Transcript Highlights:

• It's about reimbursement, so I'm concerned.
• It's about reimbursement, so I'm concerned.
• This bill, 1156, spends 20 million. reimbursement, so I'm concerned.
• They move the chairs out and even all the physical training.
• And I don't know if the city of Tempe has a training facility.

Summary: The committee met to hear and vote on a series of appropriations and transportation-related bills, beginning with SB 1550, which would fund a Queen Creek police pilot program focused on runaway youth prevention, at-risk youth protection, and anti-trafficking work. Supporters said the town and local facilities already contribute personnel and administrative support, while some members urged Queen Creek to add local matching funds. The bill received a due pass recommendation on a 7-2 vote. The committee then considered SB 1156 and SB 1157, both $20 million border-related reimbursement bills sponsored by Senator Rogers. SB 1156 would reimburse cities, towns, and counties for short-term detention hold costs for unauthorized non-citizens, and SB 1157 would reimburse local governments for supplemental fencing or bollard walls in high-crossing border areas. Both bills drew strong opposition from public commenters who described them as funding detention and border enforcement at the expense of other needs, while supporters framed them as backfilling local costs already incurred. SB 1156 passed 5-3, and SB 1157 passed 5-3. The committee also approved SB 1245, which would fund pavement replacement on Rodeo Road in Williams, and SB 1707, which would provide $5 million for AI-related border security at DPS. SB 1245 passed 6-3, with some members objecting that the state highway user revenue fund is underfunded and local contributions should be required. SB 1707 passed 6-4 after testimony split between supporters who favored using AI and surveillance tools for border security and opponents who said the bill was too vague, too expensive, or inappropriate given other state priorities. Later, the committee advanced SB 1273, funding pavement rehabilitation on Ogle Frontage Road between Bowie and San Simon, and SB 1811, which would clarify that school districts and charter schools may allow wireless device use in the case of an emergency rather than during an emergency. SB 1273 passed 6-4 amid debate over state versus local funding responsibility, and SB 1811 passed 8-1 after testimony that the change would give schools more flexibility and avoid practical problems during emergencies. The committee also heard SB 1088, a cybersecurity appropriation for DHS, and SB 1332, which would require ADOT to study light rail expansion in Maricopa County versus autonomous or semi-autonomous transit options. SB 1088 passed 6-4 despite concerns that the appropriation was vendor-driven and not requested by the department. SB 1332 drew extensive testimony from small business owners along Indian School Road who said light rail construction had harmed access and sales, while Phoenix/Valley Metro opposed the bill and questioned ADOT’s role; the discussion continued as the transcript ended.

Transcript Highlights:

• Centers located at the Arden Hills Army Training Site are 75% federal, 25% state split, and all field
• ALL READINESS CENTERS ARE ARMORIES ARE 50, Ripley Training Center are 100% federally funded.
• This $2.5 million asset preservation request, along with the federal RIPLEY TRAINING CENTER ARE 100%
• They come in and train.
• We have gun training, fried training,... Evacuation center, Thailand.

Keywords: 918, senate, all

Summary: The Minnesota Senate Subcommittee on Veterans heard a Department of Military Affairs presentation on bonding, tuition benefits, and cyber response. The department requested $3.5 million in design funding for a new hangar at the 148th Fighter Wing in Duluth, citing safety problems with the aging 1950s-era hangars and the need to improve the wing’s competitiveness for future federal military construction funding. It also sought $2.5 million for asset preservation at Army facilities statewide, emphasizing that state dollars are often matched by federal funds. A National Guard lieutenant also testified about the State Tuition Reimbursement Program, describing how it helped pay for her undergraduate and doctoral education and reduce student debt. The committee also received an update on Minnesota National Guard cyber operations, including the response to the July 2025 ransomware attack on the City of Saint Paul. Testimony described the cyber coordination cell’s role in planning, interagency coordination, and support during the incident, including helping re-image about 500 computers and assisting with network recovery. Members heard that the Guard’s cyber teams conduct extensive partner engagement and are prepared to support state and local entities when civil resources are exhausted and the incident exceeds local capacity. Three bills were then heard and advanced. Senate File 4075, as amended, would implement recommendations from the task force on Special Guerrilla Unit and regular forces veterans from the Secret War in Laos, including eligibility and benefit changes; the committee adopted an amendment and passed the bill to the full committee. Senate File 3956, as amended, would clarify that the Department of Veterans Affairs may partner with veteran-serving organizations using nonmonetary resources to address food insecurity, homelessness, and suicide prevention; it was also referred onward. Senate File 4056, as amended, would add veteran or military status as a protected class under the Minnesota Human Rights Act; testimony supported the change, including concerns about service members losing educational opportunities while on state active duty, and the bill was passed to the full committee.

