Transcript Highlights:

• <00:03:09.120> retention supporting physician workforce retention supporting physician workforce
• about access stability and workforce about access stability and workforce support.<00:04:15.840>
• I thought that the initial board was drawing in such vast expertise, and this new board is pared down
• board.
• I thought that the initial board board.

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• workforce.
• For a 200-megawatt construction workforce, we're suggesting a peak workforce of 500 is a good planning
• So on the construction workforce, as we don't have a mature end, On the construction workforce, as we
• We looked at what the SMR vendors across the board are suggesting will be the required anthophokine workforce
• One or two across the board.

Keywords: 908, all

Transcript Highlights:

• She is the chair of the CHFFA board and wanted to relay her thoughts and her observations on one of the
• Rural workforce development, as you can imagine, supports pipeline programs, clinical training capacity
• That proposed budget will be taken to our board in May for public discussion.
• The board would then ...budget will be taken to our board in May for public discussion.
• given the ongoing uncertainty in ...discuss important changes we will propose to our board given the

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• It's fuel for this workforce to keep going.
• But if we lose our workforce, we will lose our impact.
• The CEO of the Association of Social Work Boards.
• That accountability includes an array of services to boards across the U.S., like the Massachusetts Board
• Particularly, we provided feedback around including worker boards around the Fatality Board of the Fatality

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• Kentucky Healthc Care Workforce Kentucky Healthc Care Workforce Investment<00:02:38.480> Fund<
• <00:02:47.760> And improve our healthcare workforce.
• And improve our healthcare workforce.
• attendance<00:07:15.840> at governing board members attendance at governing board members
• That is consistent with the way our school boards do with superintendent in the K-12 system.

Keywords: 958, all

Summary: The House Standing Committee on Postsecondary Education met with a quorum and first heard House Bill 266, which would add audiology and speech-language pathology to the Kentucky Health Care Workforce Investment Fund as eligible credentials. Sponsor Representative Griffy and Dr. Kelly Ellis of Eastern Kentucky University testified that both professions are essential health care services, require advanced education and licensure, and face shortages, especially in rural areas. The bill passed favorably without opposition. The committee then took up House Bill 379, a cleanup and policy bill for postsecondary education. As amended by a primary House substitute, it would exempt mandatory orientation and training for governing board members from open meetings requirements if no action is taken, allow preliminary university president evaluations to occur in closed session while final evaluations remain public, designate Northern Kentucky University as the permanent home of the Kentucky Center for Mathematics, and establish a process for collecting enrollment-related debt through universities and the Kentucky Revenue Cabinet. The substitute also removed provisions related to student body presidents and the Commonwealth Education Continuum. Representative Baker and guests from NKU and the Council on Postsecondary Education said the changes were recommended by universities and CPE, noted that NKU has long hosted the Kentucky Center for Mathematics, and explained that no other institution has sought the role. Members asked about the center’s work, and supporters described it as a statewide organization that improves math education and teacher training. House Bill 379, as amended, passed with favorable expression and was reported to the House floor.

Transcript Highlights:

• <00:13:38.120> I spent 30 years on my planner board I spent 30 years on my planner board I
• I formerly was a board member of the Adok Regional School Board, got 20 years of land use board experience
• member of the uh adok Regional board member of the uh adok Regional School<00:19:02.080> Board
• got 20 years of land use School Board got 20 years of land use board<00:19:04.679> experience
• and that's largely driven by Workforce and that's largely driven by Workforce the<00:43:07.000><

Keywords: 928, house, all

Summary: The Public Works and Highways Committee held an orientation meeting focused on introducing members, outlining committee norms, and hearing an overview from the Department of Transportation. Chair David Mills emphasized the committee’s long-standing bipartisan working style, asked members to share contact information for short-notice scheduling, and noted that the committee would need to complete as much work as possible before the building is vacated later in the year. Members introduced themselves and described backgrounds in engineering, construction, planning, local government, military service, education, and business. Several members highlighted prior service on planning boards, school boards, zoning boards, or in transportation-related fields as relevant to the committee’s work. Members repeatedly described the committee as collegial and nonpartisan, with most bills going to the consent calendar. The chair also noted that the committee’s work centers on state infrastructure, including roads, bridges, highways, and buildings. Representative Cluder, the ranking member, and others echoed that the committee is effective because it talks issues through and resolves disagreements collaboratively. One member mentioned a recent trip that reinforced the importance of infrastructure resilience after storms and rebuilding efforts in other states. Department of Transportation officials, led by Assistant Commissioner and Chief Engineer David Rodrig, gave a detailed organizational and operational overview. They described DOT’s structure, mission of “transportation excellence,” and major responsibilities across highways, bridges, rail, transit, aeronautics, maintenance, and administration. Rodrig reported 1,651 permanent positions and 404 vacancies, 2,160 state bridges with 115 on the Red List, 4,600 centerline miles of roadway, 25 public airports, 11 transit systems, and 194 active state-owned rail lines. He also outlined FY 2024 spending, project development activity, highway maintenance operations, fleet and fuel systems, and the distinction between the highway fund and DOT’s budget, including the role of federal funds and the turnpike enterprise fund. No votes were taken and no bills were acted on during this orientation meeting.

Transcript Highlights:

• I serve as the CEO of the Association of Social Work Boards.
• I serve as the CEO of the Association of Social Work Boards.
• Hardy Chandler at the Association of Social Work Boards.
• But our social work workforce is in crisis.
• Massachusetts is facing a behavioral health workforce crisis.

Keywords: 995, all

Summary: The Joint Committee on Higher Education heard testimony on a broad set of bills focused on making public higher education more affordable and accessible, protecting student information, and changing social work licensure rules. Chair Rogers and Senator Comerford opened by emphasizing the committee’s focus on financial aid, tuition and fee waivers, scholarships, admissions, and institutional changes, and they reminded witnesses about the three-minute testimony limit. No votes were taken during the hearing. A large portion of the hearing centered on the “Super Act” (H. 1423/S. 218), which would eliminate the master’s-level social work licensing exam and create grant support for social work internships. Supporters—including students, practitioners, educators, and advocates—argued that unpaid internships and the exam create financial barriers, worsen workforce shortages, and disproportionately affect Black, brown, older, ESL, and other marginalized candidates. Opponents from the Association of Social Work Boards argued the exam is a necessary public-protection standard, helps maintain uniform licensure, and is important to the social work licensure compact; they said workforce shortages should be addressed through pay, working conditions, and caseloads instead. Committee members asked detailed questions about compact participation, exam accommodations, and how other states such as Rhode Island and Connecticut have handled similar changes. The committee also heard extensive testimony in favor of debt-free public higher education bills (H. 1436/S. 929). Witnesses, including students, faculty, advocates, and Senator Eldridge, said Massachusetts should expand on free community college by covering tuition and mandatory fees at public colleges and universities, with additional aid for living costs for lower-income students. Supporters said student debt delays homeownership, family formation, and career entry, and that the state should use Fair Share revenue to invest in public higher education. Some committee members voiced support but also raised concerns about prioritizing K-12 funding and the cost of expanding free college further. Several witnesses also supported bills to extend tuition and fee waivers to young adults raised by grandparents or other kinship guardians outside the DCF system, arguing that these students face the same trauma and financial barriers as foster youth but do not receive the same benefits. Representative Donato, Joseph O’Leary, Shauna Manning, Sandra Vecchio, Karen Gardner, Judy Walter, Elaine Arsenault, and others described the financial strain on grandparents raising grandchildren and urged parity with DCF-related waivers. In addition, Senator Jake Oliveira testified for a bill to protect public higher education student directory information from data mining and unauthorized sharing, and Deirdre Cummings testified for an open educational resources bill to reduce textbook costs. The hearing concluded with continued testimony on kinship care and college access, with committee members thanking witnesses and indicating follow-up on some bill language issues.

