Video & Transcript Research : 'trolley system'
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CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 21st, 2026
Transcript Highlights:
- with a new hot water piping system.
- to the Medi-Cal fee-for-service delivery system.
- And then, just for data systems, it's another $33 million.
- This is the patient safety reporting systems reappropriation.
- I'm an employee with Alameda Health System, EVS department.
NH
New Hampshire 2025 Regular Session
House Finance Division III (01/27/2025)
Transcript Highlights:
- We're still using that system.
- We're still using that system.
- We're still using that system.
- We're still using that system.
- We're still using that system.
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.
NM
Transcript Highlights:
- , it will be the state in which those systems are built.
- And what I mean by that, so our systems use lasers. You can look at superconducting systems.
- Our system, our particular system, uses a thing called ion traps, but essentially it's this thing a little
- How can you best leverage each type of system, right?
- They were going to figure out the system.
CA
California 2025-2026 Regular Session
Senate Emergency Management Committee Jun 23rd, 2026
Emergency Management
Transcript Highlights:
- Our legacy system does provide 911 services, but it is an outdated system.
- system itself, it'll be a single system, but each part will have backups, and through that redundancy
- are not able to access the system, and in kind of in our previous hearing... ...system, and in kind
- They are interdependent systems.
- They are interdependent systems.
FL
Transcript Highlights:
- , just like our DJJ system.
- These numbers are just relative to the prison system.
- This is an important component to this system.
- Have the heating systems been working properly?
- And now we do have systems down. We've got old systems that parts are obsolete for.
Summary:
The Senate Criminal Justice Committee met with Vice Chair Smith presiding in Chair Martin’s excused absence. After opening remarks from several senators, the committee heard a presentation from Department of Corrections Secretary Ricky Dixon on the state’s incentivized prisons program and related population-management efforts. Dixon said the department now operates eight incentivized prisons, which use enhanced privileges and programming for well-behaved inmates, and reported major reductions in disciplinary reports, staff assaults, inmate-on-inmate assaults, and uses of force compared with average institutions. He also described administrative management units for more disruptive inmates, short-sentence correctional institutions for those with less than a year to serve, and a reentry strategy that places inmates closer to home within 18 months of release. Dixon said Florida’s recidivism rate has fallen to about 21 percent, among the lowest in the nation, and emphasized that staffing, programming, and facility repairs remain ongoing needs.
Committee members asked about access to education and workforce training, staffing levels, contraband, technology upgrades, heating and air-conditioning maintenance, and whether incentivized prisons could be expanded. Dixon said educational access is improving but remains limited by eligibility and staffing, that the incentivized facilities are at capacity, and that expansion depends on adding more administrative management unit beds. He also said the department is increasing use of technology, improving maintenance oversight, and continuing efforts to reduce contraband and improve staff recruitment and retention. Several senators praised the department’s work and urged more funding for prison infrastructure and officer pay.
Public testimony largely supported the incentivized prisons model while calling for more seats, better staffing, and broader reforms. Family members of incarcerated people said the facilities were safer, more stable, and better for rehabilitation, though they asked for more programming, better treatment by staff, and clearer access to education and release-related opportunities. A Florida PBA representative emphasized that programs can only succeed with safe staffing levels and better pay and retention for correctional officers. No formal committee vote or bill action was taken, and the meeting ended after public testimony and closing remarks.
NH
New Hampshire 2025 Regular Session
House Education Funding (01/14/2025)
Transcript Highlights:
- and the community college system.
- , the community college system.
- system to the University<01:42:24.159>
system <01:42:25.159>um <01:42:25.480>we - System to the University System.
- appreciate the work that both systems appreciate the work that both systems are<02:12:38.280>
Summary:
The meeting was the first session of a newly created House Education Funding Committee, which also handles career technical education and higher education legislation. The chair explained that the committee was split off from the larger education committee because of the high volume of bills in the prior biennium, and said its focus would be on education funding policy and related fiscal issues. He noted that the committee had already reviewed major topics with the Department of Education, including the foundation formula, building aid, career technical education, special education aid, catastrophic aid, and higher education funding, and that chancellors from the university and community college systems were scheduled to appear later that morning.
The bulk of the meeting was an orientation on committee procedures and decorum. The chair reviewed attendance and replacement rules, hearing procedures, time limits for testimony, and how the committee would handle crowded hearings, early bills, and fiscal notes. He emphasized that hearings are not debates, that sponsors and co-sponsors may present but should not use their position to dominate questioning, and that the chair controls whether additional technical questions are asked of witnesses. He also stressed neutrality, saying members should not display buttons or placards or engage in running debates with testifiers, and that the committee should treat all testimony respectfully regardless of party or viewpoint.
Additional housekeeping guidance covered security procedures, use of cell phones and computers during hearings, breaks and hydration in the dry hearing rooms, and courtesy toward the clerk and other staff. The chair also asked members to notify leadership in advance of absences and explained that some bills may require larger rooms or overflow arrangements. No votes were taken and no bills were acted on during this portion of the meeting.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Jun 30th, 2026
Human Services
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Jun 30th, 2026
Transcript Highlights:
- So the system has cracks.
- So the system has cracks.
- Babies were in the system. Thank you.
- as well as intersecting systems.
- as well as intersecting systems.
Summary:
The hearing covered several child welfare, human services, tribal housing, child care, and long-term care bills. SB 1099 would clarify local governments’ authority to provide state or local public benefits to all residents under PRWORA; SB 1190 would regulate private youth transport services by requiring permits, background checks, training, and bans on blindfolds, hoods, restraints, and overnight pickups; SB 1322 would streamline tribal access to Community Care Expansion housing grants and better align the process with tribal sovereignty; SB 1109 would require an annual license renewal review for STRTPs with five or more Type A citations in a year; SB 1234 would require fentanyl testing in juvenile dependency cases when a court finds a risk of fentanyl use; SB 991 would require DSS to identify the specific type of abuse on its public licensing database; SB 1200 would redefine “infant” for family child care ratio purposes as under 18 months; and SB 1345 would strengthen foster youth rights regarding access to and dignified transport of personal belongings. The committee also approved a consent calendar including SB 534, SB 1410, and SB 1421.
Testimony was largely in support of the measures, often from authors, advocates, county officials, and people with lived experience. Supporters of SB 1190 described traumatic youth transport practices and argued for basic safety standards. SB 1322 supporters said tribal grantees face unnecessary delays and collateral demands that conflict with sovereignty. SB 1109 drew support from county probation officers who cited repeated serious violations and public safety concerns at STRTPs, while the chair ultimately opposed the bill as duplicative of existing CDSS authority. SB 1234 drew emotional support from a grandparent who lost a child to fentanyl, but also opposition from the Drug Policy Alliance and a dependency attorney, who argued the bill was redundant, vague, and could create biased or unnecessary testing; amendments were accepted to narrow the standard. SB 991 supporters said the public needs more specific information about abuse findings, SB 1200 supporters said the change would expand infant care capacity and help working families, and SB 1345 supporters said foster youth deserve dignity rather than having belongings packed in trash bags.
Votes were taken after quorum was established. SB 991, SB 1200, SB 1345, SB 1190, SB 1234, SB 1322, and SB 1099 were all reported out of committee, most on unanimous or near-unanimous votes; SB 1234 passed 6-0 as amended to Appropriations, and SB 1099 later had a vote change recorded, ending 5-1. SB 1109 did not advance after the motion failed for lack of a second, and it was held in committee. The committee then adjourned and transitioned into an oversight hearing reviewing the outcomes of AB 2247 (placement stability and notice protections for foster youth) and AB 2496, with presenters discussing how the earlier foster youth placement law has changed practice and the importance of dignity, notice, and youth voice in placement decisions.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 29th, 2026
AR
Transcript Highlights:
- and verifying the system.
- And it's the infrastructure of the A-WIN system.
- a higher-level trauma system center.
- and management system.
- support following the go-live of the new SAP system.
Summary:
The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs.
The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures.
The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.
OK
Oklahoma 2026 Regular Session
Appr/Sub-General Government and Transportation Jan 13th, 2026 at 09:30 am
Transcript Highlights:
- We had the system go down the first day when over 30,000 people were hammering the system.
- But not only the system that...
- They operate a system and most states use Genax.
- Some of the big advantages of the system going live are that it's not going to be a unified system.
- license system, as well as upgrading our motor vehicle system of record, combining those into kind of
MN
Minnesota 2025-2026 Regular Session
Bill directing state agency to overhaul child care regulations heard in House committee 3/26/25
Transcript Highlights:
- Our current system too often operates under a gotcha mentality.
- Our current system too often operates under a gotcha mentality.
- Our current system too often operates under a gotcha mentality.
- We can transform the system in bold, positive ways.
- can transform the system in bold can transform the system in bold positive<00:12:33.199>
ways <
Summary:
The committee took up House File 2617, and first adopted a DE1 amendment. The bill, as amended, was presented as a major child care licensing reform that would narrow licensing to core health and safety requirements, reduce what supporters described as punitive or overly technical citations, and shift quality standards toward accreditation and professional organizations. The author also described the bill as a response to long-standing problems in the current licensing structure and county oversight of family child care.
Public testimony was uniformly supportive. Child care providers and directors from Duluth, Rochester, and Esko said the current system penalizes minor clerical or cosmetic issues, creates inconsistent interpretations, and contributes to provider burnout and the child care shortage. They argued the bill would separate health-and-safety licensing from quality measures, which they said are better addressed through accreditation, coaching, and national standards. One testifier also said the bill would help with background study delays by creating a liaison to improve visibility into the process.
Members asked about the difference between licensing and accreditation, how other states handle similar models, and how the bill would interact with the department’s licensing modernization work. The bill’s supporters said licensing would remain focused on foundational health and safety items such as ratios, background checks, hygiene, and facilities, while quality standards would be left to national organizations like NAEYC or the National Family Child Care Association. They cited Connecticut, Indiana, and Florida as examples of states using national standards in some form. The committee closed public testimony, took member questions, and the author renewed his motion to lay over House File 2617 as amended.
FL
Transcript Highlights:
- Senator, we think it's a success story, frankly, the court system does.
- We also have the Florida Dependency Court information system.
- currently utilizing that system.
- They end up in our court system.
- You know, no system is perfect. It can always be improved.
Summary:
The Judiciary Committee met with a quorum present and heard several Office of the State Courts Administrator presentations. Judge Mark Mahan discussed the impact of 2023’s HB 837 litigation reforms on court operations, explaining that the law’s changes to comparative negligence, filing deadlines, collateral source evidence, premises liability, bad faith claims, attorney’s fees, and offer-of-judgment rules triggered a major March 2023 civil filing surge. He described how filings tripled statewide, with especially large increases in auto negligence and premises liability cases, and outlined how circuits responded through active case management, added resources, and workflow changes. Members asked whether the bill’s immediate effective date contributed to the surge and whether clearance rates would normalize over time; Judge Mahan said the court system viewed its response as a success and expected rates to settle as the backlog is worked through.
The committee then received a presentation on problem-solving courts from Jennifer Grandal and Judge Nina Richardson. Grandal reviewed Florida’s drug courts, mental health courts, veterans courts, dependency and early childhood courts, noting statewide best-practice standards, annual reporting requirements, funding sources, and data collection systems. Judge Richardson gave a local perspective on treatment courts, emphasizing that they address underlying mental health and substance use issues, rely on judicial supervision and sanctions as well as incentives, and help participants achieve recovery and avoid reoffending. She said the programs are accountable, transparent, and effective, and thanked the Legislature for continued support.
Finally, Judge Rachel Nordby and Eric McClure outlined the judicial branch’s legislative agenda. Nordby summarized the Supreme Court workgroup’s recommendations to expand Florida’s vexatious litigant law, including broader coverage, fewer qualifying adverse cases, a longer lookback period, and a public records exemption for stricken defamatory or sham material. McClure then highlighted additional agenda items: modernizing the duty-judge statute, expanding senior management retirement eligibility, authorizing additional judgeships based on workload studies, removing the statutory cap on court-ordered nonbinding arbitration compensation, protecting appellate clerks’ personal information, allowing alternative authentication for certain judicial notarizations, and creating a hearsay exception for guardian ad litem reports and testimony. No votes were taken, and the committee adjourned after member introductions and staff introductions.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 13th, 2026
Transcript Highlights:
- It's not in the general interest of the system.
- I mean, this is the same workers' comp system.
- It is... ...raise the cost of the whole system.
- And I think that there's a reporting system.
- And I think that there's a reporting system.
Summary:
The committee first took up Senate Bill 408 by Senator Myers, a major workers’ compensation overhaul centered on creating an all-claims medical database, requiring electronic reporting and billing, and modernizing fee schedule and claims data collection. Myers said the bill was designed to improve transparency, reduce disputes, address outliers and abuse, and help injured workers return to work faster. The committee adopted technical amendments, then considered a large amendment set combining portions of House bills 780 and 1101, which added preliminary determination procedures, fraud language, temporary total disability and supplemental earnings benefit changes, and a fallback deadline for the department to establish a fee schedule if no agreement is reached by 2029. Several members and witnesses objected that the amendments were dropped late and would turn SB 408 into an omnibus bill; supporters argued the package was the best chance for comprehensive reform. After debate, the committee adopted the amendments and reported SB 408 favorably as amended.
Testimony on SB 408 was sharply divided. Supporters, including some providers and injured-worker advocates, said the bill’s core value was transparency through the database and that the system needed modernization and a better fee schedule. Opponents argued the added amendments would burden pro se claimants, expand litigation, and weaken injured workers’ rights, especially through fraud and preliminary hearing provisions. Committee members also questioned whether the combined package was germane and whether it should be allowed to move as a single reform measure. Louisiana Workforce Commission staff explained the timeline for data collection, electronic billing, dispute rules, and eventual fee schedule rulemaking, and said the department could execute the law as amended.
The committee then turned to House Bill 585 by Representative Chasson, concerning workplace violence and safety plans for small-box discount retailers. The bill was revised through a substitute that required covered retailers to develop and submit a written workforce safety plan, or submit an existing plan if one already existed. Representative Glorioso raised concerns that requiring a written safety plan could create new civil liability under Louisiana’s assumption-of-duty doctrine and increase litigation and insurance costs. Chasson responded that the intent was simply to encourage safety planning and that businesses already had such plans. The committee discussed possible narrowing language, but the transcript ends before a final disposition on HB 585 is shown.
SC
South Carolina 2025-2026 Regular Session
Healthcare and Regulatory Subcommittee Jun 24th, 2026
Transcript Highlights:
- We had an electronic travel reimbursement system implemented.
- system called S/4HANA.
- So the systems updates.
- So the systems updates.
- that those systems are connected and not fragmented.
Summary:
The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance.
The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments.
Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Sep 24th, 2025
Transcript Highlights:
- Issues and getting deeper within the system.
- So that children aren't getting lost in the system.
- And if the systems, these types of systems become overwhelmed, oftentimes that can become insufficient
- And they Keep coming back to the attention of the system and the system is not responding in an appropriate
- The system of how children enter the system, the steps that they go through, and the various off-ramps
FL
Transcript Highlights:
- That's our name for our progress monitoring system.
- system, but progress monitoring systems that districts have used for years that predated the statewide
- system.
- This is year three of this new system.
- This is year three of this new system.
Summary:
The Senate Committee on Pre-K through 12 Education received a Department of Education presentation from Deputy Commissioner Juan Copa on Florida’s K-12 assessment system, including FAST progress monitoring, end-of-course exams, science, writing, alternate assessments, English language acquisition testing, and VPK progress monitoring. Copa reported year-over-year gains in ELA and mathematics, noted that end-of-course and science results also improved, and explained how assessment data are used for school grades, third-grade promotion, graduation requirements, and other accountability measures. He also reviewed the independent study required by SB 1048, which recommended keeping PM3 as the primary accountability measure, proceeding cautiously on further test-length reductions and remote testing expansion, and using PM1/PM2 only as supplemental evidence in limited cases.
Committee members focused on whether the new system is improving student outcomes enough, what supports teachers and schools need to use the data effectively, and how Florida compares nationally. Chancellor Dr. Burns said the department is emphasizing implementation of the new standards, high-quality instructional materials, coaching, professional learning, collaboration, and school improvement support, and also pointed to resiliency education standards and mental health supports. Copa said Florida’s latest NAEP results remain mixed but still generally outperform the nation in some grades, while members pressed for more information on best practices, other states’ approaches, and how districts are using the data.
Several members requested follow-up information, including the independent review report, breakdowns of PM1/PM2/PM3 results by grade and subgroup, details on VPK outcomes by provider type and full-day versus half-day programs, and data on use of the CLT versus SAT/ACT for graduation concordant scores. The committee also discussed third-grade retention outcomes, computer-based testing, district assessment calendars, and whether some districts still administer additional local testing. No votes were taken on legislation, and the meeting adjourned after Senator Davis moved to adjourn.
MN
Transcript Highlights:
- statewide um system. statewide um system.
- system that's operated by the BCA. system that's operated by the BCA.
- >
system <00:24:47.760>that <00:24:48.000>already Sandy Hook Promise system that - without resources to provide the system without resources to provide the system I<00:28:36.720><
- where we would have a um system where we would have a um validated<00:46:34.720>
system.
Keywords:
parental notification, school safety, bullying, harassment, violence, prohibited conduct, student discipline, charter school, school district, data practices, student privacy, parent rights, guardian notification, school incident reporting, cyberbullying, restraint, reasonable force, anti-bullying policy, school administration, student conduct
MS
Transcript Highlights:
- Uh we've got another in the system.
- But the two things to be mindful of when you're talking about a separate system or a standalone system
- . system. system.
- system. Would you agree with that? system. Would you agree with that?
- stabilize the system. Thank you, Mr. stabilize the system. Thank you, Mr.
Summary:
The committee heard an update from PERS Executive Director Higgins, who reported that the system has about $38 billion in assets, earned roughly 11.7% last fiscal year, and is about 57% funded. He thanked lawmakers for a newly passed $1 billion funding bill and emphasized that funding the existing system remains the top priority. Higgins also noted that the board’s actuarially recommended contribution is about 26% of payroll, while the system is currently receiving about 18.4%, and said PERS will return later in session with a few requested bills.
Higgins addressed several policy topics under discussion this session, including return-to-work rules, first responders, and Tier 5. He said return-to-work changes are possible if the law is changed and funding implications are addressed. For first responders, he said any special treatment should be done within PERS rather than by creating a separate system, with the affected group and parameters clearly defined and fully funded. He also said the new Tier 5 hybrid plan is being implemented on track for March 1 and is projected to improve the system’s long-term financial position by reducing future liabilities and helping pay down the unfunded liability.
Members then questioned Higgins about the system’s funding policy, the 30-year closed amortization period used in the ADC calculation, and whether that approach should be revisited in light of recent funding actions and changes in assumptions. Higgins said the board reviews the policy annually, that the closed amortization approach was chosen to better pay down the unfunded liability, and that the annual valuation and experience studies already incorporate recent funding changes, Tier 5, and the phased employer-rate increases. He acknowledged that a significant new infusion of funding could justify reviewing the amortization period, but cautioned against changing it too often because it could undermine progress toward paying down the unfunded liability.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jun 3rd, 2026
Transcript Highlights:
- It is already live with our system.
- that will send that information over to our medical billing system.
- that they've always used through Medicaid in the same PA system.
- Billing back out to the same system that pharmacy uses, and it forces DME to use that system.
- We are putting them back under the medical billing system.
Summary:
The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection.
A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation.
Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.