• So have we been reimbursed or not?
• And so was using our understanding different online payment options for that.
• issue at hand that we've made corrections to as well to make sure that there is verification versus payments

Committee: All LEGISLATIVE JOINT AUDITING-STATE AGENCIES

Summary: The committee first approved the prior meeting minutes and then heard audit reports from Mr. Bullington. Four reports without findings were filed without objection. The Department of Human Services FY24 report contained three findings: suspected fraud involving disaster food assistance and Medicaid benefits by employees, a delayed notification of a forged and cashed state warrant for nearly $610,000, and several fixed-asset and sales-tax errors. DHS officials said they had referred the benefit fraud cases to prosecutors, recovered some restitution, and would change internal procedures so accounts payable staff report such incidents directly to the chief fiscal officer. Committee members questioned the missing assets, the warrant delay, and the tax issue, and the report was deferred to the next meeting so DHS could return with written policy changes. The Department of Parks, Heritage, and Tourism FY24 report had two findings: the loss of nearly $3,500 in museum receipts, believed to be theft at the Mosaic Templars Cultural Center, and issues with change funds at Daisy State Park and War Memorial Stadium. Agency officials said they had implemented new controls, including a point-of-sale and reservation system for museum rentals and more frequent reconciliation of change funds. Members asked about the criminal case, the statute of limitations, bond board reimbursement, and whether the employee’s final paycheck could be withheld. Mr. Bullington later reported that the prosecutor’s office said the Parks and Tourism investigation remained open and that additional information had been requested from the agency. The committee then deferred that report as well, and adjourned after setting the next meeting for February 12, 2026.

Transcript Highlights:

• </c><00:24:39.399><c> pharmacists</c><00:24:40.000><c> for</c> does not reimburse pharmacists for does
• not reimburse pharmacists for delivering<00:24:40.799><c> the</c><00:24:41.000><c> exact</c><00:24:41.480
• pharmacists at the insurers to reimburse pharmacists at the same<00:25:26.960><c> rate</c><00:25:27.240
• 00:30:03.200><c> Medicaid</c> implemented some sort of Medicaid implemented some sort of Medicaid payment
• <00:30:04.519><c> for</c><00:30:04.720><c> pharmacy</c> payment for pharmacy payment for pharmacy Services

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• So, reimbursement at fair cost... ...reimbursement at fair cost is a key component of this bill.
• Well, we do have the reimbursement piece in here, but this is just kind of a backstop.
• They should be reimbursed the average acquisition cost... ...reimbursed the actual acquisition cost plus
• The reimbursement in Senate Bill 93 is very clear and very transparent.
• The reimbursement at that time was fair to the drug stores.

Committee: Senate Banking and Insurance

Keywords: 923, senate, all

Transcript Highlights:

• that incorporates all amendments into the body of the contract or any exhibits, and the carrier's payment
• For new contracts, the health carrier must provide contract and payment policy updates in a manner that
• facility to assess the financial impact, including a detailed description of any change in methodology, payment
• We have tried increasing the reimbursement rate for nurses in the home many times, and it still hasn't
• CNA duties are not a Montana Medicaid reimbursable PCCA service.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• The people who are not affected are individuals using a payment processor like PayPal or Venmo that facilitate
• It also includes a payment processor that facilitates funds that originate from a bank, credit card,
• And what these immigrants do when they get here is they're using this payment system to send money to
• Being reimbursed for.
• What this does is add a definition of what a payment processor is and clarifies those roles. ...and clarifies

Bills: HB61 , HB327 , HB253 , HB297

Committee: House Ways and Means Education

Keywords: home school, career and technical education, public schools, K-12 education, enrollment policy, parental leave, state employees, adoption, employee benefits, aircraft tax, aviation tax, sales tax exemption, use tax exemption, lease tax, rental tax, commercial aircraft, air carrier, airline, aircraft parts, maintenance

Transcript Highlights:

• into an interagency agreement with the Department of Emergency Management to cover the first-year payment
• using one-time FEMA reimbursement funds.
• into an interagency agreement with the Department of Emergency Management to cover the first-year payment
• using one-time FEMA reimbursement funds.
• The Federal Highway Administration’s Emergency Relief Program reimburses eligible costs associated with

