Transcript Highlights:

• And with that, would you like to close?
• We will now turn it over to you, if you wish to close. Thank you, Madam Chair.
• And so I'll give you the opportunity to close.
• And with that, would you like to close?
• And with that, would you like to close?

Keywords: 987, senate, all

Transcript Highlights:

• </c> petition in a family court closed petition in a family court closed proceeding<00:24:48.360><c>
• </c><01:22:34.520><c> caregivers</c> prohibition against primary caregivers prohibition against primary
• </c><01:41:03.080><c> um</c><01:41:03.920><c> personal</c> either close um personal either close um personal
• </c><01:41:09.719><c> physical</c> contact UM and or uh close physical contact UM and or uh close physical
• </c><01:41:35.159><c> physical</c> kind of close physical kind of close physical contact<01:41:37.199

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• Of note, this rule does two primary things.
• Closing vote. Vote closed on the amendment.
• Closing vote. >> Closing. Vote closed.
• </c> of assessments, but their primary of assessments, but their primary assessment<00:37:09.200><c>
• </c> But that's not the primary mission.

Keywords: 916, all

Transcript Highlights:

• And this is actually open now, so it closes April 15th.
• And this is actually open now, so it closes April 15th.
• Okay, I think we got one more question, and then I'll close it out. Thank you, Megan.
• So thank you so much for the time, and I'm going to close with just a couple key takeaways.
• So, with that, we'll close the hearing on HB 2330 and open the hearing for HB 338.

Summary: The committee first received a Commerce overview of capital budget grant programs, including behavioral health facilities, Building for the Arts, Building Communities Fund, early learning facilities, library capital improvements, and youth recreational facilities. Commerce described program eligibility, match requirements, funding cycles, and project examples such as an early learning center in Spokane, a rural library in Stevens County, and a youth clubhouse in Prosser. Members asked about behavioral health capital projects, including how many facilities have been opened and how capital planning aligns with operating funding; Commerce said it could provide more data later and noted it focuses on capital while HCA, DSHS, and DOH handle operating requests. Members also raised concerns about nonprofit financial stability, project licensure, siting, and the burden of non-state match, while Commerce emphasized shovel-ready projects, community match, and efforts to reduce application burden. The committee then heard an update on the Clean Buildings Performance Standard from Commerce. Staff reviewed Washington’s building emissions laws, compliance tiers, exemptions, incentives, and district energy system decarbonization planning under House Bills 1543, 1976, and 1390. Commerce reported nearly 5,000 inquiries in 2025, a fellowship program that has helped more than 250 buildings in 16 counties, and review of nearly 30 district energy plans. The presentation highlighted that over half of Tier 1 buildings are already meeting targets, that Tier 2 incentive applications suggest the 30-cent-per-square-foot incentive often covers compliance costs, and that district decarbonization plans face common challenges such as aging infrastructure, grid readiness, workforce, and inconsistent cost reporting. Members asked what additional legislative action might help, and Commerce said it was still learning from the new rulemaking and implementation changes. Western Washington University and Corex then presented on WWU’s campus heating conversion project and a possible off-campus thermal energy partnership with the Port of Bellingham. WWU described its aging steam system, high emissions, maintenance costs, and the $51 million in Climate Commitment Account funding it has received to transition toward an electric hot-water system using technologies such as geo-exchange, heat recovery chillers, and air-source heat pumps. Corex explained its existing district energy system at the Port of Bellingham, which uses industrial waste heat and is operating at very high efficiency, and said it is exploring a heat transmission line to WWU and possibly sewer-heat recovery. Testimony from WSU and UW supported the broader decarbonization effort but raised concerns about the scale of costs, deferred maintenance, and the need for predictable state funding. A contractor witness urged the state to think bigger about public-private partnerships and other financing tools rather than forcing campuses to compete for limited funds. The committee then held a public hearing on House Bill 2330, which would create a prioritization process for capital funding for state campus district energy system decarbonization projects. Staff said the bill would establish a Commerce committee to score and rank projects, issue a preliminary framework report by December 30 of this year, and provide biennial recommended project lists beginning in 2028, while also studying barriers to energy-as-a-service contracts and public-private partnerships. The prime sponsor said the bill is intended to create a thoughtful, predictable process for deciding which projects to fund, emphasizing energy savings, emissions reductions, operating cost reductions, shovel-readiness, and the value of public-private partnerships. Testimony was mixed but generally supportive: WSU and UW backed the bill as a way to advance compliance and predictability, though WSU warned that compliance costs could be very large and that the university would likely seek state help if fines were imposed. A contractor witness supported the concept but argued the bill should help build a larger funding “pie” through partnerships and financing tools rather than simply dividing scarce resources. The committee then opened and heard testimony on House Bill 2338, which would authorize community-scaled weatherization projects. Commerce staff said the bill would allow weatherization funds and matching funds to be used for neighborhood-scale projects affecting multiple dwelling units, while still prioritizing low-income households; the fiscal note estimated about $273,000 in FY 2027 and about $237,000 per biennium ongoing for administration. Supporters from community action agencies and Spark Northwest said the bill would improve health, safety, affordability, and contractor participation by allowing weatherization to be done at a community scale, especially in mobile home parks and low-income neighborhoods. No votes were taken in the transcript.

Transcript Highlights:

• If not, public testimony will now be closed.
• Hearing and seeing none, public testimony will now be closed.
• Hearing none, public testimony is now closed.
• Hearing none, seeing none, public testimony is now closed.
• The bill has three primary components: number one, and The bill has three primary components.

Bills: HB126, HB121

Keywords: election laws, attorney general, prosecution, criminal offenses, voting integrity, education, property values, school districts, comptroller, funding formula

Summary: The Senate Committee on Education K-16 met to hear testimony on a full agenda of education-related bills. Several measures were laid out and left pending, including HB 322 to allow JET Grant funds to be used for subscription-based and ongoing technology costs for career and technical education; HB 3062 to require fentanyl and drug-poisoning prevention instruction for entering college students; HB 121 to update school safety laws, including TEA peace officer commissions, annual renewal of certain safety exceptions, new reporting requirements, and special education behavior threat assessment changes; HB 3627 to let the State Board of Education chair employ staff; HB 5515 to curb inflated shipping and handling charges on instructional materials; HB 2674 to prohibit new state regulation of homeschool programs; HB 2310 to require a statewide strategic plan for early learning and inclusion for young children with disabilities; HB 367 to standardize documentation for excused absences due to serious illness; HB 1178 to speed certification for out-of-state educators and military spouses; and HB 1481 to expand cell phone restrictions to the full school day. Testimony was generally supportive on most bills, with some concerns raised on HB 121 about school district police departments investigating misconduct and on HB 2674 about how it would interact with the new ESA program in SB 2. HB 5515 drew support from instructional materials coordinators who described extreme shipping invoices and argued the bill would restore transparency and fiscal responsibility. HB 2310 was supported by disability advocates and early learning groups, who said a coordinated state plan would improve access and inclusion for children with disabilities. HB 367 was presented as a simple clarification to reduce confusion for medically vulnerable students and families, and HB 1178 was described by TEA as a modest pathway that would help bring experienced out-of-state teachers into Texas schools more quickly. HB 126, updating Texas’ NIL law to align with the pending House settlement and allow direct payments and pre-enrollment NIL agreements, received extensive testimony from university counsel and committee questioning about the settlement, recruiting, and future college athletics rules. HB 1481, expanding school cell phone restrictions from instructional time to the entire school day, drew strong support from parents, students, educators, and advocates who linked phones to distraction, cyberbullying, and mental health harms; one teacher asked for flexibility so phones could still be used for limited academic tasks. No bills were voted out; each measure heard was left pending subject to the call of the chair, and the committee then recessed to attend the floor session.

Transcript Highlights:

• That's a really important piece of the closed-loop referral system: making sure it's actually... closing
• And then I'll just say this in closing, Madam Chair.
• I have actually spent 10 years split between fire and closely with our state police.
• weekdays, closed on weekends, no ambulance, and no other primary care services provided.
• In Bernalillo County, they just closed their mobile health service.

Transcript Highlights:

• of this, and I was lucky to be able to move, or I would have had no coverage, and I was lucky to be close
• It's cost effective and incredibly valuable for Arizona primary care providers who serve the women of
• You want to make some closing comments? Thank you.
• Closing comments. Please, thank you.
• Would you like to make some closing comments? Sure.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• It's just a little close. We prefer not to have it. It's just a little close. Go ahead.
• So right now, AOC is, I think, the primary agency that's working with health councils to do that work
• We work the nights, holidays, and weekends when the rest of the system is closed.
• This includes primary care, dental care, and mental health care.
• She explained that naturopathic doctors were licensed in 2019 as primary care providers under the New

Keywords: 996, all

Transcript Highlights:

• The patient has to have a primary diagnosis of a mental disorder and have demonstrated a history of lack
• Again, it's our court clerks who are entering the primary data on a lot of this.
• often in public health, we're talking about getting people into a medical home, having them have a primary
• So if that person is coming to us, of course, with a primary mental health diagnosis per the statute,
• I would just like to close with this: from my experience...

