Transcript Highlights:

• I forget the exact number.
• developing the plan. developing the plan.
• We impose some exaction fee on the developer for a few years.
• We impose some exaction<04:03:37.279> fee<04:03:37.600> on<04:03:37.920> developer
• exaction fee on developer for few years. exaction fee on developer for few years.

Keywords: 1189, house, all

Transcript Highlights:

• We believe that robust economic development and environmental protection go hand in hand.
• And I'll show you the exact award that we get.
• And I'll show you the exact award that we get.
• I don't have the exact number off the top of my head. We do have a spreadsheet.
• I don't have the exact number off the top of my head.

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.

Transcript Highlights:

• We do have some development still.
• We do have some multifamily development that's coming into the city.
• There is that exact scenario going on, the competition right now between Denton...
• their huge development, some maybe $30,000 or $40,000 to do it.
• The lack of economic development—our local cities are responsible for land use and economic development

Bills: HB17, HB23, SB 10

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support, youth programs, community education, county population threshold, large county, local government revenue, leasehold interest, possessory interest

Transcript Highlights:

• I can get you the exact numbers is that I can get you the exact numbers is that actually<00:42:19.599
• I can't give you the exact answer to that.
• I can't give you the exact answer to that.
• I can't give you the exact answer to that.
• I can't give you the exact answer to that.

Keywords: Meeting Start: 01:24 Attendance Roll Call: 01:44 KY Association for Career & Technical Education: 03:40 Senate Concurrent Resolution 43 (Sen. West): 10:42 Senate Bill 77 (Sen. Deneen ): 31:26 Senate Bill 120 (Sen. Chambers Armstrong): 35:04 Adjournment: 51:44, 958, all

Summary: The Senate Education Committee met with a quorum and heard a presentation from Parker Keys, Northern Kentucky State Vice President for Kentucky FFA, on the value of career and technical education (CTE). He highlighted enrollment of more than 143,000 secondary students in CTE, work-based learning, dual credit, industry certifications, and the role of student organizations such as DECA, FBLA, FCCLA, FFA, Educators Rising, TSA, and SkillsUSA. Senators praised CTE as important for workforce readiness and resume building, and encouraged continued engagement with the committee. The committee then considered Senate Concurrent Resolution 43, sponsored by Senator Steve West, supporting a Southern Regional Education Board initiative to expand crisis counseling and recovery support for schools and colleges after tragedies and disasters. Dr. Steven Puit and Linda Tyrie described a regional network of trained counselors modeled on Kentucky’s response after Marshall County, emphasizing long-term recovery, psychological first aid, and deployment support for up to a year after an event. Members spoke in strong support, citing the lasting impact of Marshall County and Heath, and the resolution passed 13-0 and was reported favorably. Finally, the committee took up Senate Bill 77, a cleanup bill relating to the Education Professional Standards Board. Senator Matt Deneen and Association of Independent Kentucky Colleges and Universities representative Mr. Dyer explained that the bill clarifies that small independent colleges and universities may designate a qualified education department representative, not only a chief academic officer, to serve on the board. The committee adopted a committee substitute by voice vote, and the substitute was approved.

Transcript Highlights:

• they've had at the harddetyenter: we're one of the top sites in the nation for the healthy child development
• And we would be spending this money on continued development of our clinical delivery system.
• I cannot provide the exact number now, but I can get back to you with the information.
• A plan in place as well, that with the level one trauma center that we're developing, I think it's 6060
• I can also pull the exact numbers in like two minutes, but it is roughly half Medicare, and then you

Keywords: 914, all

Transcript Highlights:

• front of you, and I want to thank all of you for your hard work over the last couple of months in developing
• these recommendations for the 2025-2026 fiscal year. ...couple of months in developing these recommendations
• The department would be able to remove the development rights and offer the land for sale to keep it
• So I want to talk a little bit about the issue about water quality additives, which is the exact wording
• I don't know the exact cost, no.