Transcript Highlights:

• training on mandated health and safety topics and a minimum number of annual training hours for the
• reporter training.
• The parents or guardians must be in the workforce, in education or training, or an education or training
• I mean, if we are reimbursing the PRTFs, that some of it comes from a Medicaid budget, If we are reimbursing
• Reimbursement Project on Development Act.

Committee: Joint Human Services Committee

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• Telehealth payment parity or reimbursement requirements like those added by AB 744...
• Telehealth payment parity or reimbursement requirements, like those added by AB 744, take that a step
• It should be reimbursed at the same rate.
• no differently than how they reimburse for in-person services.
• is sort of my area of expertise where reimbursement is a topic across many different areas.

Summary: The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market and how AB 32 expanded Medi-Cal access to audio-only telehealth in appropriate circumstances, especially for patients facing broadband, transportation, language, and other access barriers. The hearing framed telehealth as a permanent part of California’s health care system rather than a temporary pandemic measure, while noting that disparities and implementation gaps remain. First-panel testimony from the California Health Care Foundation and the Center for Connected Health Policy reviewed telehealth trends, evidence of patient satisfaction, and the effectiveness of telehealth for behavioral health, chronic care, and e-consults. Witnesses said audio-only care remains important for patients without reliable internet, but Medi-Cal still has gaps in asynchronous care, FQHC/RHC billing, and remote-only provider participation. Committee members asked about reimbursement, data collection, clinical safeguards, broadband access, language access, and whether telehealth is being used to speed up appointments or reduce disparities. A second panel of providers and advocates described how telehealth has changed practice. A family physician said parity allowed his health system to invest in staffing and scheduling, and that virtual visits help seniors, working patients, and those with mobility or transportation barriers, while still allowing escalation to in-person care or emergency services when needed. Planned Parenthood said telehealth is essential for sensitive sexual and reproductive health services and urged broader Medi-Cal coverage for asynchronous care. A behavioral health clinician from Shasta County said telehealth has been critical for rural patients, though broadband and affordability remain barriers. Public comment from hospital, telemedicine, and consumer groups generally supported telehealth expansion while urging fixes to remaining Medi-Cal gaps and continued access to in-person care.

Transcript Highlights:

• Third, it is time to adopt enrollment-based reimbursement.
• We trained all of those public-facing employees.
• The training was very well received. critical topic.
• I've trained him well.
• I have a lot of training, I come from a group home.

Keywords: 988, house, all

Transcript Highlights:

• So first, that's going to include $4.7 million increase in claim to reimbursements actually submitted
• At the time of addition, a number of years ago, that seven and a half reimbursements.
• We are paying for the grants through reimbursement, and so the $29 million that's left in that account
• My question is on the driver's education, driver's training account.
• Right now the reimbursements are capped at $150 for LEAs.

