Transcript Highlights:

• So there is another committee over there that is looking at Medicaid.
• So for us to remove one, we still have the one that looks over Medicaid, runs through rules, and looks
• at everything that needs to be taken care of with Medicaid.
• The comment was made that this bill does not cut the public school support, the Division of Medicaid,
• President, even last year, we could have made budget decisions that would have structurally reformed

Keywords: 989, all

Transcript Highlights:

• They wanted me to protect Social Security, Medicaid, and Medicare.
• ><c> kids,</c><00:17:25.760><c> their</c> Medicaid is how their kids, their Medicaid is how their kids
• :36:57.359><c> so</c><00:36:57.599><c> our</c> fundamentally reform the FEC so our fundamentally reform
• They cut food assistance, cut Medicaid, cut help for regular people.
• The gentleman from Missouri is recognized. cut to Medicaid, which rips healthc care cut to Medicaid,

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 21, 2026, 1012, house, all

Transcript Highlights:

• The biggest reason we often hear why reforms can happen is that there is no time.
• The biggest reason we often hear why reforms can happen is that there is no time.
• The biggest reason we often hear why reforms can happen is that there is no time.
• The biggest reason we often hear why reforms can happen is that there is no time.
• The biggest reason we often hear why reforms can happen is that there is no time.

Committee: Senate Judiciary

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 114, which would create a presidential preference primary for the 2028 election. The Office of Elections said the bill would cost about $4.1 million. Supporters, including the Hawaii Democratic Party and the League of Women Voters, favored moving the process to a state-run primary, while several opponents, including the Hawaiian Islands Republican Women and multiple individual testifiers, argued it would be too expensive, would shift control away from the parties, and would replace volunteer-run caucuses with a mail-in system. Committee members questioned the chief election officer about election timing, certification, and how a primary might be scheduled with other elections. Testimony was recorded as 11 in support, 41 opposed, and 3 comments, and no vote was taken in the excerpt. The committee then took up SB 725, which would require judges to make findings about a defendant’s ability to afford bail. Judiciary and Attorney General witnesses asked that the bill be deferred or amended, saying the Judicial Council is already reviewing pretrial bail reform and that the bill’s language could create practical problems for police, sheriffs, and courts. Supporters, including the Correctional System Oversight Commission, the public defender, the Community Alliance on Prisons, the ACLU of Hawaii, and disability rights advocates, said cash bail disproportionately harms low-income defendants, increases pretrial detention costs, and should require clearer findings and records. Opponents included the Hawaii County prosecuting attorney. Members questioned how bail is initially set, what records exist, and whether the bill would change current practice; Judiciary witnesses said initial bail decisions are often made by police or judges and later reviewed on the record, while supporters argued the bill would strengthen front-end due process. The ACLU said it supported the bill with amendments, including clearer standards for ability to pay and written findings. The committee also began hearing SB 733, a proposed constitutional amendment to establish a continuous legislative session. Early testimony was strongly supportive, with advocates arguing that the current 60-day session limits public participation, makes it hard for working people to testify, and prevents lawmakers from collaborating effectively. Supporters said a year-round model could improve transparency, reduce duplicate bills, and better accommodate neighbor island legislators. The excerpt ends during the opening testimony on SB 733, before any committee action or vote is shown.

Transcript Highlights:

• In 2019, our body, through occupational licensing reform, basically went through and unanimously passed
• occupational licensing reform, and that basically said, reading from there, a licensing authority shall
• House of Representatives, House Bill 850, by the Health and Welfare Committee, an act relating to Medicaid
• the House of Representatives, House Bill 850 by Health and Welfare Committee and Act relating to Medicaid
• eligibility expansion, repealing section 56225 Idaho Code relating to legislative approval and Medicaid

