Transcript Highlights:

• It's going to fall on a case-by-case basis what they are referring to. The rights already exist.
• If it's based in case law and we don't apply a standard, it's subject to case law.
• If it's based in case law and we don't apply a standard, it's subject to case law.
• Where do you appeal a case to after the Supreme Court?
• This is all case law that comes from Supreme Court cases.

Keywords: 959, house, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the House Journal for the previous day by a vote of 123-1, and then recognized a series of special guests, including a physician, several sheriffs, school groups, interns, and other visitors. The chamber then moved into third reading and perfection of bills, with some measures sent to the informal calendar before debate began on House Bill 1758, which would make daylight saving time permanent in Missouri. Supporters argued it would end the twice-yearly clock change and could improve productivity and convenience, while opponents raised concerns about dark winter commutes, safety, and health effects. The bill passed third reading by a vote of 107-31 with two present. The House next took up House Bill 3329, which repeals expired or unused tax credits to clean up the statutes and reduce Department of Revenue reporting work. Members from both parties generally supported the bill as a government-efficiency and accountability measure, though one member questioned whether removing credits from statute could make them harder to revive later. The bill was perfected and printed without opposition. The chamber then considered House Bill 3405, which clarifies that the state and local tax (SALT) pass-through entity provision is a deduction rather than a tax credit, with sponsors saying the change would streamline Department of Revenue processing and improve the accuracy of tax credit reporting. That bill was also perfected and printed after discussion about tax administration and fiscal note implications. Finally, the House debated House Bill 2426, a parental rights bill covering education, medical, privacy, and related decisions for children, and applying a strict-scrutiny standard to government actions affecting those rights. Debate focused heavily on whether the bill merely codified existing protections or expanded parental authority in ways that could affect school records, recordings, evaluations, truancy, medical consent, and district transparency requirements. The House adopted House Amendment 1 by a vote of 98-25 with six present, an amendment addressing IEP procedures and requiring parental consent for certain major changes unless due process requirements are met. Further debate continued on the underlying bill, with supporters emphasizing parental involvement and opponents warning about unintended consequences for schools, child welfare, and existing legal standards.

Transcript Highlights:

• And then the most recent innocence case we have filed is a case challenging shaken baby syndrome, which
• Most postconviction cases run about two to six experts, and that's just because the cases differ so much
• So, we have three of cases pending.
• involve<00:04:32.080> false some of the cases involve false some of the cases involve false
• case we have filed recent case innocence case we have filed is<00:04:41.759> a<00:04:42.320><

Keywords: Appropriations - Room 216, 15 January, 2026; 2:00 PM, 925, all

Summary: The meeting began with a budget presentation from the Office of Capital Post Conviction. Director Chrissy Noble described the office’s work representing death-row clients in state postconviction, federal habeas, clemency, and related matters, and said the Legislature has historically funded the office with enough flexibility to handle unpredictable cases. She highlighted four pending actual-innocence cases, including matters involving false forensics and a shaken-baby syndrome challenge, and noted that such cases often require multiple experts. She also cited a recent example where the office was appointed to a case shortly before an execution date was set, and said flexible spending authority allowed the office to secure experts and file on time. The office asked to retain any remaining special-fund cash balance into FY26 and said it had not requested additional salary funding for FY26 because the increase was already handled through flexibility; members praised the office’s work and no vote was taken. The committee then heard from the Ethics Commission. Staff explained requests for salary realignment, additional funding for a part-time hearing officer who handles public records and open meetings cases, and a small amount for fuel/food that was described as a system-related placeholder. The commission said it had a backlog because complaints have become more numerous and complex, and that more funding would allow the hearing officer to process more cases. Members also discussed a prior $10,000 system request that had lapsed and was later found to have been underestimated; the commission said the earlier figure came from an initial quote and the later $25,000 estimate reflected the actual cost. The chairman and members commended the commission’s work, and no formal action was taken. Finally, the Administrative Office of Courts presented its budget requests. The office outlined a deficit appropriation request tied to county-funded court reporter increases, funding for two newly appointed judges, special-judge appointment costs, and death benefits for a court administrator in Warren County. The discussion then focused on judicial salaries, with the office noting Mississippi ranks near the bottom nationally in trial and Supreme Court judge pay, though a cost-of-living adjustment would place the state around 27th. The office said its request follows State Personnel Board recommendations and that it is also seeking a possible increase in filing fees to support the Judicial Operations Fund, which helps cover salary costs not paid from general funds. Members discussed redistricting, special appointments, and the possibility of using fee revenue rather than general funds to support future increases; no vote was taken.

Transcript Highlights:

• when we go to fund or grant somebody additional capabilities to be able to pursue, and or in this case
• so there's a variety of particular case so there's a variety of those<00:04:16.560> are<00:04
• <00:04:34.160> that<00:04:34.280> they're plus year standard of cases that they're
• and the team investigated just under 700 cases regarding real estate complaints.
• investigated just under 700 cases investigated just under 700 cases regarding<00:24:14.799> real

Keywords: 1187, senate, all

Transcript Highlights:

• table to help with case management. table to help with case management.
• What actions are the case manager going to take to move their case forward?
• And that shouldn't be the case.
• So, our goal is if you have case.
• case we face something like that again. case we face something like that again.

Keywords: 958, all

Summary: The Disaster Prevention and Resiliency Task Force met with a quorum, adopted the minutes from the previous meeting, and heard a presentation from Western Kentucky University’s Disaster Science Operations Center. WKU described its multidisciplinary disaster science effort, including meteorology, emergency management, the Kentucky State Climate Center, the Kentucky Mesonet, and the Disaster Science Operations Center, which was created in 2021 and serves as an operational hub for forecasting, emergency planning, crisis management, training, and decision support. Speakers emphasized applied learning, student field work, partnerships with industry and event venues, and a five-year NSF/UK-led research project focused on weather hazards, disaster preparedness, and building a statewide disaster database to improve mitigation and resilience. Members asked about flooding, the relationship to EKU’s program, Tennessee’s capabilities, and the timeline and goals for the research project; WKU said the data collection is underway and that the evidence suggests tornado risk is shifting east and occurring more at night. A WKU graduate student also described the value of hands-on storm-chasing and operational forecasting experience, saying it helped prepare her for work in forecasting and emergency management. Members asked about her motivation for joining the program and about the practical realities of storm chasing. The discussion also touched on whether Kentucky’s tornado risk is shifting east; WKU said the evidence from tornado observations and other studies points in that direction, with added concern about nighttime events and communicating warnings to vulnerable communities. The task force then heard from Amy Shaquinn of the Mayfield Graves County Long-Term Recovery Group, who outlined the county-level recovery process after the 2021 tornadoes. She said Kentucky ranks among the top states for federally declared disasters, has seen a high number of tornadoes in recent years, and also faces major flood risk and earthquake concerns along the New Madrid fault. Shaquinn stressed the distinction between immediate response and long-term recovery, explaining that response covers rescue, cleanup, temporary housing, and short-term assistance, while recovery is the longer effort to restore survivors to safe, sanitary, and secure housing through local long-term recovery groups. She said community-led recovery is essential and that preparedness and mitigation follow once immediate recovery needs are addressed.

Transcript Highlights:

• And so, you raised the case. What is the status of the case?
• <00:17:52.600> um So, you referenced um the case um So, you referenced um the case um against
• And the is the status of the case?
• work come in after that case is settled? work come in after that case is settled?
• by case.

Bills: SCR118, SCR173

Keywords: climate change, insurance affordability, working group, disaster recovery, fossil fuel companies, insurance stability, Hawaii Hurricane Relief Fund, ticket scalping, task force, consumer protection, event accessibility, local economy, 910, house, all

Summary: The Committee on Consumer Protection heard two resolutions. SCR 118 SD1 would urge the Insurance Division and the Attorney General to convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division deferred to written testimony, while the Attorney General opposed the measure because of an ongoing lawsuit, asking that references to legal recovery and the AG’s role in convening the group be removed. Members questioned how the resolution might relate to the state’s climate damages litigation and whether it could inform damages calculations. The committee later recommended passage with amendments, including removing the Attorney General as co-convener and changing certain membership references to board chairs; the motion passed unanimously with one excused member. The committee also heard SCR 173 SD1, which would create a task force on event ticket scalping. The Office of Consumer Protection supported the concept but asked to be added as a task force member and said the draft left its role unclear. Supporters, including the National Independent Venue Association and D-BAT, described high resale prices, fraudulent or speculative tickets, and harm to consumers and local businesses. StubHub and the Ticket Policy Forum supported the task force but urged broader scope to include the primary ticket market and ticket sellers, and StubHub also sought inclusion on the task force. Members discussed whether the task force should focus on the secondary market or the broader ticketing ecosystem, and whether the Office of Consumer Protection should be part of the task force or only consulted. The vice chair recommended passage with amendments adding the Office of Consumer Protection as a member and clarifying the consultation language, and the committee adopted that recommendation unanimously with one excused member.

Transcript Highlights:

• That case is… We've won the preliminary ones; the counties have won the preliminary, but the case is
• You have experience trying cases in court? I'm not a litigator.
• case that could be resolved in just a few months?
• What if it's not a best-case scenario? We're talking about now.
• And then, just typically in your experience, best case, worst case, common timelines for this to play

Bills: HB5691, SB427, SB2623, SB2858

Keywords: municipal management district, bonds, assessments, property taxes, economic development, eminent domain, special district, SB 427, local government, political subdivision, state loan, state grant, financial reporting, annual financial statement, annual report, county report, municipal finance, water district, municipality, county auditor

Transcript Highlights:

• Last leadership more than this leadership wants a community case.
• Hallquist, you looked at 125 cases out of 36,960 cases. Is that accurate? Mr.
• Hallquist, if the majority of cases... And, Mr. Chair, Ms.
• DCS spent on the Stein family case, I believe it was, $1.3 million of on the Stein family case, I believe
• And in the cases that were adjudicated, the state was found at fault.

Keywords: 1182, all

Summary: The House Committee on Government was called to order with member and staff introductions, followed by a reminder of committee rules and amendment deadlines. Chair Blackman also gave an opening statement framing the committee’s work as legislative oversight focused on child safety, transparency, and systemic issues at the Department of Child Safety (DCS), noting the committee may hold additional hearings and use subpoenas if needed. The committee then heard a presentation from the Arizona Auditor General on a special audit of DCS investigations of non-criminal child abuse and neglect reports. The audit found that while DCS generally met initial contact timeframes, 123 of 125 sampled cases had at least one policy violation. Problems included failures to provide or document required notices to alleged perpetrators, incomplete or missing documentation of key investigative steps and safety plans, and investigations that exceeded statutory or policy timeframes. The Auditor General said DCS agreed with the findings and all 15 recommendations, and members asked questions about sample size, staffing, and whether the issues reflected broader systemic problems. After the audit, the committee considered House Bill 262, which authorizes a Buffalo Soldiers memorial in Wesley Boland Plaza. Supporters testified about the historical significance of the Buffalo Soldiers and the importance of recognizing their contributions in Arizona. The bill passed unanimously, 7-0, with members explaining their votes in support. The committee also heard House Bill 2018, which would prohibit DCS from entering into agreements with health care institutions that allow payment in exchange for reports of child abuse or neglect. The sponsor and supporters argued the bill would prevent financial incentives from influencing reporting and protect the integrity of mandatory reporting. Some members and public commenters raised concerns about DCS contracts, hospital reporting practices, and the need for documentation or a paper trail. After a recess and further discussion, HB 2018 was returned with a do pass recommendation by a 4-3 vote.

Transcript Highlights:

• For over 15 years, I prosecuted sexual assault cases, juvenile delinquency cases, and child protection
• cases in my small county, and today I'm here to ask you for your support for HF 104.
• Other types of restorative practices are being used across the state in a variety of case types in a
• cases juvenile delinquency cases assault cases juvenile delinquency cases child<00:04:20.880> protection
• child protection cases in my small child protection cases in my small County<00:04:22.560> and

Keywords: 1183, house

Transcript Highlights:

• But that is not the case with hospital premiums.
• It will increase malpractice costs because there will be more cases.
• It will increase malpractice costs because there will be more cases.
• And so when we talk about the number of new cases, even if we have just a few new cases reach verdict
• I mean, both sides, great lawyers on both sides in a case.

Summary: The Civil Justice and Claims Subcommittee considered one bill, HB 603, which would repeal section 768.21(8), the Florida medical negligence wrongful death exception often referred to by supporters as the “Free Kill” law. The sponsor argued the current statute unfairly bars certain families—especially adult children or parents of unmarried adults without minor children—from recovering non-economic damages when a loved one dies from medical negligence, while such damages are available in other wrongful death cases. Supporters, including family members, AARP, and some legal advocates, testified that the law is discriminatory and denies equal access to justice for grieving families and vulnerable adults. Opponents, including physicians, hospital and insurer representatives, and business groups, argued that repeal would increase malpractice exposure, raise premiums, worsen access to care, and accelerate physician retirements or departures from Florida. Several urged that if the bill moves forward, it should be paired with caps on non-economic damages to balance the impact on the health care system. Supporters countered that negligence must still be proven, that the law creates unequal treatment, and that existing tort reforms have not lowered premiums. The sponsor closed by rejecting claims that the bill is “jackpot justice” and emphasizing that families deserve court access and accountability. After debate, the committee voted on HB 603 and passed it 16-2. The meeting then adjourned.

Transcript Highlights:

• when the firearm is fired. ...of a firearm that are transferred by imprinting on each cartridge case
• Law enforcement can then use the microstamped bullet casings to trace casings found at crime scenes back
• to the firearm from which they were discharged or to casings at other crime locations.
• As such, the bullet casing with its microstamped code would link the casing to the firearm.
• We also, in that case, offered a tax incentive, which I don’t support.

Keywords: 995, all

Summary: The Special Commission on Emerging Firearm Technology met to review its work on intentional microstamping and personalized firearms and to discuss draft recommendations for a final report. The co-chairs summarized testimony received from manufacturers, advocates, law enforcement, and officials from New Jersey, New York, and California. For microstamping, the discussion focused on how the technology could help trace spent casings, its limits in forensic use, and concerns about wear, tampering, implementation costs, and whether it would burden lawful gun owners. For personalized firearms, members reviewed testimony about biometric smart guns, their current commercial availability, higher cost, and potential benefits for preventing accidental shootings and unauthorized use, especially involving children and suicide prevention. Commissioners expressed a range of views. Several supported microstamping as a crime-solving tool and endorsed a recommendation that the legislature direct a feasibility and viability study, set standards and training, fund implementation, and create penalties for tampering. Others opposed microstamping, arguing it has not worked in other states, may not reduce crime, and could impose costs on manufacturers and owners. On personalized firearms, most commissioners supported encouraging the technology, but there was disagreement over whether to create a temporary sales tax exemption; some favored an incentive to promote adoption, while others opposed any tax subsidy for firearms or questioned whether the data justified it. The co-chairs said they would draft a report reflecting the majority consensus and circulate it for review before a final vote at a later meeting, likely in July. The commission also discussed which executive branch agency should conduct the microstamping feasibility study, with the Attorney General’s office and EOPSS mentioned as possibilities. The meeting ended with agreement to reconvene for final votes on the report and recommendations.

Transcript Highlights:

• There have been many cases.
• There have been many cases.
• There have been many cases.
• There have been many cases.
• does not file charges in the case. does not file charges in the case.

Keywords: 1191, senate, all

Transcript Highlights:

• If it's a—I can't comment too much on the Prosper case since it's a pending case.
• It's a case-by-case basis. It's objective based on the person.
• case.
• He deals with huge cases.
• He deals with huge cases.

Summary: The House Committee on Public Health heard House Bill 5, a proposal to ban THC products outside the Texas Compassionate Use Program while allowing non-intoxicating CBD and CBG products under tighter regulation. Chair Van Deaver gave a lengthy background on the 2018 federal Farm Bill and Texas’s 2019 hemp law, arguing that the lack of guardrails allowed a large, unregulated THC market to develop. HB 5 would impose licensing fees, product registration, testing and inspection requirements, and restrictions intended to keep products away from children. Invited witnesses from law enforcement strongly supported the bill. Steve Dye of the Texas Police Chiefs Association and Brian Hawthorne of the Sheriffs’ Association of Texas argued that THC consumables are widely mislabeled, often far more potent than advertised, and linked to youth access, impaired driving, and organized crime. Both said regulation would be ineffective and would amount to legalization, while a ban would be easier for officers to enforce. They also emphasized support for the Texas Compassionate Use Program and said medical THC should remain available. Dr. Peter Stout of the Texas Association of Crime Lab Directors and Alice Amelot of Texas DPS testified as resource witnesses about forensic testing. They said current lab resources are already stretched thin, that quantitative testing for THC and related cannabinoids is expensive and time-consuming, and that a ban would simplify enforcement because labs could focus on presence/absence testing rather than concentration. Amelot said DPS labs are neutral on the bill but explained that mislabeled products and inaccurate certificates of analysis are common. Committee members asked about traffic safety, impairment, youth use, and the costs of enforcement and lab testing; witnesses repeatedly said the bill would reduce complexity for law enforcement but that any approach would still require more resources for labs.

Transcript Highlights:

• Minnesota case law?
• precedent case law in this? precedent case law in this?
• Minnesota<00:02:51.240> case<00:02:51.520> law?
• I there has never Minnesota case law?
• to go forward on the case. to go forward on the case.

Keywords: 1183, house

Summary: House Republicans held a press availability focused on the ongoing Minnesota House stalemate and their decision to file a lawsuit in the Minnesota Supreme Court against Secretary of State Steve Simon. Representative Niska said Simon, acting as presiding officer, had refused for four straight days to recognize him to make motions that a lesser number than a quorum is constitutionally allowed to consider. Republicans argued Simon exceeded his authority by preventing even discussion of those motions and by unilaterally controlling adjournment, while saying the House members present have the power to adjourn day to day and compel absent members. The proposed motion at issue would impose penalties on absent lawmakers, including fines equal to lost salary for days not present and ineligibility for per diem for the session. Niska cited precedent from other states, including Indiana and Texas, to support the idea that a minority can enforce quorum-related penalties, and said Minnesota case law does not address a prolonged quorum break like the current one. He said the lawsuit seeks only to require Simon to stay within constitutional bounds as presiding officer, not to remove him from the role entirely. Niska said the filing was being made that day, with courtesy copies delivered to Simon, and that the legal team is from his own law firm and would be paid privately, likely with campaign funds. He said there had been no talks with Democratic leaders that day, but he remained open to a serious offer. Republicans said they would be in the chamber every day next week at 3:30 p.m. unless Democrats returned sooner, and that there would be no gavel-in the next day.

Transcript Highlights:

• some cases. That's all. some cases. That's all.
• down to um case by case.
• basis, and it comes down to um case by case.
• by case, excuse me, follow up with case by case, excuse me, follow up with I'm<05:32:19.760> out<
• /c> the the case by case for for instance, the the case by case for for instance, I'm<05:32:25.440>

Keywords: 1189, house, all

Transcript Highlights:

• Mskey's case.
• Mskey's<00:05:21.360> case.
• And in this case, my client crime.
• It was a bribery case.
• It was a bribery case. So, I'll issue. It was a bribery case.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on HB 126, which would change civil asset forfeiture law. The Attorney General’s Office, Honolulu Police Department, and county prosecutors opposed the bill’s proposed SD1, arguing that requiring a criminal conviction and changing how forfeiture proceeds are distributed would weaken or effectively end the tool, create fiscal and law enforcement problems, and make it harder to address organized crime or cases where an owner cannot be identified. The Public Defender’s Office, Community Alliance on Prisons, Drug Policy Forum of Hawaii, and other supporters argued the measure would improve transparency and accountability, protect property rights, and reduce abuses that disproportionately affect low-income people. The chair questioned law enforcement about fairness, storage of seized property, and access to counsel, and the discussion focused heavily on whether forfeiture should depend on a conviction. No vote was taken. The committee then heard HB 280, which would make the Community Outreach Court permanent and appropriate funds for it as a division of the First Circuit district court. The Department of the Attorney General and Judiciary supported the concept and described the court’s success in helping people resolve cases, clear license stoppers, recall bench warrants, and access services, but suggested amendments to remove the Attorney General from the bill’s definition and funding mechanism. The Public Defender, Department of Human Services, mental health and substance use advocates, neighborhood and community groups, and others strongly supported the bill, emphasizing its benefits for people facing housing instability, behavioral health issues, and transportation barriers. No opposition was voiced, and no vote was taken. The committee also heard HB 370, which would increase partial public campaign financing for elective offices. The Campaign Spending Commission supported the original bill and asked the committee to restore the original percentage amounts, keep the proposed funding increases, and reinstate funding for two additional full-time staff positions. Supporters said the public financing system has not kept pace with inflation and needs modernization to be viable; a few testifiers opposed the measure. The committee reported 30 in support, two opposed, and one comment, and then moved on without a vote. Finally, HB 371 was heard, a campaign contribution bill that would bar state and county contractors, grantees, and certain related persons from contributing during the contract period. The Campaign Spending Commission said the bill is intended to address pay-to-play concerns and false-name contributions, while the State Procurement Office raised concerns about the burden of requiring agencies to provide contract information for all contracts regardless of dollar value. The testimony ended with the commission saying it was working with procurement and the Attorney General on implementation details; no vote was taken.

Transcript Highlights:

• facilities, but believes that in no case facilities, but believes that in no case should<00:36:12.720
• I do think that there's an important distinction that was not in my testimony, which is on a case-by-case
• I do think that there's an important distinction that was not in my testimony, which is on a case-by-case
• "I do think that there's an important distinction that was not in my testimony, which is on a case-by-case
• But in other cases if that attachment.

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.

Transcript Highlights:

• They'll throw on the case.
• They'll throw on the case.
• In both these cases, I had to provide full video redactions. The other case was last week.
• that case, it wasn't even a Salem case. that case, it wasn't even a Salem case.
• open that talked about a homicide case. open that talked about a homicide case.

Keywords: 1189, house, all

Transcript Highlights:

• Um and the use cases they want country.
• <00:04:24.400> the state and and in this case the state and and in this case the Commonwealth
• CSS where we can reuse these use cases CSS where we can reuse these use cases um<00:21:20.960>
• In our case, obligated means that 2026.
• create a five-year program in our case create a five-year program in our case to<00:57:45.760>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• . >> [laughter] >> It's a case-by-case, left up to the district court, I'm sure.
• It's a case-by-case situation. Representative Koch. Thank you, Chair. Thank you, Senator.
• My grandparents spoiled me, so these cases drag out and turn into just these cases drag out and turn
• uh as directed by the court in this case uh as directed by the court in this case in<00:17:57.720
• consistent with current case law. consistent with current case law.

Keywords: 958, all

Transcript Highlights:

• And in two cases, they were foreign nationals.
• In many of these cases, these are financial transactions.
• Actually, in some cases, I think it’s physical abuse.
• Baby M's case, Baby M's case culminated in a kidnapping, a multi-state police search, and years of legal
• The Arcadia, California case reveals the dangers.

Keywords: 1185, senate, all