Transcript Highlights:

• Human services is stuck because the House Republicans only want to fund nursing homes at the expense
• has been going to that, over $200 million, to really figure that one out, but they're also cutting nursing
• has been going to that, over $200 million, to really figure that one out, but they're also cutting nursing
• has been going to that, over $200 million, to really figure that one out, but they're also cutting nursing

Keywords: 1187, senate, all

Transcript Highlights:

• delete the section of the bill that requires physicians medical examiner's carpark to physicians, nurses
• Nursing care and supervision.
• Yes, phd's liability results for nurses failure to monitor jada's condition and subsequent failure to
• Sb HD has agreed that their nurse breach standard of care and that that was the substantial contributing

Keywords: 999, senate, all

Transcript Highlights:

• We are meeting needs in nursing, for example.
• We got funding for assistance with our nursing building.
• When you look at our College of Law, you know, nursing, the College of Medicine, whichever sector that
• When you look at our College of Law, you know, nursing, the College of Medicine, whichever sector that

Summary: The Appropriations Committee on Higher Education met to examine how Florida’s state universities are funded and to begin discussing a possible university funding model. The panel included the State University System chancellor and CFOs from FSU, UF, FAMU, FAU, UNF, and UCF. Members first reviewed major cost drivers, which the universities said are broadly similar across institutions: wages and benefits, equipment and supplies, financial aid, professional services, utilities, IT, and maintenance. Several institutions noted unique pressures from geography, growth, research intensity, and mission, such as UCF’s size and engineering focus, UF’s land-grant and research enterprise, FAMU’s need to recruit top talent while serving a high-Pell student population, and FSU’s large facilities and research obligations. The chancellor also summarized systemwide cost growth since 2012-13, including higher health insurance, retirement, and salary costs, while noting tuition had been held flat. The committee then discussed other revenue sources, including auxiliaries, restricted funds, capital projects, and component units such as foundations and health systems. University leaders explained that many of these funds are restricted to specific purposes, and some, like UF Health, account for a large share of operating expenses. Members also discussed the current performance-based funding process. University representatives generally praised it for transparency, accountability, and its focus on student success, but said the heavy use of one-time funds, nonrecurring appropriations, and unfunded mandates makes long-term planning difficult. FSU and others argued that rising employee costs, waivers, and facilities expenses are not fully covered, while FAMU said performance funding has improved outcomes but can disadvantage institutions serving more low-income students. In response to questions about improvements, the universities suggested more recurring and predictable funding, better coverage of mandated costs, more flexibility in fees, and continued investment in research and strategic priorities. The chancellor said the Board of Governors is considering a version 3.0 of performance funding that would benchmark institutions against peers and Carnegie classifications. The committee also explored whether universities should have more flexibility to set out-of-state tuition and professional school tuition. Most university leaders favored giving boards of trustees more authority, while the chancellor cautioned that increasing out-of-state enrollment or tuition too much could affect legislative support. No votes were taken; the meeting ended with the chair thanking the panel and adjourning the committee.

Transcript Highlights:

• It's a pathway, and I too spent a lot of time as a waitress outside of being a nursing assistant in those
• outside<00:20:28.240> of<00:20:28.360> being<00:20:28.480> an<00:20:28.679> nursing
• <00:20:29.000> assistant<00:20:29.360> in outside of being an nursing assistant in
• outside of being an nursing assistant in those<00:20:29.640> years<00:20:29.840> and<00

Keywords: 1183, house

Transcript Highlights:

• House Bill 3040, introduced by Overcast, an act relating to advanced practice registered nurses.
• Seeing none, the chair, registered nurses.

Keywords: 959, house, all

Transcript Highlights:

• This is a patient that was clearly on the road to being in a nursing facility, an advanced nursing facility
• The investments they had were depleted by nursing home care. My mother had Alzheimer's.
• All of her Social Security went in to pay for her nursing home.
• All of her Social Security went in to pay for her nursing home.
• All of her Social Security went in to pay for her nursing home.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• I mean, if<00:09:00.160> I<00:09:00.560> support<00:09:00.959> nursing<00:09:01.279
• > homes,<00:09:01.600> long-term if I support nursing homes, long-term if I support nursing
• The witness said she believed there are conditions around arbitration for nursing homes under CMS requirements
• recess to meet with Representative Newer and Representative Schumacher and asked if that was okay. nursing
• homes under CMS requirements. nursing homes under CMS requirements.

Keywords: 1187, senate, all

Transcript Highlights:

• This would allow us to expand in nursing, allied health, and also allow us to replace a building that
• This would be to build a new facility that focuses on allied health, particularly nursing, industrial
• <00:27:55.200> allet allow us to expand in nursing allet allow us to expand in nursing allet
• Health uh particularly nursing Health uh particularly nursing industrial<00:28:18.480> maintenance
• Nursing represents 34% of our enrollment, and nursing is not going to be the only one in that building

Keywords: Meeting start 00:06:05 Roll Call 00:06:33 HB 152 Discussion 00:07:55 HB 152 PHS 2 Vote 00:10:12 HB 545 Discussion HB 545 PHS 1 Vote 00:13:47 HB 606 Discussion 00:15:15 HB 606 Vote 00:16:32 HJR 30 Discussion HJR Vote 00:19:07 HJR 32 Discussion 00:20:25 HJR 32 PHS 1 Vote 00:23:11 HJR 34 Discussion 00:25:04 HJR 34 PHS 1 Vote 00:28:50 HJR 46 Discussion 00:30:09 HJR 46 Vote 00:34:15 HJR 53 Discussion 00:35:40 HJR 53 Vote 00:38:55 HJR 54 Discussion 00:40:15 HJR 54 Vote 00:40:50 HB 546 Discussion 00:42:15 HB 546 PHS 1 Vote 00:46:15 HB 605 Discussion 00:47:38 HB 605 PHS 1 Vote 00:52:10 HB 694 Discussion 00:53:46 HB 694 Vote 01:07:47 HB 695 Discussion Only 01:10:20, 958, all

Summary: The House Standing Committee on Appropriations and Revenue met on February 25 and considered a series of bills and joint resolutions, mostly involving appropriations, capital projects, and local infrastructure funding. The committee first adopted PHS 2 and passed House Bill 152, which creates a Medicaid supplemental payment program for public ground ambulance providers; the sponsor said the substitute ensures no state general fund dollars will be used and that local agencies must identify a funding source for any required match. HB 152 was reported favorably on a 20-0 vote. The committee also passed House Bill 545, the annual claims bill, after members confirmed all executive-branch claims were included; it was reported favorably on a 21-0 vote. House Bill 606, requiring reporting for general obligation bonds, also passed unanimously and was reported favorably. The committee then took up several joint resolutions tied to capital and infrastructure spending. House Joint Resolution 30, concerning water projects, was described as implementing ranked projects under the Waters program administered by KIA and was reported favorably on a 21-0 vote. House Joint Resolution 32, concerning school facilities construction, was amended by PHS 1 and advanced after discussion referencing the Auditor’s report and questions about a Johnson County Schools expenditure; it also passed 21-0. House Joint Resolution 34, relating to contingent appropriations for KCTCS, was amended by PHS 1 and advanced after testimony outlining three projects in Somerset, Jefferson Community and Technical College, and Glasgow; it passed 21-0. House Joint Resolution 46, for local road projects, was described as funding the highest-scoring local road requests from a larger pool of applications and passed 21-0. The committee also advanced House Joint Resolution 53, authorizing release of funds for KSU’s Health Sciences Center project, after KSU officials said the building is needed for nursing and allied health programs and promised a business plan report by November 1, 2025; it passed 21-0. House Joint Resolution 54, authorizing funds related to the State Fair Board, also passed unanimously. Later, the committee considered House Bill 546, which revises the local roads and streets program by adding a DOT-developed scoring system, monthly reporting, a match requirement, and a $500,000 project cap; members asked about the cap and were told larger projects should be handled through other mechanisms. HB 546 was reported favorably on a 21-0 vote. Finally, House Bill 605, a technical corrections and update bill for the local economic relief grant program, was amended by PHS 1 and discussed as expanding eligibility, including to the Delta Regional Authority and certain local-affiliated applicants; the transcript cuts off before the final vote on HB 605.

Transcript Highlights:

• It's more expensive to pay nurses just to provide that basic care.
• Ben Bego, for the Minnesota Nurses Association. I want to go to Representative Davids.
• Ben Bego for the Minnesota Nurses Association.
• When we adjust for cost of living, Minnesota nurses are paid higher than any other state in the country
• are paid higher than any other nurses are paid higher than any other state<00:55:54.119> in<00

Keywords: 1183, house

Transcript Highlights:

• But the main reason that I think we need to cherish our privacy, and many of y'all know I was a nurse
• > know<00:12:52.959> I<00:12:53.120> was<00:12:53.200> a<00:12:53.360> nurse
• <00:12:53.600> and and many of y'all know I was a nurse and and many of y'all know I was a
• nurse and and<00:12:54.320> when<00:12:54.560> HIPPA<00:12:55.040> passed,<00:12
• I worked as a clinic nurse for indigent patients, most of them on Medicaid or some of them indigent.

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Transcript Highlights:

• Next up, we have Heidi Adlesman from Alliance of Nurses for a Healthy Environment.
• I'm with the Alliance of Nurses for a Healthy Environment, and I'm here as a nurse to talk about how
• <00:34:53.200> Please Nurses for a Healthy Environment.
• Please Nurses for a Healthy Environment.
• expected to care families and nurses expected to care for.<00:37:13.040> The<00:37:13.280>

Bills: HF4253, HF4257, HF3236, HF4264, HF4149, HF4019

Keywords: boat storage structures, public waters, natural resources, rule amendments, watercraft canopy, PFAS, environmental regulation, manufacturers, public health, product safety, groundwater, water appropriation, water-use permit, water permit, aquifer test, aquifer, well construction, groundwater permit, Department of Natural Resources, DNR

Transcript Highlights:

• Before you is House File 2489, a bill brought forth by school nurses.
• This bill is designed by school nurses.
• We think about our doctor, our nurse, but not necessarily our pharmacist.
• ,<01:03:28.319> but think about our doctor, our nurse, but think about our doctor, our nurse
• ><01:03:32.000> health doctor, nurse, dentist, mental health doctor, nurse, dentist, mental health

Keywords: 1183, house

Transcript Highlights:

• 41:50.040> anybody<00:41:50.359> with<00:41:50.480> a<00:41:50.599> DEA nurse
• practitioner anybody with a DEA nurse practitioner anybody with a DEA license<00:41:52.079> can
• I got one hospital in my district that uses it to supplement nursing salaries.
• salaries they have to because nursing salaries they have to because they're<00:59:17.920> between
• to keep nurses in rural areas, to start new programs and oncology or otherwise, that those really don

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• And then we also support the forensic nurse examiner programs to pay for their administrative costs,
• were talking about some of the work that you fund through the grants related to, you know, forensic nurses
• were talking about some of the work that you fund through the grants related to, you know, forensic nurses
• that could be going on, what was flashing in my head were facilities doing this, like hospitals, nursing
• To the extent of nursing homes, what we also look at, too, and other institutions that are providing

Summary: The committee met as the Commerce and Legal Services Division and first approved the minutes, then received a Legislative Council overview of the Attorney General’s current budget status and a blue-sheet summary of the AG’s base budget for the next biennium. Staff highlighted compliance with legislative intent items, including FTE changes, one-time funding updates, litigation pool spending, opioid settlement receipts, and continuing appropriations. Members asked about specific funds such as the Missing Indigenous People Grant Fund and the Internet Crimes Investigation Fund, and staff explained the statutory basis and status of those items. The Attorney General’s office then presented an extensive overview of its divisions and budget pressures. Chief Deputy Attorney General Clare Ness described the office’s 14 divisions, the role of the office in defending the state and recouping funds, and concerns about attorney pay, recruitment, and retention. Members discussed whether attorney salaries should be benchmarked across state government and whether more legal work could be centralized in the AG’s office. The office also described challenges with the new-and-vacant FTE pool, operating expense cuts, leased office space, and the criminal justice information systems used to connect law enforcement, prosecutors, and courts. The Crime Laboratory director gave a detailed update on space and infrastructure problems, saying the current lab is overcrowded and outdated, with safety, workflow, air-handling, glycol leak, alarm, and maintenance issues that can delay casework and risk evidence integrity. She said a 2024 study projected a need for a much larger facility and that the preferred option would be a new building on the current health department site, at an estimated cost of roughly $40 million to $45 million. She also reported that backlogs have improved significantly in DNA, firearms, fingerprint, and drug cases, though toxicology had recently developed a small backlog after an air compressor failure. The Medicaid Fraud Control Unit, gaming division, and BCI also provided updates. MFCU’s new director said the unit is federally funded 75/25, focuses on fraud, abuse, and neglect, and is seeking two attorney hires while continuing to work with federal partners on cases and recertification. Gaming staff reported continued growth in charitable gaming and electronic pull-tab activity, with concerns about site competition, large trust balances, possible ineligible expenditures, and the need for more scrutiny as revenues have grown. BCI outlined its staffing, drug task forces, ICAC work, and the Missing Indigenous Person Task Force, which is using its $250,000 appropriation to help tribal nations develop emergency response plans and purchase alerting tools such as IPAWS. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• In fact, the nurse that was talked about previously in Quincy, they went to her and she thought... ..
• We will now call virtually Katherine Rushforth from the American College of Nurse-Midwives.
• I'm the legislative chair of the Massachusetts affiliate of the American College of Nurse-Midwives, and
• thank you very much can you will now call katherine rushforth virtually from the american college of nurse
• And I'm the legislative chair of the mass affiliate of the American College nurse midwives, and I'm here

Keywords: 995, all

Summary: The Joint Committee on the Judiciary heard testimony on a wide range of bills, with much of the discussion focused on housing stability and maternal mental health. On H. 1924/S. 1171, supporters including Sen. Joan Lovely, Rep. Jim O’Day, physicians, advocates, and people with lived experience urged the committee to create legal protections and treatment pathways for defendants who experienced postpartum psychosis or other perinatal mood disorders within 12 months of giving birth. Testimony emphasized that these conditions are rare but severe, often treatable, and can lead to tragic outcomes if criminalized rather than addressed through screening, expert evaluation, treatment, and, in some cases, resentencing or mitigation. Committee members asked about diagnosis years after the fact and how the Illinois law has worked; witnesses said retrospective diagnosis is possible and that the Illinois model has led to some successful resentencing petitions and broader awareness. Housing-related bills drew substantial testimony. On H. 1983/S. 1071, witnesses described “zombie” subordinate mortgages that were sold years after borrowers believed they had been resolved, then resurfaced with large balances and foreclosure threats. Supporters said the bill would require disclosures and court review to prevent unlawful servicing and foreclosure practices. On H. 1952, advocates from the Massachusetts Law Reform Institute, tenants, and legal services providers backed a permanent statewide right to counsel in eviction cases, citing data showing strong tenant outcomes and the importance of quality control, multilingual outreach, and full representation. On H. 1895/S. 1184, testimony supported codifying a two-tier summary process in eviction court and prohibiting defaults at the initial case-management stage. On H. 1883, a small property owner supported rent escrow as a way to protect landlords from bad-faith nonpayment while preserving tenant rights. The committee also heard testimony on bills addressing discriminatory housing covenants, tenant oversight, and homelessness. On H. 1762/S. 1080, a housing advocate supported removing void restrictive covenants from deeds, describing the Dirty Deeds Project and the lingering harm of racist language in property records. On H. 1814, tenants and advocates described harassment, retaliation, security problems, and lack of accountability in subsidized housing, arguing for an Office of the Tenant Advocate within the Attorney General’s Office. On S. 1120, multiple witnesses supported a bill of rights for people experiencing homelessness, saying it would affirm the right to rest and seek shelter, reduce criminalization, and extend anti-discrimination protections. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• Please recognize Minority Leader Kircher to introduce the nurse of the day.
• Minority Leader Kircher, you're recognized to introduce the nurse of the day. Thank you, Mr.
• I'm really glad to be joined by my constituent Caitlin Yank as our nurse of the day.
• Caitlin is a registered nurse at Integris Medical Center working as a medical surgical and infusion RN
• She's currently obtaining her master's in nursing science for acute care and gerontology.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, SJR39, SB1290, HB4028, HB4029, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, HB1250, HB2951, HB2961, HB3151, HB3581, HB3705, HB3970, HB3972, HB3980, HB3981

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Transcript Highlights:

• Would it come from our schools, health care, nursing homes, services for people with disabilities, or
• Would it come from our schools, health care, nursing homes, services for people with disabilities, or
• Would it come from our schools, health care, nursing homes, services for people with disabilities, or
• tighter income limits than the property tax refund for homeowners. from our schools, health care, nursing
• from our schools, health care, nursing homes,<00:09:45.040> services<00:09:45.600> for

Keywords: 1183, house

Summary: The committee took up House File 4906, adopted the H4906A1 amendment, and heard a staff explanation that the bill would create a one-time property tax refund in calendar year 2026 for residential homesteads and the house/garage/1-acre portion of agricultural homesteads. As amended, the bill would appropriate $4 billion in fiscal year 2027, distribute payments based on 2026 property tax due, include a clawback for delinquent taxpayers, and coordinate with existing property tax refund programs so recipients would not receive more than they paid in taxes. House Research also discussed a disagreement with the Department of Revenue over whether the refund would be taxable federally, with House Research suggesting it would likely be treated as a non-taxable recovery of prior taxes. Public testimony was largely opposed. Eric Bernstein of We Make Minnesota argued the proposal was too large, would create a deficit and force future service cuts, and would disproportionately benefit higher-income homeowners. Nan Madden of the Minnesota Budget Project said the bill would create a major budget hole, threaten funding for health care, food support, schools, and other services, and exclude renters and lower-income Minnesotans. Members echoed those concerns, citing impacts on public safety, rural EMS, hospitals, education funding, and equity, while noting that renters and many seniors would receive nothing. Representative Howard questioned whether the bill was a cautious use of state resources, and Representative Norris said it missed the mark for struggling renters. Chair Davids defended the concept as a way to put money back in people’s pockets and said the proposal was scalable and intended to start a discussion. Representative Wiener strongly supported the bill, saying many homeowners and farmers in his district are not wealthy and need relief from property taxes; he said the bill should be even bigger. No vote on final passage was taken in the portion of the meeting provided, and the committee moved on after testimony and member discussion.

Transcript Highlights:

• The medical people only talk to themselves, the nurses, the housing people, the doulas, the attorneys
• perspective of the medical provider working with our family, the attorney, the parent ally, the doula, the nurse
• It is a game changer to be able to have a person, a retired nurse, a retired schoolteacher, I apologize
• It is a game changer to be able to have a person, a retired nurse, a retired schoolteacher, I apologize
• It is a game changer to be able to have a person, a retired nurse, a retired schoolteacher, I apologize

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• There's no coverage for nursing and transportation, and most site-based programs are actually just covering
• <00:14:47.800> and There's no coverage for nursing and There's no coverage for nursing and
• people that used to be in our field who are homeless as social workers out there, as doctors, as nurses
• This is what happens when we nurses.
• <01:07:42.440> practitioners and psychiatric nurse practitioners and psychiatric nurse practitioners

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• My background is I was a registered nurse for 38 years.
• My background is I was a registered nurse for 38 years.
• My background is I was a registered nurse for 38 years.
• My background is I was a registered nurse for 38 years.
• I mean doctors don't, nurses system.

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.