Transcript Highlights:

• and request the Department of Health and the State Department of Education to provide de-identified visual
• acuity screening data, reported favorably by Health and Welfare.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• and request the Department of Health and the State Department of Education to provide de-identified visual
• acuity screening data collected annually in Louisiana schools.

Bills: HR192, HR193, HR194, HCR80, HCR81, HCR82, HCR83, HCR84, HCR85, HR188, HR189, HR190, HR191, SB134, SB140, SB281, SB331, SB384, SB389, SB415, SB451, SB458, SB479, SB504, SB523, HR38, HR96, HR160, HCR31, HCR61, SCR19, HB316, HB549, HB578, HB646, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1186, HB1192, HB1195, HB1198, HB1222, HB1244, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, HB225, HR1, HR17, HCR5, HCR4, HCR47, HCR32, HB362, HB893, HB990, HB1007, HB1153, HB1243, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB745, HB749, HB752, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1207, HB1218, HB1223, SB162, SB349, SB350, SB382, SB383, SB127, SB244, SB256, HB911, HB306, HB366, HB1161, HB1230, HB59, HB481, HB772, HB897, HB1003, HB1008, HB1112, HB1180, HB1189, HB181, HB1118, HB901, HR20, HR74, HB284, HB393, HB458, HB459, HB525, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB864, HB996, HB1035, HB1058, HB1082, HB1113, HB1234, HB1240

Keywords: ACOG, maternal health, healthcare professionals, patient-physician relationship, obstetrics, gynecology, condolences, military service, veteran, community, memorial, visual acuity, student health, de-identified data, longitudinal analysis, education policy, property rights, carbon dioxide sequestration, expropriation, Landowner Bill of Rights

Transcript Highlights:

• Madam Chair, Representative Brantley, on page 4 of your brief, there's a visual, it's primarily focused
• workers who are dealing with children with the most, the hardest to place, with probably the most acuity

Transcript Highlights:

• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• The workforce required for high-acuity care and our level one trauma status, the stability to maintain

Keywords: 1187, senate, all

Transcript Highlights:

• seeing a decrease in the numbers of people served through seven counties, but we also see a higher acuity
• 00:10:41.680> higher counties, but we also see a higher counties, but we also see a higher acuity
• of those who are served by seven acuity of those who are served by seven counties.<00:10:45.440>
• Um, but we also have a higher acuity of folks being served.
• "Explain what you mean by higher acuity." "Yes. That means that people need longer-term services.

Keywords: 958, all

Summary: The Government Contracts Committee met with a quorum and approved the July 8 minutes. It then deferred several items from the July agenda, including a Kentucky Education Television contract because the vendor was not yet registered with the Secretary of State, and a University of Louisville contract at the university’s request. The committee also deferred a behavioral health memorandum of agreement and later a Department of Community Based Services contract after questions were raised about the scope of services and the need for additional information. The most extensive discussion involved the Seven Counties Services contract with the Department for Behavioral Health, Developmental, and Intellectual Disabilities. Committee members questioned why the state continues to contract with Seven Counties despite its bankruptcy and pension-related liabilities, how the funding split was determined, whether the services are statutorily required, and whether the state or another provider could deliver the services more efficiently. Agency representatives said Seven Counties is the sole provider of core community mental health services in its region, serves about 24,500 people, and that service needs and acuity remain high even as the number served has declined. A cabinet attorney said the bankruptcy dispute is ongoing and involves roughly $20 million in contested retirement contributions, though members suggested the amount may be higher. Members also raised broader concerns about whether local governments, especially Metro Louisville, should contribute more toward services tied to social determinants of health, and whether the contract includes services beyond what statute requires. The committee requested additional information on the contract scope and possible offsets or recovery of unfunded liabilities, and then voted to defer the Seven Counties contract to the next meeting. The committee also heard a separate DCBS presentation on the Youth Villages Intercept program, where staff explained it was selected because it is an approved evidence-based Family First prevention service, provides intensive in-home and foster care stabilization services, and is headquartered in Tennessee but operates across Kentucky; members asked for clarification on Medicaid billing and additional funding needs.

Transcript Highlights:

• We're here that it's a strategy to reduce the total Medicaid budget by decreasing the long-term acuity
• 43:32.240> long-term budget by decreasing the long-term budget by decreasing the long-term acuity
• <00:43:35.760> and<00:43:36.319> um acuity of the patient population. and um acuity

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• The acuity of cases on our... student support team we have.
• The acuity of cases on our Funding structures mean we cannot meet that need.
• The acuity of cases on our campuses has changed dramatically.
• I mean, as a hospital, if it's not meeting the complexity or acuity, we shouldn't be having kids come

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• attestation process that a patient is suitable for licensed health aide-level care based on the patient’s acuity
• to participate in the training program, rather than an attestation process based on the patient’s acuity

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Transcript Highlights:

• In larger emergency departments, they provide excellent care for low-acuity and urgent-care-type patients
• In complex, high-acuity cases, physicians with less training are understandably going to be a little

Bills: SB63, SB80, SB63, SB80

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, SB80, Buddy Sharpless Education Institute, Alabama Local Government Training Institute, county commissioner training, local government training, ethics training, State Ethics Commission, county commissioners, Association of County Commissions of Alabama, local emergency management director, public officials, municipal officials, Alabama Code Title 11, Alabama Code Title 31

