Transcript Highlights:

• stabilization program. stabilization program.
• hospital stabilization program. hospital stabilization program.
• . program. program.
• about that program integrity bill. about that program integrity bill.
• programs in it. programs in it.

Keywords: 1187, senate, all

Transcript Highlights:

• I mean, you know, we've been up here and looked at lots of statistics on some of these programs, and
• Some of the programs are a little bit longer.
• There are some associate degree programs that apply to some of the demand out there.
• Get the community and technical colleges and other training providers to shorten those programs where
• And if they're successful— ...reimbursed enough to go through this process.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• in addition to the successful program in addition to the successful program that<00:13:44.600>
• there<00:17:34.400> is launching their program now and there is launching their program now
• one in Kona um the social work program one in Kona um the social work program also<00:17:37.559>
• I'm the program manager for the Coalition for Tobacco Free Hawaii program of the Hawaii Public Health
• I'm the program manager for the Coalition for Tobacco Free Hawaii program of the Hawaii Public Health

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• She's been in and out of hospitals, jails, rehab, shelters, and crisis program after crisis program.
• When we fail to reimburse preventive care, the costs don't disappear.
• Expanding reimbursement eligibility will sustain outreach programs, support workforce retention, and
• However, under the current system, we can only be reimbursed through MassHealth.
• She spent years in partial programs, CBAT programs, before any testing was done to help determine that

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.

Transcript Highlights:

• And the way that mechanism works is the hotel reimburses the guest and then the state reimburses the
• mechanism works is the hotel reimburses mechanism works is the hotel reimburses the<00:05:42.160
• Do we reimburse?
• It does not deny insurers reimbursement. reimbursement. reimbursement.
• So, they'll be reimbursed reimbursed reimbursed for<00:25:10.600> fronting<00:25:11.080> the

Keywords: 1191, senate, all

Transcript Highlights:

• LASIA which is just loan reimbursement LASIA which is just loan reimbursement for<00:09:54.560><
• It used to just be program for teachers.
• "It's a loan reimbursement program." "Do they have to pay this loan back?" "No. No.
• incidentally I believe the AMTEP program incidentally I believe the AMTEP program that<00:24:33.600
• <00:27:06.400> what throwing money at the program." what throwing money at the program." what

Bills: HB178, HB124, HB96, HB250, SB289, SB317, HB359, HB178, HB124, HB96, HB250, SB289, SB317, HB359

Keywords: HB178, Ten Commandments, public schools, K-12 education, Alabama, school display, religious display, Bible, Judeo-Christian, Establishment Clause, church-state separation, religion in schools, founding documents, Mayflower Compact, Declaration of Independence, U.S. Constitution, Northwest Ordinance, social studies, civics, history curriculum

Transcript Highlights:

• We still also are a Division I athletic program.
• As you go down, athletics—obviously, we all have athletic programs.
• As you go down, athletics, obviously, we all have athletic programs.
• We all do international programs in various forms.
• infrastructure necessary to run those programs.

Summary: The Higher Education Budget Subcommittee met to hear an overview of State University System finances from the Board of Governors and detailed budget presentations from Florida State University, the University of Central Florida, and the University of North Florida. The witnesses explained how university budgets are organized into fund categories such as education and general, contracts and grants, auxiliaries, local/designated funds, capital projects, and component units such as direct support organizations. They also described carry forward funds, the statutory reserve and spending-plan requirements, the PICO/HECO capital outlay process, and how universities use investment accounts, audits, and board oversight to manage restricted and unspent funds. The universities emphasized that most operating dollars are restricted to specific uses and that state support helps keep tuition low. Members asked about differences in funding levels among institutions, especially why FSU receives more funding than UCF despite lower enrollment. Officials said preeminence funding, performance funding, and special legislative appropriations explain much of the difference, and the Board of Governors noted that Florida now has four preeminent universities, with UCF nearing that status. Questions also focused on what happens to unspent carry forward money, how it is invested, and whether the Board of Governors or Legislature can require funds to be returned; officials said the money is invested conservatively, subject to board and audit oversight, and can roll forward under a detailed spending plan, though the Legislature can change funding levels. The committee also discussed capital projects, with members asking about delays, inflation, and whether more projects should be phased or funded faster; witnesses said PICO funds remain with the state until needed and are reimbursed as construction proceeds. A substantial portion of the discussion covered athletics, research, student fees, and endowments. The universities said athletics is generally expected to be self-supporting, though limited use of auxiliary or carry forward funds may be allowed for projects benefiting the broader student body. They also described the financial pressures from name, image, and likeness changes and new NCAA-related costs, and said institutions are planning for those changes now. On research, the universities explained sponsored research funding, indirect cost recovery, compliance obligations, and tech transfer, but did not provide specific commercialization revenue figures and said they would follow up. Members also asked about student fee increases, student input, counseling and wellness funding, and how housing costs affect affordability; the universities said student committees and boards review fees, and aid packaging is intended to keep student debt low. Endowments were described as being held in separate foundations/DSOs with independent investment committees and used mainly for scholarships, faculty support, and research.

Transcript Highlights:

• maximum gets back reimbursement for it. maximum gets back reimbursement for it.
• >> Talk about the program. >> Talk about the program.
• And that provides for districts with robust distance education programs or dual enrollment programs.
• <00:37:08.640> If programs or dual enrollment programs.
• If programs or dual enrollment programs.

Bills: HB0159

Keywords: student rights, free expression, K-12 education, speech protection, religious views, political speech, 916, all

Transcript Highlights:

• They will also fund a program to develop a credentialing pathway for high school faculty.
• They have a grant from the Align Program at the Office of Skills Development to support the LPN program
• It's for $3.5 million in transfer from various financial aid programs to the Arkansas Heroes Program.
• New to the report are transfers from the water and sewage treatment facilities grant program fund.
• “No, and this is through the state’s consolidated insurance program, and so that’s what we all bid in

Summary: The committee considered a series of appropriation, transfer, and review items, approving most requests in Sections B through J. These included temporary appropriations for state technology upgrades, personnel management, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, higher education workforce grants, an ARPA grant for the UAFS LPN program, an IIJA grant for geological/critical minerals work, a restricted reserve transfer for 102 State Police vehicles, a transfer to the Arkansas Heroes Program, several cash fund requests for the Real Estate Commission HVAC and AV needs, and overtime appropriations for Emergency Management and Military. One budget classification transfer request from the Commissioner of State Lands for $250,000 to cover operating expenses tied to a new building was discussed at length but failed on the vote after questions about the lease and operating costs. A major portion of the meeting focused on a $25.7 million pay plan appropriation request for 15 agencies. Members questioned why the Department of Human Services had not requested additional pay-plan dollars for human development centers, where DHS acknowledged staffing shortages, high turnover, and heavy overtime but said the issue was not lack of pay-plan funding. DHS was asked to provide a written plan to address staffing problems. The Department of Corrections testified that the pay plan had improved retention and hiring, and committee members asked for follow-up data on vacancies and staffing outcomes. Members also clarified that the pay-plan request was appropriation only, not new funding, and approved it. The committee then reviewed fund reports, including the restricted reserve, Budget Stabilization Trust Fund, Tobacco Settlement, State Central Services, Education Adequacy, Medicaid Trust Fund, IIJA, and Revenue Services transfer reports. DHS and DFA were questioned closely about the Medicaid Trust Fund, with members noting a $90 million February draw and asking about projected year-end balances; DFA and DHS said February was a high-expense, low-revenue month and projected the fund would remain solvent through the fiscal year, ending between $150 million and $200 million, while a second $100 million set-aside is planned for FY27. The committee also discussed a state hospital damage report, where DHS explained that insurance proceeds would not fully cover the repair costs because of depreciation and the age of the buildings; members expressed concern that the state would recover far less than originally expected, and DHS said any additional insurance recovery would be limited and returned to restricted reserve.

Transcript Highlights:

• insurance companies may just be using some sort of automated computer system that they may have programmed
• things are: we have tasked OMMA with educating budtenders, and they have until January 1st to get that program
• They are not going to have the program up and running by that point, so this allows them to review third-party
• Members, this is cleanup language defining what an accredited chiropractic program is.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Summary: The committee opened with prayer and then heard a long series of Senate bills, many of them agency request or cleanup measures. Early bills included SB 1983, directing DHS to provide foster care data to resource family partners to better identify foster family needs; SB 444, allowing hospice personnel to control or destroy controlled substances after a patient’s death; and SB 1503, a PCS related to pregnancy resource center outreach and in-state referrals, which drew discussion about virtual versus face-to-face support and was reported out after members agreed to continue working on the language. Other measures advanced included SB 1561 on progressive discipline for certain M.T.M.S. personnel, SB 592 and SB 1946 on alcohol-related licensing/sales issues, SB 1501 and SB 1567 as cleanup or implementation bills, and SB 1833 codifying a SNAP waiver barring candy and soft drinks purchases. The committee also considered several health and human services bills. SB 2026 expanded access to military discharge papers to grandchildren; SB 904 addressed public funds and state facilities, with members raising concerns about legislative interference in medical decision-making and liability; SB 2178 modified alcohol licensing insurance requirements; SB 1651 updated Oklahoma Medical Board license language; SB 1558 clarified the definition of a child for level E group homes; SB 1565 promoted Food is Medicine efforts to improve maternal and infant outcomes; and SB 1553 required psychologist review of appealed adverse determinations involving mental health claims. SB 1257, with a policy recommendation, expanded THC/controlled substance language to align with federal guidelines, and SB 1749 made a cleanup change related to food trailers and LP gas inspections. Later in the meeting, the committee advanced SB 65 with a policy amendment adding fentanyl and xylazine test strips; SB 1242, which included OMMA education and abandoned grow cleanup provisions; SB 1642, allowing shorter acute prescriptions to help reduce addiction risk; SB 640, treating abandoned grow facilities as public nuisances so local governments can abate them; SB 667, clarifying accreditation language for chiropractic programs; SB 1436, requiring hospitals to provide information on obtaining records after stillbirth or miscarriage; SB 1484, codifying medical examiner practices in infant or child deaths; SB 1562, addressing hospice patient solicitation; SB 1794, creating a mental health bed-availability database; SB 1644, seeking data on alpha-gal syndrome to support federal research funding; SB 1533, ensuring burial assistance for Oklahoma veterans who die out of state; SB 933, creating a right-to-try pathway for individualized treatments; and SB 1555, aligning the definition of intellectual disability with federal law. Most bills were reported out do pass, with recorded votes ranging from unanimous to a few nays on some measures. SB 1304 was laid over, and the committee adjourned at the end of the meeting.

Bills: SB683, SB1579, SB1389, SB1387, SB1390, SB1391, SB2063, SB1829, SB2060, SB1842, SB1398, SB1212, SB2158, SB102, SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966, SB1989, SB1191, SB1258, SB1920, SB1936, SB2143, SB2122, SB330, SB2071, SB2169, SB2069, SB2095, SB2157, SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: education, tax credit, student support, private school, Oklahoma Parental Choice Tax Credit, financial assistance, homeschooling, qualified expenses, property tax, valuation increase, taxpayer rights, homestead, protest process, school choice, tuition assistance, income limits, parental choice, accreditation, sales tax, motor vehicles

Transcript Highlights:

• It establishes mandatory and permitted provisions and conditions of the exemption program.
• The program does not apply to the Medicaid program, but it does require that the commissioner of DMS
• the terms of the exemption program the terms of the exemption program within<00:07:42.960> the
• <00:08:15.000> and authorization exemption programs and authorization exemption programs and
• the Medicaid Program but it apply to the Medicaid Program but it does<00:08:23.080> require<00

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• Section 318 STD program.
• MassHealth covers both the state's Medicaid and CHIP program.
• This must change. ...to operate a Section 35 program. This must change.
• Because of the situation in terms of the setup in most residential programs, most programs are not appropriate
• I'm the Environmental Health Program Director of Clean Water Action.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• our current reimbursement rates. our current reimbursement rates.
• ensuring that the elderly waiver program ensuring that the elderly waiver program receives<01:19
• , into us throughout our entire program, into us throughout our entire program, from<01:44:00.880
• degree nursing program. degree nursing program.
• . operated program.

Keywords: 1187, senate, all

Transcript Highlights:

• care programs in the single rate system for future fiscal years.
• Currently, they're getting reimburse about 20% of what they need.
• Multifamily Housing Program and 500 million for the Homeless Housing Assistance and Prevention Program
• stipends to students in teaching certification programs and funds numerous important programs and services
• . served by the program that are intended to protect and strengthen the program for future years.

Keywords: 988, house, all

Transcript Highlights:

• I noticed that, but also they have a program, the business program, which is a premier program that's
• So, what is the cost to run the program that the reimbursements would then pay for?
• the the run the program that the the reimbursements<01:22:04.719> would<01:22:04.960> then
• reimbursements would then pay for? reimbursements would then pay for?
• , good programs.

Bills: SB2613, SB2147

Keywords: public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139, Board of Land and Natural Resources, BLNR, Department of Land and Natural Resources, DLNR, Kauai, Maui, Honolulu, Kaimuki Middle School, Wilcox Elementary School, school property

Summary: The committee heard SB 2613, a cleanup bill relating to public school land transfers under Act 307 (2022), which revises tax map key references and the conveyance process for properties transferred to the Department of Education. The Hawaii State Public Library System supported the measure, saying it would complete the long-unfinished separation of the library system from DOE property control and make future building projects more efficient and cost-effective. DOE also supported the bill and requested an amendment to remove TMK 43-62 parcel 10, the Wilcox Elementary School parcel, so that it could instead be transferred to the county for use with the adjacent park and tennis courts. Members focused heavily on why land transfers and construction approvals have been slow, especially the need for right-of-entry documents and an MOA for a library construction project. Library and DOE witnesses said the delays stemmed from site-control issues and confusion over property status, and that the bill would clarify which parcels are transferred by operation of law and remove the need for additional transactional documents in many cases. Several members questioned whether the bill actually changes authority or simply clarifies existing practice, and DOE said it wanted legislative clarity so the transfers are unmistakably effective on a date certain. The committee also discussed a separate section of the bill dealing with public use of school facilities after hours, including parking fees on property under DOE jurisdiction. DOE explained that any parking charges would apply only to property it controls, not county roads, and that fees are set through existing facility-use procedures. Members raised concerns about the pace of land transfers generally and urged DOE to move more expeditiously on pending parcels. The hearing then moved on to SB 2147, which would designate the first Friday in February as Love My Library Day; the library system testified in support as the committee began that measure.

Transcript Highlights:

• > the<00:34:20.800> owner reimbursement either through the owner reimbursement either through
• That's the payments and reimbursement of the funds to the counties. And that's a lot of money.
• <01:00:32.480> the agreement should have reimbursed the agreement should have reimbursed the
• <01:08:09.760> so council that overviews the program so council that overviews the program
• <01:08:17.920> take uh participants in the program take uh participants in the program take

Keywords: 1191, senate, all

Transcript Highlights:

• . program. program.
• value-based program. Is that an answer? value-based program. Is that an answer?
• . reimbursement. reimbursement.
• We have a program called Partnerships in Care. It is a clinical program.
• It's a clinical program. It is we do. It's a clinical program.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• to develop this program.
• The voluntary develop this program.
• than creating a new government program. than creating a new government program.
• program is just a microcosm of that. program is just a microcosm of that.
• > formula And our current reimbursement formula And our current reimbursement formula for<00:25

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a roll call establishing a quorum. The House then communicated passage of House Bills 184 and 265 and House Joint Resolution 24, requesting concurrence. The Senate also approved the prior day’s journal, excused absent senators, and received committee reports advancing several measures, including Senate Bill 76 with committee substitute, Senate Bill 12, Senate Joint Resolution 23 with committee substitute, and Senate Bills 27 and 40 with committee substitutes. New bills introduced included Senate Bill 1 on education, Senate Bill 3 on school district finances, and Senate Bill 112 on short-term rentals. The chamber then took up Senate Bill 29 on solid waste management facilities. The sponsor explained that the bill would prohibit counties from charging designation or origination fees to solid waste facilities located in other counties, while leaving intact local authority over facilities within a county and existing host fees. The bill passed on a roll call vote of 36 yeas, 0 nays, and 1 pass. Senate Bill 49 on battery stewardship was next. Its sponsor described growing fire risks from lithium batteries in landfills, recycling trucks, and waste facilities, and said the bill would prohibit lithium batteries in curbside trash and recycling containers and create a statewide stewardship program with a phased implementation timeline. The measure passed 37-0. Senate Bill 38 on pharmacist reimbursements and services followed; supporters said it would improve access to routine care through pharmacists, reduce unnecessary emergency room visits, and align Medicaid and KCHIP reimbursement policies with private insurance standards. It also passed unanimously, 37-0. Finally, the Senate considered Senate Concurrent Resolution 9, which directs the Legislative Research Commission to procure a vendor for a feasibility study on an accountable communities for health Medicaid delivery model pilot project. The sponsor argued that Medicaid and broader health care costs are unsustainable and that a community-based model could reduce bureaucracy and improve outcomes. Several senators spoke in support, including questions about the cost of managed care organizations and administrative overhead. The resolution was adopted after debate and roll call, with strong support from members who described it as a potentially revolutionary approach to health care delivery.

Transcript Highlights:

• Number two, if it's an unlicensed program, it's a lot easier to sign up and start getting reimbursement
• provided, if someone's present with you, we're gonna reimburse it.
• So I think when you have those new programs come online, that is one area.
• I can't say we've never seen it, but the way that the Medicaid program works here is that.
• Is there a program here?

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud