Transcript Highlights:

• The speaker said that direct payments to student-athletes from colleges, NIL collectives, and private
• We have our controller and our assistant controller helping with the processing of accounting payments
• , P-card, and also going through... ...payments, P-card, and also going through and reconciling their
• The K-12 appropriation that they receive, and according to Century Code, are entitled to those payments
• tuition collections as a percentage of all of their tuition collections and the funding formula payments

Keywords: 908, all

Transcript Highlights:

• quickly implemented that allowed Lottery.com to make a wire transfer. transfer, which was illegal, payment
• They are supposed to take payment from the player at the time of purchase.
• So, my understanding of what happened in April 2023 is that they did take payment from the player at
• Well, we're using third party validated license. payment providers to do so, and as I've mentioned prior
• I worked with Clay on the payment issue that we already discussed, but yes, so we worked with.

Bills: SB 28, SB 687, SJR 34, SCR 9, SB 523, SB 62, SB 847, SB 706, SB 869, SB 890, SB 992

Keywords: lottery, gambling, internet gaming, mobile application, criminal offenses, SB 687, land surveyor, land surveying, surveying services, construction contract, anti-indemnity, indemnity, hold harmless, defense obligation, standard of care, professional negligence, civil practice and remedies code, local government code, governmental agency, public contracts

Summary: The meeting was a crucial session for discussing several important bills including SB992, which aims to establish a clear time frame for the Attorney General's approval on outside legal counsel for state agencies. Senator Nichols presented the bill, emphasizing its necessity for timely responses to ensure efficient legal processing. Another notable discussion centered around SB523, which seeks to allow parole and probation officers to use a business address on their driver's licenses for safety and security purposes. This bill passed favorably out of the committee, with public testimony supporting the need for such provisions due to the risks these officers face.

Transcript Highlights:

• But I cannot afford an extra monthly mortgage payment.
• Regarding scope expansion beyond just the scope expansion that it would automatically do through the
• That's automatic with the bill.
• Paying a mortgage payment.
• Increase Medicaid payments, consider Medicaid-Medicare parity, and look at Medicare payments federally

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy

Transcript Highlights:

• Requires the Public Utilities Commission to establish a water carrier inflationary cost index automatic
• draft of the bill does delay automatic draft of the bill does delay automatic rate<00:29:22.080>
• <00:59:16.880> increases "Hey, those automatic rate increases "Hey, those automatic rate increases
• ,<01:00:21.680> you you folks have this now automatic, you you folks have this now automatic
• And I know, based on your testimony, that the automatic adjustment mechanisms are problematic.

Keywords: 910, house, all

Summary: The committee heard SB 2694 SD2, which would authorize the Public Utilities Commission to create automatic adjustment mechanisms for water carriers, including a water carrier inflationary cost index, and to waive certain requirements under the Hawaii Water Carrier Act. Testimony was sharply divided. The Department of Transportation, Young Brothers, and several shipping, harbor, labor, and business-related supporters argued the bill would modernize regulation, reduce the need for large catch-up rate cases, and help keep rates aligned with rising costs. Young Brothers said its current rate-setting process is expensive and delayed, and that annual adjustments with guardrails such as a 5% cap and periodic full reviews would support sustainable operations and the state’s supply chain. Some supporters also said the company’s less-than-container-load service and required inter-island routes create costs that are not fully covered by current rates. Opponents, including the Consumer Advocate, the Maui Chamber of Commerce, Hawaii Food Industry Association, restaurant and chamber groups, and other businesses, argued the bill would lead to higher costs for consumers and businesses and should not move forward. Several testified that shipping costs already significantly affect pricing and that automatic increases would worsen the cost of living. The Consumer Advocate said Young Brothers should focus on cost control and implementing its business plan rather than automatic rate increases. The Maui Chamber and others pointed to a recent PUC decision that imposed a two-year stay on rate increases and said the bill would undermine that protection. Some opponents urged the committee to defer to the PUC’s regulatory authority. The PUC explained that it regulates water carriers as public utilities under existing statute and said it had recently approved a temporary rate increase while imposing a two-year stayout period on further increases, with emergency relief still possible. PUC members said they were still examining whether they have authority to adopt the proposed WICI mechanism by rule and wanted legislative clarity. In response to questions, the PUC said it prefers the current two-year stayout as reflected in its order. Young Brothers also clarified that it serves less-than-container-load cargo, that some routes and services are cross-subsidized because they are not profitable, and that an independent observer is being put in place to monitor implementation of its updated business plan. The transcript ended with the committee still taking questions; no final vote or disposition on the bill was shown.

Transcript Highlights:

• mirror those for mortgages, ensuring that consumers have enough verified income to handle the new payments
• We take it very seriously, and we cannot parcel out what stuff we can accept for payment.
• Automatically impossible.
• viable projects, and SB 1116 replaces it with a sensible ceiling instead of an impossible floor. automatically

Keywords: 987, senate, all

Summary: The committee heard several bills focused on wildfire resilience, local land use, and transparency. SB 911 by Senator Becker would require notification to fire agencies when a home in a high fire severity zone is sold with an agreement to bring it into defensible-space compliance; the California Association of Realtors said it would drop opposition if the bill is amended to use the preliminary change of ownership report, and the bill passed 4-0 to Appropriations. SB 994 by Senator Cabaldon would bar local officials from entering nondisclosure agreements that prevent them from sharing information with the actual elected decision-makers of a city or county; supporters framed it as a transparency measure, local-government concerns were raised about personnel/separation agreements, and it passed 4-0 to Appropriations as amended. SB 1041 by Senator Arreguín would expand access to PACE financing for wildfire home-hardening improvements and add consumer protections, hardship relief, and reporting requirements. Supporters, including Renew Financial and Cal Fire Local 2881, argued it would help homeowners finance roofs, vents, and other fire-safety upgrades, while opponents from homeowner advocates, county treasurers, bankers, mortgage lenders, and consumer groups warned about abusive sales practices, high costs, liens surviving fire or bankruptcy, and risks to vulnerable homeowners. After extensive debate, the bill passed 3-2 to Appropriations as amended and remained on call. SB 1075 by Senator Reyes would require local governments in AB 617 communities to consider air-quality impacts and related emissions-reduction plans when approving certain commercial and industrial land uses. Environmental justice groups supported the bill as a way to make AB 617 implementation more meaningful, while the Chamber of Commerce, counties, cities, planners, builders, and several industry groups opposed it as duplicative of CEQA, a litigation risk, and a barrier to investment and jobs. The committee approved it 3-2 to Appropriations as amended, also on call. SB 958 by Senator Atkins would facilitate the Midway Rising redevelopment project in San Diego, shifting from a CEQA exemption to prospective guidance on height-related impacts; supporters said it would deliver thousands of homes, including affordable units, and the bill passed 3-0 to Appropriations, remaining on call. The committee also discussed SB 1182 by Senator Allen, which would require local governments to consider insurance availability in safety planning for development in fire-prone areas; the discussion centered on whether insurance access should be part of land-use decisions, but no vote was taken in the portion provided.

Transcript Highlights:

• And the newspapers will automatically probably put it in print if it hits...
• A newspaper website, and the newspapers will automatically probably put it in print if it hits the deadline
• quality incentive program, specifically those where insurers are providing bonuses and enhanced payments
• and such for those other issues that we were just brought up to, so those kind of tend to go to the payment

Keywords: 1182, all

Summary: The committee first took up SB 1167, which would let municipalities and counties satisfy certain public notice requirements by posting notices on their official websites instead of only in newspapers. The sponsor argued the bill is permissive, meant to modernize notice practices, reduce costs, and help governments meet deadlines, while a Blackman amendment added a six-month transition period requiring continued newspaper publication and a notice to the public about the change. Media representatives, tribal advocates, and others opposed the bill, warning that moving away from print could reduce access for rural, tribal, and older residents and weaken transparency; county and local government representatives supported it as a flexible, efficient option. The committee adopted the amendment and then passed SB 1167 as amended on a 4-3 vote. The committee then heard SB 1021, which after a strike-everything amendment would require the Auditor General to refer possible criminal conduct involving health profession regulatory boards to the Attorney General and outline how such investigations should proceed. The sponsor and supporters said the measure would create a mechanism for accountability when audits uncover criminal activity and address conflicts of interest in enforcement. With no opposition testimony, the committee adopted the strike-everything amendment and passed SB 1021 as amended on a 4-3 vote. Next was SB 1011, a bill directing county medical examiners or forensic pathologists to review an infant’s immunization and vaccination history and any countermeasures given in the 90 days before a sudden unexplained infant death. The sponsor said the bill was intended to improve data collection, align Arizona with best practices, and help identify correlations without implying causation. Opponents, including vaccine advocacy groups and a disability advocate, argued the state already collects much of this information, that the bill could fuel misinformation about vaccines, and that it failed to address the main known risk factors for SIDS such as unsafe sleep. The committee passed SB 1011 on a 4-3 vote. The committee also considered SB 1013, an original merit-based public hiring bill that was not amended after a proposed strike-everything was defeated. The sponsor framed it as ensuring public employees are hired based on qualifications rather than identity-based preferences, while opponents from the ACLU and others argued existing law already prohibits discrimination and that the bill could create new liability and hinder outreach to diverse communities. Supporters said it would clarify merit hiring and prevent quota-based practices. The committee passed SB 1013 on a 4-3 vote. Finally, the committee began hearing SB 1015, which the sponsor said would create accountability and data collection around detransition care for minors, while the proposed strike-everything would instead establish a family and medical leave insurance program through Medicaid beginning in 2029; testimony on that bill and the striker was underway when the transcript ended.

