Transcript Highlights:

• One is whenever we have Medicaid waiver request or Medicaid state plan request or Medicaid state plan
• <00:37:10.960> The state plan or waiver amendments. The state plan or waiver amendments.
• <00:38:16.880> our time period um planning our time period um planning our implementation.
• One thing I state plan amendments.
• um because they're in a state plan um because they're in a state plan versus<00:46:22.640> a<

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• It's been a tremendous process to do the planning around a complex data system.
• It's been a tremendous process to do the planning around a complex data system.
• So we don't have a full comprehensive look for all of them.
• <00:53:29.520> that Community Health Improvement plans that Community Health Improvement plans
• Health Improvement plan or ship um that Health Improvement plan or ship um that was<00:55:30.839>

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.

Transcript Highlights:

• You might think that these students are smart, have rapid comprehension, curiosity beyond other students
• I will let them, because we've got a plan. I will let them. Thank you.
• The language we propose specifies a comprehensive approach to screening with multiple avenues and prevents
• need to hire a person to meet their needs, but you do need to have identified them with a defensible plan
• , and you need a plan to show what you are doing to meet those needs.”

Keywords: 959, house, all

Transcript Highlights:

• Do you have a plan of action?
• So my plan is, the document that you got, I'm essentially just going to summarize it.
• We must be planning things good enough. Continue. All right. That was the last finding.
• To the tax revenues for the state to conduct a comprehensive return on investment.
• So on page one, in March 2021, Congress passed the American Rescue Plan Act, otherwise known as ARPA,

Summary: The committee was called to order, the Pledge of Allegiance and prayer were offered, and the minutes from the previous meeting were approved. Members then received a memo summarizing major audit items and began hearing audit presentations from the State Auditor’s Office and private auditors on a range of state agencies and organizations. Several audits were reported as clean, including the Bank of North Dakota, the North Dakota Guaranteed Student Loan Program, the Office of the Governor, the Office of the State Treasurer, the Office of Management and Budget, the Department of Transportation’s flexible transportation fund, Lake Region State College, and the Department of Environmental Quality. The North Dakota Stockmen’s Association also received an unmodified opinion, though repeat findings were noted for limited segregation of duties and financial statement preparation due to its small staff. The Council on the Arts audit found two findings: payroll charged to federal awards without adequate timekeeping records, and unallowable expenditures from a restricted cultural endowment fund. The Department of Public Instruction audit identified unsupported scholarship applications in the paraprofessional-to-teacher program, though additional testing showed the funds were used for their intended purpose. The most extensive discussion centered on the North Dakota Racing Commission audit, which identified four findings: overspending the promotion fund’s 25% operating limit, grant conditions not being met, improper Breeders Fund awards, and improper procurement for advertising services. Racing Commission director Bruce Johnson acknowledged complacency and weak controls, said the agency would tighten procedures, and explained that the commission had since worked with procurement and would follow the rules more closely. Auditors also explained that the commission would now be audited every two years because of the findings. Another major discussion involved the University of North Dakota School of Law, where auditors found a lack of documentation supporting admissions decisions for post-baccalaureate programs. UND officials said they remain in good standing with the American Bar Association but agreed better documentation and tools are needed; the committee pressed for more transparency and follow-up on admissions criteria. The committee also received an update on Dakota College at Bottineau, where Minot State University reported that bank reconciliations had been brought current after a significant backlog and would now be maintained through shared services. Members requested a written follow-up report on the issues and corrective actions. Finally, the North Dakota Fair Association explained that its foundation has been dissolved and remaining funds were transferred to another nonprofit for continued support of the state fair, and the Department of Public Instruction provided an update on school meal debt, saying the reported amount was about $1.1 million from a partial district survey and that debt remains a local issue, though it could be revisited if school meal funding changes.

Transcript Highlights:

• The amendment simply references the state's comprehensive economic development strategy.
• Comprehensive economic development plan catalyst or any amended version success or document. >> Yes,
• 09.039> simply<00:19:09.440> references The amendment simply references the state's comprehensive
• Comprehensive economic development plan catalyst or any amended version, success, or document. >> Yes

Bills: SB182, SB251, SB252, HB74, HB159, HB292, SB182, SB251, SB252, HB74, HB159, HB292

Keywords: psychoactive cannabinoids, cannabis, beverage prohibition, criminal penalties, youth access, Jefferson County, pistol permit, gun permit, concealed carry, firearm permit, sheriff fee, permit fee, weapons license, gun licensing, school security, Jefferson County Sheriff's Fund, retirement system, Gardendale, Birmingham legislative office, local bill

Transcript Highlights:

• Representative Chamberlin: What we did was to define a pyramid scheme inside the PCS as a plan where
• Jeff Smith: We are a national research and advocacy group working to enact a comprehensive set of regulations
• belt to see this as a danger, and now there's the opportunity and the time to put Jeff Smith: comprehensive
• This does not mean it is comprehensively dealing with all of the kratom issues.
• in providing Shawna Flagler South: that much needed mental health care that is part of the holistic plan

Transcript Highlights:

• So this team has really developed a comprehensive nutrient management program.
• So you can see into the future the planned potential uses of it as well as others as well.
• , risk management, transition planning, and record keeping.
• It is practical, applied education rooted in the daily realities of Minnesota agriculture. planning and
• Looking back at the to cross that plan and starting in 2015 when I first band, the current and tennis

Bills: HF3692

Keywords: Farmer-Lender Mediation Act, mediation, agriculture finance, debt relief, civil law, 1183, house

Transcript Highlights:

• We had originally planned for Dr. Melissa Curry here to testify with Dr. Howard. Dr. Curry is ill.
• Um, no concrete plans or nothing in the near future has been planned out.
• Um no concrete plans or in general.
• And I can answer your planned out.
• <01:43:22.560> and think in order to be comprehensive and think in order to be comprehensive

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• Um, it will require submitting a state plan, which would be, which would require approval from the federal
• So this is a writer from Representative Howard, a comprehensive quality assurance program.
• This would create a new testing program, $5 million in each fiscal year to develop a comprehensive program
• There's a sentence in the writer that says health plans that participate shall pass through the increase
• uh, from Representative Rose, uh, would provide 110 million in new funds and direction to submit a plan

Transcript Highlights:

• This is a pretty comprehensive bill and I trust that it's not going to be on the calendar tomorrow because
• Basically, what it will allow them to do is to lobby, and what they… What they plan to do is lobby on
• Rhode Island plans to implement a tax beginning January 1st, 2025.
• products, at levels equal to the cigarette tax and requiring a. cigarette tax and requiring a comprehensive
• We would love to see the bill amended to include a comprehensive licensing program that applies to all

Keywords: 923, senate, all

Transcript Highlights:

• Department of Health and Human Services, and their plan is to build a new allied health building.
• see it later on, but this is their first initial contract stating the method of finance, how they plan
• Those programs, as well as the pay plan increases in the actual salary that took place last July, have
• The first part of what we were doing was pay plan. This is kind of the final act of the pay plan.
• This is kind of the final act of the pay plan.

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• This engagement will help ensure our systemwide strategic plan is not only comprehensive but also reflective
• strategic plan is not only comprehensive strategic plan is not only comprehensive but<00:05:01.639
• <00:45:23.160> for<00:45:23.559> those that are planned for those that are planned
• So the president is the one who decides on the plans, the black box plans, if you will, the variables
• about how to move forward in planning about how to move forward in planning and<00:45:52.280>

Keywords: 1183, house

Transcript Highlights:

• also requires the review of higher education software linked to foreign adversary countries and a plan
• So they have a strategic plan, and this is all part of a larger strategic plan.
• So that, how would you plan... ...consumer would pay more.
• It offers a comprehensive list of places where the changes are made.
• Number four, also technical, the comprehensive list of places, again, where the changes were made.

Summary: The committee first heard Senate Bill 399 by Senator Bass, which would create the Louisiana Higher Education Research Security Council to review and potentially block certain gifts, contracts, academic partnerships, and research partnerships involving foreign adversary sources. Bass said the bill is intended to protect university research, intellectual property, and students from foreign influence, and would also require public disclosure of certain foreign-linked arrangements and a plan to eliminate foreign-adversary-linked software. Supporters from State Armor argued Louisiana universities have been vulnerable to Chinese Communist Party influence and intellectual property theft. Representatives from Tulane University and Lenovo raised concerns that the bill could create duplicative review, delay research, raise costs, and sweep in legitimate private or multinational entities; a proposed amendment to exempt entities operating under a CFIUS national security agreement failed 4-8. After debate, the committee moved SB 399 favorably. The committee then considered Senate Bill 310 by Senator Cloud, presented by Representative Carlson, which would require public school and college health centers to display information about pregnancy resources available in Louisiana. Supporters from Louisiana Right to Life said the bill would help connect pregnant students with existing state and private assistance programs, while the ACLU submitted a red card in opposition without speaking. The bill was moved favorably without objection. The committee also advanced House Resolution 171 by Representative Turner, which calls for a study of the workforce-oriented TOPS Tech and M.J. Foster programs, with business and workforce groups supporting the study as a way to measure outcomes and return on investment; it was moved favorably. Next, the committee took up House Bill 1084 by Representative Turner, a tuition autonomy bill for public post-secondary institutions. An amendment was adopted to add a conceptual framework for tuition-setting considerations, but the bill would still remove the existing 10% over two years cap and allow institutions to set tuition more freely. Turner argued universities need more flexibility because state funding has declined and campuses face deferred maintenance and operating pressures. Several members, especially Representative Carlson, warned that higher tuition could reduce access and that the bill did not address broader structural problems in higher education. Despite those concerns, HB 1084 was moved favorably by an 8-3 vote. Finally, the committee heard Senate Bill 351 by Senator Jackson Andrews, which would let families apply for child care assistance through CCAP once pregnancy is known, rather than waiting until after birth, to help move them up the waiting list. An amendment was adopted to have BESE, rather than the department, handle rulemaking and to allow the House and Senate education committees to approve the implementation process. The bill was then discussed as a way to help parents return to work sooner, and the hearing continued with questions from members.

Transcript Highlights:

• This collapse gutted our planning ability.
• And the 504 plans, we also need the staff.
• I don't think we need a special plan.
• I don't think we need a special plan.
• The towns can't plan.

Keywords: 995, all

Summary: The Joint Committee on Education opened a hybrid public hearing on a large slate of bills related to school buildings, school finance, technology, data privacy, safety, and related education issues. Chairs Jason Lewis and Ken Gordon outlined procedures for the hearing, including two-minute testimony limits and the plan to group similar bills together. Several bills drew no testimony and were closed without further discussion, while others drew extensive testimony from legislators, school officials, parents, advocates, and educators. A major theme was school safety and student well-being. Lori Al-Hadeth testified in support of bills on alert systems in public schools, describing the loss of her daughter in the Parkland shooting and urging adoption of Alyssa’s Law-style panic alert technology. Representative Gallagher and disability advocates also supported a bill authorizing, but not requiring, airway clearance devices in schools, arguing they could save lives in choking emergencies and provide an option for people who cannot use the Heimlich maneuver. Another bill on reducing cafeteria waste drew support from a legislator and a Lexington sustainability official, who said installing dishwashers during construction would reduce waste and long-term costs. Much of the hearing focused on Chapter 70 school funding and the inflation cap. Senator Pavel Payano, Senator Sal DiDomenico, Representative Senna, and multiple local officials and school committee members from Bridgewater, Chelsea, Groton-Dunstable, and other districts argued that the 4.5% cap on inflation adjustments has left schools underfunded during years of high inflation, forcing layoffs, larger class sizes, and cuts to programs and student supports. They urged bills to eliminate the cap, restore lost funding, increase the Commonwealth’s share of the foundation budget, or create commissions to study reforms. Testimony also highlighted the impact on special education, English learners, and low-income students, with Chelsea witnesses saying the cap has cost their district about $7 million annually. School construction and MSBA reform were the other major topic. AIA Massachusetts, Boston Public Schools, Lynn officials, and AFT Massachusetts described aging facilities, overcrowding, deferred maintenance, and the difficulty of financing new schools under current reimbursement rules. Boston officials said the district has many pre-World War II buildings and has only built a handful of new schools in decades, while Lynn leaders said reimbursement rates have fallen well below the statutory 80% because of caps and ineligible costs. Witnesses urged modernization of the MSBA program, higher reimbursement rates, and more resources for school construction. The committee also heard support for a bill to study the adequacy and equity of the school building program, and chairs indicated some bills would be closed after no one signed up to testify.

Transcript Highlights:

• CHAPA, the Citizens Housing and Planning Association, has identified that this is an issue that they
• Finally, some will say that families can simply shop around or turn to the fair plan.
• which directly refer to the fair plan within their provisions.
• It establishes a comprehensive statutory framework.
• I wasn't planning to speak. I'm Lawrence Berman, of Berman Adjusters.

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills, with much of the discussion focused on affordable housing insurance, homeowners insurance practices, climate resilience, and consumer protections after property losses. Senators and representatives testified in support of a resolve to create a commission on affordable housing insurance (S. 768/H. 1279), arguing that rising premiums and deductibles are threatening the viability of affordable housing properties and new development. Supporters also backed bills to establish private flood insurance standards (S. 719), create climate-resilient home retrofit grants (S. 720), expand the MVP climate resilience program (H. 1310/S. 686), and protect urban trees and limit insurer-driven tree removals (H. 1316). Several lawmakers and advocates said these measures would help reduce risk, preserve insurability, and address the effects of increasingly severe storms and flooding. The committee also heard testimony on bills addressing insurer use of aerial imagery (H. 1242/H. 2142) and notice periods for nonrenewals or repairs (H. 4042 and related measures). Supporters said insurers should be allowed to use drones and satellite images but with stronger guardrails, including current photos, disclosure of risk factors, an appeals process, and time to cure defects. They argued that homeowners are sometimes blindsided by nonrenewals based on inaccurate aerial photos or given too little time to make repairs. Opponents from the insurance industry said aerial imagery is already regulated by the Division of Insurance, that additional statutory requirements could create confusion and litigation, and that existing notice rules already provide 45 days for nonrenewals and 60-day limits on cancellations. Industry witnesses also warned that some proposed timelines conflict with current law and could restrict useful underwriting tools. Another major topic was H. 1077, which would restrict solicitation by restoration companies and public adjusters at fire scenes. A homeowner described being approached immediately after a house fire by restoration and public-adjuster representatives and said the experience was intrusive and overwhelming; supporters said homeowners need time and space to make informed decisions after a disaster. Public adjusters and restoration contractors opposed the bill, saying they provide needed guidance, emergency mitigation, and claims assistance when homeowners are under stress, and that some existing protections already allow consumers to cancel contracts. The hearing ended after all listed witnesses testified, and the committee voted to close the hearing; no bill dispositions were taken during the session.

Transcript Highlights:

• are running together at this point, and they are following a cohort of 11, 12, and 13-year-olds, and plan
• And this is going a step further by looking at a more comprehensive report that is a breakdown location
• A comprehensive breakdown.
• So, rather than a machine just having to produce it for that location, we'd have a comprehensive report
• A comprehensive report of the total votes for that election broken down by location.

Bills: SB1065, SB2117, SB2217, SB2363, SB2533, SB2742, SB2743, SB2881, SB2964, SB3013, SB3014

Keywords: SB 1065, handgun carry, license holder, concealed carry, open carry, government contracts, governmental entity, property lease, state agencies, local government, higher education, university, Texas Government Code, Penal Code 30.06, Penal Code 30.07, Penal Code 46.03, Second Amendment, gun rights, firearms, civil penalty

Transcript Highlights:

• So this is where all of the pay plan and all of that went into effect for us.
• That particular training is one of our most comprehensive.” teachers.
• That particular training is one of our most comprehensive. That started 30 years ago.
• Maybe you haven't got your plan developed, but what's your thoughts on that? Sure.
• It is a request from the Bureau of Legislative Research related to the pay plan.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• This is not a non-comprehensive.
• We need a plan.
• We need a plan. We've got it prepared. We need a plan.
• <01:26:21.920> that transformation fund and the plan that transformation fund and the plan
• <01:42:37.520> for Health, I am on the expansion plan for Health, I am on the expansion plan

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Department of Health and Human Services, and their plan is to build a new allied health building.
• see it later on, but this is their first initial contract stating the method of finance, how they plan
• And this is to allow for a comprehensive strategic study to see if Arkansas can engage in the lithium
• The first part of what we were doing was pay plan. This is kind of the final act of the pay plan.
• "This is kind of the final act of the pay plan.

Keywords: 1204, all

Transcript Highlights:

• One of the things that we did early on was to develop a strategic plan. and a strategic plan for the
• You will see the three main categories of our state workforce plan and our strategic plan.
• , this workforce plan, and the tri-agency initiative.
• So, it's a comprehensive look at the issues, and it's a strong series of recommendations.
• If either one of them is reduced, then our 10-year plan can't be realized. Thank you very much.

Keywords: 1184, house, all