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard a presentation on its 2025-2026 budget recommendations and adopted the proposal as a recommendation to the full Senate Appropriations Committee. The chair highlighted major funding items including more than $1.2 billion for water quality and Everglades work, citrus recovery, food bank and pantry grants, wastewater and drinking water loans, beach restoration, flood and sea level rise projects, rural land protection, disaster loans, state facilities repairs, SLERS, accounting system replacement, and continued funding for My Safe Florida Home. Staff were authorized to make technical adjustments, and members were told final proviso project lists would be printed later in the week. The committee then considered several bills and reported them favorably, including SB 796 on DEP general permits for distributed wastewater treatment systems to help local governments address failing septic-related water quality problems; SB 1162 expanding boating improvement and water access facilities programs; SB 466 implementing the Florida Museum of Black History task force’s selection of West Augustine as the museum site; SB 178 creating a FAMU agronomic study on viable crops for land taken out of production; CS/SB 678 allowing pawnbroker transaction forms to be printed or digital; and CS/SB 736 updating the Brownfields program, with a technical amendment adopted. Testimony on these bills was generally supportive, with speakers from affected industries, local governments, and advocacy groups. The committee also took up CS/CS/SB 700, the comprehensive Florida Farm Bill, which included technical agency changes and major policy provisions such as restrictions on additives to public water supplies, labeling requirements for meat, milk, poultry, and eggs, drone-related protections for farmland, disaster recovery loan updates, an honest services registry for charities, FFA scholarship and school infrastructure provisions, and a mechanism for state purchase of former solar-converted agricultural land. The water-additive provisions drew extensive debate and testimony from supporters and opponents, including dental professionals, public health advocates, and groups arguing for medical freedom and local control. Despite the controversy and a no vote from Senator Arrington, the bill was reported favorably. Finally, SB 1226 creating a regulatory framework for pet insurance was also reported favorably, and the committee adjourned after members recorded additional votes on several bills.

Transcript Highlights:

• administration and commerce to develop administration and commerce to develop the<00:10:32.800><
• I can get back to you on an exact count.
• <00:50:54.319> the center was hired to develop the center was hired to develop the guidelines
• reasons that could be devel developed reasons that could be devel developed with<00:54:23.760>
• That was my exact observation as well. Okay, great. Thanks, Representative Sexton.

Keywords: 1183, house

Summary: The House Capital Investment Committee met on January 23 and approved the minutes from the previous meeting. The main presentation was from the Office of the Legislative Auditor on its evaluation of Minnesota’s Sustainable Building guidelines, also referred to as B3. The auditors said the guidelines apply to certain new buildings and major renovations funded with general obligation bonds and are intended to improve energy efficiency, occupant health, and environmental quality. They described the program as involving the Departments of Administration and Commerce, the University of Minnesota’s Center for Sustainable Building Research, and project teams, but found widespread confusion over who is responsible for administering and enforcing the program. The auditors reported that oversight and accountability are limited, compliance is not clearly tracked, and there is no agency assigned to ensure projects follow the guidelines or to require compliance data. They said many projects in a review of 2020 bonding projects had not begun tracking compliance, and that up-to-date data were often missing. They also found the law’s stated program objectives are outdated because the referenced energy-code provision was repealed in 2009, and that measurable goals have not been established for most of the guideline categories. The office recommended that the legislature designate a responsible agency, clarify duties in statute, require compliance monitoring and data collection, update the program’s stated goals, and direct systematic evaluation of cost and sustainability outcomes. Members asked about consequences for noncompliance, funding, and whether cost impacts should be studied first. The auditor said the requirements are legal obligations, but no real enforcement consequences have been used so far, and any consequences discussed have been mostly theoretical. She said the Departments of Administration and Commerce were receiving about $1 million combined to support the contract with the Center for Sustainable Building Research, while other state agencies were not receiving dedicated funding for oversight. In response to questions about costs, she said the overall effect of the guidelines on project costs and sustainability is still unknown, but that the legislature could direct an analysis of cost impacts before taking further action.

Transcript Highlights:

• <00:52:37.760> timber<00:52:38.079> that's again it's the same exact timber that's
• again it's the same exact timber that's you<00:52:38.800> know<00:52:38.960> 100<00:52:
• It's in the exact same location it was when the Brick Tower Motel was there many, many decades ago.
• else without to develop it for something else without that<01:50:29.840> sign."
• Um, this is probably too close to the highway to be developed.

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 497, a technical correction to last year’s capital budget. Shannon Reid of the Community College System of New Hampshire explained that the bill removes leftover state-agency boilerplate from a repurposed capital appropriation and replaces it with community college language, without changing any dollar amounts. She also described a requested amendment to rename a respiratory therapy renovation appropriation at Nashua Community College as an allied health instructional center, so the space can be used more flexibly for programs such as phlebotomy, radiologic technology, and LNA training. Terry Poff of the General Court then testified on the second part of the bill, which changes legislative space references to support the move of General Court offices from the second floor to the fourth floor of the annex as part of the legislative office building reconfiguration. Members asked whether the community college changes affected funding, and Reid confirmed the amounts do not change and that the bill simply speeds up a correction that otherwise would have been handled later in the lapse process. Poff said the annex space change is part of a permanent transition, though the work cannot proceed until the General Court has legal control of the space. The committee then entered executive session, adopted Amendment 1031H on a 12-0 vote, and voted ought to pass as amended on SB 497 by a 12-0 vote, with several members absent. The bill was placed on the consent calendar. The committee next opened a hearing on Senate Bill 529FN, which would give preference to lumber sourced in the United States on state-funded building projects. Representative Davis, introducing the bill for Senator Roachford, argued that New Hampshire timber is disadvantaged by grading rules that treat U.S. lumber differently from Canadian SPF lumber, even when the wood is from similar species and climates. He said the bill is intended to support New Hampshire’s timber industry and that architects and engineers would still be able to specify stronger materials when needed. Committee members questioned whether the bill should instead refer specifically to New Hampshire lumber, how it would be enforced, and what the cost impact would be. Davis and later witness Mike Olette said the issue is tied to industry grading standards rather than a government code, that the bill is meant to create a preference rather than a mandate, and that price differences are hard to pin down because lumber is a commodity. Olette, who lives near the border, testified that New Hampshire logs are often sent to Canada for milling and then return under a different grade, which he said puts New Hampshire loggers and mills at an economic disadvantage.

Transcript Highlights:

• everybody know we aren't exacting everybody know we aren't exacting anything<00:28:01.680> today
• responsibility of developing something responsibility of developing something that<00:51:28.680>
• I apologize, we're not exacting any... Oh, sorry. I won't.
• > any<02:22:54.120> Oh, apologize we're not exacting any Oh, apologize we're not exacting
• We aren't exacting anything Thank you.

Keywords: 1189, house, all

Transcript Highlights:

• <00:10:33.200> or biggest issues for someone developing or biggest issues for someone developing
• Nashua there's very little developable Nashua there's very little developable land land land left
• <00:22:20.520> going soils and the type of development going soils and the type of development
• <00:37:02.599> land<00:37:03.560> be developable land be developable land be housing<00
• costs and slow down project development costs and slow down project development and<01:47:24.239

Keywords: 1191, senate, all

Transcript Highlights:

• Senate Bill 20 is the same exact bill that we passed in this body last year, which had the bill number
• exact bill that we passed in this<00:07:23.120> body<00:07:24.000> last<00:07:24.319><
• boards and that such that development boards and that such that you<00:08:10.000> know<00:08:
• And to economic development, tourism, and labor: Senate Bill 45.
• > tourism, And to economic development, tourism, And to economic development, tourism, and<00:

Keywords: 958, all

Summary: The Senate opened with an invocation, pledge, roll call, and approval of the previous day’s journal. The House clerk then reported that the House had passed House Bills 134, 214, 281, and 416 and requested concurrence. The clerk also read the second-reading calendar, including Senate Bills 1, 3, 48, 84, 105, and 122, and a new filing, Senate Bill 141 on legal advertisements. The Rules Committee later reported those bills to the regular orders or to appropriations, and the Committee on Committees referred several bills to Agriculture and to Economic Development, Tourism, and Labor. The chamber then took up and passed Senate Bill 20, relating to city government and training incentive programs for appointed and elected local officials. The sponsor described it as a straightforward measure to encourage training for city officials and board members; it passed unanimously, 35-0. Senate Bill 68, relating to the Kentucky Horse Park, also passed unanimously. Its sponsor said the bill would give Horse Park leadership authority to remove individuals restricted by U.S. Center for SafeSport actions in order to protect guests, staff, and participants. Members also adopted Senate Resolution 65 honoring John and Debbie Rogers on their 50th wedding anniversary and Senate Resolution 50 honoring the Lexington Opera House on its 140th anniversary. Several members requested co-sponsorships on bills and resolutions, and announcements were made about Military Kids Day on February 19 and the Black History Celebration beginning February 3 at the Thomas D. Clark Kentucky History Center. New floor amendments were introduced to Senate Bills 3, 34, and 39, and new filings included Senate Bills 142 and 143 and Senate Resolutions 69 and 70. The Senate then adjourned until 4 p.m. Monday, February 2, 2026.

