Transcript Highlights:

• <00:03:53.840> hospital delivered through qualifying hospital delivered through qualifying
• the qualifying hospitals to receive<00:04:57.919> enhanced<00:04:58.639> Medicaid<00:04
• Elizabeth Healthcare has the only inpatient facilities in the three northernmost counties in Kentucky
• only inpatient facilities in the three<00:08:31.759> northernmost<00:08:32.560> counties
• > health<01:26:27.679> center are a federally qualified health center are a federally qualified

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.

Transcript Highlights:

• Little Learners has three small sites, two locations that share campuses with nursing home facilities
• We don't want to get back to the point where we can't afford to hire qualified staff and instead feel
• where we can't afford to hire qualified where we can't afford to hire qualified staff<00:57:27.599
• True prevention comes from investing in qualified staff, maintaining strong ratios, creating teacher
• , maintaining strong qualified staff, maintaining strong ratios,<01:08:03.440> creating<01:08:

Bills: HF2436

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, 1183, house

Transcript Highlights:

• You know, but the behavioral health facilities need the Medicaid patients, and the Medicaid patients
• We are proud to have our research and development facility in Waltham, Massachusetts.
• Is there a requirement for accreditation in that respect, to have met certain facilities, or does that
• We have the facilities, and we have the people who can do it.
• I'm here today with Maria Shelley, 24 federally qualified health centers in the Commonwealth.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• We're embedded within the facilities across our state and directly linking our work to reentry, which
• And again, when we look at our BFET students, they also qualify for SNAP.
• And again, these, when we look at our BFET students, they also qualify for SNAP.
• Is that only for programs that don't qualify for federal and state financial aid, or is it broader than
• I mean, presumably the answer is it qualifies at the program level rather than at the student level.

Summary: The committee held a work session on the state of Washington’s community and technical college system with State Board executive director Nate Humphrey and Tacoma Community College president Ivan Harrell. They described the system’s open-access mission, 34 colleges serving more than 307,000 students, relatively low tuition, enrollment growth over 12 consecutive quarters, and strong outcomes such as more than 46,000 credentials awarded last year. They also highlighted system initiatives including guided pathways, I-BEST, dual enrollment, tribal partnerships, a new program search tool, and six colleges named Aspen Prize finalists. At the same time, they emphasized major challenges: high rates of student food, housing, and homelessness insecurity; sharply rising emergency aid requests; and federal funding disruptions affecting TANF, BFET, adult basic education, Carl Perkins, NOAA-related tribal work, and several federal grants. Members asked about SNAP impacts, declining high school graduates, and how BFET and TANF interact with other aid programs. The presenters also discussed system priorities such as AI, Workforce Pell, capital planning, nursing accreditation alignment, and the Washington College Grant. The committee then heard testimony from AFT Washington and the Washington Association of Higher Education on faculty and staff conditions in the community and technical college system. Jackie Kane and Suzanne Sutherland argued that classified staff, professional staff, and contingent faculty are essential to student success but face low pay, instability, and weak retention, and they urged lawmakers to protect existing funding and avoid further cuts. They said working conditions for faculty and staff are student learning conditions, and that underfunding leads to reduced services, shortened advising, and program instability. Marina Parr of the Workforce Board presented on federal H.R. 1’s new Workforce Pell provisions and the updated Career Bridge website. She explained that Workforce Pell would allow federal aid for short-term training programs of 8 to 15 weeks, with high completion, employment, and earnings thresholds and a requirement that credentials be stackable and portable. She said Washington is well positioned to implement the program because of its existing eligible training provider evaluation system and Career Bridge, which now has a redesigned public portal, digital portfolios, multilingual access, and performance data on programs. Members asked about rulemaking, possible gaps in state services, and how the wage and completion standards would be applied. The Washington Student Achievement Council then briefed the committee on the new Washington Completes FAFSA campaign created by executive order. Staff described an advisory board with statewide representation, a pilot that used microgrants and other supports at 25 priority schools, and a new goal of 46,000 FAFSA or WASFA completions this year. They reported that completion rates were tracking slightly ahead of last year, with 24% of high school seniors having completed a FAFSA by the end of November, and they showcased a public dashboard with subgroup data and a WIAA-based leaderboard. Members asked about outreach to rural and homeschool students, legislative communications, Pierce County representation, and barriers to FAFSA completion, and staff said they would provide toolkits and continue expanding outreach. The committee then began hearing from student presenters about affordability, access, equity, and student experience.

Transcript Highlights:

• I'm assuming that's how you qualify for this scholarship.
• I'm assuming that's how you qualify for this scholarship.
• in Waypoint that would qualify in Waypoint that would qualify for<01:16:09.639> under<01:
• applications like for nursing facility applications like for nursing facility long-term<03:45:50.239
• <03:48:47.720> um stakeholders nursing facilities um stakeholders nursing facilities um helping

Keywords: 928, house, all

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.

Transcript Highlights:

• last few years, but just the work that we... ...do often requires some pretty uniquely skilled and qualified
• If we get a huge influx of additional facilities that want to jump over to state inspection, or one of
• We look at qualified applicants, those folks go through the interview process and then are able to join
• So going out to Businesses and recording those and letting students virtually tour facilities, whether
• Follow up: so do we have the jobs for them to be—I mean, they see what they're qualified for.

Summary: The meeting began with a budget presentation from the Oklahoma Department of Agriculture, Food and Forestry. Secretary Blaine Arthur and Deputy Commissioner Jan Lee described the agency’s divisions and recent efforts to improve efficiency, including expanded online licensing, electronic veterinary inspection certificates, and a new laboratory information system. They highlighted youth and workforce programs, local food initiatives for schools, market development efforts, and ongoing animal health concerns such as avian influenza, equine herpesvirus, and the threat of New World screwworm. They also discussed staffing, turnover, and uncertainty around federal cooperative agreement funding, while noting they were not requesting new or additional appropriations for the upcoming fiscal year. Members asked about meat inspection staffing, the use of one-time forestry firefighting funds, biosecurity and national security coordination, and agency staffing levels. The department said meat inspection was currently in good shape but dependent on federal funding stability, and explained that prior firefighting dollars had been used for equipment purchases. They also said they work with state and federal partners, including DHS and FBI, on threat preparedness and have reduced turnover by adjusting salaries and maintaining staffing at or below prior levels. The Oklahoma Conservation Commission then presented its budget and program overview. Staff described the agency’s long history and current work in water quality, flood control, soil health, unpaved roads, wetlands, and woody species control, especially eastern red cedar removal. They emphasized data-driven, voluntary conservation practices, citing stream cleanups, flood-control dam benefits, pond cleanouts during drought, and the Cherry-Peach watershed project as examples of programs that improve water resources and reduce wildfire risk. The agency said its workload has grown significantly and requested funding for critical dam repairs, local conservation district staffing, continued unpaved roads work, and expansion of woody species control statewide. Members asked about county matching for road and dam projects, who to contact about flooding roads, sediment removal from pond cleanouts, and the effectiveness of county training programs. Commission staff explained that county in-kind work can count as match, local conservation districts are the first point of contact, and the road training has produced measurable savings and better maintenance practices. They also clarified that “high hazard” dams are those where failure could threaten people or infrastructure downstream, not necessarily dams that are structurally failing.

Transcript Highlights:

• Senate and also accept the Red Lake exemption and the Max language that excluded or mentions parking facilities
• are not included that parking facilities are not included and<00:05:01.919> that<00:05:02.880
• And if you have, then you're no longer qualified.
• Those are two changes longer qualified.
• then qualify for a homestead credit.

Keywords: 1187, senate, all

Transcript Highlights:

• reality is uh there are facilities reality is uh there are facilities licenses<01:08:43.199>
• facility.
• . facility.
• to actually own the facility?
• No, I'm thinking about the facility?

Keywords: 1189, house, all

Transcript Highlights:

• Economic Development projects including the Bell Textron expansion of a new aircraft manufacturing facility
• AD 4480 by Wally relating to the authority of certain healthcare facilities to cooperate with officers
• Committee on Trade, Workforce and Economic Development, HB 4563 by Florida. allowing a therapy or facility
• H.U. 4815 by Curtis, Relating the Liability of Owners and Operators for Certain Sources of Facilities
• Oil and Gas Waste Disposal Facilities for the Committee on Energy Resources.

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• Creek facility.
• We are at capacity practically with our current facility.
• We are at capacity practically with our current facility. This new facility.
• We are at capacity, practically, with our current facility and the annex facility that the agency received
• Over 50 of those locations are in VA facilities, and then the remainder are in county facilities, also

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• It assures that health care facilities It assures that health care facilities can<00:29:57.120><
• ,<00:32:21.200> including around health care facilities, including around health care facilities
• exiting a facility was actually harmed. exiting a facility was actually harmed.
• nine was afraid to enter the facility nine was afraid to enter the facility because<00:42:38.840
• for an ACT discharge would qualify for an ACT order.<01:18:47.120> Yeah.

Keywords: 912, senate, all

Summary: The committee first took up gubernatorial message nominations. Margaret Jackson was heard for reappointment to the State Council on Mental Health, where she said her lived experience with family members facing schizophrenia, houselessness, and substance use issues motivates her service. Andrew Savaiano was heard for the Juvenile Justice State Advisory Council and said he wanted to continue elevating youth voice and lived experience. Tao Yan was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and emphasized the importance of wastewater treatment to public health and the environment. The Department of Health testified in support of the nominations, and the committee later adopted chair recommendations to advise and consent to all three nominations, noting Senator Favela’s excuse and no recorded objections. The committee then heard HB 1853 relating to dementia. Testimony was overwhelmingly in support from state agencies, advocacy groups, caregivers, and individuals with lived experience, including a person living with Alzheimer’s and his caregiver spouse, who described the value of early diagnosis and coordinated support. Supporters said the bill would expand memory care navigation and access, especially on neighbor islands and in rural areas, and help families connect to resources earlier. One member raised concerns about the cost and scale of the proposed program, asking about the number and cost of dementia specialists and noting broader budget pressures, but the bill remained under discussion with no final action shown in the transcript. The committee also heard HB 1591 relating to health care, which would expand the preceptor tax credit to additional health professions, including physician assistant students and PAs, with testimony in support from nursing, public health, medical, and provider organizations. Supporters argued the measure would help address workforce shortages and improve training opportunities for local and economically disadvantaged students. A committee member asked about the aggregate cost of the credit and whether the existing credit had been fully utilized; the chair noted the bill was being kept narrower than broader proposals because of fiscal concerns. The transcript then moved to HB 1961 relating to health care access near facilities, with supporters arguing it protects access to legal reproductive health care and opponents saying it is unnecessary, vague, and burdensome on free speech and protest activity. No final vote on the bills appears in the excerpt provided.

Transcript Highlights:

• These facilities generate both electricity and the associated environmental benefits, and buyers consider
• These facilities generate both electricity and the associated environmental benefits, and buyers consider
• Together, those facilities support emergency rescue, medical transport, law enforcement, fire response
• Together, those facilities support emergency rescue, medical transport, law enforcement, fire response
• The amendments exempt half of the value of disabled veterans' homes for those who do not qualify as low

Keywords: 988, house, all

Transcript Highlights:

• Um, and are very explicit as who's qualified to deliver them, what they mean, and... Yeah.
• Um, and are very explicit as who's qualified to deliver them, what they mean, and... Yeah.
• Um, and are very explicit as who's qualified to deliver them, what they mean, and... Yeah.
• Um, and are very explicit as who's qualified to deliver them, what they mean, and... Yeah.
• This qualifies them for a specialized form of Medicaid, HCCSD Medicaid.

Keywords: 1189, house, all

Transcript Highlights:

• facilities. Is that correct? facilities. Is that correct?
• them were qualified for the position. them were qualified for the position.
• If I could have in these facilities.
• We're doing our first facility audit. We have a facility audit scheduled for every month this year.
• now. >> facilities now.

Keywords: 910, house, all

Transcript Highlights:

• Thinking the heart of this bill is inhumane dumping of humans in front of closed facilities, and it's
• <00:33:32.280> person, to send another qualified person, to send another qualified person,
• and makes for better uh qual- qualifies and makes for better medical<00:39:28.359> access.
• Oftentimes these cases involve people who are coming from another facility.
• Oftentimes these cases involve people who are coming from another facility.

Keywords: 1189, house, all

Transcript Highlights:

• Compensatory mitigation, dredged material, and facility.
• Grace Place, a women's health facility.
• Speaker, gentlemen, do those facilities serve? Ms.
• I did that for years on a sidewalk outside of a Planned Parenthood facility in one of the busiest facilities
• Submitted to Superfund sites, risk management plan facilities, treatment storage disposal facilities,

Transcript Highlights:

• after extensive hearings and facilities after extensive hearings and fact<00:35:52.319> finding
• letter approving that they are a qualified patient.
• <01:08:44.920> letter the physician qualifying letter the physician qualifying letter approving
• approving that they're a qualified approving that they're a qualified patient<01:08:47.920> thank
• <01:15:10.040> the issue physician letters that qualify the issue physician letters that qualify

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• This is state health plan for facilities This is state health plan for facilities and<00:04:08.640
• Senator Berg. to pack, cut, can freeze facilities, to pack, cut, can freeze facilities, something<00:
• , four trauma facility, four trauma facility, which<00:36:23.520> by<00:36:23.680> the<
• which by the way includes a qualified which by the way includes a qualified mid-level<00:36:28.160
• And depending on the facility, 30 to 45 minutes on-site time depending on how remote the facility is.

Keywords: 958, all

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

Transcript Highlights:

• This bill will move the existing requirements for qualified autism service providers, qualified autism
• service professionals, and qualified autism service paraprofessionals from the Health and Safety Code
• Under current statute, behavior analysts, qualified autism service paraprofessionals, and qualified autism
• Doing so would ensure fair recognition of qualified professionals and provide greater choice for both
• Our union members work in licensed, regulated facilities.

Summary: The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health. The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection. Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations. The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.

Transcript Highlights:

• A Income-qualified utility customers.
• Income-qualified utility bill. G.
• Income-qualified utility customer has the meaning set forth in section 40-3-106(1)(d). H.
• Sites and facilities be repealed because Rule 18.2.7 exceeds the commission's rulemaking authority and
• Um, so, uh, this bill has been narrowed down to maintain the detention facility in inspections.

Keywords: 981, all