Transcript Highlights:

• So the moratorium is essentially that there is one requirement required for provider taxes called the
• </c> provider taxes. provider taxes.
• There's also a change um here that um for expansion states um states are required to provide Medicaid
• There's also a change um here that um for expansion states um states are required to provide Medicaid
• For expansion states, states are required to provide Medicaid coverage for emergency medical services

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:

• If you require assistance in registering or testifying, please contact our committee staff.
• If record keeping and sanitation requirements are adhered to as laid out in the statute, individuals
• Would be required to hold an ungraded dealer-wholesaler license obtained from the Texas Department of
• Also, an aspect there in Section D that would require or ask to cap their fee at $50.
• And so let's provide farmers... Freedom and chicken freedom. I close. Thank you. Questions?

Bills: SB1864

Keywords: eggs, ungraded eggs, egg grading, poultry, farm products, local food, small farmers, direct-to-consumer sales, wholesale food sales, food safety, refrigeration requirements, sanitation standards, occupational license, dealer-wholesaler license, Texas Department of Agriculture, restaurants, small grocery stores, cooperatives, farmers cooperative, agricultural regulation

Transcript Highlights:

• On line 26, under construction is defined as means construction has begun as provided by IRS Notice 2025
• the bills we're got pending in the legislature right now, is a big deal in Alabama right now and requires
• So, what this does is it provides that permanently and totally disabled veterans of the United States
• So, so what this does is it it provides<00:37:05.119><c> that</c><00:37:05.440><c> permanently</c><00
• :37:06.000><c> and</c><00:37:06.320><c> totally</c> provides that permanently and totally provides that

Bills: SB176, HB155, HB247, HB311, HB312, HB317, HB466, SB176, HB155, HB247, HB311, HB312, HB317, HB466

Keywords: controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, state holidays, federal holidays, public holidays, legal holidays, office closures, state employees, personal leave, compensatory leave, bank closures, school closures, Mardi Gras, Mobile County, Baldwin County, Rosa Parks Day

Transcript Highlights:

• It amends to provide a $50... ...It amends to provide a $50 million Bond Authority.
• House Bill 182 by Representative Reynolds concerning emergency medical transport providers.
• HB 182 is the same provider tax; this being for...
• The same provider tax, this being for the Emergency Medical Transport providers, the assessment period
• The Department of Health received $500,000 to provide rapid response to overdose outbreaks.

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• So one of the biggest concerns with this is separating diploma requirements from TOPS requirements.
• That's the TOPS Tech requirements. That aligns. 17:50:26, that's the TOPS Tech requirements.
• requirements.
• But to make it a requirement for TOPS, again, so you're adding two units, and we already require theology
• Broussard, provides relative to core curriculum requirements for TOPS and TOPS Tech Awards in the subject

Bills: HR17, HB385, HB406, HB787, HB1021, HB1058, HB1059

Keywords: education, investment, workforce development, TOPS, higher education, repayment, scholarships, academic eligibility, financial aid, athletics, high school sports, state report, student wellness, computer science, scholarship, curriculum requirements, workforce training, education funding, data administration, financial assistance

Transcript Highlights:

• And the reason for that is because sometimes a grandkid could actually be the one providing care to a
• It didn't have a requirement for a minimum time that you would be in the Oklahoma Guard the way it.
• Last year, there was no minimum requirement. I talked to the guard members.
• There is no requirement to serve a day in the Oklahoma National Guard. Follow up, thank you.
• And I'm saying nurses, but it's all the healthcare providers.

Bills: SB2026, SB1376, SB1355, SB2115, SB1533

Keywords: military discharge, veterans, DD Form 214, confidentiality, grandchildren access, Oklahoma National Guard, education assistance, military benefits, dependents, CareerTech Assistance Act, burial grant, memorial headstone, eligibility requirements, funding, Oklahoma Department of Veterans Affairs, fiscal management, state law, veteran burial, burial assistance, indigent veterans

Transcript Highlights:

• The government requires notice. We all want to come back immediately.
• But two sessions on how to provide a disincentive to add call items for fundraising opportunities.

Bills: SB 53, SB 54, HB16, SB 19

Keywords: voter registration, election procedures, provisional ballot, change of address, residence requirements, Texas Election Code, voting rights, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, political contributions, special legislative session, election code, transparency, campaign finance, election law

Bills: SB 2082, SB 2203, SB 2351, SB 2550, SCR 48

Keywords: concrete crushing, hospital proximity, environmental regulation, public health, zoning laws, concrete plants, standard permit, construction regulation, environmental compliance, health and safety code, water rights, property transfer, disclosure requirements, coastal property, Texas legislation, real estate, environmental impact, Gulf of America, coastal resources, Texas sovereignty

Transcript Highlights:

• This new bill lays out more specific requirements.
• For instance, if someone is going to tether a dog outside, the bill specifies the requirements for the
• I feel strongly that a person who owns a pet should provide proper care and shelter. ...a pet.
• Adequate shelter is defined as a structure that provides a dog with protection from inclement weather

Bills: HB149

Keywords: dog tethering, animal welfare, animal cruelty, outdoor shelter, dog confinement, leash laws, chaining dogs, trolley system, kennel standards, dog shelter requirements, Class B misdemeanor, veterinary practice, boarding kennel, animal shelter, hunting dogs, livestock herding, farm dogs, agricultural exemption, pet care, canine protection

Transcript Highlights:

• Once you are called on, you have two minutes to provide public comment.
• We have the number of required votes. Submission passes.
• Having received the required number of votes, the motion carries. Dr.
• Having received the required number of votes, the motion carries. Thank you.
• We’re here to provide informational testimony on H.B. 459.

Bills: SB293, SB279, SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The House Education Committee met and first heard Senate Bill 293, the Youth Camp Licensing Act, which would amend child care licensing rules for youth camps. The sponsor said the bill, with amendments, would remove accreditation language, clarify shelter requirements for outdoor camps, and eliminate limits that had restricted the number of children camps could serve, especially for families using purchase-of-care assistance. YMCA and school representatives testified in support, saying the measure would expand access to safe, affordable summer care for low-income working families. The committee voted to release the bill. The committee then approved Senate Bill 328, which would require the Department of Education’s school facility evaluation instrument to be established by regulation and to include lead-based paint hazards in the standard of good repair. The Childhood Lead Poisoning Prevention Advisory Committee supported the bill, explaining that lead had not been included in the original evaluation tool and that the new language would improve transparency and public comment. Senate Bill 318, updating the Delaware State Education Association special license plate program, also passed after DSEA testified that proceeds support scholarships for educators and students pursuing education careers. House Bill 443, dealing with background checks for education volunteers and mentors, passed as well. The sponsor said it would allow DOE to continue receiving wrapback reports for mentors in the state mentoring program and ensure state and federal criminal background checks remain in place. The committee also released Senate Joint Resolution 15, which directs DOE to reevaluate Delaware’s use of the SAT, modernize the accountability framework, and develop additional measures of student achievement and readiness; supporters argued the SAT does not capture career and technical pathways or other indicators of success. House Bill 459, which prohibits the sale of energy drinks on public middle and high school campuses during school hours or events, passed after discussion focused on whether the bill would affect possession versus sale and whether it could lead to student discipline; DOE said the bill only bans sales, and the sponsor said an amendment would clarify intent. Finally, House Concurrent Resolution 137 passed, directing DOE to review math instruction and MTSS supports statewide; testimony emphasized low math proficiency and the need for stronger, more coherent interventions. The committee also began hearing Senate Bill 279 on occupational therapist salary placement, with discussion centered on aligning OT compensation with other specialist roles and broader salary regulation updates, though the transcript cuts off before final action is shown.

Transcript Highlights:

• You'll be given two minutes to provide your comments.
• You'll be given two minutes to provide your comments.
• You'll be given two minutes to provide your comments.
• Requires that report be done.
• Requires ongoing attention and support.

Bills: SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The Senate Education Committee approved the June 10 minutes and then heard House Bill 447, which would create a framework for voluntary child care cost-sharing partnerships among the state, employers, community sponsors, and families. Supporters said the bill is meant to help make child care more affordable and support workforce participation by using the existing Interagency Resource Management Committee to coordinate planning and funding. Committee discussion focused on how the tri-share model would work, who would participate, and whether it would reach lower-income families; no public comment was offered on the bill. The committee then took up House Bill 300, as amended, which would establish a statewide Title IX coordinator within the Department of Education to provide training, technical assistance, data collection, and oversight for interscholastic athletics in grades 6 through 12. The bill’s sponsor and supporters said the position would help schools comply with Title IX, improve consistency, and make athletic participation and spending data more transparent; opponents or skeptics questioned whether a new DOE position was needed and whether districts were already meeting their obligations. The sponsor and witnesses responded that existing federal data are delayed and incomplete, that some Delaware schools have participation gaps, and that a state-level coordinator would provide needed support and accountability. Public comment on HB 300 included testimony from the Delaware State Education Association, the Delaware Association of School Administrators, the Delaware School Sports Network, and the Office of Women’s Advancement and Advocacy, all generally supporting the bill or its goals. DASA noted it remained neutral but appreciated changes made in House Amendment 1 to reduce reporting burden. After public comment, the chair asked members to sign the bill release forms for the two bills heard, and the committee adjourned.

Transcript Highlights:

• </c><00:09:22.839><c> professional</c> the providers professional the providers professional obligation
• </c> evolved and um we think that providing evolved and um we think that providing informed<00:09:56.160
• </c><00:30:47.360><c> in</c> not safety features required in not safety features required in residential
• that provides um let's just say that provides um let's just say Employment<00:55:29.200><c> Services<
• So this would provide the organization with the ability to do that work.

Bills: HF2371, HF2147, HF2557, HF1165, HF2466, HF2465, HF2482

Keywords: informed consent, sensitive examinations, healthcare, patient rights, anesthesia, hot water pools, rental properties, public health, safety regulations, Minnesota Statutes, health care access, hospital surcharge, fund allocation, medical assistance, health funding, health care, education, bonding capacity, financing, Minnesota Higher Education Facilities Authority

Transcript Highlights:

• will have to show an ID because your age is... ...have to show an ID because your age is already provided
• They work really hard to provide tools for all parents to comply and keep their children safe.
• What's important in this Alabama Bill SB186 is that it requires the filtering of SB186 is that it requires
• Parents would only have to do this once, rather than providing personal information to each of the 40
• The differences here are that one, parental approval would be required for all app downloads and not

Bills: SB186, SB187

Keywords: internet filtering, child protection, obscene content, civil liability, manufacturers, app store, app store provider, app developer, mobile app, age verification, parental consent, minor safety, child online safety, parental controls, age gating, digital privacy, data protection, in-app purchases, online consumer protection, deceptive trade practice

Transcript Highlights:

• </c> legislation, but we did provide legislation, but we did provide comments,<00:08:14.120><c> um,</
• </c><00:09:29.000><c> additional</c> that, uh, we may require additional that, uh, we may require additional
• </c> serious way that you're able to provide serious way that you're able to provide services,<00:25:
• </c><00:45:17.480><c> and</c> contract or subcontract providers and contract or subcontract providers
• </c> provided classified by conflict area. provided classified by conflict area.

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• </c><00:14:52.639><c> of</c><00:14:52.880><c> the</c> statutory requirements of the statutory requirements
• chapter, requiring assets, etc.
• , but they're not capital required, but they're not required<00:43:31.119><c> to</c><00:43:31.520><c>
• </c><00:43:33.680><c> Is</c> required to have that raised yet. Is required to have that raised yet.
• and it's required to be 100% right?

Bills: SF0021, SF0022, SF0054, SF0055

Keywords: stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation, state commission, decentralized, nonprofit association, merger, conversion, liability, membership, governance, indemnification, banking regulation, special purpose depository institution, conversion process, Wyoming state laws, financial services

Bills: SF0021, SF0022, SF0054, SF0055

Keywords: stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation, state commission, decentralized, nonprofit association, merger, conversion, liability, membership, governance, indemnification, banking regulation, special purpose depository institution, conversion process, Wyoming state laws, financial services

Transcript Highlights:

• Each public witness will be given two minutes to provide his or her testimony.
• Senate Bill 2847 amends the education code to provide greater flexibility and structure of core curricula
• Requirements offer an important foundation but don't always reflect the needs of students pursuing career-focused
• The intention is simply to provide all of our public institutions, both two-year and four-year, the same
• One of the things that Senate Bill 25 did was require reporting to the Coordinating Board about courses

Bills: SB2847, SB3039

Keywords: higher education, bachelor's degree, core curriculum, general education, semester credit hours, credit hours, degree acceleration, time to degree, workforce-aligned credentials, workforce readiness, Texas Higher Education Coordinating Board, public universities, community colleges, transferability, curriculum reform, academic requirements, degree completion, transfer students, education transparency, academic credit

Transcript Highlights:

• </c> subcontractor has changed and to provide subcontractor has changed and to provide them<00:31:39.679
• Most of them are related to either disputed work or mistakes on the required payment or on the required
• on the required payment or on<00:36:52.720><c> the</c><00:36:52.880><c> required</c><00:36:53.319><c
• </c><00:37:10.359><c> the</c> available to them such as providing the available to them such as providing
• </c><00:37:14.960><c> the</c> introduced the Bild would require the introduced the Bild would require

Bills: HF1234, HF1956, HF1025, HF1172, HF791

Keywords: payment transparency, public contracts, contractor rights, government accountability, construction payments, municipal finance, liquor store, audit requirements, state auditor, local government, historic flag, state flag, display standards, ceremonial, Minnesota Statutes, Ursa Minor, state symbol, Minnesota state laws, constellation, official state designation

Transcript Highlights:

• Senate Bill 514 provides clarification in regards to alternative education programming through charter
• Last year, we passed legislation to require a letter from a school district that a teacher is leaving
• It will expand upon this for full-time teachers and substitutes and also requires the attestation to
• Would there still be a requirement to notify the Districts that this person is going to must be notified
• Under current law, a notification would be required as it stands at this point in time.

Bills: SB514, SB346, SB1593, SB1782, SB1366, SB1497, SB366, SB1895, SB2048, SB2005, SB2006, SB710, SB1480

Keywords: SB514, school choice, charter school, virtual charter school, OSSAA, extracurricular activities, interscholastic activities, athletics, homeschool, other means of education, alternative education, student eligibility, student transfer, district policy, public school district, adjacent district, blended learning, virtual learning, school sports, academic eligibility

Transcript Highlights:

• Last year, we passed legislation to require a letter from a school district that a teacher is leaving
• It does require that any new contracts for employees hired on or after January 1, 2007, cannot exceed
• think they can do better at, then I think we need to provide it as much as possible.
• I think the ultimate goal is to provide the best options we can to...
• The ultimate goal is to provide the best options we can to the Oklahomans who live in that area.

Bills: SB514, SB346, SB1593, SB1782, SB1366, SB1497, SB366, SB1895, SB2048, SB2005, SB2006, SB710, SB1480

Keywords: SB514, school choice, charter school, virtual charter school, OSSAA, extracurricular activities, interscholastic activities, athletics, homeschool, other means of education, alternative education, student eligibility, student transfer, district policy, public school district, adjacent district, blended learning, virtual learning, school sports, academic eligibility

Summary: The Senate Education Committee met for deadline week and first recognized guests and updates, including a report from Senator Devers on the Elgin school bus crash and recognition of 2025 Teacher of the Year Melissa Yvonne and visiting students from UCO and Darnaby Elementary. The committee then took up a series of education bills, with several authors explaining that some measures were work in progress and striking title on those bills to continue negotiations. Among the measures advanced were SB 514, clarifying alternative education programming through charter and virtual charter schools; SB 346, expanding school-to-school notification requirements about allegations or investigations involving teachers; SB 1593, updating outdated statutory references for the OSU-Tulsa board; SB 1366, using the Teacher Empowerment Fund to reward top teachers; SB 1497, correcting graduation standards to comply with IDEA and clarify alternate diplomas; SB 366, creating a process for charter schools to be notified about district facilities and lease or purchase opportunities; SB 1895, requiring districts to report whether they participate in the Community Eligibility Provision and why not; SB 2048, allowing the statewide charter school board to pay travel-related expenses for conferences and training; SB 710, allowing multiple grants under the Teach Forward teacher-prep program; and SB 1480, creating a pilot youth apprenticeship program. Most of these bills passed on bipartisan votes, often after questions about implementation, fiscal impact, or scope. Two of the more debated measures were SB 1782, which would end new tenure plans for higher education employees and move new hires to five-year contracts, and SB 2005, which would restructure the OSSAA board. SB 1782 passed 6-4 after extended debate over constitutional authority, academic freedom, recruitment, and litigation risk, with supporters arguing it would increase flexibility and accountability and opponents warning about legal and retention concerns. SB 2005 failed 4-6 after members split over whether the legislature should intervene in OSSAA governance; supporters said the association was not responsive enough to member schools and families, while opponents argued the issue should be left to the organization and that the bill risked government overreach.