Transcript Highlights:

• I wanted to develop a staff that also helped to support my patient care.
• I wanted to develop a staff that also helped to support my patient care.
• So he pays $23,000 in New Mexico, $6,000 in Texas to practice the exact same thing. Okay.
• So he pays $23,000 in New Mexico, $6,000 in Texas to practice the exact same thing. Okay.
• For example, Minnesota pioneered the first research and development credit in 1981.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• I don't have the exact standard. I don't have the exact rule in front of me, 12-604.
• I don't have the exact rule in front of me, 12-604.
• It's the same exact language and process. So that language has been around. It's not new.
• Is that the exact correct steps? Mr. President, someone else? Yes. I think, Mr.
• One is people have a lot of fear about higher costs and diminishing economic development.

Keywords: 996, all

Transcript Highlights:

• <00:01:58.920> and Director of Economic Development and Director of Economic Development and
• for growth um and further development for growth um and further development into<00:03:16.120>
• <00:48:41.800> of beforehand uh during the development of beforehand uh during the development
• Acres actually took one year to develop Acres actually took one year to develop the<01:24:55.800
• <01:26:43.679> same permites will be held to the exact same permites will be held to the exact

Keywords: 1183, house

Transcript Highlights:

• In support, Office of Planning and Sustainable Development, not present.
• Diana Sness from the Office of Planning and Sustainable Development.
• But we can provide the exact number. >> Okay, thank you.
• But we can provide the exact Yeah. But we can provide the exact number. number. number.
• They developed it during the cesspool working group.

Bills: HB644, HB1802, HB1569, HB1619, HB1620, HB1730, HB1749

Keywords: PFAS, single-use plastics, environmental health, food ware, pollution reduction, HB1802, conservation banking, conservation bank, mitigation banking, compensatory mitigation, incidental take permit, incidental take license, habitat conservation plan, HCP, DLNR, BLNR, Board of Land and Natural Resources, endangered species recovery committee, threatened species, endangered species

Summary: The committee heard several environmental and energy bills, beginning with HB 644 on single-use plastics. DLNR and DOH supported the measure, and environmental advocates said it would reduce plastic waste in oceans and landfills. Testifiers urged the bill to avoid weakening existing county ordinances, and some supported delaying implementation to use up inventory, while Upstream opposed compostable-plastic exemptions and urged prompt passage. Committee members asked whether reusable and refillable foodware could be added to the PFAS prohibition, and Upstream said that would be consistent with the bill’s goals. The committee then took up HB 1802 on conservation mitigation banks, HB 1569 on microfiber filters for newly manufactured washing machines, and HB 1619 on electric vehicle infrastructure. HB 1802 drew mostly agency testimony from DLNR, with opposition testimony noted from environmental groups, and members discussed whether suggested amendments would address concerns. HB 1569 received limited testimony, with support from the Hawaii Reef and Ocean Coalition and opposition from the Association of Home Appliance Manufacturers. HB 1619 was supported by the PUC, Hawaiian Electric, the Department of Transportation, and several advocacy groups; Earthjustice said the bill was needed to address a widening EV charging shortfall and described the funding increase as relatively small compared with the benefits. The committee also heard HB 1620, which would increase the barrel tax to fund the EV charging rebate program. The State Energy Office and PUC offered comments, while the Tax Foundation of Hawaii opposed the special-fund approach and said the bill should also address the non-petroleum fossil-fuel portion of the barrel tax. Earthjustice and youth transportation advocates supported the measure, and the chair asked for information on unused hydrogen fueling subaccount funds; PUC said no hydrogen program funds had been deployed and estimated the balance was likely around $2 million, with exact figures to be provided later. Finally, the committee heard HB 1730 on wastewater systems, which would create a wastewater technical advisory group and fund positions at DOH. DLNR, DOH, OPSD, UH, and several environmental groups supported the bill, emphasizing cesspool pollution, affordability, and the need for more staffing and technical assistance. Testifiers suggested amendments to create a separate cesspool conversion implementation working group and debated the size and composition of the advisory group, including whether to include outside engineers and whether SHIP should be on the panel. No votes were taken during the hearing segment provided.

Transcript Highlights:

• You can say, 'I'm going to have an exact session for bills X, Y, and Z.'
• You can say, "I'm going to have an exact You can say, "I'm going to have an exact session<00:14:
• do it by way of saying we're in an exact do it by way of saying we're in an exact session
• is that developed? is that developed?
• <01:59:57.360> We develop how this might occur. We develop how this might occur.

Keywords: 1189, house, all

Transcript Highlights:

• But the exact date, I can't remember that. that question, Jane.
• But the exact date, I can't remember that. So I’ve been paying attention to it.
• But the exact date, I can’t remember that. It’s this year.
• engagement in order to develop a vision.
• It’s like coverage with evidence development.

Summary: The committee met for its final session before submitting a report to the governor and legislature, with introductions from state officials, legislators, advocates, providers, and facilitators. Staff explained that the meeting would focus on finalizing the committee’s strategic priorities and recommendations for a five-year behavioral health plan centered on prevention, early intervention, and community-based services. Members reviewed the draft overarching priorities, including the need for a statewide behavioral health vision and an executive-level role to coordinate behavioral health across agencies, and discussed how those priorities should reflect people with lived experience, families, and community voice. A substantial portion of the meeting focused on the draft recommendations and how they should be organized and worded. Members raised concerns that the document was too aspirational and not specific enough, and several suggested moving more detailed actions under the broader priorities rather than leaving them in a separate section. There was also discussion about the use of the term “evidence-based,” with tribal representatives and others asking for language that also recognizes practice-based evidence, promising practices, cultural specificity, and flexibility in funding and implementation. Members also discussed clarifying “early intervention,” adding examples such as universal screening, outpatient access, primary care integration, and home visiting, and ensuring the plan reflects accountability and community feedback. Other edits included clarifying credentialing recommendations to distinguish between licensure and payer credentialing, adding mentorship as a workforce retention strategy, and broadening Medicaid-centric language to include carriers and insurers more generally. Staff noted the report would be revised and sent back out for review by May 22, with comments due by May 27, in order to meet the June 1 submission deadline. No public comment was offered, and the meeting ended with thanks to members and facilitators for their work.

Transcript Highlights:

• facilities and our youth development facilities and our youth development centers<00:32:07.279><
• development centers. development centers.
• juveniles. uh and their development juveniles. uh and their development alike. alike. alike.
• Lynen facility uh and I've got an exact Lynen facility uh and I've got an exact number<01:03:15.920
• you an approximate figure, not an exact you an approximate figure, not an exact dollar<01:03:28.000

Keywords: Meeting Start: 00:00:03 Roll Call: 00:00:09 Agency Updates: 00:01:44 Juvenile Justice Advisory Board Update: 00:03:36 Department of Juvenile Justice Update: 00:23:10, 958, all

Summary: The Juvenile Justice Oversight Council approved the minutes from its November 8, 2024 meeting and welcomed new member Representative Nick Wilson. The council also heard an update from the Administrative Office of the Courts on a school attendance awareness campaign aimed at reducing truancy referrals to court, and a member requested a future, more detailed presentation on truancy trends. The council then received an update from the Juvenile Justice Advisory Board from Dr. David Frink and Elsie Berger. They described the board’s membership, meeting schedule, public access, annual report and three-year plan, and its role in helping Kentucky remain compliant with federal juvenile justice requirements so the state can receive Title II funding. They said the board reviews grant applications for community-based services, substance use, and early intervention programs, with about $584,000 in federal funds this year and a little over $600,000 expected next year. Members asked about participation, board vacancies, and how to engage with the board, and the presenters emphasized the importance of statewide representation and community input. The Department of Juvenile Justice then provided a broader update through Commissioner Randy White and Deputy Secretary Mona Wamik. White said DJJ is under an ongoing U.S. Department of Justice investigation focused on conditions in detention facilities, including use of force, isolation, abuse, mental health care, and special education, and said the department has cooperated with repeated information requests and site visits. He also reviewed recent legislative and administrative changes, including 2023 Senate Bill 162, regional detention planning, facility segregation requirements, staffing and salary investments, improved staffing levels, reduced mental health vacancies, and training efforts related to security threat groups. He said DJJ has made progress but continues to work on staffing, safety, and facility improvements.

Transcript Highlights:

• That means every district has to hit that exact ideal population to the single person.
• Now, with redistricting, because we have to redistrict down to the single person and with such exactness
• And so that has been the development on the Fair Districts side, the Article 3, Section 20 side, sir.
• Speaking for myself, I had no input into the development of the maps.
• It's the exact reason why we need DEI in our state.

Keywords: 999, senate, all

Transcript Highlights:

• I'd have to get the exact number of... insurance in this country is through insurance in this country
• The rural health transformation fund development lacked transparency and legislative involvement. >>
• I mean, not an exact idea, but given the current numbers that we've been given to work with and what
• exact dollars we are anticipating. exact dollars we are anticipating.
• > alternative consider developing an alternative consider developing an alternative dental<01:

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.