Transcript Highlights:

• That option is not available under the current state plan PCA.
• <00:31:42.679> and to actually sign off on the plan and to actually sign off on the plan and
• You use them for a case study.
• <00:56:47.680> managers cfss were told by their case managers cfss were told by their case
• In some cases, this means a change in diet.

Keywords: 1187, senate, all

Transcript Highlights:

• Those are the plans being sold on plans.
• So, I know I threw a lot of plan.
• this through their marketplace plans. this through their marketplace plans.
• . case. case.
• Other than that very specific<04:12:02.160> case. specific case. specific case.

Keywords: 1189, house, all

Transcript Highlights:

• each case. each case.
• protection cases. protection cases.
• implement MAAP Plan 2027. implement MAAP Plan 2027.
• maltreatment cases continue to rise. maltreatment cases continue to rise.
• When do you plan<03:40:36.040> to,<03:40:36.480> uh, plan to, uh, plan to, uh, when<03:

Keywords: 1187, senate, all

Transcript Highlights:

• But I can see the appeal of some of these Advantage plans. ...good care there.
• And this is the Advantage plan.
• That happens on those nursing home cases.
• on a Medicare Advantage plan, could we not look at...
• They know they're on a Medicare Advantage plan.

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• And it planning efforts.
• The goal of this plan is to enable use cases within Florida and provide those early entrants with the
• business cases.
• Things like planning for the airport layout plan updates.
• Things like planning for the airport layout plan updates.

Summary: The Senate Transportation Committee met and first received an update from FDOT on the Sun Trail shared-use nonmotorized trail program. FDOT said the program, created in 2015 and expanded by 2023 legislation, now includes connections to the Florida Wildlife Corridor and received a one-time $200 million appropriation plus increased annual funding. The department reported programming about $180 million of that funding, completing 42 construction projects totaling nearly 95 miles in 21 counties, and installing trail counters and QR-code surveys to measure usage and economic impact. Members expressed support for the program and asked no substantive questions. The committee then heard a presentation on FDOT’s locally administered state transportation funding programs, including SCOP, SCOPM, SCRAP, SIGP, and TRIP. FDOT explained these programs support local roadway resurfacing, bridge repair, drainage, paving unpaved roads, and safety or capacity improvements, with varying state match levels depending on the program and eligibility. FDOT said its adopted five-year work program includes more than $1.4 billion for local transportation improvement projects. A member asked whether toll revenues from Miami-Dade, Broward, and Palm Beach counties fund these programs; FDOT said it would research the funding source and follow up. The committee’s main discussion was a panel on advanced air mobility (AAM), including FDOT and industry representatives from Supernal, Joby, Atlantic Aviation, Hillsborough County Aviation Authority, and Eve Air Mobility. FDOT described its AAM planning work, advisory committee, local government guidebook, and upcoming training, while panelists emphasized Florida’s leadership, the likely use of existing airport and heliport infrastructure first, and the expectation that private investment will fund much of the early vertiport buildout. Members raised concerns about community acceptance, privacy, zoning, airspace congestion, security, and lessons from scooters and drones. Panelists repeatedly stressed a “crawl, walk, run” rollout, local government coordination, multimodal connectivity, and public outreach. No votes were taken, and the committee adjourned after the panel.

Transcript Highlights:

• Senator Epstein: I believe that these plans, part of it is that the plans do not have to cover the 10
• or 11 essential health benefits that ACA plans must cover.
• In Ohio, they had a 25% average health plan savings.
• But in this case, a constituent is named Amy Morton.
• Leach has a retirement plan.

