Transcript Highlights:

• and retention is all improved.
• We've seen improvements since implementing Barr.
• We're still improving, and we're still adjusting.
• And we have an improvement science, continuous improvement approach that we work with all of our intervention
• TSI is targeted support and improvement.

Summary: The committee met to hear presentations on dual credit programs from North Dakota higher education leaders, a school superintendent, and teachers. Valley City State University described its dual credit model, emphasizing quality control through annual teacher training, syllabus and outcomes alignment, faculty qualification review, school visits, and pathways aimed at the College Studies Certificate. Members asked about teacher employment, course scheduling, revenue, scholarships, and whether a centralized model might improve efficiency; VCSU said most instructors are K-12 employees, online offerings are still small, and centralization could weaken local relationships and choice. Lake Region State College similarly stressed access and partnerships, noting about half of its headcount is still in high school, with both online and face-to-face dual credit options, district reimbursement arrangements, and support for rural schools. Lake Region also said dual credit helps students who might not otherwise see themselves as college-bound, but reduced tuition can still be a barrier for some families. Fargo Public Schools reported continued growth in dual credit, with 50 courses offered in partnership with several NDUS institutions and a 12.61% increase in participation. The superintendent highlighted a growing education pathway, including students completing Introduction to Education and field experience, and said the district is exploring a grow-your-own teacher pipeline. He also raised concerns about inconsistent institutional processes, teacher credentialing requirements, and transfer clarity, arguing for more aligned statewide systems. In response to questions, he said AP and dual credit can coexist, with AP often better for highly selective out-of-state colleges and dual credit better for students targeting North Dakota institutions, and he described some use of Arizona State online courses in earlier rural partnerships but said Fargo is focused on local institutions. Two teachers then testified on the classroom perspective. A West Fargo anatomy and physiology teacher said dual credit has expanded access, lowered costs, and prepared students well, but agreed that foundational science courses may be more effective when taken later in high school to reduce knowledge loss before college. A Drake-Anamoose English teacher, who has taught dual credit for more than 20 years, said the program has supported many students who went on to a wide range of careers and emphasized that small rural schools rely on dual credit to provide opportunities they otherwise could not offer. No formal votes or actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Care coordination improved, clear.
• delivering real measurable improvements delivering real measurable improvements that<00:10:42.800
• Um, attendance improvement.
• percentage point attendance improvement percentage point attendance improvement from<00:36:58.800
• ... the care team, outcomes improve, the care team, outcomes improve, hospitalizations<01:09:59.920><

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• <00:12:59.680> healthcare gainful employment to improve healthcare gainful employment to improve
• Um we have seen some<00:13:58.639> improvement.
• I I'll give kudos some improvement.
• Secondly, we have to improve the health of our population.
• improving healthcare outcomes. improving healthcare outcomes.

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• <00:09:54.720> and forward and continually improving and forward and continually improving
• So we need to find ways to improve lifestyle and environment if we want to improve population health.
• So we need to find ways to improve lifestyle and environment if we want to improve population health.
• So we need to find ways to improve lifestyle and environment if we want to improve population health.
• want to improve population health. want to improve population health.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• ways that we can improve processes that we've built.
• We definitely have a feeling of continuous improvement.
• We can improve our processes.
• We definitely have a feeling of continuous improvement.
• another way we've continuously improved another way we've continuously improved our<00:10:37.519

Keywords: 919, house, all

Summary: The Minnesota Department of Agriculture presented an overview of its budget, staffing, and major program areas, including protection services, marketing, and administration. Commissioners also highlighted concerns about federal funding uncertainty after a January letter suspending active and future USDA awards to the department. They said the issue affected about 13% of the agency’s budget, created confusion for farmers, and briefly disrupted poultry lab testing and HPAI-related work, though they later received assurances from USDA leadership that existing programs would continue processing. The department also described its anti-fraud efforts, including internal controls, a compliance coordinator, a grants administrator, review committees, site visits, and participation in the state’s Inspector General Coordinating Council. The committee then discussed several agriculture support programs. For dairy margin coverage, the department said Minnesota’s sign-up is open and supported a bill to extend assistance to farmers who began operations in 2023-2025 and were not covered under the earlier production-based formula. The renamed Farm to Food Security program, formerly LFPA, was described as a state-created local food purchasing effort funded at $700,000 per year. The down payment assistance grant for first-time farm buyers was also reviewed; the department said it has supported 112 farmers so far, with additional awards pending, but noted timing problems when purchase agreements fall through. Members asked whether priority should be given to applicants with signed purchase agreements, and the department said that was under consideration. The grain indemnity account update focused on the Hansen-Mueller facility failure and related claims. The department said the account holds about $10.7 million, has received 19 claims totaling $1.1 million, and that $842,000 of those claims were tied specifically to Minnesota transactions. It explained the difference by noting that some claims involved Minnesota farmers selling in North Dakota and Wisconsin, and that the indemnity account covers grains sold in Minnesota. The committee also heard updates on elk and wolf depredation payments, with the department projecting shortfalls in both funds and noting that payments are being delayed into later months. The agriculture response fund balance was said to be about $2.5 million. Finally, the Rural Finance Authority and the East Grand Forks potato facility were discussed. The RFA reported strong demand for low-interest loans, about $26 million remaining from the prior $50 million authorization, and a new $50 million bonding request in the governor’s proposal to avoid a funding gap. The department said the program has issued 3,951 loans totaling about $390.3 million with very low defaults. It also requested $1.38 million in bonding for building improvements at the East Grand Forks potato facility, which it said is the department’s only owned building and supports a significant potato industry. In response to a question from Rep. Bang, the commissioner said recent ICE activity had affected farms, processing plants, immigrant workers, and some rural food businesses, and that the department had relayed those concerns to the governor’s office and congressional delegation.

Transcript Highlights:

• Our first item is the Secretary of State Building Security Improvements.
• How is that going to improve our deliverables?
• with a goal to improve some of these outcomes that we're desperate to hear.
• There's been an improvement. I don't have it in front of me.
• And with this modernization project, we are improving the quality of care for veterans, also improving

Keywords: 988, house, all

Summary: The subcommittee held a May Revision budget hearing on state administration and related issues, hearing presentations from multiple departments and agencies. Early items included the Public Employment Relations Board on funding for implementation of AB 1 and a reduced request tied to AB 288, the Governor’s Office of Service and Community Engagement on a technical College Corps adjustment, and the Secretary of State on building security upgrades, election security grant matching funds, and payroll system readiness costs. The Department of Consumer Affairs presented a Board of Pharmacy modernization request and a General Fund backfill for the Bureau for Private Postsecondary Education; the LAO raised no concerns on the pharmacy item but recommended rejecting the private postsecondary backfill and questioned interest-free loan language. The Employment Development Department outlined several large workload and benefit adjustments, including EDD Next document management funding, UI loan interest, DI/PFL benefit increases, WIOA adjustments, school employee benefits, an EMT training reappropriation, and a technical reversion correction; the LAO flagged the size of the DI/PFL increase and the expansion of the document management scope, while members asked about program impacts and timelines. The California Workforce Development Board presented an April adjustment to reimbursement authority for an interagency agreement with Caltrans, which the LAO said raised no concerns. Public comment on that item and others included support for workforce and apprenticeship initiatives, including the Jails to Jobs proposal and renewal of the Apprenticeship Innovation Fund, though those were not part of the May Revision package. The Department of Industrial Relations then presented several proposals: reclassifying legal positions, continuing modernization of the workers’ compensation EAMS system, Cal/OSHA data modernization, creating a Cal/OSHA emerging technologies unit, reappropriating funds for the California Opportunity Youth Apprenticeship program, and trailer bill changes requiring electronic payment of employer assessments and adjusting the statutory treatment of the workers’ compensation administrative director’s salary. The LAO generally found the IT and salary proposals reasonable but urged close monitoring of the new emerging technologies unit. Committee members, especially Assemblymember Ortega, pressed DIR on long vacancy rates, wage theft claim delays, low collection rates for Cal/OSHA fines, and whether new resources would improve outcomes; DIR said it was pursuing recruitment, classification reviews, and process modernization, while the LAO noted that staffing alone may not explain the delays. The Workers’ Compensation Appeals Board also sought to make permanent a 2024 change to the 60-day reconsideration clock, saying it had reduced backlog and interim orders; the LAO had no concerns. Finally, the Department of Human Resources presented a statewide Employee Assistance Program contract consolidation that would lower costs compared with renewing separate contracts and requested one program manager position to oversee the contract and first responder services; the hearing continued with Finance’s response after the transcript ended.

Transcript Highlights:

• Our first item is the Secretary of State Building Security Improvements.
• Can you share what those improvements are?
• Is there any turnaround time improvement? Absolutely.
• How is that going to improve our deliverables?
• There's been an improvement. I don't have it in front of me.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• We're still requiring them to do a comprehensive school improvement plan.
• that's your comprehensive Improvement that's your comprehensive Improvement plan<00:02:54.680>
• <00:04:49.919> so overall they need to have Improvement so overall they need to have Improvement
• <00:08:41.839> plan comprehensive School Improvement plan comprehensive School Improvement
• tenure whatever there's Improvement tenure whatever there's Improvement plans<00:09:42.800> and

Keywords: This Live stream had a technical issue part way through and will be loaded fully later today., 958, all

Summary: The committee took up House Bill 48, which would reduce the state-required formal observation cycle for tenured teachers from once every three years to once every five years, while preserving local district authority to conduct more frequent observations if they choose. Supporters argued the change would cut paperwork and time burdens on experienced teachers and principals, while still allowing districts to monitor performance and place teachers on improvement plans when needed. Members also discussed the bill’s separate provisions on school improvement plans, with clarification that CSI/TSI low-performing schools would still be required to maintain comprehensive improvement plans and receive additional support from KDE, and that the bill was not changing the evaluation system for those schools. A second major topic was professional development and teacher induction/mentoring requirements. The bill would consolidate state-mandated PD requirements into a rotational schedule for tenured teachers, and members noted that teachers are already subject to federal and local PD obligations that the legislature cannot change. Several speakers emphasized that the bill was intended to reduce state-level mandates, not eliminate useful supports for new teachers, and one member raised concern that mandatory induction/mentoring could limit districts’ ability to use Title II funds; the response was that the program remains valuable and should be revisited with dedicated funding rather than discarded. There was also a brief question about suicide prevention hotline and Safe Haven Baby Box posting language, which was explained as existing statute consolidated into one place. The committee then voted on the bill and it passed, with members offering brief explanations of support and noting frustration with recurring annual training requirements such as bloodborne pathogens. After the vote, members thanked the bill sponsors and educators who helped shape the legislation, and the chair announced weekly office hours in Room 367. The meeting ended with congratulations to the new K-12 chair and adjournment.

Transcript Highlights:

• <00:02:25.320> and and funds legacy system improvements and and funds legacy system improvements
• <00:08:23.360> worker navigation and improved worker navigation and improved worker experience
• And third, it will lead improved data sharing between agencies for improved detection and alerting of
• data<00:10:14.400> sharing And three, lead improved data sharing And three, lead improved
• MAXIS is little more improvements?

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• <00:14:52.800> and midwy policies that would improve and midwy policies that would improve
• cost-effective strategy to improve cost-effective strategy to improve maternal<00:16:21.600>
• implement the practices to improve implement the practices to improve parent<00:45:33.280> to
• This legislation will improve responsiveness, communication, and ongoing care for families.
• This legislation will improve responsiveness, communication, and ongoing care for families.

Keywords: 1187, senate, all

Transcript Highlights:

• And so and discussion of improvements.
• things maybe that could be improved things maybe that could be improved upon.<00:19:47.360> uh
• buildings at Hastings or improving the buildings at Hastings or improving the quality<00:36:52.480
• So they forward fund a year. significant improvements. This will have significant improvements.
• > include Um, capital improvements may include Um, capital improvements may include highway<00

Keywords: 1183, house

Summary: The committee first approved the March 5 minutes, then heard a presentation from Balig Engineering on cost drivers for drinking water and wastewater infrastructure in small Minnesota communities. The testifier said most Minnesota communities are small, and that limited local staff, complex funding requirements, and the need to combine multiple funding sources make projects expensive and labor-intensive. He cited examples of aging infrastructure, including a Tracy street collapse and failing water mains, and said federal funding can help but often requires extensive reports that can cost tens of thousands of dollars and hundreds of staff hours. He also pointed to inflation, supply-chain disruptions, colder climate requirements, higher material and labor costs, limited competition among contractors and suppliers, and newer treatment requirements such as PFAS removal and cybersecurity controls as major cost drivers. Members asked whether reduced bonding or less frequent state funding would lower prices, whether annual bonding bills provide market certainty, how regionalization could be encouraged, and whether tightening specifications adds costs. The testifier said stopping work would likely drive contractors out of the market and reduce competition, which could raise prices later, and that consistent funding helps keep contractors in Minnesota. He said regional water systems such as Red Rock Rural Water and Lincoln Pipestone Rural Water are already helping lower costs and that legislators could encourage more regionalization through incentives. He also said some specifications and federal requirements, especially around treatment plant controls and cybersecurity, increase costs, though some standards like deeper water-main burial are necessary. The committee then moved on to the Minnesota Department of Veterans Affairs, where John Kelly began presenting the governor’s 2026 capital budget recommendations and described the department’s mission, statewide network of veterans homes and cemeteries, and service to nearly 300,000 veterans and dependents.

Transcript Highlights:

• That helps you build a logical capital improvement program.
• Some things we're great at, but you can always improve.
• While that's going on, we're going to be performing major infrastructure improvements and improving a
• I mean, we're constantly improving.
• That's just public-facing, not even counting the 200-plus projects, apron improvements, runway improvements

Summary: The Transportation Committee met to consider two bills and then held a lengthy discussion on Florida airport infrastructure. SB 246, presented by Senator Rodriguez on behalf of Senator Gruters, would authorize a UFC specialty license plate, with proceeds supporting the UFC Foundation’s charitable work. A UFC Foundation representative described community beneficiaries and said the plate would help raise funds for local charities. With no questions or debate, the committee voted SB 246 favorably. The committee also took up SPB 7012, a Department of Highway Safety and Motor Vehicles public-records exemption bill that would remove the October 1, 2026 repeal date for certain active investigatory records. Senator Avila moved to submit it as a committee bill, there was no objection, and it was reported favorably as a committee bill. The remainder of the meeting focused on the Comprehensive Airport Infrastructure Program. FDOT Secretary Jared Perdue outlined Florida’s aviation system, the department’s airport funding programs, and the state’s role as a financial partner in safety, capacity, preservation, and economic development projects. He said Florida has 128 public-use airports, 21 commercial-service airports, and four large-hub airports, and noted that airport funding is largely supported by gas-tax-related revenues, with additional support from documentary stamp revenue and other fees. He also discussed the new airport infrastructure planning requirements created last session and said all required airports had submitted plans. Committee members asked about the loss of aviation fuel tax revenue, workforce development, project timelines, and how FDOT prioritizes funding, with Perdue emphasizing safety, preservation, capacity, economic return, and matching funds. A panel from Miami, Orlando, Fort Lauderdale, and Tampa international airports then described major capital programs, passenger growth, and funding needs. The airports highlighted terminal expansions, parking, baggage systems, airfield rehabilitation, people movers, and other modernization projects, along with the importance of maintaining aging facilities while accommodating growth. They said FDOT and FAA grants are helpful but increasingly insufficient for runway and taxiway costs, and several panelists said passenger facility charges and other revenue tools are important to future self-sufficiency. Members also asked about workforce shortages, small-business participation, landing-fee negotiations, and non-aeronautical revenue. The panel said workforce challenges are most acute in trades and maintenance, small-business programs are active at each airport, and landing fees are negotiated with airlines to keep airports competitive while funding needed improvements.

Transcript Highlights:

• The key improvements that need to be made have been made.
• So really, there aren't a lot of—I don't see any need for further improvements.
• There have been many improvements on training in the workforce.
• For improvement in this area.
• between rate increases in supported living and improvements in wages and benefits.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• Third, the triage process needs to be improved.
• Third, the triage process needs to be improved.
• We do have additional improvements underway.
• There are areas where we can and need to continue to improve.
• There are areas where we can and need to continue to improve.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• Teacher retention almost always improves in Barr schools.
• We've seen improvements since implementing Barr.
• We're still improving, and we're still adjusting.
• We have an improvement science, continuous improvement approach that we work with all of our intervention
• TSI is targeted support and improvement.

Keywords: 908, all

Transcript Highlights:

• <00:30:08.159> the our students and ask you to improve the our students and ask you to improve
• <00:38:01.440> to<00:38:01.920> increase need improvements to increase need improvements
• <00:45:54.960> meal can increase efficiency and improve meal can increase efficiency and improve
• often highlight areas for improvement often highlight areas for improvement and<01:06:50.559>
• with room for improvement for the native<01:17:30.520> students.

Keywords: 1187, senate, all

Transcript Highlights:

• This care not only improves the quality of life, but it also saves taxpayers billions by delaying or
• This care not only improves the quality of life, but it also saves taxpayers billions by delaying or
• When we improved, or you all improved, the Earned Income Tax Credit, we increased it from 30 to 40 percent
• That being said, we must keep improving and ensuring the payments are adequate for our residents.
• That being said, we must keep improving and ensuring the payments are adequate for our residents.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• This is just one of the examples of how midwifery improves outcomes.
• There's definitely improvements that need to happen.
• We have a clear path forward to improve outcomes while reducing costs.
• We need these improvements desperately.
• We need these improvements desperately.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• > Further leasehold improvements are Further leasehold improvements are needed,<00:15:46.880> which
• Leasehold improvements were also Leasehold improvements were also requested,<00:17:11.439> including
• Springfield with necessary infrastructure and road improvements.
• <00:33:05.760> This and improve athletic facilities.
• This and improve athletic facilities.

