Transcript Highlights:

• Pretty self-explanatory: it would create a quality pool, much similar to the ones we have for different
• So this would be to create a quality pool specifically for Medicaid managed care plans.

Keywords: 993, senate, all

Summary: The committee considered a series of health-related bills, many of which were described as repeat measures previously passed by the Senate. Topics included expanding telehealth coverage, increasing Department of Health oversight of correctional health services, improving transparency for managed long-term care plans, requiring written consent for psychotropic medications in nursing homes and adult care facilities, extending Medicaid inpatient coverage for childbirth, expanding abortion travel funding eligibility for active-duty military families, simplifying Medicaid enrollment and recertification, adding certified recovery peer advocates to standard coverage, strengthening protections against sexual misconduct by medical providers, covering medically tailored meals and nutrition therapy, regulating retail clinics, requiring nurse representation on hospital governing boards, creating a blood clot and pulmonary embolism work group, testing potable water in parks, setting PFAS drinking water standards, improving lead service line identification, creating a quality incentive program for Medicaid managed care, expanding concussion information requirements to additional youth sports, setting a residency requirement for funeral director licensure, and changing Medicaid Inspector General audit practices. Most bills were briefly explained by sponsors or the chair, with limited debate. Several members asked clarifying questions on specific provisions, including the frequency of park water testing, how concussion information would be distributed, and details of the nurse representation requirement. The chair also noted pulling one correctional health bill from the agenda in favor of a more comprehensive measure, and one bill on correctional health was formally removed from consideration. The committee voted on each remaining bill, generally with unanimous or near-unanimous support. Most measures were reported to either first reading or finance, while the bill on psychotropic medications was sent to aging. The correctional health bill that remained on the agenda was approved despite one opposition, and the bill on funeral director licensure was also advanced with one abstention. The meeting concluded after all listed bills were acted on.

Transcript Highlights:

• received from the Secretary of State, and I am asking to file legislation concerning the risk management pools
• received from the Secretary of State, and I am asking to file legislation concerning the risk management pools

Keywords: 1191, senate, all

Transcript Highlights:

• either doing a designated contribution, which we're seeing increasing popularity too, or a general pool
• that then the agency would determine the distribution within that general pool.
• 34.080> then<01:09:34.400> the<01:09:34.520> agency<01:09:35.120> would pool
• that then the agency would pool that then the agency would determine<01:09:36.240> the<01:09:
• general pool. general pool.

Bills: HF495, HF4321, HF3902, HF4161, HF3755

Keywords: day care, tax subtraction, child care costs, licensed child care, dependent care assistance, HF4321, dependent care assistance programs, gross income exclusion, federal conformity, Internal Revenue Code, individual income tax, Minnesota tax law, tax conformity, child care assistance, employer-provided dependent care, taxable income, state income tax, retroactive tax change, family care benefits, housing tax credit

Transcript Highlights:

• And what drives those premiums is the pool of people.
• They they have what they call<00:36:49.200> pools,<00:36:49.760> right?
• We have enrollment um call pools, right?
• <00:36:59.280> So those premiums is the pool of people.
• So those premiums is the pool of people.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• So this could be a pool where it is not just for the five-star football player or basketball player.
• this this<00:37:38.000> could<00:37:38.720> be<00:37:38.880> a<00:37:39.040> pool
• where<00:37:39.599> it<00:37:40.240> is<00:37:40.480> not this could be a pool
• where it is not this could be a pool where it is not just<00:37:40.960> for<00:37:41.520>

Keywords: 1136, house, all

Transcript Highlights:

• appearance, to ensure proper maintenance, to help property values, and to provide shared facilities like a pool
• appearance, to ensure proper maintenance, to help property values, and to provide shared facilities like a pool
• appearance, to ensure proper maintenance, to help property values, and to provide shared facilities like a pool
• And to provide shared facilities like a pool or a park.

Keywords: Upon adjournment of the concurrent meeting, the Senate State and Local Government committee will continue meeting, 958, all

Summary: The concurrent meeting began with roll calls for both the Senate Standing Committee on State and Local Government and the House Standing Committee on Local Government, establishing quorums. The committees then heard a Department for Local Government presentation on the Community Development Block Grant program, which serves smaller and more rural areas. Commissioner Matt Sawyers and Executive Director Mark Williams explained the 2026 HUD application as a public hearing, noting an estimated total of a little over $25 million, with proposed allocations for public facilities, community projects, economic development, public services/Recovery Kentucky, and housing. They also described proposed changes, including shifting some funding from economic development to housing, raising non-traditional application ceilings, extending the economic development application window, and giving the commissioner flexibility to reallocate funds if requests exceed the allotment. No legislators or members of the public asked questions, and both chambers approved the presentation and then adjourned the House portion. The Senate committee then took up Senate Bill 149 by Senator Elkins, which updates county treasurer statutes. The bill shortens the waiting period for appointing an acting treasurer from 30 days to 5 days and allows fiscal courts to appoint a temporary treasurer for up to 60 days during vacancies, illness, incapacity, or termination. Members discussed the need for continuity in county finances, and the bill received favorable expression 9-0. Next, the committee considered several housing-related bills from the housing task force. Senate Bill 224, by Senator Mills, creates vested property rights for development applications and narrows who may appeal certain local land-use decisions; the committee adopted a substitute, then approved the bill 8-1 after members raised concerns about standing language and possible impacts on local participation. Senate Bill 225 requires the housing and construction department to analyze the cost and housing-supply effects of proposed housing regulations; it passed 9-0 after a committee substitute. Senate Bill 233, by Senator Neal, removes annual financial reporting requirements for homeowners associations with 14 lots or fewer to reduce burdens on small developments; it passed 9-0. Finally, Senate Joint Resolution 75, as amended, directs the Public Service Commission to study affordability and water/wastewater utility regionalization, including possible consolidation of small districts; the amendment and the resolution both passed 9-0, with one member noting concerns about whether the matter should proceed as an administrative case rather than a study.

Transcript Highlights:

• Where in the past we'd be able to draw from the bigger pool there. So, Mr.
• draw from the the past we'd be able to draw from the bigger<00:10:34.800> uh<00:10:34.920> pool
• bigger uh pool there. bigger uh pool there. Uh<00:10:36.880> so,<00:10:37.000> Mr.

Bills: SF0052

Keywords: wildlife management, environmental restoration, funding, invasive species, aquatic ecosystems, native fish, habitat conservation, 916, all

Transcript Highlights:

• without fear of data being reported to immigration officials, more healthy people in the insurance pool
• for everyone pool will spread the risk for everyone resulting<00:50:21.160> in<00:50:21.319><
• c> insurance undocumented immigrants in the insurance undocumented immigrants in the insurance pool
• 44.440> chilled<00:50:44.880> out<00:50:45.040> of<00:50:45.160> their pool
• who could be chilled out of their pool who could be chilled out of their policy<00:50:45.880> or<

Keywords: 919, house, all

Summary: The committee heard testimony on House File 16, and the chair moved the bill with a recommendation that it be re-referred to Elections Finance and Government Operations. Representative Rymer said the bill would require reporting to ICE when an illegal immigrant is arrested on suspicion of a violent crime, even if the county attorney does not prosecute, and would bar state and local entities from blocking federal immigration enforcement. He described the bill as narrowly focused on serious offenses such as murder, assault, robbery, kidnapping, and criminal sexual conduct, and said it was intended to improve communication with federal authorities about dangerous offenders. Supporters argued the bill would improve public safety and cooperation with federal law enforcement. David Zimmer, a former local law enforcement official, said cooperation with ICE is consistent with law enforcement practice and helps with information-sharing, warrants, consulate notifications, and locating individuals. Several other supporters, including a crime victim family member and a security officer, said the bill would help identify dangerous criminals and protect communities. Opponents said the bill would reduce trust in local law enforcement and discourage victims and witnesses from reporting crimes. Testifiers from the Immigrant Law Center of Minnesota, The Advocates for Human Rights, Violence Free Minnesota, the Minnesota Council on Latino Affairs, the Northstar Alliance, the City of Minneapolis, and others said mandatory ICE notification could deter domestic violence and trafficking victims from seeking help, harm due process, and undermine community safety. Some also warned it would interfere with local separation policies, burden local agencies, and have negative economic and civil rights impacts. The committee also heard emotional testimony from individuals describing domestic abuse and immigration-related fears, and from family members of a murder victim who supported the bill.

Transcript Highlights:

• Page 242 is the purchasing section.
• This is an alternative funding mechanism for ensuring bonded buildings rather than purchasing insurance
• They provide property liability coverage for public entities through a risk-sharing pool.
• Page 480 is the lease purchase debt payment section.
• Representative Chappell said it took nearly 18 months from the purchase and initial application until

Keywords: 959, house, all

Transcript Highlights:

• Basically, as we've discussed previously, the state purchased Hampstead in June of 2022, and for a 2-
• Basically, as we've discussed previously, the state purchased Hampstead in June of 2022, and for a 2-
• previously, previously, uh,<00:04:27.840> the<00:04:28.080> state<00:04:28.400> purchased
• Hamstead in June uh, the state purchased Hamstead in June of of of 2022,<00:04:32.759> and<00
• So this is just really a one-time shot at a $3 million capital pool. Yes.

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 118, as amended, which contains several unrelated provisions with a modest fiscal note. Nathan White of the Department of Health and Human Services explained that section 1 would change the personal needs allowance for Medicaid-eligible residents of private and county nursing homes from an adjustment every five years to an annual adjustment, increasing the state cost by about $50,000 per year. He also described section 2, a one-time appropriation of about $160,000 to make certain Hampstead employees whole for missed bonuses and lost leave during the state’s transition of the facility to Dartmouth management. White then outlined sections 3 through 5, which would create a dedicated fund for Hampstead lease revenue to cover the state’s contractual obligation to match Dartmouth capital improvements dollar-for-dollar up to $3 million. He said the state receives about $1.141 million in lease revenue in the first year, with a 3% annual escalator, and that the fund would hold lease revenue until needed for reimbursement. Members questioned how the matching arrangement would work, what happens if Dartmouth spends before the fund has enough money, and whether the state could refuse to match certain improvements. White said Dartmouth has final determination under the agreement if disputes arise, and that if the bill does not pass the state could face difficulty meeting the obligation without cutting services or finding other general funds. Several members also raised policy concerns about the personal needs allowance becoming an automatic cost driver. Brian Clark, attorney for the Bureau of Adult and Aging Services, clarified that current law requires the allowance to be updated at least every five years, but the legislature could change it in an off year if it chose. He also explained that the allowance is money residents retain from their own income, such as Social Security, as part of Medicaid cost-of-care calculations, and that the department does not regulate how residents keep those funds. No vote was taken during the discussion, and the committee paused to correct the bill copy before continuing testimony.

Transcript Highlights:

• This program will contract food banks to purchase local produce to provide food-insecure families with
• This program will contract food banks to purchase local produce to provide food-insecure families with
• House Bill 862 makes permanent the governor's emergency proclamation that expands the pool of qualified
• House Bill 862 makes permanent the governor's emergency proclamation that expands the pool of qualified
• <05:18:23.920> of proclamation that expands the pool of proclamation that expands the pool

Keywords: 910, house, all

Transcript Highlights:

• These are existing and fall under local ordinances and health boards as they relate to swimming pools
• . ...ordinances and health boards as they relate to swimming pools and hot tubs.
• the logic of taking the announcement away from the newspaper, you're basically creating a smaller pool
• technically, you actually could be creating where less money is generated because there's a smaller pool
• bidders. ...you actually could be creating where less money is generated because there's a smaller pool

Keywords: 908, all

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.

