Transcript Highlights:

• </c> really critical part of our operation really critical part of our operation ations<00:06:30.880>
• </c><00:30:39.159><c> before</c> get a new landfill in operation before get a new landfill in operation
• In other words, they have restricted operations, classified operations, top-secret operations, training
• </c><01:34:14.440><c> next</c> to a bard of water supp facility next to a bard of water supp facility
• This has been operated and monitored for the 35 years of its operation, and we've never detected any

Summary: The informational briefing focused on the City and County of Honolulu’s effort to site a replacement landfill for Oahu before the Waimanalo Gulch landfill closes in 2028. Chair Nicole Lowen and other legislators opened the meeting by framing the issue as important statewide and encouraging recycling, composting, and proper use of the curbside bins. The city’s Department of Environmental Services, led by Director Roger Babcock and Deputy Director Mike O’Keefe, then presented the background and siting process. ENV explained the legal and technical constraints that shaped the search, including the 2019 Land Use Commission decision requiring closure of Waimanalo Gulch by March 2, 2028, and the 2020 Act 73 restrictions on landfill siting near residences, schools, hospitals, conservation districts, airports, and tsunami inundation areas. They said a landfill advisory committee reviewed six candidate sites in 2021-2022 and rejected them because they fell within the Board of Water Supply’s no-pass zone. After further evaluation and an extension of the naming deadline, the city selected a site in central Oahu near Wahiawa, on agricultural land currently used as a Dole pineapple field. City officials said the selected site was chosen as the best of the evaluated options and, in their view, could be permitted under state and federal law. They described planned environmental protections, including a modern sanitary landfill design with double liners, leachate collection systems, monitoring wells, and post-closure monitoring, and said the existing Waimanalo Gulch landfill has operated for 35 years without leachate leaks. They also emphasized that the site would still require a special use permit, Department of Health approvals, an environmental impact statement, and other public permitting processes, and that public engagement would continue over the next several years.

Transcript Highlights:

• The operating expenses at New College per student are $83,000.
• Just normal operating costs for that $35,000? Chair Brodeur. Thank you, Mr. President.
• It's just operating costs. Okay, thank you. Senator Brodeur, one last question.
• DOC operates that are not in compliance with DMS standards.
• The library construction grants, $5 million, and then the cultural facility is $5.1 million.

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500). Appropriations Chair Hooper said the budget reduces overall spending from the prior year, preserves reserves, and includes a 3% pay raise for state employees and 5% raises for law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/economic development, and environmental/agricultural programs. Major items discussed included school funding increases, workforce and university investments, Medicaid and child welfare funding, corrections operating deficits, housing and hurricane recovery, Everglades and water quality projects, and state employee compensation. Members asked detailed questions about several budget items. In education, senators discussed teacher salaries, declining enrollment supplements, scholarship funding growth, and charter school capital outlay. In higher education, they asked about Bright Futures, New College funding, and the EASE grant program. In health and human services, senators focused on the iBudget waiver, Medicaid hospital rate reductions, the ADAP HIV drug program, and the use of opioid settlement funds. In criminal justice, questions centered on DOC deficits, inmate health care and food service costs, public defender and state attorney funding, and whether the budget would prevent the need for National Guard support. In environmental and state agency budgets, senators discussed Florida Forever land acquisition, conservation easements, cultural grants, the Emergency Management Trust Fund, and election security funding. After the budget presentations and questions, the Senate substituted House bills for the Senate budget bills and adopted amendments to place Senate language onto the House vehicles for conference. The chamber passed HB 5001, the appropriations bill, by a 36-0 vote and agreed to conference. It also passed the implementing bill, collective bargaining and state employee bills, retirement legislation, fuel tax and SLERS bills, the court trust fund bill, judicial certification bill, K-12 and higher education conforming bills, and other related measures, generally by unanimous votes. Several motions were adopted to request the House to pass the Senate versions or include them in budget conference.

Transcript Highlights:

• If you've ever been to an Amazon-type packaging facility and you see the robotics and the Amazon-type
• packaging facility and you see the robotics and automated machines that are picking up those boxes,
• And with all of that, we are keeping our operating budget at a very low percentage, approximately 7%,
• When we started to see that traffic was building up a lot, we would adjust our operations.
• Does it look like we should have an express lane on this toll facility?

Committee: Senate Appropriations Committee on Transportation, Tourism, and Economic Development

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development met to hear presentations from the Department of Commerce and the Florida Department of Transportation. Jason Mahon of Florida Commerce outlined the state’s economic development strategy, emphasizing Florida’s GDP growth, business formation, and strengths in manufacturing, high-tech, life sciences, defense, and financial services. He described the department’s tools for small business lending, rural investment tax credits, venture capital support, infrastructure and workforce grants, performance-based incentives, and disaster recovery loans, and highlighted examples such as ServiceNow, Williams International, Asteris, and Point Blank Enterprises. Senators asked about grant availability for small businesses, foreign companies relocating to Florida, workforce shortages in manufacturing, and whether additional tools may be needed; Mahon said most small-business support is loan-based and noted ongoing workforce and infrastructure challenges. Jennifer Marshall of FDOT then reviewed major transportation projects and the Moving Florida Forward initiative, describing the state’s large portfolio of active contracts and major congestion-relief projects across Florida. She highlighted early completions and accelerated timelines on projects including the NASA Causeway Bridge, I-95 at US 1 in Volusia County, I-4 congestion relief lanes, the First Coast Expressway, the Howard Frankland Bridge, I-4 interchanges in Central Florida, A1A coastal protection work, I-75 improvements in Southwest Florida, and the I-395 reconstruction in Miami. Senators asked about how express lane projects are selected, whether toll revenues are used for local maintenance and improvements, the status of the Miami I-395 project, and the impact of losing electric-vehicle express lane exemptions. Marshall said FDOT works with local long-range plans and congestion data, and that she would follow up on several specific funding and project questions. Committee members generally praised both agencies for project delivery, cost savings, and coordination with local partners. Senator Mayfield noted the importance of using savings and working with local governments, while Senator Wright commended Commerce’s role in economic development and FDOT’s work on major road projects. The meeting concluded with no further business, and the committee adjourned.

Transcript Highlights:

• A chiropractic facility that treats both human and animal patients in the same setting must have appropriate
• Prior to performing an operation under deep sedation, the dentist must ensure a patient is evaluated
• Twice a week, we operate outdoor mobile clinics in the community.
• In the 2023 to 2025 operating budget, the legislature created a pilot program to reimburse a licensed
• The facility can bill for medically necessary services that are covered by Medicaid currently.

Bills: SB6138 , SB5899 , SB6072 , SB6094

Committee: Senate Health & Long-Term Care

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Transcript Highlights:

• If 100 facilities applied and they were all approved, that's a lot of applications. Okay.
• Minimize leakage in operating this program? Okay. And does the LAO have an interpretation?
• GPI's members have four facilities in California today producing bottle glass.
• Ten years ago, I would have been able to say they had five facilities.
• Unfortunately, three facilities have closed on the West Coast in the last 10 years.

Transcript Highlights:

• So the human developmental centers, which we call HDCs, are intermediate care facilities and are operated
• The Warren facility. That's right, I'm sorry. The Warren facility. No, the Warren facility.
• The consultants’ part of their job is to do an assessment of just that facility or all facilities...”
• “Do an assessment of just that facility or all facilities, and maybe you already have that information
• My son is in one of these other facilities.

Transcript Highlights:

• the purpose of continuing the public hearing on HB 2289, making the fiscal biennial supplemental operating
• But the FPS account was cut by $24 million in last year's operating budget.
• We operate 10 nursing homes and one assisted living facility here in Washington.
• I’m testifying in opposition to the governor’s supplemental operating budget.
• the number of state-operated living alternatives.

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• But the FPS account was cut by $24 million in last year's operating budget.
• We operate 10 nursing homes and one assisted living facility here in Washington.
• I'm testifying in opposition to the governor's supplemental operating budget.
• We are also concerned about cutting the number of state-operated living alternatives.
• We are also concerned about cutting the number of state-operated living alternatives.

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• Item 2 is Facility Planning and Control. Baker, when you’re ready. All right. Good morning, Mr.
• I’m the director of the Office of Facility Planning and Control for the division.
• facilities to attract conventions, trade shows, and other events that support the economy of Louisiana
• It says it can be used for operating the convention center or other exhibition and tourism facilities
• I don't believe they have any other facilities at this point other than the convention center and the

Summary: The committee first received a fiscal status statement and five-year baseline budget update from the Office of Planning and Budget. Members were told there were no changes to the baseline, but several current-year items now require appropriations, including Hurricane Katrina closeout costs under GOSEP, projected Department of Corrections shortfalls for offender medical care and overtime, and a reduction in the minimum foundation program tied to February 1 student counts. After questions about how the five-year percentages and inflation assumptions were calculated, the committee adopted the fiscal status statement. The committee then approved several Facility Planning and Control items, including adding eight higher education deferred maintenance projects to the approved list under Act 751, a $412,993 change order for LSU’s Jesse Coates Building project, a report of four other change orders for informational purposes, and combining two Hornbeck water projects into a single expanded water plant and distribution project. It also approved a two-year extension of the University of Louisiana at Lafayette’s Banner ERP consulting agreement and approved Water Sector Commission recommendations for an additional $5.5 million for the Tencel Water District Association, which included a $100,000 local commitment. A major portion of the meeting focused on a proposed tax increment financing package for a 1,000-room headquarters hotel adjacent to the New Orleans Convention Center. Witnesses described the project as a $550 million private investment supported by state and local tax dedications, with projected benefits including more convention business and improved competitiveness. Members raised concerns about the 45-year term, the use of a 1% state tax dedication, possible cannibalization of existing hotel revenue, and the return on the public incentive. After extensive questioning, the committee deferred the proposal to the next month for further review and requested additional projections. Finally, the committee reviewed contract extensions for Louisiana Economic Development’s marketing vendors and a Department of Education amendment for the Odyssey platform used in the Louisiana Gator program. The education officials explained the contract is based on a per-student amount of $143.50 and that the current amendment is needed to avoid a lapse when the existing term ends June 30. Members discussed whether an RFP should be started for future years to seek a better price, and the department said it would be able to provide academic outcome data after the current testing cycle. The meeting then adjourned.

Transcript Highlights:

• </c> operating margins. operating margins.
• inpatient mental health facilities, to substance use disorder facilities.
• inpatient mental health facilities, to substance use disorder facilities.
• inpatient mental health facilities, to substance use disorder facilities.
• </c> them from operating at a loss. them from operating at a loss.

Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.

Transcript Highlights:

• I run 2 assisted living facility for 38 years. I got all the conference's.
• , pickleball courts ball fields and similar facilities.
• You know, if you're going to go ahead, put in those facilities, others are reading it that those facilities
• I'm sure timeshares operate so divisions in this bill.
• It's given the nature of the resort nature of timeshare facilities.

Transcript Highlights:

• requiring certain shed features or amenities that would require homeowners associations to maintain or operate
• But during that time, the facilities continue their care, but they can't bill Medicaid for the services
• or assisted living facility occurs, and the facility is not suspended, terminated, or subject to a payment
• But during that time, the facilities continue their care, but they can't bill Medicaid for the services
• But during that time, the facilities, they continue their care, but they can't bill Medicaid for the

Summary: The caucus reviewed a long list of Senate bills and memorials, mostly on consent calendars, covering housing, elections, health care, public safety, land use, transportation, and water. Several measures focused on housing and local government regulation, including limits on municipal interference with home design standards, restrictions on alleged “malicious delays” in permitting, and rules on exactions. Election-related bills addressed internet access for voting equipment, timekeeping requirements for election systems, primary election timing, precinct committeeman vacancies, and other election administration changes. Other topics included liquor law updates, assisted living facility rules, deed and title fraud prevention, a Freedom of Speech Monument committee, renaming public spaces, and a bill restricting gender transition procedures for minors. Health and human services bills drew discussion on behavioral health technician definitions and AHCCCS/DHS coordination, Medicaid billing during facility ownership changes, breast cancer screening cost-sharing, naturopathic physicians administering IV antibiotics and similar drugs, safe-haven newborn surrender at hospitals, and reporting requirements for dialysis social workers. In public safety and judiciary, members considered bills on probation for dangerous crimes against children, sex offender registration limitations, victim restitution costs, unlawful alerting, increased penalties for unlawful flight, and a new offense for motor fuel theft. One member noted a no vote on extending the Vulnerable Adult System Study Committee, saying it would become a long-running study committee, while supporters said the committee had produced useful recommendations. The caucus also heard land, agriculture, energy, water, and transportation measures, including creation of a foreign entity land review commission, restrictions on transporting Mexican gray wolf pups with state resources, water reuse and banking provisions, solar installation disclosures and roof inspections, a larger revolving fund loan cap, and several congressional memorials. Transportation items included roadable aircraft registration, motor vehicle booting rules, military property signage, a towing and impound study committee, and photo enforcement penalties. Public safety bills included extending traumatic event counseling programs and requiring state data sharing with the federal government regarding unauthorized aliens. No formal votes were taken in the transcript; members mostly asked clarifying questions and several sponsors explained the intent and practical effects of their bills.

Transcript Highlights:

• one registered facility, and update incorporated material.
• </c><00:02:01.600><c> compliance</c> control over the facilities compliance control over the facilities
• update incorporated facility and update incorporated material. material. material.
• </c><00:11:54.760><c> Delete</c> sponsor to program operator. Delete sponsor to program operator.
• That's not the stated goal of facility.

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• <00:02:33.160><c> Operation</c><00:02:33.800><c> management</c><00:02:34.440><c> budget</c> operation
• Operation management budget operation Operation management budget Services<00:02:36.000><c> I</c><00
• </c><00:32:15.919><c> more</c> clubs on how can we operate more clubs on how can we operate more efficiently
• How do we operate a two-facility nursery and what specializes in what?
• </c><00:41:07.800><c> it</c> talks about reopening that facility it talks about reopening that facility

Committee: House Environment and Natural Resources Finance and Policy

Transcript Highlights:

• Nursing facilities and intermediate care facilities for intellectual and developmental disabilities are
• Nursing facilities and sense.
• </c> terms of just rural hospital facilities terms of just rural hospital facilities or<00:56:31.280>
• Without ATRIP, Kentucky hospitals would be operating at a negative 7% operating margin.
• </c><01:36:07.040><c> our</c> world in which we could operate our world in which we could operate our

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Whether you're a lagoon operator, whether you're a mechanical plant operator, we put microbes into our
• MIT, DOD, Tussa, and others have tested our facilities.
• Waste facility that deals with that.
• Facility. That's an asset to me.
• Some facilities, like Oklahoma City,...

Committee: House Agriculture

Summary: The committee hearing focused on biosolids, sewage sludge, and PFAS contamination, with the opening remarks and first three presenters arguing that land application of municipal sludge poses serious risks to soil, water, livestock, and human health. Representative Shaw cited EPA and state data on detected pollutants and PFAS in biosolids, while Denise Travick Poyer described her background in chemical engineering and PFAS work and said the EPA’s draft sewage sludge risk assessment shows unacceptable risk at very low PFOS/PFOA levels. She urged source reduction, more testing, and consideration of total organic fluorine, and noted examples from Michigan where industrial pretreatment and source reduction reduced PFAS in biosolids. Johnson County, Texas Commissioner Larry Woolley and Investigator Dana Ames presented a case study of alleged runoff from land-applied biosolids affecting a ranch, with high PFAS readings in soil, water, fish, cattle tissue, and a stillborn calf, and said the county and state had pursued investigations, lawsuits, and legislative responses. Sandra Trawick of Save Oklahoma Farms and Ranches argued that Oklahoma’s biosolids program relies heavily on Class B sludge, that current rules are outdated, and that land application exposes farms and rural communities to pathogens, chemicals, odors, flies, and runoff; she cited examples from Maine, Texas, Georgia, Michigan, and Oklahoma to support calls for stronger regulation or a ban. After the testimony, members asked about sampling methods, lab testing, EPA limits, and whether the cited PFAS blood levels were comparable to the soil and sludge measurements. Witnesses said the Johnson County samples were collected by a Texas A&M PhD contractor and tested at a single lab, and they explained that the EPA’s 4 parts per trillion figure applied to municipal drinking water standards. Questions also addressed whether sludge is incorporated into soil; Trawick said it had often been left on the surface, though she had seen better disking after public scrutiny. Members asked how biosolids compare with manure and feedlot waste, and witnesses responded that municipal sludge is more contaminated because it includes industrial, hospital, and household waste streams, unlike animal manure. The committee then moved to alternative solutions, hearing from Doug McKinney of Advanced Microbial Solutions, who promoted biological sludge removal using bacteria to reduce sludge volumes and avoid land application, citing cost savings for wastewater plants and correctional facilities. Jason Jepsen of Eden Energy followed with a pitch for an eight-stage waste-to-energy system that converts mixed waste into clean energy, biochar, and reusable products, framing waste as an asset and presenting his company’s technology as a no-land-application alternative.

Transcript Highlights:

• And we have government operations agency or govops.
• , I'm the Deputy Secretary of the Fiscal Policy and Administration of the California Government Operations
• This was published by the Government Operations Agency back in November of 2023.
• Is facilities management division building operation and support for the Department of General Services
• facility management.

Transcript Highlights:

• </c> This is state health plan for facilities This is state health plan for facilities and<00:04:08.640
• Senator Berg. to pack, cut, can freeze facilities, to pack, cut, can freeze facilities, something<00:
• ,</c> four trauma facility, four trauma facility, which<00:36:23.520><c> by</c><00:36:23.680><c> the<
• And depending on the facility, 30 to 45 minutes on-site time depending on how remote the facility is.
• Uh there operational and performance.

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• operating within 500 feet of a park, child care facility, or early learning service providers.
• from being located within 500 feet of a park, child care facility, or early learning facility.
• And I know the mobile units are not MMTC facilities.
• The mobile units are not MMTC facilities, but they are selling a marijuana product.
• There are a list of many other arrests in which we operate under the same umbrella with the emergency

Bills: S0042 , S0196 , S0878 , S0902 , S0914 , S1092 , S1168 , S1340 , S1404 , S1414 , S1684 , S1686

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Transcript Highlights:

• So the human developmental centers, which we call HDCs, are intermediate care facilities and are operated
• and running of an intermediate care facility.
• The Warren facility. That's right. I'm sorry. The Warren facility.
• We have to report across all of the facilities.
• The consultants, and part of their job, is that to do an assessment of just that facility or all facilities

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.