Transcript Highlights:

• The personal care. Do you go into personal care? Yeah, why don't you? The personal care.
• Do you go into personal care?
• The personal care. Do you go into personal care? Yeah, why don't you? The personal care.
• So there's New Mexico Care, and then what we see here on personal care services.
• Because I'm confirmed that if it's not basic foster care, kinship care, or they're in a safe place with

Keywords: 996, all

Transcript Highlights:

• also provide services such as child care also provide services such as child care Elder<00:10:27.279
• > Elder Care Transportation to Medical Elder Care Transportation to Medical appointments<00:10:30.079
• Services provide whether it's child care Services provide whether it's child care food<00:11:33.120
• you what's your concern yeah basically you what's your concern yeah basically that's<00:23:15.200
• Yes, you're right, correct, for the basic stadium.

Keywords: 912, senate, all

Summary: The committees considered a large number of Senate bills, with many measures advanced either unamended or with technical or substantive amendments. Early action included SB 88 and SB 11 SD1, both passed unamended, and SB 562 SD1 and SB 642 SD1, which were passed with amendments reflecting agency testimony. SB 1133 SD1 was amended to remove duplicative county requirements and clarify tax credit carry-forward eligibility, while SB 1569 SD1 on sports wagering was deferred. Later, SB 933 on nonprofit/federal funding support drew strong testimony from nonprofit and health advocates emphasizing the risk of federal funding freezes and the importance of protecting services such as early learning, domestic violence support, housing, and workforce supports; the committee recommended amendments to define eligible organizations, require reporting, and include the Judiciary. SB 934 and SB 935 were also amended, with SB 934 tying mass transit funding to Honolulu project milestones and SB 935 revising retirement-system language to change “fewer than five years” to “five or more years.” The committees then took up additional measures with targeted amendments. SB 1033 was amended to clarify that the bill applies to legal entities, not individuals, though members noted concerns about closely held family corporations and asked that the issue be reflected in the committee report. SB 1166, SB 1249, and SB 1256 were advanced with amendments or committee-report notes reflecting concerns from the Attorney General, Hawaii Cattlemen’s Council, and Hawaii Farmers Union United, respectively. SB 1432 and SB 137, both relating to electric utilities, were amended to require retention of covered employees after mergers or acquisitions and to direct the PUC to consider whether proposed transactions further state policy goals. SB 157 on antitrust was narrowed to focus on coordinator conduct in rental housing markets, SB 252 on invasive species received a defective effective date, and SB 336 on defense of state employers and employees passed unamended. SB 536 on the Hawaii Community Development Authority was deferred to a later hearing, and SB 1064 on medical cannabis was heavily amended to authorize cultivator licenses with limits on canopy size, license counts, physician fees, and a special-fund appropriation for enforcement. In the Ways and Means portion, the committee passed several bills unamended, including SB 19, SB 124, SB 264, SB 345, SB 422, and SB 741 and SB 747 later in the agenda. SB 361 was amended to remove references to the attorney general and delete an appropriation section, SB 438 was amended to redefine buffer zones and landfill-unit language, and SB 441 and SB 494 were amended to blank appropriations and, in SB 494, assign charter-school audit responsibility to the state auditor. SB 659 was substantially amended to promote local procurement, including county-level geographic preferences and higher thresholds for locally sourced purchases, and SB 732 was amended to adjust film tax credit provisions, including the streaming-platform definition and sunset-related language. SB 819 was amended to replace references to “educators” with “teachers.” Throughout, most measures were adopted without recorded opposition, though several members noted reservations on particular bills.

Transcript Highlights:

• I learned that the most important things were the basic needs of life: food, water, clothes, shelter
• We don’t care where you go, but you’re not going to be in our city.
• But I understand the intent, but what I see is that this basically says... ...right?
• Right, but I understand the intent, but what I see is that this basically says, loss.
• In basically every community that I've seen, which I think is unfortunate in a lot of ways.

Summary: The Assembly Housing and Community Development Committee heard several housing-related bills and moved most of them forward. SB 655 (Stern) would establish a state policy that residential units should be able to maintain a safe maximum indoor temperature, with supporters citing extreme heat deaths and the need for statewide guidance. Members raised concerns about the lack of a specific temperature standard and possible impacts on the electric grid, but the bill passed the committee 8-0 as amended to Appropriations. The committee also heard SB 634 (Perez), which would bar state and local governments from adopting or enforcing ordinances that punish people or organizations for providing basic survival services to unhoused people. Supporters, including people with lived experience and homelessness advocates, argued that criminalizing food, water, blankets, and outreach prolongs homelessness and harms vulnerable residents; opponents from some cities and counties warned about limits on local control. The bill passed 8-2. SB 772 (Cabaldon) would continue and expand the Infill Infrastructure Grant Program by better supporting walkability, transit, and climate-resilient infrastructure for infill housing; it passed 8-0. The committee also considered SB 838 (Dutraslo/DeRazzo), which would keep the Housing Accountability Act focused on housing by excluding transient lodging from housing streamlining protections. Supporters said some developers have used housing laws to fast-track hotel projects instead of homes, while opponents worried the bill could be too broad and limit mixed-use financing. After discussion about possible clarifying amendments, the bill passed 8-2 to Local Government. Several consent items—SB 484, SB 489, SB 686, and SB 724—also passed unanimously.

Transcript Highlights:

• It must uphold the same basic standard for for-profit immigration detention facilities.
• And, you know, they take care of that individual right then and there. They lay them out.
• And, you know, they take care of that individual right then and there. They lay them out.
• Turning the bail bondsmen into vetting companies, basically, on guilt. I could see, Mr.
• Turning the bail bondsmen into vetting companies, basically, on guilt. I could see, Mr.

Keywords: 988, house, all

Transcript Highlights:

• Importantly, clinicians should have basic information about the AI technology being used in patient care
• Clinicians should have basic information about the AI technology being used in patient care, clinicians
• Importantly, clinicians should have basic information about the AI technology being used in patient care
• Clinicians should have basic information about the AI technology being used in patient care, clinicians
• This would shift health care away from physician-led care to compliance-driven care, which raises serious

Keywords: 987, senate, all

Transcript Highlights:

• , our hospitals, improving our system of care through cost reduction and making health care more affordable
• We're in a health care crisis, a cost crisis.
• care costs for our small businesses.
• I've never served on a health care committee, so...
• Served on a health care committee, so these might seem pretty basic, but I'm just trying to get some

Keywords: 927, senate, all

Transcript Highlights:

• that if they received specialty care and, you know, if you go to an allergist, ...receive specialty
• care.
• plan was approved by the primary care physician before being placed into the alert system.
• that if they received specialty care and, you know, if you go to an allergist, receive specialty care
• primary care physician before being placed into the alert system.

Keywords: 959, house, all

Summary: The Committee on Health and Mental Health met in executive session and first took up Senate Bill 878, a pharmacy-related bill by Senator Fitzwater. Members adopted a committee substitute and a committee amendment before voting the bill do pass by a vote of 13 ayes and 2 noes. The substitute added language previously seen in other legislation on pseudoephedrine and 340B, and the amendment aligned the bill with Senate floor language on ivermectin. The committee then considered House Bill 3457, Representative Burns’ medically complex patients bill. Members adopted a substitute that narrowed the definition of “medically complex patient,” changed one provision from “shall” to “may,” and required primary care physician approval of a care plan before it could be entered into the alert system. One member raised concerns about making hydroxychloroquine over-the-counter and about pharmacists prescribing class two devices such as CPAP machines, but the substitute and then the bill itself were both approved unanimously, 15-0. Finally, the committee approved two resolutions sponsored by Representative Hruza. House Resolution 5380, on ALS awareness, was amended to add more encouragement for assistive technology and augmentative and alternative communication, then passed 15-0. House Resolution 4661, on chronic kidney disease, was also voted do pass 15-0. The meeting ended after brief closing remarks and adjournment.

Transcript Highlights:

• <01:17:10.719> to that to pay that lobbyist basically to that to pay that lobbyist basically
• renewal of the Pet Animal Care renewal of the Pet Animal Care Facilities<01:26:47.600> Act.
• , essential to accessing health care, essential to accessing health care, education,<01:36:13.840
• I don't care what they're smoking.
• They can take care out for themselves. They can take care of<03:15:04.560> themselves.

Keywords: 981, all

Transcript Highlights:

• That's basically all state privacy laws with a single federal standard.
• They can basically get things done for you.
• So we have to be very careful about that.
• They basically control how the transmission grid is operated.
• But basically what happens is sort of like property taxes in a sense.

Keywords: 908, all

Transcript Highlights:

• Just some of the problems that we've basically solved, ...that we've basically solved that I would have
• They can basically get things done for you.
• We have to be very careful about that.”
• And that is different than your basic co-pilot. license.
• So it should help take care of some of that.

Summary: The committee held its first meeting on artificial intelligence and data centers, establishing its purpose as a study and policy-development body rather than one aimed at producing many bills. Majority Leader Hogue urged members to move quickly, focus on federal and other states’ AI laws, consider possible federal preemption, child protections, and the siting and economic impacts of data centers. Committee leadership echoed that the goal is practical, balanced governance that protects North Dakota while allowing innovation to continue. Legislative Council staff provided a background memo and NCSL presented a detailed overview of AI concepts and the current state legislative landscape. The presentations distinguished narrow AI, generative AI, agentic AI, and theoretical AGI/ASI, and summarized major state policy themes: comprehensive AI laws in states such as Utah, Colorado, Texas, California, and Illinois; targeted laws on deepfakes, chatbots, health, education, notifications, and digital likeness; and growing use of appropriations and agency inventories. Members asked about Colorado’s repeal and reenactment, Texas’s sandbox and training provisions, oversight structures, and whether AI regulation is bipartisan; presenters said most issues cut across party lines, with broad agreement on child safety and deepfakes but more division on broader regulatory approaches. The federal update focused on executive orders, preemption, and congressional activity. NCSL described a White House framework favoring a single federal standard, a DOJ litigation task force, Commerce Department review of state laws, and possible funding conditions tied to state AI policy, though no formal state-law challenge had yet occurred. The presentation also covered a recent executive order creating a voluntary federal vetting process for advanced frontier models after safety concerns, and congressional proposals including a failed 10-year state moratorium, Senator Blackburn’s child-safety bills, the Kids Online Safety Act, a House-passed children’s digital safety package, a Senate data center moratorium proposal, and a House ratepayer/data-center bill. The committee took no formal action beyond receiving testimony and asking questions.

Transcript Highlights:

• My question just basically is, is there already, is this PBM My question just basically is, is there
• And overall, it’s going to affect health care sustainability.
• Section 9.3 allows for physicians assistance to do follow-up care in industrial care. physician's assistance
• Basically, this would be banning formaldehyde in a hair product.
• We represent major portable and floor care appliances in Canada.

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• So we ...take great care to reduce all of that, remove all of that.
• They don't care what the impacts are.
• They generally didn't care. They generally didn't care.
• Is this about folks not knowing, or is this about them not caring?
• They have been surveying parents of children in child care and also surveying child care providers.

Summary: The Legislative Procedure and Arrangements Committee met with a quorum, approved the prior minutes, and then took up a draft bill to make legislators’ and candidates’ residential addresses confidential in public records. Legislative Council and the Secretary of State explained the proposal was prompted by security concerns and would protect residential addresses while still allowing election officials to verify residency and keep candidate names and offices public. Members raised concerns about unintended consequences, transparency, and how the change would affect rural districts and residency enforcement. The Secretary of State suggested an amendment to end the confidentiality when a candidate’s term ends, and the committee agreed to hold the bill over for further discussion at the next meeting. The committee also reviewed follow-up materials on legislator security and best practices, including advice on situational awareness, internet hygiene, varying routines, and reporting threats, along with NCSL materials comparing capitol security practices in other states. Members discussed a recent security incident and the need to keep alert contact information current, and staff said they would continue working with the Highway Patrol on legislative-specific notifications. The bulk of the meeting was devoted to Garrity Consulting’s final report on mitigating the effects of legislative term limits. The consultants summarized survey, focus group, and stakeholder input showing concerns about loss of institutional knowledge, leadership turnover, onboarding demands, and workload pressures, while also noting public support for term limits and annual sessions. Recommendations included considering annual sessions or shifting biennial sessions to even-numbered years, restructuring organizational session and interim committee work, creating office hours and more structured orientation and mentorship, expanding ongoing training and staff support, improving public communication and virtual testimony rules, and addressing barriers to service such as employer support and travel costs. Members discussed the tension between making the legislature more effective and preserving a citizen-legislature model, and the report was received as a roadmap for future implementation rather than immediate action.

Transcript Highlights:

• health care setting.
• health care setting.
• So that care coordination team has the Department of Children and Family Services, it has that care coordinator
• And what I'm alluding to is don't feel that health care don't care, or something happening along the
• And what I'm alluding to is don't feel that health care don't care, or something happening along the

Keywords: 965, house, all

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.

Transcript Highlights:

• , so doctor, hospital, x-ray, long-term care services like nursing facility or attendant care, uh, behavioral
• So, do they still meet that nur like nursing facility or intermediate care facility level of care.
• Um, slide 15 shows exits from foster care.
• So I'll start with community-based care.
• to community-based care, which really in community-based care we contract with a local non an entity

Transcript Highlights:

• You're filling out the same basic information five times.
• Health care was inadequate and often demeaning. Those inadequate...
• Health care was inadequate and often demeaning.
• In need of mental health care to a prison.
• We should be sending them to the agency that's tasked with providing that care and taking care of folks

Keywords: 995, all

Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.

Transcript Highlights:

• That program is separate from your general health care budget.
• That program is separate from your general health care budget.
• It starts with meeting people's basic needs.
• It starts with meeting people's basic needs.
• Prop. 36 created a right to care for those charged with treatment-mandated felonies.

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• And then we provide specialty care.
• restorative care and exams.
• This care.
• So all across the care continuum.
• We have to rule critical access hospitals, real basic level of care. That's not us.

Keywords: 987, senate, all

Transcript Highlights:

• , like banning captive audience meetings, allowing for virtual elections, and ensuring that health care
• Protect health care workers' right to strike, and impose a ban on captive audience meetings.
• Our child care was subsidized. Our housing was subsidized.
• 300,000 people in Massachusetts alone are at risk of losing their health care.
• We cannot substitute dollar for dollar for Losing their health care.

Keywords: 995, all

Summary: The hearing focused on employment rights legislation, especially the Protect Labor Act (H. 2086/S. 1327), which would create state-level labor protections if federal private-sector labor law is weakened or struck down, and would also add protections such as bans on captive audience meetings, virtual elections, stronger misclassification rules, and protections for health care workers and immigrant workers. Supporters from the AFL-CIO, nurses, SEIU, UAW, building trades, teachers, graduate workers, and policy groups argued that the bill is needed because of Trump administration actions, Project 2025, and threats to the NLRA and NLRB. They described the bill as a “trigger” law meant to preserve organizing and bargaining rights in Massachusetts if federal protections disappear or if the NLRB declines jurisdiction over certain workers. The committee also heard testimony on bills to restore a limited right to strike for certain public employees (H. 2078/S. 1311 or related filings). Supporters, including a representative, educators, and labor advocates, said the current ban on public employee strikes weakens good-faith bargaining and leaves workers without leverage to secure wages, staffing, and student supports. They argued that strikes are used as a last resort and that legalizing them under defined conditions would improve negotiations and better reflect the realities of recent teacher strikes in Massachusetts. The Massachusetts Municipal Association opposed the strike bills, warning that public employee strikes are already prohibited by state law, that strikes disrupt students and communities, and that local governments face budget constraints under Proposition 2 1/2. The committee also took testimony on paid family and medical leave bills (S. 1351/H. 2110 and S. 1352), which would improve notice to workers, expand public reporting on claim denials and demographics, and fix a technical definition issue that has limited access for some covered contract workers. Witnesses from legal aid, policy organizations, and a small business owner said the changes would improve transparency, equity, and access to benefits without imposing major burdens on employers. Additional testimony supported a railroad sick leave bill and a private construction transparency bill, with Senator Keenan urging favorable action on both. No votes were taken during the hearing; members asked questions, and several witnesses and legislators requested favorable reports on the bills.

Transcript Highlights:

• consumer paint it's called Paint care consumer paint it's called Paint care and<00:11:48.680>
• <00:39:06.760> uh on the uh the Vermont uh paint care uh on the uh the Vermont uh paint care
• I mean, we are careful about pollution or air pollution or anything like that.
• No, I don't care. Just get it. You can vote. I'll let you do it. Okay.
• This is basically a follow-up on my previous question.

Keywords: 928, house, all

Summary: The committee held a public hearing on House Bill 451, which would create a postconsumer paint stewardship program in New Hampshire. Prime sponsor Representative Karen Ebel described the bill as a bipartisan, broadly supported model based on PaintCare programs used in other states. She said consumers and businesses could drop off leftover paint at participating retailers or municipal household hazardous waste sites, with the paint then collected and recycled by the stewardship organization. She emphasized that the program is intended to reduce landfill disposal, improper dumping, and contamination of groundwater and soil, while also helping municipalities save on hazardous waste handling costs. Members asked several questions about how the program would work and how it would be funded. Ebel explained that the program would be financed by a small fee charged at the point of sale on paint products, not a general sales tax, and that retailers could either list it separately or roll it into the price. She said the fee would cover the Department of Environmental Services’ administrative costs, which were described as minimal, and that the program’s structure was developed with DES and industry input. Questions also addressed whether cans would be recycled and how collected paint would be processed; Ebel said the ACA and PaintCare representatives could provide more detail, but that the paint and containers would be handled through recycling or other approved disposal methods rather than landfilled. Representative Judy Aron, a co-sponsor and chair of the House Environment and Agriculture Committee, testified in support, saying the bill had been developed over several years with stakeholders and would keep toxic paint out of landfills while saving municipalities and taxpayers money. Representative Peter Bixby, the ranking member of Environment and Agriculture, also supported the bill, saying his committee had heard it many times and that it had strong bipartisan enthusiasm. No vote was taken during the hearing.

Transcript Highlights:

• largest membership of the manage care largest membership of the manage care enrol<00:10:29.120><
• We are taking care of a large part of the population.
• I'm new to this committee, so I'm going to be asking some basic questions.
• I'm new to this committee, so I'm going to be asking some basic questions.
• So that's our number one: to provide health care access.

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.