Transcript Highlights:

• He's in their heating, ventilation, air conditioning, and refrigeration program, and while this is the
• He's in their heating, ventilation, air conditioning, and refrigeration program, and while this is the
• in and Community College in wadina he's in their<00:31:43.960><c> heating</c><00:31:44.399><c> ventilation
• </c><00:31:45.000><c> air</c> their heating ventilation air their heating ventilation air conditioning

Keywords: 1183, house

Bills: HB442, HB459, HB90, HB91, HB461, HB481

Keywords: codification, Code of Alabama 1975, cumulative supplement, replacement volume, technical corrections, code cleanup, state code update, local laws, Secretary of State, Code Commissioner, Thomson Reuters, boating violation, scrivener's error, typographical correction, clerical correction, legislative housekeeping, 2024 Regular Session, 2025 session statutes, county local laws, official code publication

Transcript Highlights:

• already got ideas working for future stories, which are going to include the 8th anniversary of the Air

Bills: SB67, HB295, SB104

Keywords: veterans affairs, Alabama Department of Veterans Affairs, State Board of Veterans Affairs, commissioner, Governor appointment, oversight board, veterans services, veterans benefits, state veterans homes, veterans cemeteries, Alabama Veterans Home Trust Fund, veteran service officers, district managers, assistant commissioners, county veterans offices, military veterans, disabled veterans, elderly veterans, veterans organizations, American Legion

Transcript Highlights:

• WE WOULD HAVE VENTILATORS OUT THERE TRYING TO PUMP AIR INTO THE WATER. GOT TO THAT POINT.

Keywords: 999, senate, all

Transcript Highlights:

• innovation project initiative to provide grant assistance for the concerted replacement of heating, ventilation
• , and air conditioning, and electrical distribution to extend the useful life of a building and promote

Transcript Highlights:

• Co-Chair Cleveland, I'm just curious to know, oftentimes organs are transported via air, on commercial
• How do you interface between air travel and transportation on the roads?
• For someone to be eligible to donate, they must be dependent on ventilated support in a hospital, experience
• The declaration of brain death or death by circulatory criteria and the removal of patients from ventilator

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• director of the Chelsea Parent Information Center was quoted as saying, 'You can feel the fear in the air
• What did we do for the NICU baby that is fighting for its life on a ventilator whose father is taken
• What did we do for the NICU baby that is fighting for its life on a ventilator whose father is taken

Keywords: 995, all

Summary: The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses. Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role. Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.

Transcript Highlights:

• ...crosswalk by a UF work truck, by a UF work employee or UF employee, throwing him 18 feet in the air
• He had a tracheostomy and was ventilator-dependent.
• He had a tracheostomy and was ventilator-dependent.

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• Good afternoon, Christopher Hall with PHI Air Medical.
• We have five bases of air ambulances that serve rural California.
• We operate 26 air medical bases in California.
• Emergency Medical Air Service, Skylife, and Mercy Air.
• He is also required to use a ventilator in order to breathe.

Keywords: 988, house, all

Transcript Highlights:

• Then they would know that Sally Jones has a ventilator, and they would go over to her house because the
• </c><00:15:35.279><c> and</c><00:15:35.519><c> they</c> Sally Jones has a uh ventilator and they Sally
• Jones has a uh ventilator and they would<00:15:35.839><c> go</c><00:15:35.920><c> over</c><00:15:36.079
• </c> on transfer station fires and air on transfer station fires and air quality<00:32:24.720><c> issues
• </c><00:32:34.480><c> quality</c> complaints statewide of air quality complaints statewide of air quality

Keywords: 1189, house, all

Transcript Highlights:

• People shivering in the dark without heat or at risk of heat stroke with no air conditioning, buses and
• I have worked and lived in facilities where the air did not cool you; it punished you.
• Just because someone is incarcerated does not mean that they shouldn't have heat or air or the basic
• We are quick to try to find some air conditioning, a fan, or someplace, but then they don't have that
• And then when I heard about Adrian, and to hear that she passed away due to the ventilation and the heat

Keywords: 988, house, all

Transcript Highlights:

• </c> uniform temperatures and improved air uniform temperatures and improved air quality. quality. quality
• Windows, doors, exterior air sealing.
• Windows, doors, exterior air sealing.
• Windows, doors, exterior air sealing.
• ventilation.

Keywords: 1189, house, all

Transcript Highlights:

• And that is really fundamental to Clean Air Act emissions. Are.
• And I care about the air we all breathe.
• So that Clean Air Act, the language of that, if you read the Clean Air Act, is very clear that this was
• We represent over 90% of U.S. manufacturers of residential and commercial heating, ventilation, air conditioning
• , air conditioning, or recharges refrigerant gases.

Keywords: 995, all

Summary: The committee heard testimony on House Bill 452, a right-to-repair bill for agricultural equipment. Farm Bureau and several manufacturers’ representatives opposed the bill, arguing that existing memorandums of understanding already provide farmers access to parts, diagnostics, and repair information, and warning that broader software access could increase emissions tampering and safety risks. Supporters, including repair advocates, a legislator, and a farmer representative, argued that the MOUs are not binding, that farmers need enforceable repair rights to avoid costly delays during critical harvest periods, and that owners should be able to repair equipment they bought without dealer lock-in. No vote was taken during the hearing. The committee also heard testimony on bills to limit or eliminate “grab-and-go” alcohol sales at large venues, including House Bill 325 and Senate Bill 225. Union workers from Fenway Park and the TD Garden described self-checkout alcohol kiosks as creating public safety and compliance problems, including underage access, over-serving, theft, and difficulty monitoring intoxication in crowded settings. They said workers are often understaffed and bear discipline when violations occur. In contrast, the Boston Red Sox and Aramark defended the supervised self-checkout model, saying it speeds service, is widely used, and operates with multiple layers of supervision, training, and regulatory oversight; they said they had not received violation notices and that any incidents are isolated. Senator Edwards also testified in support of House Bill 369, aimed at restricting marketing of certain harsh cosmetic products to children, and in support of the grab-and-go bill. She argued that children should not be targeted with products containing toxic chemicals and that alcohol service should remain supervised by trained staff to protect consumers and jobs. Senator Collins and other legislators also spoke in favor of restricting grab-and-go alcohol service, citing concerns about underage drinking and overconsumption. The hearing additionally included a separate bill on Sunday morning alcohol service, with Representatives Scanlon and Lewis arguing for allowing sales beginning at 8 a.m. on Sundays rather than 10 a.m., but that bill was only discussed briefly and no action was taken.

Transcript Highlights:

• And it's still up in the air what's going to happen. But there's confusion out there.
• And um it's still up in the air need to.
• And um it's still up in the air what's<00:25:47.760><c> going</c><00:25:47.840><c> to</c><00:25:47.919
• Two thermostats controlling heating equipment that's banging against the outside wall, no ventilation
• , so we have outside wall, no ventilation, so we have plug-in<01:12:16.320><c> air</c><01:12:16.560><

Keywords: 1191, senate, all

Transcript Highlights:

• It caught fire, and the youth was trying to get it out of his hands as he threw it into the air, and
• threw</c><01:56:00.800><c> it</c><01:56:00.880><c> into</c><01:56:01.040><c> the</c><01:56:01.160><c> air
• </c><01:56:01.440><c> and</c><01:56:01.520><c> a</c> hands as he threw it into the air and a hands as
• he threw it into the air and a nearby<01:56:01.920><c> friend</c><01:56:02.600><c> was</c><01:56:02.760

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• It also considered light, air, and views of nature, which have been proven to reduce stress and improve
• It also considered light, air, and views of nature, which have been proven to reduce stress and improve
• It's built in, it's natural, and we start to bring in again natural ventilation and natural light.
• And it's something that then connects you to nature, natural light, air, all those good things.
• </c> light air light air all<01:08:23.160><c> those</c><01:08:23.440><c> good</c><01:08:23.640><c> things

Bills: SR185, HB2452, HB2329, HB2272, HB2273, HB2335, HB1656, HB2207, HB2289, HB1854, HB2581, HB20, HB2296, HB1707, HB2297, HB1890, HB2241, HB2474, HB1688, HB2546, HB1574, HB1546, HB2218, HB1163, HB1514, HB1749, HB2385, HB1576, HB1974, HB2022, HB1973, HB2005, HB1894, HB1515, HB1718, HB1591, HB2475, HB1721, HB1864, HB1946, HB1920

Keywords: Department of Education, capital improvement program, performance audit, infrastructure, transparency, state bonds, general obligation bonds, GO bonds, bond authorization, state debt limit, constitutional debt limit, Article VII Section 13, Hawaii bonds, state borrowing, public finance, capital improvement projects, supplemental appropriations, judiciary appropriations, refunding bonds, reimbursable bonds

Transcript Highlights:

• Imagine working in a poorly ventilated small room without adequate PPE, grinding moldy cannabis for eight
• Work-related diseases and injuries can be prevented with required planning, ventilation, and safe work
• I came to put something in the air and know it isn't a blunt. It's the truth.
• enforcement responsibilities for safety concerns such as fire hazards, pesticide testing, and indoor air
• Workers tell us they're not properly informed on how to deal with air particulate levels, use of cleaning

Keywords: 995, all

Summary: The Joint Committee on Cannabis Policy held its first hearing of the 194th session to take public testimony on 21 cannabis-related bills. Chairs Donahue and Gómez outlined hearing procedures and noted that written testimony would also be accepted. Much of the hearing focused on the Cannabis Control Commission (CCC), with Senator Mike Moore urging support for S. 90 to create an inspector general unit within the CCC. He argued the commission has suffered from dysfunction, workplace harassment allegations, delayed governance reforms, missed fee collections, and high legal costs, and said stronger legislative oversight is needed. Committee members largely agreed the CCC needs reform, though some expressed hope that new leadership would improve operations. A major theme was market structure and business viability. Representative Tyler testified for H. 183 to raise adult-use purchase limits from one ounce to two ounces, saying the change would reduce confusion and help retailers compete with neighboring states. Senator Payano supported S. 100, which would require a study of cannabis supply and demand to guide cultivation licensing, warning that oversupply is driving down prices and threatening cultivators. The Massachusetts Cannabis Coalition, represented by Ryan Dominguez, backed a package of bills aimed at increasing revenue, reducing regulatory burdens, attracting investment, and stabilizing the market, including higher purchase limits, simpler badge and testing rules, and a phased increase in the retail license cap. Attorneys Kevin Conroy and Mike Ross also supported raising the cap, arguing that the industry lacks capital and that more investment and exit opportunities are needed for provisional and distressed licensees. The most contentious issue was whether to raise the retail license cap from three to six. Supporters, including several business owners and industry advocates such as Peyton Shubrick, Tito Jackson, Armani White, Sean Burt, and others, said the current cap traps owners in declining businesses, prevents exits, and limits access to capital. They argued that many social equity and economic empowerment operators are struggling, that oversupply has pushed prices down, and that allowing more ownership could help businesses scale or sell. Opponents, including Senator Liz Miranda and several social equity operators, warned that lifting the cap now would let larger operators and multi-state companies dominate the market and harm equity-owned businesses. Miranda’s S. 88 would instead strengthen enforcement of ownership limits through audits, whistleblower protections, an anonymous tip line, and greater transparency. Another major topic was worker and consumer safety: Laura Bruno, Danny Carson, Al Vega, and others supported H. 194 after the death of Lorna McMurray, arguing for a CCC workplace and consumer safety department, better ventilation and PPE standards, stronger testing oversight, and retaliation protections for workers. The hearing ended without votes, with members thanking testifiers and indicating the committee would continue reviewing the bills.

Transcript Highlights:

• And that the use of standard residential appliances shall not require commercial ventilation or fire
• law, There was some discrepancy about what the law actually said when it comes to microwaves and ventilation
• approximately 25... ...open, and three teenage girls were thrown from the ride approximately 20 feet in the air
• It’s been bad ventilation, smoking up schools. We have had a few explosions.

Summary: The committee met on April 7, 2026, and first handled several fire marshal-related bills. HB 917, a licensing and regulatory cleanup for life safety and property protection work, was amended with technical changes and reported favorably. HB 565 clarified that the State Fire Marshal, rather than local authorities, would handle fire safety inspections for early learning and child daycare centers; members adopted an amendment limiting the standards to state or federal codes and addressing ventilation and suppression requirements for small facilities, and the bill was reported favorably with amendments. The committee then took up HB 937, which would shift amusement ride setup inspections back to the State Fire Marshal, require licensing and insurance for rides and inspectors, and repeal provisions related to inflatable amusement devices. The author and fire marshal cited a serious festival ride accident in Pointe Coupee Parish as the impetus, and members discussed inspection timing, insurance costs, and whether background checks or public inspection certificates should be required. After technical and agreed-upon amendments, the bill was reported favorably. HB 799, a boiler inspection consolidation bill, was presented as a cleanup measure that would centralize boiler regulation under the fire marshal and rely on licensed inspectors meeting national standards. Stakeholders from industry and the fire marshal’s office described it as an efficiency and safety measure, and the committee adopted a substantive amendment on shutdown procedures and licensing details before reporting the bill favorably. HB 461, which would have allowed parishes and municipalities to adopt fortified roof standards, drew extensive testimony both for and against; supporters argued it could improve resilience and lower insurance costs, while opponents warned it would undermine Louisiana’s uniform building code, add cost, and create inconsistency. The author ultimately moved to voluntarily defer the bill. Finally, the committee began HB 977, a bill on minors’ use of applications that would require age verification, parental consent, and app store/developer safeguards. An amendment clarified definitions, consent rules, data-sharing limits, and a good-faith compliance defense. Members raised concerns about the 45-day cure period, the lack of a private right of action, and whether app stores would become gatekeepers, but the bill remained pending at the end of the excerpt.

Transcript Highlights:

• And that the use of standard residential appliances shall not require commercial ventilation or fire
• the law, There was some discrepancy of what the law actually said when it comes to microwaves and ventilation
• where the door came open and three teenage girls were thrown from the ride approximately 20 feet in the air
• It's been bad ventilation, smoking up schools. We have had a few explosions.

Bills: HB461, HB467, HB522, HB565, HB673, HB799, HB917, HB937, HB956, HB977

Keywords: building codes, construction standards, state uniform construction code, local option, municipal ordinance, parish ordinance, resilient construction, FORTIFIED Home, IBHS, Insurance Institute for Business & Home Safety, hurricane resistance, storm resilience, roof replacement, residential construction, certificate of occupancy, code enforcement, building resilience, home hardening, wind mitigation, residential roof

Transcript Highlights:

• And then you have the model waiver too for individuals who are on ventilation or ventilators and up to
• And then you have the model waiver too for individuals who are on ventilation or ventilators and up to
• And then you have the model waiver too for individuals who are on ventilation or ventilators and up to
• And then you have the model waiver too for individuals who are on ventilation or ventilators and up to
• And then you have the model waiver too for individuals who are on ventilation or ventilators and up to

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.