Transcript Highlights:

• The new rate structure takes into consideration geography, as well as acuity, and the new rate would
• Again, different rates by region and based on acuity.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• The new rate structure takes into consideration geography, as well as acuity, and the new rate would
• Again, different rates by region and based on acuity.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• The people experiencing homelessness who would most benefit from supportive services due to high acuity
• These are two low-barrier, high-impact shelter models proven to serve individuals with the highest acuity

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• this because I think 55 is old, but we monitor our 55 and older population because of the medical acuity
• There's been testimony about the acuity of violence that's coming into TJJD, violent children, uh, and

Transcript Highlights:

• implementation of Senate Bill 1, that part, Article 2, Section 28, the Residential Services for High-Acuity

Keywords: 1185, senate, all

Transcript Highlights:

• implementation of Senate Bill 1, that part, Article 2, Section 28, the residential services for high acuity

Transcript Highlights:

• the dashboard, so it's showing that jails are not the appropriate place for somebody who has high-acuity
• Jails are not the appropriate place for somebody who has high-acuity needs.
• to add specialized Services critical to add addressing<01:01:56.640> High<01:01:56.920> Acuity
• <01:01:57.520> needs<01:01:58.440> to addressing High Acuity needs to addressing High
• Acuity needs to emphasize<01:01:59.240> this<01:01:59.440> we<01:01:59.559> want

Keywords: 1187, senate, all

Bills: HB517, HB98, HB235, HB236, HB237, HB238, HB239, HB240, HB241, HB242, HB565, HB517, HB98, HB235, HB236, HB237, HB238, HB239, HB240, HB241, HB242, HB565, SB380

Keywords: underground damage prevention, one-call notification system, utility locating, excavation safety, dig safe, call before you dig, 811, utility lines, underground utilities, pipeline safety, gas pipeline, electric utility, telecommunications, water utility, wastewater, cable television, locate request, premark, tolerance zone, positive response

Transcript Highlights:

• The patients have high acuity, high ... for Behavioral Health.
• 00:16:23.760> patients<00:16:24.400> have<00:16:24.680> high<00:16:24.959> acuity
• ,<00:16:25.680> high The patients have high acuity, high risk, and require advanced expertise

Keywords: 910, house, all

Summary: The House Committee on Labor met on February 19, 2026, and heard a series of bills largely focused on public employment, staffing, and professional licensing. Early measures included HB 2276 and HB 2472, both relating to Hawaii Employer-Union Health Benefits Trust Fund staff salaries, which were supported by trust fund representatives and received no opposition or questions. The committee also heard HB 1714 HD1 on housing, where the Hawaii Public Housing Authority testified with comments and the Deputy Attorney General raised concerns about the scope of autonomy, civil service, collective bargaining, and a possible separation-of-powers issue involving legislative approval of long-term contracts. The committee then considered several personnel and civil service bills. HB 2325 HD1, relating to civil service exempt positions at DLNR, drew support from DLNR and the Office of Planning and Sustainable Development, but HGEA opposed it and urged the department to seek other recruitment and retention solutions while keeping employees in civil service. HB 1541, relating to Department of Health positions, was supported by DOH on the grounds that the positions serve vulnerable populations and require specialized expertise, while HGEA opposed. HB 2140 HD1, relating to essential permanent positions, received support from OPSD, HGEA, and the Chamber of Commerce, with written comments from the city Department of Budget and Fiscal Services. HB 2315 HD1, relating to state employment benefits, was strongly supported by DOH, UPW, and HGEA as a recruitment and retention incentive; members questioned the pilot program, and DOH explained it would allow employees to cash out vacation leave earlier than current policy allows. The committee also heard HB 2295 on government contracting, with DOE support not present and IBEW 1186 in opposition. HB 1720, relating to professional engineers, drew strong support from the City and County of Honolulu’s planning department, which argued the bill would help with affordable housing review and only affect eligibility to sit for the licensure exam, but strong opposition from engineering industry and licensing board representatives, who warned it would lower licensing standards and harm reciprocity; members questioned both sides about plan review experience and licensure requirements. HB 2367, relating to employment earnings and pay transparency, received strong support from the Hawaii Civil Rights Commission, AAUW, the Commission on the Status of Women, and others, who said transparency helps small businesses and retention, while written opposition came from the Maui Chamber of Commerce and NFIB. Finally, HB 1935, relating to personal information, drew comments from the Attorney General and the Campaign Spending Commission about implementation burdens and disclosure requirements, with UPW supporting the home-address redaction portion but opposing the broader disclosure process; additional written testimony was noted from OIP, the League of Women Voters, Public Press Law Center, HGEA, and DCCA.

Transcript Highlights:

• And some of that is because the acuity of calls has gone up.
• You saw the trend line of the number of calls, but the severity, I think you also mentioned, or the acuity
• And at our center, at least, all 911-diverted callers are offered a follow-up call regardless of acuity

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• This will provide the space for Minnesota's most vulnerable children to have access to the high acuity
• over 400 men and women on any given day, living with chronic. substance use disorder and very high acuity

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding