Transcript Highlights:

• This would be rates to managed care plans, pharmacy-related costs.
• As well as other factors, this would be rates to managed care plans, pharmacy-related costs.
• The documented immigrant population, as well as pharmacy spending.
• They could be part-time school, which is nine units if you're going to a college or junior college.
• “Number two, the person, an individual here, said, well, you can go to school.

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.

Transcript Highlights:

• state budget signed in June included a direction to the department to seek a waiver to establish pharmacy
• other</c><00:15:50.639><c> states</c><00:15:50.880><c> I've</c> pharmacy, but in other states I've pharmacy
• I came here to go to law school and do this work now. So, I don't know.
• I came here to go to law school and do this work now. So, I don't know.
• to go to law school and do this<02:49:42.319><c> work</c><02:49:42.560><c> now.

Keywords: 1189, house, all

Transcript Highlights:

• are generally speaking awarded directly to the intermediate school district.
• are generally speaking awarded directly to the intermediate school district.
• are generally speaking awarded directly to the intermediate school district.
• are generally speaking awarded directly to the intermediate school district.
• Directly to the intermediate school district.

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• I've been a state rep since 2011 and graduated law school in 2013.
• We also have school resource officers in several of the schools throughout the Commonwealth, which, if
• We get several calls from the school departments: How can you assist?
• with Central High School in Springfield, Massachusetts, with their diploma, their high school diploma
• He's back in school, and he is super happy to be there.

Keywords: 995, all

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• So is this intended then to really just be targeting those after school programs?

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• So is this intended then to really just be targeting those after-school programs?
• So is this intended then to really just be targeting those after-school programs?

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Summary: The Senate Health and Human Services Committee first considered the nomination of Christy D. Fisher to the Board of Examiners for Speech-Language Pathology and Audiology. Senator Stanridge presented her as a lay member with legal and paralegal experience, and Fisher spoke about her family’s experience with speech therapy and autism-related speech needs. After brief questions, the committee advanced the nomination on an 8-2 vote. The committee then heard several bills, including measures creating an Early Childhood Task Force (HB 1979), clarifying that Oklahoma has always prohibited sex-to-gender-identity amendments on birth certificates (HB 1225), and establishing a process for correcting death certificates after one year (HB 3931). Members also advanced a bill restricting edible medical marijuana products from being attractive to children (HB 4454), updating the mentoring program for children of incarcerated parents (HB 3849), and allowing juvenile safety plans to take effect if not acted on within 24 hours (HB 1746). Other bills addressed local food sales thresholds (HB 3720), allowing case managers and peer support specialists to work for cities and counties (HB 4275), DHS background-check and email-notice updates for child care centers (HB 4300), and a clarification that raising a child consistent with biological sex is not child abuse and that adoption cannot be denied solely over refusal to support a gender transition (HB 3586). The committee also advanced bills on Medicaid reimbursement for dementia cognitive assessments and care planning (HB 2268), juvenile detention medication funding (HB 3755), family resource centers including faith-based and workforce organizations (HB 4117), epilepsy insurance coverage protections (HB 4294), extending the managed care rate floor to July 1, 2028 with a carve-out for multi-state contracts (HB 3650), and child care reforms raising subsidy co-pays and directing DHS to set more flexible master-teacher ratios for certain facilities (HB 4298). Several bills were amended or worked from committee substitutes, and most passed on unanimous or near-unanimous votes, with HB 1225, HB 3586, and HB 4294 drawing some opposition. The committee adjourned after noting it would likely meet again later for additional executive nominations.

Transcript Highlights:

• Any job that they've had since medical school.

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• </c><00:10:20.079><c> Pharmacy</c> paid out and that is pharmacy.
• Pharmacy paid out and that is pharmacy.
• Or they could also go to school, or earn $580 per month.
• We tried to help her find her school.
• able to get them back in school.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• He said those contributions largely represented federally funded positions in school districts, where
• The school districts period of years.
• The school districts matched<00:32:31.919><c> that</c><00:32:32.240><c> phase</c><00:32:32.480><c> in
• </c><00:33:17.039><c> districts</c><00:33:17.360><c> and</c> those teachers and school districts and
• </c> reimbursement from CMS and the pharmacy reimbursement from CMS and the pharmacy reimbursement<01

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• Hospitals, doctors, nurses, pharmacies survive in 191 rural.
• We run 12 of the 14 federal nutrition programs, including the school lunch, school breakfast. program
• It's all voluntary, we don't do mandates and so through our farm to school program, our school has bought
• We start with our our school nutrition program.
• We have Farm Fresh Fridays where we challenge every school.

Keywords: 1184, house, all

Transcript Highlights:

• Physician Assistance and Department of Economic Security for four years and also continues the Board of Pharmacy
• I just, what part is there any part of this that affects school districts using AI?
• Because I know some school districts are using AI in their STEM programs. ...using AI because I know
• some school districts are using AI and their STEM programs, so would this have any negative effect while
• Israel, one of the... are a substitute in this committee, but that they make exceptions to the school

Keywords: 1182, all

Transcript Highlights:

• Physician Assistance and Department of Economic Security for four years, and also continues the Board of Pharmacy
• I just—what part is there any part of this that affects school districts using AI?
• Because I know some school districts are using AI in their STEM programs, so would this have any negative
• If it's a system that they've bought in... using AI because I know like some school districts are using
• Senate amendment that exempts governmental entities if it's their own system so that would apply to schools

Summary: The caucus reviewed several bills on its calendar, mostly focused on Senate amendments and whether sponsors intended to concur. HB 2114 would alter Motorcycle Safety Fund distributions and motorcycle registration rules, including a Senate change requiring at least one registered owner to be licensed in Arizona; the sponsor intended to concur. HB 2729 would continue several boards and agencies, including the Board of Nursing, Board of Occupational Therapy Examiners, Board of Physician Assistance, Department of Economic Security, and Board of Pharmacy; the sponsor also intended to concur. Members discussed two agriculture property inspection bills, HB 2104 and HB 2105. HB 2104 would change rules for agricultural property classification and inspections, while HB 2105 would add notice and reporting requirements for inspections; both had Senate amendments that changed inspection timing and exemptions. Some members raised concerns about county assessors’ workload, opposition from county organizations, and possible inequities and insurance or disaster-related consequences for agricultural property owners. HB 2477, the Arizona Education Savings Plan bill, drew the most discussion. The Senate amendment combined the 529-related provisions with several treasurer-related restrictions and investment rules, and members questioned the policy implications of allowing 529 funds to roll into Roth IRAs. HB 4117 would create or expand criminal penalties for interfering with religious worship, and some members expressed concern about civil liberties and equality issues, while the sponsor intended to concur. HB 2311 would require AI service disclosures to minors and, after substantial Senate amendments, to all account holders in some cases; members asked about effects on schools and government systems, and some noted concerns about the expanded scope and AG enforcement limits. The caucus also heard SCR 1004, which would prohibit photo enforcement traffic programs after December 31 subject to voter approval, though existing programs could continue under certain conditions; law enforcement concerns were noted. SB 1110 would establish a home confinement and electronic monitoring program in the Department of Corrections. SB 1618 would revise the Military Affairs Commission’s membership and duties, but one member objected to adding defense-industry representation and warned about military-industrial-complex influence. The meeting ended with the chair noting that only the bills that had gone through rules were on the agenda and adjourned the caucus.

Transcript Highlights:

• author amendments to exempt opponent devices out with Republicans not voting SB 414 Ashby charter school
• a two-year bill Sorry 587 Grayson manufacturing tax credit two-year bill SP-373 Grove, nonpublic schools
• do pass with author amendments to limit NPS overnight provisions to out of state schools only.
• section four and make other clarifying changes that's out with Republicans not voting SB 848 Perez school
• pass out on a roll call SB 535 Richardson obesity treatment two-year bill SB 631 Richardson charter school

Keywords: 988, house, all

Transcript Highlights:

• Senate Bill 1039 by Hughes, relating to creating a school uniform allotment under the Foundation School
• Senate Bill 1039 by Hughes relating to creating a school uniform allotment under the Foundation School
• Senate Bill 1049 by King, relating to excused absences from public school for the purpose of attending
• Senate Bill 1127 by Middleton, relating to charter schools, to Education K-16.
• school requirements and prohibitions regarding instruction and diversity, equity, and inclusion duties

Summary: The Senate met briefly and referred a large number of first-reading bills and resolutions to standing committees. The measures covered a wide range of topics, including hemp regulation, dementia research funding, parental rights and public education, municipal library funding, tax and local government issues, criminal justice, health care, education, transportation, natural resources, and election law. Several constitutional resolutions were also referred, including proposals related to the Dementia Prevention and Research Institute of Texas and a severance tax revenue fund. Most of the transcript consists of the reading of bill captions and committee referrals, with no substantive debate or testimony recorded. The listed measures included proposals on school uniforms, charter schools, Medicaid fraud remedies, insurance practices, occupational licensing for people with criminal convictions, water and sewer utility cybersecurity, agricultural protections, public meeting broadcasting, and various local and state governance matters. No votes were taken on the bills in this segment. The only formal action reflected was referral of the bills and resolutions to the appropriate committees, followed by adjournment of the Senate until the next scheduled meeting.

Transcript Highlights:

• Intense anxiety, obsessive thoughts, school refusal, strange night roaming in our house.
• I trained in medical school, adult psychiatry residency, and child psychiatry fellowship at Stanford
• Excuse me while I'm dropping my children off at school.
• Excuse me while I'm dropping my children off at school.
• Hello, my name is Unjay John, and I'm a high school senior from the 48th Legislative District.

Summary: The committee heard testimony on three health care bills. HB 1496 would cap charges for electronically stored medical records at $50 for patients and certain authorized recipients, while removing a free-copy provision tied to SSI/SSDI appeals and changing attorney fee language to “prevailing patient.” Supporters, including patient advocates, attorneys, and injured workers, said current record fees can reach thousands of dollars and block access to justice; opponents, including hospitals, home care providers, and records vendors, argued the bill would not cover the labor and HIPAA compliance work involved in large third-party requests and could shift costs to providers and patients. The bill remained in hearing with testimony continuing after the committee moved through other bills. HB 2182 would change how the Department of Corrections distributes its stockpile of mifepristone and misoprostol, removing the requirement that the medications be sold at cost plus a $5 fee and instead allowing, but not requiring, payment while directing DOC and the Department of Health to coordinate distribution to providers and facilities. The prime sponsor and supporters said the bill is needed so the state’s stockpile does not go unused or expire and to remove barriers to access for abortion and miscarriage care; opponents argued the bill subsidizes abortion, raises legal and taxpayer concerns, and should be rejected. Public testimony on HB 2182 was closed after hearing from both supporters and opponents. HB 2196 would require certain fully insured health plans to cover IVIG for PANS and PANDAS, with initial and medically necessary follow-up courses, and would bar denials based on prior treatment, age, out-of-state care when unavailable in Washington, or treatment guidelines that only address psychiatric symptoms. The sponsor, families, and physicians described severe, sudden-onset symptoms in children and said IVIG can be life-changing after other treatments fail, while insurers warned the mandate could add to already rising premiums and noted the treatment can be very expensive. HB 2242 would shift vaccine and preventive-service recommendation authority from federal bodies to the Department of Health, while preserving no-cost coverage for preventive services and updating the reference date for protected services; the governor, insurance commissioner, public health officials, and many physicians supported it as a way to preserve access amid federal instability and rising vaccine-preventable disease, while questions focused on whether the bill would change school or daycare requirements, which staff said it would not.

Transcript Highlights:

• This is Amendment Five to an existing contract, and it is for pharmacy consultant services at the Arkansas
• This is Amendment 5 to an existing contract and it is for pharmacy consultant services at the Arkansas
• This is Amendment 5 to an existing contract for pharmacy consultant services at the Arkansas Health Center

Summary: The committee first considered an $88,000 used tire program contract for District 4 with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could worsen cash flow before funding was confirmed. Questions were also raised about procurement language in the RFP that excluded bidders under corrective action plans. After discussion, a motion was made and approved to hold the contract until next month so the tire board could appear and answer questions. Members then reviewed a large slate of methods of finance, alternative delivery projects, and discretionary grants. These included capital projects at ASU Mid-South, Arkansas Tech, Ozarka, UA Fayetteville, UA Little Rock, UAMS, and UCA; a new UCA multi-purpose arena project estimated at $75.5 million; and DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition, hearing-loss follow-up, HIV services, and rural hospital quality improvement. All of these items were reviewed without objection. The committee also heard a ratification request from UAMS for a Family and Medical Leave Act outsourcing contract with FMLA Source. UAMS said an amendment had been prepared but never submitted for review, and payments continued after expiration; members expressed frustration and asked UAMS to review whether other contracts had similarly lapsed. The committee then reviewed numerous construction-related, intergovernmental, out-of-state, and in-state contracts, including airport economic impact study work, parking guidance technology at the University of Arkansas, veteran nursing services, and multiple DHS service contracts. Most items were reviewed without objection, and the meeting adjourned after reports of routine contract amendments and minor contracts were presented for information.

Transcript Highlights:

• Madam Chair, this is my attempt to support my school district in South St.
• </c><00:23:36.240><c> than</c> much less to support their schools than much less to support their schools
• </c> $250,000 in annual Aid to Special School $250,000 in annual Aid to Special School District<00:24
• </c> distributed to school distributed to school district<00:36:53.040><c> uh</c><00:36:53.240><c> reduces
• So typically it's, you know, I think we enacted one for a pharmacy in Duluth.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:09:13.920><c> fills,</c><00:09:14.320><c> daily</c><00:09:14.720><c> activities,</c> pharmacy fills
• , daily activities, pharmacy fills, daily activities, transportation, transportation, transportation,
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• We do have a pharmacy and therapeutics committee that reports to the department.
• We do have a pharmacy and therapeutics committee that reports to the department.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• My name is Mallerie Jones, and I'm a high school senior here in Kentucky.
• As a youth advocate and heart survivor, I'm concerned about what I'm seeing in my school, among peers
• One in 10 middle school students and one in five high school students use e-cigarettes.
• It's happening in every school, in every corner of our state.
• Speaking in my capacity as a pharmacy student at UK, in the healthcare setting we advise every patient

Keywords: Call to Order 00:00 SB 100 Discussion 00:05 SB 100 Vote 06:42 SB 202 Discussion 08:35 SB 202 Vote 43:17 SB 17 Discussion 47:37 SB 17 Vote 48:08 SB 22 Discussion 49:22 SB 22 Vote 52:55 SB 133 Discussion 53:55 SB 133 Vote 55:15 SB 190 Discussion 56:00 SB 190 Vote 56:38 Adjournment 57:19, 958, all

Summary: The committee first took up Senate Bill 100, which would place cigarettes, vapes, and related nicotine products under the Alcoholic Beverage Control (ABC) system, add enforcement tools against bad actors, and regulate nitrous oxide/laughing gas sales to those under 21. Supporters, including youth advocates Mallerie Jones and Griffin Kian Neth, argued the bill would reduce youth access to nicotine products through retail licensing, compliance checks, and escalating penalties. Higdon said the bill targets illegal sales rather than most retailers, and noted the measure also updates House Bill 11 from the prior year and raises the retail license fee from $250 to $500. The committee adopted the committee substitute and then passed the bill on a roll call vote, with members voting yes and no opposition recorded in the transcript. The committee then considered Senate Bill 202, focused on cannabis-infused beverages. Senator Julie Raque Adams said the bill was intended to create common-sense public health guardrails for a rapidly growing product category sold in gas stations, liquor stores, and vape shops, and to address enforcement gaps. She explained the committee substitute would define cannabis-infused beverages at a 5-milligram limit per 12-ounce can, place enforcement under ABC while keeping CHFS manufacturing and testing rules in place, require a University of Kentucky report back to the General Assembly, allow existing higher-dose inventory to be sold through June 1, exempt festivals and fairs until January 1, 2026, and allow stores to obtain licenses to continue selling the product. The committee adopted the substitute and then heard testimony from hemp-industry representatives and a consumer. Opponents of SB 202/SB 22, including Dee Taylor of the Kentucky Hemp Association, Cornbread Hemp co-founder Jim Higdon, Annie Rouse of Cannabuzz Barn, and consumer Nancy Roberts, argued the bill would hurt a legal Kentucky hemp industry, reduce consumer access, and force sales into liquor stores. They said the 100-milligram beverage referenced in debate is actually 10 servings with a resealable top, that hemp retailers educate customers, and that the industry already operates under 2024 regulations and needs better enforcement rather than new restrictions. Higdon and Rouse objected to the 5-milligram cap, the on-premise sales ban, the move to ABC enforcement, and the taxation approach, warning the bill could wipe out a large share of business and jobs. No final vote on SB 202 was taken in the portion of the transcript provided.

Transcript Highlights:

• OK, you said schools in other places.
• You said you, because you mentioned schools specifically. Is there a specific school?
• And it will happen at our schools and with your children too.
• Um, I went to grad school at Texas Tech. And I went back as a returning adult.
• My tax dollars should fund public schools, not be drained by your chicanery.

Bills: HB7, SB 8

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy