Transcript Highlights:

• Some programs are front-loaded academically and some programs do their training in clinical at the same
• They're subject in many cases to the same things that fuel physician decisions, so sometimes those are

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• :44.000> fossil encourage more u uh or or less fossil encourage more u uh or or less fossil fuels
• c> more<00:15:45.920> more<00:15:46.320> alternative<00:15:46.959> energy fuels
• or or more more alternative energy fuels or or more more alternative energy energy<00:15:48.480>

Keywords: Meeting start: 00:00 Roll Call: 00:32 HB 136 Discussion: 01:46 HB 136 Vote: 05:53 HB 183 Discussion: 07:03 HB 183 Vote: 14:45, 958, all

Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met with a quorum and considered two bills. Senate Bill 136, sponsored by Vice Chair Frommeyer, made a housekeeping change to unemployment insurance fraud reporting by correcting prior language so suspected fraud is reported to the appropriate county or commonwealth attorney and the U.S. Department of Labor, rather than the Justice and Public Safety Cabinet. Members asked about how often local prosecutors pursue these cases and whether the state follows up on clawing back fraudulent payments; the cabinet said it would check on the exact recovery process. Senator Boswell also raised broader concerns about delays and difficulties claimants face in the unemployment insurance system. The committee approved SB 136 unanimously, 11-0, and reported it favorably. The committee then heard Senate Bill 183 from Senator Nunn, which would regulate proxy voting advice by requiring transparency, economic analysis, and disclosure when proxy advisers rely on non-financial factors or give advice inconsistent with a company board’s recommendation. Nunn said the bill is intended to protect Kentuckians’ retirement and investment interests, prevent politically or ideologically driven advice, and create enforcement through Kentucky’s deceptive trade practices law. Senator Clemens questioned how the bill would apply to nontraditional groups and whether the affected firms are registered or regulated; a witness, Chris Nolan, said there is little federal oversight and no Kentucky oversight of proxy adviser firms. Senator Maiden supported the bill, while Senator Thomas opposed it, arguing investors should be free to seek advice based on their own interests and that the bill could chill such advice. The committee passed SB 183 by a 9-2 vote and reported it favorably.

Transcript Highlights:

• AB 1227, Ellis, CEQA exemption for fuel reductions: do pass out on an A roll call.
• strike the minimum hiring requirement that's out on a B roll call AB 1227 Ellis CEQA exemption for fuel
• AB 687, Patterson, fuel reductions: do pass as amended to, among other things, add a January 1, 2031

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• Our dependence<00:26:07.760> on<00:26:08.000> fossil<00:26:08.400> fuels<00:26:08.720
• > and<00:26:08.960> plastics dependence on fossil fuels and plastics dependence on fossil
• fuels and plastics is<00:26:10.080> resulting<00:26:10.480> in<00:26:10.720> the

Keywords: 910, house, all

Summary: The Committee on Health met on April 2, 2025, and heard several resolutions focused on student mental health, autism data collection, school heat exposure, and climate change as a public health issue. Testimony on HCR 96/HR 92 supported encouraging the University of Hawaii to evaluate and expand student mental health services; the University of Hawaii testified in support, and a student speaker said expanded services would make students more likely to seek help. The committee also heard HCR 145/HR 139, which urges state agencies to collaborate on planning for Hawaii’s participation in CDC autism prevalence surveillance; supporters included the Hawaii State Council on Developmental Disabilities and an autism advocate who said Hawaii needs better local representation in the data. The committee then heard HCR 186/HR 179, requesting a study of heat exposure management in Department of Education and charter schools. The Department of Health and the climate change and health working group supported the measure, citing rising temperatures, heat-related illness risks during outdoor activities, and the value of wet bulb globe temperature standards. Finally, the committee heard HCR 188/HR 182, declaring climate change a public health emergency and calling for statewide coordination on cross-sector solutions. Supporters from the Hawaii Public Health Institute, the climate change and health working group, and a Native Hawaiian physician emphasized climate-related health harms such as heat illness, wildfire impacts, chronic disease, and inequities; one member opposed the measure as politicized and said it could dilute attention from other urgent problems. In decision-making, the committee adopted recommendations to pass HCR 96/HR 92, HCR 145/HR 139, and HCR 186/HR 179 as is. For HCR 188/HR 182, the committee recommended passage with amendments, specifically a House draft one for technical clarity, consistency, and style. During the vote on the climate emergency resolution, Representatives Elos and Garcia voted no, while the rest of the members present supported the recommendation. The meeting then adjourned.