Summary: The House opened with roll call, prayer, and approval of the journal, then received a notice appointing Kirk Larson as a substitute representative for District 33. The chamber also handled several Senate messages and committee reports, including printing or engrossing a number of bills, and advanced multiple measures through the calendar. Among the bills introduced were appropriations bills for the judicial and legislative branches (HB 847 and HB 848), an education bill revising career ladder and endorsement provisions (HB 849), and Senate bills on occupational licensure, veterans’ benefits consumer protections, specie/tender contracts, state investment in gold and silver, and household egg production. The House passed Senate Bill 1332, a fiscal year-end cash transfer bill that reallocated about $100 million back to the general fund by pulling unspent money from several programs, including transportation strategic initiatives, the Idaho Opportunity Scholarship, the Permanent Building Fund, water pollution control grants, and the In-Demand Careers Fund. Members also passed House Bill 545, which would allow military chaplains to qualify for counseling licensure and bill insurance; the bill drew substantial debate over whether chaplain training is equivalent to the education and supervised experience required for independent mental health practice, but supporters argued the military experience is valuable and the bill would help address counselor shortages. The House also passed HB 702 on securities ownership and Idaho law, HB 638 to restore Idaho’s presidential primary in March, HB 765 and HB 766 on fire district boundary changes and impact-fee collection, HB 767 on using impact fees for replacement of certain fire vehicles, HB 797 on fire district sub-district representation, and HB 672 to keep logos and slogans out of the executive budget document. Later, the House passed HB 785, which adds school disciplinary procedures for vulgar or inappropriate online posts about educators, HB 760 on property tax exemption for workforce and affordable housing, and HB 789, ratifying the Coeur d’Alene Tribe Water Rights Settlement of 2026. The chamber also adopted House Concurrent Resolution 27 honoring Idaho civilians who served and died on Wake Island during World War II, and House Resolution 25 approving reviewed administrative rules. A motion to suspend rules allowed immediate consideration of HB 833, a bill requiring daily recess in elementary schools and unstructured activity for middle school students; debate focused on whether the bill would improperly limit classroom discipline, and the transcript ends during closing remarks on that measure.

Transcript Highlights:

• I believe these reforms would shift Minnesota from reactive enforcement months or often years after the
• I believe these reforms would shift Minnesota from reactive enforcement months or often years after the
• Well, as you know, This huge level of fraud that we've seen across Medicaid-funded programs appears to
• Basically, what happens is the people who run MinnesotaCare and Medical Assistance, or Medicaid, are
• That was administered at the time through the Medicaid Eligibility Technology System, METS for short.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• House Bill 360 by Stinson of the House and Rosino of the Senate, an act relating to Medicaid.
• Medicaid funds?
• So, Medicaid SoonerCare, those are federal and state dollars.
• We're talking about Medicaid.
• Senate Bill 1380 by Stinson of the House and Steward of the Senate relates to Medicaid.

Bills: SB1687 , HB1687 , HB4431 , HB2894 , HB2979 , HB3262 , HB3298 , HB3369 , HB3431 , HB3462 , SB1226 , SB1876 , SB1916 , SB1920 , HB3467 , HB3498 , HB3500 , HB3521 , HB3581 , HB3650 , HB3673 , HB3764 , HB3767 , HB3781 , HB3800 , HB3831 , HB3834 , HB3941 , HB2749 , HB3970 , HB3972 , HB3979 , HB3980 , HB3981 , HB3996 , HB4095 , HB4104 , HB4191 , HB4248 , HB4298 , HB4338 , HB4427 , HB4428 , HJR1023 , HB3660 , HB3718 , HB4326 , HB3443 , HB3880 , HB3649 , HB3000 , SB1651 , SB504 , SB372 , SB1326 , SB1633 , SB248 , SB1242 , SB1238 , SB423 , SB1989 , SB1286 , SB904 , SB1213 , SB1216 , SB1827 , SB65 , SB1390 , SB259 , SB1944 , SB540 , SB2139 , SB346 , SB1595 , SB1400 , SB1555 , SB1209 , SB2110 , SB1670 , SB1061 , SB2104 , HR1057 , SB1946 , SB1734 , SB1316 , SB1360 , SB1557 , SB1684 , SB2049 , SB1410 , SB2011 , SB1437 , SB1204 , SB1732 , SB1775 , SB2084 , SB1380 , SB1572 , SB1772 , SB1224 , SB710 , SB1338 , SB1266 , SB1303 , SB1307 , SB1562 , SB1794 , SB1191 , SB1983 , SB1832 , SB1448 , SB1534 , SB1593 , SB1597 , SB1630 , SB1489 , SB1726 , SB1796 , SB1806 , SB1877 , SB1451 , SB1553 , SB1632 , SB1423 , SB1425 , SB1502 , SB2180 , SB1725 , SB2182 , HB3003 , HB3004 , HB4434 , HB4324 , HB4342 , HB2137 , HB4432 , SJR50 , SJR52 , SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Transcript Highlights:

• </c><00:08:40.240><c> benefit</c><00:08:40.680><c> in</c><00:08:40.839><c> our</c> reimbursable Medicaid
• Our hope is to make Minnesota the 38th state to recognize this service as a Medicaid benefit.
• Our hope is to make Minnesota the 38th state to recognize this service as a Medicaid benefit.
• Minnesota the 38th state to recognize this service as a Medicaid benefit.
• It's a very valid question in a state that doesn't recognize this as a Medicaid benefit.

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• For the Medicaid program?
• For Medicaid benefit. for Medicaid beneficiaries, so children and adults.
• The issue of Medicaid is not that Medicaid is a bad program.
• Medicaid and how many Medicaid births, what percentage of Medicaid births there are in Texas?
• through Medicaid.

Bills: SB1 , HB500 , SB1 , HB1400 , HB 1094 , HB365 , HB 1109 , HB647 , HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• Can you reform your question in a way that complies with the rule? Thank you, Mr. Speaker.
• The budget fully funds Florida 34.8 program and Medicaid beneficiaries.
• It looks like Medicaid could be cut by $4 billion, and we do not have a backup plan for that.
• This is real meaningful reform.
• Reform that puts money back into the pockets of everyday Floridians.

Bills: HJR 99 , HB 1399 , HB 1400 , HB 1094 , HB 365 , HB 1109 , HB 647 , HCR 35 , SB 14 , HB 12 , HB 1522 , HB 422 , HB 675 , HB 204 , HB 748 , HB 912 , HJR 99 , HB 1399 , HB 1400 , HB 1094 , HB 365 , HB 1109 , HB 647 , HCR 35 , HCR 123 , HCR 124 , HR 57 , HR 87 , HR 111 , HR 228 , HR 230 , HR 322 , HR 624 , HR 625 , HR 626 , HR 627 , HR 628 , HR 630 , HR 631 , HR 634 , HR 635 , HR 636 , HR 637 , HR 638 , HR 639 , HR 640 , HR 645 , HR 646 , HR 648 , HR 649 , HR 651 , HR 652 , HR 653 , HR 654 , HR 664 , HR 665 , HR 668 , HR 675 , HR 676 , HR 678 , HR 679 , HR 680 , HR 683 , HR 686 , HR 688 , HR 689 , HR 694 , HR 695 , HR 697 , HR 698 , HR 699 , HR 472 , HR 622 , HR 632 , HR 633 , HR 643 , HR 655 , HR 657 , HR 660 , HR 661 , HR 662 , HR 663 , HR 667 , HR 670 , HR 674 , HR 681 , HR 682 , HR 696

Keywords: animal feed, tax exemption, ad valorem taxation, retail, constitutional amendment, retail sale, tangible personal property, Texas tax code, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption, regulation, deceased transportation, HB 365

Transcript Highlights:

• There is also $386.4 million in all funds for improvements to Medicaid access and eligibility determinations
• measures, and $100.8 million in all funds to support with disabilities, including an additional 1,051 Medicaid
• This committee has already discussed that SHARS is a Medicaid program that helps school districts cover
• therapy, nursing services, and more for students with disabilities that are currently eligible for Medicaid
• I'd like to thank the Chair for your commitment to the recently implemented HB 8 reforms with the allocation

Bills: SB1 , HB500 , SB 1

Committee: House Appropriations

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1184, house, all

Transcript Highlights:

• sincere condolences of the Legislature of Louisiana upon the passing of Josephine Ruth Kennedy, former Medicaid
• the Louisiana Department of Health to require enhanced reporting and legislative oversight of the Medicaid