Transcript Highlights:

• Karen McKinney who testified yesterday in public ed and her board members are here.
• Speaker. 631 632 The chair recognizes the members of the board of trustees. This is Mr.
• I'm Lauren Ashley Simmons, the chairwoman for the Texas Labor and Workforce Caucus and I have with me
• Referred to the Committee on Trade, Workforce, and Economic Development, HB 750, by Swanson. changing
• Refer to the Committee on Trade, Workforce, and Economic Development.

Keywords: 1184, house, all

Transcript Highlights:

• We're going to be making an assessment of the maternal health workforce.
• Particularly post-pandemic, has been workforce shortages.
• I appreciate the boarding metrics being highlighted, and thank you so much.
• During summer months, boarding drops; during winter months, boarding skyrockets.
• So boarding, I will say, is not a direct result of prior authorization.

Keywords: 995, all

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

Transcript Highlights:

• Uh please introduce workforce committee.
• <00:57:40.240> Development our Steel County Workforce Development our Steel County Workforce
• <00:59:05.520> shortage available labor and workforce shortage available labor and workforce
• Targeted population workforce grants.
• I'm saying the board of plumbing—have you been in touch with the board at all to get input regarding

Keywords: 1183, house

Transcript Highlights:

• Randy Gilbert to the career tech board.
• And the board of education is really the only.
• When it goes for public comment, it comes back to the board.
• But our board at Oklahoma and M is all workers.
• He is succeeding himself on the Orile regent's board.

Keywords: 914, all

Transcript Highlights:

• You had the Soil Water Conservation Board up here.
• All right, we have a board that's nine.
• Workforce is not the focus this session.
• And a big, big, big challenge we face. workforce.
• This also prepares them to apply for funding through the board.

Keywords: 1184, house, all

Transcript Highlights:

• Is this on the board, or is this just a voice vote? Voice vote. Yeah, voice vote.
• professionalization of the DSP workforce.
• Now we must invest in the workforce that makes those services possible.
• Statistically, this workforce is primarily women of color.
• Disabilities references from the workforce.

Keywords: Disability Commission, 976, house, all

Transcript Highlights:

• uh on the board? uh on the board?
• Board of Nursing, which at that time she was representing the LPN workforce.
• > which<00:10:37.200> at the Hawaii Board of Nursing, which at the Hawaii Board of Nursing
• She represents the long-term workforce.
• the workforce pipeline Especially the workforce pipeline development<00:18:02.840> aspect.

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard several governor’s message nominations for health-related boards and commissions. Kanwardeep Kaleka was considered for the Substance Abuse Kauai Service Area Board; he said his work as a psychiatrist and family physician on Kauai motivates him to improve mental health and addiction services. Kunani Dryer was considered for the Hawaii Advisory Commission on Drug Abuse and Controlled Substances; he emphasized 26 years of personal recovery, harm reduction experience, and representation of rural, LGBTQIA+, and Native Hawaiian communities. Olivia Kim was considered for the Center for Nursing Advisory Board; testimony highlighted her experience in nursing leadership, long-term care, and LPN workforce issues. Trisha Lynn Yamashita was considered for the Kauai Subarea Health Planning Council; she described her hospice leadership, public health and palliative care background, and focus on data-informed, community-centered planning. Emily Dong was considered for the Board of Certification of Operating Personnel Wastewater Treatment Plants; she stressed wastewater’s public health importance and the need to strengthen the operator workforce pipeline. Testimony in support came from the Department of Health and several organizations and individuals, including the Hawaii State Center for Nursing, Hawaii Substance Abuse Coalition, Hina Mauka, the Kauai mayor, the Healthcare Association of Hawaii, and others. Committee members generally praised the nominees’ credentials and community ties, and repeatedly noted the value of lived experience, rural perspective, and workforce expertise. One nominee, Olivia Kim, was not present and was deferred to a later meeting for decision-making. At the end of the hearing, the committee took up the governor’s messages and recommended advise and consent for GM707, GM537, GM545, GM724, and GM790, with Senator Fevella excused and no objections recorded. GM662 was deferred to Thursday, April 16, 2026, at 3:20 p.m. in Room 225 because the nominee could not attend. The committee then adjourned.

