Transcript Highlights:

• Because it was my understanding that that was a number that we, the legislature, set, independent of
• Pursuant to House rules related to decorum and motives of members, the integrity of members will not
• That demarcation, that set-aside for student empowerment, is also now removed.
• From before the birth of this nation to date, we are an integral part of this country.
• The members and staff of this institution with professionalism, integrity, and dedication.

Keywords: 998, house, all

Transcript Highlights:

• Because it was my understanding that that was a number that we, the legislature, set, independent of
• Pursuant to House rules related to decorum and motives of members, the integrity of members will not
• That demarcation, that set-aside for student empowerment, is also now removed.
• We are an integral part of this country.
• The members and staff of this institution with professionalism, integrity, and dedication.

Summary: The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill. On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.

Transcript Highlights:

• including program integrity efforts. including program integrity efforts.
• And so, we just want to start with that level set.
• /c><00:14:49.120> with<00:14:49.240> that<00:14:49.760> level<00:14:50.040> set
• just want to start with that level set. just want to start with that level set.
• The other thing I would like to just kind of level set: I really want to level set this.

Keywords: 1183, house

Summary: The committee took up House File 3683, which would require the state budget forecast to estimate the budgetary impacts of fraud committed against state programs. Chair Nash argued that fraud has real fiscal effects on the state, that those costs should be quantified in the forecast much like inflation was previously incorporated, and that doing so would help lawmakers understand the true cost of money lost to fraud. He also said the bill was intended to give MMB direction to develop a way to forecast fraud’s impact and that the issue should be treated as part of the state’s fiscal outlook. Deputy Commissioner Anna Mingy of Minnesota Management and Budget testified in opposition to the bill’s approach, saying fraud is unacceptable and MMB is committed to combating it, but that the twice-a-year forecast is not the right tool for this analysis. She said forecasts are forward-looking budget tools based on projected revenues and spending, while fraud analysis is retrospective and involves legal definitions and processes. She also warned that requiring MMB to consult with legislative chairs on fraud estimates before public release could politicize the forecast and would be a departure from current practice. Members raised concerns about how fraud would be defined and quantified, whether the bill would cover known or potential fraud, and whether it would duplicate existing budget adjustments. Chair Nash responded that the bill was modeled on prior inflation-forecast language and said fraud’s fiscal impact should be estimated even if the exact number is debated. Other members questioned whether the proposal would add value or create subjective numbers, while supporters said audits and program integrity data provide a basis for estimating a range. Deputy Commissioner Mingy also answered questions about bond ratings, saying Minnesota maintained its AAA rating and that rating agencies focus on governance and long-term obligations, not specific fraud estimates. She later said the administration’s anti-fraud package includes permanent bans on state contracts and grants for individuals convicted of fraud. The discussion ended without a recorded vote or final action in the excerpt.

Transcript Highlights:

• House Bill 6 sets forth the following policy for Kentucky.
• House Bill 6 sets forth the following policy for Kentucky.
• House Bill 6 sets forth the following policy for Kentucky.
• House Bill 6 sets forth the following policy for Kentucky.
• House Bill 6 sets forth the following policy for Kentucky.

Keywords: Convene 00:00 Senate Message 04:26 Report of Committees 05:13 Orders of the Day/ HB 6 06:22 HB 480 14:13 HB 562 17:55 HB 136 25:53 HB 257 29:47 HB 490 35:54 Motions, Petitions, and Communications 40:30 Introduction of New Bills and Resolutions 52:44 Recess for ConC/Rules Meeting 53:49 ConC/Rules Report 57:12 Floor Amendments 58:49 Adjournment 58:59, 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum with 96 members present, excused absent members, and approved the journal from February 13, 2026. The Senate also transmitted Senate Bills 72 and 110 for concurrence. Committee reports advanced several bills, including measures on deputy coroner training, local jail booking procedures, local business tax collection, peace officers, Kentucky National Guard benefits, and first responder mental health. The chamber then considered House Bill 6 on child care. The sponsor described it as the product of extensive stakeholder collaboration aimed at improving affordability, quality, access, and data in child care, including changes to the low-income subsidy program, employee child care assistance, Kentucky All-Stars, micro-centers, and a military child care pilot program in House Committee Substitute 1. The substitute was adopted, and the bill passed 84-11 with one abstention after supportive remarks from members emphasizing workforce needs, family support, and military families. House Bill 480, relating to state contracts, was explained as requiring clearer contract terms for appropriated funds, partial payment protections, a 1% penalty for late payment, and semiannual reporting on whether cabinets are paying bills on time. A member noted a planned amendment to limit the bill to state-funded appropriations, but the bill passed 96-0. House Bill 562, relating to alternative high school diplomas, would create a Kentucky alternative diploma for certain students with disabilities and require the Education and Labor Cabinet to maintain employer information for graduates; members spoke in strong support of the bill’s workforce and dignity goals, and it passed 96-0. House Bill 136, relating to campaign finance, was amended to remove a $15,000 cap and allow campaign funds to pay for reasonable security costs for candidates; the sponsor cited rising threats to elected officials, and the bill passed 97-0. The transcript ends as the House moved on to House Bill 257.

Transcript Highlights:

• HB 437 grants the court discretion to set a new bond if it determines that appropriate conditions can
• Robust special order calendars for Monday and Tuesday have been set.
• The same leaders have set aside historic reserves. And work to pay off state debt.
• Students with life-threatening allergies face significant challenges in school settings.
• AND THE JUDGES DO YOUR HOMEWORK IN BETWEEN, AND A DEPOSITION IS TAKEN OR SET TO BE TAKEN ON MARCH 1ST

Bills: SCR4, SCR18, SCR43, SB227, SB269, SB330, SB434, SB437, SB438, SB463, SB528, SB584, SB604, SB663, SB668, SB682, SB747, SB841, SB912, SB968, SB1013, SB1020, SB1044, SB1137, SB1138, SB1143, SB1164, SB1169, SB1200, SB1236, SB1244, SB1299, SB1325, SB1335, SB1369, SB1410, SB1418, SB1422, SB1455, SB1468, SB1495, SB1534, SB1579, SB1580, SB1612, SB1624, SB1667, SB1734, SB1745, SB1746, SB1760, SB1784, SB1860, SB1862, SB1864, SB1896, SB1898, SB1920, SB1940, SB1952, SB1998, SB1999, SB2004, SB2032, SB2052, SB2068, SB2073, SB2121, SB2127, SB2141, SB2145, SB2161, SB2167, SB2196, SB2207, SB2216, SB2246, SB2323, SB2332, SB2395, SB2429, SB2431, SB2439, SB2443, SB2581, SB2601, SB2629, SB2702, SB2705, SB2717, SB2798, SB2873, SB2881, SB2964, SB3034, SCR4, SCR38, SB39, SB227, SB240, SB330, SB401, SB407, SB467, SB506, SB512, SB527, SB584, SB618, SB619, SB636, SB648, SB663, SB715, SB732, SB758, SB801, SB843, SB847, SB870, SB957, SB1013, SB1020, SB1065, SB1152, SB1164, SB1181, SB1183, SB1257, SB1283, SB1299, SB1325, SB1349, SB1395, SB1433, SB1455, SB1490, SB1558, SB1574, SB1624, SB1626, SB1640, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1789, SB1832, SB1845, SB1868, SB1920, SB1924, SB1964, SB2004, SB2018, SB2031, SB2037, SB2052, SB2073, SB2075, SB2080, SB2111, SB2117, SB2154, SB2161, SB2196, SB2206, SB2253, SB2268, SB2322, SB2323, SB2349, SB2533, SB2540, SB2570, SB2623, SB2626, SB2658, SB2660, SB2692, SB2705, SB2717, SB2722, SB2742, SB2743, SB2753, SB2788, SB2877, SB2900, SB2920, SB3031, SB5, SB260, SB1786, SB1, HJR4, HB135, HB 1109, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR38, SCR4, SCR18, SCR43, SCR46, SCR48, SCR19, SB2023, SB1257, SB240, SB1727, SB870, SB618, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1757, SB2050, SB1138, SB2458, SB1864, SB2201, SB1862, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB2073, SB3014, SB3013, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB843, SB1152, SB1164, SB1299, SB1349, SB1868, SB2037, SB2349, SB2788, SB39, SB1183, SB1717, SB1832, SB2743, SR429, SR432, SCR38, SB39, SB240, SB618, SB870, SB1183, SB1257, SB1717, SB1727, SB1832, SB2743, SB2, SB3058, SB3059, HB6, HB14, HB43, HB 100, HB136, HB149, HB204, HB206, HB307, HB467, HB685, HB 1130, HB1393, HB1644, HB2027, HB2118, HB2176, HB2468, HB2488, HB2525, HB2596, HB2890, HB2894, HB3077, HB3114, HB3204, SCR4, SCR18, SCR43, SB269, SB330, SB434, SB437, SB438, SB463, SB528, SB604, SB663, SB668, SB682, SB747, SB841, SB912, SB968, SB1020, SB1044, SB1138, SB1143, SB1236, SB1244, SB1325, SB1335, SB1369, SB1418, SB1422, SB1455, SB1468, SB1495, SB1534, SB1579, SB1580, SB1612, SB1624, SB1667, SB1734, SB1745, SB1746, SB1760, SB1784, SB1860, SB1862, SB1864, SB1896, SB1898, SB1920, SB1940, SB1952, SB1998, SB2032, SB2052, SB2068, SB2073, SB2121, SB2127, SB2141, SB2145, SB2161, SB2167, SB2196, SB2207, SB2216, SB2246, SB2323, SB2332, SB2395, SB2431, SB2439, SB2443, SB2581, SB2601, SB2629, SB2702, SB2705, SB2798, SB2873, SB2881, SB2964, SB3034, SB227, SB584, SB1013, SB1137, SB1169, SB1200, SB1299, SB1410, SB1999, SB2004, SB2429, SB2717, SB3058, SB3059, HB6, HB14, HB43, HB 100, HB136, HB149, HB204, HB206, HB307, HB467, HB685, HB 1130, HB1393, HB1644, HB2027, HB2118, HB2176, HB2468, HB2488, HB2525, HB2596, HB2890, HB2894, HB3077, HB3114, HB3204

Keywords: Pflugerville, Trail Capital, health and wellness, outdoor recreation, community connectivity, patriotism, town designation, community engagement, Trophy Club, Texas Town of Patriotism, Port Aransas, Mustang Island, Fishing Capital of Texas, Texas fishing, coastal tourism, charter fishing, deep-sea fishing, bay fishing, pier fishing, angling

Transcript Highlights:

• It will set the ground rules.
• Those regulations are there to protect citizens in the general vicinity and also the structural integrity
• If you take this action now, you're setting the standard for the legislature to take similar actions
• If you take this action now, you're setting the standard for the legislature to take similar actions
• I don't think, as a result of everything that we're talking about now, I doubt any APO is going to set

Summary: The committee first took up SB 2203, relating to certification of discovery issues in TCEQ contested cases referred to SOAH. The chair noted the House had already passed the companion HB 3249, then moved SB 2203 without amendments. The motion prevailed on a 5-0 vote, and the bill was reported favorably to the full House. The committee then heard SB 1898, which would prohibit the use of PFAS-containing firefighting foam for testing and training, while still allowing it in emergency firefighting. The sponsor described PFAS as “forever chemicals” and said the bill would protect firefighters, water supplies, and public health. Testimony in support came from Environment Texas, which cited contamination concerns and noted other states and federal actions restricting PFAS foams. No one testified against the bill, and after closing testimony the committee left SB 1898 pending. The remainder of the hearing focused on SB 1758, a Grayson County pilot program aimed at addressing potential conflicts between Global Wafers’ semiconductor wafer facility and a proposed Black Mountain Cement/aggregate operation. Supporters, including Global Wafers, Grayson County officials, and manufacturing groups, argued that vibration from mining or blasting could threaten a major national-security semiconductor investment and that an independent BEG study was needed to set safe parameters. Opponents from Black Mountain Cement and related industry groups argued the bill would improperly interfere with a lawful permitting process, pick winners and losers, and harm Texas’ pro-business climate; they also said they had already revised operations and removed blast mining. The discussion included extensive questioning about geology, vibration, the permitting timeline, and whether the issue was really about mining rather than the air permit. No vote was taken on SB 1758 in the portion provided.

Transcript Highlights:

• for persons who commit this proposed grooming crime, as well as solicitation of a child in a school setting
• Any misconduct undermines the integrity of the programs that they're hired to perform and the investments
• Any misconduct undermines the integrity of the programs that they're hired to perform and the investments
• Any misconduct undermines the integrity of the programs that they're hired to perform and the investments
• Any misconduct undermines the integrity of the programs that they're hired to perform and the investments

Bills: HF3489, HF3990, HF3825, HF3826, HF3827, HF3822

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• We set our schedules apart, right?
• Garcia, there's wider latitude within the Supreme Court to set salary schedules?
• One of the barriers to setting up our justice stations is finding safe.
• So it's key that they remain in our courthouse working for us as is currently set up.
• He has set up a very successful and innovative drug court program up in Rio Arriba.

Transcript Highlights:

• While this may not increase provisional ballots, it sets us up for nefarious actors to traffic in voters
• This is not election integrity. It's bureaucratic redundancy and chaos.
• And I think that's problematic in a number of ways, but particularly as it goes to election integrity
• This change in statute would help set that process in stone. Thank you. Thank you. So thank you.
• and in-person voting on a single election day with voter IDs, fundamental safeguards of election integrity

Bills: AB534, AB562, AB595, AB597, AB600, SB74, SB226, SB422, SB488

Keywords: election reform, voter accessibility, conditional ballots, voter registration, mechanical voting systems, election audits, voter access grants, provisional ballot, voting technology, AB562, Nevada, Secretary of State, elections, elections management system, HAVA, Help America Vote Act, automatic voter registration, AVR, election technology, state appropriations

Transcript Highlights:

• As well as on behalf of CWA Local 6154, which represents workers at Integral Care and Health.
• Integral Care and Harris Center are the local mental health and intellectual developmental disability
• Being on the autism spectrum, my current peer support set of specialist certification only allows me
• I have to sit and watch the panic set in.
• law enforcement. but that's not the current that's not i don't think that's the current way that is set

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• On the agenda for today, we have first up two sets of minutes to approve, similar to what we did Tuesday
• of lakes that there's a if there's a set of lakes that are<00:14:21.440> where<00:14:21.680><
• The other thing that is really important to this is that it's integral to the vehicle registration.
• important to this is that it's integral important to this is that it's integral to<00:29:49.760>
• > natural Setting the department of natural Setting the department of natural resources<00:36:

Bills: HF624

Keywords: HF624, Minnesota fishing law, game and fish, walleye stamp, walleye stamp validation, angling, angler, fishing lines, two lines, four lines, open water fishing, ice fishing, Department of Natural Resources, DNR, fishing regulations, fish harvest, conservation, Minnesota Statutes 97C.315, 1183, house

Transcript Highlights:

• He then referred to RSA 31:95-h, which sets up revolving funds.
• The statute also sets out a list of things the revolving fund can be used for.
• The statute also sets out a list of things the revolving fund can be used for.
• Serendipity, coincidence—I don't know—but that's the way I recall that setting up.
• <01:58:18.560> active really having an integrated active really having an integrated active

Keywords: 1191, senate, all

Transcript Highlights:

• Completion of the building is set for still September 1, so that we will move into that facility at the
• Completion of the building is set for still September 1, so that we will move into that facility at the
• And in doing so, we have an integrated waste-to-energy facility and solid waste management system in
• And in doing so, we have an integrated waste-to-energy facility and solid waste management system in
• uh waste manage waste energy integrated uh waste manage waste energy facility<00:37:48.800> and

Keywords: 1187, senate, all

Transcript Highlights:

• We set for all of our education partners.
• These provisions set clear expectations for our charter school partners.
• So, striking that from this statute just again provides some statutory integrity.
• Setting this date in statute would align with our plan.
• As you get set up, I want to welcome you to the committee.

Transcript Highlights:

• so I'm looking at page, for the record, looking at page three, lines 18 through 24, correct, which set
• <00:34:19.639> out<00:34:19.919> some<00:34:20.599> uh correct which set out
• in stone there's no you know to was set in stone there's no you know to try<01:16:12.920> to<
• 18 uh in order to protect the Integrity 18 uh in order to protect the Integrity of<01:16:35.400>
• cost of care fund which has criteria set cost of care fund which has criteria set out<01:21:54.600

Keywords: 928, house, all

Summary: The meeting covered two main items. First, the solid waste subcommittee reviewed draft language for HB 707, focusing on landfill siting and permitting standards. Members and the Department of Environmental Services discussed replacing repeated references to “aquifer” with “drinking water well,” clarifying that aquifer is a broad term, and considering whether a statutory definition was needed. They also debated the bill’s setback and time-of-travel provisions, including the 10^-5 standard, a 1,500-foot distance, and whether the bill should rely more on performance-based criteria than prescriptive distances. Another major topic was permit denial language tied to applicants with significant histories of repeated serious violations or landfill-related litigation; the department said it already has related authority in current rules, but noted some wording was still too vague and could be tightened. No vote was taken, and the chair closed the hearing with plans to continue work later. The second item was a work session on HB 424, which would direct the Department of Agriculture, Markets and Food to create forms for businesses to request information about service animals and establish a study committee on fraudulent or untrained service animals. Several members said the problem raised by the bill was real but expressed concern that the legislature may be limited by the federal Americans with Disabilities Act. Others argued that a study committee would likely not produce a workable solution and might conflict with leadership’s direction to avoid unnecessary study committees. Members discussed whether the bill should be retained, amended, or instead replaced with a letter or resolution to the federal delegation. The committee appeared to lean toward ITL and possibly pursuing a letter to federal officials, but no final vote is reflected in the transcript.

Transcript Highlights:

• So, this is a group a settings.
• All<00:31:34.320> set.<00:31:34.880> All<00:31:34.960> right.
• Any discussion on All set. All right.
• Do we all set on the PA contact? You guys ready to move on it? >> Sure.
• We simply are able to more seamlessly integrate those programs.

Keywords: 1191, senate, all

Transcript Highlights:

• And yet this bill is setting us back. It's also setting us back on human rights.
• And yet this bill is setting us back. It's also setting us back on human rights.
• And yet this bill is setting us back. It's also setting us back on human rights.
• And yet this bill is setting us back. It's also setting us back on human rights.
• And yet this bill is setting us back. It's also setting us back on human rights.

Keywords: 1183, house

Transcript Highlights:

• They set subract those rides.
• Uh and so we don't integrated modeling.
• setting. We have 30 patients enrolled. setting. We have 30 patients enrolled.
• <01:08:22.719> of We all follow a uniform set of We all follow a uniform set of guidelines
• Uh provide this in a homelike setting.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• We'll get you set up there. Good afternoon, Chair Roman and committee. I'm Bella Stockton.
• And so we were trying to just at least set a fair playing field to start.
• To give you a kind of feel for what's happening right now in community setting, years, owning my own
• Damien and his folks want, but I think it's better to start small, use that data set.
• This bill is not about measles specifically, but... ...This bill would set a bad precedent.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• May integrity govern each action, respect mark every conversation, and compassion shape every law.
• May integrity govern each action, respect mark every conversation, and compassion shape every law.
• May integrity govern each action, respect mark every conversation, and compassion shape every law.
• May integrity govern each action, respect mark every conversation, and compassion shape every law.
• And I just think we start setting these precedents, um, deadly dangerous precedents, that what we do

Keywords: 1136, house, all