Bills: SR146 , SCR12 , HB378 , HB509 , HB1090 , HB221 , HCR85 , HCR100 , HCR105 , HCR107 , HCR114 , HCR58 , HB723 , SB4 , SB52 , SB57 , SB83 , SB131 , SB143 , SB145 , SB152 , SB194 , SB251 , SB254 , SB279 , SB283 , SB333 , SB353 , SB367 , SB384 , SB389 , SB398 , SB408 , SB431 , SB448 , SB450 , SB465 , SB468 , SB469 , SB484 , SB495 , SB496 , SB509 , SB56 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB59 , HB89 , HB153 , HB243 , HB335 , HB342 , HB407 , HB451 , HB513 , HB595 , HB682 , HB688 , HB690 , HB730 , HB762 , HB802 , HB816 , HB940 , HB1003 , HB1011 , HB1029 , HB1053 , HB1058 , HB1062 , HB1064 , HB1079 , HB1084 , HB1098 , HB1161 , HB1189 , HB1203 , HB1215 , HB1247 , HB1248 , HB1251 , HB1253 , HB1257 , HB1258 , HB17 , HB27 , HB36 , HB41 , HB73 , HB140 , HB166 , HB181 , HB205 , HB211 , HB223 , HB226 , HB259 , HB271 , HB308 , HB337 , HB399 , HB410 , HB487 , HB626 , HB712 , HB740 , HB750 , HB759 , HB775 , HB812 , HB844 , HB906 , HB966 , HB968 , HB979 , HB1006 , HB1009 , HB1018 , HB1036 , HB1038 , HB1081 , HB1086 , HB1107 , HB1112 , HB1155 , HB1220 , HB1242 , HB1252 , HB1256 , SB42 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB449 , SB487 , HB74 , HB119 , HB134 , HB210 , HB258 , HB468 , HB784 , HB870 , HB953 , HB956 , HB1117 , HB1236 , SB29 , SB43 , SB78 , SB149 , SB441 , HB359

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Summary: The Senate convened with a quorum, heard a guest prayer by Pastor Lee Shipp, and conducted routine opening business including journal adoption, receipt of confirmation appointments, and House messages naming conferees on several Senate bill disagreements. The chamber also adopted or recognized several personal privilege resolutions and commendations, including honors for Grady Hazel, the Acadiana Veterans Hockey of Louisiana national championship team, Grambling State University’s 125th anniversary and related athletics/band centennials, the 2026 Governor’s Fellows, and a brief address by special guest Ms. Benson. Members then acted on a series of resolutions and concurrent resolutions. The Senate adopted measures creating or requesting study task forces on child permanency, medical malpractice review panels, driving school fees, the Minimum Foundation Program, and earthquake activity in north Louisiana, and it concurred in House resolutions on illegal dumping, gaming board review, behavioral health crisis center reimbursement, Medicaid incentive payment reporting, and a physician review panel study. Several condolence and commendation resolutions also passed, including those honoring Lewis Thomas Nelson and Josephine Ruth Kennedy, and the Senate adopted a resolution urging local governments to consider generator requirements for unlicensed senior and disability residential facilities. The chamber also took up House Bill 723, a motorcycle traffic-signal bill allowing certain two- and three-wheeled vehicles to proceed through malfunctioning vehicle-actuated signals under specified circumstances; after debate about safety and enforcement, it passed 33-3. The Senate then considered numerous House amendments to Senate bills, concurring in most, including bills on fluoridation/local opt-out, public assistance, nutrition, human trafficking training, bulletproof vests, adult residential care generators, cell-cultured food products, public benefits eligibility, attorney-fee limits in disciplinary proceedings, critical infrastructure protections, debit card surcharges, bank stock certificates, child welfare proceedings, digital student IDs, watershed restoration funding, innovation hubs, sports agent registration, and manufactured housing regulation. It rejected House amendments to SB 283 and SB 408 for further negotiation. The session ended with announcements for committee meetings and a recess until 2 p.m.

Transcript Highlights:

• Senate File 6, Eligibility for Medicaid Criteria, eyes 28, nos 3. Message 115. Mr.
• </c><00:05:10.400><c> Eyes</c> eligibility for Medicaid criteria.
• And we've been chasing this Medicaid thing for 50 years and it's still not working.
• And we've been chasing this Medicaid thing for 50 years and it's still not working.
• </c> But we need to back off the Medicaid. But we need to back off the Medicaid.

Keywords: 916, all

Transcript Highlights:

• That creates entrenched interests and makes broad, simplifying tax reform harder.
• That creates entrenched interest and make broad, simplifying tax reform harder.
• Similar to other government programs like SNAP or Medicaid? Mr. Chair, Mr.
• under law, and I do not see this as dissimilar to other important programs like SNAP, TANF, and Medicaid
• So you're not seeing anybody here wanting to eliminate the Medicaid program or eliminate the SNAP program

Committee: House House Appropriations Committee of Reference

Summary: The committee first heard HB 2584, which would prohibit public monies from being used for genetic sequencing procedures involving devices made by companies owned or substantially controlled by entities domiciled in a foreign adversary. The sponsor said the bill is intended to protect genetic data from being sold or used against the United States. There was no public testimony, and the committee approved the bill on a 13-5 vote for a do pass recommendation. The committee then took up HB 2804, which creates a rural development and housing tax credit capped at $2 million per year and tied to federal low-income housing tax credit projects in counties under 800,000 population. Supporters, including the sponsor, the Flagstaff mayor, and housing investors/developers, argued it would leverage private capital to address rural affordable housing shortages, especially for seniors, veterans, and low-income residents. Opponents, including the Arizona Free Enterprise Club, argued state LIHTC programs are inefficient, costly, hard to oversee, and can add complexity and higher per-unit costs. The bill passed 13-4 with one not voting. HB 2388, as amended, appropriates $100,000 for the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers, with a report due June 30, 2027. Supporters said the study would help Arizona plan for energy demand and data center growth, while opponents argued the agency should use existing funds instead of a new appropriation. The committee adopted the amendment and then approved the bill 10-7 with one not voting. The committee also received a presentation from the Auditor General on county treasurer procedural reviews, including the response to the Santa Cruz County treasurer embezzlement case and the office’s ramp-up plan for reviews and staffing. Later, the committee approved HB 2352, which appropriates $2,385,900 in FY2029 to make the Auditor General’s county treasurer review funding ongoing. Members supporting the bill said the office needs certainty to plan audits and retain staff, while opponents objected to funding it so far in advance during budget uncertainty. The bill passed 11-7. The committee also approved HB 2418, as amended, which directs $600,000 to be evenly distributed among five county sheriff task forces in Cochise, Coconino, Navajo, Pinal, and Yuma counties; supporters said it codifies the long-standing distribution practice, and it passed 17-1. Finally, the committee heard HB 2499, which would provide $2.6 million and 12 FTEs to the Department of Education for ESA administration; supporters argued the program’s rapid growth requires more staff for enrollment, reviews, and accountability, while members questioned the lack of standardized testing data and how to measure student outcomes. The transcript ends during that discussion, before a final vote on HB 2499.

Transcript Highlights:

• Another way is to start plan ahead and look at the Medicaid reimbursement systems, which I understand
• costs too within that system Medicaid costs too within that system well<00:28:44.559><c> and</c><00:
• um reimbursement uh systems Medicaid um reimbursement uh systems which<00:30:11.880><c> I</c><00:30:
• Medicaid Medicaid requirements<00:30:25.640><c> then</c><00:30:25.799><c> we</c><00:30:25.919><c> can
• </c> wouldn't call it uh any sort of Reform wouldn't call it uh any sort of Reform package<03:53:10.640

Keywords: 928, house, all

Summary: The Education Funding Committee met to review a large package of bills, with the first four—HB 717, 742, 773, and 603—focused on special education aid, formerly called catastrophic aid. Chair Ladin explained that the committee needed to move a special education bill forward by March 4 and was trying to determine which bill would serve as the vehicle. He described the current formula and the difficulty of estimating the fiscal impact of lowering the threshold from 3.5 times the statewide average cost per pupil to a lower level, noting that DOE did not have reliable data on how many students would fall into the lower-cost bands. The committee also noted that several other bills in the package addressed SWEP and adequacy issues, and that HB 510 dealt with due process rather than funding. Mark Mello of the Bureau of School Finance testified that the department only has reliable data for special education expenditures above $70,000 per student, since claims are submitted for reimbursement at that point. He said the bureau was trying to estimate how many students might fall between 2.5x and 3.5x or 3x and 3.5x the average cost, but that the basic answer was they did not know and that any estimate would be difficult. He explained that moving the threshold from 3.5x to 2.5x would create a minimum additional cost of about $13.6 million based on existing claims, not counting new students who would enter the range. Members discussed whether districts already had the underlying data, whether a survey should be required, and how districts know when to begin tracking costs for reimbursement. The committee also discussed proration and the state’s share of special education aid. Mello explained that the current 80% state share is modeled in the formula, but the actual payment has been prorated because appropriations have not matched the statutory liability; he said the state liability was about $50 million, while the budget had provided $34 million, resulting in a 68% payment rate. HB 742 was described as a bill that would eliminate proration by paying the liability directly from the education trust fund with an overflow mechanism. Members also discussed possible alternatives such as changing the state share, using a lower threshold in a transition period, or requiring districts to submit data. No votes or final actions were taken in the portion provided; the committee was still in discussion and considering which bills to advance.

Transcript Highlights:

• The enactment of long-term care reform was a major achievement, a testament to our shared commitment
• the rights of residents, and ensuring clinical excellence in our facilities, we move beyond initial reforms
• favorable action to support these important measures that both supplement and expand upon the important reforms
• The facility he was at was not like a Medicaid or low-cost facility either.

Committee: Joint Joint Committee on Aging and Independence

Keywords: 995, all

Summary: The Committee on Aging and Independence heard testimony on a package of long-term care and elder care bills focused on building on the state’s 2024 long-term care reform law (Chapter 197). Richard Moore of Dignity Alliance urged favorable action on the bills as a “long-term care 2.0” effort, arguing they would strengthen the workforce, protect residents’ rights, improve clinical quality, and increase transparency and sustainability in nursing homes and other facilities. He also raised concerns about staffing funds not reaching direct care workers and suggested further oversight of how appropriated money is spent. Patricia Crispy of the American Nurses Association testified in support of House Bill 766, which would require at least one registered nurse with full voting rights on the board of directors or trustees of every acute care hospital and nursing home. She and the bill’s sponsor, Representative Vanado, said nurses’ clinical expertise and 24/7 presence make them valuable contributors to governance and patient safety. Committee members asked whether the bill would cover assisted living and how many facilities already have nurse board members; the witness said she would provide more data and clarify the assisted living question. Senator Lovely testified on two bills: Senate 479, which would expand transparency and accountability in long-term care by tightening fire safety, smoking, hearing-loss, and ownership disclosure requirements, adding advocacy groups to an advisory committee, and increasing penalties; and Senate 480/House 795, which would require single-occupancy rooms in nursing homes unless residents consent to share, to improve privacy and reduce infection spread. Deborah De Benedictus also testified in support of House 759, describing her father’s experience in assisted living and arguing for the use of cameras in elder care facilities to monitor care and deter neglect. The committee discussed privacy concerns, notification rules, and the need for honest staffing and care practices, and then adjourned without taking any recorded votes or formal actions in the transcript.

Transcript Highlights:

• And I know the chairman could speak quite eloquently to the reforms of the entitlement programs that
• pertains to the government efficiency and reform initiative savings target of $100 million.
• These reforms are necessary to ensure that people who need the benefits can get them.
• And these reforms are included, and they will become law.
• They've worked on H.R. 1 and Medicaid and SNAP. ...the reforms to make the state function and deliver

Keywords: 1182, all

Transcript Highlights:

• We illegal under federal Medicaid law.
• ><c> happened</c><01:29:21.280><c> last</c> authorization reforms that happened last authorization reforms
• </c><01:29:38.639><c> and</c> for our fee for service Medicaid and for our fee for service Medicaid and
• </c> reforms related to prior authorization. reforms related to prior authorization.
• This is what we're so Medicaid program.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Um, they had to go to the ER Medicaid.
• </c><00:25:43.520><c> Medicaid</c> prescribed supplements. Medicaid prescribed supplements.
• </c> providers, the department for Medicaid providers, the department for Medicaid services,<00:41:49.200
• Um, and I've got a really uh Medicaid, you see full full uh risk uh Medicaid, you see full full uh risk
• </c><01:59:29.599><c> MCOs's</c> percentile among Medicaid MCOs's percentile among Medicaid MCOs's nationally

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• For follow-up, I also know that like 53% of our moms are on Medicaid that have that are having a baby
• This body has talked a lot about reforming the advalom reimbursement program.
• I want everyone here to understand this bill, HCAR, is I don't want to touch Medicaid, OK?
• I have no intentions of making healthcare decisions for our Medicaid population in this state.
• We're one of two states that Medicaid expansion is in the constitution.

Committee: House Rules

Keywords: 914, all

Transcript Highlights:

• Okay, next up it's um SB 3324, relating to Medicaid.
• Okay, next up it's um SB 3324, relating to Medicaid.
• Okay, next up it's um SB 3324, relating to Medicaid.
• Okay, next up it's um SB 3324, relating to Medicaid.
• </c> Centers for Medicare and Medicaid Centers for Medicare and Medicaid Services.<00:48:46.400><c> Um

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.