Transcript Highlights:

• 52.320> grant consideration list uh within their grant consideration list uh within their grant pool
• it<00:13:53.920> doesn't<00:13:54.079> necessarily<00:13:54.639> mean pool
• Um it doesn't necessarily mean pool.
• 35.199> grant application uh through through the grant application uh through through the grant pool
• And so if these applicants uh meet pool.

Keywords: 1183, house

Transcript Highlights:

• Then we also have the add-back for the 2.325 new and vacant FTE pool items that were deducted.
• back, and then right below those add-backs are the deductions for the 2.5, 2.7 new and vacant FTE pool

Keywords: 908, all

Summary: The House Appropriations Government Operations Division met to consider House amendments to Senate Bill 2001, the budget for the Legislative Council and Legislative Assembly. Representative Meyer and Legislative Council staff reviewed the House changes, which included higher lodging funding tied to a prior bill, an increase for North Dakota legislators’ forum dues, a transfer of $290,000 for public printing from the Secretary of State to Legislative Council, a $650,000 reduction tied to the nuclear energy study because that funding was already provided elsewhere, and a new section allowing legislative space on the 15th floor of the Capitol to be used for additional Legislative Council employees. John Bjornson explained the 15th-floor space proposal and said staff would work with Facility Management and CTE to address relocation needs and timing, with CTE’s move potentially delayed until after its busy school-year period if necessary. The committee then reviewed the Senate version of the bill in more detail. Staff walked through the Legislative Assembly budget items, including per diem and compensation adjustments, lodging and mileage estimates, IT and audio/video funding, and dues increases for national and state legislative organizations. Members asked about mileage assumptions and the emergency clause, and staff said the emergency language is standard and allows flexibility for transfers, carryovers, and other budget actions. The committee also reviewed the Legislative Council budget, including funding for 25 new FTEs, interim travel, IT costs, professional services, public printing, and one-time items such as equipment and term limits consulting, while the advanced nuclear energy consulting item was removed in the House version. After discussion, the committee adopted the House amendment to Senate Bill 2001 and then voted to do pass the bill as amended. Both motions passed on roll call, and the amended bill was sent to the full Appropriations Committee. Near the end of the meeting, Representative Paula gave notice that she would bring a separate amendment later on the Industrial Commission budget related to homelessness grant funding, noting it would not use SIF or general fund dollars.

Transcript Highlights:

• The TML risk pool lawsuits have provided a lot of uncertainty.
• Just to clarify, it's Robert Graves on behalf of the Texas Association of Counties Risk Management Pool

Bills: HB1654, HB1691, HB2545, HB2652, HB3799, HB4144, HB5008

Keywords: peace officers, firefighters, employment protection, worker's compensation, job security, maximum medical improvement, government employment, firefighter cancer benefits, emergency medical technicians, compensation claims, cancer exposures, firefighting hazards, workforce training, rural development, grant program, job-specific training, Texas Workforce Commission, child care, single-parent, subsidized

Transcript Highlights:

• The Senate transfers for the new and vacant FTE pools were also included.
• The Senate transfers for the new and vacant FTE pools were also included.

Keywords: 908, all

Summary: The committee met to consider three measures, beginning with Senate Bill 2016 for Job Service. Testimony described Job Service’s workforce, unemployment insurance, and labor market functions, its long-term reduction in FTEs and budget, and its reliance on federal funding that does not keep pace with inflation. The bill included funding for an additional FTE for the H-2A housing inspection program, continued support for the JP3 offender placement pilot, and one-time funding for IT and mainframe costs tied to a system modernization effort. The committee approved the bill 20-0, with Representative Swiontek named as carrier. The committee then discussed Senate Bill 2305, which would allow family members to be paid as caregivers for certain young people with disabilities instead of only licensed outside providers. Members noted the specialized, 24-hour nature of the care, workforce shortages, waiting lists, and the potential to avoid more expensive institutional care. Questions focused on how the program would be structured, including certification requirements and whether it would remain a pilot or become part of the broader human services budget. The committee passed the bill 20-0, with Representative Roar as carrier and Representative Nelson available as backup. Finally, the committee took up Senate Bill 2024 for the Department of Environmental Quality. The House change was limited to increased special-fund support for water and wastewater operator certification testing to expand availability, while the Senate version already included added FTEs for emerging contaminants and fuel inspection work. Members discussed federal funding uncertainty, including IIJA and ARPA-related concerns, but the department said its major projects, including the new laboratory, were not currently in jeopardy. The committee adopted the amendment and then passed the bill as amended 22-0, with Representative Berg as carrier.

Transcript Highlights:

• This being said, he couldn't tell you how much. the state is the risk pool, right?
• the state is the risk pool, right?
• the state needs to be the risk pool. the state needs to be the risk pool.
• bringing uh funds into the state pool bringing uh funds into the state pool for<02:20:55.840>
• He's talking about the state becoming a risk pool.

Keywords: 1189, house, all

Transcript Highlights:

• Are we going to go there and purchase it? Is the United States government going to purchase it?
• Is the state of Texas, or are these private entities going to purchase it?
• The broader patient pool as a whole for certainly the syndromes that we've talked about, but potentially
• I just want to make sure I call it spades to spades and tell you why a consumer would want to purchase

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• So it leaves the remainder within the other pools that there might be any discretion on our part and
• A portion of that was then authorized for us to purchase the other building that we now own in Frankfort
• The $31.3 million is what remains after the purchase of the Chamberlain building, which we were authorized
• Phase A site has been selected and option-to-purchase agreements have been executed for that site.
• agreements have been executed purchase agreements have been executed for<00:48:34.079> that<00

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Justice and Judiciary met without a quorum and heard an update from the Administrative Office of the Courts on the judicial branch budget. AOC Director Zach Ramsey and budget director Carol Henderson outlined the branch’s current funding structure, noting that fiscal year 2026 general fund support is about 2.77% of the state general fund, below the National Center for State Courts’ typical 2% to 4% range. They emphasized Kentucky’s unusual responsibility for courthouse facilities, with the judicial branch directly involved in construction, maintenance, and operations across 229 facilities in all 120 counties. AOC said nearly 91% of its general fund is spent on personnel and other non-discretionary costs, and that the branch has long relied on agency revenue, restricted fund carryforwards, and vacancy credits to balance court operations. Members were told that Senate Bill 25 required a $34.5 million transfer into a reserve account, part of which was used to purchase the Chamberlain Avenue building in Frankfort. AOC reported that only $11.9 million remains in restricted funds, while it projects needing about $13.5 million to cover fiscal year 2026 obligations, not including roughly $9 million in flood-related remediation costs for Hardin and Franklin counties, much of which it expects to recover through insurance and FEMA. Looking ahead to the next biennium, AOC said it will seek full funding of court operations at $341 million annually, a $13.5 million increase to bring current services into the base appropriation rather than relying on reserves. It also previewed additional requests, including a 15% across-the-board pay parity plan for Kentucky Court of Justice personnel, replacement of declining master commissioner fee revenue tied to 141 deputy circuit court clerk positions, funding for technology subscription and case management system costs, JAV audiovisual system upgrades, AEDs and medical kits for courthouses, and other staffing and operational needs. Senator Funky Frommeyer asked whether the 15% salary proposal was included in the $13.5 million increase; AOC said it was not, and that it would be an additional request. No votes or formal actions were taken.

Transcript Highlights:

• insurance, they can decide who they choose to do business with based on all of us in here with the pain pool
• insurance, they can decide who they choose to do business with based on all of us in here with the pain pool
• So we're still putting this in with the same amount of pain pool and hoping that we're not going to use

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause