Transcript Highlights:

• Washington's expanded behavioral supports, or EBS program, and the EBS Plus program were the first or
• the second state program that BHS began working with.
• A very exciting program. I appreciate the update.
• We've been working to grow that program throughout the state. Thank you.
• General overview of health care price transparency programs that exist.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Yeah, the program continues to expand. Again, it's a proven success.
• to other communities across southeast Minnesota. program.
• Uh, program. It's win for our community.
• Senator, we know the program workforce.
• Yeah, the program in the future?

Keywords: 1187, senate, all

Transcript Highlights:

• bill continues funding for the program. bill continues funding for the program.
• programs. I urge my colleagues, Mr. programs. I urge my colleagues, Mr.
• program.
• program.
• programs every three years. programs every three years.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 3, 2026, 1012, house, all

Transcript Highlights:

• They help the state Medicaid program administer the Medicaid program itself.
• It's the Medicaid program and in HHS they have the Medicaid program but they also have the program of
• It's the Medicaid program and in HHS they have the Medicaid program but they also have the program of
• :21.280> unit<00:20:21.760> is unit. program program integrity unit is unit. program program
• the overall program. the overall program.

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• <01:15:26.480> Uh in this two issue waiver program. Uh in this two issue waiver program.

Keywords: 958, all

Summary: The House convened with an invocation and the Pledge of Allegiance, then established a quorum with 96 members present. The chamber excused absent members, suspended rules to allow bill and resolution co-sponsorship and vote modifications, approved the previous day’s journal, and received Senate messages announcing passage of Senate Bills 101, 129, 162, and 170. The clerk then reported second-reading bills and favorable committee reports, which were ordered to first reading and placed on the calendar. The House then took up several bills on third reading. House Bill 521, relating to stalking, was presented as a modernization of Kentucky’s stalking laws and passed 95-0 after debate; a motion to reconsider was tabled. House Bill 220, relating to pension spiking in the Kentucky Public Pensions Authority systems, was amended by House floor amendment 1 to move the effective date back to July 1, 2021 to capture additional employees, then passed 95-0 and the clincher was applied. House Bill 510, relating to organ donation safety, passed 97-0 after explanation that it would require a pause and restart if anyone in the process believed there were indications of life. House Bill 467, relating to real property, passed 96-0 after adoption of a committee substitute; it creates a process for local governments to identify abandoned or underutilized state-owned property and sets procedures for review, notice, and disposal. House Bill 190, relating to licensed child care centers, passed 96-0 after a committee substitute that adjusts square-footage calculations for certain school-aged child care areas and excludes infants and toddlers. House Bill 141, relating to type 1 diabetes, passed 96-0 after a committee substitute removed an annual distribution requirement and instead made informational materials available in school offices; members spoke in support, including one describing a family experience with the disease. House Bill 518, relating to collection of local business taxes and fees, passed 91-3 after a committee substitute that allows electronic filing while preserving local control, creates an advisory committee, and phases in implementation through July 2029. House Bill 497, relating to post-secondary tuition waivers, was explained as addressing waiver costs to universities and was amended with House floor amendment 3 to expand and clarify eligibility, including up to 128 hours for eligible students and additional provisions for certain groups; discussion was underway when the transcript ended. The meeting also included committee reports on bills covering wildlife depredation, light pollution, limited commercial driver’s licenses, prison educational programs, civil rights, respiratory care, dietitians, temporary structures, controlled substances prescribing authority, the Athletic Trainer Compact, children of military families, local boards of education, youth health services, and class sizes for exceptional children and youth.

Transcript Highlights:

• Open Enrollment Program indexing.
• So it's just current programs with this bill going forward.
• So, taking those programs... And that's the base year going forward.
• But was that because we didn't give the amount of dollars to the program, or was that because the program
• All right. ...funding for the state disaster assistance program. All right.

Keywords: 970, all

Transcript Highlights:

• The examples of this are are nursing program.
• One goal is to continue to work with the College out Science program in nursing programs to ensure continued
• We have a huge and strong worker workforce program here at the college and is not a program that we need
• Lastly, I want to see expanding the nursing program.
• It's higher education programs.

Keywords: 999, senate, all

Transcript Highlights:

• such as the Hawaiian Homes land loans program and the Native Hawaiian housing loan guarantee program
• such as the Hawaiian Homes land loans program and the Native Hawaiian housing loan guarantee program
• not consistent with their program not consistent with their program objectives<00:05:17.000>
• <00:05:24.319> program with their program program with their program program objectives<00
• <00:08:49.560> to going to use the state's program to going to use the state's program to

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 834, which would change restrictions on transfers of real property under chapter 201H, HRS, and was discussed in the context of Hawaiian homelands and HHFDC-funded projects. Supporters, including HHFDC, DHHL, and individual testifiers, said the bill would clarify that Hawaiian homelands should not be subject to the 201H buyback and appreciation restrictions, while preserving affordability requirements tied to federal mortgage and tax credit programs. HHFDC explained that the main concern was the buyback/share-appreciation provisions, especially for DHHL projects using LIHTC or similar financing, and said aligning the statute with DHHL’s program goals would not be a problem. Members questioned whether removing the restrictions could weaken affordability protections, and whether the state could still prioritize beneficiaries and workforce housing, but no vote was taken in the portion provided. The committee then took up SB 759, which would add the DHHL chairperson or designee to the HHFDC board of directors and adjust quorum requirements. DHHL and several supporters argued the measure would give Hawaiian Homes a seat at the table, improve access to HHFDC funding sources such as tax credits, private activity bonds, and revolving funds, and help leverage limited resources to reduce the Hawaiian Homes waitlist. One testifier supported the bill but urged safeguards to prevent favoritism or abuse of power, and another raised concerns about whether a DHHL representative would need to recuse from voting on projects involving DHHL. HHFDC testified that DHHL projects still must compete under the same criteria and set-asides as other applicants, and that the board already includes multiple public and executive representatives. Members pressed on whether DHHL could achieve the same informational goals without a voting seat, and whether the added board role would create leverage or conflicts. The DHHL witness said a nonvoting role could provide information, but a voting seat would be more useful for decision-making and advocacy. The discussion also covered DHHL’s use of LIHTC, rent-to-own models, transitional housing, and other layered financing, as well as the broader need to coordinate state housing resources. The transcript ends during continued questioning, with no final committee action or vote shown.

Transcript Highlights:

• So starting on page one of the Trustee Program. **KJ Curtis**: ...the Trustee Program.
• **Toby**: ...this program for many years.
• At the beginning of this program, I think...
• So that happened early in the program.
• So that happened early in the program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So, the particular money for this program is appropriated Just for to fund that position.
• Would you agree that when we Talk about the rural fire programs that they seek grant money for programs
• Would you also agree that just this past year, $13 million for a cabin chassis program that was going
• enroll into the equivalent sleep program.
• , I was hoping we could get the funding to expand those programs to get more inmates through the program

Bills: HB2993, HB3850, HB3595, HB3763, HB3760

Keywords: rural law enforcement, grant fund, public safety, financial assistance, coordination districts, grant funding, law enforcement coordinators, municipal assistance, education, inmates, literacy, high school equivalency, Department of Corrections, parole, rehabilitation, law enforcement, mandatory training, mental health, domestic violence, peace officer certification

Transcript Highlights:

• , our non-public school programs, as well as our home education programs.
• an important program important program an important program to<00:42:13.040> administer<00:42
• program.
• programs.
• Um, yeah, difficult to estimate. program predict EFA program enrollment program predict EFA program enrollment

Keywords: 928, house, all

Summary: The Finance Division II committee heard a Department of Education budget presentation from Commissioner Frank Edelblut and CFO Tammy Valen-cour. The department outlined its organizational structure and emphasized that it functions largely as a flow-through agency for school funding. The commissioner reviewed general fund and Education Trust Fund items, including state aid, dropout prevention, special education, building aid, lease aid, charter schools, Education Freedom Accounts, and the district adequacy calculation. He also highlighted the public school infrastructure fund, saying the state has invested well over $50 million in school safety since 2018 for measures such as access controls, locks, and window film, and argued that safety spending should be ongoing rather than reactive. Members asked about the variability in the school infrastructure line, special education aid, and the Discovery Education learning platform. Edelblut explained that some safety funding had come from one-time surplus appropriations rather than the agency line, and said special education aid was underappropriated because districts submitted more invoices than expected; he said the governor added $16 million to address the shortfall. He also described CTE renovation funding, noting four projects were initially proposed but only Jaffrey and Milford were still moving forward, with local votes required and the state covering 75% of costs. He said Milford’s project was omitted from the governor’s budget by oversight. The department also reviewed enrollment trends, noting public school enrollment has fallen from about 230,000 students in 2002 to about 185,000 today. Edelblut clarified that charter students are not eligible for Education Freedom Accounts, while EFA students attending non-public schools are counted as EFA students. He described several one-time surplus-funded initiatives, including Student Clearinghouse, MTSSB work, civics curriculum development, computer science education, and adult education. He also discussed a $4 million CTE tuition and transportation grant, saying it was kept as a competitive grant rather than a formula grant to avoid creating an ongoing maintenance-of-effort commitment that could jeopardize federal Perkins funding. In the final portion, Edelblut identified prioritized needs in the department’s budget, especially funding for a state administrator for assessment to support the legislatively required civics assessment, and additional support for the Discovery Education platform. He said every school in the state is using the platform and cited more than 1.5 million educator engagements, while a member raised concerns about mixed reviews and uneven district awareness of the program. No votes or formal actions were taken during the presentation and question period.

Transcript Highlights:

• To be blunt, though, the program isn't working.
• California currently has no state program to solve this problem.
• There is nothing better. programs and decision-making.
• Yet despite its success, the program remains vulnerable.
• No program has been spared. That is why codifying California's Farm to School program is essential.

Summary: The Assembly Committee on Agriculture met as a subcommittee and heard several bills, with extensive discussion focused on balancing agricultural land preservation, water scarcity, renewable energy, and farm equity. AB 1156 by Assembly Member Wicks would update the solar use easement program to allow certain Williamson Act lands facing water constraints to be used for solar projects through a suspension rather than cancellation of contracts. Supporters said the bill could help landowners and local governments adapt to falling water supplies and meet clean energy goals, while opponents, including the Farm Bureau, warned it could weaken Williamson Act protections, expand solar development onto prime farmland, and eliminate cancellation fees that help preserve agricultural land. RCRC said its concerns had largely been addressed through amendments and moved from opposition to support once changes are in print, though committee members continued to raise concerns about prime farmland, community benefits, and definitions of commercial viability and water constraints. The bill passed the committee on a due-pass-as-amended motion, with a later roll call recording six votes in favor and one absent member voting aye. AB 524 by Assembly Member Wilson would create a new state land access program for beginning and socially disadvantaged farmers and ranchers, using Proposition 4 funding to provide financial and technical assistance for land acquisition, protection, and long-term leases. Testimony emphasized the lack of secure land tenure for small and underserved farmers, the loss of farmland statewide, and the difficulty of investing in sustainable practices without stable access to land. Committee members strongly supported the measure, with several noting the importance of land access for family farms and equity in agriculture. The bill passed unanimously on an 8-0 vote. The committee also approved AB 675 by Majority Leader Aguiar-Curry, which would codify California’s Farm to School program in statute. Supporters said the program connects students to healthy local food, creates stable markets for farmers, and supports agricultural and nutrition education, while helping direct school meal dollars to California producers. Witnesses from the Center for Ecoliteracy and CAFF described the program’s statewide reach and benefits for small farms and high-need schools. The bill passed on an 8-0 vote. The committee also adopted the consent calendar, approving AB 1322 and AB 1505 on an 8-0 vote.

Transcript Highlights:

• programs that exist in chapter 197. programs that exist in chapter 197.
• So, to because it's this program.
• into the SSAP surviving spouse program. into the SSAP surviving spouse program.
• benefits from this program. benefits from this program.
• So, good program. exhausted. So, good program.

Keywords: 1187, senate, all

Summary: The Minnesota Senate Subcommittee on Veterans met on March 4, 2026, and began with a moment of silence honoring Sergeant First Class Nicole Amore of White Bear Lake, who was killed while serving in Kuwait. The committee then took up Senate File 3956, an MDVA policy bill giving the commissioner clearer authority to direct staff time and other non-monetary resources toward partnerships with organizations serving veterans, especially on food insecurity, homelessness, suicide prevention, and related efforts. MDVA and Disabled American Veterans testified that the bill would help them work more quickly and clearly with outside partners, including food pantry and outreach efforts, while remaining focused on non-monetary support. Senator Howe offered an A1 amendment narrowing the bill to the three named priorities and removing the broader “other critical issues” language; the amendment was adopted after discussion about whether the reporting language also needed adjustment. SF 3956, as amended, was laid over for further consideration. The committee then heard Senate File 3955, which would create a new procedure for temporary closure of a Minnesota veterans home if an involuntary termination notice requires it, bringing state law into closer alignment with federal expectations. MDVA emphasized that it had no intention of permanently closing any veterans homes and that the bill was intended only to establish a temporary closure plan to satisfy survey requirements. Senator Howe offered an A1 amendment clarifying that any closure would be temporary unless the legislature approved a permanent closure; MDVA and the Department of Health indicated the change was acceptable. The committee adopted the amendment and then voted to recommend SF 3955, as amended, to pass and refer it to the full committee. Finally, the committee began Senate File 4072, an MDVA cleanup and conformity bill. After adopting a technical A3 amendment, MDVA explained that the bill would reclassify the Chief of Staff/Deputy Chief of Staff role as Deputy Commissioner for Administration to better reflect the scope of the position, and would also repeal outdated statutes related to environmental hazards assistance and a data-collection requirement that the department said it could not implement. The bill was still being presented when the transcript ended, and no final committee action on SF 4072 was shown in the excerpt.

Transcript Highlights:

• The uh that is fully tanniff program.
• And that turned out meals program ever.
• bridge program.
• <00:43:22.560> in current budget for two new programs in current budget for two new programs
• million for the county bridge program. million for the county bridge program.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:11 Executive Budget 00:00:50, 958, all

Summary: The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations. Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities. He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.

Transcript Highlights:

• It's another extension of an existing program. It's another extension of an existing program.
• , and the program will provide financial...
• And direct CDA to establish this program.
• discounts under loyalty programs is appropriate.
• The bill clearly states it will not affect loyalty programs.

Keywords: 1146, all

Transcript Highlights:

• <01:23:45.920> So, program. Pregnant people and kids. So, program.
• Medicaid programs. Medicaid programs.
• But in this program, it's zero. But in this program, it's zero.
• It is what we refer to this program as, the Cover All Coloradoans program.
• <02:13:10.480> program.

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the February 18, 2026 journal, and received several committee and House messages. Judiciary reported juvenile parole board appointments to the consent calendar for confirmation, and Transportation and Energy reported Senate Bills 28 and 25 along with other measures. The House transmitted multiple bills to the Reviser of Statutes, and the Senate later agreed to take up a large group of House bills on special order and consent calendar. A major portion of the meeting was devoted to personal-privilege remarks recognizing visiting groups, including the Mad Moms and Mad Dads advocating for people with serious mental illness, and the Colorado Gifted and Talented Association. Members spoke about stigma and the need for mental health legislation, and about supporting gifted students and their families. These remarks were welcomed by the chair and other senators. The Senate then considered a package of supplemental appropriation bills, including House Bills 1150 through 1179, covering agency budgets, school finance adjustments, education fund uses, and capital construction transfers. The committee of the whole adopted the package on second reading, and the full Senate later adopted the committee report by a vote of 33 ayes, with one excused and one vacant seat. The bills were ordered placed on the calendar for third reading and final passage. House Bill 1151, a supplemental appropriation to the Department of Corrections, drew extended debate. Supporters argued the bill was needed to cover existing obligations, avoid more costly jail backlogs, and prevent unsafe conditions, while critics said the department’s population management failures and broader sentencing policies were driving unnecessary costs and called for accountability and structural reform before more funding. Despite the debate, the bill was included in the adopted second-reading package.

Transcript Highlights:

• They could qualify for other state programs.
• Program at the federal level.
• And then some grow your own training program investments in rural workforce incentive programs where
• I'm the EMS program manager for the department.
• We're a very big program for hearts, for example, that I represent.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• At VA and DOD when we're using the TAP program.
• If you've seen one TAP program, you've seen one TAP program.
• criteria to make it uniform across all programs.
• So tell me, the VR&E program, by the way, is a program for veterans, student veterans who are not, who
• ... programs and services that we offer are fully funded.

Keywords: veteran services, Secretary Collins, healthcare provisions, contract cancellations, transparency, accountability, committee meeting, legislation

Summary: During this committee meeting, various bills were discussed with a specific focus on veteran services and healthcare provisions. Notably, the cancellation of critical contracts under Secretary Collins sparked significant debate, with representatives emphasizing the adverse impact on veteran care. The meeting featured testimonies from veterans and stakeholders who expressed their concerns regarding the potential fallout of these cancellations, demonstrating the urgency of transparency and accountability in management decisions. Discussions also delved into various legislative proposals aimed at improving services for veterans amidst these challenges.

Transcript Highlights:

• My question an online academic program.
• >> Yes. online program. The goal was to have online program.
• But to market the existing program and to keep the programs that are yielding the highest number of students
• For example, when we first started the MBA program, to be honest with you, MBA programs are a dime a
• continue to run the Medicaid program continue to run the Medicaid program without<00:45:12.520><

Keywords: 958, all

Summary: The committee first approved the minutes from its January 13 meeting and then moved through a large agenda of contracts and agreements, with members repeatedly voting to review items without objection. The chair noted the agenda included 227 contracts totaling about $89.5 million, all with vendors registered with the Secretary of State. Most items were approved after brief discussion and roll-call votes. Several contracts drew questions. Kentucky State University explained two four-month contracts tied to its online academic program: one for continued implementation support and one for marketing. University officials said the program is in a transition year under a management improvement plan, that the university owns the intellectual property, and that the marketing effort is aimed at growing enrollment in targeted programs such as business and social work. They reported online enrollment had grown from 74 students to 612, with an overall university enrollment of 2,872, and said the goal is to reach about 1,000 online students by fall. The committee approved both items, though Senator Douglas said he would keep watching university spending. The Department of Education presented a contract cancellation for administrative reviews of the National School Lunch and School Breakfast Program. Officials said USDA changed the review requirement from every three years to every five years, making the outside contract unnecessary because internal staff can now handle the work. The committee approved the cancellation. The Transportation Cabinet also explained an increase to a professional services contract for engineering work on a section of KY 54 in Owensboro, describing it as preliminary design and commissioning work for a multi-section roadway project; the committee approved that item as well. The Kentucky Lottery Corporation sought approval for an amendment tied to its iLottery platform. Officials said the increase reflected higher sales volume, since the contract structure causes prize and platform-related expenses to rise as sales grow. The committee approved the amendment. The Department of Public Health also discussed a perinatal psychiatry consultation program funded by a five-year federal HRSA grant; members raised concerns about what would happen if federal support changes, but no action beyond discussion was noted in the excerpt.

Transcript Highlights:

• Insurance Program.
• you an overview of the Medicaid Program you an overview of the Medicaid Program in<00:03:03.360>
• uh inte program within the program uh inte program Integrity<00:42:31.480> division<00:42:31.880
• in the program.
• in the program.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.