Transcript Highlights:

• Today, Medicaid is a $1,16 billion program with about 85 million people enrolled in the program as of
• Recently, Minnesota's applied behavioral analysis program, or ABA program, stole national headlines.
• But some programs may be lifelong programs for independence for people. Absolutely.
• Program.
• And it is on the HHSC program. Where did the money go? And it is on the HHSC program.

Keywords: 1185, senate, all

Transcript Highlights:

• And there is a great program.
• The program types are not named; they are just described. So program type 1 would be...
• , and our school-age programs.
• type 2 or program type 3.
• program, among other programs.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• national statistics national statistics 100,000 100,000 100,000 plus<01:22:29.199> I<01:22
• These aren't just statistics; they're our friends, neighbors, and loved ones.
• so because it was felt that the program so because it was felt that the program is<03:38:01.920>
• Henry Litman, State Medicaid Director: For the Medicaid program, I can speak to that.
• <03:42:32.880> um Sunset so I for the Medicaid Program um Sunset so I for the Medicaid Program

Keywords: 1189, house, all

Transcript Highlights:

• took two years to develop the program took two years to develop the program through<00:15:22.040
• While the numbers have statistically gone down, the cases generally have a wax and wane.
• While the numbers have statistically gone down, the cases generally have a wax and wane.
• While the numbers have statistically gone down, the cases generally have a wax and wane.
• <00:19:33.799> gone statistically gone statistically gone down<00:19:36.480> the<00:19:

Keywords: 1187, senate, all

Summary: The Senate Labor Committee received an overview from Chief Judge Patricia Millan of the Workers’ Compensation Court of Appeals (WCCA). She explained the court’s history, created in 1981, its role as the appellate body for workers’ compensation disputes after Department of Labor and Industry and Office of Administrative Hearings proceedings, and its original jurisdiction over petitions to vacate settlement agreements. She also noted the court is composed of five judges, is funded entirely by the workers’ compensation fund, and operates with five staff attorneys and two full-time employees. The committee then heard introductory remarks from the judges present for confirmation: Deb Sunquist, Katherine Carlson, Shan Quinn, and Thomas Christensen, with a procedural note that Quinn’s reappointment had not yet been formally referred to the committee, so his motion would be held until paperwork arrived. The judges emphasized their collaborative, panel-based work, their experience representing both injured workers and employers, and their commitment to the workers’ compensation system. Quinn also described efforts to teach workers’ compensation at the University of Minnesota and encourage younger lawyers to enter the field. Members asked about the court’s caseload and about delays in workers’ compensation claims. In response, the judges said the WCCA’s caseload has generally declined and fluctuates, and they offered to provide case-count data. In a more detailed exchange, a senator described a family member’s long-delayed claim; judges explained that repetitive-trauma or “Gillette” injuries often require substantial medical proof and can be difficult for insurers to accept, but that the system is intended to be no-fault and typically takes about a year to a year and a half from filing to resolution. No votes were taken during the portion of the meeting reflected here.

Transcript Highlights:

• I'm the Environmental Health Program Director for Clean Water Action.
• Our apprentices spend five years learning their craft in our program.
• The New England School of Photography is a great example of one such program.
• month program, or a $20,000 program, but it imposes that same sort of regulation to a tee on a $49 half-day
• program or a $600 weekend program.

Keywords: 995, all

Summary: The hearing of the Joint Committee on Consumer Protection and Professional Licensure opened with logistical remarks about testimony procedures, time limits, accessibility supports, and the large number of witnesses. The first bill discussed was H. 451, which would allow professional license applicants who do not have a Social Security number to use an ITIN instead. Supporters said the bill would help qualified workers, especially immigrants, enter licensed trades and professions without lowering training or testing standards, while addressing workforce shortages. Committee members asked a few questions, and the bill was framed as a uniform statewide licensing reform. The bulk of the hearing focused on S. 210 and H. 1278, two bills aimed at improving wheelchair repair and warranty protections. Supporters included the Attorney General’s Office, disability advocates, wheelchair users, clinicians, and legislators, who described long repair delays, missed work and medical appointments, loss of independence, hospitalizations, pressure injuries, and other harms caused by broken wheelchairs and slow service. They argued for stronger timelines, two-year warranties, required parts availability, loaner chairs, and enforcement mechanisms, with H. 1278 modeled on a Connecticut-style repair deadline and S. 210 focused on warranty protections. Several witnesses emphasized that wheelchairs are essential medical equipment, not ordinary consumer goods. Opposition came from NCart, which said it supports solutions but raised concerns that the bills, as written, could be difficult to implement for complex rehab technology. NCart said some warranty provisions may not fit wear-and-tear components and noted that MassHealth has already taken steps such as preventive maintenance, reduced prior authorization, and transportation support. Other witnesses and advocates countered that the current market is dominated by a few profitable companies and that the legislature needs to impose clear standards because voluntary fixes have not worked. The committee also heard testimony on S. 195, a toxic-free kids bill from Senator Comerford and Representative Hawkins, which would restrict PFAS and other toxic chemicals in children’s products and create disclosure and phase-out requirements. No votes were taken during the hearing.

Transcript Highlights:

• and rural prosecutor's Office Salary Assistance Grant Program.
• The legislature enacted Senate Bill 22 in 2023, which established three grant programs to support offices
• It's another grant program, and I appreciate the opportunity to lay this out early, Mr. Chairman.
• We, we were appointed to a US Department of Justice Bureau of Justice Statistics study from 2022.
• And, um, tell me how this program would interact with the program we approved in the 8DA8.

Bills: HB318, HB198

Keywords: ERCOT, interconnection, electric utilities, power grid, transmission, election administration, school board elections, trustee terms, general election, Education Code

Transcript Highlights:

• Program.
• Let me give you the statistics for the Dairy Digester Program, which others can be measured against.
• So, this program, unlike the other, is not a program that is a competitive. grant program.
• With the SAFER program, my only question is, we just the statistics look pretty good in terms of the
• program.

Keywords: 988, house, all

Transcript Highlights:

• programming.
• the line programs.
• Or you can choose to do the one-year program and go through any of the HED programs.
• So the Ed Fellows program is not a tuition reimbursement program.
• This makes it sound like a college program or residency program.

Keywords: 996, all

Transcript Highlights:

• on um, you know, if there's statistics on um, you know, if there's danger<00:16:47.120> with<
• This will catch training programs like ours and those in the secondary space flat-footed because they
• Uh, I'm just giving you the nuances of what a training program would have to go through.
• <00:33:12.320> So,<00:33:12.480> I'm that program stronger, I'm for.
• So, I'm that program stronger, I'm for. So, I'm an<00:33:12.720> eye. an eye. an eye.

Keywords: 958, all

Transcript Highlights:

• So it is a headhunter program.
• The program is reaching now... I appreciate this bill. The program is reaching out.
• And so what this program would do is, and it's a one-time infusion, it's kind of a pilot program, but
• I think this is a great program.
• The program, to me...

Keywords: 996, all

Transcript Highlights:

• This is both an early intervention program as well as an intensive intervention program, which the Council
• And there is another program that we work very closely with: the community custody program in Bernalillo
• programs are seven years.
• So for all of our other programs, such as, because we listed about 10 total programs this summer, when
• Mexico address that need for dental education. ...program and our dental residency program, and so we

Bills: SB5, SB6, SB8

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer, 996, all

Transcript Highlights:

• I don’t know what kind of programs there are that show an endorsement.
• The new program would authorize a business primarily engaged in...”
• program.
• Bureau of Labor Statistics.
• Bureau of Labor Statistics.

Keywords: 994, senate, all

Summary: The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then took up several House bills with strike-and-insert amendments. House Bill 5510 was amended to incorporate provisions from Senate Bills 1065 and 928, modernizing Alcohol Beverage Control licensing and adding rules for low-proof spirit alcohol products, including a $1.25 per gallon tax; the committee adopted the amendment and reported the bill to the full Senate with a do-pass recommendation. The committee then considered House Bill 5453 on school funding. After discussion of a proposed block-grant system and supplemental aid for special education, the committee adopted an amendment replacing much of the bill with weighted funding for level two and level three special education students, exempting those funds from block grant rules and limiting their use to direct instruction. The committee also adopted a clarification to extend the special education funding to charter school students and reported the amended bill to the Senate. House Bill 5412, dealing with multi-year technology licensing contracts for local fiscal bodies and science-of-reading training for K-5 teachers, was amended to clarify contract language, delay implementation dates, change “endorsement” to “training,” and require charter school teachers to participate; it was then reported. The committee next amended and reported House Bill 4006, which creates aerospace development and workforce grant programs, changing the funding mechanism to use Department of Commerce reporting and personal income tax proceeds rather than direct employee withholdings. It also took up House Bill 4009, combining voluntary portable benefits for independent contractors with microcredentialing and an expanded apprenticeship tax credit, adopted the Finance Committee amendment, and reported it. Finally, House Bill 4004 creating the Recharge West Virginia training reimbursement program was amended to raise the annual employer reimbursement cap from $50,000 to $100,000 while keeping the $10,000 per-employee limit, and the committee reported the bill. The meeting ended with adjournment.

Transcript Highlights:

• Madam Chair and members, Senate Bill 1574 relates to a Centers of Excellence program developed by the
• Members, the Centers of Excellence Program is an initiative by the Texas Judicial Council to identify
• The program seeks to recognize courts that meet standards of excellence in serving their communities,
• received a designation as Centers of Excellence have been great ambassadors for the program.
• There's statistics in terms of case management and technology, et cetera.

Summary: The Senate Finance Committee heard several measures, beginning with SB 1574 by Senator Zaffirini, which would codify the Texas Judicial Council’s Centers of Excellence Program for courts and judges. Testimony from judges and the Office of Court Administration emphasized that the program promotes transparency, procedural fairness, mentoring, and public trust. A committee substitute expanded eligibility to justices of the peace and municipal judges and removed a merit-pay reference to eliminate fiscal impact. After quorum was established, the committee adopted the substitute and later voted it out favorably, though it was not certified for the local and uncontested calendar. The committee also heard SB 2774 by Senator Hinojosa, which would amend the Tax Code’s retail trade definition to include industrial uniform and linen rental businesses so they qualify for the lower franchise tax rate. Supporters said the change would put rental textile businesses on equal footing with other rental industries and help Texas employers and customers. The bill was reported favorably to the full Senate. Members then considered SB 1211 by Senator Perry, which would broaden the existing fracking-related sales tax exemption for equipment used with non-fresh water sources, including recycled, produced, and brine water. The bill’s supporters argued it would conserve freshwater and reduce litigation over water definitions, while the Comptroller’s office discussed the fiscal note and production-related revenue effects. The committee also heard SB 2873 and SB 2900, both by Senator Kolkhorst and presented by Senator Nichols; SB 2873 would require electronic filers to file electronically, and SB 2900 would eliminate certain Comptroller-related advisory committees and boards. Both were later adopted in committee substitute form and reported favorably. Finally, the committee heard HJR 4, sponsored by Senator Parker, proposing a constitutional amendment to prohibit new taxes on securities transfers or financial transaction processing. Supporters said it would protect investors, especially retirees, and help position Texas as a financial center. The committee voted to report HJR 4 favorably to the full Senate. In each recorded vote after quorum was present, the measures passed with nine ayes and no nays.

Transcript Highlights:

• And many of the programs that we have, programs like Project Lifesaver for an autistic child or a person
• You have to go to your programs.
• If you don't go to your programs, you're not considered a program field.
• You have to go to your programs.
• If you don't go to your programs, you're not considered a program field.

Keywords: 995, all

Summary: The commission met to continue its review of the county sheriffs’ role in corrections, reentry, and public safety. After approving the prior meeting minutes, the sheriffs completed a lengthy presentation describing how their offices provide regional jail services, women’s programming, mental health and substance use treatment, reentry support, community partnerships, and auxiliary public safety functions such as BCI work, TRIAD, Meals on Wheels, and event support. They emphasized that services are tailored to local needs, that women’s facilities are designed to keep mothers close to family and support reunification, and that programming, housing, and job placement are central to reducing recidivism. They also discussed challenges including K2/synthetic drugs in facilities, gang classification and separation, and the difficulty justice-involved people face obtaining IDs and birth certificates, especially for people from Puerto Rico. Commission members generally praised the sheriffs’ work and asked for more detail on how regional women’s facilities operate, how community-provider cuts might affect reentry services, how no-cost phone/tablet communication is balanced against programming time, and what the most essential programs are if funding is reduced. The sheriffs said programming must come first, identified mental health, substance use treatment, domestic violence programming, and housing/job placement as critical, and explained that community organizations and the Registry of Motor Vehicles are key partners in reentry. They also described their approach to gang management through classification, separation, and information sharing, and noted that the Registry has become more flexible but Real ID requirements have made documentation barriers more significant. The commission chair stressed that the purpose of the study is collaboration and improving system performance, not an adversarial effort against the sheriffs or a decarceration debate. Members noted that future meetings would hear from probation in June and the Department of Correction in July, and that the commission would continue gathering information before deciding on next steps. The meeting ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• As far as the unarmed statistic, I don't know where that was pulled from.
• Attorneys at Public Counsel and other legal services programs in Los Angeles saw numerous examples in
• More than a century ago, CDCR created a conservation camp program to train incarcerated people to help
• I want to be clear, I am grateful for the skills I've learned in this program.
• There’s no better example of rehabilitation, and this program should be expanded.

Summary: The committee heard several public safety-related bills. AB 383 by Assembly Member Davies would expand and clarify firearm restrictions tied to juvenile adjudications, allow certain minor firearm possession for hunting or training with guardian approval, and authorize warrants in some domestic violence-related firearm surrender situations. Supporters, including a district attorney representative, argued it would close gaps in existing law and improve public safety; opponents said it would over-criminalize youth and disproportionately affect marginalized communities. The bill passed as amended to Appropriations. AB 400 by Assembly Member Pacheco would require law enforcement K-9 units to meet statewide POST standards covering training, use of force, and handler skills. Supporters said the bill would create consistency, accountability, and safer deployments; opponents argued the standards were inadequate and would legitimize harmful canine practices. After debate over whether the bill expanded canine use or simply standardized it, the committee approved AB 400 and sent it to Appropriations. AB 380 by Assembly Member Gonzalez would extend price-gouging protections during emergencies, including for hotels, food, essential goods and services, and commercial property, and would remove the 12-month lease limit loophole for rent gouging. Supporters said the bill responds to wildfire-related exploitation and provides clarity for disaster victims; business and landlord groups warned it could amount to commercial rent control and create uncertainty for future emergencies. The author said he would continue working on amendments, and the bill passed as amended to Appropriations. AB 358 by Assembly Member Alvarez would create a narrow exception to Cal-ECPA so law enforcement could inspect tracking or surveillance devices found in a person’s home, vehicle, or property with the finder’s consent. Supporters said the change would help stalking and domestic violence victims preserve evidence quickly; privacy advocates argued warrants and existing emergency exceptions already cover these situations. The chair proposed narrowing the language to “tracking or surveillance device,” and the bill was held on call after an initial roll with only three votes in favor. The transcript also began AB 247, which would raise pay for incarcerated hand crew firefighters, with testimony from formerly incarcerated firefighters in support, but the discussion was not completed in the excerpt.

Transcript Highlights:

• With the implementation of all the COVID-era infrastructure programs and the BEAD program, ideally all
• With the implementation of all the COVID-air infrastructure programs and the Bede program, ideally all
• It was supposed to run alongside of the BEAD program.
• programs for broadband access.
• on a program that helps find those low-cost options.

Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.

Transcript Highlights:

• And I'm a big fan of the ICAN program and the SNAP program. I've run early intervention programs.
• We do work on pathway programs and pipeline programs. And so, real quick, my apologies.
• One of the programs with our affiliation with NMSU is that pathway program, a seven-year program.
• We are going to focus on warm handoff programs and recovery services, as well as prevention programs,
• Right now, our limiting factor for our AOT program, for our Pre-Competency Diversion Program, and our

Transcript Highlights:

• That is our country's official crime statistics that go out.
• Always interesting to take a closer look at the statistics, understand where crime is at.
• So you have a large enough, this is a statistical question, a large enough sample of police agencies
• So you have a large enough, this is a statistical question, a large enough sample of police agencies
• And that's where I'm going, is we just passed a major series of grant programs, 100.

Summary: The House Committee on Community Safety held a December 4, 2025 work session focused first on crime trends and then on policing effectiveness. Adam Gelb of the Council on Criminal Justice reviewed long-term national data showing major declines in reported crime and victimization since the early 1990s, a pandemic-era spike in homicide and some violent crime, and a recent drop back toward pre-pandemic levels. He also highlighted a sharp decline in juvenile arrests and incarceration, a substantial reduction in racial disparities in imprisonment, and noted that much of the disparity reduction appears tied to changes in arrest patterns. James McMahon of the Washington Association of Sheriffs and Police Chiefs then presented Washington’s 2024 crime report, saying total crime fell 8.4% from 2023, with decreases in violent crime, property crime, murders, robberies, aggravated assaults, hate crimes, and vehicle theft, while crimes against society rose. He emphasized that domestic violence makes up about half of crimes against persons, that Washington remains above its 2019 levels in several categories, and that underreporting affects the data. Marshall Clement of the Council of State Governments Justice Center added that Washington remains one of the states still above 2019 violent-crime levels, with homicide and juvenile victimization especially concerning, and noted wide variation in juvenile arrests and violent-crime trends across cities and counties. Jeff Asher of the Real Time Crime Index said his near-real-time data through September 2025 suggests continued national and Washington declines in murder, violent crime, and property crime, with Washington’s murder trend likely continuing downward into 2025. The second half of the work session shifted to policing methods and clearance rates. Richard Hahn of the Niskanen Center argued that disorder and neighborhood conditions affect public safety perceptions, that environmental design and street lighting can reduce crime, and that police agencies need better deployment, investigative capacity, and clearance rates, especially amid staffing shortages. Mark Kropanski of Arnold Ventures summarized research finding that police staffing matters, hotspots and problem-oriented policing reduce crime, and better investigations increase deterrence and trust; he stressed that homicide clearance rates remain only around 60% in Washington and that property-crime clearance is much lower. Marshall Clement returned to focus on Washington’s solve rates, saying only 44% of violent crimes reported to police are solved, with 62% of homicides, 51% of aggravated assaults, 25% of rapes, and 31% of robberies cleared in 2024, and that large numbers of serious crimes remain unsolved over a three-year period. He urged state leaders to set goals, improve data collection, strengthen investigative resources, and support victims and witnesses. No votes or formal actions were taken; the session was informational and included extensive member questions about juvenile crime, domestic violence, underreporting, detective staffing, and how to improve clearance rates.

Transcript Highlights:

• <00:20:36.640> that participate in after school program that participate in after school program
• <00:21:37.400> so other sort of diversionary programs so other sort of diversionary programs
• So you mentioned the statistics, the increased attendance.
• The attendance is better because it doesn't include spring statistics.
• these programs these programs attendance<01:36:55.119> is<01:36:55.239> a<01:36:55.400

Keywords: 1187, senate, all

Summary: The Senate Education Finance Committee met on January 28, 2025, to receive updates on chronic absenteeism work funded in the 2024 education finance bill. The chair introduced presentations from districts in the student attendance pilot program—Minneapolis, Columbia Heights, Chisago, and Rochester—and noted that the committee would also hear the student attendance and truancy legislative study group report and later a bill from Senator Weber. The chair also thanked educational assistants and paraprofessionals for their work in schools. Minneapolis Public Schools described common attendance challenges across pilot districts, including inconsistent attendance coding, weak family communication, difficulty identifying interventions, and uneven responses to absences. The district said pilot districts want statewide definitions for absences, tardies, and exempt codes, as well as better internal dashboards and clearer procedures. Minneapolis also highlighted strategies such as attendance teams at each school, quarterly postcards to families after five or more absences, Promise Fellows, home visits, multilingual communication through TalkingPoints, and a morning nurse line to help parents decide whether a child should stay home. The district said its main attendance goal is to raise consistent attendance from 68 percent to 80 percent by 2026. In response to committee questions, Minneapolis said its main post-COVID absenteeism reason has been illness or medical issues, followed by transportation problems, and that it does not penalize students for transportation-related absences. The district said it counts secondary absences when students miss more than three periods in a day, with truancy beginning after seven such absences, while elementary students are counted absent for the full day. Members also asked about whether reduced truancy referrals reflected more attendance or diversionary supports; the district said its approach is to focus on understanding root causes and providing support rather than quickly referring students to truancy processes. The district reported improved communication, greater parent awareness, and fewer truancy referrals so far, and said the attendance team model should be sustainable because it uses existing staff with clearer direction.

Transcript Highlights:

• We do have some payment programs.
• in<00:03:59.560> which supplemental payment programs in which supplemental payment programs
• Medicaid program that would be exempt. Medicaid program that would be exempt.
• are eligible for the program.
• program are eligible for the program. program are eligible for the program. a<00:30:42.280> random

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.