Transcript Highlights:

• to workers' compensation, to define maximum medical improvement, misrepresentation of benefits, payments
• to workers' compensation, to define maximum medical improvement, misrepresentation of benefits, payments
• of ABAer Avalorum Taxes: Avalon property tax exemptions, optional exemptions, provide relative to payments
• House Bill 1185, by Representative Miller, payment methodologies; provides for reimbursement directed
• payments for other rural hospitals; duties of the Department of Health.

Bills: HR91 , HR92 , HR93 , HCR44 , HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , SCR21 , HB483 , HB484 , HB893 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1152 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1168 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1191 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , SB1 , SB54 , SB82 , SB87 , SB92 , SB93 , SB99 , SB104 , SB113 , SB114 , SB115 , SB123 , SB129 , SB133 , SB161 , SB162 , SB224 , SB236 , SB275 , SB280 , SB289 , SB305 , SB310 , SB325 , SB330 , SB339 , SB350 , SB359 , SB382 , SB410 , SB412 , HCR10 , HB54 , HB55 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB205 , HB225 , HB245 , HB280 , HB283 , HB296 , HB319 , HB325 , HB339 , HB399 , HB407 , HB448 , HB482 , HB550 , HB591 , HB821 , HB826 , HB992 , HB995 , HB1085 , HB1086 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357 , HB367 , HB370 , HB462 , HB505 , HB527 , HB537 , HB605 , HB680 , HB681 , HB725 , HB780 , HB782 , HB847 , HB892 , HB911 , HB916 , HB1012 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB844 , HB882 , HB888 , HB961 , HB966 , HB980 , HB228 , HB289 , HB735 , HB796 , HB284 , HB301 , HB722 , HB468 , HB546 , HB746 , HB842 , HB923 , HB46 , HB166 , HB349 , HB352 , HB436 , HB588 , HB140 , HB429 , HB827 , HB953 , HB901 , HB9 , HB52 , HB58 , HB193 , HB400 , HB570 , HB577 , HB582 , HB733 , HB747 , HB868 , HB952

Keywords: Tulane University, education, research, economic impact, healthcare, Louisiana, condolences, memorial, community service, faith, legacy, centenarian, tribute, honor, longevity, philanthropy, youth leadership, fundraising, nonprofits, physical therapy

Summary: The House convened with a quorum, opened with prayer and the pledge, and then spent much of the day on personal privileges and resolutions recognizing groups and individuals. Members honored Physical Therapy Day at the Capitol, Tulane Day at the Capitol, and Landscape Architecture Month/Day, and also recognized the Liftoff Louisiana team for its work on an FAA advanced air mobility pilot program. The chamber also observed a moment of silence for former Representative Gene Durgey and adopted several condolence resolutions. The House then took up a long series of introductions and committee reports on bills, with many measures referred to committees and several resolutions adopted without objection. Among the more notable floor actions, the House adopted resolutions for Tulane University, physical therapy, landscape architecture, and the Liftoff Louisiana team, while other resolutions expressing condolences or commending individuals were either adopted or laid over. The chamber also received a large number of House and Senate bills on second reading for referral, covering topics such as education, health care, insurance, transportation, criminal justice, natural resources, taxation, and government administration. During floor consideration of bills, the House passed a number of measures, including a government clean-up bill removing inactive boards and commissions, an oyster tagging measure for alternative cultivation, a naloxone immunity bill, and a Secretary of State fee bill that drew some opposition but passed. Other bills approved included legislation on auto glass insurance practices, reckless driving at speeds over 100 mph, retirement system changes and cost-of-living adjustments, and several local crime prevention or improvement district measures. Some bills were amended or temporarily returned to the calendar for correction, including a firefighter retirement board governance bill, while most final passages were accompanied by motions to table reconsideration and, in some cases, requests for co-authors.

Transcript Highlights:

• critical DOE measures were before us, universal school lunches, DOE bus transportation, Medicaid reimbursements
• universal school lunches, DOE bus transportation,<00:05:24.160><c> Medicaid</c><00:05:24.639><c> reimbursements
• </c> transportation, Medicaid reimbursements transportation, Medicaid reimbursements that<00:05:25.600

Bills: SB2347 , SB2911 , SB2033 , SB2158 , SB2993 , SB2778 , SB2672 , SB2014 , SB3144 , SB3096 , SB3097 , SB2968 , SB2363 , SB3154 , SB2400 , SB3313 , SB2896 , SB3279 , SB2614 , SB2687 , SB2754 , SB2549 , SB3325 , SB2658 , SB2659 , SB2602 , SB2611 , SB2877 , SB3063 , SB2615 , SB3232 , SB2875 , SB3272 , SB2854 , SB3203 , SB2803 , SB2804 , SB3302 , SB3229 , SB2969 , SB2412 , SB2657 , SB2880 , SB2540 , SB2414 , SB3142 , SB3202 , SB2281 , SB2852 , SB2272 , SB2479 , SB2589 , SB2936 , SB2720 , SB2730 , SB2749 , SB2688 , SB2798 , SB3040 , SB3107 , SB3010 , SB3109 , SB3140 , SB3187 , SB2057 , SB2377 , SB3048 , SB3083 , SB3182

Keywords: tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, intoxicating liquor, direct shipment, breweries, distilleries, Hawaii, renewable energy, grid-ready homes, interconnection process, electric utility, energy independence, surcharge, customer access, energy storage, smart inverters, veterinary workforce

Transcript Highlights:

• We're setting our reimbursement rates using cost models that reflect the true cost.
• And so are reimbursement rates improving childhood outcomes?
• And so are reimbursement rates improving child outcomes? Not proven.
• But what I do agree is that states can set their rates and then they can set co-payments.
• There’s still reimbursement rates based on the star levels.

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• Car loan interest payments will be deductible if the car loan meets certain qualifying factors; basically
• This bill will have state directed payments to hospitals.
• I'm trying to get a handle on, How much we're going to lose under the Medicaid provider reimbursement
• That comes back to them in terms of provider reimbursement rates of more like $1.2 billion.
• Unless federally they provide some exemption or deduction for these types of per diem payments to you

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• Thank you for the opportunity to present SB 1049, the Provider Timely Payment Act.
• Even when medically necessary care is appropriately delivered, providers can face payment denials or
• When payments are denied or clawed back months or even years later, and providers are unable to remedy
• Unexpected payment denials and retroactive recoupment create financial uncertainty, straining staffing
• In April 2025, I was notified by my biller that our health plan was withholding payment from current

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• days prior to the quarterly payment to receive the September 1st 1001th quarter payment.
• payment.
• payment.
• scholarship payment.
• That would be getting a 0. 25 scholarship payment to a student who would be 2.5 scholarship payment.

Transcript Highlights:

• </c><00:22:01.760><c> total</c> city's municipal road aid payments total city's municipal road aid payments
• Then the city wouldn't reimbursement."
• You submit the payment to the prefer.
• There's online payment.
• Are there any other situations payment.

Keywords: Meeting Start: 00:00:13 Roll Call 00:00:24 Approval of Minutes from September Meeting 00:02:10 Presentation of Special Purpose Governmental Entities Report 00:03:19 Presentation of Kentucky League of Cities Legislative Platform for the Upcoming 2026 Session of the General Assembly 00:15:37 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 00:37:05 Adjournment 00:55:53, 958, all

Summary: The committee received reports on special purpose governmental entities from the Department for Local Government and the Fire Commission. DLG staff described SPGEs as limited-jurisdiction political subdivisions and reviewed the department’s registry, reporting portal, compliance monitoring, and planned system upgrades such as a two-way message center, automated noncompliance notices, and tracking for new entities and board expirations. They reported that, as of October 10, 2025, 69% of SPGEs were active and discussed compliance data by cycle, fiscal year, and district type. The Fire Commission reported that fire department mergers have reduced the number of departments by 16 since last year, largely because of volunteer staffing shortages, while financial disclosure compliance had risen to 94%. The commission also noted 509 compliance reviews, 19 in-house inquiries, seven referrals to outside agencies, and one recent federal prison sentence in a theft case. Members asked whether DLG advises SPGEs on tax rates; staff said it only performs calculations and the entities set their own rates. Questions to the Fire Commission focused on whether department reductions meant station closures; officials explained that most changes were mergers that keep physical buildings in place while combining personnel and finances to meet minimum staffing requirements. They said the trend is spread across the state but is especially pronounced in rural areas. The Kentucky League of Cities then presented its 2026 legislative agenda. Its priorities included modernizing city revenue options, increasing equity in road funding, fixing tax increment financing issues, addressing transient room tax collection from web-based platforms, strengthening emergency response coordination, clarifying massage parlor regulation preemption, correcting unintended consequences of House Bill 606, improving newspaper publication rules, and modernizing procurement statutes. KLC also said it supports allowing all cities to collect restaurant tax revenue, wants cities to receive a larger share of road funds and EV-related revenues, and seeks state collection and remittance of any future local sales tax to comply with the Streamlined Sales and Use Tax Agreement. Members asked about best-value bidding, road-fund equity, Airbnb tax litigation, EV prevalence, and disaster funding applications; KLC said cities currently must accept the lowest bid, the road split should better reflect city street costs, the Airbnb tax case remains pending, EV data by locality has not been studied, and allowing cities to apply directly for disaster funds would reduce reliance on county officials. No votes or formal actions were taken beyond approving the September meeting minutes.

Transcript Highlights:

• The United States enrolled in public school and requesting reimbursement from the United States government
• A.P. 1546 by Raymond relating to the reimbursement of fees associated with the issuance of special education
• HB 1612 by Frank relating to the direct payment of certain health care provided by a hospital or for
• materials by non-enrolled students committee on public education HP 1659 by pursuit relating to the payment
• The subcommittee on criminal jurisprudence HB 1667 by canals are willing to do the payment of gratuities

Keywords: 1184, house, all

Transcript Highlights:

• As I understood your answer, it is that if a data center doesn't pay its bill, if they have non-payment
• Requires federal reimbursements deposited in the fund to be held in a separate account and prohibits
• It's my understanding that federal reimbursements must be used for federal declared emergencies.
• The timing of our reimbursement today is unknown. We have a commitment and a promise.
• The timing of our reimbursement today is unknown. We have a commitment and a promise.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several member introductions and recognitions, then moved to messages from the House and special order business. The chamber first took up House amendments to Senate Bill 628 on transportation facility designations, CS for CS for HB 1389 on affordable housing/Live Local, and CS for CS for HB 1451 on utility services. Senators asked about the naming of roadways, the Live Local changes for religious institution property and the removal of accessory dwelling unit language, and utility surcharge phase-out and reporting dates. All three measures were concurred in and passed, with votes of 31-4 on SB 628, 35-0 on HB 1389, and 30-6 on HB 1451. The Senate then considered the education package, substituting CS for CS for HB 1279 for CS for CS for SB 7038. An amendment combining provisions from several education bills was adopted, and the bill passed 36-1. The chamber also took up CS for CS for SB 484 on data centers, where the House amendment removed the Senate’s NDA prohibition, kept a 12-month limit on public-records confidentiality, added a PSC tariff filing deadline, and required an OPAGA study. Senators debated transparency, local notice, and ratepayer protections; supporters emphasized that data center energy and infrastructure costs could not be shifted to other ratepayers. The House amendment was concurred in and the bill passed 31-6. After a recess, the Senate returned to the land use and development regulations bill, substituting CS for CS for CS for HB 399 for SB 208. A proposed amendment to remove language affecting a Miami Beach Fontainebleau Hotel water park project failed, while other amendments were adopted, including a sunset provision and changes related to compost-processing facilities. The chamber then adopted an amendment preserving Miami-Dade’s urban development boundary supermajority requirement and related protections, with support framed around water, flood risk, farmland, and the Everglades. Finally, the Senate began debate on a broader amendment by Senator Martin creating a process for rural boundary property owners to seek removal or compensation without litigation; the discussion focused on property rights, county liability, and whether the proposal would affect Orange and Seminole counties, but the transcript ends before final action on that amendment.

Transcript Highlights:

• Thank you. payment plan in place, payment plan in place, um<00:25:38.320><c> the</c><00:25:38.480><c>
• I don't get reimbursed my tuition that I paid for college.
• I don't get reimbursed my tuition that I paid for college.
• I<00:30:37.040><c> don't</c><00:30:37.240><c> get</c><00:30:37.400><c> reimbursed</c><00:30:37.960><c
• So what in that scenario, any reimbursement on that or, you know, are they, they're, I mean, they are

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• On the reimbursement side, it's going to allow us to receive reimbursement in several of our hospitals
• Can I just comment too on reimbursement?
• Reimbursement.
• Field trips are not reimbursable.
• And maybe reimburse what they say works. That's what I mean. Reimburse, fund.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• first agenda item of the day, which is Assembly Bill 52, which revises provisions relating to the payment
• By ensuring that physicians are reimbursed promptly, we create a more supportive environment for medical
• Under Georgia's state law, insurers must process payments within 15 working days after receiving clean
• Fundamentally, this bill seeks to lessen the time periods in which a doctor receives reimbursement from
• With the advent of electronic claim submission and payment, the extended delay in processing of claims

Committee: Senate Commerce and Labor

Keywords: 909, all

Transcript Highlights:

• Currently, alternative payment programs do the hands-on work of enrolling families, managing cases, and
• So during the pandemic, our organizations were called upon to swiftly deliver relief and one-time payment
• So during the pandemic, our organizations were called upon to swiftly deliver relief and one-time payment
• Our organizations were called upon to swiftly deliver relief and one-time payment to providers.
• Before the pandemic, California's reimbursement structure was attendance-driven and deeply unstable.

Committee: Senate Human Services

Keywords: 987, senate, all

Transcript Highlights:

• The witness said the main concern was the substantial reduction in reimbursement rates.
• The other one as well: payment.
• The other one as well: payment.
• The other one as well: payment.
• The other one as well: payment.

Bills: S0600 , S0760 , S1012 , S1326 , S1488 , S1536 , S1544 , S1750

Committee: Senate Criminal Justice

Keywords: bail bonds, pretrial release, forfeiture, criminal justice, Florida statutes, bond conditions, surety, violations of release conditions, violent crimes, victim safety, public safety, warrantless arrest, probable cause, pretrial detention, first appearance hearing, law enforcement immunity, domestic violence, stalking, battery, aggravated assault

