Transcript Highlights:

• deliver $1,750,000. 350,000 acre-feet of water to Texas during a five-year cycle with an average delivery
• In comparison, Mexico completed deliveries of 1,273,000. 1,700 acre feet of regular water deliveries
• Given the current conditions, combined with expected drought, the water deliveries are critical for this
• Instead of proactively releasing water to fulfill its delivery obligations, Mexico allows only excess
• The State Board is truly an example of a locally led voluntary conservation delivery system which assist

Committee: House Natural Resources

Transcript Highlights:

• And what is really significant is that between days 40, After delivery.
• Neither one of them recommends home deliveries.
• care of in the setting of a labor and delivery in a hospital, where you have...
• I remember a case my partner, many, many, many years ago, a home delivery that went bad.
• You know, they ask how many deliveries have you had, and when a patient comes in from a home delivery

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• They're being used by commuters, by delivery drivers, by college students, and by recreational users
• When I talk to Commissioner Cox in Boston, obviously the largest cities have delivery services going
• In Washington, D.C., you take your life in your hands anywhere in D.C. from delivery drivers.
• Senate Bill S-3077 to institute a ban on third-party mopeds for food delivery.
• They also foster fights on the streets for delivery territory. How do I know that?

Bills: H5400 , H5421 , H5430 , S3077 , S3089

Committee: Joint Joint Committee on Transportation

Keywords: Boston, easement, highway improvement, Woburn, Burlington, public safety, transportation, land transfer, vessel transportation, Marston Mills, Osterville, Barnstable, state highway, traffic safety, maritime regulation, local legislation, Hyannis Transportation Center, Thomas S. Cahir, Cape Cod, commemorative designation

Transcript Highlights:

• space to ensure that delivery drivers or mail carriers who may not wish to be exposed to smoke have
• space to ensure that smoke-free delivery space to ensure that delivery<00:18:35.799><c> drivers</c><
• drivers or mail carriers who delivery drivers or mail carriers who may<00:18:37.600><c> not</c><00:18
• I think that this bill actually lays out a lot of protections for workers and delivery people.
• for delivery if if people<00:36:06.240><c> are</c><00:36:06.440><c> coming</c><00:36:06.680><c> in</

Summary: The Senate State and Local Government Committee met and first took up House Bill 30, which addresses pension spiking and retired state troopers returning to work. The sponsor and Kentucky Public Pensions Authority staff said the bill would codify court language clarifying that across-the-board raises from the General Assembly do not count as pension spiking, and the committee substitute would also give retired troopers rehired on a year-to-year basis the same vacation, sick leave, and bereavement benefits as new troopers. The committee adopted the substitute and a title amendment, and HB 30 passed 9-0. The committee then considered House Bill 27, which removes an arbitrary 2023 date from the Planned Communities Act that had created confusion over political signage rules in HOA and planned community phases. The sponsor said the change would preserve HOA authority to regulate sign size, duration, and placement while eliminating inconsistent treatment of neighboring properties. The bill passed 10-0. House Bill 45 followed, proposing to ban foreign funding in Kentucky elections and ballot measures and to require disclosure for express advocacy ads related to ballot measures. Supporters said the bill would put ballot measures on the same footing as candidate and PAC restrictions and prevent foreign nationals from influencing Kentucky elections; one senator raised concerns that the language could unintentionally chill participation by noncitizens, especially in one-on-one discussions, and the sponsor said he would work on that issue. The committee adopted the bill as amended, and it passed 8-1. The final major item was House Bill 211, which would create a narrow exemption allowing cigar bars under defined conditions, including a revenue threshold, age restrictions, ventilation requirements, and local permitting options. The sponsor said the bill would not roll back general smoke-free laws but would allow tightly regulated cigar bars and grandfather existing ones from some requirements. Public health witnesses, including a nurse, a physician, and a thoracic surgeon, opposed the bill, warning it would weaken strong smoke-free protections, harm workers and patrons, and reverse progress against tobacco-related disease. The transcript provided did not include a final vote on HB 211.

Transcript Highlights:

• In terms of the actual delivery, uh, we're working hard.
• It's far from perfect, but project delivery is an inexact science, but we work hard at it.
• In terms of the actual delivery, uh, we're working hard.
• It's far from perfect, but project delivery is an inexact science, but we work hard at it. >> Quickly
• delivery issues with with disaster delivery issues with with disaster relief.<00:23:12.240><c> And</c

Summary: The committee met on Transportation, approved the prior meeting minutes, and received a road fund update from Transportation Cabinet officials Mike Hancock, Sean McCernan, and Ron Rigney. McCernan reported that FY 2024-2025 road fund revenue came in $38.5 million above the enacted estimate, but was about $11 million below FY24 because of a lower motor fuels tax rate. He said motor vehicle usage tax receipts were stronger than expected, and that the road fund ended the year with a $61.6 million surplus account that, under the budget bill, must be appropriated to state construction. Members focused heavily on how declining motor fuels receipts affect the formula funds that support cities, counties, and rural/secondary roads. Hancock and McCernan explained that lower gas tax receipts reduce both the road plan and revenue sharing, while higher vehicle sales tax receipts from motor vehicle usage go directly to the road fund and do not help the formula distributions. They also said fuel efficiency, hybrid and electric vehicle trends, and the removal of a prior hybrid fee all affect revenue collections. On tolling, officials said Louisville bridge toll revenues are covering bills and commitments, but they did not have the latest collection figures in front of them and said they would provide them later. The committee also asked about project delivery delays, right-of-way acquisition, disaster recovery work, annual contract awards, cash management, and overprogramming in the highway plan. Officials said project delays often stem from right-of-way purchases, utility relocation, and the large volume of projects in the plan, and described the process as a “duck paddling” situation with substantial work happening behind the scenes. They said FY25 contract awards were already just under $998 million by the July letting and expected to exceed last year’s total, and explained that cash balances are managed so they do not fall below $100 million; the current balance was said to be about $166 million. No further votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• just shows how the maternity episode works, and I believe I just explained that: 280 days before delivery
• Some reporting for the babies between 30 and 90 days post-delivery, and this is just for reporting.
• There's a labor and delivery unit collaboration And there's also some ongoing work that's happening.
• There's a labor and delivery unit collaboration project.
• It's meant to support pregnant and postpartum individuals up to 12 months post-delivery, regardless of

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• the mandates coming from the federal government and, of course, real pressure on our health care delivery
• the mandates coming from the federal government and, of course, real pressure on our health care delivery
• the mandates coming from the federal government and, of course, real pressure on our health care delivery
• the mandates coming from the federal government and, of course, real pressure on our health care delivery
• the mandates coming from the federal government and, of course, real pressure on our health care delivery

Summary: A Senate DFL leader discussed the upcoming supplemental budget and said nearly half of it is being shaped by the federal budget bill passed last July, which he argued is driving hospital distress, higher county costs, and pressure on family budgets. He said the budget will focus on affordability, health care, and responding to federal actions, including an uncompensated care fund for hospitals in distress and possible one-time county technology upgrades to handle new Medicaid-related requirements. He estimated Senator Wiklund’s health and human services proposal includes about $50 million for those upgrades and said that item would likely be handled in an appropriation bill rather than a bonding bill. The leader also said bonding is a top priority this year and that public asset maintenance remains important, including projects tied to sports and civic facilities. On HCMC and broader hospital funding, he said he is confident the Legislature will act, but wants to address the hospital within the context of the statewide hospital delivery system. He also said the Senate has not yet taken a position on a proposed tax related to fraud restitution, but emphasized support for fraud prevention, an independent inspector general, and more resources for the Attorney General. School safety was another major topic. He said Senate Democrats plan to bring a comprehensive package to the floor that includes school safety funding, mental health care, and measures addressing weapons of war, and he expressed hope that some Republicans will support it. He said the Senate education finance bill already includes more school safety funding than the House GOP version, less funding for private school safety, and no weapons-of-war language, but that a broader package will come through the Finance Committee soon. He also said the Senate expects to take up a stand-alone building security package to cover ongoing screening and staffing costs, and he supported creating a special security response unit for threats against lawmakers. Other issues mentioned included support for banning NDAs for local governments, continued attention to public safety and accountability in response to federal immigration enforcement actions, and interest in a bill affecting Minneapolis sports-related taxes and PGA funding, though he said those proposals are still being worked on and may not pass this year.

Transcript Highlights:

• with, somebody at an OPC that greets me, says hi to me, says, hey, when's the last time you had a meal
• But the more I see them, the more that's, hey, Noel, when's the last time you had a meal?
• Once's the last time you had a meal? This is building relationship.
• We all use it when we put on seatbelts, when we choose a healthier meal.
• We all use it when we put on seatbelts, when we choose a healthier meal, when we've all been in safe

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• The state of Minnesota made sure that every student had access to nutritious meals at school, regardless
• Free meals are a good investment in our future, and it breaks my heart that some of the kids who need
• Free<00:39:11.440><c> meals</c><00:39:11.839><c> are</c><00:39:12.079><c> a</c><00:39:12.240><c> good
• </c><00:39:12.480><c> investment</c><00:39:12.960><c> in</c><00:39:13.200><c> our</c> Free meals are
• a good investment in our Free meals are a good investment in our future,<00:39:13.920><c> and</c><00:

Committee: House Education Finance

Transcript Highlights:

• community, and we tracked over 18,000 visitors each year to the town who spend money on hotels and meals
• community, and we tracked over 18,000 visitors each year to the town who spend money on hotels and meals
• community, and we tracked over 18,000 visitors each year to the town who spend money on hotels and meals
• community, and we tracked over 18,000 visitors each year to the town who spend money on hotels and meals
• community, and we tracked over 18,000 visitors each year to the town who spend money on hotels and meals

Committee: Senate Election Law and Municipal Affairs

Transcript Highlights:

• safe and walkable infrastructure for Minnesotans, access to affordable health care, God forbid free meals
• safe and walkable infrastructure for Minnesotans, access to affordable health care, God forbid free meals
• safe and walkable infrastructure for Minnesotans, access to affordable health care, God forbid free meals
• safe and walkable infrastructure for Minnesotans, access to affordable health care, God forbid free meals
• safe and walkable infrastructure for Minnesotans, access to affordable health care, God forbid free meals

Bills: HF4 , HF173

Committee: Senate Taxes

Keywords: tax relief fund, budget surplus, surplus revenue, tax rebate, tax refund, one-time refund, income tax, property tax, constitutional amendment, Minnesota Constitution, general fund, budget reserve, taxpayer relief, state surplus, fiscal forecast, wealthy taxpayers, high-income exclusion, 2026 ballot, referendum, surplus distribution

Transcript Highlights:

• The 25 to 29 age category has the greatest number of deliveries.
• We have a lot of home deliveries and such, too.
• Neither one of them recommends home deliveries.
• I remember a case my partner, many, many years ago, a home delivery that went bad—a very big baby.
• You know, they ask how many deliveries have you had, and when a patient comes in from a home delivery

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• I also want to acknowledge the incredible role that nursing plays in our healthcare delivery system.
• Until we can expand the clinical delivery system, we're not able to grow the educational programs, and
• Growing this facility makes all healthcare delivery systems stronger.
• And so when we have more beds, it makes their delivery system stronger.
• But one of the rate-limiting steps for us that remains after we build the clinical delivery system is

Transcript Highlights:

• , also representatives from all of the state agencies that touch points to behavioral health and delivery
• which is now refined, which is how many of those seven agencies are actually involved in direct delivery
• I still haven't heard specifically who's responsible for the direct delivery.
• state agencies to who's providing direct delivery in 295 school districts?
• But that is why I was asking the question about who's involved in direct delivery versus what can we

Bills: HB1634

Committee: House Education

Keywords: mental health, behavioral support, education, school districts, student assistance

Transcript Highlights:

• So, our very large integrated delivery system serves a very vulnerable population.
• ><c> serves</c><00:09:02.640><c> a</c><00:09:02.880><c> very</c> delivery system that serves a very delivery
• </c><00:16:09.440><c> of</c> program, and optimizing delivery of program, and optimizing delivery of
• Um, and then we uh, delivery system.
• </c><01:02:07.359><c> of</c> providers to evaluate their delivery of providers to evaluate their delivery

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• applies regardless of whether the offender accompanies the air delivery.
• applies regardless of whether the offender accompanies the air delivery.
• fireworks or articles pyrochnic<00:23:08.960><c> by</c><00:23:09.200><c> air</c><00:23:09.440><c> delivery
• </c><00:23:10.000><c> applies</c> pyrochnic by air delivery applies pyrochnic by air delivery applies
• First up we have uh Department delivery.

Committee: Senate Public Safety and Military Affairs

Summary: The Committee on Public Safety and Military Affairs took up several measures, beginning with House Bill 2413 on pre-trial reform, which had been deferred from a prior agenda. The chair said the committee would incorporate judiciary recommendations and other technical, non-substantive amendments to continue discussion, and the measure was adopted with amendments by a 2-1 vote, with one member excused. The committee then heard extensive testimony on House Bill 2062, which appropriates funds for gun violence prevention efforts, including processing temporary restraining orders and gun violence protective orders and funding public awareness campaigns. Supporters, including county, advocacy, law enforcement, and student witnesses, said the bill would improve implementation of an existing law, save lives, and reduce suicides and violence. Opponents argued red flag laws can be abused, raise due process concerns, and may create dangerous enforcement situations. Written testimony was reported as 60 in support, 47 in opposition, and one comment. The committee later passed HB 2062 with amendments, including a corrected effective date, by a 3-1 vote with one member excused. The committee also considered House Bill 1957 on safe entryways, which would establish enforcement procedures in larger cities to prevent blocking of private doorways and entrances. Written testimony included support and opposition, but no oral testimony was offered, and the bill was passed with technical, non-substantive amendments. House Bill 253 on fireworks, which expands civil asset forfeiture for felony fireworks offenses and clarifies air-delivery provisions, was also passed with an amended effective date. House Bill 2581 on emergency management, which would narrow the definitions of disasters and emergencies, drew testimony both supporting the bill as a check on emergency powers and opposing it as incomplete or too broad in its current form; decision-making on that measure was deferred to the committee’s March 23 meeting. House Bill 2498 on a care home resilience pilot program was also deferred to March 23 after no testimony was offered.

Transcript Highlights:

• addressing both mental health and substance abuse and child welfare are improving transparency and the delivery
• They did the SQL data delivery, and the coding is now stored in our enterprise data repository.
• They did the SQL data delivery and the coding is now stored in our enterprise data repository.
• We need delivery of hard copies that are bound, and rather than waiting for them to filter down from
• It will still be the same type of delivery approach.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• And so we anticipate that over the next five to 10 years, as we add more beds to our delivery system,
• However, we do so much rural education in our current clinical delivery system... ...do so much rural
• education in our current clinical delivery system that we are classified as an urban rural training
• And up until just recently, our clinical delivery system platform at the University of New Mexico had
• And that clinical enterprise is largely paid for by the clinical delivery system.

Bills: SB5 , SB6 , SB8

Committee: Senate Senate Health & Public Affairs

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer

Transcript Highlights:

• So I'm interested in knowing, as you know, sharing resources helps optimize access as well as delivery
• Delivery, and so it requires a lot of collaboration.
• So to not manage pharmaceuticals as part of your healthcare delivery system and as part of your overall
• delivery of care really leads you to a position where you're not effectively managing the overall delivery
• Massachusetts, as I mentioned, is kind of the granddaddy of all delivery system transformation.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• So the recommendation is to research and evaluate alternative Medicaid delivery models."
• Additionally, says, "Current Medicaid delivery models says, "Current Medicaid delivery models in<00:19
• </c> evaluate alternative Medicaid delivery evaluate alternative Medicaid delivery models. models. models
• the best as models taking the best of the best as the<00:19:58.400><c> new</c><00:19:58.640><c> delivery
• </c> the new delivery system for Medicaid. the new delivery system for Medicaid.

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