Transcript Highlights:

• The customer would not be happy at all, but the banking side, the financial side, because of the convenience
• than they gained on the merchant side.
• We're not trying to take revenue from any source, not one side or the other side.
• Its real impact would be confusion and government overreach.
• How do you feel this bill would impact your members?

Bills: SB231, SB584, SB600, SB668, SB841, SB986, SB1003, SB1244, SB1625, SB1960, SB1963, SB1964, SB2026, SB2056, SB2368

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• And the other question was asked: Are there any side effects with GLP-1s?
• Are there any side effects with GLP-1s?
• SB 1221 would also disproportionately impact people of color.
• My concern was about the impact... ...and going in the same direction.
• Oh, um, um, um, I was just on the subsidy side... Um, I was just on the subsidy side.

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• Beyond that, this reliance comes with severe negative environmental impacts.
• It's really quite exciting, and the IMPACT Act can play a role.
• role or excuse exciting and the impact role or excuse me<03:48:43.120> the<03:48:43.279> impact
• Together, the IMPACT Act, alongside IMPACT Act 2.0 introduced in the House earlier this month by Congressman
• <07:16:35.080> deal that stem from the June 2023 side deal that stem from the June 2023 side

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 24, 2025, 1012, house, all

Transcript Highlights:

• is reinserting physician and APRN PCP engagement to try to control what we were seeing on the PASS side
• Am I understanding that financial impact correctly, or is that wrong?”
• “The financial impact, I’m going to find the form—the financial impact—we are estimating a projection
• My question is, we always, you know, one of the most important pros and cons is the fiscal impact.
• Is that money considered in the financial impact, the money we’re going to spend training?”

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• of the Intracoastal Waterway, so it's on the west side.
• It's approximately 40 acres, and it's on the east side of the Intracoastal.
• It's approximately 40 acres, and it's on the east side of the intercoastal.
• Johns River to the north, and the Atlantic Ocean on the east side.
• It's known as the most impacted area in the Southern Water Use Caution Area.

Summary: The Committee on Environment and Natural Resources met to hear a panel discussion on implementation of Senate Bill 64 (2021), which requires elimination of non-beneficial wastewater discharges to surface waters by 2032. Department of Environmental Protection staff reported that utility plans have been approved, about 570 million gallons per day are expected to be eliminated under the plans, and roughly 176 million gallons per day have already been eliminated. The department emphasized ongoing annual reporting, continued coordination with utilities, and the need for projects such as reuse, indirect potable reuse, wet-weather backup discharges, groundwater recharge, and other beneficial uses to meet the law’s 90% reuse requirement in applicable cases. Representatives from Flagler Beach, Atlantic Beach, JEA, and Hillsborough County described how the law affects different utilities. Smaller and coastal systems said they face major cost, space, salinity, and infrastructure constraints, with limited reuse opportunities and expensive alternatives such as deep well injection or regional transfer. Larger systems described substantial capital programs already underway, including public access reuse, indirect potable reuse, regional recharge projects, and saltwater intrusion barrier wells, with costs ranging from tens of millions to billions of dollars. Members and witnesses discussed the need for flexibility, regional solutions, and case-by-case permitting, and the Florida Rural Water Association asked the committee to consider hardship provisions and funding or exemption adjustments for smaller systems. The committee then took up SPB 7002, a proposed bill by the Environment and Natural Resources Committee relating to water management districts. Senator Broder explained that the bill would increase transparency, improve planning and budgeting oversight, create a gift ban, support local referendum authority for certain ad valorem funding, and provide record-level funding for Everglades restoration. After a question from Senator Smith about whether the ad valorem language was expansive or restrictive, Senator Broder said it would add a new funding tool for districts. The committee adopted a motion to submit SPB 7002 as a committee bill, and it was reported favorably by roll call vote. The meeting then adjourned.

Transcript Highlights:

• throughout the day that are impacts throughout the day that are impacts driven<00:27:01.760>
• my colleague on the other side. my colleague on the other side.
• never without me or Jay by his side. never without me or Jay by his side.
• decisions impacted by other agencies. decisions impacted by other agencies.
• decisions impacted uh by other agencies. decisions impacted uh by other agencies.

Keywords: 981, all

Transcript Highlights:

• We're good on the enterprise side of the house. Okay, I think that's All I have for now.
• Oh, one final question: has there been any negative impact on E-rate? Is that strong.
• Base Impact Fund. You all created this last year; it was unfunded last year.
• We know that we have Water scarcity on the east side of the state.
• Some other impacts on the next slide.

Keywords: 996, all

Transcript Highlights:

• , both the health side as well as the property-casualty side, so I can answer your questions on both
• sides.
• , both the health side as well as the property-casualty side, so I can answer your questions on both
• sides.
• sides.

Keywords: 1191, senate, all

Transcript Highlights:

• After speaking with the attorneys, it does not cause a significant impact.
• This basically has 50%, where one side and another side, that's all you need for agricultural enclave
• So if you have one side that is developed, another side is developed, this property now will be eligible
• So if you have one side that is developed, another side is developed, this property now will now be eligible
• I was on the opposite side of issues. I could do nothing for him.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a series of introductions and moments of silence recognizing recent tragedies and public figures, including students affected by the FSU shooting, John Thrasher, Coach Amir Abdur-Rahim, and conservation and youth groups visiting the chamber. The body also adopted Senate Resolution 1878 honoring Coach Abdur-Rahim and Senate Resolution 1892 recognizing Florida Wildlife Corridor Week. The chamber then moved through a long special-order calendar, passing several bills with little or no opposition. Measures approved included child care and early learning provider regulation updates (SB 738, 37-0), false reporting/swatting penalties and cost recovery (SB 726, 38-0), health care billing and collection protections/medical debt (SB 656, 38-0), hazardous walking conditions for schoolchildren (SB 650, 38-0), young adult housing support for foster and homeless students (SB 584, 38-0), the Family Empowerment Scholarship Program disclosure bill (SB 508, 37-1), trust fund interest for court-approved purposes after a debated amendment (SB 498, 28-10), transportation and traffic-safety changes including school bus camera hearings and micromobility rules (SB 462, 37-0), public records exemptions for AHCA investigators and JQC/appellate court clerks (SB 342, 34-4; SB 302, 35-3; SB 300, 35-3), municipal water and sewer utility rate fairness for Miami Gardens/North Miami Beach (SB 202/HB 11, 36-2), motor vehicle offenses involving obscured plates and impersonation (SB 44/HB 253, 36-0), trespass at large-scale ticketed events and law-enforcement-controlled sites (SB 1828/HB 1447, 35-1), patient refund of overpayments (SB 1808, 37-0), stem cell therapy standards (SB 1768, 37-0), insulin administration by direct support professionals and relatives (SB 1736/HB 1567, 38-0), and pre-arranged transportation services/rideshare impersonation (SB 1696/HB 1525, 37-0). Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, motor vehicle manufacturers and franchise dealers, and education. Debate centered most heavily on the trust fund interest bill, with supporters arguing it would stabilize funding and better reflect market rates, and opponents warning it would sharply reduce legal aid funding and hurt access to justice. The transportation bill also drew extensive questions and amendments, including removal of a speed-limit increase, changes to school bus infraction hearing procedures, micromobility regulation, and flood-wake enforcement. The municipal water bill prompted constitutional and fairness concerns, while the public records bills were defended as necessary to protect investigators and court personnel from doxing and harassment. Most measures ultimately passed with strong bipartisan support, though the scholarship disclosure bill and trust fund interest bill drew the most visible dissent.

Transcript Highlights:

• The impacts are going to be on the student loan side and changes made to the federal program and not
• The impacts are going to be on the student loan side and changes made to the federal program and not
• The impacts are going to be on programs.
• loan side and changes made the student loan side and changes made um<00:19:52.160> to<00:19:52.799
• We're seeing a technical education side.

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Education met and approved the July 15, 2025 minutes before hearing a presentation from the Kentucky Higher Education Assistance Authority (KHEAA/KIA) on student financial aid ahead of the January biennial budget session. KHEAA outlined its role administering 17 state-funded grant and scholarship programs, 529 plans, and outreach services, and emphasized that net lottery proceeds after a $3 million literacy appropriation are statutorily dedicated to student aid. The agency focused on the major need-based programs—College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES—along with dual credit, Work Ready Kentucky, teacher scholarship, and National Guard tuition assistance. Officials said the new federal FAFSA methodology created a major increase in eligible students, especially for CAP, and thanked lawmakers for adding substantial funding this biennium to meet the higher demand. Staff explained that CAP is for Pell-eligible, low-income students, while KTG is a need-based grant for students at private Kentucky colleges; both use FAFSA data, but schools verify final eligibility. They said CAP awards are first-come, first-served and that the higher funding level allowed the program to last the full 21-month application cycle in FY 2024-2025, compared with much shorter periods in earlier years. KHEAA reported about $232 million spent on CAP for roughly 72,000 students last year, with current applications running about 10% ahead of the prior year. Members asked about the difference between applicants and recipients, the effect of lower lottery revenues, and whether recent federal legislation would affect state aid; KHEAA said it does not expect major impacts on grants and scholarships, though student loan changes could affect graduate students. The committee also discussed KEES and dual credit. KHEAA said KEES has been fully funded since its creation and that its forecast was within $76,000 of actual need last year. For dual credit, staff said a recent bill consolidated work-ready dual credit and career/technical education under one scholarship program, and KHEAA will seek growth funding because participation and costs continue to rise. The agency said FY 2025 dual credit spending reached $26.4 million across dual credit and work-ready funding, requiring transfers from Work Ready Kentucky to keep dual credit fully funded. Members asked about transferability of dual credit hours and whether the program reduces later college costs; KHEAA said it does not have hard data on every credit transfer, but it does see higher bachelor’s completion rates and lower student debt, suggesting positive effects. No votes were taken beyond approving the minutes.

Transcript Highlights:

• I'm empathetic to both sides of the argument.
• And they can’t go to school; therefore, that would impact the...
• Fees to the point where it impacts the student and they can’t go to school, therefore that would impact
• Shepard said: the impact, the potential impact, to litigate or review the IEP... ...the delivery of services
• So as it goes to the practical side of this, let’s leave this and let’s go to the practical side of what

Keywords: 974, senate, all

Transcript Highlights:

• Information from both sides.
• These are the adults that are on the flat side of the camp.
• So he was knowledgeable about the impact that four inches would have had. about the impact that four
• They said there are no sides and that the only side is that nobody wants a place that takes their babies
• as you pointed that out, doesn’t have to be sides.

Keywords: 1185, senate, all

Transcript Highlights:

• RBC Global Asset Management has an impact investing division.
• We wanted to get a little more information about the impact.
• the bottom line, which then impacts our investment.
• We know that the big beautiful bill is going to impact Medicaid and Medicare.
• McKinley side, they're not all from New Mexico.

Transcript Highlights:

• There's no fiscal impact on state revenues.
• There's no fiscal impact on state revenues.
• The exact impact is not able to be quantified. Would there be an impact? There could be.
• This bill impacts everyone.
• We have a criminal side, we have a civil side. That's the system we have.

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report and moved into a series of budget-related bills. The chamber first took up HB 5011/SB 2506 on environmental resource management and natural resources funding, where Democrats argued the bill would reduce recurring support for the Resilient Florida program, the Florida Wildlife Corridor, invasive species removal, and other conservation efforts. Supporters said the change would shift money from recurring to nonrecurring funding so the Legislature could reassess priorities each year and rely more on private-sector stewardship. After a strike-all amendment and conference posture change, SB 2506 passed 97-12. HB 5013, reducing state-funded property reinsurance reserves, passed 108-0, and HB 5501, redirecting documentary stamp tax distributions from housing and transportation trust funds into general revenue, passed 82-26 after extended debate over its impact on affordable housing and transportation funding. The House also passed HB 5015 on state group insurance, which requires DMS to develop a formulary management system and was described as producing significant savings; members raised concerns about prescription access and implementation, but the bill passed 109-0. HB 5201 on state financial accounting and HB 5203 on the Capitol Center both passed unanimously, as did HB 5009, which creates a Florida Accountability Office and reorganizes audit functions. The chamber then passed HB 7031, a major sales tax reduction bill lowering the state sales tax rate and several related rates; supporters framed it as permanent relief for all Floridians, while opponents said property tax relief would be more meaningful and that the sales tax cut would also benefit tourists and out-of-state visitors. HB 7031 passed 112-0. The House then began consideration of HB 501, the proposed fiscal year 2025-26 budget, totaling $112.9 billion and emphasizing reduced recurring spending and large reserves. Subcommittee chairs outlined their budget silos: K-12 education at $20.6 billion with teacher raises, school hardening, literacy, transportation stipends, and security funding for Jewish day schools; health care at $47 billion with full Medicaid and KidCare funding, opioid settlement spending, mental health beds, and senior services; transportation/economic development at $18.5 billion; agriculture and natural resources at $5.8 billion with reduced Everglades spending but continued water, resiliency, and land management funding; higher education at $8.7 billion; state administration at $2.9 billion; justice at $7.3 billion; and IT at $529 million for Florida PALM, FX, and other systems. Members then began questioning the K-12 budget, focusing on FEFP funding, proration, voucher growth, stabilization dollars, mental health and school safety funding, and whether districts would be held harmless under the proposed allocations.

Transcript Highlights:

• We continue to think about the school communities that are impacted by fire.
• On the professional development side, I want to acknowledge I don't know.
• On the professional development side, I want to acknowledge our colleague, Mr.
• So I just have concerns around makes a huge impact long term.
• So that has an impact.

Summary: The Assembly Budget Subcommittee on Education Finance met for its annual Proposition 98 overview, with Chair Alvarez outlining the committee’s focus on K-12 funding, student outcomes, and use of one-time funds. Superintendent Tony Thurmond gave an update on education issues, including wildfire recovery support for affected school communities, ongoing concerns about federal threats to education funding and immigration enforcement, progress on literacy and math, dual-language immersion, educator housing, and support for dual enrollment. Members broadly expressed support for these priorities, while also raising concerns about implementation, funding stability, and the need for schools to remain safe places for students. The committee then reviewed the Governor’s Proposition 98 proposal. The Department of Finance said the 2025-26 Proposition 98 guarantee is projected at $118.9 billion, with higher revenues and TK-related rebenching driving the increase. The LAO said the budget adds about $7.5 billion over two years and discussed the volatility of the guarantee, especially in 2024-25, when changes in revenue could have an outsized effect on school funding. Members questioned the proposed $1.6 billion delayed settle-up payment, the legal basis for delaying it, and the impact of possible federal funding freezes. The LAO presented alternatives such as a reserve deposit or delayed disbursement, while Finance said the proposal is intended to manage uncertainty. Members also raised concerns that ethnic studies implementation was not funded in the January budget, and Finance said the administration was not proposing funding for it. The committee next heard on the Proposition 98 rainy day fund and education deferrals. Finance said the reserve would receive a mandatory deposit of about $1.2 billion in 2024-25 and a discretionary deposit of $376 million in 2025-26, leaving a balance of about $1.5 billion. The LAO supported rebuilding the reserve as a way to manage volatility. On deferrals, Finance described the Governor’s plan to eliminate remaining deferrals by 2025-26, and the LAO said paying them off improves cash flow and budget resilience. Members generally supported eliminating deferrals and rebuilding reserves, though some asked about acting earlier if revenues allow. The committee also reviewed the proposed $1.8 billion student support and professional development block grant; Finance said it would fund professional development, recruitment and retention, and dual enrollment, while the LAO recommended clearer language on local discretion and use for one-time costs. Members were divided, with some supporting flexibility and others warning that one-time block grants can create instability and confusion for districts.

Transcript Highlights:

• That is not the supply chain side. That is the corporate family structure side. Okay.
• It has an impact assessment tied to it.
• But in terms of security risk, is there a seasonal impact?
• Are we missing out on the physical security side?
• The left side of the chart shows what we do today.

Keywords: 1185, senate, all

Transcript Highlights:

• We must not ignore those side effects or those statistics.
• "The impact of the care that I provide? Yeah.
• We've let people choose sides.
• There are no adverse side effects.
• ’re all on one side.

Keywords: 959, house, all

Transcript Highlights:

• positively impacting our communities. positively impacting our communities.
• we I personally witnessed both sides we I personally witnessed both sides saying<00:56:20.000>
• We have people on all sides of this, on both sides of the aisle, but the vast majority of the Democrats
• We have people on all sides of this, on both sides of the aisle, but the vast majority of the Democrats
• We have people on all sides of this, on both sides of the aisle, but the vast majority of the Democrats

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, April 30, 2026, 1012, house, all

Transcript Highlights:

• <00:20:20.640> especially environmental impact especially environmental impact especially
• , anyway, you can park for free on the Brooklyn Park side, but not on the Anoka County side.
• issue is taken care of on the other side issue is taken care of on the other side of<00:40:46.560
• > um on the on the Anoka County side um on the on the Anoka County side um there's<00:42:57.240
• pose grave risks negatively impacts pose grave risks negatively impacts environmental<01:46:25.520

Keywords: 1187, senate, all

Summary: The Minnesota Senate Energy Committee heard Senate File 426, authored by Senator Icorn, which would remove the 100-megawatt cap on hydropower for purposes of qualifying as an eligible energy technology under Minnesota law. Supporters said hydropower is carbon-free, reliable, flexible baseload power that can help Minnesota meet its 100% carbon-free electricity goal by 2040. Testifiers from Missouri River Energy Services and Minnesota Power described existing hydropower resources, including allocations from federal Missouri River dams, Minnesota hydro stations, and Manitoba Hydro, and argued that the bill would preserve and expand options for clean energy development. Several members raised concerns about the bill’s purpose and potential environmental impacts. Senator McEwen questioned why the size limit should be removed without specific proposed projects or more information about the need for larger dams, citing concerns about fisheries, water resources, and land use. Senator Port and others asked about costs, environmental effects, and where new projects might be built. In response, supporters said the bill is intended to open the door to future projects and allow agencies to review proposals through existing permitting and environmental processes, rather than approving any specific dam. Committee members offered mixed reactions. Senator Frentz said he supported the concept but recommended laying the bill over for further discussion and possibly sending it to the Environment Committee, noting environmental concerns and the need for more conversation. Senator Gruenhagen strongly supported the bill, arguing that it merely lifts a cap while leaving permitting and review requirements in place. Senator Hoffman also supported the bill, saying current policy blocks consideration of new projects and that the change would allow regulators to evaluate proposals on their merits. No vote was taken during the hearing, and the bill was left open for further consideration.

Transcript Highlights:

• And all of us going to be impacted this as we go in this budget cycle.
• And all of us going to be impacted this as we go in this budget cycle.
• And all of us going to be impacted this as we go in this budget cycle.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• There are some high-cost pharmacy side.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.