Summary: The committee received a detailed JFAC presentation on the K-12 public school support budget from Legislative Services analyst Kellan McGurkin, followed by testimony from Superintendent Debbie Critchfield. McGurkin reviewed how Idaho’s school funding formula works, including support units, staff allowance, career ladder salary funding, discretionary funding, health insurance, transportation, facilities, and the Public Education Stabilization Fund. He explained the FY 2026 revised budget, including a reduction in projected support units and an ongoing $22.3 million general fund rescission, and then walked through the FY 2027 request and the Governor’s recommendation. Major FY 2027 items included health insurance adjustments, transportation growth, federal fund authority, and proposed one-time special education initiatives: a $5 million high-needs fund and a $1 million regional service model, both tied to interest or transfers from other funds. The Governor also recommended eliminating or reducing some items, including virtual school-related payments and a reduction to Idaho Digital Learning Academy funding, which would lower the general fund request compared with the agency proposal. Critchfield framed the budget around enrollment trends, shifting student populations, and the need for flexibility in how districts use existing dollars. She highlighted gains in literacy, graduation rates, dual credit and career technical participation, and said the department wants more categorical flexibility for professional development, technology, and digital content funds so districts can redirect unused money to higher priorities such as literacy or special education. She also described the Idaho Career Ready Students grant as having created 170 new programs and said remaining funds are obligated. On special education, she said costs are growing faster than current funding and argued for a bridge solution while broader funding issues are addressed; she also said the department is pursuing a regional service-center model to help rural districts share hard-to-fill specialists. Critchfield additionally outlined planned federal waivers on assessments and flexibility, and said the state is seeking more control over education decisions. Committee members focused heavily on funding mechanics, especially whether career ladder and health insurance money is distributed per teacher or through support units, how discretionary funds are used, why insurance amounts in the budget book differed from current projections, and whether districts can use leftover health insurance dollars for other purposes. Members also questioned the proposed special education funding, the use of interest earnings from dedicated funds to support the general fund, the size and use of school contingency balances, and whether the state should revisit the funding formula itself. No votes were taken during this portion of the meeting; the discussion remained in presentation and questioning, with several follow-up requests for data and clarification.

Transcript Highlights:

• We have been piloting since... a new approach to training.
• So it is training while working, which... really focuses on competency-based training versus classroom
• training.
• They bring training, they bring technical assistance and supports.
• Oh the BCCS program my understanding is that the reimbursements were changed because we had been reimbursing

Committee: House Appropriations - S/C on Article II

Keywords: 1184, house, all

Transcript Highlights:

• We currently have a training that's in place for teachers to offer the training for the, I'm sorry, for
• training and a curriculum for educators.
• They will see the training, and those that are more equipped to do the training would then have that
• They will see the training, and those that are more equipped to do the training would then have that
• Hall mentioned, are ethics training, certain trainings related to sexual harassment.

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• Under fee for service, the state only reimburses the facility for the acquisition cost, so there are
• A 340B medication is reimbursed at the same rate as a non-340B medication.
• So our staff, as a contract pharmacy, are trained to meet people where they are.
• So our staff, as a contract pharmacist, are trained to meet people where they are.
• Trained professionals under a medical director’s oversight can perform them.

Bills: HB2145 , HB1828 , HB2155 , HB2437

Committee: House Health Care & Wellness

Keywords: 340B drug pricing, healthcare access, patient rights, discounted medications, manufacturer limitations, health professions, plasma donation, physician substitutes, medical regulation, nursing titles, healthcare, regulation, professional standards, licensure, accreditation, opioid treatment, health services, fee authority, public health, 904

Transcript Highlights:

• </c> peace officer standards and training. peace officer standards and training.
• , and autism training.
• , and autism training.
• of training funds.
• At the root of the reforms was training. At the root of the reforms was training.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• for claims from the municipal firefighter cancer reimbursement fund.
• Osborne, will firefighters be required to apply for reimbursement through the firefighter reimbursement
• Then the city taps that fund and gets reimbursed for their costs.
• This fund, and they reimburse. So that's fire districts were not covered in that.
• Osborne, can you describe the firefighter reimbursement fund and a little bit of the history, how it's