Keywords: 907, all

Summary: The Emergency Board met on June 17, 2026, and approved a series of subcommittee recommendations, mostly on consent, related to federal grant applications, agency funding adjustments, and position authority. Early actions included approval of four federal grant applications from natural resources agencies, three public safety grant applications, a one-time increase for Judicial Department court security, retroactive approval for an AmeriCorps volunteer-generation grant, and a $7.5 million allocation to Southern Oregon University from a special appropriation for short-term financial stability. Members supporting the SOU item emphasized the university’s structural deficits, declining enrollment, and the need for a long-term higher education plan; several members voted no or raised concerns about sustainability, but the motion passed. The board also approved a federal apprenticeship expansion grant for the Higher Education Coordinating Commission, a school nutrition equipment grant for the Department of Education, and an Oregon Health Authority request tied to Medicaid community engagement requirements under H.R. 1. Public safety items included funding for Oregon Military Department readiness facilities, a report on the stalled juvenile justice information system modernization project with a follow-up viability report due in 2026, and a statewide evacuation planning tool for emergency management. The evacuation tool drew strong support as a wildfire preparedness measure, with members noting it could significantly reduce alert times and save lives. A major point of debate was the Department of Justice request to add 16 permanent positions and increase other funds limitation for antitrust enforcement. Supporters argued the federal government has pulled back and Oregon needs capacity to pursue active cases and protect consumers; opponents objected to the process, the size of the expansion, and the incentive structure tied to settlements and awards. Despite those concerns, the motion passed. The board also approved Water Resources Department requests for the Water Well Abandonment, Repair and Replacement program, an assistant water master position in Washington County, and federal funding for Lower Umatilla Basin groundwater data collection. The water master item prompted questions about county cost shifts, but staff said the position would remain externally funded and would not be filled without those resources.

Transcript Highlights:

• </c> wave and had to complete payments. wave and had to complete payments.
• ><c> a</c><01:40:11.360><c> critical</c> directed payments which is a critical directed payments which
• </c> didn't do some of the directed payments didn't do some of the directed payments that<01:43:00.960
• </c><01:43:11.520><c> methodology</c> the current directed payment methodology the current directed payment
• </c><01:43:15.920><c> committee</c> changes to directed payments committee changes to directed payments

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• So if you have a rehired retiree under the 2008 legislation, the employer is required to reimburse the
• monthly payment um whether it's<00:20:09.840><c> $40</c><00:20:10.840><c> uh</c><00:20:10.960><c> per
• the systems for the cost of to reimburse the systems for the cost of the<00:21:01.360><c> of</c><00:
• to continue on to death for the payment to continue on to if<00:28:56.440><c> you</c><00:28:56.640><
• The nine point something percent that comes out of that final payment doesn't pay the full bill, so the

Keywords: Meeting Start: 00:02 Attendance Roll Call: 00:49 Approval of Minutes: 01:55 CERS Retiree Health Subsidy Proposal: 02:14 SB 58: 24:05 TRS Sick/Annual Leave Proposal: 32:53 Adjournment: 48:00, 958, all

Summary: The committee first approved the prior month’s minutes after a roll call established a quorum. It then heard testimony on a draft proposal from Senator Robbie Mills to increase CERS retiree health subsidies for members retiring on or after July 1, 2003. The bill would raise the non-hazardous subsidy from $14.63 to $40 per month per year of service and the hazardous-duty subsidy from $21.94 to $50, with employee contribution rates adjusted based on the health trust’s funded status. Supporters from sheriffs, firefighters, police chiefs, and the Kentucky League of Cities said the change would improve recruitment and retention, better align the subsidy with the cost of a single health plan, and preserve the system’s financial footing through shared employer-employee costs and funding triggers. Committee members asked about the fiscal impact, the effect of funding levels above 150%, and how the subsidy would work for rehired retirees or employees who later take private-sector jobs. Mills and other witnesses said preliminary actuarial work was still forthcoming, that the bill was intended to be revenue-neutral or close to it, and that the subsidy would continue to be paid monthly; they also noted existing 2008 rules for rehired retirees and said the benefit would still be available even if a retiree later had other insurance. One member suggested looking at stable accounts as an additional option for special-needs planning in a later bill. The committee then heard Senate Bill 58 from Senator Robin Webb, which would allow state employees to designate a Special Needs Trust as a beneficiary for retirement benefits. Webb said the measure would help employees provide for disabled dependents without jeopardizing SSI or Medicaid eligibility, and that the bill follows federal special-needs trust rules. He said the proposal could be revenue neutral, but actuarial analysis was still pending and KPPA had asked for electronic rather than paper transfer provisions. Members questioned whether the authority already exists, how the trust would work, and whether stable accounts should also be considered; Webb said he would follow up with additional information.

