Transcript Highlights:

• includes six distinguished schools, the School of Medicine, the School of Nursing, School of Health Professionals
• In the Permian Basin, the university has graduated more than 42,000 healthcare professionals.
• SMA is committed to enhancing the performance and professionalism of movers by promoting a safe and reliable
• We are privileged to have this university in HD 145 offering opportunities for academic growth, professional

Transcript Highlights:

• It ensures judicial oversight, protects surplus funds, and mandates independent professionals to handle
• After each hurricane, we engage in a robust educational campaign reminding lawyers of their professional
• We work with local professionalism panels to proactively look for lawyer misconduct.
• We have a professionalism workshop.

Summary: The Judiciary Committee met with a quorum present and Senator Thompson excused. The committee first considered Senate Bill 48 by Senator Garcia on judicial sales and procedures. Garcia explained a delete-all amendment that would create clearer statewide procedures for alternative judicial sales, increase transparency, remove bidding credits, extend sale timelines, and add oversight for auctioneers and escrow agents to prevent fraud and collusion. After no questions or opposition, the amendment was adopted, Senator Pasadoma said the rewrite addressed many of his concerns, and the committee then voted CS for SB 48 favorably with unanimous yes votes from members present. The committee then received a presentation from the Seminole County Sheriff’s Office on the effectiveness of Florida’s recent anti-squatting law, House Bill 621/SB 888. Presenters described several cases in which deputies used the new process to remove unlawful occupants, including a false landlord report, a long-term fake lease situation, and a more recent unlawful occupancy case. They said the law has helped protect property owners and potential victims, but suggested technical changes: clearer authorization for deputies to enter and use force if needed, and a fix to the affidavit penalty provision because false statements are currently being charged as false reports rather than perjury under the existing wording. The Florida Bar also presented on its role in regulating lawyers, lawyer advertising, and the unlicensed practice of law. Bar leaders explained that the Bar operates under the Florida Supreme Court’s authority, is funded by member fees, and handles complaints through a multi-step process involving intake, branch offices, grievance committees, referees, and final Supreme Court review. They described advertising review procedures, discipline statistics, consumer assistance, the Clients’ Security Fund, and enforcement against unlicensed practice. Senators asked about the Legislature’s authority over lawyer advertising, the prevalence of legal ads, the role of public members on grievance committees, and how those members are selected and used.

Transcript Highlights:

• Sabadosa relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional
• Licensure. ...relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional

Keywords: 995, all

Summary: The House convened, recited the Pledge of Allegiance, and first took up procedural matters. It suspended Joint Rule 12 to allow consideration of two petitions: one concerning the sale of nitrous oxides and another establishing a sick leave bank for a Suffolk County Sheriff's Office employee. The House also suspended Rule 7A to advance several bills reported by the Steering, Policy and Scheduling Committee. The bills ordered to a third reading included legislation protecting employees’ right to rebuttal of personnel records, and local bills waiving the maximum age requirement for two Boston police officer applicants and establishing Lobular Breast Cancer Awareness Day. The House then passed two bills to enactment: one authorizing Scituate to issue four additional on-premises liquor licenses and another amending the charter of Aquinnah. Later, the House engrossed a Hull parking fines bill and considered a Randolph charter bill. On motion, the Randolph bill was amended by substitution with a related bill addressing compensation for town council and school committee members and meetings of multiple-member bodies, and then passed to engrossment as amended. The session concluded with adjournment, with notice that the House would meet in informal session on Wednesday.

Transcript Highlights:

• of the House and Bergstrom of the Senate, an act relating to the State Board of Licensers for Professional
• The State Board of Licensers for Professional Engineers and Surveyors is an extension of their board.
• of the House and Bergstrom of the Senate, an act relating to the State Board of Licensers for Professional

Bills: HR1055, SB2170, SB1833, SB1198, HR1056, SB1730, SB563, SB1379, SB1645, SB2155, SB1280, SB1455, SB1456, SB1461, SB1457, SB1463, SB1465, SB1466, SB1344, SB1309, HR1054, SB2159, SB1948, HB1371, SB1365, SB1976, SB1975, SB2026, SB1565, SB1621, SB237, SB933, SB1427, SB1642, SB171, SB1873, SB2067, SB1623, SB1771, SB1805, SB1826, SB2072, SB444, SB2184, SB1966, SB1812, SB2117, SB2135, SB330, SB1239, SB1428, SB1531, SB1484, SB1405, SB3

Keywords: Oklahoma Agriculture Day, agriculture, farmers, ranchers, agribusiness, food production, wheat, cattle, beef, dairy, soybeans, cotton, poultry, pork, rye, rural economy, urban-rural, trade, commodity production, Oklahoma Department of Agriculture

Transcript Highlights:

• the last couple of months, and I want to say again to OMMA, the inspectors are so respectful, professional
• part of an embargo a little while ago, and even the investigators who came in were incredible, professional
• So I really appreciate the professionalism. Of your staff.

Keywords: 914, all

Transcript Highlights:

• There's a lot of people practicing without a professional license, and the penalties should be stricter
• As this bill continues to evolve, I am working with the Office of Financial Regulation, Senate professional
• stakeholders to fully develop the appropriate policy. ...with the Office of Financial Regulation, Senate professional

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard and reported favorably several bills. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; Senator Sharif asked about restitution for victims, and the sponsor said the bill does not create a reimbursement mechanism. CS/SB 576 would create a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing support, grant access, and data-sharing requirements; local government and cybersecurity groups waived in support. CS/SB 1078 would establish transition procedures between gubernatorial administrations, including liaisons, briefing books, office space, IT access, and access to agency records under a signed confidentiality agreement. The committee also reported favorably CS/SB 314 on payment stablecoin issuers, CS/SB 530 updating lottery operations and security rules, CS/SB 1614 giving JAC/LAC-related audit findings more enforcement effect for local governments seeking state funds, SB 990 authorizing protective cell captive insurance companies, SB 1588 beginning implementation of the prior gold-and-silver legal tender law, CS/SB 1440 adding cybersecurity-related exemptions and reporting provisions for financial institutions, and CS/SB 1568 creating a stablecoin pilot program for DFS fee payments. Several bills had support testimony from state agencies and industry groups, and some included technical or guardrail amendments that were adopted without objection. The committee also received a budget overview highlighting major funding items, including more than $350 million for Florida Forever, $738 million for Everglades restoration, more than $500 million for water quality projects outside the Everglades, $60 million for Farmers Feeding Florida, and more than $250 million for citrus recovery. Members asked questions about school lunch funding, state park improvements, land acquisition, water quality funding, gaming enforcement offices, and staffing for PERC. After the bills and budget discussion, members recorded a few affirmative votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• have submitted to the Senator to be considered for addition that would allow for the banking of professional
• For example, if I earn 40 hours of professional learning in a year that are aligned with the Florida
• consideration for language to be added that would allow us to bank some of those hours for one cycle of professional

Summary: The committee heard and advanced several education-related measures. CS/SB 1062 on speech and debate, sponsored by Senator Brodeur, was amended with a delete-all and rewritten to create a Speech and Debate Hall of Fame, designate Florida Speech and Debate Week, authorize a teacher endorsement and FLVS institute, direct statewide coursework and credentials, and require annual district reporting. Supporters, including parents, the Florida Debate Initiative, and school representatives, praised the bill’s funding and statewide expansion of debate opportunities. The committee adopted the amendment and reported the bill favorably. The committee also heard and reported favorably SB 1718 on educator preparation and certification, which aims to reduce administrative delays for initial certification and reinstatement while maintaining standards; an Orange County school administrator suggested adding language to allow educators to bank professional learning hours. SB 1646 on educational facilities was presented as revising the funding formula and priorities for school capital projects, with added attention to safety, maintenance, and planning, and it was reported favorably. CS/SB 564 on student volunteers at polling locations was amended to clarify that pre-registered or registered high school students may volunteer at polling places and count the hours toward graduation or postsecondary financial aid; election officials and civic groups supported the bill, and it was reported favorably. SB 1340 on coordinated screening and progress monitoring was also reported favorably. It requires school districts to screen students for characteristics of dyslexia and dyscalculia, place identified students on support plans, and use evidence-based interventions, with the sponsor emphasizing early identification and intervention. The committee then recommended confirmation of Laila Collins to the State Board of Education, and the meeting concluded after a birthday recognition and adjournment.

Transcript Highlights:

• Department requires supplemental funding to ensure it can continue to properly regulate businesses and professionals
• licensing compact during the next legislative session in order to increase access to healthcare professionals
• Fund to allow for grants to health care providers and facilities in high-needs geographic health professional

Transcript Highlights:

• One of TES's core strengths lies in its ability to deliver high-quality, hands-on professional education
• On a daily basis, these professionals put their lives in immediate danger, which causes additional stress
• employed as a firefighter for the City of Arlington and on the executive board of the Arlington Professional

Transcript Highlights:

• program in Cameron County, administered by the Texas Workforce Commission, to provide six weeks of professional
• development in essential workplace skills such as professional ethics and etiquette, time management
• disabilities who don't quite qualify for those services, but still need some job skills support like professional

Bills: HB322, HB331, HB673, HB 1147, HB 1154, HB2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• Since its inception, NYFA Texas has championed the interest of financial professionals, provided valuable
• 1,300 members and ten local... ...across the state, NYFA Texas plays a vital role in promoting professional
• Greater Austin Hispanic Chamber of Commerce and the 2023 Legacy Leader Award from the Young Hispanic Professional

Keywords: 1184, house, all

Transcript Highlights:

• We see the great need for protection of ethical medicine and the conscience of health care professionals
• We see the great need for protection of ethical medicine and the conscience of health care professionals
• conscience of Health Care Professionals conscience of Health Care Professionals and<00:05:10.280
• students in fear of professionals students in fear of speaking<00:05:39.120> up<00:05:39.919>
• I am an educated, middle-class professional mom to three boys.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• President, why is Service Oklahoma being considered the conduit for this specific professional license
• So are there any other select agencies whose professional licenses are currently housed under Service
• And it removes the ability of professionals, caseworkers, doctors, judges... ...professionals, caseworkers
• And so now we're having to consider foreign-trained professionals.
• And this goes with every health care... ...professionals.

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Summary: The Senate began with a quorum call, gallery introductions, and extended farewell remarks from Senator Jett, who reflected on his six years in the Legislature, his focus on representing constituents, protecting families, and holding government accountable. Several senators responded with personal tributes, praising his conviction, faith, family involvement, and willingness to ask difficult questions. No votes were taken during the farewell portion. The chamber then considered House Bill 2268, a PACE appropriation to support comprehensive care for low-income seniors and expand services in rural Oklahoma. The bill was amended to restore the title, advanced, and passed 34-9, then passed as an emergency measure 36-7. House Bill 3000, a cosmetology and barbering measure, made multiple changes including board reorganization, adding a human trafficking specialist and massage therapist, shifting some licensing functions to Service Oklahoma, and eliminating the massage therapy advisory board. It drew significant debate over process and policy, especially from senators concerned about late changes, lack of board input, and the human trafficking rationale; it passed 25-19 and then as an emergency 33-11. The Senate also passed House Bill 3043, allowing the Oklahoma Department of Veterans Affairs to hire prorated seasonal staff for veterans homes, 37-6; House Bill 3066, creating a revolving fund for federal workforce training money for behavioral health recruitment and retention, 38-6 and as an emergency; and House Bill 3078, allowing donation options on state payment forms for the ODVA revolving fund, 45-0 and as an emergency. Additional measures passed included House Bill 3143, extending the moratorium on new medical marijuana business licenses to 2028, 39-7; House Bill 3144, capping medical marijuana commercial grower licenses at 2,550 after amendment, 34-12; House Bill 3244 on identity theft, 46-0; House Bill 3298 on child interview procedures in court cases, 46-0 and as an emergency; House Bill 3320, replacing the traditional sunset process with more immediate legislative review of agencies, 33-13 and as an emergency; House Bill 3321, requiring county data collection and reporting related to court costs and financial obligations, 45-0 and as an emergency; House Bill 3329, a trailer bill adding a repealer and a sunset for the Board of Psychological Examiners, 33-10 and as an emergency; House Bill 3431, expanding restrictions on foreign entities owning or leasing land and critical minerals, 43-0; House Bill 3464, setting safety and training requirements for certain projects involving fire code compliance and decommissioning, 43-0 and as an emergency; and House Bill 3499, expanding special judges’ authority over vehicle title orders, which was presented and advanced as the transcript ended.

Transcript Highlights:

• require coverage without cost sharing for items listed on the immunization schedules of certain professional
• Sections seven and eight modify mental health professional affiliation and supervision limits and require
• Um, regarding this paragraph, I guess I would want to get confirmation from medical professionals that
• <00:44:54.240> that<00:44:54.440> this um, medical professionals that this um, medical
• professionals that this doesn't<00:44:55.040> have<00:44:55.320> some doesn't have some

Keywords: 1187, senate, all

Transcript Highlights:

• I'm a wife, a mom of four, grandma of five, a health care professional for 42 years, and a constituent
• We have fewer mental health clinicians and professionals who are able to work with our students, and
• Over the past few decades, our role is... ...professionals in our schools.
• program with an aggressive effort indicating that traits such as objectivity, sense of urgency, professional
• But that's why I love professional sports. There's no DEI in professional sports.

Bills: S0092, S0110, S0192, S0212, S0260, S0350, S0394, S0422, S0434, S0442, S0484, S0546, S0556, S0684, S0696, S0706, S0748, S0786, S0820, S0824, S0838, S0840, S0848, S0856, S0962, S1000, S1014, S1036, S1050, S1054, S1080, S1118, S1134, S1338, S1480, S1500, S1506, S1622, S1724

Keywords: employee protections, whistleblower, retaliation, public trust, ethics complaint, Commission on Ethics, Public Employees Relations Commission, public employee, local government attorney, public officer, adverse personnel action, protected disclosure, whistleblower retaliation, state agency, independent contractor, public employment, civil service, reinstatement, back pay, front pay

Summary: The Committee on Rules met with a quorum and considered a long agenda of bills, many of them retained from the prior week. The most debated measure was CS for SB 706, which would preempt naming of major commercial service airports to the state and designate Palm Beach International Airport as the Donald J. Trump International Airport, subject to FAA approval and a trademark agreement. Amendments were offered and rejected, including proposals to prevent private financial benefit from the naming. Several senators spoke in opposition, citing concerns about naming an airport after a sitting president, lack of local input, and the trademark/licensing arrangement; supporters argued there was no cost to the airport and that the bill simply set a state naming policy. The committee reported the bill favorably after a roll call vote. The committee also reported favorably CS for SB 546 on conservation land notice requirements, CS for CS for SB 1014 on municipal utility service to properties outside city limits, CS for SB 1500 on uncontested probate proceedings, SB 962 on excluding farms from certain zoning definitions, and CS for SB 820 on problem-solving court reporting requirements. The committee then approved several bills from Senator DiCeglie and Senator Arrington. SB 840, addressing land-use regulations for local governments affected by natural disasters, was supported by local-government and environmental advocates who said it would restore local control after SB 180’s hurricane-related restrictions; the sponsor said it was intended to correct unintended consequences of last year’s law. CS for SB 856, requiring online listing platforms to show estimated ad valorem taxes on residential listings, was amended to exclude social media platforms and broaden liability protections; the sponsor and a county property appraiser described it as a consumer-transparency measure. CS for SB 110, clarifying homestead exemption treatment for long-term leases that end at death, was also reported favorably. The committee took up a controversial strike-all amendment to SB 212, which focused on public swimming pools and added residency and related restrictions for certain sex offenders and offenders on community control or probation. The amendment drew strong opposition from advocates and affected families, who argued it would worsen homelessness, impose broad geographic restrictions, and lack evidence of improving child safety; supporters said it was a targeted public-safety measure. Despite the objections, the committee reported the bill favorably. The committee also approved SB 684 on electronic signatures for total-loss vehicle and vessel titles, SB 394 on reinsurance intermediary managers, SB 434 on property tax assessment treatment for wind-hardening improvements, CS for CS for SBs 658 and 608 on water-safety requirements for rental properties with pools or nearby water, SB 748 on adding voting-rights restoration information to sentencing score sheets, and CS for SB 824 requiring school districts to inventory unimproved real property. The meeting ended while the committee was beginning SB 848 on stormwater treatment, with an amendment being introduced as the transcript cut off.

Transcript Highlights:

• So when I’m not here, I’m at the school, and there are a lot of professionals like that in education
• and there are a lot of professionals and there are a lot of professionals like<00:52:29.880> that<
• support that we’re seeing in some of these from the Sheriff’s Association to MPPA as well as the Professional
• support that we’re seeing in some of these from the Sheriff’s Association to MPPA as well as the Professional
• what would it look like professionals what would it look like for<01:17:52.000> our<01:17:52.199

Bills: HF550, HF412, HF796, HF140

Keywords: redistricting, Bipartisan Commission, Minnesota Constitution, census, legislative districts, HF412, Minnesota legislature, education committee, K-12 education, school observation, teacher observation, administrator observation, legislative transparency, legislator accountability, House rules, Senate rules, Legislative Reference Library, public reporting, education finance, education policy

Transcript Highlights:

• Numerous barriers were successfully addressed, and the injured worker returned to work as a PA professional
• Numerous barriers were successfully addressed, and the injured worker returned to work as a PA professional
• um it's essentially the professionals um it's essentially the consultation<00:31:12.320> arm<
• We regulate professional boxing and professional and amateur mixed martial arts, and we also have some
• We regulate professional boxing and professional and amateur mixed martial arts, and we also have some

Keywords: 1187, senate, all

Summary: The committee met under a new Senate power-sharing arrangement with co-chairs, began with member and staff introductions, and then received a jurisdiction overview from Senate counsel. The overview explained that the Labor Committee’s jurisdiction has not changed from the previous biennium and covers fair labor standards, minimum wage, workers’ compensation, occupational safety and health, and related agencies and boards such as the Department of Labor and Industry, Bureau of Mediation Services, PERB, and the Workers’ Compensation Court of Appeals. It also noted that some topics, including paid leave, fall under other committees, while earned sick and safe time remains within Labor and Industry jurisdiction. Commissioner Nicole Blissenbach and Josiah Moore then gave a detailed Department of Labor and Industry presentation. They reviewed the department’s funding sources, emphasizing that workers’ compensation funds and construction codes/licensing revenues make up most of the budget, while the general fund is a small share. They described the department’s major divisions, including workers’ compensation, construction codes and licensing, labor standards, nursing home workforce standards, and OSHA consultation and compliance, and highlighted practical examples of their work. Examples included return-to-work assistance for an injured worker, compliance training that reduced penalties for self-insurers and claim administrators, and use of the Special Compensation Fund when an employer lacked workers’ compensation insurance. The labor standards section highlighted enforcement actions involving unpaid overtime, pregnancy and parental leave retaliation, wage deductions, and child labor violations, along with totals for 2024 collections and inquiries. The presentation also noted the Nursing Home Workforce Standards Board’s adopted rules, the expansion of construction licensing exams statewide, and OSHA consultation programs such as Min-SHARP and MINSTAR, including a Minnesota employer that recently achieved MINSTAR status. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• SB 456, Ashby, for the Business and Professionals Committee to the Arts and Entertainment, Sports and
• Tourism Committee, and then back to Business and Professionals Committee.

Keywords: 988, house, all

Transcript Highlights:

• Serving these kids is complex and requires a team of professionals. settings.
• <00:36:18.720> that going to have and the professionals that going to have and the professionals
• But this gives flexibility to the licensed mental health professionals to determine which services are
• professionals? Miss Pratzky. professionals? Miss Pratzky.
• That should count for something when we are asking qualified professionals to come to Minnesota.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• <00:03:51.440> services non-fysician professional services non-fysician professional services
• <00:05:00.479> services,<00:05:01.280> which<00:05:01.520> they professional services
• , which they professional services, which they currently<00:05:02.400> do<00:05:02.639> not
• And then hopefully we have the mental health professionals right there to help with that child.
• have the mental health professionals have the mental health professionals right<00:40:03.119>

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.