Transcript Highlights:

• the case load might demand. the case load might demand.
• We have very knowledgeable people here, and we're looking at all these questions, but it's loaded with
• We have very knowledgeable people here, and we're looking at all these questions, but it's loaded with
• We have very knowledgeable people here, and we're looking at all these questions, but it's loaded with
• with questions and it's hard to loaded with questions and it's hard to get<02:18:27.200> that

Keywords: 1189, house, all

Transcript Highlights:

• While that's loading, is someone ready to cover some testimony?
• While<00:04:08.400> that's<00:04:08.680> loading,<00:04:09.120> is<00:04:09.240
• > someone<00:04:10.240> ready While that's loading, is someone ready While that's loading

Keywords: 1183, house

Transcript Highlights:

• is being put in place to help our local fire officials be able to enforce fire codes and ease their load
• /c><00:24:37.640> and<00:24:38.160> ease<00:24:38.400> their<00:24:38.640> load
• <00:24:39.240> If<00:24:39.400> there fire codes and ease their load.
• If there fire codes and ease their load.

Keywords: 958, all

Summary: The House convened, received the invocation and Pledge of Allegiance, established a quorum, excused absent members, and approved the journal. The clerk also announced Senate passage of Senate Bills 59, 137, 177, and 199 and requested concurrence. The chamber then moved into second reading, reporting a slate of bills and resolutions on health care, energy, child welfare, Medicaid, workplace violence, and coal/energy assessment, before proceeding to third reading and passage of several measures. A major focus was House Bill 542 on eminent domain. The sponsor described it as a transparency measure to improve communication with property owners, require better notice, prohibit misleading statements, allow owner-paid appraisals to be used throughout negotiations, and account for agricultural improvements and access. Members discussed the bill’s intent to treat property owners fairly and reduce court costs; the House adopted House Committee Substitute 1 and passed the bill 89-0. House Bill 565 on fire protection was presented as technical cleanup to clarify enforcement authority for local fire appeal boards created last year, and it passed 91-0. The House also passed House Bill 611 on domestic relations, which creates a 10-year interpersonal protective order for certain felony assault convictions involving family members, unmarried couples, or dating partners, and updates domestic violence data reporting requirements; the committee substitute was adopted and the bill passed 91-0. House Bill 657 on professional licensing background checks was explained as giving five licensure boards authority to obtain FBI ORI numbers so they can receive fingerprint background checks and comply with interstate compacts; it passed 91-0. House Bill 762 on legal representation was amended on the floor to avoid excluding appellate attorneys, then passed 91-0; it was described as clarifying Department of Public Advocacy representation and related salary provisions. The House also passed House Bill 108 on solid waste management, which its sponsor said closes a loophole allowing residual waste landfills to be sited in a different county from the industry without local input; it passed 79-8. House Bill 67 on schools, a cleanup measure to prior legislation requiring traceable communication systems for school employees, was introduced with a committee substitute and discussed as clarifying definitions and exemptions while preserving protections for students; the transcript cuts off before the final vote on that bill.

Transcript Highlights:

• So if you can sort of reduce some of that load on site, um, you know, of course for resiliency of the
• reduce<00:32:43.120> some<00:32:43.360> of<00:32:43.519> that<00:32:43.840> load
• <00:32:44.240> on<00:32:44.640> site sort of reduce some of that load on site sort
• of reduce some of that load on site um<00:32:46.159> you<00:32:46.320> know<00:32:46.640

Keywords: 912, senate, all

Summary: The joint hearing covered SB 2120, which would allow certain state and county employees rehired within one year to transfer accrued vacation and sick leave and extend the break-in-service period for health benefits. Testimony was split: the Department of Human Resources explained current leave payout and pension credit rules and raised concerns about the long transfer window, while labor representatives supported the measure. During decision-making, both committees recommended passage with amendments. The amendments narrowed the bill by changing the break-in-service period to 180 days for leave beginning on or after July 1, 2026, making the benefit transfer voluntary with a 90-day notice deadline, and changing the effective date to January 1, 2077. The recommendations were adopted by vote. The committees also heard SB 2523, an appropriation for the City and County of Honolulu Department of Information Technology to modernize the driver’s license and motor vehicle system. DIT described the current COBOL-based mainframe as decades old, said the project would use a code-share arrangement with Arizona, and estimated a $10 million, two-year conversion and rollout. Members questioned the cost, the city-state funding arrangement, and the feasibility of the project, including whether it would move to a cloud-based system. After testimony, both committees deferred the measure. In the Energy and Intergovernmental Affairs portion, SB 2032 on consumer protection for solar sales drew broad support from the Hawaii Green Infrastructure Authority, the Office of Consumer Protection, the Hawaii Solar Energy Association, and others. Testifiers said the bill was needed in response to misleading solar door-to-door sales and urged amendments to clarify “contractual affiliation,” exclude balcony/portable solar devices, and require disclosure of cash and financed prices. The committee then moved on to SB 2079 on vehicle titles, which had one supporter and one opponent but no testimony in person or online, and SB 2241 on zero-emission vehicles, for which the Hawaii State Energy Office submitted written support. The hearing also began discussion of SB 2579 on water-related grants, where agencies said any program would need clearer statutory standards and likely a feasibility study before implementation.

Transcript Highlights:

• What this bill does is allow her to load basically like a debit card that that individual that's going
• <00:26:52.880> allows<00:26:53.279> her<00:26:54.000> to<00:26:54.240> load
• <00:26:55.279> basically does is allows her to load basically does is allows her to load basically

Bills: SB115, SB131, SB93, HB319, HB163, HB268, SB115, SB131, SB93, HB319, HB163, HB268, HB181, HB153, SB132, SB26, SB189, SB196, HB140, SB197, HB117

Keywords: SB115, Alabama, impersonating a peace officer, peace officer, law enforcement impersonation, police impersonation, unauthorized police officer, fake cop, certification revoked, certification suspended, Alabama Peace Officers' Standards and Training Commission, APOSTC, Class C felony, law enforcement hiring, appointment of officers, federal law enforcement, arrest authority, public order, criminal offenses, Judiciary Committee

Transcript Highlights:

• Fully loaded, I'm going to have to...
• That full-time employee, fully loaded, is I'm kidding, 100,000 or something.
• Just to have this full-time, fully loaded state employee function in that capacity.
• The State Election Board's budget in the upcoming fiscal year is very front-loaded.

Keywords: 914, all

Transcript Highlights:

• Or it might extend the longevity, but it won't change the load posting." Okay?
• Like, maybe if you do this preservation mechanism instead of this one, then we'll be able to up your load
• That’s why we haven’t had a TAP cycle yet in 2025, is because we’re presently loading everything, getting
• That’s why we haven’t had a TAP cycle yet in 2025, is because we’re presently loading everything, getting

Keywords: 00:05 Call to Order and Roll Call 01:55 Bridge Improvement Program 18:56 County Priority Projects Program 38:10 Transportation Alternative Program 51:47 Adjournment, 958, all

Summary: The committee met for the first interim meeting of the 2025 Budget Review Committee on Transportation and heard from Bobby Jo Lewis, commissioner of Rural and Municipal Aid at the Kentucky Transportation Cabinet. She reviewed the new County City Bridge Improvement Program, created in the 2024 regular session, reporting that phases one and two are complete, 45 bridges have been funded so far, and about $18.45 million has been authorized. She said roughly $6.549 million remains for phase three in the current fiscal year, with about $26.445 million in bridge applications still pending. For fiscal year 2026, the program will again have $25 million and will use four application phases. She also described a training resource, Local Bridges 101, and said a new executive advisor, Greg Meredith, has been brought in to help with the bridge program. Members asked how rollover applications would be handled, whether they would be re-evaluated with new applications, how the program would account for bridge longevity and load posting, and how isolated communities would be prioritized. Lewis said applicants not funded in FY25 would be contacted and could choose to roll their applications into FY26, and all applications would be evaluated together at the end of each phase. She said preservation projects are assessed for how much they extend a bridge’s life, and isolated community access bridges or closed bridges with no detour access receive priority. She also said the department aims for equitable distribution across regions and plans to produce a map showing where funds have been awarded. Lewis then turned to the County Priority Projects Program and the Local Assistance Road Program established in House Bill 546 and related resolutions. She said the application cycle opened June 1 and closes October 1, with 106 memoranda of agreement being prepared for awards in House Joint Resolution 46. She described updated application and reporting forms, a scoring matrix, and a County City Pavement Evaluation Manual used to rate projects based on preservation of assets, average daily traffic, recent improvements, safety, cost, and district priority. She said projects must be rehabilitation projects designed to restore the original condition of the road, cannot exceed $500,000, and must use local match percentages tied to the economic development grant program formula. She also reported on funding status for prior road projects, including completed, partially completed, pending, and underrun amounts that may be reauthorized. Committee members asked about photo documentation, online access to project materials, how to measure whether projects truly restore roads to original condition, and what happens when project costs exceed estimates. Lewis said the department is still working on how best to store and share the large volume of photos, and that projects are certified through district offices and local sign-off after completion. She said overages are the responsibility of the applicant because the state does not have additional money beyond the awarded amount. No formal votes were taken during the discussion.

Transcript Highlights:

• Um, so I think that's greatly going to increase the load on the courts, which is one of the reasons we
• c><00:14:06.000> increase<00:14:06.399> the<00:14:06.880> uh<00:14:07.760> load
• <00:14:08.079> on greatly going to increase the uh load on greatly going to increase the uh
• load on the<00:14:08.399> courts<00:14:08.800> which<00:14:08.959> is<00:14:09.120

Keywords: 1191, senate, all

Transcript Highlights:

• gotten so twisted that we're now saying that Floridians can secretly carry an unlimited amount of loaded
• An unlimited amount of loaded firearms without a registered permit with the state—unlimited.
• How are signed petitions more dangerous than loaded firearms?
• How are signed petitions more dangerous than loaded firearms? I don't understand.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, volunteers, and the retirement of Pastor Gary Austin from the sergeant’s office. Leadership also announced that budget talks with the House were continuing and that senators would not need to plan on being in next week, suggesting progress toward a budget framework. After routine floor business, the chamber took up a major third-reading measure on citizen initiatives and several education bills, followed later by returning messages from the House on health and school-safety measures. The most extensive debate centered on the citizen initiative bill, which sponsors said was intended to protect the constitutional amendment process from fraud and abuse based on election-crime investigations and a large state report on petition fraud. Supporters argued the bill would add reasonable guardrails, prevent misuse of public funds, and preserve integrity while still allowing grassroots participation. Opponents from both parties argued it would make citizen-led amendments much harder by adding costs, deadlines, criminal penalties, and administrative burdens that would chill participation and favor wealthy or corporate interests. After lengthy debate, the Senate voted 28-10 to pass the bill. The chamber then passed several education measures with little or no opposition, including bills tied to Bright Futures, dual enrollment, Florida ABLE, teacher preparation, and other education policy updates, all by 38-0. Later, the Senate concurred in House amendments on a stem cell therapy bill, an EKG requirement for student athletes, and a cardiac emergency bill, each passing 37-0. The House also sent back a school safety bill with amendments affecting child care facility partnerships with law enforcement, temporary door locks during active assailant incidents, supervision windows, and funding for panic alarm systems; the transcript ends as that bill is being explained.

Transcript Highlights:

• gotten so twisted that we're now saying that Floridians can secretly carry an unlimited amount of loaded
• fire... ...an unlimited amount of loaded firearms without a registered permit with the state, unlimited
• How are signed petitions more dangerous than loaded firearms?
• How are signed petitions more dangerous than loaded firearms? I don't understand.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, and a retiring Senate employee. Leadership also announced that budget talks with the House were continuing and that senators should not plan to be in next week, with hopes of sharing more budget news soon. The chamber then moved to third reading and took up a major bill on citizen initiatives and constitutional amendments, with sponsors saying it was needed to address documented petition fraud and to protect the integrity of the process. That bill drew extensive debate. Supporters argued that recent investigations showed widespread fraud in petition gathering, that the measure would add reasonable guardrails, and that it would prevent taxpayer-funded government messaging from being used to influence ballot measures. Opponents said the bill would make it much harder for ordinary Floridians to place amendments on the ballot by adding costs, deadlines, registration requirements, fines, and felony exposure, and they warned it would chill grassroots participation and effectively favor wealthy or corporate-backed campaigns. After debate, the Senate passed the bill 28-10. The Senate then adopted several House amendments and concurred on a series of education and public-safety measures, including bills on stem cell therapy, student-athlete electrocardiograms, cardiac emergency planning in schools, school safety, Bright Futures and other education policy items, and educator preparation. Most of those measures passed unanimously or with overwhelming support, and the chamber also recognized additional interns and a long-serving education advocate before recessing and returning to continue with House messages.

Transcript Highlights:

• Is it loaded with dynamite? It could be. We would not allow that without the proper tax.
• Will do is it will front load the up charge it will mitigate some of those having to ask constituents
• don't have or won't see or possibly won't even be. there for the next generation of Texans it'll front load
• Texas miracle going so this is why the state is fortunate to have the wealth to do some of the front loads

Bills: SJR 12, SCR 39, SB 7, SB 8, SB 27, SB 29, SB 125, SB 241, SB 371, SB 396, SB 406, SB 464, SB 568, SB 578, SB 608, SB 617, SB 660, SB 689, SB 693, SB 707, SB 731, SB 732, SB 763, SB 779, SB 836, SB 854, SB 857, SB 875, SB 878, SB 879, SB 906, SB 920, SB 921, SB 922, SB 942, SB 965, SB 985, SB 996, SB 1029, SB 1035, SB 1036, SB 1059, SB 1084, SB 1098, SB 1101, SB 1185, SB 1188, SB 1321, SB 1332, SB 1366, SB 1388, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1563, SB 1596, SB 1610, SB 1619, SB 1737, SB 1738, SB 1741, SB 1816, SB 1822, SB 1841, SB 1939, SB 2155, SB 2188, SB 2230

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: In this meeting, significant discussions revolved around the passage and modification of various Senate Bills, including SB1388, which pertains to family support services under the Health and Human Services Commission. Senator Kolkhorst advocated for the bill, emphasizing its focus on pro-life, family-centered care. The committee passed the bill after thorough examination, showcasing a collaborative effort among the members to ensure its alignment with successful past initiatives. In another session, Senator Hughes presented SB942, aimed at retroactive child support linked to prenatal care, which sparked a constructive dialogue reflecting bipartisan support for maternal and child welfare.

Transcript Highlights:

• Even more significant is the fact that this power source is not at the mercy of the global fossil fuel
• Even more significant is the fact that this power source is not at the mercy of the global fossil fuel
• <00:19:50.880> markets<00:19:51.320> that<00:19:51.480> has the global fossil fuel
• markets that has the global fossil fuel markets that has skyrocketed<00:19:52.400> the<00:19:
• More than a century of fire suppression and forest mismanagement has allowed dangerous levels of fuel

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 16, 2026, 1012, house, all

Transcript Highlights:

• Nahilani Parsons, executive director for the Hoy Renewable Fuels Coalition.
• As a coalition of farmers, airlines, and fuel producers, we are working towards building up our local
• from the Hoy Renewable Fuels Coalition. from the Hoy Renewable Fuels Coalition.
• director for the Hoy Renewable Fuels director for the Hoy Renewable Fuels Coalition.<01:18:32.000
• the option to diversify and grow fuels the option to diversify and grow fuels as<01:18:42.719>

Bills: HB2118, HB2473

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, Hawaiian culture, sense of place, land management, environmental stewardship, cultural preservation, 910, house, all

Summary: The committee heard several bills related to permitting and economic development. On HB 2603, relating to permits, the Office of Planning and Sustainable Development said it supported the measure with comments. Committee discussion focused on the fact that the state’s facilitated permit process appears to have been rarely or never used, the need to identify specific projects that would use it, and whether DBEDT would need dedicated staffing to administer it. DBEDT said it had found no projects under the current process, had no capacity to run the program as structured, and estimated it would need about 7 to 9 FTEs, including permitting, coordination, data, systems, and possibly legal support. The chair suggested exploring a staff assignment and comparing the concept to federal FAST-41-style expedited permitting. On HB 2140, relating to essential permitting positions, the Office of Planning and Sustainable Development again supported the bill with comments. Testimony and questioning centered on a pilot program to help counties pay competitively for permitting staff. A DBEDT representative said the issue of competitive pay affected both county and state permitting offices and that the bill was intended as a temporary pilot, though a more permanent solution would be preferable. When asked how counties would fund the salary support, the witness said that was not yet discussed with the counties and agreed to follow up. The committee also noted the bill applies to participating counties. On HB 2598, relating to the Hawaii Technology Development Corporation, the State Procurement Office and HTDC offered comments, and the Department of the Attorney General raised constitutional concerns. The AG said the bill’s residency-based certification requirements, when tied to procurement, could implicate the dormant Commerce Clause, and that the required 1% contribution tied to state contracts raised unconstitutional-conditions concerns. In questioning, the AG characterized these as legal risks rather than automatic lawsuits. The committee did not take a vote. The committee then heard HB 2141, relating to state enterprise zones. Taxation, DBEDT, HCDA, the University of Hawaii Cancer Center, and HTDC testified in support, while the Tax Foundation noted the program was intended to help economically depressed areas create jobs. HTDC said the bill would help preserve the Maui Research and Technology Center’s enterprise-zone status after rezoning. Committee discussion focused on whether the enterprise zone program is being used effectively, how the bill might attract businesses to areas where the state is investing, and whether the program’s labor requirements are too burdensome for new businesses. DBEDT explained that the program requires a 10% workforce increase in the first year, which must be sustained, and said it promotes the program through county coordinators and in-person outreach. No votes or final actions were taken in the portion provided.

Transcript Highlights:

• You know, how do these... the patient load is so high. And it's not a knock against the docs.
• But if we can just hire more APNs who are interested in memory care and train them, then the patient load

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Transcript Highlights:

• You know, how do these—the patient load is so high? And it's not a knock against the docs.
• If we can just hire more APNs who are interested in memory care and train them, then the patient load

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.

Transcript Highlights:

• Further, when we're assessing the space in the capital complex, the buildings carry a common area A load
• of about 36% of what the common area load is, as built, includes elevators, docks, mechanical corridors

Keywords: 914, all