Transcript Highlights:

• They're looking for pathways that will address their needs.
• They're looking for pathways that will address their needs.
• They're looking for pathways that will address their needs.
• They're looking for pathways that will address their needs.
• They're looking for pathways that will address their needs.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• And we need to get that done.
• A structure would need to be in place...
• do what they need to do.
• You need to get reported.
• But you really need to do...

Keywords: 1183, house

Transcript Highlights:

• issues, I know you need messages.
• We need to make it a priority.
• This is something that we need.
• You need to be here.
• Not only do we need a lot of energy, but we need clean energy in order to meet those goals.

Transcript Highlights:

• We also need to focus on what the state needs to do to support all schools in helping our students recover
• fund staff and other needs at a school district.
• Staff and other needs at a school district.
• So we do...” “...need to continue to fine-tune.
• year has to be responsive to students' needs.

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• <00:25:41.440> to where we need to where we need to improve<00:25:43.840> and<00:25
• needs.
• needs.
• needs.
• There's this ongoing need.

Keywords: 1187, senate, all

Transcript Highlights:

• I have told them if you need more time, take the time you need, because we need to be informed before
• So I'm really going to need your help.
• What do they really need? Not necessarily what we think they might need in case that's different.
• As quickly as we need to.
• licensure verification, and will also need to require that they provide service to And we'll also need

Keywords: 908, all

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• We all want to see children be able to get the help they need when they need it.
• We all want to see children be able to get the help they need when they need it.
• We all want to see children be able to get the help they need when they need it.
• needs.
• they need it.

Keywords: 1187, senate, all

Transcript Highlights:

• alongside medical needs.
• We need to get service where people need it. It's hard to access health care.
• More is needed. More is needed.
• is needed, right?
• He needs help with speaking.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• If you need to take a call, please step outside.
• We need to be all concerned about it.
• what they would need according to Act 409.
• So this is what you think you need? Yes. Is this today?
• Going to the vehicles—why do you need nine vehicles?”

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• I need to go after you.
• I need to go after you.
• And appellate cases may need...
• Now, cities need several things. We need short-, medium-, and long-term solutions.
• Last thing we need is a policy solution. You need to resolve these conflicting timelines.

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• The community or the locality needs to identify suitable development sites, and then there needs to be
• The community or the locality needs to identify suitable development sites, and then there needs to be
• We need a multi-pronged approach.
• Number two, lack of need.
• So to me, we either need a small modular reactor option or we need a natural gas pipeline up there because

Summary: The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability. Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts. North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.

Transcript Highlights:

• to the level that they need to be at.
• Chairman and members of the committee, as we are all very sympathetic to the needs of special needs children
• If a special needs...
• So I went to my daddy, and I said, Daddy, I need to borrow some money. I need to move. And...
• Daddy, I need to borrow some money. I need to move. And he heard me out. My son is disabled.

Keywords: 974, senate, all

Transcript Highlights:

• I do need to interrupt.
• But so the process that we would need to go to to procure, we'd need to get a consultant in place.
• So one of the things we would, probably a policy thing that you'd need to consider is do we need to go
• That you need to consider is do we need to go through the standard procurement processes of the state
• We need to collect that information.

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The Education Division met with all members present and first took up House Bill 1329, which would create a transparency database and website for school spending information. Senator Schaible offered Amendment 0204 to turn the bill into a study, citing concerns that the proposal would impose major data-collection burdens on 168 school districts, require new data standards and privacy protections, and likely cost far more than the $500,000 in the bill. Several members supported transparency but agreed the implementation costs and technical feasibility were unclear. The committee adopted the amendment 4-1, then passed HB 1329 as amended on a 5-0 vote, with Senator Shively to carry the bill. The committee then discussed House Bill 1540, the education savings account/voucher bill. Representatives from the Bank of North Dakota and the Department of Public Instruction explained that they had not been consulted on the original drafting and outlined needed administrative changes, including clarifying the Bank as administrator, using a third-party program manager, involving DPI in rulemaking, adding audit and appeal procedures, and adjusting language on eligible purchases and school disqualification. They also said the current timeline was likely too aggressive to launch by the 2026-27 school year and estimated the program would require about 15 months to implement, with a fiscal note now around $5.1 million. Members also discussed policy-related amendments on means testing and application timing. Senator Shively proposed a 300% of poverty-level means test and a sign-up period to reduce costs and limit open-ended enrollment, while Senator Axman proposed a tiered approach that would keep all students technically eligible but phase in funding levels by income, preserving access for students who qualify for other federal supports. DPI said it could not currently disaggregate some data by family income and that the appeal process and procurement timeline still needed work. The committee did not move HB 1540 out that morning and instead recessed to continue discussion later after members had time to review the administrative and fiscal issues separately from the means-testing proposals.

Transcript Highlights:

• We're going to need to modernize, we're going to need to innovate, and we're going to need to adapt.
• We're going to need to modernize, we're going to need to innovate, and we're going to need to adapt.
• On my right, I need only one liter of raw wastewater to do all the testing I need to do.
• We need to have multiple.
• multiple needs.

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing on the role of biotechnology industries in wastewater treatment, hosted at Bakar Labs on the UC Berkeley campus. Opening remarks emphasized California’s water scarcity, the rising cost of wastewater infrastructure, and the need to reuse and clean contaminated water. Committee members framed the hearing as a look at both current treatment challenges and emerging technologies that could improve water quality, affordability, and resilience over time. The first panel focused on statewide wastewater challenges. BACWA Executive Director Laurie Fono described wastewater plants as part of a broader circular economy, noting their roles in recycled water, environmental enhancement, biosolids management, carbon sequestration, and renewable energy generation. She highlighted major challenges including aging 1970s-era infrastructure, nutrient reduction mandates, sea level rise, evolving regulations, and PFAS source control. She said Bay Area agencies face about $11 billion in nutrient reduction costs, with rate increases, state revolving funds, WIFIA loans, and bonds as the main financing tools. Members asked about regional differences, energy revenue opportunities, smaller decentralized plants, and agricultural collaboration. The second panel featured researchers and lab experts discussing biotechnology solutions. Lawrence Berkeley National Lab’s Dr. Romine Chakarvati described using microbial communities and machine learning to help break down PFAS and treat produced water. CEL Analytical’s Dr. Yigi Dearborn explained pathogen testing for direct potable reuse, wastewater monitoring, and the need for larger sample volumes and more funding to validate methods for viruses and protozoa. Stanford’s Dr. Chunhung-Shin presented an anaerobic membrane system that turns domestic wastewater into clean water and energy with less biosolids and lower operating costs. Committee members asked about AI, assay development, scaling technologies, and funding priorities. Public comment from the California Association of Sanitation Agencies stressed the need to balance scalability, reliability, and affordability, and the hearing adjourned without any formal vote or action.

Transcript Highlights:

• Uh, they need our help. We need them to meet these goals.
• We need them to Uh they need our help.
• We need workforce we need to be having.
• We need housing. There's no housing. We need housing.
• <01:27:16.719> to Vermont needs our help and we need to Vermont needs our help and we need

Keywords: 926, house, all

Summary: The House returned to Senate Bill 325 on regional planning and Act 250 tier jurisdiction and first took up Representative Charlton’s amendment to extend the interim housing exemptions in tier one areas from 2028 to 2030. Charlton argued the change would better align the exemptions with the state’s 2030 housing targets and give rural communities and smaller developers more realistic time to plan and build. Committee members opposing the amendment said the exemptions would no longer be needed once 1A and 1B areas are established, and Ways and Means reported an unfavorable straw poll. After debate, the House rejected the amendment by roll call, 66-76. During debate, members discussed whether the extension would help or hinder housing production, with supporters emphasizing rural Vermont, achievable timelines, and the need for certainty for developers, while opponents stressed that the temporary exemptions were meant to bridge the transition to the new tier system. The House also heard questions about whether any communities had actually adopted 1A or 1B status yet, and it was noted that future land use maps were not yet complete. The chamber then moved to a second amendment from Representative Dobervich, which would extend certain interim Act 250 exemptions for designated village centers and nearby areas through January 1, 2031, including projects of 50 units or fewer or mixed-income/mixed-use projects meeting specified infrastructure criteria, with municipal bodies able to opt out. Dobervich said the proposal would expand access to the interim exemptions for rural communities that lack permanent zoning or subdivision bylaws but otherwise meet the criteria, helping more towns build housing in already developed areas. Opponents argued the amendment could allow too much development in small towns without local review and questioned how many municipalities would actually qualify. The debate continued with members discussing the relationship between Act 181, the temporary exemptions, and the ongoing work to create future land use maps and tier designations.

Transcript Highlights:

• the trafficking victims who need the trafficking victims who need support.<00:15:33.120> Every
• Um, right the need is incredibly high.
• <00:36:40.480> so heart for a families in need so heart for a families in need so I I I I<
• need to restabilize their lives. need to restabilize their lives.
• That's way less than 10% of this. where it needs to be so that so that so where it needs to be so that

Keywords: 1183, house

Summary: House File 4738 was laid over for possible inclusion in the 2026 tax bill. Representative Keeler presented the bill as a funding source for Minnesota’s Safe Harbor program, arguing that trafficking and sexual exploitation are statewide problems and that current shelter and housing resources are insufficient. She and several supporters emphasized that the program serves youth across greater Minnesota, not just the metro, and that state and federal funding pressures make additional support necessary. Testifiers from Place Called Home/Life House, The Link, the City of Minneapolis, and a survivor all described the impact of Safe Harbor and related shelter programs. They cited data on youth served, bed nights, mental health services, and high unmet need, including waitlists and youth turned away because programs are full. Testimony stressed that stable housing and trauma-informed services help survivors recover and move toward education, employment, and family stability. One committee member, Representative Davis, objected to the proposed funding source, saying he would not support taking money from women’s sports scholarships and urging a different source. The bill’s tax mechanism was described as ending the sales tax exemption for preferred seating, suite licenses, and related amenities at athletic and entertainment events. Alec Williams of We Make Minnesota supported the proposal as a fair way to raise revenue from high-end discretionary purchases for a public purpose. Committee discussion also focused on the size of the revenue estimate and the breakdown of the impact, with nonpartisan staff saying roughly 85% would come from suite licenses, 10% from collegiate seating, and 5% from amenities. Representative Smith and others framed the issue as both a tax and moral question, and the chair moved the bill to be laid over.

Transcript Highlights:

• We need it, saying, "We need it, too. We need it, too.
• We need affordable housing, yet we need you to support us as a business.
• We need your help to make sure needs.
• Um, we need controls. Um, we need to private equity.
• Um, we need controls. Um, we need to private equity.

Bills: HF3403, HF2687, HF2381

Keywords: HF3403, emergency rental assistance, rental aid, homelessness prevention, housing crisis, imminent risk of homelessness, eviction prevention, county aid, Tribal governments, local government aids, general fund appropriation, Minnesota revenue commissioner, poverty level, low-income housing, housing stability, family homeless prevention and assistance, emergency housing assistance, HF2687, single-family homes, corporate landlords

Transcript Highlights:

• I mean, there is a need.
• I mean, there is a need.
• I mean, there is a need.
• I mean, there is a need.
• to meet the need to meet the need needs<00:23:00.559> currently<00:23:01.039> I<00

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.

Transcript Highlights:

• It still needs some work.
• It's something we need to look at.
• Um I know something we need to look at.
• So thank you. or needs therapy or things like that. or needs therapy or things like that.
• That student, uh, need to know about it.

Keywords: Education - Room 216, 2 February, 2026; 1:45 PM, 925, all

Summary: The committee first took up a bill on computer science and CTE. Senator DeLano explained that it updates prior law requiring computer science to be incorporated into curriculum and Carnegie unit credit, and now allows artificial intelligence to be included as a component of a district’s computer science offerings. The committee asked no substantive questions, and the bill received a title sufficient, do pass recommendation by voice vote. The next measure, Senate Bill 2244, would allow students in districts rated F for two consecutive years to transfer to another district or school, with the state covering transportation and related costs in addition to base student cost. Members raised concerns about the estimated fiscal impact, the authority of receiving districts to accept students, whether the bill should apply to individual schools within an F district, and whether a case-by-case or pilot approach would be better. The committee adopted a reverse repealer to keep the bill alive for further work, then voted title sufficient, do pass. The committee then considered Senate Bill 2235, which requires local law enforcement to notify a juvenile’s school district within 24 hours of a felony arrest. Senator Rhodes said the bill was prompted by school resource officers who wanted schools to know when a student had been arrested, especially after violent incidents, so schools could respond appropriately. Senators questioned whether the bill conflicts with youth court confidentiality and records laws, who exactly should receive the notice, and whether false arrests could harm students. The sponsor said the bill was intended to improve communication and school safety, and the committee adopted a reverse repealer and then voted title sufficient, do pass. The chair announced the committee would meet again later that day and rise and report tomorrow.

Transcript Highlights:

• need.
• With that, this is an item that needs a motion due pass. So I need a motion due pass.
• We don't need to lose that.
• You need it identified and you need to know how to eradicate it. They can help you with that.
• I need to go back and look. All right, page 7. What was that? I need to go back and look.

Keywords: 1204, all