Summary: The committee took up several criminal justice bills, beginning with SB 760 on violations of pretrial release conditions. A strike-all amendment narrowed the bill to make willful violation of a no-contact order a first-degree misdemeanor, authorize warrantless arrest on probable cause, and require detention until first appearance in certain cases. The amendment and the bill, as amended, were both adopted and reported favorably. The committee then heard SB 1536 on digital voyeurism, which would extend the expectation of privacy to backyards in the surveillance statute; it was reported favorably after brief questions and support from a Florida Smart Justice Alliance witness. Members next considered SB 1012 on inmate services. The bill would expand use of contractor-operated institutions inmate welfare trust funds for reintegration and facility upgrades, and would require reimbursement for inmate emergency and specialty medical services at Medicaid rates, with telehealth and autonomous APRNs included as options. Safety Net Hospital Alliance of Florida opposed the bill as written, warning that tying Medicaid participation to treatment of inmates could reduce reimbursement and discourage provider participation, while the Department of Corrections and Florida Smart Justice Alliance supported it. Senators discussed costs, aging inmates, and possible future changes, and the bill was reported favorably. The committee also passed CS for SB 600 on bail bond and pretrial release laws after adopting a strike-all that aligned it with the House companion and made technical changes to solicitation, training, and bond reinstatement rules. Public testimony raised concerns about who should receive returned bond money and how clerks would process payments, but the sponsor said the bill would continue to be refined. Later, the committee reconsidered and favorably reported SB 1750 on criminal sexual conduct, which increases penalties and mandatory minimums for serious sex crimes, especially those involving children. It also reconsidered and favorably reported SB 1544 on complaints against law enforcement and correctional officers, a bill requiring complainants to provide sworn complaints to officers before interrogation unless corroborating evidence is present; police chiefs and sexual violence advocates opposed parts of the bill, while supporters argued it would protect officers from unfounded complaints. Finally, SB 1488 on booking officer duties regarding minor children of arrested persons was reported favorably, and SB 1326 on prosecution of defamation was taken up for reconsideration with a delete-all amendment that narrowed the insanity defense, limited mitigation for severe mental illness in serious cases, and extended detention periods for incompetent defendants; opposition testimony from defense, public defender, and mental health advocates warned it would worsen treatment and increase costs.

Transcript Highlights:

• And this would provide for medical reimbursements for LEOFF 2 members, similar to what now the LEOFF
• occurred in 2025, which would affect kind of the eligibility and payout of certain Social Security payments
• Security payments, and that's it. Any questions?
• And this allows for medical reimbursements for spouses of LEOFF 2 members who are killed in the line
• of duty to have reimbursement of certain medical costs.

Committee: Joint Select Committee on Pension Policy

Summary: The executive committee approved the May minutes by roll call vote, then received an actuarial update from Sarah Baker of the State Actuary’s Office. Baker explained the office’s annual work, including the DRS pension actuarial evaluation, support for state financial reporting, cash flow analysis, a six-year pension contribution outlook, interim support for GIT and WAL CARES, and an upcoming actuarial evaluation of the volunteer firefighters pension plan. She also responded to questions about bills allowing members to transfer into PERS, noting that such transfers have historically increased PERS costs and that any added cost would be borne by PERS members and employers depending on bill structure and affected demographics. Kate Adams of the Attorney General’s office reported no new developments in the cases the committee is monitoring. She said the Dawson case is still in its early stages, with a judge assigned and a discovery plan due at the end of July. The committee asked for continued updates on that litigation. The committee then discussed interim work planning, focusing first on animal control officers’ eligibility for PERS and asking staff to continue researching definitions, comparable treatment in nearby states, and the cost and service-credit implications for affected employees. Members also discussed Plan 3 issues, including comparisons of Plan 2 and Plan 3 membership and data, and possible future briefing topics. The largest discussion centered on Plan 1 COLAs: members and retiree representatives debated whether to pursue a permanent COLA or an ad hoc COLA, and whether budget language should require future budget writers to consider a COLA. Retiree groups said they preferred a permanent COLA but were open to further discussion; staff was asked to continue work on possible language and policy options. The committee reviewed correspondence on four topics: Plan 1 COLA requests, a request to study LEOFF 2-style medical reimbursements for Washington State Patrol survivors, and a request to allow certain members to change survivor option elections after the federal Social Security Fairness Act. The committee agreed to bring the State Patrol medical reimbursement issue and the Social Security Fairness Act issue back for July, with staff to gather more information and provide an informational briefing. The July agenda was approved and includes the OSA annual update, the LEOFF 2 Board annual update, a PERS/TRS Plan 1 ad hoc COLA item, and the two survivor-related topics.

