Transcript Highlights:

• So what is the current delivery method for the provider to receive that?
• Is that by mail, or is there also a delivery method via digital map?
• So meals and rooms tax is a great example.
• So meals<04:03:45.520><c> and</c><04:03:45.680><c> rooms</c><04:03:46.000><c> tax</c><04:03:46.239><c
• </c> meals and rooms tax is a great example. meals and rooms tax is a great example.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• During the early recovery, KYTC staff assisted in delivering water and meals to affected residents.
• During the early recovery, KYTC staff assisted in delivering water and meals to affected residents.
• if you don’t think there’s commercial electric vehicles on the road, just watch for some of these delivery

Summary: The committee’s first interim meeting opened with roll call, a quorum, and a briefing from Transportation Cabinet officials on the Cabinet’s response to severe weather and tornadoes in Kentucky, especially the May 16–17 storms that caused deaths and widespread damage in Pulaski and Laurel counties, with an additional tornado noted in Washington County. Secretary Jim Gray, State Highway Engineer James Ballinger, and District 11 engineer Chris Jones described how crews in all 120 counties were placed on alert, how roads were cleared of debris, and how KYTC coordinated with emergency management, law enforcement, local governments, and utilities to restore access and power. They reported major impacts on roads, signals, and other infrastructure, including the EF4 tornado path through Pulaski and Laurel counties, and said KYTC also helped with debris hauling, airport cleanup, and delivery of water and meals. The officials gave specific recovery figures for Laurel County, including 1,800 loads of construction and demolition debris hauled, about 11,000 tons and 22,000 cubic yards removed, with roughly 50% of vegetative debris cleared at that point. They said all state roadways in Laurel County were reopened, the London-Corbin Airport was returned to flight operations by Sunday, and a transition plan was underway for Laurel County Fiscal Court’s contractor to take over debris operations. Gray also noted that KYTC had helped issue replacement IDs, licenses, registrations, and titles at no cost in disaster areas, and said the Team Kentucky Storm Relief Fund had raised nearly $1.5 million from more than 6,000 donors. Members praised KYTC staff as first responders and thanked them for their quick response and coordination. Several legislators recounted local impacts in Washington, Pulaski, and Laurel counties, including blocked roads, rescue challenges, looting concerns, and the scale of property damage. One member asked how KYTC inspects bridges and infrastructure after disasters to check for hidden damage, and officials said the process depends on the event and can include bridge inspections and checks of tall infrastructure such as light poles. No votes or formal committee actions were taken during the discussion.

Transcript Highlights:

• Although I have Medicare, I still face... significant out-of-pocket costs of co-pays, medications, meals
• That's why I volunteered for years with Meals on Wheels.
• The possession and delivery of marijuana is a state crime. ...enforce state law.

Bills: HB21 , HB211 , HB223 , HB323 , HB524 , HB530 , HB636 , HB762 , HB21 , HB211 , HB223

Committee: House Intergovernmental Affairs

Keywords: housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, housing assistance, financial assistance, low income housing, community support, affordability, veterans housing, community involvement, air conditioning, tenant support, healthcare, elderly, taxation

Transcript Highlights:

• You're talking about the delivery service and things like that. >> Well, well, not so much delivery service
• ,</c> pickup deliveries, pickup deliveries, are<00:05:34.639><c> they</c><00:05:34.880><c> going</c><
• </c> You're talking about the the delivery You're talking about the the delivery service<00:06:02.880
• </c> &gt;&gt; Well, well, not not so much delivery &gt;&gt; Well, well, not not so much delivery service
• :06:31.120><c> already</c> &gt;&gt; Curbside and home delivery already &gt;&gt; Curbside and home delivery

Bills: HB393 , HB61 , SB234 , SB234

Committee: Senate Tourism

Keywords: entertainment district, alcohol consumption, local governance, city council, public spaces, home school, career and technical education, public schools, K-12 education, enrollment policy, Cherokee County, off-road vehicle park, ORV park, ATV, all-terrain vehicle, dirt bike, off-highway vehicle, recreational vehicle, county permit, inspection

Transcript Highlights:

• times... ...capacity and, most important, the extended delivery times.
• from the time of a purchase order to the time of delivery.
• But what do you see as the problem holding up the delivery process?
• Holding up the delivery process, that's, you know, a very difficult subject.
• The challenge is not simply that delivery times are long; the challenge is the uncertainty.

Summary: The committee held an informational hearing on the rising cost and long delivery times for fire apparatus and related equipment, with opening remarks stressing that aging fleets, supply chain problems, and delayed replacements are affecting emergency readiness across California. Cal OES and Cal Fire described statewide procurement challenges, including higher prices, multi-year delivery timelines, two-year encumbrance limits, and the strain on mutual aid when engines remain in service beyond their intended replacement cycles. Cal Fire said it operates 537 engines, with 300 meeting replacement criteria and 243 at least 16 years old, and explained the difference between mandatory contracts and one-time acquisitions. The Department of General Services said vendors have cited labor costs, chassis pricing, and the need for longer production timelines, while also noting that statewide contracts can include nominal price increases but not open-ended price hikes. Local fire chiefs from Santa Barbara County, Los Angeles County, Napa, and Fullerton testified that apparatus prices have risen sharply while delivery times have stretched from under a year to three to five years or more. They described specific examples of engines and ladder trucks costing far more than prior purchases and arriving years later, forcing departments to keep older reserve apparatus in service, spend more on maintenance, and defer other budget priorities. Several witnesses said industry consolidation has reduced competition and contributed to delays and price increases, with Los Angeles County and Fullerton noting they have pursued antitrust complaints and litigation against major manufacturers. Napa also described proprietary parts and software limiting in-house repairs, and Santa Barbara County said a vendor’s unfulfilled delivery promise caused the department to lose its place in line. Members asked about possible solutions, including whether the state should consider manufacturing apparatus itself, whether procurement rules or prototype requirements could be streamlined, whether DGS staffing or contract processes could be accelerated, and whether more stable long-term purchasing commitments would help manufacturers plan production. Witnesses said safety-driven specification changes are necessary but can add time, and that the main bottlenecks are industry capacity, consolidation, and vendor performance. The vice chair raised concerns about how grant funding windows and local matching requirements are affected by multi-year delays, especially for small and rural departments that rely on grants and on used apparatus passed down from larger agencies. No votes were taken; the hearing concluded with committee members indicating interest in possible legislative, regulatory, and antitrust follow-up.

Transcript Highlights:

• Senate Bill 280 is requiring food delivery services to secure agreements with restaurants.
• Senate Bill 280 is requiring food delivery services to secure agreements with restaurants.
• </c> um it says currently a food delivery um it says currently a food delivery platform<00:05:44.280>
• </c> with door dashh and these delivery with door dashh and these delivery services<00:06:28.520><c>
• Don't do any delivery; you can do takeout.

Committee: Senate Commerce

Transcript Highlights:

• hundred dollars: transportation, medications, food, toiletries, assistive technology, even just a meal
• I could attend events and contribute to my community without choosing between a bus fare or a meal. .
• ..and contribute to my community without choosing between a bus fare or a meal.

Committee: Joint Joint Committee on Housing

Summary: The Joint Committee on Housing opened a hybrid hearing focused on housing production bills, with Chairs Julian Cyr and Rich Haggerty emphasizing Massachusetts’ housing shortage and the need to produce more than 200,000 units over the next decade. The committee then heard testimony on a wide range of proposals, including social housing, starter homes and the “missing middle,” accessory dwelling units (ADUs), single-stair residential buildings, permanent affordability homeownership, and housing for people with disabilities. Several witnesses framed the bills as tools to expand supply, lower costs, and address racial and generational wealth gaps. Representative Connolly testified for H. 1478 on the Massachusetts Social Housing Program, describing publicly owned, mixed-income housing financed through a revolving loan fund. Senator Feeney testified for S. 989 on missing middle starter homes, arguing for zoning changes, incentives, and affordability tools to support smaller starter homes and duplexes, triplexes, and fourplexes. Multiple witnesses, including housing advocates, real estate representatives, and local officials, supported the ADU trust fund bill and the single-stair study bill, saying they would reduce barriers, support homeowners, and enable more family-sized and infill housing. Some witnesses opposed bills they said would weaken ADU reforms or add new restrictions, while others urged broader deregulation to speed production. A major portion of the hearing focused on H. 1576/S. 1010, the Homes for Lasting Affordability bill, which would create a permanent affordability homeownership program for low- and moderate-income buyers and support small developments with long-term affordability restrictions. Testimony from community land trust leaders, legislators, and housing advocates emphasized that permanent affordability can preserve public investment, stabilize neighborhoods, and help families build wealth over generations. Senator Miranda and Representative Worrell tied the bill to closing the racial wealth gap and expanding access to homeownership for Black and Latino residents. The committee also heard testimony on S. 971, which would reform the Housing Development and Incentive Program to require more affordability in Gateway City projects. The committee additionally heard from Senator Kennedy and disability advocates on S. 1004, which would strengthen the Alternative Housing Voucher Program for people with disabilities by codifying project-based vouchers and aligning the program more closely with other voucher systems. Witnesses described long waitlists and the lack of accessible, affordable units as major barriers that can lead to homelessness or unnecessary institutionalization. No votes were taken during the hearing; the session was devoted to testimony and questions from committee members.

Transcript Highlights:

• the cost of attending school is around $31,000 once we account for tuition, fees, room and board, meal
• the cost of attending schools is around $31,000 once we account for tuition fees, room and board, meal
• Yeah, it's in that range, yes, sir. and meal plans, et cetera? Yeah, it's in that range, yes, sir.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first adopted revised JBC rules, which staff said were updated to reflect legislation passed in the 2025 session. It then heard a presentation from DFA Secretary Jim Hudson on the governor’s proposed balanced budget for FY27, with no action taken. Hudson said the budget reflects three priorities: limiting state-government growth, continuing investments in education, and advancing income-tax cuts. He highlighted increases for education funding through EFAs, pay-plan costs for Corrections, DPS, and the Attorney General, higher education productivity funding, drug task forces, a Corrections medical contract, the governor’s 1033 initiative, SNAP error-rate reduction efforts, and an additional $100 million set aside for Medicaid sustainability. Committee members questioned the size of the tax cuts, the balance requirement, public education funding, Medicaid trust-fund levels, EFA funding, and the expected impact of new SNAP cost-sharing rules. The Division of Higher Education then presented its productivity-based funding recommendations. Officials said institutions were 2.61% more productive overall, with funding changes driven by a statutory formula that rewards degree production, underserved populations, and high-demand fields. Members asked about declines at UA Little Rock, the formula’s multipliers, the role of the Arkansas Access Act and a new return-on-investment metric, and how two-year colleges are adjusted for size. The committee also reviewed special items and approved two letters: one authorizing 17 net personnel changes across nine institutions, and another adding special language for North Arkansas College’s entry into the University of Arkansas system. The committee then adopted the Higher Education Coordinating Board’s recommendations for all institutions. A lengthy portion of the meeting focused on the University of Arkansas system, especially Fayetteville’s athletics funding and the broader impact of the House/NIL settlement. Chancellor Charles Robinson and system officials explained that the board had waived a longstanding campus transfer and directed the university to provide an additional $6 million to athletics, with some costs likely to be passed through to students but partially offset by existing budget growth. Members debated whether the university should prioritize academics or athletics, how the transfer originated, and whether the athletic changes would affect affordability. The committee also discussed the 1890 extension program at UAPB and the Division of Agriculture’s land-grant funding. UAPB officials said the state match is intended to be one-to-one, that the current recommendation aligns appropriation with actual spending, and that a $2 million set-aside remains available if needed. The Division of Agriculture later clarified that its Smith-Lever extension and Hatch research funds are part of the UA system’s separate budget and that the state matched about $6.2 million in federal extension funding last year. The committee then moved to the Department of Corrections. It approved G1, transferring 51 positions to the secretary’s office to activate a recidivism program, with an estimated cost of about $4 million. Staff then began walking through the department’s FY27 budget, noting an increase of about $8 million for administration and shared services, including a $170,000 sex-offender assessment appropriation moved under Act 723 of 2025 and roughly $6 million more for medical contracts. Questions on the Corrections budget had just begun when the transcript ended.

Transcript Highlights:

• DOC provides three nutritionally balanced daily meals to the offender population through the use of a
• I know that fluctuates, but then specifically, as close as possible, as far as price per meal, how much
• that's, you know, as far as the price per meal that you're spending on average. $2.15.7.

Committee: House Budget

Transcript Highlights:

• partners by contributing more than we already have to tribal staff time, transportation costs, lodging, meals
• approximately $2 million a year, to build this team and provide funding directly to tribes for travel, meals
• We put acorn meal in there with them, and all the things that they used in this life, they're going to

Summary: The joint hearing of the Select Committee on Native American Affairs and the Joint Legislative Audit Committee focused on the University of California’s compliance with NAGPRA and CalNAGPRA and the return of Native American human remains and cultural items. Senators and Assembly Members opened by emphasizing the sacredness of repatriation, the ongoing trauma caused by delayed returns, and the need for stronger systemwide accountability. The State Auditor presented the third audit of UC’s repatriation efforts, concluding that UC still lacks the urgency, oversight, and clear timelines needed to promptly return remains and belongings. The audit found thousands of remains and hundreds of thousands of cultural items still in UC custody, new undisclosed collections at several campuses, weak budgeting and underspending, and repatriation plans that often lacked concrete deadlines. The auditor recommended stronger UCOP oversight, performance metrics, proactive searches for undiscovered items, and possible legislative action to tie funding to measurable progress. UC officials responded that the system is committed to full compliance and has accelerated its work since adopting a new policy in 2022. UC Provost Catherine Newman said the system repatriated more than 2,800 ancestors and nearly 80,000 funerary belongings in the past year, and that UC now says 80.3% of Native American remains are either repatriated or available for repatriation. UC announced a new systemwide plan to complete repatriation of human remains by the end of 2028, to finish high-risk campus reviews by June 2026, to recall all loans by January 2026, and to require quarterly reporting to UCOP. UC also said it will spend an additional $8.8 million over three years, expand staffing, improve databases, support tribal consultation costs, and identify potential reburial sites on UC land. Berkeley and San Diego described increased staffing, consultations, and repatriation activity, while Santa Barbara said it had corrected earlier omissions, notified tribes about previously unreported ancestors, and was working toward completing repatriations and updated inventories. Committee members pressed UC on why progress has been so slow, why the audit’s timelines differed from UC’s public reporting, and whether the 2028 goal applies only to human remains rather than all cultural items. UC said the 2028 target is for human remains, while cultural items will take longer, and acknowledged that more work remains. Members also asked about the technical expertise needed for repatriation, the role of tribal experts, and whether repatriation should be embedded more permanently in UC governance or statute. Tribal leaders and representatives then testified that remains and belongings were taken without consent and must be returned with tribal consent and leadership. They criticized the repeated delays, stressed that tribes are the experts on their ancestors and cultural heritage, and urged UC to treat repatriation as a top priority and to return all associated items, not just human remains, so ancestors can truly rest.

Transcript Highlights:

• Feeding America's Map the Meal Gap study found that roughly 134,000 Delawareans, or about 13% of our

Bills: SB311 , HB371

Committee: House Agriculture

Summary: The House Agriculture Committee met with a quorum present and considered three bills. Senate Bill 53 would codify and continue the Farm to Community Program if federal support is reduced or unavailable, prioritize Delaware farmers, and require reporting and transparency. Testimony in support came from the Delaware Farm Bureau, the Academy of Medicine and Public Health, and Deputy Secretary of Agriculture Jimmy Crone, who said the department supports the bill. Members raised no questions, and the committee voted to release the bill by roll call. The committee then heard Senate Bill 311, a Department of Agriculture maintenance bill updating Title 3 provisions related to plant industry and pesticides. The bill removes an outdated $100 license fee, requires certified private applicators to keep pesticide application records available for inspection, expands the definition of landscaper to include commercial entities installing their own nursery stock, and removes a good-character requirement for grain inspector applicants. With no public comment or questions, the committee voted to release the bill by roll call. Finally, House Bill 371, sponsored by Representative Vanderwyn, would streamline the Agland Preservation Act by eliminating a redundant county advisory board step for farmland preservation districts. Representative Vanderwyn and Deputy Secretary Crone explained that the advisory boards were more useful when the program was new, but now the county planning and zoning commissions and the Department of Agriculture already provide the needed review. After brief discussion, with no public comment, the committee voted to release the bill by roll call and then adjourned.

Transcript Highlights:

• 14689] agreed, saying the picnic basket can be destroyed, which can be costly and leave you without a meal

Committee: House Conservation and Natural Resources

Summary: The Committee on Conservation and Natural Resources met in executive session and first considered House Bill 3193. The committee adopted a House Committee amendment adding broader exceptions for health, safety, and compelling human need, then rolled the amendment into a substitute and passed the House Committee substitute by an 8-3 roll call vote. Members discussed the bill’s effect on plastic water bottles in state parks, with supporters saying it would reduce plastic waste in parks and waterways while preserving access to water through alternative means. The committee then heard House Bill 3366, which would establish Missouri Black Bear Awareness Day. Representative Michael Burton presented the bill and described the growth of Missouri’s black bear population, the history of bear reintroduction in the region, and the need to educate the public on avoiding conflicts with bears, including not feeding them and using precautions such as bear bells, bear spray, and proper food storage. Members asked lighthearted questions about bear behavior and safety, and several expressed support for public education and bear conservation. No testimony was offered in opposition or for informational purposes on HB 3366, and the hearing concluded without a vote on that bill. The committee then adjourned.

Transcript Highlights:

• And that's why, from this panel, looking at mixed delivery, we California.
• A strong mixed delivery system is essential.
• or UPK mixed-delivery gatherings in counties as professional development.
• This is an essential part of the mixed delivery system.
• This is an essential part of the mixed delivery system.

Summary: The California Assembly Select Committee on Child Care Costs held its third hearing focused on transitional kindergarten (TK) and how it fits within the state’s mixed delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and community-based child care are both needed to serve families, especially working and low-income households that need full-day, year-round care, transportation, and flexible hours. Committee members said the goal was to understand what is working, where gaps remain, and how to better coordinate TK with other programs to support children, families, and the workforce. The first panel included the Legislative Analyst’s Office, Every Child California, and Early Edge California. Testimony reviewed TK’s expansion to all four-year-olds, growth in enrollment, and changes to program requirements, while also noting related shifts in state preschool eligibility, reimbursement rates, and the option for programs to serve two-year-olds. Witnesses argued that TK should be treated as part of a broader continuum that includes state preschool, Head Start, family child care, and voucher-based care, and they called for easier local partnerships, shared facilities, aligned funding and oversight, better compensation, and permanent support for serving younger children. Committee members and witnesses discussed the strain on home-based providers and centers, the need for more vouchers and higher reimbursement, and the fact that many TK programs are part-day and do not meet full-day family needs. Public comment and the second panel reinforced concerns about affordability, access, and equity. Parents described the benefits of high-quality child care and TK for children’s development and for their own ability to work, while a parent from Oakland said TK was transformative for her child and essential to her career, but that her younger child still faced a wait for a TK spot. Children Now and Stanford researchers presented data showing that awareness of TK is uneven, especially among lower-income families, and that enrollment and access are stronger in more affluent areas. They recommended broader outreach, full-day/full-year options, and a true mixed delivery model that includes community-based providers, family child care homes, and Head Start. The California Department of Education said TK and state preschool work best as a shared opportunity and noted ongoing mixed-delivery grants and local coordination efforts, while public commenters from county offices, providers, and nonprofit organizations emphasized the need for continued funding, stable rates, and protection for community-based programs affected by TK expansion.

Transcript Highlights:

• This is the first meeting of the House Committee on Delivery. of government efficiency, and I want to
• Welcome to the first meeting of the Committee on Delivery of Government Efficiency.
• We identified a significant problem in our customer service delivery. Our system was outdated.
• So the 0.2% is the delivery of the benefits.
• What's my cost per meal on food service? What's my cost per vehicle mile on busing?

Committee: House Delivery of Government Efficiency

Transcript Highlights:

• </c><00:57:49.880><c> But</c> alternative dental delivery model.
• But alternative dental delivery model.
• Stop at delivery dental recommendation.
• </c> two So the change to the dental delivery two So the change to the dental delivery model<00:58:06.200
• And again, I will delivery system.

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• They're going to present later on the local project delivery streamlining.
• whether alternative delivery made sense or not for those.
• What delivery method would you use to deliver this project?
• regulations and efficient project delivery.
• This was the second largest barrier to streamlined project delivery.

Committees: Joint Transportation , Joint Joint Transportation Committee

Summary: The committee met in the Quad Cities area and first heard a joint presentation from public works directors from Richland, Kennewick, Pasco, and West Richland on regional transportation priorities, challenges, and project delivery. The cities said their priorities align with JTC goals such as safety, multimodal access, climate resilience, and economic development. They highlighted regional coordination through the Benton-Franklin Council of Governments and Good Roads, use of multiple funding sources including TIB, REIT, impact fees, transportation benefit districts, and tax increment financing, and a shared approach to Vision Zero, complete streets, ADA access, and active transportation planning. They also described major projects such as Richland’s downtown connectivity and SR 240/Aaron Drive improvements, Kennewick’s Columbia Center Boulevard corridor and rail study, Pasco’s Court/Road 68, Sylvester Street, Broadmoor interchange, and north-south bridge concepts, and West Richland’s SR 224 Red Mountain project. The directors also described common obstacles: rising construction costs, project phasing, permitting and right-of-way delays, utility coordination, pavement preservation needs, and workforce shortages. West Richland emphasized that its SR 224 project stayed on schedule by setting clear roles, maintaining frequent communication, resolving right-of-way issues early, and reducing contractor risk through detailed plans and utility relocation. Committee members asked about sidewalk connections to schools, state-agency right-of-way timelines, apprenticeship utilization, contractor selection, and whether complete streets requirements add burdens. The cities said sidewalk gaps are most common in older infill or unincorporated areas, state right-of-way processes can be slow, apprenticeship requirements are generally built into funded projects but are hard for smaller contractors to meet, and there is no easy fix for low-bid contractors with poor performance histories. After the local presentations, staff introduced a JTC-funded study on transit-oriented development policy, and Urban Institute researcher Yona Freemark presented findings from work covering 33 cities in the Puget Sound, Spokane, and Vancouver regions near rail and bus rapid transit stations. He said Washington faces a severe housing affordability problem, with rising rents and home prices, and that TOD can help connect housing and transit but must be tailored to different market conditions. The study found that higher-cost cities near transit have seen more development but also signs of gentrification and loss of affordable housing, while lower-cost cities have had less development and still face worsening affordability. Freemark identified barriers including high debt and construction costs, limited subsidy resources, high land costs, regulatory and parking requirements, and impact fees, and he said HB 1491 and related legislation may address some zoning and parking constraints. He recommended more targeted state support for neighborhood infrastructure around stations and policies that reflect the different conditions of high- and low-demand communities.

Transcript Highlights:

• And that kick payment is the same amount regardless of the delivery outcome, the mode of delivery, or
• Labor and delivery services.
• And here we also measure the preterm delivery rate.
• It used to be 21 and 56 days after delivery.
• For whatever there is a delivery payment or labor and delivery claim comes in, the health plans have

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• the delivery network companies as well.
• So under this proposal, the delivery fees will still...
• Delivery fees are the amounts that are collected by the delivery network company and are passed on to
• network company sales and not all of the delivery.
• Some of the delivery network company sales, and not all of the delivery network company sales, because

Transcript Highlights:

• </c><00:10:35.519><c> method</c> specific to the delivery method specific to the delivery method selection
• But this is an innovative delivery method allowing us to hire a construction contractor early in the
• But this is an innovative delivery method allowing us to hire a construction contractor early in the
• </c><00:21:30.720><c> method</c> this is an Innovative uh delivery method this is an Innovative uh delivery
• </c> every 10year capital projects delivery every 10year capital projects delivery organization<01:14

Committee: Senate Transportation

Transcript Highlights:

• delivery was seen as the main point.
• blood, like a liter of blood at their delivery.
• It doesn't address what's happening at the time of delivery.
• It doesn't address what's happening at the time of delivery.
• It doesn't address what's happening at the time of delivery.