Bills: HB2089, HB2090, HB2092, HB2120, HB2138, HB2173, HB2273, HB2693, HB2786

Keywords: retirement benefits, health insurance, premium payment, Arizona State Retirement System, contingent annuitant, long-term disability, benefits limitations, disability compensation, social security, retirement system, elected officials, ASRS, eligibility waiver, age 65, property tax exemption, disability, veterans, widows, income limits, Arizona Revised Statutes

Summary: The Senate Finance Committee met to consider several bills and two Arizona State Retirement System nominees. It first passed House Bill 2173, which allows taxpayers and tax officers to communicate electronically about proposed property tax corrections or claims, with an acknowledgement required when responses are sent electronically. The committee then recommended confirmation of Thomas J. Connolly and Charles Essex to the ASRS Board, both receiving unanimous or near-unanimous support after brief introductions and no substantive opposition. The committee next approved several ASRS-related bills: House Bill 2089 clarifies that the ASRS health insurance premium subsidy applies only when coverage is not already subsidized; House Bill 2090 changes the disability definition tied to long-term disability benefits by removing the requirement that the 24 months occur within a five-year period; and House Bill 2092 shifts the 30-day waiver window for certain members age 65 or older from the date of hire to the date they become eligible to participate. All three passed on largely party-line or near-unanimous votes. The committee also passed House Bill 2120, with a technical amendment, allowing Social Security Administration disability determination letters to be used to certify eligibility for the property tax exemption for persons with disabilities. House Bill 2693 drew the most debate. It revises Arizona’s bona fide association health plan and multiple employer welfare arrangement provisions to align with ERISA rather than the rescinded 2018 federal AHP rule, and an amendment added a feasibility study by the Arizona Department of Administration on state employee and school district health plans. Supporters argued the bill would expand affordable, voluntary coverage options for small businesses and increase buying power; opponents raised concerns about consumer protections, preexisting conditions, and the history of association health plans. The committee ultimately passed the bill as amended on a 5-1 vote. Later, the committee passed House Bill 2138, which clarifies that workers’ compensation coverage for firefighters traveling directly to or from work applies to state, municipal, fire district, and fire authority firefighters. It also passed House Bill 2273, a one-time $300 income tax rebate for certain Pinal County residents funded from remaining escrowed transportation-related monies; members discussed whether the remaining funds should instead be directed to roads, but the bill advanced on a 3-2 vote. Finally, House Bill 2786 passed unanimously, exempting rental income from required college textbooks from transaction privilege tax under the personal property rental classification.

Transcript Highlights:

• But there are other use cases such as heat energy for industrial processes in the 70's.
• And some are and it's planning to build a demonstration reactor in Wyoming.
• And if the results are favorable, the plan is to deliver their collide.
• And they didn't remind lines case.
• And there are also probably going to be cases where this is.

Transcript Highlights:

• I have never drawn a redistricting plan.
• In most cases, it's an insurmountable hurdle.
• Aspects of a single dominant plan or scheme.
• I don't think there's any questions in this case.
• You do not have to move forward with this plan.

Summary: The Select Committee on Congressional Redistricting met to consider HB 1D, which would establish Florida’s congressional districts using the governor’s proposed map, EOG PCRP 26. Representative Persons-Mulicka briefly introduced the bill, and Jason Jazeel and Jason Pareda of the governor’s office presented the legal rationale and map details. Jazeel argued that mid-cycle congressional redistricting is not prohibited, that the governor’s position is to draw districts without considering race, and that federal equal-protection principles should control over state race-based redistricting provisions. Pareda said he drew the map alone using 2020 census data and census blocks, while also considering population growth estimates, traditional redistricting criteria, and county/city boundaries where feasible. Pareda described the map as race-neutral and said it keeps 48 counties whole, 382 cities whole, and has a boundary-analysis score of about 85.7%. He walked through regional changes, including major revisions in South Florida, adjustments in Central Florida, and changes in the Tampa Bay area, explaining that population shifts and the need for exact congressional population equality drove many of the district configurations. Members questioned the timing of the special session, the use of 2020 census data versus newer population estimates, the role of the legislature versus the governor, the legal basis for mid-decade redistricting, and whether the map complies with the Voting Rights Act and Fair Districts amendments. Motions to place witnesses under oath and to extend the committee meeting by 30 minutes both failed. During public testimony, every speaker who was heard opposed the map. Commenters argued that the proposal was a partisan power grab, would reduce Democratic and minority representation, and violated the Florida Constitution and voting rights protections. Several speakers criticized the short notice and lack of public input, while others said the map would confuse voters or split communities. The chair repeatedly reminded attendees to maintain decorum and limited each speaker to about one minute.

