Transcript Highlights:

• Medicaid integrity in the State of Texas and HHS is a three-legged stool.
• That's one leg of the stool.

Keywords: 1184, house, all

Transcript Highlights:

• Medicaid, there's a real potential that if you guide them on kind of what I call that three-legged stool—some

Keywords: 958, all

Summary: The Joint Committee on Families and Children met with a quorum, approved the August minutes, and received an update that the number of children in out-of-home care with active placements was 8,647 as of September 7, 2025. The first presentation was from Isaiah 117 House, a nonprofit that provides a home-like setting for children on removal day so they do not have to wait in a state office. Speakers described the mission as reducing trauma for children, lightening the burden on case workers, and easing transitions to foster or kinship placements. They said the Kentucky home in Logan County opened on August 15 and had already served 10 children in its first six days. Committee members asked about logistics, including whether children placed with kinship caregivers would still come to the house, how long children can stay, who remains responsible for them, and how volunteers are screened. The presenters said children are brought to the house regardless of whether they are headed to kinship or foster placement, that 72 hours is not a hard cutoff, and that a case worker remains in charge at all times while volunteers provide support. They also said volunteers undergo background checks, trauma-informed training, confidentiality instruction, and annual continuing education. In response to questions about funding and expansion, they said Isaiah 117 House is community-funded without state or federal money, and that new homes are opened only when fully funded, with construction costs typically ranging from $80,000 to $150,000 and first-year budgets around $180,000. The committee then heard a presentation from Remy Eastep Homes on its Family Centered Integrated Healthcare and related services. Leaders described the organization’s history from its origins as separate orphanages in Boyd County to residential treatment, treatment foster care, prevention services, and outpatient behavioral health. They said the organization shifted about 15 years ago toward engaging families more directly because family involvement improves outcomes and helps keep children safely at home when possible. The presentation continued into program details, but no votes or formal actions were taken on either presentation.

Transcript Highlights:

• It's like a three-legged stool in some respect, and our job, as Nathan said at the beginning, is thinking
• It's like a three-legged stool in some respect, and our job, as Nathan said at the beginning, is thinking
• reliability um and so it's like a reliability um and so it's like a three-legged<04:40:57.958> stool
• in<04:40:59.200> in<04:40:59.320> some<04:40:59.718> respect three-legged stool
• in in some respect three-legged stool in in some respect and<04:41:01.560> our<04:41:01.840><

Keywords: 1189, house, all

Transcript Highlights:

• there are some places where it's entirely appropriate to not stand on both your feet, but to sit on a stool
• there are some places where it's entirely appropriate to not stand on both your feet, but to sit on a stool
• there are some places where it's entirely appropriate to not stand on both your feet, but to sit on a stool
• there are some places where it's entirely appropriate to not stand on both your feet, but to sit on a stool

Keywords: 1187, senate, all

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Keywords: 1189, house, all

Transcript Highlights:

• truck<03:12:33.279> and<03:12:33.439> a<03:12:33.680> step<03:12:34.200> stool
• <03:12:35.200> Because a pickup truck and a step stool?
• Because a pickup truck and a step stool?

Keywords: 1189, house, all

Transcript Highlights:

• about air and water when we talk about environmental quality, but that soil is the third leg of that stool

Keywords: 995, all

Summary: The hearing focused on the Healey-Driscoll administration’s Mass Ready Act, a $3 billion environmental bond bill. Administration officials said the bill would fund climate resilience, clean water, land conservation, parks, PFAS remediation, food security infrastructure, and coastal and inland flood protection, while also streamlining permitting for housing, restoration, and other resilience projects. They emphasized that the bond authorizes spending but does not itself obligate it, and said the proposal includes deauthorizations as housekeeping. Committee members asked about the new Resilience Revolving Fund, flood and drought management, MVP funding, land acquisition, Chapter 61 right-of-first-refusal changes, salt marsh carbon sequestration, and how the bill would help smaller municipalities and offset expected federal funding losses. Officials said the revolving fund would be managed through EEA and the Clean Water Trust, with criteria aimed at directing aid to communities most in need, and noted that drought issues would continue to be handled through existing DEP and drought commission tools. Several committee members and witnesses discussed specific policy provisions, including flood disclosure requirements for homebuyers and renters, expanded authority for regional planning and small-town access to grants, and permitting reforms that would exempt or expedite certain environmental restoration and priority housing projects from more time-consuming review processes. Administration witnesses defended the reforms as a way to achieve the same environmental outcomes faster and with more certainty, while some advocates argued the bill should go further, especially on Chapter 91 and restoration permitting. The administration also described investments in DCR facilities, water and wastewater systems, open space, agricultural easements, and a new focus on blue carbon and salt marsh restoration. Public testimony largely supported the bill. Mass Audubon, the Trustees of Reservations, the Environmental League of Massachusetts, The Nature Conservancy, MAPC, the Massachusetts Municipal Association, municipal officials, and others praised the bill’s resilience, conservation, and water infrastructure investments. Some witnesses urged additional funding for land protection, coastal resilience, buyouts, and restoration, and several called for stronger or simpler permitting reforms. Municipal witnesses from Boston, Beckett, Beverly, Conway, and regional planning organizations stressed the need for flexible financing, especially for small and rural communities facing costly infrastructure and climate adaptation projects. No votes were taken during the portion of the hearing provided; the committee heard testimony and asked questions before moving on to additional panels.

Transcript Highlights:

• I mean, it just seems like this is, in the three-legged stool, this is a big piece of it.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• I mean, it just seems like this is, in the three-legged stool, this is a big piece of it.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• It's a nice little stepping stool into the actual pool.

Keywords: 912, senate, all

Transcript Highlights:

• when the state's contribution to the project, because there's, you know, it's sort of a three-legged stool

Keywords: Reuploaded tor restore the roll call and minutes approval 0:00:01 Call to Order and Roll Call 0:00:20 Approval of Minutes 0:00:50 Information Items 0:01:39 Project Rpt from Eastern KY University 0:06:54 Lease Rpt from University of KY 0:11:33 Project Rpt from Finance and Admin Cabinet 0:18:50 Lease Rpt from Finance and Admin Cabinet 0:29:33 OFM – KY Infrastructure Authority 0:38:27 OFM – Debt Issues 0:46:27 Louisville Arena Authority 1:24:30 Adjournment, 958, all

Summary: The committee first approved the November minutes and received information items on University of Kentucky medical and research equipment purchases, five school districts reporting upcoming bond issues with no additional tax levies needed, and a School Facilities Construction Commission list of prior debt issues for fiscal year 2026. It then considered an appropriation increase for a University of Kentucky project at the Central Kentucky Regional Airport in Richmond. University officials said the project is 100% federally funded and will construct a terminal building tied to EKU’s airport operations and planned flight school. Members asked about the relationship to aviation expansion and whether the flight school would be publicly operated; the witnesses said EKU would operate it, public appropriations had already been applied, and student revenue would help offset costs. The committee approved the item by roll call vote. Next, the committee approved a University of Kentucky lease purchase for property at 415 West Sun Street in Morehead, Rowan County, for $6.4 million. UK said the property, which includes an 85,000-square-foot facility on 9.6 acres, is directly across from UK St. Clair and was offered by the Rowan County Board of Education after it moved to a new location. Members questioned why the payment schedule was structured as quarterly installments and why the price was below two appraisals; UK said the board requested the arrangement and did not want the full amount upfront, and there was no interest on the purchase price. The committee also approved this item. The deputy state budget director then reported three appropriation increases in the Tourism, Arts and Heritage Cabinet: a Ballard Wildlife Management Area pump station project, Lake Barkley State Resort Park emergency repairs, and Lake Barkley lodge wing exterior repairs. After questions, staff explained the Lake Barkley increases were mainly to cover construction contingencies because bids came in close to available funding. The committee approved the action items, then heard four no-action pool projects: HVAC upgrades at the FFA leadership training center in Hardinsburg, Kentucky School for the Blind’s McDaniel Scoggin building, KSD’s Brett Brady Hall, and a Kentucky State University Shanty Hall renovation for the School of Engineering Technology. Finally, the committee heard two real property items: a new CHFS lease in Wayne County and a Transportation Cabinet lease modification in Christian County. The Wayne County lease drew the most discussion, with members questioning the high per-square-foot cost and whether another county location could be used; CHFS said it maintains offices in every county seat, this lease would replace an existing 1977 office, and the new construction was negotiated down from a higher initial bid. The Christian County item was described as a replacement site for driver licensing space, with renovation costs partly absorbed by the lessor and the remainder amortized over the lease term.

Transcript Highlights:

• The third leg of the stool, if you will, is the internal controls and governance of this enterprise.

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

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 20, 2025, 1012, house, all

Transcript Highlights:

• I would encourage us to review the funding revenue from all three legs of the stool: what the K-12 formula

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• As Lawton Chiles said, the stool of government has to have three legs, and all three have to stand up

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several guests, including a state champion Crossroads Academy girls basketball team and a Florida State University student intern. The chamber then turned to executive appointment confirmations reported by the Committee on Ethics and Elections and other reference committees under Rule 12.7, with Chair Don Gates explaining that the committee had reviewed the qualifications and suitability of the nominees and held public hearings where required. Members debated several confirmations at length. The report containing 186 appointments was adopted 31-0 after Senator Polsky explained her no votes on three nominees, citing concerns about past comments and ideological views. The Senate then confirmed Jeffrey Aaron to the Public Employee Relations Commission by a 26-10 vote after sharp debate over his role as counsel to the Hope Florida Foundation and allegations tied to the diversion of Medicaid settlement funds; supporters argued he was a competent lawyer and no formal action had been taken against him. Chavon Harris was confirmed as Secretary of the Agency for Health Care Administration by a 32-5 vote, with supporters praising her work on Medicaid funding and opponents criticizing her prior leadership at DCF and the Hope Florida-related issues. Taylor Hatch was confirmed as Secretary of the Department of Children and Families by a 33-4 vote, despite concerns raised about SNAP/EBT compliance, child welfare practices, audits, and DCF’s handling of Hope Florida; supporters emphasized her commitment to reform and the difficulty of the agency’s mission. After a brief recess, the Senate held a lengthy recognition of outgoing President Kathleen Passidomo. Senators from both parties offered personal tributes focused on her leadership, toughness, humor, mentorship, and support for colleagues, especially women in the chamber. Several speakers also referenced her handling of difficult bills, her post-presidency service as Rules Chair, and her resilience after personal loss. No further legislative action was taken during the recognition segment.

Transcript Highlights:

• when the state's contribution to the project, because there's, you know, it's sort of a three-legged stool

Keywords: 958, all

Summary: The committee first received several information items, including University of Kentucky reports on medical and research equipment purchases, five school districts’ planned bond issues, and a School Facilities Construction Commission list of prior debt issues. Members then heard and approved an appropriation increase for a federally funded University of Kentucky project at the Central Kentucky Regional Airport in Richmond. The project will construct a terminal building and is tied to EKU’s airport operations and planned flight school; members asked about the public funding, the role of EKU, and possible aviation expansion, and the item was approved by roll call. The committee next approved a University of Kentucky lease purchase for an 85,000-square-foot facility at 415 West Sun Street in Morehead for $6.4 million. UK said the property, formerly the Rowan County Board of Education site, is directly across from UK St. Clair and will be used for multiple purposes; members questioned the quarterly payment structure and why the county preferred not to receive the full amount upfront, but the item was approved. The committee then heard three appropriation increases in the Tourism, Arts and Heritage Cabinet: a Fish and Wildlife pump project at Ballard Wildlife Management Area and two Lake Barkley State Resort Park repair projects. Finance staff explained the Lake Barkley increases were mainly to cover construction contingencies after bids came in close to available funding, and the committee approved the action items. Janice Thomas then presented four pool projects requiring no action: HVAC upgrades at the Future Farmers of America Leadership Training Center in Hardinsburg, geothermal and HVAC work at the Kentucky School for the Blind, a Brady Hall HVAC project at the Kentucky School for the Blind, and a renovation of Shanti Hall at Kentucky State University for the School of Engineering Technology. Members asked no substantive questions on those items. Finally, Natalie Broner presented a new CHFS lease in Wayne County and a Transportation Cabinet lease modification in Christian County. The Wayne County lease drew the most discussion, with members questioning the rent, the lack of other bids, and whether another county location might be preferable; CHFS said it maintains county-seat offices statewide and that the Wayne County site would replace an existing office. The Christian County item was described as a replacement site for driver licensing services with renovation costs largely absorbed by the lessor. Both lease items were presented for action after the discussion.

Transcript Highlights:

• You ask them to take your blood, urine, stool. Find out what's wrong with them.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• We have the luxury of just speaking to you today, just speaking to that one leg of the stool, reliability

Keywords: 1187, senate, all

Transcript Highlights:

• I will say, you know, this has been described as kind of the three legs of the stool.

Keywords: 1185, senate, all