Transcript Highlights:

• WE WANT TO BE SURE DEM AND DEP HAVE BEEN INTEROPERABILITY TO SHARE THAT INFORMATION GOING FORWARD BEFORE

Keywords: 999, senate, all

Transcript Highlights:

• It also included a section for how we were going to automate an interoperable system wide data analytics
• Many legacy systems also lack modern... interoperability standards, so you can't really connect them,
• And the cards have to be interoperable.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• <00:26:47.440> of medical record that is capable of medical record that is capable of interoperability
• or<00:26:49.480> they<00:26:49.640> get<00:26:49.840> penalized interoperability
• or they get penalized interoperability or they get penalized in<00:26:50.399> their<00:26:50.559

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• Number two, we need to truly support interoperability between systems because only with that can we get
• between systems because interoperability between systems because only<00:17:45.039> with<00:17
• Where's the interoperability of the data? How do we analyze it? Who are our partners?
• Where's the inter interoperability data?
• Where's the inter interoperability of<01:20:35.440> the<01:20:35.600> data?

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:17 - Approval of June 18, 2025 Minutes 00:02:33 - Introductions and Discussion on Priorities 00:07:27 - Health Data Discussion-KY Health Information Exchange (KHIE) 00:34:02 - Health Data Discussion-Public Health Data 01:19:24 - Health Data Discussion-Other Health Data Platforms 01:42:40 - Consideration of Referred Administrative Regulations (Except 201 KAR 005:010) 01:44:48 - Discussion of Optometry Regulation 201 KAR 005:010 02:25:29 - Hearing on Unified Community Mental Health and Substance Abuse Prevention and Treatment Block Grant Application for FFY 2026 - 2027 Funds 02:33:40 - Administrative Regulation 201 KAR 005:010 Vote Clarification 02:34:03 - Adjournment, 958, all

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• SB 1315, public schools interoperable communication requirements.

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, and an electronic roll call showing 30 members present. The body approved the previous journal and then paused for several memorial and guest recognitions, including a moment of silence for former Representative Noel Campbell, who died in a motorcycle accident. The chamber also welcomed visiting school district leaders, Grand Canyon University Government and History Club students, and Food Bank Day at the Capitol participants. Members then adopted a proclamation recognizing International Holocaust Remembrance Day, with remarks emphasizing the history of the Holocaust, the rise in antisemitism, and the importance of education and remembrance. A guest shared a personal family story about escaping Germany in 1938. Senator Bolick also read a proclamation for National School Choice Week, highlighting Arizona’s public, charter, private, homeschool, and microschool options and urging members to engage with schools in their districts. The Senate received numerous governor communications and introduced a long list of first- and second-reading bills covering topics such as education, water, energy, public safety, elections, health care, taxes, housing, and border issues. The chamber also received House Concurrent Resolution 2045 honoring the late Congressman Raul Grijalva; it was adopted unanimously, and the Senate observed a moment of silence. The session ended with committee announcements for the next day and adjournment until Wednesday, January 28, 2026 at 1:15 p.m.

Transcript Highlights:

• In addition, we had required that the system be set up with interoperability between 911 and 988, which
• And I had the privilege of visiting our call centers as part of this process, and that interoperability
• And it turned out there was a difference in opinion about the definition of interoperability between
• And so this bill also wants to really create that interoperability that I believe was always intended

Keywords: 987, senate, all

Transcript Highlights:

• And then, because it can be used across other agencies, there's the interoperability component of it.
• And then, because it can be used across other agencies, there's the interoperability component of it.

