Transcript Highlights:

• But OJP has changed over time how those funds have flowed as they've developed expertise and how to best
• what I was going to do maybe I'll change what I was going to do before<00:03:53.760> and<00:03
• those changed over time how that how those funds<00:05:00.560> have<00:05:00.720> flowed
• But when I talk to the students and I talked to the community members, the enrollment has been maxed
• The enrollment has been maxed members.

Keywords: 919, house, all

Summary: The committee took up House File 3732, with the author moving both the bill and two separate amendments. The DE1 amendment would create a healthcare workforce grant program to let the Department of Employment and Economic Development identify and fund healthcare workforce shortage areas, while the A1 amendment would establish an Office of Community Investment to provide strategic grant management and help align grants with legislative priorities. Both amendments were adopted, and the bill was laid over for later consideration. The bill author explained that the healthcare workforce proposal is meant to address shortages that market forces alone have not solved, citing examples such as CNA training and rural oncologist recruitment. The Office of Community Investment was described as a way to improve grant oversight, set clearer goals, and strengthen collaboration between agencies and the legislature, drawing on the model of the Office of Justice Programs. Testimony from the Mong American Partnership strongly supported the healthcare workforce grant program, describing successful CNA and phlebotomy pathways, but also noting long waitlists and the need for flexible funding. Members discussed the importance of locating training opportunities in greater Minnesota and in communities with workforce gaps, so distance and travel barriers do not limit access. Several legislators said the proposal would help create good-paying jobs, strengthen healthcare access, and support overworked healthcare workers. The bill’s sponsors also emphasized that codifying grant programs can speed up future funding decisions and improve accountability, and they said the measures would return for further consideration in a few days.

Transcript Highlights:

• were multiple other things that came into play when we changed to a different vendor.
• Has the demand changed where it’s huge?”
• Has the demand changed where it’s huge?” “You’re recognized. Sure, thank you.
• So, as I previously stated, we’ve changed vendors.
• The most recent legislative session did make a couple of changes to the TEACH program.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• the maps that are in the system have never been updated and they're not correct and rooms have been changed
• You know, what may have been changed, you know, an office at one point is now a closet or something and
• When students see and experience careers firsthand, it changes how they view their future.
• <00:07:22.800> in increases in post-secary enrollments in increases in post-secary enrollments
• how they view firsthand, it changes how they view their<00:08:42.959> future.

Keywords: 958, all

Summary: The House Budget Subcommittee on Primary and Secondary Education and Workforce Development met without a quorum and heard presentations on several workforce and school-safety funding requests. The first item was a proposal for a school mapping data program, presented by Rep. Steve Bratcher with law enforcement and mapping partners. They said the plan would move money to the 911 system so school maps could be embedded there and kept current for all schools, public and private, to improve response times and officer, student, and teacher safety. The request was described as a $10 million one-time appropriation, with an estimate that the work could be completed in about a year. The committee then heard testimony on the Be Proud Initiative, a mobile workshop program aimed at exposing students age 13 and up to skilled trades and related education and career opportunities. Speakers from the Kentucky Association of Manufacturers, MI2, the Kentucky Treasury, and the Associated General Contractors said the program would improve perceptions of manufacturing, construction, and metals careers, connect students to training and employers, and help build the workforce pipeline. They said private industry would contribute $1 million in FY 2026-2027 before state funds are released, and requested $3 million in state funding in FY 2027-2028 contingent on that match. A Treasury official said handling the funds through the Treasury would have minimal impact on the office. Committee members responded favorably, including a comment from Rep. Bojanowski about the value of hands-on learning for students who struggle with test-focused instruction. Speakers also explained that the program includes classroom materials before and after the truck visit and ongoing outreach for students and parents. The final presentation was on an MI2 metals career pathway proposal, which cited economic impact data for Kentucky’s metals industry and asked for a $3 million one-time investment for FY 2027-2028 to pilot a middle- and high-school pathway in Carroll and Logan counties. The proposal would be matched by industry funds and used for curriculum, equipment, dual-credit and apprenticeship connections, student stipends, and parent outreach. The chair closed by noting it was the final scheduled meeting of the session and moved toward adjournment.

Transcript Highlights:

• <00:12:16.720> have across the country enrollments have across the country enrollments have
• capacity to serve open enrollment capacity to serve open enrollment students<00:57:15.520> if
• the conval decision that changes that. the conval decision that changes that.
• >> Changed. >> Changed. >> Changed.
• However, that law was changed in 2021, and that is a big change.

Keywords: 1189, house, all

Transcript Highlights:

• And this was change to Medicaid program.
• <00:06:42.160> to um specifically because of changes to um specifically because of changes
• It's changes to expansion eligibility.
• Um, I think obviously with changes in leadership, we could see changes to the bill.
• are enrolled in that program.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• kids no longer enrolled. kids no longer enrolled.
• <00:08:55.839> in is supersedes what there's enrollment in is supersedes what there's enrollment
• <00:41:09.760> more I don't think has ever enrolled more I don't think has ever enrolled more
• over the last 20 years while enrollment over the last 20 years while enrollment has<01:04:48.720
• <03:38:30.880> it fair to the other schools to change it fair to the other schools to change

Keywords: 1189, house, all

Transcript Highlights:

• <00:47:21.079> over see how the structure has changed over see how the structure has changed
• I also noticed that New Hampshire Medicaid enrollment is fourth smallest in the country.
• I also noticed that New Hampshire Medicaid enrollment is fourth smallest in the country.
• Many of the changes need incremental changes to build to them.
• So that's our home base if that has been changed. Then no one told me so.

Keywords: 1189, house, all

Transcript Highlights:

• Caitlin, you've done what your mom said you were gonna do, help change the world.
• It's the existing law today, and we didn't change that.
• I don't think we would change that.
• That did not change in this bill, but I would suggest to you...
• We're hoping to change that. And also, kids who disrupt the classroom.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• Uh, his name and photo are changed, but this is a real Example of someone who is in need of services
• , uh, what their, uh, demographics are and find out more about, um, who in your district, um, is enrolled
• This was to change, um, uh, the tax, what, how we're charging tax for media providers who are in the
• Am I only enrolled in a detox center? Am I, how am I proving that I'm participating?
• Chunk of change available um for that, Madam Chair. I just didn't hear that answer.

Transcript Highlights:

• <00:21:49.440> First, 43 included two big changes. First, 43 included two big changes.
• but they are enrolled. but they are enrolled.
• Uh name changes, address changes, any of the easier transactions.
• Uh name changes, address<00:30:35.600> changes,<00:30:36.240> any<00:30:36.480> of
• don't have three major policy changes don't have three major policy changes hitting<00:31:32.080

Keywords: 958, all

Summary: The committee first approved the minutes from its June 3 meeting and received an opening update on transportation revenues. Leadership noted that the gas tax formula dropped 4.1 cents on July 1, reducing road fund revenue by about $125 million, and warned that city, county, rural, and secondary road funding will be affected. The chair said the committee would likely have to be selective about transportation project requests given the reduced revenue outlook. The main presentation was an update on the I-69 bridge project. Kentucky Transportation Cabinet officials said the project is the missing link in the Henderson-Evansville corridor and is being delivered in three sections, with Kentucky leading section two. They said section two is a $933 million project, with Kentucky’s share described as $58 million and the balance Indiana’s, and that toll revenue will be used to finance the project through a TIFIA loan and Garvey bonds. Officials said Kentucky and Indiana have executed an agreement under House Bill 546 to use tolls, are working on a broader bi-state development agreement, and will ask the General Assembly next session to carry forward $150 million in general funds without conditions and to ratify the agreement. Members asked about the timeline, toll sharing, whether tolls would sunset, and whether US 41 bridges would remain open for local traffic; officials said construction is planned for 2027, tolling would begin in 2031, toll revenue would be shared 50/50, and at least one US 41 bridge would remain open for local use. The committee then heard a combined update from the Department of Vehicle Regulation and the Division of Motor Vehicle Licensing on implementation of several recent changes. Officials reported that the new registration category for special-purpose vehicles is fully operational statewide, with all counties enrolled and 292 vehicles processed so far; they also said counties received at least five plates each and that the program is permissive, not mandatory. They described implementation of Senate Bill 43’s medical review board reforms and third-party driver’s license issuance framework, saying the medical review process has been updated and that third-party partners may eventually handle easier transactions such as renewals, name changes, and address changes, while initial issuances would remain at KYTC regional offices. They also reported that the sheriff’s inspection process has been integrated into CAVIS, reducing paperwork and fraud and improving tracking. Members asked about communication to counties and cities with differing local rules, the number of counties participating, and how to coordinate multiple policy changes; officials said all counties are enrolled, though not all have submitted applications, and that they are still finalizing the scope of third-party services.

Transcript Highlights:

• Weeds on what are the systemic changes Weeds on what are the systemic changes that<00:03:27.760>
• Those changes are reflected in the numbers that I’m going to present today.
• Those changes are reflected in the numbers that I’m going to present today.
• <00:52:10.200> around really big systematic changes around really big systematic changes around
• just shows um how the FTE have changed just shows um how the FTE have changed over<01:14:22.320>

Keywords: 1187, senate, all

Summary: The committee convened for an opening discussion of the 2025 Human Services session, with members emphasizing bipartisan collaboration, the committee’s mission to strengthen support systems for Minnesotans, and a focus on helping vulnerable people thrive. The chair and members welcomed new and returning senators and staff, including new pages and interim committee administration, and several members briefly introduced themselves and their backgrounds in public service and human services work. Members identified the main issues they expect to address this session: workforce shortages in human services professions, long-term care, program integrity, and efforts to limit waste, fraud, and abuse so funding reaches people who need it most. The chair also previewed upcoming hearings on eligibility and redeterminations for people with disabilities, MnCHOICES reassessments, assisted living and provider payment delays, and updates on direct care and treatment, noting that more detailed discussion would come in later meetings. The committee then received a budget overview from fiscal analyst Kyle Raymond. He explained the combined Health and Human Services budget area, noted jurisdiction changes tied to the creation of the Department of Children, Youth, and Families and the planned separation of Direct Care and Treatment, and said some figures may differ from the November forecast because of those shifts. He outlined the major funding sources for the budget area, including federal funds and the general fund, and said the presentation would focus on the fiscal year 2026-2027 budget the legislature will be considering.

Transcript Highlights:

• bar a certain provider from enrolling bar a certain provider from enrolling with<00:06:24.080>
• We're also asking for policy changes.
• This policy change addresses those gaps.
• what these law changes mean for them. what these law changes mean for them.
• Specifically to the changes, right?

Keywords: 1187, senate, all

Transcript Highlights:

• APPROVED BY THE GOVERNOR ARE ADDED AND ADJUSTMENTS FOR ADMINISTERED FUNDS SUCH AS PAY INCREASES, CHANGES
• WOULD HAVE BEEN PAID AND REALLY IF THESE INDIVIDUALS WERE NOT IN THE PACE PROGRAM THEY WOULD BE ENROLLED
• AS YOU CAN SEE THE LANDSCAPE OF DENTAL SERVICES IN FLORIDA HAS CHANGED OVER THE YEARS FOR OUR CLIENTS
• ACHA HAS SUBMITTED A WAIVER TO CMS THAT WILL MAKE MAJOR CHANGES IN THE ADMINISTRATION OF THE PROGRAM
• SINCE THE MEDICAID WAIVER HAS NOT BEEN SUBMITTED TO CMS TO CHANGE THIS WE BELIEVE IT MAY GET WORSE.

Keywords: 999, senate, all

Transcript Highlights:

• Today, I'm presenting AB1082 that would allow California nursing students to enroll in out-of-state nursing
• That's the exact issue that these students are going out of state for because they cannot enroll in the
• They currently enroll less than the 5,000 students that this school is. Thank you very much.
• We empathize with the students who've enrolled in these non-BRN approved nursing distance nursing programs
• With this simple policy change, pharmacists will be able to help people use their health insurance to

Keywords: 988, house, all

Transcript Highlights:

• That hasn't changed at all.
• And what has changed—well, I shouldn't say that that part hasn't changed—is the commission's role.
• That hasn't changed at all.
• And what has changed—well, I shouldn't say that that part hasn't changed—is the commission's role.
• would um those sorts of the changes would um those sorts of changes<00:25:08.559> would<00:25

Keywords: 1189, house, all

Transcript Highlights:

• Chang said, it's a nominal increase.
• the procedural change specifically the procedural change specifically protects<01:03:56.720>
• But when enrollment rates under 5%.
• house draft one with the only change house draft one with the only change being<01:51:11.760>
• one, the number of defendants enrolled one, the number of defendants enrolled in<02:01:30.880>

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 2095, which would provide supplemental appropriations for the Judiciary for the 2025-2027 biennium. Judiciary Administrative Director Brandon Kimura testified in strong support and outlined a request for about $6.4 million in supplemental operating funds, plus four permanent full-time position conversions. He grouped the request into security, services to court users, and staffing needs, including $3.25 million for supplemental armed private security at judiciary facilities statewide, nearly $200,000 for cybersecurity staffing and support, restoration of funding for substance use treatment purchase-of-service contracts, restoration of funding for the Office of Public Guardian on Kauaʻi, salary commission funding, a Kona court operations position, and two Court-Appointed Special Advocates positions converted from temporary to permanent. He also described five capital improvement requests totaling $55.4 million, led by $30 million for construction of a new South Kohala courthouse, $1.2 million each for air conditioning upgrades in Hilo and Kauaʻi, $15 million for elevator upgrades at Kahumanu Hale, and $8 million in lump-sum bond funds for emerging projects. Several organizations testified in support, including Parents and Children Together and the True Cost Coalition. Supporters emphasized the importance of the purchase-of-service funding for domestic violence and substance use treatment services and said the restoration would return funding to pre-COVID levels and help providers maintain capacity. Kimura explained that the Judiciary often shifts funds among contracts during the year to avoid service interruptions, but that the reduced funding has caused delays and operational problems for providers and probationers. Members asked detailed questions about the capital projects and operating requests. Representative Shimizu asked for more information on the lump-sum bond funds and the elevator project, and Kimura explained that the Kahumanu Hale request covers four remaining elevator shafts after earlier funding addressed the first five elevators. Representative Cochran asked about the absence of Maui County projects, and Kimura said the Judiciary is still planning for its older Maui facilities with DAGS. Chair Tarnas questioned the need for armed private guards and discussed whether court security should be prioritized within the Department of Law Enforcement; Kimura said the Judiciary needs additional personnel now and has not asked DLE to deprioritize other missions, though the chair suggested further coordination between the agencies. No vote or final action on the bill was taken in the portion of the hearing provided.

Transcript Highlights:

• We can't go back and change what right. We can't go back and change what was<00:07:18.960> done.
• Fair to say, or enrolled in education, right? >> Enrolled in education.
• >> or enrolled in education, right? >> or enrolled in education, right?
• Like I I don't policy change for us.
• :03.119> for<00:49:03.359> the significant policy change for the significant policy change

Keywords: 928, house, all

Summary: The public hearing was on an SP 15 replace-all, non-germane amendment to Senate Bill 15, a proposal to require hard labor for certain serious offenses in the New Hampshire prison system. Representative Jennifer Rhodess, the co-sponsor, said the bill is intended to make incarcerated people productive, help reduce costs, and serve as a deterrent; she also noted a two-year effective date for implementation and said anyone who refuses hard labor would receive a 50% sentence increase. She framed the work as ordinary labor already done by many people in the state and said the committee would later hear related testimony and possible amendments. Committee members questioned how the proposal would work in practice, especially for people already incarcerated, the difference between current prison work and the bill’s “hard labor,” and the impact on prison security and staffing. Rhodess said the bill only applies going forward, not retroactively, and that the Department of Corrections could better address operational details. Members also discussed the terminology, noting that “capital murder” is not a current New Hampshire charge and that the relevant offense is first-degree murder with mandatory life without parole. Department of Corrections officials Jane Graham and Nicholas Duffy testified in a neutral position but raised significant implementation concerns. They said the department would need more resources, vehicles, security equipment, and possibly armed supervision for higher-risk crews, and noted a 47% corrections officer vacancy rate. Duffy described current work programs inside prisons and in the community, including correctional industries, kitchen and education jobs, transitional work crews, and community service projects such as road work and landscaping. He explained that current community crews are limited by custody level, court approval, staffing, and safety, and said C1 and C2 inmates are already in transitional or work-release settings, while C3 and higher inmates would pose greater risks if taken outside the walls. No vote was taken during the hearing.

Transcript Highlights:

• the state, and over 600,000 of those children live at or below the poverty level and therefore are enrolled
• We have over 69,000 enrolled providers who treat and provide care to Medicaid members in state fiscal
• in Medicaid in therefore are enrolled in Medicaid in the<00:03:27.799> children's<00:03:28.200
• providers who treat over 69,000 enroll providers who treat and<00:03:46.560> U<00:03:46.760><
• <00:10:29.120> Le enrol Le enrol Le with<00:10:30.120> Molina<00:10:30.640> being

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• The A1 is a small technical amendment to a couple of word changes.
• The A1 is a small technical amendment to a couple of word changes. Any discussion to the A1?
• This is a simple policy change that will ensure Minnesota students maintain access to their preferred
• <00:14:35.480> after week and any student who enrolls after week and any student who enrolls
• <00:59:22.319> in as more of our students enroll in as more of our students enroll in postsecondary

Keywords: 1183, house

Transcript Highlights:

• The policy has not changed. I'm looking at counsel. That's correct, right? Okay.
• This commission's work has already changed the conversation in Richmond.
• But, Acknowledging that we're governments or not, it will not change the outcome or the facts.
• And I anticipate there'll be some changes there too.
• We're then advised of what changes they're going to make.

Keywords: Commission on Updating Virginia Law to Reflect Federal Recognition of Virginia Tribes, 976, house, all