Transcript Highlights:

• I do think the cost-benefit analysis would be prudent. Any other discussion?
• The net benefit is almost $9 million after paying those? That's correct.
• to the same extent that the current generation is benefiting.
• It's a process. It's a process.
• So this is really in the benefit of the plan.

Summary: The committee met to approve prior minutes and receive updates on the Legacy Fund transparency website and fund performance. Staff reported the website procurement was in contract negotiations, with a planned go-live around November 1, and that the site would provide downloadable, more transparent information on fund holdings, allocations, history, and legislative appropriations while protecting confidential data. The investment office then reviewed performance through January 2026, describing strong returns relative to benchmarks, noting real estate and fixed income as weaker areas, and explaining that the fund’s diversification and internal management had helped offset market volatility, including recent geopolitical impacts. Members also discussed the in-state investment program, especially the Bank of North Dakota’s CD-match allocation. Several members questioned whether the program had been static for years and whether the uncommitted balance should remain parked there if it was not being used. The committee voted to pause further transfers into the program until the Bank provides a report and the committee can consider possible statutory changes; the motion also requested a cost-benefit analysis from RVK, and it passed by roll call vote. In the afternoon, RVK presented its review of the investment policy statement as it relates to the in-state investment program. The consultant said it found no major policy impediments, and that implementers and stakeholders generally felt the program was proceeding as intended. RVK emphasized best practices such as third-party due diligence, competitive risk-adjusted returns, diversification, pacing, and exit strategies, while cautioning that required lower-return investments or spending commitments can create pressure on the fund’s long-term real value. The consultant also raised ancillary concerns about state-level concentration risk, the need to distinguish between public and commercial infrastructure, and the lack of a central repository for all state funding commitments to the same projects.

Transcript Highlights:

• it happened and what you need to change in that process.
• it happened and what you need to change in that process.
• and benefits like these.
• provide outweigh the benefits they they provide outweigh the benefits they receive<01:09:18.359>
• Help me understand the process. How does that work?

Bills: HF10

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, 1183, house

Transcript Highlights:

• :12:35.240> customers<00:12:36.240> and benefits to their enrolled customers and benefits
• They're both process.
• <00:23:27.440> charges program, the system benefit charges program, the system benefit charges
• /c><00:40:38.880> vesting sort of PUC hearing process and vesting sort of PUC hearing process
• <00:42:48.480> for<00:42:48.800> a process involves a request for a process involves a

Keywords: 1189, house, all

Transcript Highlights:

• We believe in the process. We just want that process to be beneficial.
• There's no perfect product in this process.
• So there are several steps in that process.
• Then a blind choice process has to be created.
• And in the process, those two will never meet.

Bills: S0484, S0698, S0706, S0968, S1118, S1122, S1134, S1320, S1342, S1548, S1614

Keywords: data centers, large load customer, large-scale data center, electric utility, public utility tariff, Florida Public Service Commission, FPSC, water permit, consumptive use permit, reclaimed water, groundwater, surface water, water management district, DEP, OPPAGA, economic development, land use, comprehensive plan, zoning, ratepayer protection

Summary: The committee heard several housing, local government, utility, and transparency bills. SB 1342 on transportation infrastructure and land development regulations, by Sen. Rouson, was presented as a housing-affordability measure modeled on the Live Local Act for transit corridors. After adopting an amendment that removed the bill’s compelling-governmental-interest language in enforcement provisions, the committee heard testimony from local-government and housing interests both supporting and opposing the bill’s zoning preemption approach. The bill was reported favorably. The committee also reported favorably CS/SB 1614, by Sen. Leek, which was amended to remove stormwater and code-enforcement spending provisions and to tighten restrictions on local governments seeking state appropriations after audits or without required affirmations. SB 1548, the next Live Local Act iteration by Sen. Claddie Ude, was also reported favorably; it expands where Live Local projects may be located and adds fair-housing protections. SB 968 on home backup power systems, by Sen. McLean, was reported favorably after testimony from builders and energy-related stakeholders, with the sponsor noting he was still working on amendments to refine permit provisions. The committee then approved CS/SB 698, by Sen. Martin, which allows building permits for single-family homes to be issued before septic permits are finalized if application has been made, while still requiring septic approval before occupancy. Builders testified that septic permit delays were causing lengthy project delays and contract cancellations. The committee also reported favorably SB 1320, by Sen. Martin, requiring county tax-increase referenda to include a Department of Financial Services spending analysis if available; the sponsor said the goal was to give voters more standardized fiscal information, while opponents argued existing law already provides similar transparency. SB 484, by Sen. Avila, on data centers, was reported favorably after an amendment adding a knowledge requirement to the foreign-country-of-concern service prohibition; the bill addresses local planning authority, nondisclosure agreements, utility tariff requirements, and water-use limits for large data centers. The committee also reported favorably SB 1118, by Sen. Avila, creating a one-year public-records exemption for data-center location and proprietary information, with testimony split between economic-development supporters and transparency concerns. Finally, the committee took up SB 706, by Sen. Mayfield, preempting naming of major commercial service airports to the state and designating Palm Beach International Airport as Donald J. Trump International Airport subject to federal and trademark conditions; it was reported favorably after questions about local input and airport naming. The committee then heard extensive public testimony on SB 1134, by Sen. Yarbrough, which would prohibit counties and municipalities from funding, promoting, or taking official actions related to DEI and would create penalties and a private right of action for residents. The sponsor argued the bill was aimed at preventing taxpayer-funded DEI programs and cited examples from Jacksonville and other jurisdictions; opponents said the bill was vague, overbroad, and would chill local programs, public education, and civil-rights-related activities. The transcript ends during continued public testimony on SB 1134, with no final committee action shown in the excerpt.

Transcript Highlights:

• To have a rule-making process.
• In Big Lake, processed oil was sold.
• The process can happen and never be detected.
• So it's almost a several multi-phase process. process.
• This process is quite extensive.

Bills: HB48, HB49, HB 1169, HB1971, HB2584, HB2663, HB2890, HB48, HB49

Keywords: HB 48, oilfield theft, organized theft, petroleum products, oil and gas equipment, DPS, Department of Public Safety, Texas, Railroad Commission, criminal justice, energy resources, theft prevention, organized crime, border region, El Paso, law enforcement task force, asset recovery, pipeline theft, drilling equipment, equipment theft

Transcript Highlights:

• just go through the normal process just go through the normal process through<00:03:25.560> the
• They would just have to go through the waiver process.
• Is that the waiver same waiver process Is that the waiver same waiver process you<00:04:00.040><
• And I know that waiver process.
• benefits. Thank you. benefits. Thank you. >> Representative<00:28:48.440> Truitt.

Keywords: 958, all

Transcript Highlights:

• We're going through the process.
• "About data centers that are either in the construction process, or in the permitting process, or in
• WHO BENEFITS, WHO BEARS THE COST?
• the people that they are supposed to benefit.
• THE PEOPLE THAT THEY ARE SUPPOSED TO BENEFIT.

Keywords: 993, senate, all

Summary: The Senate met on June 3, 2026, approved the prior day’s journal, and then moved through a long list of discharge motions and substitutions to place many bills on the third reading calendar. The chamber also adopted Resolution J.2314 honoring the New York chapter of the National Domestic Workers Alliance, with remarks emphasizing domestic workers’ role in care work, labor organizing, and protections such as paid sick leave and family leave. Another adopted resolution, J.2298, mourned labor and social justice advocate Minerva Solla, with senators highlighting her work with 1199, the Young Lords, Puerto Rican solidarity efforts, and women’s organizing. A third resolution recognized Olympic curler Daniel Casper for representing the United States at the 2026 Winter Games. The Senate then confirmed a large slate of judicial and executive nominations. It accepted the Judiciary Committee report and confirmed four interim Supreme Court justices, seven Court of Claims judges, and 21 reappointments/extensions by a vote of 44-12. The Finance Committee report was also accepted, and the Senate confirmed a broad set of appointments to state boards and authorities, including the MTA, State Commission of Correction, Power Authority, NYSERDA, Financial Control Board, public health councils, SUNY and Cornell boards, gaming and bridge authorities, and others. One notable confirmation was Alexander Dockery to the State Commission of Correction; supporters called it the first time a formerly incarcerated person had been confirmed to that commission, while Senator Murray criticized the practice of voting on large nomination blocks rather than individually. The chamber then took up and passed many bills, mostly by wide margins, covering labor, health, education, transportation, public service, criminal justice, municipal, tax, insurance, and environmental topics. Several members explained their votes on major measures: Senator Ramos supported a bill modernizing temporary disability benefits and another protecting construction workers from lost pay when jobs are canceled; Senator Baskin spoke about a correction bill tied to the death of India Cummings; Senator Skoufis described a family-court custody bill intended to prioritize child safety; Senator Mayer backed a proposal to reimburse parents of medically fragile children for providing care; and Senator Hinchey defended a bill requiring employers to report AI-related job impacts, while Senator Borrello opposed it as burdensome. Most bills were passed, some were laid aside, and the session concluded with multiple roll-call votes and confirmations before adjournment-related business.

Transcript Highlights:

• They didn't have a process in place.
• We need these processes. Mr.
• Process for each program.
• So how long does that process take? Is it a three-month process? Is it a six-month process?
• So the revision process.

Transcript Highlights:

• In addition to that, we also provide certain different benefits.
• They get regular state employee benefits.
• How is this process transparent when you're putting language that didn't make it through the process
• So this is totally outside the process.
• The work group has allowed us to dive deeper in the process.

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• It's a very transparent process.
• It's a very transparent process.
• It's a very transparent process.
• It's a very transparent process.
• It's a very transparent process.

Keywords: 1187, senate, all

Transcript Highlights:

• The insights and recommendations developed through this process will be reflected in the 2028 master
• Who benefit from the hard labor that they do every day.
• However, due to my immigration status, I do not qualify for the benefits of retirement.
• And I look forward to tweaking the amendments and whatever process we need to do.
• In this process, we discovered new and innovative ways to deliver services to our residents.

Keywords: 988, house, all

Transcript Highlights:

• You need more individuals to help process that.
• the budget process.
• To do this through the normal process and not through the budget process.
• the budget process. to do this through the normal process and not through the budget process but I know
• So that would be a direct benefit to the homeowner.

Keywords: 988, house, all

Summary: The committee heard a series of May Revision budget items, beginning with the State Controller’s Office. SCO described requests for Fiscal Book of Record stabilization, payroll system implementation, ACFR reporting support, and unclaimed property outreach funding. Members focused on the Fiscal system’s July go-live, the improved timeliness of the ACFR, and the unclaimed property program’s roughly $15 billion balance and outreach efforts. The Department of Finance and LAO raised no major concerns, and the item was closed after discussion of how the new outreach funding would be used. The committee then considered several revenue proposals. Finance presented a proposal to tax pre-written digital software and SaaS, with estimated General Fund gains of $450 million in 2026-27 and $900 million ongoing; LAO suggested broader digital tax changes and a business-use exemption, while industry groups opposed the measure as a tax on essential digital tools. CDTFA also presented an administrative request tied to the software tax, and later a $10 million budget reduction reflecting lower operational needs. The committee then heard a federal conformity proposal for new children’s tax-deferred accounts, which LAO supported, and a proposal to cut the first-year LLC/LP minimum tax from $800 to $400, which Finance said would aid small business formation but LAO argued was poorly targeted and would reduce revenue. Another major item was a permanent business tax credit limitation beginning in 2027, capping credits at the greater of $5 million per corporation or 50% of pre-credit liability. Finance said it would raise about $850 million in 2026-27 and more in later years, while LAO noted it would mainly affect large firms using the R&D credit and could also touch California Competes and other programs. Public testimony split sharply between business groups opposing the cap and advocates supporting it as a progressive revenue measure. The committee also heard FTB’s CalFile realignment proposal, which would retain a smaller staff to continue improving the free filing system and return most of the prior funding to the General Fund. The hearing concluded with the California Arts Council’s request to reauthorize the Keep Arts in Schools voluntary contribution fund, which brings in about $221,000 to $266,000 annually for arts grants and teacher stipends. Members and advocates supported the item but also urged larger arts funding, including the Performing Arts Equitable Payroll Fund. The Governor’s Office of Business and Economic Development then presented proposals for the California Civic Media Program, CA RISE reappropriation, and a reversion of unused Chips for America facility funds; LAO supported the latter two but was cautious about new civic media spending. Members raised concerns about the civic media program’s scope, including the exclusion of broadcast and the lack of a specific ethnic media set-aside, while GoBiz said funds would begin going out in the fall if approved.

Transcript Highlights:

• I think, you know, wage and benefits, you know, that is definitely up there.
• A little bit about our work group process.
• OIC does not take a position on the creation of this new benefit.
• Do other states have this benefit? And does Medicare have a palliative care benefit? And yeah.
• Medicare benefits and reimbursement.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• It also restricts tax and fee benefits.
• However, state recognition can provide us with crucial benefits.
• We are in the process of federal recognition. process.
• This is where the state benefits.
• Agape's proximity to schools is a great benefit to our moms.

Bills: HB551, HB 1281, HB1378, HB1617, HB2868, HB2881, HB3374, HB4439, HB4726, HB4732, HB4878, HB4914, HB4921, HB4958, HB5200, HB5318, HB5360, HB5402, HB5568, HB5573, HB5623, HJR218

Keywords: political contributions, address privacy, Texas Ethics Commission, election transparency, campaign finance, international organizations, World Health Organization, jurisdiction, state law, enforcement, United Nations, World Economic Forum, attorney general, Texas attorney general, state sovereignty, legal enforcement, Texas Attorney General, electric energy storage, municipal regulation, county regulation

Transcript Highlights:

• from tax benefits.
• I get a tax benefit for that, and they get it pre-taxed.
• I see the benefit; anybody in business sees the benefit. This benefits every person.
• There's going to be a cost-benefit analysis that will be part of this process to probably answer those
• Year in and year out, they have to reapply for their Medicaid benefits.

Transcript Highlights:

• manager working group to determine the best policies to reform pharmacy benefit manager practices in
• manager working group to determine the best policies to reform pharmacy benefit manager practices in
• manager working group to determine the best policies to reform pharmacy benefit manager practices in
• Um, but there's no one to blame, but the process needs to be fixed. So, thank you for the question.
• Um, but there's no one to blame, but the process needs to be fixed. So, thank you for the question.

Keywords: 910, house, all

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• One, that this process is a long-term process.
• this process uh is a long-term process. this process uh is a long-term process.
• No benefits for the 89-day hires.
• the benefits package. the benefits package.
• timeline of the process. That's it. timeline of the process. That's it.

Bills: HB2459, HB1616, HB1799, HB1604, HB1732, HB1736, HB1931, HB772, HB2153, HB2122, HB2009, HB2012, HB1779, HB2296, HB2397, HB2398, HB1596, HB2233, HB1976, HB1563, HB815, HB1655, HB1851, HB1941, HB2037, HB1635, HB2201, HB1943, HB1163, HB2452, HB2429, HB2148, HB2306, HB2007, HB2049, HB2616

Keywords: food innovation, agribusiness, food safety, market access, branding, economic diversification, performance indicators, agriculture, aquaculture, commercial activity, swine production, Korean natural farming, housing development, commercial projects, county authority, public works, construction standards, exemption, zoning, housing

Transcript Highlights:

• improvement in that process.
• What is your process there?
• Do how does what is the process there be?
• It's a computer process program.
• The whole process is incredibly inexpensive.

Keywords: 914, all

Transcript Highlights:

• So there's currently a matching fund process in place.
• In an event like that, what process is followed?
• That process still exists.
• And getting through a rigorous project process.
• process for us to One of which was a process, an administrative process for us to search the records

Keywords: 996, all

Transcript Highlights:

• There's a lot that goes into the transportation benefit.
• There's a lot that goes into the transportation benefit.
• There's a lot that goes into the transportation benefit.
• you detect how do you go back to process you detect how do you go back to process to<00:37:58.319
• They have developed a reporting process and monitoring process to look at every complaint that comes

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.