Transcript Highlights:

• Libraries also support workforce development and local entrepreneurship.
• Libraries also help entrepreneurship and workforce development in other ways.
• A lot of Water Board and ECECIA Board meetings also happen at rural libraries. Libraries.
• They have to have a board, various things like that.
• We first of all want to talk about a shrinking workforce.

Keywords: 996, all

Transcript Highlights:

• This improves our workforce.
• This improves our workforce.
• This improves our workforce.
• This improves our workforce.
• This improves our workforce.

Keywords: 1183, house

Transcript Highlights:

• It would be housed within the Department of Workforce Solutions.
• It would really bring in health care workforce.
• So the $2 million are going to be appropriated to Workforce Solutions.
• Can you tell me what the vacancy rate is at Workforce Solutions?
• Board of Medicine to make that happen, and it sounds like it could.

Keywords: 996, all

Transcript Highlights:

• of our, uh, Governor's Workforce Development Board team, uh, along with MDE, we see an opportunity to
• of our, uh, Governor's Workforce Development Board team, uh, along with MDE, we see an opportunity to
• of our, uh, Governor's Workforce Development Board team, uh, along with MDE, we see an opportunity to
• Under leadership of our, uh, Governor's Workforce Development Board team, uh, along with MDE, we see
• uh<01:23:22.400> the Workforce Standards Board and uh the Workforce Standards Board and uh

Keywords: 1183, house

Transcript Highlights:

• we get into things like workforce we get into things like workforce entrepreneurialism<00:03:52.720
• , which is an independent board.
• <00:20:38.880> providers,<00:20:39.600> post-secary workforce providers, post-secary workforce
• Housing and workforce are the two.”
• And so we've was on the fence boards.

Keywords: 958, all

Summary: The Budget Subcommittee on Economic Development, Public Protection, Energy and Environment, and Tourism met for its fourth meeting and approved the February 10 minutes. The committee then heard a presentation from the Cabinet for Economic Development, led by Secretary Jeff Noel, with staff from the cabinet and Kentucky Innovation. The presentation focused on the cabinet’s strategy, including workforce, entrepreneurship, innovation, infrastructure, and placemaking, and emphasized a goal of supporting higher-wage jobs while tailoring programs to urban, non-urban, and rural “heritage communities.” The cabinet reviewed several funding tools and programs, including economic development bond funds, EDF funds, KBI, the Kentucky Innovation Pool, KSTC-related startup and commercialization programs, veteran workforce programs, and Bluegrass State Skills Corporation training funds. Officials said many projects take years to close and that funds are often committed before they are actually disbursed because reimbursements occur after project completion. They also said Kentucky is less competitive than before because of changes in tax policy and that EDF funds are increasingly important to remain competitive with other states. Members asked about whether previously allocated money remained available, whether some funds could be clawed back, and the status of the Blue Oval project. The cabinet said it is oversubscribed, with some committed dollars likely to go unused and be reoffered to other projects. On Blue Oval, officials said progress had been made and described negotiations tied to repayment and job creation requirements. They also discussed the Ford/SK loan structure, saying the companies may assume the full $250 million obligation and that repayments would be required if job targets are not met. The presentation closed with discussion of workforce coordination and the need to connect economic development projects with training and support systems, including possible ripple effects for rural suppliers and related businesses.

Transcript Highlights:

• However, our career education system is not meeting the needs of students and workforce demands.
• Isis Oriana with the California Workforce Association, here representing all 45 local workforce development
• boards across the state in California.
• Local workforce development boards sit at the intersection of education and employment.
• Those are the specific barriers our workforce board partners, employers, and their LEA collaborators

Keywords: 988, house, all