Transcript Highlights:

• think that um I would hope that the plan think that um I would hope that the plan could<00:08:40.159
• said that we probably could better plan said that we probably could better plan for<00:11:23.920
• <00:12:30.240> um that uh our resilience ance planning um that uh our resilience ance planning
• In this case, it would be the initial developer.
• In this case, it would be the initial developer.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:44:00.920> and increasing number of health plans and increasing number of health plans
• Actually, that is not the case at all. deductible of that plan member or INR a deductible of that plan
• We work with health plans, the state employee plan, for example, to design their benefit.
• We work with health plans, the state employee plan, for example, to design their benefit.
• <01:34:31.000> for health plans the state employee plan for health plans the state employee

Keywords: 1191, senate, all

Transcript Highlights:

• called case management technicians, and that is helping some.
• So really, we have three goals for our Five-Year Plan.
• It's a case management model designed so that a case manager goes into the jail and conducts screenings
• , it appears that they're... ...an insurance plan, it appears that they're on a low plan in terms of
• We should look at each individual case.

Keywords: 924, joint, all

Transcript Highlights:

• And so on WIOA state plans, you know, It’s been an option since 2020 to do a combined plan.
• Sometimes you’d get conflicting feedback on those plans.
• Every two years, you’ve got to do a modification in the four-year plan.
• So 2026 is the modification; 2028 will be the next big four-year plan.
• And I understand that you're asking for a state plan here.

Summary: The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces. Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning. The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.

Transcript Highlights:

• Posting of the central counting Station plan on the county's internet website.
• So he's already talked about some of this, but the plan will help the leadership plan in advance of when
• It's not the case.
• And in many instances, that's not the case.
• Uh, that allows families of cold case murder victims to appeal, uh, or, or to ask for case reviews that

Transcript Highlights:

• Do you help them roll out the plan? Is there a plan? Who approves the plan to roll out? Mr.
• And we need to add to the plan and not roll the plan out. And this didn't work.
• I'm going to put your plan. I'm going to put your plan. Okay. I have no idea.
• Is the $360 per case, regardless of the length of the case?
• , of those simple cases.

Keywords: 996, all

Summary: The committee first heard an Aging and Long-Term Services Department budget presentation comparing the LFC and executive recommendations. The main differences were in the Aging Network, Adult Protective Services, Program Support, and Long-Term Care Division, especially the executive’s proposed $10 million infusion into the Kiki Savadra Senior Dignity Fund and $6.2 million for expanding New Mexico Care. LFC staff explained that the committee recommendation was lower in general fund and fund-balance use, while the executive emphasized rising senior population needs, meal and transportation costs, and the cost savings of keeping older adults at home. The secretary also reviewed the department’s special requests, including the conference on aging, outreach, emergency preparedness, and the Kiki fund, and described New Mexico Care’s growth, its evaluation results, and the department’s plan to separate Kiki into its own accounting fund. Members largely focused on senior services, rural meal delivery, transportation, caregiver support, and the Kiki fund. Several members urged stronger support for non-metro aging providers and for New Mexico Care, citing its role in keeping seniors out of nursing homes and the program’s reported savings and outcomes. Questions also covered eligibility, background checks for caregivers, respite care, dementia and Alzheimer’s screening, and whether Kiki funds can support home modifications such as ramps. The committee then voted to adopt the LFC recommendation with one executive language change: adding the executive’s page 14 language allowing an additional 12.5% distribution for initial payments to aging network providers at the start of FY27. Representative Dow opposed the motion. The committee then moved to the Attorney General’s budget. LFC staff explained that the office’s budget relies heavily on the Consumer Settlement Fund, with both recommendations reducing general fund revenue while increasing settlement-fund use, and that performance measures were in consensus. The Attorney General said the office was not seeking more general fund, but wanted greater ability to use funds it recovers. He highlighted major consumer and public safety work, including litigation against major social media and AI platforms, a case involving Snapchat and child exploitation/extortion, the statewide crime gun intelligence center, efforts to address oilfield theft, work on missing and murdered Indigenous persons, and efforts to protect federal funds coming into New Mexico.

Transcript Highlights:

• You can see the majority of the cases are insurance authorization challenges.
• plan and payer to payer.
• So how can we include in discharge planning...
• And I think there's a lot of times there are issues with case managers at...
• When this happens, discharge planning becomes significantly more challenging.

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• conflict with local town plans. conflict with local town plans.
• most cases.
• by the stewardship plan. by the stewardship plan.
• He led civil and criminal cases. He led civil and criminal cases.
• He was a prosecutor in that case. case. case.

Keywords: 927, senate, all

Transcript Highlights:

• have adopted site plan review locally as a process to outline requirements of a plan for development
• In my previous role as Planning Director and as a member of the American Planning Association Mass Chapter
• In my previous role as Planning Director and as a member of the American Planning Association Mass Chapter
• This bill codifies the best practices in site plan review and longstanding, as mentioned, current case
• Case law has provided site plan review boards with the ability to reject incomplete proposals or impose

Keywords: 995, all

Summary: The Joint Committee on Housing held a hybrid hearing on zoning, Chapter 40B, and related housing bills. Much of the testimony focused on the “Yes in My Backyard” bill (H. 1572/S. 962), which would expand by-right development of missing middle housing, reduce barriers such as minimum lot sizes and parking mandates, and support duplexes, triplexes, and other small-scale housing. Supporters included housing advocates, developers, local officials, and municipal leaders from places like Cambridge, Salem, and Braintree, who argued that state action is needed because local zoning often blocks needed housing and that the bill would help create more affordable, neighborhood-compatible homes. Several witnesses also backed a companion “Yes in God’s Backyard” bill (H. 2347), which would allow faith-based institutions to build housing on their property by right, with testimony emphasizing the potential for new units, added municipal tax revenue, and partnerships between religious organizations and housing developers. The committee also heard testimony on Senate Bill 1021 to modernize Chapter 40R incentives. Senator Pavel Payano and others said the program’s payments have not kept pace with inflation since 2004 and should be increased to better encourage smart-growth zoning near transit and town centers. Another major topic was H. 2298 on site plan review, which would codify and standardize the process in state law. Rep. Kristin Kassner and witnesses from MAPC and NAIOP said current site plan review practices vary widely across the state, creating confusion, delays, and litigation, while a uniform framework would give municipalities clearer tools to review by-right projects without undermining local oversight. The hearing also included testimony on Chapter 40B reform, including S. 1005 and H. 1537. One witness supported further review of 40B and stronger regional planning, while another backed a proposal to allow certain pre-2010 40B condominium owners to sell at market value under a framework that would recapture some of the subsidy benefits. Committee members asked several questions about local zoning changes, housing goals by county, and how the proposed bills would affect communities. No votes were taken during the hearing, and the chairs indicated that written testimony would be welcomed for technical details and additional comments.

Transcript Highlights:

• Most of the activities that we fund are loans, in some cases, soft loans, and in some cases, amortizing
• plan developed for them.
• The board had 261 pending cases and reported that the complexity of the types of cases being investigated
• It really is on a case-by-case basis; they look at specifics for investigations.
• We do receive those complaints as well, and they are taken on a case-by-case basis, depending on that

Transcript Highlights:

• Before we take up any revision to the congressional redistricting plan or discuss such a plan amongst
• because there is no revised plan.
• Congressional Redistricting Plan.
• And we don't have people who are in place right now to handle new veterans' cases, new immigrant cases
• Mark Case, Baker v.

Keywords: 997, house, all

Transcript Highlights:

• I cannot move forward in your case in the criminal legal system because you don't understand the case
• And in that case, boom.
• case.
• or within the same case.
• They'll book the case and he'll say, you know, he will need general anesthesia for this case.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.