Transcript Highlights:

• PAs are required to work with a physician collaborator.
• explore and expand health care explore and expand health care opportunities<00:48:43.000> in<
• health care. health care.
• And it may not just be doctors, it care?
• <00:52:13.680> to on how you get health care to on how you get health care to underserved<

Keywords: 958, all

Transcript Highlights:

• We've worked together on foster care bills, foster care awareness.
• It's a collaborative website, MMIPSD.org.
• It's a collaborate, it's a website to MMIPSD.org.
• But better collaboration.
• They were missing from foster care.

Summary: The Select Committee on Native American Affairs held an informational hearing on the state’s response to the missing and murdered Indigenous people (MMIP) crisis, with an added focus on foster youth and child welfare. Opening remarks from the chair and members emphasized that California has made some progress through the Feather Alert, DOJ coordination, grant funding, and MMIP summits, but that the crisis remains severe and requires ongoing, not one-time, investment. Members repeatedly noted the need for stronger statewide coordination, better data, and more consistent attention to tribal communities and foster youth. Tribal leaders described the crisis as rooted in jurisdictional gaps, poor data collection, and lack of urgency from law enforcement. Witnesses from Hamul, Chachancey, Tahon, Yurok, and Hoopa tribes shared personal accounts of missing and murdered relatives, criticized inconsistent responses, and called for regional response agreements, direct tribal access to data, sustained funding, and clearer law enforcement protocols in Public Law 280 settings. Several leaders said Feather Alert and state grants have helped build infrastructure and partnerships, but stressed that trust-building, training, and accountability are still uneven across the state. The second panel featured the California Highway Patrol and the Department of Justice’s Office of Native American Affairs, both of which reported on implementation improvements. CHP said it has tightened Feather Alert practices, increased activations, improved outreach and training, appointed a tribal liaison, and expanded human trafficking training. DOJ described work under AB 3099 and AB 1334, including a Public Law 280 advisory council, improved crime reporting and data systems, MMIP outreach, and a tribal police pilot program with the Yurok Tribe. Members also raised the need to better support tribal courts and ensure protection orders are enforced. The final panel focused on foster youth as part of the MMIP crisis. Advocates from Pitt River, the California Tribal Families Coalition, and Coyote Valley said Native children are disproportionately represented in foster care and are at heightened risk of going missing or being exploited. They argued that foster care, trafficking, poverty, housing instability, and historical trauma are all connected to MMIP, and called for stronger ICWA implementation, culturally grounded services, better coordination with social workers and law enforcement, and immediate use of Feather Alert when Native children are missing. No formal votes were taken; the hearing was informational and ended with continued calls for legislative, budgetary, and policy action.

Transcript Highlights:

• They work collaboratively with community-based organizations and health care providers, and they embody
• care.
• The psychiatric collaborative care model is an evidence-based model of integrating behavioral health
• The collaborative care model has been shown to reduce total health care costs by going upstream, preventing
• care.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• In the next graph, the bar is the long-term care waiver and home care service set of services.
• The traditional health care services, excluding long-term care, to that population.
• partnership and collaboration. partnership and collaboration.
• collaboratively with our state partners. collaboratively with our state partners.
• Looking forward to working collaboratively to fix our system so we can take care of our people.

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• has to intervene our health care system. has to intervene our health care system.
• Now I work in home care.
• that we would lose the intensive care that we would lose the intensive care unit,<00:19:22.400><
• <00:21:38.320> A health care as a key priority. A health care as a key priority.
• from the owners of our health care from the owners of our health care system<00:35:40.800> to

Keywords: 1187, senate, all

Transcript Highlights:

• care, which is one of the allegations.
• I'm the CEO of the Arizona Health Care Association.
• , but for the multitudes of health care-related providers ADHS oversees.
• She's collaborative and firm without being arbitrary.
• Chairman, members, I think that I believe in collaboration.

Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.

