Transcript Highlights:

• . district. district.
• ,<02:21:05.439> and Energy, and Water Development, and Energy, and Water Development, and
• > related<02:22:46.399> agencies development relate and related agencies development relate
• onshore and offshore energy development onshore and offshore energy development in<02:23:30.399>
• This funding will support district.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 7, 2026, 1012, house, all

Transcript Highlights:

• Amy Mossangelo from the 11th Middlesex District. Bridget Ploff from the 9th Plymouth District.
• Fifth Barnsville District, Cape Cod.
• districts the tools to serve them well.
• At the same time, as mentioned, most districts don't have many choices: 67% of districts only had one
• This allows districts to use safe, appropriately sized vehicles for individualized or out-of-district

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security held a public hearing with opening remarks from Senate Chair John Cronin and House Chair Dan Cahill, followed by member introductions and instructions limiting testimony to three minutes. The committee first heard testimony on S. 2743, an act addressing staged suicides. Elizabeth Sherin Feiner of Jewish Family and Children’s Service and later Susan Altman, a domestic violence advocate, described cases in which deaths initially treated as accidents or suicides were later found to be homicides, arguing the bill would improve training, investigation protocols, and accountability in deaths involving domestic abuse. Committee members asked about current police and medical examiner practices, and one member noted that sudden-death determinations are handled by the chief medical examiner in Massachusetts. The committee then heard testimony on S. 2861, a special commission to examine school bus safety, led by Representative Sabadosa and Amanda Taylor, whose daughter Summer Steel was killed in a school bus door incident. Taylor urged adoption of anti-pinch sensor technology on new buses, saying it could have prevented her daughter’s death. Representative Sabadosa and later a Mazur USA representative supported the bill, explaining that anti-pinch and anti-drag technologies are already used in other transportation sectors and could prevent similar tragedies. The hearing also included discussion of costs and the fact that the proposal would apply prospectively to buses manufactured going forward. Finally, the committee heard testimony on S. 3021, updating Massachusetts student transportation. Ever-Driven Technologies and Chamber of Progress supported the bill, saying it would modernize Section 7D requirements for smaller passenger vehicles used for alternative student transportation while keeping core safety standards in place. They argued the change would help districts serve students experiencing homelessness, in foster care, or with disabilities, reduce costs, and expand transportation options amid a statewide transportation crisis. No votes were taken during the hearing, and the committee adjourned after public testimony concluded.

Transcript Highlights:

• It addresses an important safety issue in the 88th House District, allowing the Kentucky Horse Park to
• <07:25:03.440> Uh<07:25:03.680> the chapter 75 fire districts.
• Uh the chapter 75 fire districts.
• <07:52:28.160> commissioner process done by the master commissioner process done by the master
• the sub the formats for the master the sub the formats for the master commissioner<07:52:36.080>

Keywords: Convene 00:00:00 Senate Message 00:04:13 Report of Committees 00:06:00 Orders of the Day 00:06:39 HB 4 00:07:32 HB 7 00:10:19 Enrollment 00:12:49 HB 10 00:13:30 HB 58 00:14:31 HB 78 00:18:39 HB 96 00:21:59 Enrollment 00:25:31 HB 134 00:26:01 HB 139 00:28:20 HB 185 00:35:36 HB 213 00:38:16 HB 220 00:40:32 HB 253 00:41:45 HB 265 00:44:55 HB 280 00:47:10 HB 290 00:49:13 Enrollment 00:51:49 HB 355 00:52:25 HB 398 00:54:42 HB 622 00:57:07 HB 424 00:58:24 HB 456 01:01:43 HB 459 01:02:51 HB 470 01:04:54 HB 555 01:10:20 HB 562 01:12:35 HB 576 01:16:37 HB 648 01:18:59 SB 68 01:21:53 SB 226 01:27:40 SB 90 01:30:36 SB 137 01:34:08 SB 136 01:37:08 SB 198 01:41:55 Recess 01:46:14 Reconvene 02:47:31 Orders of the Day 02:48:28 HB 10 02:48:53 HB 67 02:50:01 HB 257 02:51:05 Senate Message 05:52:18 Enrollment 02:53:15 SB 183 02:57:00 SJR 23 03:00:24 SB 251 03:06:24 Announcement 03:24:34 Enrollment 03:25:28 Recess 03:26:50 Reconvene 07:04:07 Enrollment 07:04:12 Senate Message 07:06:54 Appointment of Conference Committees 07:09:38 Orders of the Day 07:10:03 SB 100 07:11:06 Appointment of Conference Committee 07:12:18 HB 778 07:12:37 HB 6 07:15:14 HB 142 07:18:48 HB 144 07:21:27 HB 236 07:24:13 HB 305 07:26:45 HB 651 07:29:16 HB 521 07:31:44 HB 692 07:36:04 HB 491 07:38:33 HB 689 07:40:50 HB 767 07:43:24 HB 627 07:46:33 HB 869 07:49:00 HB 566 07:50:21 Motions, Petitions, and Communications 07:54:31 Introductions 08:07:19 ConC & Rules Report 08:12:28 Floor Amendments 08:13:10 Adjournment 08:16:56, 958, all

Transcript Highlights:

• We create kind of a master file. I'll use myself as an example.
• CDSS is grateful for the Legislature's investment to support the development.
• We're also developing a distribution and communication plan for the revised training.
• I'm Jason Wimbley, Director of the Department of Community Services Development.
• We've developed guiding principles to navigate the impacts of HR1.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• members we talked about, especially this year with the new Medal of Honor museum opening up in my district
• I'm here with Force Master Chief Walter Dittmar.
• Force Master Chief Ditmar Ditmar and I are here to testify on behalf of the 10,000 men and women of Naval
• In conclusion, Force Master Chief Dittmar and I respectfully request Special Warfare Operator First Class
• Also, if we're we're we're from Christie and I both grew up in Jack County, David Spiller's district.

Transcript Highlights:

• interested potentially in developing interested potentially in developing this<00:05:27.800>
• know there's there's some developers know there's there's some developers might<00:15:17.880>
• I represent District 12, and I am the prime sponsor of SB 112.
• to have Economic benef Development to have Economic benef Development benefits<02:08:26.559>
• notifications uh when de developing notifications uh when de developing rules<02:35:49.800> when

Keywords: 1191, senate, all

Transcript Highlights:

• So, the district court reasoned that if you are going to provide the service, you have have to get the
• That happened because the capital markets see Texas as the next front. for capital development in the
• Development is underway in Texas for a fully integrated stock exchange, an initiative many have sided
• He came to a chamber banquet in my district, which I was grateful for.
• Our four-year curriculum apprentices to become our next journey and master electricians.

Bills: SB264, SB542, SB924, SB1008, SB1029, SB1036, SB1057, SB1058, SB1185, SB1202, SB1358, SB1364, SB1376, SB1569, SB1664, SB1697, SJR50

Keywords: SB 264, Texas Workers' Compensation Act, group self-insurance, self-insured groups, workers' compensation, Texas Department of Insurance, commissioner of insurance, certificate of approval, guaranty fund, trust fund, wind down, dissolution, labor code, insurance regulation, employer coverage, risk pool, business and commerce, trade workforce economic development, property owners' association, water conservation

Transcript Highlights:

• Liam Hillier, Legislative District 4. Mr.
• Arizona State University's College of Health Solutions, and will be completing her Master of Public Health
• of bills: SB 1235, EMS reciprocity; SB 1316, Arizona Rural Health; SCR 1022, Legislator, 90 House District
• SB 1316, Arizona Rural Health, SCR 1022, Legislator, 90 House District.
• And so I just wanted to say that out because many of these people work in my district.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and a series of guest and doctor introductions. Members recognized visitors for a range of advocacy and community events, including Children’s Health Advocacy Day, Jewish Advocacy Day, housing affordability advocates, environmental advocates for Lobo Week, and several constituent and youth groups. The chamber also heard a personal privilege statement honoring Dr. Leah Hillier as Doctor of the Day and several remarks about community organizations and guests in the gallery. The House then received Senate messages and committee referrals, including multiple Senate bills and a concurrent resolution being assigned or withdrawn from committees. In Committee of the Whole, SB 1415 was recommended do pass, and SB 1430 was recommended do pass as amended after a Ways and Means amendment was adopted to remove a controversial provision so the measure would remain limited to tax code corrections. The Committee of the Whole report was adopted, and the bills were deferred for engrossing; SB 1193 was retained on the calendar. On third reading, the House passed HB 2680, relating to workers’ compensation, by a vote of 55-1 with four not voting, and passed SB 1029, relating to campaign contributions and expenses, by a vote of 57-0 with three not voting. Later, the chamber heard extended personal privilege remarks on federal issues, including the government shutdown, TSA and ICE at airports, immigration enforcement, and state budget negotiations. The House also recognized Lobo Week and received announcements about upcoming committee meetings and a CAP update, then adjourned until Tuesday, March 24, 2026.

Transcript Highlights:

• We create kind of a master file. I'll use myself as an example.
• CDSS is grateful for the Legislature's investment to support the development.
• We're also developing a distribution and communication plan for the revised training.
• I'm Jason Wimbley, Director of the Department of Community Services Development.
• We've developed guiding principles to navigate the impacts of HR1.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused largely on the implementation of federal HR1 changes and their effects on CalFresh, Medi-Cal, and related county workloads. CDSS, DHCS, DDS, CWDA, LAO, and Finance discussed the CalFresh able-bodied adult without dependents time limit, with CDSS saying about two-thirds of affected adults are already known to be exempt in the system and that roughly 200,000 more could be auto-exempt through new data matches with DHCS and DDS. Officials said those exemptions should be in place by mid-August, before the first possible discontinuance in October, and that counties would receive policy guidance, handbook updates, and client-facing materials. DHCS said Medi-Cal work requirements would be implemented later, with rules and testing completed ahead of a January 2027 rollout, and noted automatic exemptions for some IHSS-related cases. CWDA urged more county staffing and funding, citing examples where high-touch outreach improved exemptions, reduced churn, and increased participation, while warning that without additional resources counties expect delays, higher error risk, and reduced engagement. The committee also discussed a possible CFAP Plus expansion to provide state-funded food benefits to people losing CalFresh eligibility under HR1. CDSS said implementation could not occur before the planned October 1, 2027 CFAP expansion timeline and would depend on final policy choices, system design, and the complexity of adding new eligibility groups. Finance cautioned that any benefit expansion would carry significant General Fund costs, potentially in the hundreds of millions or more. Members asked for written timelines, county-by-county impact data, and feedback on trailer bill language, and CDSS agreed to provide follow-up materials and technical assistance. A separate item reviewed the CalFresh strategic plan and the revision of CDSS’s online mandated reporter training. CDSS said the strategic plan lead position should be posted in May and that the plan would be data-driven and collaborative. For mandated reporter training, CDSS reported that the revised curriculum is being developed with lived experts and stakeholders, will include content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting, and is on track to launch in fall/winter 2026 ahead of the statutory deadline. The committee also heard updates on Promise Neighborhoods, where advocates described strong outcomes and argued for continued and expanded state support, including AB 1969 to deepen partnerships with community schools; members emphasized the need for more stable braided funding and institution-building rather than short-term program funding. The hearing concluded with updates on the Stop the Hate program and housing assistance programs. CDSS said Stop the Hate has provided direct services, prevention and intervention programming, and statewide coordination, reaching millions through outreach and serving more than 11,200 people through transformative grants; advocates urged reauthorization and more targeted funding for solidarity, harm reduction, legal services, and education. Finally, CDSS said proposed one-time investments of $55 million for H-DAP and $105 million for HSP would help avoid funding cliffs and maintain homelessness prevention and housing stabilization services through 2026-27, while the absence of new funding would force reductions in emergency housing assistance, rental subsidies, and enrollments. No votes were taken during the hearing.

Transcript Highlights:

• Cities like San Jose, Santa Monica, Richmond, Fresno, and Los Angeles, including in my own district,
• A striking example in my own district is the iconic...
• Keely Morris on behalf of the Los Angeles County Sanitation Districts in support. Thank you.
• District 10, Stephanie Wynn's district I am in strong support. Thank you.
• These communities are using these funds for mentoring, youth development, and substance use.

Keywords: 988, house, all

Transcript Highlights:

• The trainings are developed by MMB's Enterprise Talent Development unit, and that's under the supervision
• <00:07:57.159> and Employment and economic development and Employment and economic development
• and analysis tool that's in development and analysis tool that's in development as well<00:19:33.240
• <00:43:21.000> in Isaac Schultz I represent a district in Isaac Schultz I represent a district
• I scrambled to complete my Master of Divinity degree.

Bills: HF10

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, 1183, house

Transcript Highlights:

• I have one in my district. I just wanted to state that.
• I have one in my district. I just wanted to state that.
• They've done everything right, went to the Department of Labor, district attorney.
• The district attorney, one district attorney brought three cases and another a fourth.
• Now let me give you an example that happened in my district.

Keywords: 993, senate, all

Summary: The Senate opened with routine formalities, approved the journal, welcomed a SkillsUSA student delegation, and then moved into budget and policy business. The chamber accepted a Rules Committee report and took up a supplemental budget extender, Senate Print 9963, which would extend state operations through April 22 and authorize $12.7 billion, including about $5.1 billion in new funding for Medicaid, payroll, and school aid. Senator O’Mara questioned the delay in the budget, the lack of public detail, and unresolved issues such as CLCPA changes, auto insurance, and SEQR reforms; the sponsor said negotiations were ongoing and that school aid would likely build on the executive budget. The extender passed 57-1, with Senator Weik voting no. The Senate then adopted Senate Resolution 1887, sponsored by Senator Brisport, memorializing the Governor to proclaim April 2026 as Arab American Heritage Month. Senators Brisport, Fahy, Salazar, and Gounardes spoke in support, emphasizing Arab Americans’ cultural, civic, and economic contributions in New York and condemning anti-Arab and anti-Muslim bias. The resolution was adopted by voice vote and opened for co-sponsorship. The chamber next considered several bills on the calendar, including a bill by Senator Cleare to prohibit state-chartered financial institutions from investing in private correctional facilities. Supporters framed it as a moral response to private prisons and rising federal use of detention facilities, while opponents argued it would overregulate state-chartered banks and affect private investment decisions. The bill passed 36-22. The Senate also passed a bill by Senator Krueger raising the nonprofit lobbying disclosure threshold from $5,000 to $10,000, after debate over transparency and whether the change would reduce oversight; it passed 35-23. Finally, the Senate passed Senator May’s bill on advanced transmission technologies and utility planning, after extensive debate over ratepayer costs, battery storage, and data center growth; supporters said it could lower energy costs through more efficient grid use, while opponents said it would raise rates and duplicate existing studies. The bill passed after being restored to the non-controversial calendar.

Transcript Highlights:

• Makes it so that only cities, counties, and economic development corporations are responsible for reporting
• Attorney General may bring action of injunctive relief if a city, county, or economic economic development
• I used to think that becoming a master at something meant that you had years and years of experience
• honing your skills, but you can become a master injector by. taking a weekend course from a company called
• Master Injector.

Bills: SB213, SB378, SB610, SB681, SB918, SB1172, SB1252, SB1343, SCR8

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Transcript Highlights:

• delays in the development process.
• who are doing these types of important infill development projects.
• development projects.
• Mark Smith on behalf of the Grassland Water District, in support. Sorry.
• Is there any current litigation in any of our districts on this matter?

Keywords: 988, house, all

Transcript Highlights:

• districts.
• or adjacent to the district.
• , districts, just... ...especially because we have small rural districts, districts located in very diverse
• Chair, that's kind of where, like, Los Angeles Schools District is in my district.
• that the school district has... ...to the school district, that the school district has gone under control

Bills: SB23, SB73, SB210, SB234, SB243, SB244, SM16

Keywords: student use, wireless devices, public schools, policy implementation, education technology funding, driver education, driver's ed, driving school, motorcycle safety, traffic safety, vulnerable road users, pedestrian safety, bicycle safety, cyclist, bike lane, micromobility, scooter, moped, motorcycle training, DWI prevention

Transcript Highlights:

• I think we should all be concerned about that in your district, but it affects only your district, California
• I also have a border district.
• Sharp-Collins's district, would very much appreciate that, Mr. Alvarez's district.
• we also serve students in Assemblymember Garcia's 36th District, where, sorry, Gonzales is 36th District
• and community college districts.

Summary: The Assembly Higher Education Committee met with a quorum and first approved a consent calendar containing AB 341, AB 1098, and AB 1316, sending those measures to the Human Services, Judiciary, and Appropriations Committees respectively. The committee then heard AB 977, which would require CSU to audit surplus land and work with California tribes to identify three regional burial sites for Native American remains that cannot yet be repatriated. Supporters, including tribal leaders and archaeology groups, said the bill is needed to honor ancestors and address the large number of remains still held by CSU; CSU said it is committed to repatriation but had no formal position. The bill passed to Appropriations on a 5-0 vote. Members also heard AB 1093, creating a California-Mexico higher education exchange program, and AB 1035, expanding the California College Promise to cover tuition for students pursuing community college bachelor’s degrees. AB 1093 drew support for strengthening cross-border educational and economic ties, but some members raised concerns about border-region sewage problems and the bill’s budget implications; it was held for later consideration. AB 1035 received strong support from community college leaders and faculty who said it would help low-income and first-generation students complete workforce-focused bachelor’s degrees, but several members questioned whether it would stretch Prop. 98 funding and whether the state should prioritize broader affordability concerns. AB 1035 passed to Appropriations on a 3-2 vote. The committee next approved AB 922, which would let the University of California keep access to federal criminal-history information for hiring background checks, avoiding delays and added costs if statutory authority is required. UC said the bill is needed to maintain safety and hiring operations, and it passed to Public Safety on a 5-0 vote. AB 1346, protecting military dependents from losing in-state residency status because of family travel, also passed unanimously to Military and Veterans Affairs. AB 1212, allowing UC to use low-income housing tax credits to build affordable housing for faculty and staff on UC land, drew support from UC and labor groups but opposition from members concerned about preferential access to public resources; it was held for later action. Finally, the committee approved AB 500 and AB 684, both aimed at increasing transparency around UC admissions policy changes and UC BOARS decision-making, sending AB 500 to Education and AB 684 to Governmental Organization, each on 5-0 votes. The hearing then moved on to AB 1122 on dual enrollment, with the author and witnesses presenting the bill as a way to expand college access for high school students.