Transcript Highlights:

• certain information to the Health Care Authority, including information regarding 340B drug costs, payment
• amounts received for 340B drugs, payments made to pharmacies and other entities, how the covered entity
• amounts received for 340B drugs, payments made to pharmacies and other entities, how the covered entity
• Unfortunately, her co-payment was $250, which is a barrier to accessing that medication.
• It does not affect Medicaid, and contract pharmacies do not set the prices or increase reimbursement

Bills: SB5877 , SB5904 , SB5988

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse, 904, all

Transcript Highlights:

• beneficiaries from last year's budget that were scheduled to take effect this year, such as clinic payment
• That was for the clinic state-only prospective payment system and elimination of dental supplemental
• payments.
• The clinic state-only prospective payment system, elimination of dental supplemental payments.
• Reimbursement rates are so low that providers can't keep their doors open.

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, as the main item. Committee leaders described the legislative budget agreement as a balanced two-year plan with about $355.9 billion in total spending, $253 billion from the General Fund, and $36.5 billion in reserves. The Legislative Analyst and Department of Finance said the package assumes about $5.5 billion in higher revenues than the May Revision and uses those resources for a mix of spending changes, including higher Proposition 98 support, additional child care slots, housing and homelessness funding, delayed Medi-Cal reductions, and added support for counties, public hospitals, and distressed hospitals. The administration said the plan resembles the May Revision’s overall structure but includes new spending and revenue assumptions, and members noted that separate revenue trailer bills would be heard later in the week. Much of the committee discussion focused on Medi-Cal, H.R. 1, and the impact on immigrants, low-income workers, counties, and hospitals. Several senators criticized the budget for locking in savings from delayed or reduced Medi-Cal coverage and for not including a mechanism to restore eligibility, while administration and LAO staff said the package delays some reductions but does not automatically reinstate coverage. Finance staff said roughly 1.5 million to 2 million people with unsatisfactory immigration status would move from managed care to fee-for-service, with coverage largely unchanged except for certain services not federally allowed. Members also discussed county administrative funding, indigent care, public hospital support, and the expected rise in uncompensated care. Other topics included In-Home Supportive Services, child care, homelessness funding, Prop. 36, courthouse construction and new judgeships, transit and cap-and-invest/GGRF funding, local journalism, and workforce or reentry programs. Committee members split along party lines in their comments. Democratic members generally supported the agreement as a difficult but responsible compromise that protects core services, preserves reserves, and makes targeted investments in education, housing, health care, and justice system capacity. Republican members argued the budget relies on unrealistic revenue assumptions, does not sufficiently reduce spending, and includes costly policy choices and tax increases. Public testimony largely came from advocates and stakeholders who supported IHSS, Medi-Cal, child care, domestic violence services, hospitals, transit, and other programs, while some business and health plan representatives raised concerns about tax proposals and the shift from managed care to fee-for-service. The chair then moved the committee to public comment and indicated that the revenue bills would return later in the week; no final vote on AB 109 is reflected in the portion provided.

Transcript Highlights:

• When we think about the reimbursement of that benefit, I want to give a slight history of how this has
• Children's rates were benchmarked in 2007 to the private commercial rate reimbursement rate.
• So it was a pretty robust benefit in terms of reimbursement.
• So we are one of the top reimbursement, higher reimbursement rates in the country for children's rates
• We're asking here—there is no reimbursement code for this—so that could be a potential barrier.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• The purpose of this bill is to develop and implement an advanced payment model.
• Number two, it deals with a billing and payment mechanism, which my good friend suggested is part of
• But in its consideration of that approval, Payment system.
• And lastly, if any payment system, any alternative payment system was approved, then it would be required
• It will require payments for graduate medical education.

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• The purpose of this bill is to develop and implement an advanced payment model.
• Payment system.
• And lastly, if any payment system, any alternative payment system was approved, then it would be required
• It will require payments for graduate medical education.
• rate, because MassHealth has a number of payment rates.

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.