Transcript Highlights:

• >> Um, there was a lots of moves. I'm going >> Um, there was a lots of moves.
• So, um, if you do feel that way or other people do, a lot of us feel that way about a lot of rules, but
• I feel like we dictate a lot of it.
• So I think there is a lot of corner.
• That's my opinion. uh a lot of this discussion out and uh a lot of this discussion out and gives<01:19

Bills: SF0050, SF0068, SF0084, HB0087, HB0029, HB0061, HB0090

Keywords: groundwater, water resource management, state engineer, aquifer study, corrective controls, monitoring wells, public reporting, irrigation, water management, funding, maintenance projects, tax assessments, state law, water conservation, Colorado River, drought, water rights, voluntary program, interstate agreements, water development

Transcript Highlights:

• I mean, that's a lot.
• I I I'm kind of that that's a lot.
• There's a lot of that going on.
• <00:36:04.799> [laughter] lot of meat and cheese. [laughter] lot of meat and cheese.
• Wendy always has a lot of energy.

Keywords: 910, house, all

Transcript Highlights:

• lot of members of the faculty, a lot of lot of members of the faculty, a lot of students<01:11:49.040
• It goes into lots of other areas. that. It goes into lots of other areas.
• There's a lot of passion.
• There's a lot of passion.
• I don't have a lot of notes.

Keywords: 916, all

Transcript Highlights:

• Thanks an awful lot, Matt.
• Scary in a lot of domains.
• Scary in a lot of domains.
• They have family, which counts an awful lot for a lot. So do we have any idea?
• um which counts an awful lot for a lot. um which counts an awful lot for a lot.

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• That helps me a lot.
• There's a lot of back and forth.
• That's what happened a lot.
• But there's a lot of things that a lot of people were really missing.
• But there's a lot of things that a lot of people were really missing on this.

Keywords: 994, senate, all

Transcript Highlights:

• Um we have a lot more levels oversight.
• [Laughter] >> I have a lot of questions.
• good data from a lot of people that are smarter than I am. >> Right?
• [Laughter] >> I have a lot of questions.
• I don't know >> I have a lot of questions.

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill received an update from the Hawaii Department of Health and EPA Region 9 on regulatory oversight of the Red Hill facility, the Navy drinking water system, and ongoing environmental investigation and cleanup. The agencies reviewed the authorities governing the work, including DOH’s emergency orders, EPA’s 2023 administrative consent order, and the older 2015 agreement, and explained that the newer framework is being used for most current oversight because it includes closure, remediation, drinking water protections, and stronger community engagement requirements, even though some requirements overlap. EPA and DOH reported major milestones and current work. Defueling was completed in March 2024, with about 104 million gallons removed, and the agencies said this eliminated the risk of another catastrophic release. They described the current tank-closure phase, expected to finish in July 2029, along with site assessment, site investigation, remediation, and long-term monitoring that may continue through at least 2040. They also summarized drinking water actions: emergency response flushing and sampling after the 2021 spill, lifting of the public health advisory in 2022, completion of extended drinking water monitoring in 2025, and ongoing system improvements such as repairs, flushing plans, valve work, complaint-response protocols, and upgrades to storage tanks and pumps. Members asked several questions about monitoring results, the meaning of TPH, the status of the 2015 agreement, and the Navy’s groundwater model. EPA said its sampling and the Navy’s results were in alignment during extended monitoring, and that it plans to issue a summary report covering the full response period. On the groundwater model, EPA and DOH said they have not yet approved it for decision-making, are reviewing it iteratively with outside experts and University of Hawaii data, and may approve it for specific uses in the future. DOH said its latest comment letter states the model cannot yet be used for decision-making purposes, and noted that UH’s separate modeling work is contingent on funding and may not be completed until next spring. The agencies also said they continue community outreach through open houses, webinars, neighborhood boards, legislative hearings, and fuel tank advisory committee meetings.

Transcript Highlights:

• And you talked about the stakeholders a lot.
• And you talked about the stakeholders a lot.
• There's a lot of protections throughout the bill.
• There's a lot of protections throughout the bill.
• Sometimes there's a lot of negotiation before trial.

Summary: The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session. The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0. The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.

Transcript Highlights:

• I believe I’ve saved a lot of addiction over the years.
• I believe I’ve saved a lot of addiction over the years.
• I believe I’ve saved a lot of addiction over the years.
• of got to it um we have been doing a lot of got to it um we have been doing a lot of<00:13:01.079
• Care Professionals there are a lot of Care Professionals there are a lot of means<00:23:57.279> by

Keywords: 958, all

Summary: The committee heard testimony on Senate Bill 132, a health care conscience-protection measure. Supporters said the bill would protect health care professionals from being forced to participate in procedures or services that violate sincerely held religious or ethical beliefs, while explicitly excluding emergency care. They argued it would help recruit and retain providers, preserve ethical integrity in medicine, and has worked in several other states. Supporters also emphasized that the bill is aimed at procedures or services, not at denying care based on who a patient is, and noted that the bill includes a civil cause of action to give it enforcement teeth. Several supporters described personal experiences. A nurse said lack of conscience protections affected her career choices and limited her path into women’s health. Dr. Warman said he had requested not to perform anesthesia for abortions and later chose non-narcotic pain management because he objected to heavy opioid prescribing, saying conscience protections allow professionals to practice responsibly. Senators asked about examples, the bill’s scope, whether it could be used to discriminate, and which states have similar laws; Mississippi, Florida, Montana, Ohio, South Carolina, and Arkansas were named. Questions also focused on the bill’s civil enforcement provisions and whether it could be used against patients based on identity or religion. Opponents warned the bill was overly broad and could allow refusals of care by a wide range of health workers, including clerks, ambulance drivers, pharmacists, nurses, and physicians. Dr. Karen Abrams said it could lead to denial of birth control, Plan B, blood transfusions, and other care, especially in rural areas with few alternatives, and could worsen Kentucky’s provider shortages. David Conway said the bill lacked patient protections, could increase delays and discrimination, and could prevent reassignment of objecting staff. The chair noted there were seven people signed up in opposition, limited testimony to two minutes each, and said the committee would return to the bill after hearing additional opposition and other pending bills.

Transcript Highlights:

• So, there's a lot of federal government.
• Again, I'll talk a lot about tech innovation.
• Again, I'll talk a lot about tech innovation.
• <00:46:25.359> of floods and tornadoes that a lot of floods and tornadoes that a lot of people
• There are a lot calls it in this book.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• I'm sure you learned a lot from her.
• You know, a lot of people call me a lot of names.
• I touch a lot of things down here, and I go to a lot of meetings, and I run a lot of things, and she's
• We had a lot of debate today, a lot of explanations, a lot of comments, a lot of questions.
• “A lot of questions.

Summary: The House convened, approved the journal, and spent much of the opening portion recognizing guests and interns from both parties, along with former lawmakers and a newly seated member, Representative Sylvia Allen. The chamber then took up House Concurrent Resolution 2065 honoring the late Alfredo Gutierrez. Members from both parties gave extended remarks about his life as a civil rights advocate, student activist, legislator, and mentor, and the resolution was unanimously adopted and transmitted to the Senate. Family members of Gutierrez were recognized in the gallery during the memorial tribute. The House then moved into Committee of the Whole on the first budget-related measures. On House Bill 4138, the “feed bill”/budget operations measure, Democrats argued the budget favored corporations and data centers over seniors, health care, housing, universities, and vulnerable families, while Republicans defended it as a continuation of prior policy and said it preserved tax conformity and modest agency cuts. After debate and questions, the committee recommended the bill do pass and the House adopted that report, sending HB 4138 to engrossing. The chamber next considered House Bill 4139, the amusement/gaming-related budget bill. Members debated whether it was essentially unchanged from last year’s budget language, with Republicans saying it was a continuation bill and that gaming-related provisions would support rural economies and tourism, while Democrats questioned the broader budget context and its effects on working families. The committee recommended HB 4139 do pass, and the House adopted that recommendation. The House then began debate on House Bill 4140, the state budget implementation bill, focusing on the budget stabilization fund and a proposed government efficiency initiative; discussion was still underway at the end of the transcript.