Transcript Highlights:

• We're a primary care provider.
• Cuts in rates would certainly impact our ability to provide primary medical care, primary behavioral
• That's what I was looking for. primary care provider. Uh, cuts in rates primary care provider.
• medical care, primary provide primary medical care, primary behavioral<02:19:00.800><c> health</c><02
• It’s getting close to $50 million.

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• This means people may lose health insurance coverage, fewer Minnesotans will receive primary care, and
• receive primary care and more<00:04:37.919><c> people</c><00:04:38.160><c> will</c><00:04:38.639><c>
• There were three primary clinics that were providing health care: St.
• There were three primary clinics that were providing health care: St.
• </c> area there were three clinics primary area there were three clinics primary clinics<01:24:48.440

Keywords: 1183, house

Transcript Highlights:

• We have three primary responsibilities.
• We have three primary responsibilities.
• We have three primary responsibilities.
• more than just closed-loop referral, so you'll hear more about that as well.
• primary care doctor and have a health physical checkup with their primary care doctor.

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• Secretary will close the roll. Anyone wish to change your vote? Secretary will close the roll.
• Secretary will close the roll. Anyone wish to change their vote? Secretary will close a roll.
• Secretary will close the roll. Yes, there's a 21.
• Secretary will close the roll. Yeses are 15. Secretary will close the roll.
• Secretary will close the roll. Secretary will close the roll. Yeses are 21, and nays are 0.

Keywords: 909, all

Transcript Highlights:

• Last year, we worked closely with him and again this year. So, yeah, I feel very confident.
• members will want to work their share of overtime, we recognize that we're going to come nowhere even close
• And we already heard, you know, just LAFD, who is the primary agency...
• And we already heard, you know, just LAFD, who is the primary agency responsible for these games, are
• Before allowing you to close, I just want to make a brief comment.

Keywords: 987, senate, all

Transcript Highlights:

• Totaling **$6.24 billion** were necessary, and what were the primary drivers behind that need?
• And is that some of the primary shortfall for why we don't have the cash flow?
• Because then you are not bearing that brunt, and you don't have to worry about closing down hospitals
• That they may close if Medi-Cal dollars were cut. Have you heard that information as well?
• We're up to nine that have closed, and we hope the May revise will include some resources to help us

Keywords: 988, house, all

Transcript Highlights:

• Seeing none, Senator Simon, you're recognized to close on the bill. I waive close.
• Senator Garcia, you are recognized to close on your amendment. I waive close.
• Seeing none, Senator Yarborough, you are recognized to close on the amendment.
• I chose Florida because I want my kids to be close to the Latin culture.
• SB 1010 closes the gap of accountability, clarity, and real consequences.

Bills: S0560, S0590, S0778, S1010

Keywords: child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• </c><00:24:13.279><c> Care</c> Hina MAA in support Hawaii Primary Care Hina MAA in support Hawaii Primary
• The Hawaii Primary Care Association supports House Bill 557.
• White Primary Care Association. Hey, thanks for being here.
• Hawaii Primary Care Association, Eric OʻB? in support.
• Thank you. their primary caregiver to purchase up their primary caregiver to purchase up to<01:01:18.880

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• to the challenges at every level, whether it be hospitals, home health, long-term care, hospice, primary
• for nursing school, you'll see clinicals and it'll be in various rotations, sometimes hospitals, primary
• But then, on the more long-term round-the-clock care, the primary payer source is going to be Medicaid
• And then, more importantly, what you see are closed networks.
• Some of them are placed in psychiatric units within hospitals, closed-down units, which are going to

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• No, I'm going to close the hearing on Senate Bill 123. We will not be executing this today.
• So I think in final closing, I don't want to drag this out much longer.
• With that, we'll close the hearing. Next up is Senate Bill 120, biomarkers.
• That window had closed.
• With that, I want to close the hearing. But it's going to depend on what exactly they are.

Keywords: 1191, senate, all

Transcript Highlights:

• For example, where we also measure primary care spending, and we believe that that Savings down the line
• , for example, where we also measure primary care spending, and we believe that investments in primary
• So that would bring the total to 730, which is pretty close to that quarter of a million, right, give
• I mean, that's pretty close to where we are. I think I am pretty—I don't want to promise.
• in primary care, increasing access and affordability for that. ...increase investment in primary care

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.