Transcript Highlights:

• We're adding about $5 million in fiscal years 25 and 27 to address health care workforce shortages in
• <00:08:03.639> Workforce address healthc care Workforce address healthc care Workforce shortages
• <00:08:06.479> in<00:08:06.759> collaboration<00:08:07.520> with shortages in collaboration
• with shortages in collaboration with Department<00:08:08.120> of<00:08:08.280> Education
• foreign care foreign care training<00:16:44.319> at<00:16:44.560> four<00:16:45.040

Keywords: 912, senate, all

Summary: The committee met in decision-making only and first took up HB 300, the Senate majority budget package. The chair described the bill as a response to economic uncertainty and reduced revenue forecasts, and outlined a wide range of appropriations and staffing changes across state agencies, including agriculture, education, health, public safety, housing, labor, natural resources, and corrections. The package emphasized one-year funding for many new programs, vacancy reductions, and investments in services such as preschool, mental health, wildfire mitigation, cybersecurity, public access, and workforce development. HB 300 was recommended to pass with amendments and was adopted unanimously, with members voting yes and no reservations noted only as procedural responses. The committee then acted on HB 794 and HB 795, both recommended to pass with amendments by changing the defective date to 2050; both measures were adopted without discussion. On the 101 agenda, HB 400, the Judiciary budget bill, was recommended to pass with amendments. The bill included vacancy reductions, security funding, permanent staffing for several court and justice programs, and support for civil legal services, immigration-related services, and technology licenses. HB 400 was adopted. HB 410 was also adopted with amendments and a defective date change to 2050. On the 102 agenda, the committee passed several bills either unamended or with targeted amendments. HB 3, HB 134, HB 177, HB 237, HB 648, HB 713, HB 735, HB 1391, and HB 1462 were passed unamended. HB 214 passed with amendments expanding eligibility for retired employees to fill labor-shortage or succession-planning positions, including certain management positions excluded from collective bargaining; one member raised concerns about school resource officers and community fit, which the chair said could be addressed in the committee report. HB 441 passed with amendments to direct cigarette tax funds to the Hawaii Cancer Research Special Fund, with a discussion about whether e-cigarettes should be included. Other measures passed with amendments included HB 448, HB 667, HB 727, HB 740, HB 806, HB 1020, HB 1345, and HB 1365, generally involving date changes, blank appropriations, or technical language. HB 1391 was adopted with a reservation from Senator Kim. The meeting concluded with HB 1462 adopted unamended.

Transcript Highlights:

• It's not refusal of care.
• who are stepping down from county behavioral health moderate-to-severe levels of care, specialty care
• primary care settings.
• level of care.
• Care navigation teams.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• I'm very grateful for Senator Thomas for collaborating with KAR on this bill.
• I'm very grateful for Senator Thomas for collaborating with KAR on this bill.
• with KAR, us um on for collaborating with KAR, us um on this<00:16:04.160> bill.
• that your kid's going to be taken care that your kid's going to be taken care of<00:20:57.600>
• So, I think it's a taken care of. So, I think it's a logical<00:21:32.960> step.

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:01 SB 132 Discussion 00:44 SB 132 Vote 07:10 SB 33 Discussion 08:30 SB 33 Vote 17:24 SB 85 Discussion 18:08 SB 85 Vote 25:58 Adjournment: 26:38, 958, all

Summary: The committee first took up Senate Bill 132, which would clarify that state law does not limit local governments’ authority to regulate businesses affiliated with licensed massage therapists. The sponsor and supporting testimony from a police chief and the Kentucky League of Cities said the bill is aimed at helping cities respond to complaints about suspected illegal activity, including possible human trafficking, by expressly allowing local ordinances on zoning, licensing, inspections, advertising, hours, and sanitation. The bill also increases the penalty for practicing massage therapy without a license from a class B to a class A misdemeanor and makes each unlicensed session a separate offense, while preserving existing protections for trafficking victims. The committee then heard Senate Bill 33, which addresses recovery residence centers. Senator Thomas said the bill responds to fraudulent or noncompliant recovery homes operating without proper certification and creating neighborhood problems. The measure would require recovery residences to notify cities when they apply for and receive certification, report certain ownership and contact information, and allow cities to keep a registry so they can identify certified facilities. Testimony from the Kentucky Alliance of Recovery Residences supported the bill’s enforcement goals but objected to making addresses public, citing safety concerns for vulnerable residents; the sponsor agreed to remove the public-record language through a floor amendment. The committee passed the bill favorably 8-0. Finally, the committee considered Senate Bill 85, which would allow state retirement benefits to be directed to a special needs trust. The sponsor and co-sponsor said the bill is intended to help state employees provide for a dependent with special needs after the employee’s death without affecting eligibility for waiver or other benefits. A witness from the Kentucky Alliance of Recovery Residences supported the concept and noted the importance of clear language, while Senator McDaniel raised a technical concern about whether the bill could allow benefits to be directed to an unintended beneficiary. The sponsor said the language would be reviewed and clarified if needed. The committee approved the bill 8-0 with favorable expression and adjourned.

Transcript Highlights:

• It's not refusal of care.
• primary care settings.
• primary care settings.
• level of care.
• restorative care and examinations.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• So as people, al, which you are—yeah, people are the al who care for the majority and the people, the
• <00:20:28.159> and that tells you how much they care and that tells you how much they care
• create and hold on to our past take care create and hold on to our past take care of<00:21:45.919
• He brings decades of collaborative leadership from his experience serving in the community.
• Let's work collaboratively, and let's get some great work done for the people of Hawaii.

Keywords: House Agenda:, 910, house, all

Transcript Highlights:

• As of today, approximately 15,547 children are in out-of-home care.
• Two of my five children were adopted from Florida's foster care system.
• The first thing is community-based care.
• community-based care thought we would be stepping into.
• Right now, we have about 720 in out-of-home care.

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• You know, she was an activist, and she cared about the earth and sustainability.
• Department of Labor established by Congress more than 20 years ago to facilitate greater collaboration
• Department of Labor established by Congress more than 20 years ago to facilitate greater collaboration
• Our work really focuses on convening, collaborating, and communicating.
• I think this is where we can have great opportunities to collaborate.

Keywords: 995, all

Summary: The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and shared an inspirational quote from Jane Goodall about the importance of every individual. Members then introduced themselves and their roles, including state disability advocates, providers, and commission members, before hearing a presentation from Katia Alpanis and Dina Klumkina of the State Exchange on Employment and Disability (SEED). SEED described its role as a technical assistance and policy resource for states, focused on sharing best practices and examples from other states to expand employment opportunities for people with disabilities. The presentation outlined SEED’s seven policy areas: career readiness and work-based learning, behavioral health and work, stay-at-work/return-to-work supports, employer recruitment and retention tools, entrepreneurship and disability-owned business development, interagency coordination, and state government as a model employer. Examples from other states included scholarship and transition supports in Kentucky and Virginia, stay-at-work programs in Alaska and Washington, accommodation funds in Minnesota, procurement and small business initiatives in New Jersey and Virginia, and model employer efforts in Colorado, New York, and Tennessee. Members also asked about digital accessibility and PEAT; SEED said PEAT has been refunded and that SEED can help with policy-level questions and peer examples, but not implementation of accessibility requirements. Discussion then shifted to possible Massachusetts projects. Members raised concerns about upcoming Medicaid work or civic engagement requirements and how people with disabilities might fall through the cracks, and they asked whether SEED could help Massachusetts use existing documentation, such as IEPs, to reduce barriers. The group identified two main areas for follow-up: a Massachusetts “state as a model employer” roadmap and a youth/young adult employment and volunteer pipeline, potentially linked to transition services and apprenticeship opportunities. SEED agreed to provide Massachusetts-specific analysis and two briefs, one on career readiness policies and one on state-as-model-employer strategies, and the subcommittee planned an offline follow-up meeting to narrow priorities and develop a scope of work.

Transcript Highlights:

• And certainly, you know, our employees are committed to delivering high-quality care and services to
• It's active, and I can't discuss it, but it's being done in collaboration with the Attorney General's
• We might have some focus in each of those areas, but there’s still collaboration that needs to happen
• Please continue to report back to us on how we can support that collaboration. Thank you.
• And thank you for that answer, and I really appreciate the collaboration. That's all I have.

Bills: HF2432

Keywords: HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board

Transcript Highlights:

• A few recent examples of agency staff collaborating with the health care industry include working together
• So I want to be careful.
• They're serving as an adjunct for health care. But... For health care.
• To be clear, naturopathic care was never instead of any physician's care.
• It was complementary and collaborative care.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• primary care OBGYN and outpatient rates. primary care OBGYN and outpatient rates.
• provision of medical care.
• on the provision of uh um medical care. on the provision of uh um medical care.
• managed care with their uh providers. managed care with their uh providers.
• with the managed care organizations. with the managed care organizations.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• care.
• behavioral health will be collaborating. behavioral health will be collaborating.
• Wind River Cares Chairman case? Wind River Cares Chairman case? Um,<00:26:56.480> Mr.
• Thank you. healthc care. We're going to take a five healthc care.
• they don't care who you are. they don't care who you are.

Keywords: 916, all

Transcript Highlights:

• We collaborate with state entities to make sure that is done.
• There's more problem-solving, there's more collaboration.
• We collaborate. We work together. Thank you. Thank you.
• And obviously, the collaboration, we have plenty of collaboration two days a week and Zoom.
• And the why, as you said, and I appreciate you saying the collaboration.

Keywords: 988, house, all

Transcript Highlights:

• Your leadership and collaboration over the years has helped Minnesota lead the nation in health care
• I'm here to urge you to make the collaborative care model a Medicaid benefit in your budget proposal.
• As a provider in the collaborative care model and as a director of a large primary care division, I've
• The collaborative care model is a proven innovative care model, with efficacy demonstrated in more than
• , which is why Medicaid plans in 37 other states cover the collaborative care model.

Keywords: 1187, senate, all

Transcript Highlights:

• This facility will feature a mix of private and semi-private suites, community kitchens, collaborative
• collaboration and wellness. collaboration and wellness.
• And as I say to everyone on our campus, I don't care about recruiting freshmen.
• I care about recruiting future graduates. And we don't measure inputs any longer.
• education or collaborating with education or workforce<00:25:33.600> partners.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met without a quorum, so no minutes were approved. The committee then heard a presentation from Western Kentucky University President Timothy Kabone, who highlighted WKU’s recent gains in graduation rate, retention, degree production, graduate enrollment, research activity, and financial stability. He said WKU’s FY 2026 budget is structurally balanced without one-time reserves, and he tied the university’s growth to its strategic plan and to Senate Bill 77, which created a pathway for WKU’s first PhD program. WKU’s initial PhD offering is planned in data sciences for fall 2027, and Kabone said the university continues to pursue R2 research status. Kabone also outlined WKU’s budget requests, including a 4.5% base appropriation increase for each year of the biennium, a $30 million increase in the performance funding pool, a $30 million trust fund for tuition waiver reimbursement, and $2 million per year for the Gatton Academy. He also requested continued funding for the Kentucky Mesonet, 8.9% of proposed asset preservation funding, and support for a $280 million new Potter College facility. He emphasized inflationary pressures, rising fixed costs, and the burden of mandated tuition waivers, and said the university supports performance funding but wants the model adjusted to better reward student success rather than enrollment growth. Members asked about WKU’s student housing situation and the transition away from the former student life foundation model. Kabone said the foundation structure had run its course, that the university had lacked adequate oversight under the old arrangement, and that WKU is moving to a public-private partnership with Gilbane and the College Housing Foundation. He said the new model would not increase the university’s debt load and would replace older residence halls with a roughly 1,000-bed complex, eliminate community-style bathrooms over time, and expand living-learning communities. Representatives McCool and Tipton praised WKU’s graduation and retention results and asked questions about the housing project and its timeline. The committee then heard from CareerVXR and KCTCS about a proposed career exploration pilot. Company representatives said the platform uses web-based and virtual reality experiences to show students real jobs and workplaces, with the goal of addressing an “awareness gap” in workforce participation. They proposed a $1.8 million, two-year pilot to reach 50,000 to 60,000 students in three regions, including Hazard Community and Technical College, Southeast Community and Technical College, and western Kentucky. Members asked about cost, funding source, and locations, and were told the request would come through the KCTCS budget. The meeting ended with notice that the next meeting was scheduled for Thursday, February 26.