Transcript Highlights:

• Anything over that $53,000 is when the state reimburses roughly 75%. That's not sustainable.
• This amendment does not change the 75% reimbursement rate. This is not a structural overhaul.
• or an alternative avenue of payment.
• This amendment would increase our reimbursement rate from 75% to 80%.
• But there's a catch: the reimbursement is subject to appropriation.

Keywords: 995, all

Summary: The House began with routine business, including the Pledge of Allegiance and adoption of three congratulatory resolutions honoring Eagle Scouts Charles Goodman, Jack Goodwin, and Liam LaCrooy. Members also adopted a House-Senate concurrence on House 4359, a Milford alcohol-license bill, after amending it to repeal Chapter 289 of the Acts of 2022 and set an effective date. The chamber then passed Senate 2596, establishing maintenance of private roads in Gloucester, and engrossed House 4887. The House also observed moments of silence for former Lynn City Councilor Richard Rick Ford, Louise M. Pedroso, and Mildred “Millie” Cox, and welcomed several guests, including students, civic visitors, and British Minister of State Stephen Doughty. The bulk of the session focused on budget amendments related to housing and emergency assistance. Amendment 1579, which would have tightened HomeBASE eligibility by requiring citizenship-status inquiries, was debated at length and defeated 26-130. Amendment 1582, which would have barred Housing and Livable Communities from conditioning grants on MBTA Communities Act compliance, was also rejected 27-126. Amendment 1583, which would have limited right-to-shelter eligibility to U.S. citizens with six months’ Massachusetts residency, was defeated 26-122. Supporters argued these changes would reduce costs and prioritize taxpayers; opponents said they would exclude lawful residents and undermine existing housing and shelter reforms. The House then adopted Consolidated Amendment F, covering energy, environmental affairs, and housing, by a vote of 154-0. Speakers highlighted major funding for rental vouchers, emergency shelter, HomeBASE, public housing, clean water, climate and agricultural programs, and food assistance. The chamber also considered and defeated Amendment 1218 on creating a data center commission, Amendment 1234 on eliminating certain energy surcharges, and several education-related amendments from Ms. Sullivan-Almeida: changes to special education reimbursement thresholds and rates, and a proposal to make regional school transportation funding mandatory rather than subject to appropriation. Those education amendments were all rejected after roll-call votes. Amendment 1580 on ending vocational school lottery admissions was withdrawn by its sponsor before a vote. The transcript ends as debate continues on Amendment 1308, which would increase a budget line item, but no final action on that amendment is shown.

Transcript Highlights:

• officer and firefighter recruitment bonus payment program, thereby expanding the program to include
• The bill appears to restrict payments to parents that stay with a hospitalized... payments to families
• payments to parents that stay with a hospitalized child while that child has other care.
• Next, we'll take up tab to Senate Bill 570 on task force on payment scams by Senator Polsky.
• to tackle the growing problem of payment-related fraud.

Committee: Senate Banking and Insurance

Keywords: 999, senate, all

Summary: The Senate Committee on Banking and Insurance met with a quorum present and took up a series of bills, beginning with SB 1286, which expands Florida’s first responder recruitment bonus program to include newly employed firefighters, creates a DFS grant review panel, and establishes a PTSD institute within DFS. Supporters from the fire service and local government spoke in favor, and the bill was reported favorably. The committee then considered SB 198 on virtual currency kiosks. After adopting a substitute amendment, members heard testimony from consumer advocates, industry representatives, and credit unions about scam prevention, elder financial exploitation, and the need for regulatory certainty. The bill was reported favorably as a committee substitute. Members also approved SB 772, which allows limited licenses for portable electronics and eyewear insurance, and SB 1504, which creates a pathway for high school students to qualify for insurance customer representative licensure through insurance and personal finance coursework. Later, the committee approved SB 1038 and SB 1040, which together create a Florida Strategic Cryptocurrency Reserve and the related trust fund, both with technical amendments. SB 1440, dealing with public records exemptions tied to cybersecurity events and financial regulation, was also reported favorably after amendment. The committee then heard SB 1668 on the NICA program, with testimony both supporting solvency reforms and raising concerns about benefits and retroactivity; the bill was reported favorably. Finally, SB 570 created a task force on payment scams under DFS, was amended to reduce FDLE staffing requirements, and was reported favorably. The meeting ended after senators requested to be recorded as voting in the affirmative on certain bills and the committee adjourned.

Transcript Highlights:

• the award on provider payments.
• So they’re classified as provider payments.
• They're classified as provider payments.
• And the interpretation was that's a provider payment, and provider payments are capped at 15%.
• So they allow for provider payments, but they can only be— Provider payments are capped at 15%.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• We currently reimburse based on the claims paid for that benefit in the prior year.
• </c> only currently making defrayal payments only currently making defrayal payments on<00:18:40.280>
• </c> changes perhaps Market rules or payment changes perhaps Market rules or payment policies<00:31:49.440
• </c> teleah health expansion and payment teleah health expansion and payment parity<00:46:30.079><c>
• </c><00:47:24.359><c> um</c> report on non- claims based payments um report on non- claims based payments

Committee: House Commerce Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• And the union can reimburse the districts if they want to send these employees off.
• I’ve talked with a lot of school districts about this bill and that they reimburse—the union reimburses
• Do you realize that districts reimburse for the sub, the unions reimburse the district for your substitute
• I mean, that is part of the bill that says they do reimburse.
• Does the union then reimburse the school district if it wasn't an official union activity?

Committee: House Commerce and Human Resources

Keywords: 989, all

Transcript Highlights:

• The contract is anticipated to be cost reimbursement only.
• The contract is anticipated to be cost reimbursement only.
• The contract is anticipated to be cost reimbursement only.
• </c> anticipated to be cost reimbursement anticipated to be cost reimbursement only.<00:26:02.080><c>
• </c><00:27:36.960><c> They</c> would get reimbursement for it. They would get reimbursement for it.

Keywords: 928, house, all

Summary: The Fiscal Committee met with replacement members noted at the start and took up one emergency item from the Department of Health and Human Services: approval to accept and expend $2 million to support SNAP recipients during the federal shutdown. Commissioner Lori Weaver and CFO Nathan White explained that USDA/FNS had notified the state it would not receive November SNAP funds, affecting about 74,000 recipients. The department said it activated a contingency plan to contract with the New Hampshire Food Bank to expand mobile food pantries, targeting SNAP households and prioritizing locations based on need, with evening and daytime access and outreach through mail, text, email, social media, partner organizations, and a shutdown webpage. Committee members asked about timing, locations, reimbursement, and whether the state would be repaid by the federal government. Department staff said the food bank would likely need about a week to mobilize once the contract was approved, and that the contract would be cost-reimbursement based, with faster turnaround than usual but not advance payment. White explained the money would come from excess Medicaid Enhancement Tax revenue from state fiscal year 2025, which can be used only for Medicaid purposes under state law and SB 249, allowing general funds to be shifted to the food bank contract. Members also asked about other affected programs; the department said WIC had funding through November 10, energy assistance was expected to continue through December, and school breakfast/free and reduced lunch were not impacted. Members discussed broader public outreach, including a possible PSA and use of the New Hampshire Food Bank’s network of 417 partners, and one member suggested religious leaders or the governor might be better positioned to make donation appeals. The committee then voted unanimously to adopt the item (motion by Senator Gray, second by Senator Waters). The meeting ended with notice of the next meeting on November 21 at 11:00 and a motion to adjourn, which was approved.

Transcript Highlights:

• The insurer then reimburses the covered entity, typically at a higher rate than what they paid for the
• Under fee for service, the state only reimburses the facility for the acquisition cost, so there are
• But the patient, if they are insured, their insurer would be paying, reimbursing the same amount that
• they reimburse for any other patient, regardless of whether it's a 340B drug.
• A 340B medication is reimbursed at the same rate as a non-340B medication.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• AB 993, Hadwick, rural CUPA reimbursement, do pass as amended.
• Strike the higher cap on reimbursement, that's out on an A roll call.
• AB 1039, Hart. payments do pass out on an A-roll call. AB 1108 Hart.
• AB 1329 Ortega, subsequent injury payments do pass out with Republicans not voting.
• AB 1180 Valencia, DFPI payments do pass out on an A roll call.

Committee: House Appropriations

Keywords: 988, house, all

Transcript Highlights:

• the legacy payment.
• That was going to be an extra payment like we did last session.
• That was going to be an extra payment like we did last session.
• It was just a long-term investment for future payments into the fund. That's what it was.
• Texas, to reimburse us for state funds we spend on border security.

Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.

Transcript Highlights:

• One of the most impactful bills in this omnibus is the directed payment program for hospitals.
• One of the most impactful bills in this omnibus is the directed payment program for hospitals.
• Chair Berman replied that the directed pharmacy payment will not need federal approval.
• ,</c> directed pharmacy dispensing payment, directed pharmacy dispensing payment, how<00:14:14.240><c
• So, anything above that will not receive this direct payment.

Bills: HF2436 , HF2435

Committee: House Ways and Means

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house