Keywords: 00:01 Call to Order and Roll Call 01:49 Approval of Minutes 02:06 Information Items 03:48 Project Rpt from Finance and Admin Cabinet 14:38 Lease Rpt from Finance and Admin Cabinet 18:50 OFM – Ky Infrastructure Authority 26:40 OFM – Cabinet for Economic Development 31:50 Office of Financial Management 40:40 Remaining 2025 Meeting Dates 41:25 Adjournment, 958, all

Summary: The meeting opened with prayer and a quorum call, then the committee approved the prior meeting minutes. Staff reported several informational items, including University of Kentucky medical and research equipment purchases, school district debt issues, leasehold improvements, and Kentucky Community and Technical College System bond allocations. The committee then approved a line-item appropriation increase of $350,000 in federal funds for the Department of Fish and Wildlife Resources’ Cumberland Forest Conservation Program, along with two Department of Military Affairs projects: the Ashland Readiness Center window replacement and the MATES HVAC replacement at Fort Knox. It also approved four larger maintenance-pool projects without further action: HVAC and smoke evacuation work at the Kentucky State Penitentiary, HVAC and hot water tank replacements at Oakwood, a Green Bank energy-savings performance project across state facilities, and roof replacement at Lake Barkley Lodge. Members asked about the prison project, the roof procurement process, and whether minority-owned firms receive special bidding preference; staff said capital projects are awarded through open low-bid procurement with qualification and warranty requirements, and that minority participation is preferred but not a bidding criterion. Two lease modifications were approved for Franklin County agencies: an expansion and renovation for the Auditor of Public Accounts and a downsizing and renovation for the Kentucky Workers Compensation Funding Commission. The committee also approved Kentucky Infrastructure Authority items, including a Monticello sewer loan, several Cleaner Water Program grants and reallocations, and a House Bill 1 water grant that required no action. Members questioned engineering costs and were told the KIA board reviews technical details and anomalies before approval. Finally, the committee approved six economic development grants: one EDF grant for V Simple in Jefferson County and five KPDI EDF grants for projects in Breckinridge, Erlanger, Todd, and Washington counties. The last action item was approval of Western Kentucky University’s up-to-$10 million general receipts revenue bond issue for athletic facilities. An informational Kentucky Housing Corporation multifamily bond item prompted concern from members about rising per-unit costs for affordable housing, and they requested further explanation from the housing corporation at a future meeting.

Transcript Highlights:

• , it's important for us to be people-centered, not just see numbers, but see people and how do we improve
• I believe that there's always room for improvement, and we should always look for ways and opportunities
• to improve.
• but see people and how do we improve but see people and how do we improve their<00:03:20.680>
• <00:04:45.320> and there's always room for improvement and there's always room for improvement

Keywords: 1187, senate, all

Summary: The discussion focused on Minnesota Senate power-sharing after the chamber split evenly between DFLers and Republicans, leading to a temporary arrangement with two co-presiding officers instead of a single Senate President. Senator Bobby Joe Champion described the arrangement as historic but practical, noting that he and Senator Jeremy Miller both have prior leadership experience and mutual respect, which helps the Senate operate smoothly at the start of session. He said the agreement is intended to keep the Senate functioning while the seat in Senate District 60 remains vacant and until the 34th vote is restored. Champion said the power-sharing agreement will end once the tie is broken and the Senate regains a majority, after which one of the co-presiding officers will become Senate President. He expressed hope that he would hold that role, but emphasized that the broader goal is to keep the chamber focused on people-centered policymaking rather than partisan numbers. He also said some elements of the agreement, especially those that encourage closer collaboration, may continue even after the tie is resolved. The senator highlighted bipartisanship, committee balance, and working relationships across party lines as key features of the arrangement. He pointed to his role as co-chair of jobs and economic development and said he expects continued cooperation with Republican lead Senator Draheim on issues affecting Minnesotans. Throughout the interview, Champion framed the moment as an opportunity to “meet the moment” with leadership, citing the importance of how the Senate handles challenge and controversy.