Committee: House House Appropriations Committee of Reference

Summary: The committee heard several appropriations and policy bills, beginning with HB 263, which would appropriate $1.5 million to fund the Independent Correctional Oversight Office. Representative Blackman argued the office is needed to address serious problems in the Department of Corrections, including lawsuits, staffing shortages, injuries, and safety concerns, and said he was open to shifting existing dollars to cover the cost. A supportive witness from Justice Action Network said the funding would make the oversight office operational and is a small investment compared with the department’s overall budget. The bill received a do-pass recommendation on a 17-1 vote. The committee then considered HB 2993, as amended, which would let the Department of Public Safety spend money on legal services independent of the Attorney General and move $5 million from the Consumer Protection/Consumer Fraud Revolving Fund to the Gang and Immigration Intelligence Team Enforcement Mission Fund. Speaker Montenegro said the bill was intended to support law enforcement and shift resources toward frontline public safety work. The amendment changed the destination of the $5 million from the Peace Officers Training Fund to GITEM, and the bill passed 11-7. HB 2271 followed, dealing with firefighter cancer insurance reimbursement and rate deviations for insurers. Witnesses described it as a technical, unfinished consensus measure meant to bring fire districts into the existing cancer reimbursement structure without changing claim handling for firefighters. Members repeatedly noted more work was needed, but the bill still received a do-pass recommendation on a 16-1-1 vote. HB 2416 appropriated $20 million to DPS for local border support, including law enforcement positions, prosecution and detention costs, and equipment. Sheriffs and the Arizona Sheriffs Association testified in support, saying the funding has been used for drug interdiction, fentanyl seizures, and joint task forces, while opponents argued the money should go elsewhere. The bill passed 11-6-1. HB 2692, a procurement bill, would create or revise rules for construction delivery methods, including one-step competition and progressive design-build for federally funded public infrastructure projects. Construction and procurement stakeholders said it was a long-negotiated consensus measure, while some members worried about taxpayer risk and wanted more information; it passed 10-7-1. The committee also amended and passed HB 2478, which creates the Arizona Commission on Student Outcomes and funds it with Classroom Site Fund dollars to study K-12 accountability, standards, graduation requirements, early childhood education, and a possible trade pathways diploma. Supporters said Arizona needs a broader conversation about student outcomes and school accountability, while opponents questioned the funding source and whether the work should instead be done by existing education agencies. The amended bill passed 11-7. Finally, HB 4044 was introduced to create a Public Safety Parity Fund for DPS and Corrections salaries using proceeds from forfeited digital assets and interest from the Budget Stabilization Fund; the sponsor and a troopers association witness said it would help address long-standing pay parity and vacancy problems, but the transcript cuts off before any vote on that bill.

Transcript Highlights:

• Because they're not eligible to collect insurance reimbursement.
• Of the 26 centers in Massachusetts, only four file for reimbursement.
• This includes many with specialized medical training in ASD assessment.
• Train was late today. Go back. I called a few names earlier.
• This was seen to be true when the act of providing reimbursement for licensed individuals...

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• We started with claiming reimbursements for Medicaid. It was a year earlier than projected.
• Eligible for medical reimbursement.
• Health care services manages our federal reimbursement.
• Medi-Cal is federal reimbursement. It's federal. Medi-Cal is federal reimbursement.
• Additionally, 84 people enrolled in college or meaningful training opportunities.

Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Specific training in order to be a peer.
• There are some other peer support trainings out there that are not first responder peer support trainings
• to train our first responders in peer support.
• Yes, that are already trained, and you're already trained, and you're suggesting that this legislature
• They get reimbursed at a higher rate.

Committee: Senate Children, Families, and Elder Affairs

Summary: The committee heard a presentation from Dr. Kelly O’Dare on first responder behavioral health access, peer support, and suicide prevention. She described UCF Restores, the Second Alarm Project, and related partnerships that provide culturally competent treatment, peer training, clinician education, disaster response support, and behavioral health navigation. She cited survey and state data showing significant rates of sleep problems, anxiety, depression, substance use, and suicide among Florida first responders, and said evidence-based treatment has helped many patients recover, including a reported 76% who no longer met PTSD diagnostic criteria after treatment. Senators asked about measuring outcomes, peer support standards, and whether the state should create more consistent statewide requirements; O’Dare said peer support training must be specialized, linked to higher levels of care, and supported by sustainable funding and statewide coordination. The committee also heard from a public commenter who supported the work and emphasized the need for adequate resources and peer support infrastructure. The committee then received a Department of Children and Families presentation from Casey Penn on the proposed funding methodology for community-based care lead agencies under HB 7089. Penn explained that the new model is intended to be actuarially based, reimbursement-oriented, and more transparent than prior funding approaches, using historical expenditures, standardized reporting, and two main tiers: Tier 1 for largely fixed administrative and operational costs, and Tier 2 for direct child-serving costs based on per-child-per-month blended rates. He said the model includes a 2% risk corridor for Tier 2, hold-harmless funding in the first year, and optional Tier 3 performance incentives, with an estimated additional state appropriation need after offsets. Senators raised concerns about prevention, historical inequities, reasonableness of costs, administrative overhead, blended state and federal funds, adoption subsidies, high-acuity placements, and disaster-related disruptions. Penn said some of those issues could be addressed in future iterations as the child welfare information system is modernized, and he agreed to provide written responses to committee questions. Representatives of the Florida Coalition for Children and CBCs responded that the model is a major improvement but urged additional safeguards, including an administrative cap, clearer separation of direct and indirect costs, and better treatment of federal and pass-through funds. They argued that the system already has oversight and that deficits reflect insufficient appropriations rather than excess spending, while also noting that higher-acuity children and regional differences can drive costs. No votes were taken on either topic, and the meeting ended with committee staff introductions and adjournment.

Transcript Highlights:

• ... ...because it's improved Medicaid reimbursements.
• Our specialists are going through decades of training.
• Our specialists are going through decades of training.
• Off the top of my head, I don't know the percentage reimbursement, or I don't know the reimbursement
• Off the top of my head, I don't know the percentage reimbursement, or I don't know the reimbursement

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• We also urge the preservation of higher reimbursement for three-year-olds.
• This reimbursement adjustment reflects the timing of the phase-in, bed utilization, and projected reimbursements
• What encouragement can actually exist outside of reimbursement higher?
• Since 2018, the state has systematically cut the Medi-Cal reimbursement fund.
• Since 2018, the state has systematically cut the Medi-Cal reimbursement funds.

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• training, and that training will include information on the pay and benefits workers are entitled to
• </c> board has already approved a training board has already approved a training curriculum<00:03:33.640
• </c><00:03:37.319><c> and</c> organizations to do the training and organizations to do the training and
• ><c> information</c> that training will include information that training will include information on
• </c> million is specific to the training million is specific to the training requirement<00:10:49.000

Bills: HF339 , HF1272 , HF2121 , HF2122 , HF1216 , HF1003 , HF2319

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• It was an eight-hour training. Hearing staff to go through that training with us.
• The training that, Director, the training that the department is proposing on an annual basis, is that
• new training?
• new training?
• When would that reimbursement kick in? I believe we've... When would that reimbursement kick in?

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• That will not be reimbursable.
• do gets reimbursed.
• Was it mileage reimbursement? Were you on overtime?
• We had a training and education problem.
• And we are providing training on that. program. And we are providing training on that.

Summary: The Economic Development Budget Subcommittee received a lengthy presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster costs, recovery operations, sheltering, and major capital projects. He reviewed the 2024 hurricane season impacts from Debby, Helene, and Milton, explaining how FEMA public assistance and state reimbursement work, how cost shares can shift from 75/25 to 90/10 after a federal threshold is reached, and how Florida uses prior storm data and inflation to estimate recovery costs. He also described the state’s faster reimbursement timelines, crediting legislative investments in technology and digital field documentation, and said the division is working to reduce disaster closeout timelines from decades to about seven years. Members asked about debris removal, FEMA de-obligations, local preparedness, and whether regional shelters or co-located emergency operations centers could be used more efficiently. Guthrie said debris assistance is complicated and should generally remain tied to local contracts and planning, though the state will help fiscally constrained communities when needed. He explained de-obligations as FEMA clawing back previously approved funds after later review, and said Florida’s FROC program is helping local governments reduce those risks through standardized documentation, procurement review, and training. He also urged more mandatory emergency-management training for local and state officials and cautioned against weakening the FEMA 50% rule for rebuilding damaged structures. Guthrie provided updates on the new central Florida warehouse in Auburndale and the new State Emergency Operations Center in Tallahassee. He said the warehouse will improve logistics, include cold and ultra-cold storage, and be run by a private vendor with virtual inventory tracking, while the new EOC is designed for Category 5 conditions and expanded partner capacity. He acknowledged budget pressures that reduced the size of the EOC project and said an additional IT request was needed because those costs were not originally included. The meeting ended with praise for FDEM’s work and no votes or formal actions beyond adjournment.

Transcript Highlights:

• H is a letter from the Commission on Law Enforcement Standards and Training for $60,000.
• This is to conduct leadership and professional development training.
• This is to pay salary-related reimbursements with the bank department.
• Skills Lab training facility.
• The Commission on Law Enforcement Standards and Training for $225,000 is to cover a 911 Skills Lab training

Committee: All ALC-PEER

Keywords: 1204, all