Transcript Highlights:

• They've taken lots of credit in high school, and so they do a lot more with their four years in undergraduate
• of work and a lot of thought and a lot of legislation to get there, and sometimes there’s just simple
• where it takes a lot of work and a lot where it takes a lot of work and a lot of<00:48:40.200>
• We see a lot of confusion around well.
• <01:31:59.160> better there and gave students a lot better there and gave students a lot better

Keywords: 916, all

Summary: The committee heard from Superintendent Megan Degenfelder on several interim topics centered on student-centered learning. She highlighted work-based learning and dual/concurrent enrollment, saying the state is updating accountability measures and should examine whether these programs are helping students progress, avoid duplicative costs, and reduce the need for remedial college coursework. She also discussed broader life-skills education, including financial literacy and soft skills, and said districts vary widely in what they offer. On gifted and talented programs, she noted that districts are statutorily required to provide them but the state does not have a clear picture of how consistently they are implemented, and she suggested the committee may want to study that area further. Members asked follow-up questions about whether dual enrollment should be evaluated only by time-to-degree, and Degenfelder said the analysis should also consider additional credentials and remedial coursework. Senator Schuler and others raised the idea of making financial literacy or other life-skills content more common, though Degenfelder said she did not favor a statewide mandate and instead preferred incentives and district-level implementation. The committee also discussed artificial intelligence in schools as an information-sharing topic, with Degenfelder saying the department is beginning a landscape analysis with districts and teachers. She then reviewed NAEP results, noting Wyoming performs strongly in fourth grade but drops sharply by eighth grade, and said the state wants to understand where students are falling off. Members also raised concerns about international comparisons and the need to improve literacy and math outcomes. The committee then moved to member-submitted topics. Representative Strock proposed reviewing the governance structure of state education, arguing that the current split among the Department of Education, State Board of Education, and other boards creates inefficiency and confusion, especially for licensure and programs like CTE. Senator Scott noted that turnover in the superintendent’s office could be a practical issue in any restructuring, and Strock responded that administrative staff could handle day-to-day operations. Representative Williams then introduced a discussion of common core standards and literacy, arguing that standards may be too broad and not specific enough, especially in early grades, and that Wyoming should emphasize phonics, basic reading, math, and civics more directly. Representative Guggenmos agreed that narrowing early-grade focus to math and literacy could improve outcomes. Finally, Representative Williams raised virtual education, saying it is growing quickly and the committee should study funding, accountability, and student support more closely; the chair opened that topic for further discussion.

Transcript Highlights:

• <00:48:00.560> of are are categories that have a lot of are are categories that have a lot
• a lot of the infrastructure, the roads. a lot of the infrastructure, the roads.
• that<01:31:08.719> we there's a lot of a lot of ways that we there's a lot of a lot of ways
• about these things a lot more. about these things a lot more. >> Oh.<01:34:55.760> Oh.
• >> lot of work there. >> lot of work there.

Bills: HR1, HF387

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, Blaine, local sales tax, special tax, restaurant tax, lodging tax, admissions tax, amusement tax, hotel tax, redevelopment, capital improvements, municipal finance, bonding authority, tourism tax

Transcript Highlights:

• So if there's any questions on the program. lot of good news on insurance in the lot of good news on
• I'll give a lot of credit.
• I know the comment came lot of credit.
• It's a lot of fun being out here.
• And a lot appreciate that clarification.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:38 Consideration of Referred Administrative Regulations 00:01:34 Proposed Legislation for the 2026 Session 00:10:14 Basic and Added Reparation (PIP) Benefits 00:10:41 Prior Authorization 00:46:15 Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• Um and so this is a lot of bureaucracy.
• are have a lot in common. are have a lot in common.
• There's a lot of things that can be done. Um, I think a lot of things schools can do already.
• <01:07:41.760> about worry, you know, we talk a lot about worry, you know, we talk a lot about
• of federal requirements there's a lot of federal requirements there's a lot<01:12:48.960> of<

Bills: HF630, HF1435, HF1607

Keywords: short-call substitute, substitute teacher, substitute teaching license, pilot program, teacher shortage, education workforce, school district, charter school, Professional Educator Licensing and Standards Board, PELSB, background check, paraprofessional, education support personnel, temporary license, substitute training, retaliation, teacher pay, daily substitute pay, Minnesota education law, education innovation

Transcript Highlights:

• I have bought a lot of fire apparatus over my career.
• Thanks a lot. Those are my questions. Appreciate it. Great. Thanks a lot. Those are my questions.
• So we look at a lot of things.
• So our fleet essentially looks a lot like their fleet.
• As it was mentioned here as well, this is a lot of effort and a lot of deliberation by my city council

Keywords: 988, house, all

Transcript Highlights:

• <00:11:50.240> Does for revenue and lots of things. Does for revenue and lots of things.
• better, but I also think that a lot of what the issue comes down to is a lot of folks who have clients
• So a lot of those things have years ago.
• > of the issue comes down to is a lot of the issue comes down to is a lot of folks<00:14:23.760
• > needed<00:14:33.160> is<00:14:33.480> better a lot of what's needed is better a lot

Keywords: Meeting Start: 00:00 Roll Call: 00:36 HB 732 Discussion: 02:00 HB 732 Vote: 20:55 SB 343 Discussion: 23:39 SB 343 Vote: 28:54 SB 129 Discussion: 30:30 SB 129 Vote: 32:27, 958, all

Transcript Highlights:

• A lot of trees were devastated by bark beetles.
• We can be a lot more aggressive in making sure people get paid.
• A lot of my questions... Senator Thornton. Thank you, Madam Chair.
• We've just seen a lot of inflationary measures. Inflation as well.
• We've just seen a lot of inflationary measures for projects.

Bills: SB154, SB187, SB193, SM3

Keywords: insurance, wildfire, flood damage, natural disasters, property coverage, water projects, appropriation, New Mexico, finance authority, infrastructure, New Mexico Finance Authority, funding, SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law

Transcript Highlights:

• A lot of them don't ask for help anymore. They just shut in.
• And it creates a lot of anxiety for our members.
• This treatment is absolutely, there is a lot of research out there. There's a lot of information.
• A lot of research out there. There's a lot of information.
• We started last year doing a lot of bills and... Thank you, Ms.

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Summary: The committee began with member and staff introductions, then took up a series of health and human services bills. The first group focused on radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms: SB 1120 would require at least half of procedure rooms in covered facilities to have a radiation protection system by July 1, 2027; SB 1118 would create a state grant program for rural hospitals to help pay for those systems; and SB 1121 would prohibit requiring lead aprons in rooms equipped with such systems, while allowing voluntary use with a real-time dosimeter. Physicians, nurses, and a hospital CEO testified that long-term radiation exposure and heavy lead aprons have caused cancer, cataracts, and orthopedic injuries, and that commercially available systems can reduce exposure to near zero. Some members raised questions about cost, vendor involvement, FDA clearance, and whether the bills should be discussed with stakeholders; the Health Systems Alliance of Arizona said it was neutral and wanted further stakeholder meetings. All three bills were adopted by 7-0 votes, with SB 1120 and SB 1121 amended. The committee then heard SB 1001, which would appropriate $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program. Blind and low-vision speakers described long waitlists, the need for independent living training, and how services help seniors remain at home rather than enter more costly care. The bill passed 6-0 with one member not voting. Next, SB 1072 proposed ongoing General Fund and Medicaid spending to raise reimbursement rates for home- and community-based services for people with intellectual and developmental disabilities, plus room-and-board funding and a workforce survey/reporting requirement. Providers testified that the system is underfunded, staff turnover is high, overtime is extensive, and many people wait for services; the bill passed 6-0 with one not voting. The committee also approved SB 1125, requiring the Department of Child Safety to annually seek MOUs with tribes and improve tribal access to information about placements and enforcement actions involving licensed group homes, after members asked about the stakeholder process and tribal participation. SB 1123, which removes the requirement that a supervising forensic pathologist be board-certified before delegating autopsy-related tasks to trainees, passed after Maricopa County said the change would help address training delays and workforce shortages. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under specified safeguards, drew support from the sponsor and an assisted-living operator but also opposition from a member concerned about off-label treatment in nonmedical settings; it passed 5-2. Finally, SB 1112, reducing the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allowing a judge to waive the witness requirement in some cases, passed 5-2 after testimony from supporters who said the current rule often blocks treatment for seriously mentally ill people and from opponents who argued it weakens due process. The committee then began SB 1113, which would allow service of court-ordered evaluation and treatment documents by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before action on that bill.

Transcript Highlights:

• I just like to ask lots of questions.
• You've got a lot of your parents. I'm very sure.
• But we teach them lots of skills. The next one is our CARS program.
• So they're taking a lot of our caseload because we had that big waitlist.
• So they're taking a lot of our caseload because we had that big waitlist.

Summary: The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff. Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing. Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.

Transcript Highlights:

• Like everybody else, lots of great family time.
• So really a lot of education.
• So as I mentioned, as I started this conversation, you know, we had a lot to do, a lot of rule updates
• And I looked at a lot of those.
• Obviously, we have a lot of people coming into our state, so a lot of our hospitals have indicated their

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.