Transcript Highlights:

• That's the state because it automatically and immediately goes to a response effort and Therefore, that
• We those help to make up the difference whether we have to repurpose money or cannot do the payment preservation
• to every member of this committee, you can't just because it's a constituent group, can't just automatically
• They oversee the issuing of policies, payment of premiums, and claims for our policyholders.

Transcript Highlights:

• House Bill 854 by Garcia Hernandez, relating to payment of the replacement cost of lost or damaged property
• revenue derived from a hotel and convention center project and to pledge certain tax revenue for the payment
• Then that's automatic; you know you're automatically going to lose state funding.
• There is nothing there that determines the mom or the dad automatically gets the child.
• HB 3863 by Canales, relating to claims payments to health care providers by.

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• Payment of the 2025-26 amount has effectively been deferred to 2027-28.
• Therefore, the state would either likely not provide the deferred payments to CSU, or these payments
• committee's commitment to mitigating the cuts, as highlighted in Ed Trust West's latest report on automatic

Keywords: 988, house, all

Transcript Highlights:

• are expecting it to happen, Disaster trust fund that is used to match state matching on recovery payments
• That increase is automatically built into that contract. And the regional is another $2.3 million.
• That increase is automatically contract.
• That increase is automatically built<02:18:24.960> into<02:18:25.200> that<02:18:25.439
• revenue of 3.5 million in rent payment revenue of 3.5 million in rent payment as<02:20:42.479>

Keywords: Appropriations - Room 210; 21 January, 2026: 1:30 PM, 925, all

Summary: The subcommittee heard the Mississippi Department of Wildlife, Fisheries, and Parks present its FY27 budget request and discuss accomplishments from prior appropriations. The commissioner highlighted improved conservation officer retention after salary increases, continued training and wellness efforts, upgrades to state parks and cabins, expansion of tiny homes, fisheries stocking and youth fishing programs, ongoing chronic wasting disease testing, and the Museum of Natural Science’s recent accreditation. The agency said it wants to maintain parks and facilities so they do not deteriorate again, and it emphasized tourism and public access benefits. Budget staff then outlined the request: $21.7 million in general funds, including increases for state parks, the museum, law enforcement, and chronic wasting disease; $23.2 million in state support capital and education funds; and $86.99 million in special funds authority. Major capital requests included $18.8 million for state parks projects at several parks, $1.25 million for law enforcement facilities, $2 million for Lake Lamar Bruce improvements, and $1.125 million for mobile teaching vans. Members asked for more detail on general fund increases, proof that law enforcement salary enhancements reached field agents, more information on the tiny home program and its return on investment, the source of motor vehicle funds, and a breakdown of requested pins and vacancies. The committee also questioned the agency about chronic wasting disease, with the department saying the $400,000 request supports testing and research and that live testing is not yet reliable. Members raised concerns about prioritization of lake and park maintenance, especially Lake Claude Bennett, and whether the agency is too reactive rather than proactive in addressing deteriorating facilities. The department said funding limitations and federal restrictions on certain lake dollars drive its priorities, and that it focuses on the most-used parks and lakes. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• costs are zero since payments may not start until the second year.
• Well, there's no cost the first year because the payments were all deferred.
• cost the first year because the payments cost the first year because the payments were<01:49:41.440
• <01:49:49.280> and because the interest only payments and because the interest only payments
• Do you just automatically look right at me, I guess?

Keywords: 1189, house, all

Transcript Highlights:

• Put differently, a power plant built by a utility will automatically be a little bit more expensive because
• 34.400> will a power plant built by a utility will a power plant built by a utility will automatically
• 35.600> a<01:48:35.760> little<01:48:35.920> bit<01:48:36.000> more automatically
• be a little bit more automatically be a little bit more expensive<01:48:36.719> because<01:48

Keywords: 1189, house, all

Transcript Highlights:

• > written<00:45:48.080> or payment instrument means a written or payment instrument means
• value or payment for goods or services. value or payment for goods or services.
• stored value does not include a payment stored value does not include a payment instrument<00:46
• <03:59:23.000> system inpatient prospective payment system inpatient prospective payment system
• part of that as far as the the payment part of that as far as the the payment and<04:38:03.320><

Keywords: MS Senate Floor - 12 February, 2026; 9:30 AM, 925, all

Summary: The Senate convened with a quorum present, dispensed with the reading of the journal, committee reports, and bill titles, and heard an invocation and pledge. The early portion of the meeting focused on recognizing recipients of the 2026 Governor’s Arts Awards. The Senate adopted resolutions honoring Greg Harkins for excellence in traditional craft, Jesse Robinson for lifetime achievement in blues music, Heather Christian for excellence in music composition, the Mississippi Symphony Orchestra for excellence in performing arts, and Dorothy “Dottie” Armstrong for excellence in art education. The executive director of the Mississippi Arts Commission briefly thanked the senators and invited them to the evening awards ceremony. The chamber also received several announcements and introductions, including recognition of the Mississippi Society of Radiologic Technologists’ Capitol Day and visiting students from several radiologic science programs. There was also mention of an out-of-order resolution commemorating the 155th anniversary of Alcorn State University, though no action on it was detailed in the excerpt. On the calendar, the Senate took up Senate Bill 2915, which concerns alcoholic beverages, native wine retail permits, and festival permits. The bill was explained as a measure to support Mississippi’s native wineries by allowing free-standing tasting rooms in different parts of the state while maintaining tax collection; a committee substitute and a friendly amendment were adopted, and the bill passed by use of the morning roll call. The Senate then began consideration of Senate Bill 2828, the Money Transmission Modernization Act, which would impose transaction fees, create a Law Enforcement 287G Program Fund, provide an income tax credit for fees paid, and revise licensing and control definitions. After objections to the usual motion, the bill was read at length, but the excerpt ends before final action on that measure.

Transcript Highlights:

• They just automatically follow the judges' salaries, which follow the economy.
• because otherwise... ...for those payments because otherwise those funds that you are providing to us
• It's the folks that retired after 7108 that are being fully funded by that employer payment for future
• In the initial guidance for this program, traditional provider payments to hospitals or other health.
• Payments to hospitals or other health care providers for services was capped at 15% of the total award

Keywords: 916, all

Transcript Highlights:

• So those payments are not to be part of this.
• So those payments are not to be part of this.
• So those payments are not to be part of this.
• So those payments are not to be part of this.
• So those payments are not to be part of this.

Keywords: 1187, senate, all

Transcript Highlights:

• Technet provides automatic earthquake detection in key regions such as the Permian Basin and the Eagleford
• So um our system automatically, uh, detects the seismicity and provides this information to the Royal
• those are the ones that archive the data that we, um, that we get and also do all the processing automatically
• pipeline construction and it it's just saying we're having problems in some counties that are requesting payment
• If you call on the phone, that disclaimer is automatically built in.

Bills: HB206

Keywords: HB206, school district bonds, bond election, voter approval, Education Code, Chapter 45, Section 45.003, Section 45.0034, Texas schools, school finance, local tax election, bond referendum, school construction, capital improvements, election frequency, five-year waiting period, district bonds, public school funding

Transcript Highlights:

• program payment, DSH payment, the UPL payment, GME, outpatient APC opt-outs, and EHR payments.
• structure. payment, uh the UPL payment, GME payment, uh the UPL payment, GME outpatient<00:30:34.880>
• product of the impact payments going up. product of the impact payments going up.
• You got paid in a dish payment. patient. You got paid in a dish payment.
• these add-on payments is not reflective. these add-on payments is not reflective.

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• a lot of things are not directly affected by this, but there are local services that will just automatically
• And I want to acknowledge that the barrier to homeownership really is the down payment.

Transcript Highlights:

• And because the funding policy is statutorily fixed, there is not currently a place that will automatically
• aside, so periodically they have the money if they need it, but they move it into supplementary payments

Transcript Highlights:

• That's grocery money, that's a mortgage payment, that's utility money.
• So again, I could never guarantee that this body or the House would automatically pass something, so