Transcript Highlights:

• out to all the districts in Kentucky? out to all the districts in Kentucky?
• You mentioned you serve 80-some districts. We've got 170-some districts in Kentucky.
• You mentioned you serve 80-some districts. We've got 170-some districts in Kentucky.
• You mentioned you serve 80ome districts. You mentioned you serve 80ome districts.
• some districts in in Kentucky.

Keywords: 958, all

Summary: The committee met with a quorum and first approved the minutes from its May 13 meeting. Members then reviewed a deferred contract with the Kentucky Board of Pharmacy for the Kentucky Pharmacist Recovery Network (KYPRN), a program that provides monitoring and support for pharmacists and pharmacy interns with substance abuse or mental health issues. Board representatives explained that the contract is a long-running arrangement, renewed periodically, with an option for two additional two-year renewals. Senators asked about the program’s structure, participation trends, follow-up, and consequences for noncompliance. The board said enrollment has remained fairly consistent at about 52 participants, with roughly 500 participants over the life of the program, weekly and monthly check-ins during the five-year typical enrollment period, and possible additional sanctions if participants fail to meet obligations. The committee then approved the contract. The committee next considered a group of economic development contracts, including items from the Cabinet for Economic Development. Secretary Jeff Null and general counsel Matt Wingate testified about contracts tied to regional innovation and entrepreneurship hubs. Members focused on the large differences in funding between regions and pressed for more support for rural and eastern Kentucky. Null said the cabinet is working on a more tailored, non-one-size-fits-all approach, including possible changes to capital support, build-to-suit options, and additional resources for rural areas. He said the hubs have helped 193 startups over the last two years and helped attract nearly $350 million in private capital, and he agreed to provide a written report by hub district on startup viability. The committee approved the economic development contracts. The Kentucky Lottery Corporation then presented its contracts with vendor IGT for retail and internet sales systems. Lottery officials said the contracts are mission-critical, cover both the traditional retail system and iLottery, and are structured as a percentage of sales so no payment is made until revenue is earned. They described planned equipment upgrades, including refreshed terminals, new ticket checkers, cashless vending and bill acceptors, and connected-play features that would link retail and online wallets. Officials said keeping the same vendor reduces the risk of business disruption and that the arrangement has already produced cost savings. They also said the lottery continues to see year-over-year growth and expects to meet its annual contribution target of $360 million for scholarships and grants. The committee approved the lottery contract after discussion.

Transcript Highlights:

• So it would be impact fees for new development or for a single development or anything else.
• Assessment district or a special improvement district, yes. All right.
• Districts and special assessment districts for the reasons that they're created.
• districts in those chapters.
• to create the district.

Keywords: 909, all

Transcript Highlights:

• Most of us do this in our district.
• Today I am honored to introduce a special group visiting us from Assembly District 12.
• Joining us in the gallery is my wonderful district team: District Director Melissa Puyah, two field representatives
• Assembly District 12 running. Thank you. Assembly Member Rodriguez.
• Thank you. for their participation in the remarkable professional development programs.

Keywords: 988, house, all

Transcript Highlights:

• So we looked at these, you know, at every uh, we're using the area development districts as regions.
• <00:41:48.480> So<00:41:48.640> we development districts as regions.
• So we development districts as regions.
• So by the end of 2027, we anticipate that there'll be a hub in all 15 of the area development districts
• Chair, I like the concept of using the air development districts. I think that helps make it local.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.