Bills: SB1161, SB1215, SB1270, SB1400, SB1537, SB1538, SB1580, SB1584, SB1627

Keywords: appropriation, public safety, Yuma County, funding exemption, family advocacy center, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Summary: The committee first heard SB 1161, which would prevent lapse of a $750,000 FY2026 appropriation to DPS for the Yuma County Family Advocacy Center (Amberly’s Place). Testimony described the center’s 24/7 crisis response, forensic interview and medical services, and satellite offices in nearby communities. The bill was moved and received a do pass recommendation on an 11-0 roll call, with three members absent. The committee then considered SB 1215, a clarifying bill on the list of cancers covered by the occupational disease presumption for firefighters and peace officers, with a retroactivity amendment to June 30, 2021. Firefighters’ representatives said the measure corrects a drafting issue involving adenocarcinoma and would prevent denials of claims; members asked about peace officer coverage, independent medical exams, and workers’ compensation impacts. The amendment was adopted and the bill received a do pass recommendation, with 11 ayes, one present, and two absent. SB 1270, dealing with supplemental employer contributions to defined contribution accounts for corrections employees, drew testimony focused on severe retention problems in corrections and county detention. Supporters said the bill would allow optional incentive payments at service intervals to help keep trained officers on the job; members discussed vesting, recruitment versus retention, and whether the program could be funded without a new appropriation. The committee adopted the amendment and gave the bill a do pass recommendation, with ten ayes, one nay, two present, and one absent. The committee also heard SB 1400, authorizing law enforcement wellness and crisis response programs and setting confidentiality rules. Police association testimony supported the concept but noted concerns about the breadth of the privilege carve-outs, especially if licensed therapists are involved; several members said they would support the bill after an amendment clarifying privilege protections. The bill was reported do pass with ten ayes, one nay, and two present. SB 1538, as a strike-everything amendment, would require workers’ compensation coverage for PTSD treatment for firefighters and peace officers and allow one MDMA treatment course if federal approval and rescheduling occur by January 1, 2029. Supporters described promising clinical trial results and argued it could help severe PTSD cases, while county representatives opposed the mandate and raised cost and approval concerns. The amendment was adopted and the bill received a do pass recommendation, with seven ayes, three nays, and one present. Finally, the committee considered SB 1537, renaming the peace officer training equipment fund as the public safety de-escalation and life safety fund and repealing its advisory commission. Testimony explained the change was meant to reduce confusion between similar funds and reflect the fund’s use for de-escalation and safety equipment; some members noted opposition from the Arizona Police Association and concerns about whether the money might be better used for raises. The bill passed on a 7-4 vote with three absent. The committee then began SB 1580, which would appropriate Peace Officer Training Equipment Fund money for fire incident management support and other public safety equipment, including pepperball equipment, simulators, records management software, and retention/recruitment efforts. Testimony supported the equipment and data-sharing investments, but members also questioned accountability, ongoing costs, and whether the listed uses were the best use of the fund.

Transcript Highlights:

• Process also involves digital health information and the promise of interoperability.
• further investment in affordable, accessible infrastructure, and continued work on information interoperability
• at the data infrastructure—how do we know the outcomes, and how do we better track and create interoperability
• We hope to maintain stable telehealth reimbursement, expand broadband, and improve interoperability and
• We discussed improving interoperability and secure data sharing, and we would also like to emphasize

Keywords: 1184, house, all

Transcript Highlights:

• decrease the amount of duplicate manual entry of data into the impact system and improve the interoperability

Transcript Highlights:

• decrease the amount of duplicate manual entry of data into the impact system and improve the interoperability

Keywords: 1184, house, all

Transcript Highlights:

• and participate in the foreign military sales system, expanding America's circle of equipped, interoperable
• <04:59:55.040> allies of equipped, interoperable allies of equipped, interoperable allies
• Result in lower prices, greater efficiencies, and interoperability for our allies and partners.
• This model also improves interoperability among our partners, allowing them to work more seamlessly alongside
• also<05:04:07.200> improves This model also improves This model also improves interoperability

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 8, 2026, 1012, house, all

Transcript Highlights:

• The interoperability of the system is vital to coordinating responses to incidents and ensuring public
• The interoperability of the system is vital to coordinating responses to incidents and ensuring public
• officials<02:04:37.960> the Public Safety officials the Public Safety officials the interoperability
• 39.320> the<02:04:39.520> system<02:04:39.880> is<02:04:40.079> vital interoperability
• of the system is vital interoperability of the system is vital to<02:04:41.119> coordinating<

Keywords: 1187, senate, all

Transcript Highlights:

• Our second special audit looked at the interoperability fund, and that's really the communication system
• special audit on emergency operations planning in December 2024, and the second special audit on interoperable

Keywords: 1182, all

Transcript Highlights:

• Our second special audit looked at the interoperability fund, and that's really the communication system
• special audit on emergency operations planning in December 2024, and the second special audit on interoperable

Summary: The committee first heard an update on Topok Elementary School District’s long-running noncompliance with Arizona’s Uniform System of Financial Records. The Auditor General’s office explained the USFR noncompliance process and reported that Topok had made substantial progress, correcting many deficiencies in areas such as open meeting law, procurement, payroll, attendance reporting, property control, and information technology. The district’s superintendent and staff described the corrective actions they had taken, the use of outside consultants, and their plan to maintain compliance through stronger leadership, training, and consistent procedures. Members praised the district’s progress and asked about the remaining deficiencies and the status of the 3% state-aid withholding, which the Auditor General said would be addressed by the State Board of Education. The committee then considered a request for a fourth school safety special audit, tied to concerns raised by Representative Martinez about Phoenix Union High School District and school violence response practices. The Auditor General said the proposed audit would be a new topic focused on policies and procedures for responding to credible threats of violence and allegations of staff misconduct affecting student safety, and could include Phoenix Union in the sample. Representative Martinez described a fatal 2024 shooting, weapons incidents, and concerns about district oversight. The committee approved the motion 10-0. Next, staff presented the fiscal years 2027-2028 school district performance audit schedule, describing 26 randomly selected school districts and career and technical education districts, plus 84 planned follow-ups. The Auditor General said the schedule is intended to shorten the average time between audits and that the school audits division is now fully staffed. Members asked about county coverage and the inclusion of ESA accountability, but the schedule was ultimately presented for review rather than approval. The committee also heard a detailed federal compliance audit presentation on the Child Care and Development Fund (CCDF) administered by DES. The Auditor General reported repeated findings involving missing provider documentation, questioned costs, and FFATA reporting errors, including a 2024 sample that led to questioning $2.88 million in costs. The office recommended stronger documentation, record retention, reporting procedures, and staff training; DES concurred and said it would correct the findings in 2026. Members discussed the limits of the single-audit scope, the possibility of a broader special audit, and the federal government’s recent actions on CCDF oversight in other states. Finally, the committee considered and discussed a special audit request for CCDF that would broaden review to provider oversight, licensing, site visits, and billing accuracy across multiple state agencies, with estimated costs of $547,000 to $625,000 and a projected report date of July 31, 2027.

Transcript Highlights:

• all the way up into an IMT, like a similar Globe-type incident emergency on that site, and the interoperability
• all the way up into an IMT, like a similar Globe-type incident emergency on that site, and the interoperability

Bills: SB1041, SB1363, SB1418, SB1419, SB1445, SB1447, SB1488, SB1519, SB1523, SB1560, SB1580

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, marijuana, rural opportunity, dispensary, economic development, licensing, social equity, unserved communities, Arizona, small modular reactors, energy regulation, environmental compatibility, utility construction, agricultural use

Summary: The committee took up several appropriations and policy bills, beginning with SB 1488, which would provide $600,000 for a workforce development study on coal-impacted communities in northern Arizona, including areas affected by the closure of the Navajo Generating Station. The sponsor and supporters said the study is intended to help communities transition economically, diversify, and support new jobs; the bill received a do-pass recommendation on a 7-0 vote. SB 1523, appropriating $340,000 to the Navajo Nation for the Ganado waterline pipeline project, was also advanced after testimony that the project would bring clean drinking water to about 235 homes and that the remaining funding gap had been reduced to the requested amount; it passed 7-0 with one member not voting. The committee then approved SB 1041, which would appropriate $500,000 to the Arizona Trail Fund. Supporters described the Arizona Trail as a statewide recreational and cultural asset that needs maintenance and continued support, and the bill received a do-pass recommendation on a 7-0 vote. SB 1445, which would allow smaller cities and towns to use approved on-site bacteriological testing equipment and limit how often ADEQ may require sampling, drew concern from one member about whether the language could be read as restricting sampling during discharge events, but supporters said it would save small towns money; it passed 5-3. Members also advanced SB 1580, a $2.545 million appropriation for fire incident management software and hardware for fire and law enforcement agencies. Fire officials said the platform would improve accountability, information sharing, drone integration, and interoperability during incidents; the bill passed 5-3. SB 1363, which would create additional rural dispensary licensing opportunities for underserved areas, drew support from rural advocates and opposition from the dispensary industry over the number of licenses and transferability language; it passed 8-0. SB 1418, which would streamline siting for small modular nuclear reactors in certain counties, was supported by proponents who argued it would help Arizona meet future energy demand and opposed by counties and environmental groups concerned about local zoning, public review, and waste; it passed 5-3. Finally, SB 1419, a rooftop solar consumer-protection bill requiring added disclosures and inspections, was supported by county officials and some consumer advocates but opposed by solar industry representatives and environmental groups who said it could discourage rooftop solar and restrict speech; it passed 6-2. The committee then began hearing SB 1447, which would extend the groundwater withdrawal fee moratorium and related fund deadlines for Pinal County water projects, with supporters saying the extension is needed to continue well rehabilitation and infrastructure work after Colorado River and CAP-related cuts.

Transcript Highlights:

• We need to make sure that that system is interoperable.
• We need to make sure that that system is interoperable.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• procure a product that is to ensure many things, compliance, that is to ensure it's going to be interoperable

Summary: The committee first took up House Bill 1183, by Rep. G. Lombardo, as amended by a strike-all. The bill would provide liability protection for local governments and private-sector entities that substantially comply with certain cybersecurity practices, including multi-factor authentication, disaster recovery plans, and related policies and procedures. Rep. Lombardo said the measure is intended to create incentives for better cybersecurity and to limit class-action exposure after incidents, while still allowing suits where negligence can be shown. Supporters included TechNet, the Florida Justice Reform Institute, the Florida League of Cities, Associated Industries of Florida, the Florida Association of Counties, and Dr. Edward Long of the James Madison Institute; Vice Chair Steele, Rep. Blanco, and Rep. McFarland also spoke in favor. Ranking Member Bracy Davis opposed the bill, saying she was not comfortable granting liability protections to entities that may have contributed to breaches and questioning whether substantial compliance would be self-attested. The amendment was adopted, and the bill was reported favorably by a 14-2 vote. After the vote, the committee shifted into an extended discussion about Florida’s state IT governance structure, procurement, and project management. Members criticized the current federated model as fragmented and lacking clear accountability, with repeated references to long-running problems such as cost overruns, weak vendor oversight, workforce shortages, and the troubled I-Connect system. Several members argued that the state needs a single accountable leader or stronger enterprise authority over agency technology decisions. Ranking Member Bracy Davis raised concerns about the impact of broken systems on vulnerable populations and asked about the role of advisory councils. Rep. G. Lombardo, Vice Chair Steele, Rep. Miller, and Rep. Groh all emphasized the need for centralized leadership, better alignment of authority and budget, and more disciplined procurement and integration practices. A public witness, Victoria Zep of Team 180, testified in support of a more enterprise-wide approach and said the private sector also wants more organization and transparency. She criticized short procurement timelines, limited competition, and poorly written scopes, and urged the state to post procurements more openly and seek broader vendor input. She also discussed the need to respect agency-specific federal requirements while still improving statewide coordination. The chair closed by asking members to bring forward ideas for immediate and long-term reforms, including review of Senate Bill 7026, and the meeting adjourned without further business.

Transcript Highlights:

• including the development of common technical standards for water supply pipelines, facilitating interoperability

Bills: SB7

Keywords: water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability, 1185, senate, all

Transcript Highlights:

• modern program integrity and support adaptability by investing in secure data infrastructure and interoperability
• infrastructure<00:04:55.440> and interest infrastructure and interest infrastructure and interoperability
• interoperability tools. interoperability tools.

Keywords: 1183, house

Transcript Highlights:

• Uh, and Kentucky Serves is a resilient, interoperable, secure, and robust statewide communications platform
• 00:54:19.280> resilient, Kentucky serves as a resilient, Kentucky serves as a resilient, interoperable
• ,<00:54:20.800> secure,<00:54:21.200> and<00:54:21.520> robust interoperable, secure
• , and robust interoperable, secure, and robust statewide<00:54:22.400> communications<00:54:23.040

Keywords: Call to Order and Roll Call- 00:00:03 Summary of Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:01:00 Staff Update on Child Fatality and Near Fatality External Review Panel 00:16:00 Child Fatality and Near Fatality Review Panel Representatives Available for Questions-00:39:34 Kentucky State Police & Finance Cabinet Status Update on Kentucky Statewide Emergency Responder Voice System-00:52:35 Adjournment-01:46:24, 958, all

Summary: The committee first approved the minutes from December 19 and June 12, then received a staff report on the Kentucky Fire Commission’s minimum training standards and administrative spending. Staff explained that the commission’s current minimum training hours are 115 for volunteer firefighters and 300 for paid firefighters, down from 150 and 400 before January 1, 2023, after the commission removed elective classes not directly tied to NFPA standards. The report found the commission’s certification testing aligns fully with NFPA standards, but recommended that the commission formally promulgate regulations establishing the reduced training hours. On finances, staff said the commission complied with the first statutory cap on administrative reimbursements to KCTCS, but could not verify compliance with a second, more specific cap because the finance system does not break out program-level costs and the statute is vague. Staff recommended the commission work with KCTCS to fix that issue and suggested the General Assembly may wish to clarify the statute. After questions about reimbursement levels and investment income, the committee voted to accept the report. The committee then heard an update on the Kentucky Child Fatality and Near Fatality External Review Panel. Staff reported that the panel has implemented two of three prior recommendations: it revised its agency notification letter to clearly state the 90-day response deadline and added response prompts and checkboxes to improve completeness. The third recommendation, to adopt formal written procedures, remains in progress; staff said the panel plans to develop those procedures alongside its new case management system. The panel is meeting its statutory membership and meeting requirements, but agency responses to its recommendations have been inconsistent: 48% were timely and appropriate in 2022, 36% in 2023, and 82% in 2024, though only three of nine timely 2024 responses were fully complete. Staff also described the new case management system project, funded with $200,000 in one-time money, and recommended the panel consult budget staff about use of those funds beyond fiscal year 2025. They reissued the recommendation that the panel develop written procedures for case review, findings, recommendations, and annual reports. Committee members raised concerns about the lack of penalties for noncompliance, the volume and length of panel meetings, and technology barriers to reviewing cases, and one member said the panel’s findings should inform future legislation.