Transcript Highlights:

• Due to the volume of applications received, there will be no Q&A during the briefing, but legislators
• to replace in the beginning of the year.
• to replace in the beginning of the year.
• to replace in the beginning of the year.
• Um, so without replacement funding.

Keywords: 912, senate, all

Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.

Transcript Highlights:

• He's been here about 10 years, but in a short research last night, I found just in the 50th volume of
• He said that from his cursory review of the volumes he looked through in the state register, the regulations
• One, I so from my cursory review<01:11:31.040> of<01:11:31.120> the<01:11:31.640> volumes
• <01:11:32.160> that<01:11:32.280> I<01:11:32.360> looked review of the volumes
• that I looked review of the volumes that I looked through<01:11:32.760> of<01:11:32.840> the

Bills: SF856, HF4482, HF3672, HF1234, HF4591, HF3554, HF936

Keywords: Inspector General, fraud prevention, state audit, public funds, misuse, transparency, government accountability, HF4482, Minnesota Historical Society, state historic sites, historic site management, historic preservation, county historical society, local historical society, municipality, county government, admission fees, grants-in-aid, site operations, site maintenance

Transcript Highlights:

• shipments of drugs, but on the things we see on the street level are street-level dealers selling in volume
• :48.000> to Uh, and there's definitely, you know, there's the Costco, Sam's Club discount, volume
• 13:44.960> Sam's<01:13:45.360> Club<01:13:45.679> discount,<01:13:46.159> volume
• Costco, Sam's Club discount, volume Costco, Sam's Club discount, volume discount<01:13:47.120>

Keywords: 1189, house, all

Transcript Highlights:

• The same with the radio advertisement, having to have clear volume and speed that can be easily understood
• The same with the radio advertisement, having to have clear volume and speed that can be easily understood
• have<01:10:01.440> clear<01:10:01.840> and<01:10:02.640> u<01:10:02.960> volume
• <01:10:03.280> and<01:10:03.520> speed to have clear and u volume and speed to have
• clear and u volume and speed that<01:10:03.920> can<01:10:04.000> be<01:10:04.159>

Bills: HF3698, HF4243, HF4239, HF4241, HF4242, HF4240

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, campaign finance, elections, political contributions, disclosure, reporting thresholds, economic interest statements, financial disclosure, ethics, public officials, local officials, metropolitan governmental unit, metropolitan area, candidate filings, principal campaign committee, political committee

Transcript Highlights:

• Generally, our higher-volume roads are striped yearly.
• We have started transitioning to thermoplastic paint on a lot of our high-volume roads, and that's a
• lot<00:58:26.319> of<00:58:26.400> our<00:58:26.559> high<00:58:26.799> volume
• <00:58:27.119> roads<00:58:27.440> and on a lot of our high volume roads and on a lot
• of our high volume roads and that's<00:58:27.839> a<00:58:28.400> more<00:58:28.720>

Keywords: 958, all

Summary: The committee first heard a presentation from the Kentucky Aviation Association on the importance of general aviation airports in Kentucky and their economic and public-safety role. Witnesses said the state has more than 50 general aviation airports that support jobs, agriculture, tourism, medical transport, disaster response, and law enforcement, and they urged continued support for aviation infrastructure and workforce development. They asked the legislature to again provide $200,000 per general aviation airport for operating and basic infrastructure costs, to route the money through the Kentucky Department of Aviation for accountability, to revisit a special-purpose governmental entity audit requirement they said is too costly for small airports, to create a long-term appropriations process for the roughly $100 million in unmet capital needs, and to fund the Arrow Act for aviation education and scholarships. Members asked about a dedicated aviation fuel tax and about local training partnerships, simulators, and school or community college programs; the witnesses said they preferred an appropriations-based solution and offered to help connect interested communities with aviation education resources. The committee then took up “Troy’s Law,” sponsored by Representatives White and Flannery, which would allow tow trucks to use blue lights while stationary and actively removing vehicles or debris from highways. Sponsors and tow operators said the bill is intended to improve worker safety after the deaths of tow operators Troy Cwell and Hubert Mosley in highway hit-and-run incidents, and they emphasized that tow operators often work in dangerous conditions at night, in bad weather, and near fast-moving traffic. They said the proposal would not apply while driving or towing and noted that other states have adopted similar measures. Witnesses from the towing industry, including Bubba Johnson and Barbara Maguire, supported the bill as an added layer of protection and described tow operators as first responders who help motorists in emergencies. Representative Flannery and other members expressed support for the safety goal and invited further discussion, but no vote or final action was taken in the excerpt.

Transcript Highlights:

• the most, uh, if you will, customer-centric way to do it, but it is the way that we can handle the volume
• the most, uh, if you will, customer-centric way to do it, but it is the way that we can handle the volume
• that we can it, but it is it's the way that we can handle<01:49:14.719> the<01:49:14.960> volume
• > the<01:49:15.520> staff<01:49:15.679> that<01:49:15.920> we handle the volume
• with the staff that we handle the volume with the staff that we have.<01:49:16.639> and<01:49

Keywords: 1191, senate, all

Transcript Highlights:

• House File 16 would also help to address a problem created by ICE detainers due to the massive volume
• said House File 16 would also help address a problem created by ICE detainers because of the massive volume
• c><01:13:13.080> to<01:13:13.280> the<01:13:13.480> massive<01:13:13.960> volume
• <01:13:14.560> of detainers due to the massive volume of detainers due to the massive volume

Bills: HF1051, HF16

Keywords: sacred communities, micro units, religious institutions, housing regulations, homelessness, conditional use permits, immigration enforcement, sanctuary policies, sanctuary city, noncooperation ordinance, ICE, U.S. Immigration and Customs Enforcement, federal immigration authorities, deportation, undocumented immigrant, undocumented person, immigration status data, data sharing, preemption, local government

Transcript Highlights:

• At times, our current contracted vendor is unable to handle a known volume of books, then the district
• At times, our current contracted vendor is unable to handle a known volume of books, then the district
• <01:26:45.679> a<01:26:45.880> Noah<01:26:46.199> hunin<01:26:46.800> volume
• <01:26:47.119> of unable to handle a Noah hunin volume of unable to handle a Noah hunin volume

Keywords: 1187, senate, all

Summary: The Minnesota Senate Education Policy Committee heard testimony on Senate File 508, a bill to restrict cell phone use in schools. Senator Mann said the proposal was based on roundtables with school districts across the state and on reports from other states, and argued that cell phones are harming student attention, mental health, classroom culture, and student-teacher relationships. She said K-8 restrictions are broadly supported, while high school policies should be more flexible, and emphasized that districts should control implementation. The bill also includes funding for education efforts around why the restrictions are being adopted and how students can use technology responsibly. Testifiers largely supported the bill or the general goal of limiting cell phone use. Dr. Anna Tyranny, a parent and licensed psychologist, said cell phones and social media can contribute to anxiety, poor concentration, cyberbullying, and inappropriate sharing, and urged a balanced approach that includes digital literacy education. St. Cloud Area Public Schools Superintendent Laori Pam and Tech High School staff member Molly Kenzie described their district’s policies, which keep phones away for the day in elementary and middle school and restrict them during class in high school. They cited U.S. Department of Education guidance, research on mental health and sleep disruption, and the need for age-appropriate, equitable, and consistently communicated policies. St. Cloud reported that its middle school policy, piloted and then expanded districtwide, led to a 50% reduction in cell phone discipline referrals and fewer classroom power struggles. The district said high school violations remain concentrated in certain grades, especially ninth and eleventh, and that it continues to address the issue through PBIS teams. No vote or final committee action on the bill was described in the transcript.

Transcript Highlights:

• devices if given the chance the vibrant energy that once filled non-instructional time has been replaced
• those issues, I believe, last school year at KISD, but I would also think that the violence, the volume
• And we're not equipped to deal with that and when you get the volume sometimes and it's not I'm sure
• We've replaced staff members' glasses, we've sent principals home with black eyes, and we've sent staff
• And do you have any idea particularly in terms of the discretionary replacements?

Bills: HB6, HB27, HB 123, HB210, HB213, HB222, HB610, HB 1085, HB1481, HB6, HB27, HB123, HB210, HB213, HB222

Keywords: mental health, telehealth, public schools, discipline management, behavioral interventions, financial literacy, high school education, curriculum requirements, economics, personal finance, HB 123, kindergarten readiness, early literacy, early numeracy, reading screening, math screening, foundational literacy, foundational numeracy, dyslexia screening, reading intervention

Transcript Highlights:

• voting, creation of a new regulatory structure regarding contributions from foreign nationals, and replacement
• U.S. citizen include the person's citizenship status and that the DHSMV issue a free renewal or replacement
• of spoiled ballots at the request of the supervisor of elections, and it deletes from HB 991 the replacement
• This is the replacement for 1220. Is that correct? Senator Massilo: Thank you, Mr. President.
• Currently, the percent per volume of carbon dioxide in our atmosphere is 0.04%.

Summary: The Florida Senate convened with a quorum, opened with a prayer and Pledge of Allegiance, and heard several member introductions recognizing guests, interns, public servants, and a resolution honoring Indiana University quarterback Fernando Mendoza for winning the Heisman Trophy. The chamber then moved to the special order calendar and took up a series of bills, with some measures temporarily postponed and others advanced after brief debate and, in several cases, substitution of House companions for Senate bills. The first major bill passed was CS/CS/HB 355 on health care patient protection, which requires hospitals with emergency departments to have pediatric emergency care policies, training, equipment, and a designated pediatric coordinator; it passed 36-0. The Senate also passed CS/HB 1113 on public records, expanding confidentiality protections for victims and temporarily protecting the name of a law enforcement officer who becomes a victim in the line of duty; it passed 33-4. CS/CS/HB 1085 on local government cybersecurity was amended to place the program under the Florida Digital Service and to adjust grant timing, then passed 37-0. CS/CS/HB 925 on clerks of court passed 38-0 after amendments affecting revenue retention, legal notices, traffic citation distributions, and municipal fee sharing. CS/CS/HB 679 on trademark registration modernization and CS/CS/HB 589 on septic permit timing also passed unanimously. The most extensive debate centered on CS/CS/HB 991 / SB 1334, an elections bill that would use Real ID data to verify citizenship, change voter ID rules, alter candidate qualifying requirements, and revise election administration procedures. Senators offered and debated numerous amendments on documentation fees, senior exemptions, human review versus automated systems, student and retirement-center IDs, and effective dates; most were defeated, though one amendment adding stock-trading disclosure language for candidates was adopted. The bill’s sponsor cited election-crimes reports and specific prosecutions involving non-citizens as justification for the measure, while opponents argued it could disenfranchise eligible voters, especially students and seniors. The transcript ends during continued questioning and debate on that elections bill, before final disposition is shown.

Transcript Highlights:

• As I mentioned before, this amendment replaces the substance of House Bill 7031 with the Senate's piggyback
• It replaces the substance of House Bill 7031 with the Senate's piggyback bill that I explained.
• It replaces the substance of House Bill 7031 with the Senate's piggyback. Thank you.
• It replaces the substance of House Bill 7031 with the Senate's piggyback bill that I explained.
• In a profession where volume is often substituted for substance, especially outside these halls, Daryl

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and recognitions, including a resolution honoring Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a special-order calendar with multiple bills, many of them paired with House companions and amended before final passage. Early action included adoption of a tax conformity bill tied to federal changes in the Internal Revenue Code, with a 34-0 vote. The most extensive debate centered on CS/CS/SB 1758, a Medicaid and SNAP reform bill. The sponsor described provisions to strengthen fraud enforcement, impose work requirements for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid drug purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Democrats offered amendments to delay work requirements until Medicaid expansion and to add protections for SNAP users such as caregivers, seniors, disabled individuals, and domestic violence survivors; both amendments failed. Senators also questioned implementation details, exemptions, and potential effects on vulnerable populations. After debate, the bill was placed on the calendar for third reading. The Senate also passed bills on technology education and AI instruction, a public records exemption and related Parkinson’s Disease Registry measures, designation of the SS American Victory as the state flagship, electronic payments for local governments, repeal of the sunset on legal tender recognition for gold and silver, public records protections for financial and digital-asset custodians, a Florida stablecoin pilot program, local government budget transparency, digital voyeurism, insurance customer representative licensing, and a medical freedom bill with amendments on vaccine-related materials and anti-kickback provisions. Most of these measures passed with little or no opposition, though the public records bill for gold/silver custodians and the legal tender repeal drew a few dissenting votes.

Transcript Highlights:

• They pose very limited risk, if any, at all, to the water system by backflow, first, by limited volume

Summary: The committee met in hybrid format, approved the minutes from June 24 and June 25, 2026, and then heard several bills and a resolution. On House Bill 382 with House Amendment 2, sponsored by Rep. Lynn and Sen. Hocker, the sponsor said the bill makes technical corrections to Delaware’s rental car and peer-to-peer car sharing laws after concerns raised following HB 209, clarifies when loss-of-use damages may be recovered, and preserves recovery for intentional, willful, or criminal conduct. Avis Budget Group and Enterprise Mobility supported the bill, while Allstate Insurance and Toro opposed it, arguing the measure could reintroduce unfair fees and leave too much discretion to rental companies; Sen. Townsend also said he wanted more clarity on how the bill would operate. No vote was taken in the transcript. The committee then considered House Bill 476, a Frederica charter change sponsored by Rep. Postals and Sen. Buckson. The bill would reduce town council meetings from twice monthly to once monthly and make ordinances effective immediately unless otherwise stated. Members asked why the Senate sponsor was absent and noted the bill requires a two-thirds vote, but no public comment was offered and no action was recorded. The committee also heard House Joint Resolution 13, sponsored by Sen. Sturgeon and Rep. Barry, which directs the Department of Labor to study a Delaware health care apprenticeship degree program to help address workforce shortages. The Delaware Health Care Association supported the resolution and urged coordination with existing workforce efforts; no opposition was presented and no vote was recorded. Finally, the committee heard House Bill 458 with House Amendment 1, sponsored by Rep. Lynn and Sen. Pardee, concerning backflow devices in low-hazard buildings. Sen. Pardee said the bill would exempt residences and office-type buildings from costly retrofits, while DHSS said the current regulation does not clearly define low-risk buildings and the bill’s list would not create immediate public health concerns until regulations are updated. The Delaware Association of Realtors supported the bill, saying the regulation is overly broad and expensive, while the Delaware Rural Water Association opposed it, warning that backflow prevention is important to protect aquifers and drinking water. The meeting ended with adjournment after public comment and no recorded votes in the transcript.

Transcript Highlights:

• My communities are overwhelmed by high volumes of conflicts with large predators.

Summary: The Assembly Appropriations Committee met on April 8, 2026, with a quorum established and 59 bills listed for consideration. The committee first approved two consent calendars: several bills were sent to the Assembly floor on a due-pass basis, and a smaller set was approved due-pass but not eligible for the floor consent calendar. The proposed suspense calendar was then deemed approved without individual debate on those measures. The committee heard several bills in regular order. AB 1977, sponsored by the Secretary of State, would clean up and clarify the Online Notarization Act to support implementation by 2030; it drew no opposition and was approved. AB 2011 would codify existing federal mental health parity standards into state law; supporters said it would preserve enforcement authority, while health plans opposed it as premature given federal uncertainty and possible premium impacts; the bill was placed on the B roll call. AB 1673 would give county fish and game commissions more flexibility to use certain revenues for wildlife conflict prevention, and it advanced on an A roll call. AB 2233 would allow unused authorized ABA therapy hours for children with autism to be made up within the authorization period; supporters emphasized access and continuity of care, while insurers warned of higher costs and reduced utilization safeguards; it advanced on an A roll call. AB 1660, as amended, would give courts more flexibility in cases involving financial institutions and public guardians/conservators, with supporters saying it could save counties time and money; it was approved due-pass as amended. During general public comment, speakers voiced support for AB 2081 and AB 1667, and opposition to AB 1777. After public comment and final vote recording for absent members, the committee adjourned.

Transcript Highlights:

• And, you know, it speaks volumes to say that she's created this community that people feel safe in and

Bills: S0534, S7020

Keywords: food insecurity, hunger, college students, nutrition assistance, pilot program, open government, sunset review, aquaculture, public records, exemption

Summary: The committee met, called the roll, and opened with the Pledge of Allegiance. It first considered the appointment of Melanie Ressler to the Florida Citrus Commission. No appearance forms were requested, and the committee voted unanimously to recommend her confirmation favorably. The committee then took up SPB 7020, which reenacts a public records exemption for certain aquaculture production records held by the Department of Agriculture and Consumer Services. Senator Trunow explained that the exemption protects shellfish and submerged land lease records, supports compliance with federal partners and statutory requirements, and helps protect marketplace competition. A representative from the Department appeared in support, and the bill was moved as a committee bill and reported favorably. Next, the committee heard SB 534, Senator Bernard’s hunger-free campus pilot program bill. He described a pilot within the Department of Agriculture and Consumer Services to identify campuses with high numbers of Pell-eligible students, develop a survey with the Hunger Task Force, designate staff to help students enroll in SNAP, expand campus food access, and require reporting on outcomes and future funding. The bill had one appearance form in support and was reported favorably without debate. The committee also received a presentation from the St. Pete Youth Farm, led by Carla Bristol and youth ambassadors. They described the farm as a youth-led community project on city-owned land that addresses food insecurity while providing leadership, financial literacy, career readiness, mental wellness programming, composting, aquaponics, and community events. Senators praised the program, asked about possible expansion into a culinary kitchen and partnerships with schools, and the presenters said they hope to expand youth opportunities, food preparation training, and related programming. The meeting concluded with adjournment.

Transcript Highlights:

• I can try to speak up volume to it. I'm not a very loud person, but I can try.

Transcript Highlights:

• Due to the volume of applications received, there will be no Q&A during the briefing, but legislators
• to replace in the beginning of the year.
• to replace in the beginning of the year.
• replace in the beginning of the year. replace in the beginning of the year.
• Um, so without replacement funding.

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• You have specialized medical, mental health, substance use programming, and have, in their larger volume
• individuals, to the minimum, those costs are going to stay the same because you're going to have a volume
• and take some of those high-cost things like drugs slightly lower than we're able to bring higher volume
• And is technically inhumane because of the size and the volume of the individuals that are there.

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• our three pharmacies, Kentucky Medicaid represents approximately 25 to 30% of total prescription volume
• 09:57.199> of<01:09:57.440> total<01:09:57.840> prescription<01:09:58.400> volume
• ,<01:09:59.440> making 30% of total prescription volume, making 30% of total prescription
• volume, making its<01:10:00.000> reimbursement<01:10:00.719> framework<01:10:01.360>

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• talk informally to some veterinarians, and one of them told me that in her practice she has a large volume
• she<01:30:35.840> has<01:30:36.000> a<01:30:36.320> large<01:30:36.639> volume
• <01:30:37.040> of her practice she has a large volume of her practice she has a large volume

Bills: HB2425, HB2596, HB2573, HB2017, HB1931, HB1736, HB1594, HB1828

Keywords: agriculture, sugarcane, permitting process, land use, conservation district, diversified agriculture, economic impact, invasive species, plant sales, weed risk assessment, consumer protection, environmental impact, workforce development, biosecurity, training program, partnerships, tax credit, Hawaiian home lands, investment costs, nonrefundable

Summary: The committee heard opening remarks and then took testimony on several agriculture-related bills. HB 2425 would exempt agricultural enterprises on former commercial sugarcane lands in conservation use districts from certain permitting and site plan requirements. The Department of Agriculture supported the measure and stood on written comments. The Hawaii Farm Bureau supported the intent but said the bill appeared to cite the wrong statute and suggested amending the conservation district law instead. Other testimony was generally supportive, while some witnesses raised concerns about using the right statutory vehicle. Committee members questioned whether the bill should be redirected through a different chapter. The committee then heard HB 596, which would require retail sellers of plants to disclose invasiveness risk, direct the Invasive Species Council to create a labeling system and weed risk assessments, and establish fines. The Department of Land and Natural Resources strongly supported the bill, saying point-of-sale labels would help consumers make informed choices. Supporters from the Coordinating Group on Alien Pest Species said the state’s noxious weed and restricted plant lists are outdated or incomplete and that the bill would help prevent harmful species from being purchased and planted. Opponents, including the Hawaii Farm Bureau and Hawaii Food Policy Foundation, argued the measure was too broad, could stigmatize plants and producers, and might be better implemented through voluntary education or narrower definitions. Committee discussion focused on possible amendments, including using printable labels from a website and limiting the bill to larger commercial retailers. HB 2573 would create a five-year agriculture and biosecurity workforce development pilot program involving the Department of Agriculture and Biosecurity, Leeward Community College, and the Department of Human Resources Development. DHRD said it supported the intent but wanted clearer responsibilities; the University of Hawaiʻi, the Department of Agriculture and Biosecurity, the Hawaii Farm Bureau, the Hawaii Food Policy Foundation, and others supported the proposal. DAB said the program would help build needed biosecurity staffing and training, and that law-enforcement-related curriculum could be incorporated. Finally, the committee began hearing HB 207, which would expand the important agricultural land qualified agricultural tax credit to include certain Hawaiian homelands and additional agricultural costs such as orchards, fruit crops, and clearing former sugar and pineapple lands. The Department of Taxation and DAB stood on written comments, while the Department of Hawaiian Homelands strongly supported the bill, calling it a potential game-changer for developing agricultural lands and offsetting infrastructure costs; the department also asked that the credit be broadened beyond agriculture alone.

Transcript Highlights:

• My conversations with them is it's much longer than that because such a good volume we're going to change
• :17:59.600> good longer than that because such a good longer than that because such a good volume
• 02.960> to<01:18:03.520> change<01:18:04.000> change<01:18:04.239> our volume
• we're going to change change our volume we're going to change change our attack.<01:18:05.360> Okay

Keywords: 1191, senate, all