Transcript Highlights:

• If you require any accommodations, please speak to the sergeant staff wearing the gold ties.
• If you require any accommodations,<00:00:50.640><c> please</c><00:00:50.960><c> speak</c><00:00:51.200
• ><c> to</c><00:00:51.440><c> the</c> accommodations, please speak to the accommodations, please speak
• and I think the broader principle in anti-discrimination law is you shouldn't be denied public accommodation
• </c><01:14:47.920><c> because</c> be denied public accommodation because be denied public accommodation

Bills: HF3560, HF3295, HF2937, HF3540

Keywords: electronic signatures, estate planning, uniform law, legal documents, Minnesota statutes, open meeting law, transparency, public engagement, social media, government accountability, parenting consultant, parenting time, custody, family court, family law, neutral third party, alternative dispute resolution, child custody, visitation, parenting coordinator

Transcript Highlights:

• Do you have a way to accommodate that or is that something we need to do in the future?
• It could be accommodated. Um, let the ad district read. Sure. Go for it.
• It could be accommodated. Um, let the ad district read. Sure. Go for it.
• It could be accommodated. Um, let the ad district read. Sure. Go for it.
• It could be accommodated. Um, let the ad district read. Sure. Go for it.

Keywords: Meeting Start 00:00:00 Discussion of the KentuckyWired Network 00:00:55 Discussion of the Water Resource Information System 00:35.40 Discussion of Geographic Information Systems 00:52:30 Discussion of Committee Report to LRC 01:15:05, 958, all

Summary: The Information Technology Oversight Committee met with a quorum, approved the prior meeting minutes, and then heard a presentation from Leadcore representatives Jimmy Bird, Mike Murray, and Rebecca Moss on the Kentucky Wired network. Leadcore described its role as the design-builder and service provider under the KCNA contract, saying the network was built with roughly 13,200 feet of fiber, mostly aerial, and that the use of non-armored cable was a Kentucky-side decision made to reduce cost. They also said aerial construction and non-armored cable increase maintenance challenges, including storm damage and squirrel-related damage, and reported FY25 service activity of 104 break-fix events, 30 maintenance replacements, 64 storm-damage events, and nearly 13,000 feet of fiber replaced to date. Committee members questioned whether the original project anticipated this level of replacement and whether any forecast existed for maintenance under non-armored cable. Leadcore said it did not do a formal forecast and could not say whether the replacement rate was above or below norms, though it acknowledged the decision not to use armored cable came from the Kentucky side of the contract. Members also asked about whether replacements caused network degradation; Leadcore said it tries to replace cable at existing splice points to avoid degradation and, where needed, uses armored cable for replacement sections going forward. The committee then explored Leadcore’s relationship with Excel and KCNA. Leadcore said it has a service-level agreement for KCNA-related fibers but not for dark fibers used by Excel, and that Kentucky Wired fibers get priority on service requests. It said outages are reported through a 1-800 number and that it was not aware of any access problems to the huts. On the tech refresh, Leadcore said its understanding is that maintaining the network is its responsibility, but the technology refresh is not; it said only a very limited amount of refresh has occurred and that this did not match the original contract intent. Leadcore also said it had not been asked to defer maintenance. The chair closed by saying the testimony would inform a committee report and that he intended to recommend clawing back or withholding some previously authorized Kentucky Wired and refresh funding until an audit is complete, with the committee to vote on a report later.

Transcript Highlights:

• c><00:42:55.520><c> too</c><00:42:55.680><c> small</c><00:42:56.000><c> to</c><00:42:56.240><c> accommodate
• </c> that are too small to accommodate that are too small to accommodate current<00:42:57.440><c> needs
• </c><00:43:01.119><c> This</c> accommodate modern fire operations.
• This accommodate modern fire operations.
• So, really just want to say thank you to all members for accommodating our heavy schedule and for keeping

Bills: HF1972, HF229, HF1090, HF1084, HF1307, HF1274, HF1609, HF2110, HF211, HF216, HF222, HF224, HF225, HF203, HF206, HF207, HF208, HF227, HF246, HF427, HF466, HF502, HF680, HF971

Keywords: community center, Breckenridge, capital investment, state bonds, economic development, HF229, North Branch Area Hockey Association, Stacy Ice Arena, Chisago County, general fund appropriation, grant, ice arena, hockey rink, youth sports, recreational facility, community arena, nonprofit, DEED, Department of Employment and Economic Development, local infrastructure

Transcript Highlights:

• at—we either need to address the language for that specific situation if there's not already an accommodation
• We either need to address the language for that specific situation if there's not already an accommodation

Summary: The committee first met in executive session and approved House Bill 2666, Representative Keithley’s anti-SLAPP bill, on an 8-4 vote after a brief clarification that it was the anti-SLAPP measure being considered. The committee then held a public hearing on House Bill 3054, also by Representative Keithley, which would shift Cole County appellate venue to the Eastern District for workload balancing and require certain challenges to the enactment or validity of statutes and regulations to be filed originally in Cole County to reduce forum shopping. Representative Keithley said the bill was intended to centralize procedural and constitutional challenges tied to lawmaking or rulemaking in Jefferson City, not to move ordinary fact-based civil cases. Committee members pressed him on whether the language would also sweep in personal injury, medical malpractice, or criminal cases, and several expressed concern that the bill was broader than intended and could create venue fights or burden litigants. Keithley acknowledged the language might need clarification, especially regarding whether it could affect cases with constitutional counts in otherwise ordinary civil actions. Opposition testimony came from the Missouri Association of Trial Attorneys and the Missouri Circuit Judges Association. Both groups said the bill, as drafted, was too broad and could unintentionally move many cases to Cole County, including cases where constitutional challenges are commonly pleaded, and possibly criminal matters because of the “notwithstanding” clause. They also warned it could encourage new venue disputes and undermine expected local venue. The Judicial Conference of Missouri offered to provide data on case types if the committee wanted more information. No further action was taken on HB 3054, and the hearing adjourned.

Transcript Highlights:

• or just to be able to give the future next lieutenant governor also the room to be able to just accommodate
• Future next lieutenant governor also the room to be able to just accommodate, whether, you know, depending

Keywords: 1204, all

Transcript Highlights:

• It has to accommodate both of those kids.
• So we've tried to incorporate that throughout to accommodate.

Summary: The committee first heard House Joint Memorial 20, sponsored by Representative Steve Tanner, which asks the federal government to study and account for the cost Idaho says it bears under Plyler v. Doe for educating children of non-citizens. Tanner argued the ruling functions as an unfunded mandate and estimated the annual cost to Idaho taxpayers at roughly $112 million to $220 million. Members debated whether the memorial conflicted with Plyler, whether undocumented status could even be studied, and whether the memorial unfairly targeted a vulnerable population. Supporters said it was simply a statement asking the federal government to make Idaho whole; opponents raised concerns about one-sided framing and the treatment of immigrant children. The committee took a roll call vote and passed the memorial 10-3, sending it to the floor with a due pass recommendation. The committee then took up House Bill 883, sponsored by Representative Doug Pickett, a school funding flexibility and earned autonomy proposal for both traditional public school districts and public charter schools. Pickett and Idaho Charter School Network representative Emily McClure explained that the bill would allow qualifying schools more discretion over funding and reduce reporting burdens if they meet academic, financial, and governance benchmarks. The bill includes a two-year grace period if a school has a bad year and a 2029 review date. Questions focused on the different standards for districts and charters, how many schools might qualify, how growth and socioeconomic factors are accounted for, and why virtual charter schools were excluded. Supporters said the bill rewards strong performance and innovation while maintaining accountability. Testimony in favor emphasized that high-performing schools need flexibility to allocate funds, hire experienced staff, and reduce compliance work; one charter school leader said a compliance position had become 95% paperwork. Some members praised the bipartisan effort and said the bill could be a useful experiment and a bridge to broader funding reform. Representative Veeley moved to send HB 883 to the floor with a due pass recommendation, and the committee approved the motion by voice vote.

Transcript Highlights:

• either of you or both of you would be the best one for this, but are you aware that there was accommodation
• ...one for this, but are you aware that there was accommodation in the governor's budget for $2.5 million

Bills: SB5109, SB5835, SB6065

Keywords: mortgage lending, fraud, prosecution, financial regulations, consumer protection, retirement, lump sum payment, benefits, pension, financial security, SB 6065, school district transportation, transportation vehicle fund, pupil transportation, school buses, electric school buses, zero-emission buses, bus fleet electrification, charging stations, vehicle replacement

Transcript Highlights:

• elevators to provide at least one elevator that allows emergency access to all floors and that accommodates
• standards for all elevators in the state and based elevator size requirements on being able to accommodate

Keywords: 904, all

Transcript Highlights:

• elevators to provide at least one elevator that allows emergency access to all floors and that accommodates
• standards for all elevators in the state and based elevator size requirements on being able to accommodate

Summary: The committee heard three housing-related bills. SB 5937 would regulate smart access systems in rental housing by requiring landlords, on tenant request, to provide non-biometric and non-app-based alternatives such as physical keys, key fobs, or key cards, and by adding privacy-policy and data-minimization requirements for smart access systems. The bill’s sponsor and a tenant testified in support, describing concerns about app-based entry systems tracking movement and collecting personal data. The Washington Multifamily Housing Association testified neutral, saying the bill had been improved through stakeholder work and amendments that allowed privacy-policy links and delayed implementation until January 1, 2027. The hearing on the bill was closed with no vote taken. The committee then heard ESSB 5156, which directs the State Building Code Council to allow smaller elevators in apartment buildings up to six stories and 24 units and creates a technical advisory group to review certain elevator safety requirements. The sponsor and several supporters argued the bill would reduce elevator costs, improve feasibility for small multifamily and middle-housing projects, and increase accessibility and age-friendly housing. The National Elevator Industry opposed the bill’s harmonization language in Section 2, paragraph 2, warning it could create ambiguity, multiple standards, and litigation, but said it would be neutral if that language were removed. Other industry and housing advocates supported the measure as a way to lower costs and expand housing supply. No action was taken during the hearing. Finally, the committee heard SB 6237, which would require landlords to disclose flood risk information to tenants for leases entered into after December 31, 2026. The disclosure would note whether a property may be in a flood hazard area, where tenants can find county flood information, and that the landlord’s insurance does not cover tenants’ belongings. The Washington Multifamily Housing Association testified neutral, saying the bill had been narrowed to a more manageable disclosure and that removing a requirement to recommend flood insurance addressed concerns about landlords acting as insurance advisers. The hearing concluded without a vote, and the chair announced the committee would meet again the next day.

Transcript Highlights:

• Rates could not be raised quick enough to accommodate the rate need at the time.
• downward spiral that it was heading towards a crash rates could not be raised quick enough to to accommodate

Summary: The Senate Committee on Banking and Insurance convened with a quorum present, and Commissioner Michael Yaworsky of the Office of Insurance Regulation delivered a broad update on Florida’s property insurance market. He outlined the division of responsibilities between OIR and the Department of Financial Services, then reported market indicators including 7.61 million residential policies in force, an average premium of $2,755, 1.5 million Citizens takeout approvals, and recent negative trends in homeowners rate requests. He credited recent legislative reforms, especially tort reform and the Insurer Accountability Act, with improving market stability, increasing competition, and allowing the office to conduct more examinations and investigations, recover consumer restitution, and fine insurers for misconduct tied to recent hurricanes. Yaworsky emphasized that Citizens Property Insurance has been rapidly depopulating from its 2022 peak and may fall below 300,000 policies, while cautioning that over-depopulation could create residual-market risks and assessments if a major storm hits. He also discussed the distinction between admitted and surplus lines markets, the role of reinsurance in Florida pricing, and the effect of inflation on total insured values and premiums. He said Florida has seen comparatively modest property rate increases relative to other states and noted that recent hurricanes did not produce the kind of rate spikes seen in prior years, which he attributed to a more stable market and reduced fraud and litigation pressure. In response to a question from Senator Martin, Yaworsky explained that California’s wildfire crisis and regulatory structure are not a direct one-to-one comparison for Florida, but that California’s market problems can affect global reinsurance capacity and serve as a cautionary example of regulatory missteps. He also highlighted a recent Progressive auto insurance excess-profits refund of about $1 billion to policyholders, discussed possible federal changes to the National Flood Insurance Program, and urged greater home resiliency and code-plus adoption. The commissioner closed by calling for clearer consumer disclosures and responsible oversight of AI use in insurance filings. No bills were considered and no votes were taken; Senator Hooper moved to adjourn, and the committee adjourned without objection.

Transcript Highlights:

• Thank you Speaker Craddock for this accommodation so I can make another meeting, um.
• agency's flexibility to choose the most appropriate delivery method for each project and pivot to accommodate

Bills: SB 35, SB 1113, SB 1365, SB 1394, SB 2243, SB 2245, SB 2589, SB 2199, SB 2200

Keywords: transportation, TxDOT, Texas Department of Transportation, road projects, highways, infrastructure, bridge construction, interchanges, corridor improvements, road widening, railroad grade separation, sound barrier, unified transportation program, legislative notice, project prioritization, capital projects, state highway system, Farm-to-Market Roads, San Antonio, Harris County

Transcript Highlights:

• To accommodate this continued growth is vital that Texas ports of entry are properly staffed and provide
• To ensure Texas accommodates the continued growth, it's required to support. bills like HB 4810.

Bills: HB2013, HB4163, HB4810

Keywords: property owners associations, chickens, urban farming, land use, homeowner rights, agriculture, municipal regulation, governmental requirements, farm management, inspections, border control, trade, state funding, 1184, house, all

Transcript Highlights:

• So there should be some accommodation between the state and the tribe to... ...some accommodation between
• And so there's an accommodation. And it starts out... ...the land. And so there's an accommodation.
• I’m going to say that when a tribe seeks to recover its lands, there should be some accommodation.

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• to the question of funding, that would be addressed through future budget action to be able to accommodate
• has not been identified through this bill and this analysis, but we would make sure that we were accommodating
• to the question of funding, that would be addressed through future budget action to be able to accommodate
• has not been identified through this bill and this analysis, but we would make sure that we were accommodating
• this as you know. through this bill and this analysis, but we would make sure that we were accommodating

Summary: The Assembly Education Committee held an informational hearing on AB 715, followed by discussion of SB 48. AB 715 was presented by Assembly Members Zbur and Addis as a response to rising anti-Semitism in California schools. They described incidents involving harassment, swastikas, biased classroom materials, and students feeling unsafe, and said the bill would create an Office of Civil Rights with coordinators to address anti-Semitism and other forms of discrimination, provide prevention resources, and support school districts. Witnesses in support, including a rabbi and a student who described personal experiences with anti-Semitic harassment, urged immediate action to protect Jewish students. Opposition testimony came from the California Teachers Association, county superintendents, school board groups, labor organizations, civil liberties advocates, ethnic studies educators, and many community members. Their main concerns were that the bill was rushed, had not been fully vetted in the Assembly Education Committee, and could chill classroom speech or create constitutional problems, especially around language requiring instruction and materials to be “factually accurate” and not based on advocacy, bias, or partisanship. Several opponents argued that anti-Semitism should be addressed through education, training, and restorative practices rather than new statutory restrictions. Some witnesses also raised concerns about the bill’s impact on ethnic studies and free speech. Committee members then debated the bill’s process and substance at length. The authors said the bill had been narrowed through negotiations with education stakeholders and the Senate, that some disputed provisions would be revisited in cleanup language, and that the urgency of anti-Semitic incidents required action now. Several members expressed support for the bill’s goal but criticized the late release of the final language and the lack of consultation with the Assembly committee. Others emphasized the need to protect Jewish students immediately and argued the bill was a necessary response to a real crisis. The transcript does not show a final vote on AB 715 in the portion provided.

Transcript Highlights:

• This amendment is intended to accommodate active-duty military service members, active Foreign Service
• making sure that access is there, and this bill will help ensure that the right people who need the accommodation
• without personal assistance or likelihood of injuring my health, or I am requesting a reasonable accommodation
• House Bill 521, relating to accommodating voters with a disability.
• have significant challenges with growth that need to be recognized, appreciated, and statutorily accommodated

Summary: The Senate first adopted a motion by Senator Zaffirini to suspend Senate Rule 5.14 and move the intent calendar deadline to 8:00 p.m. that day, also allowing the Secretary to make the calendar available as soon as practicable. The chamber then took up and passed several House bills, often by suspending the regular order and the constitutional three-day rule. HB 2128, relating to a study of rural firefighting and technical rescue capabilities, passed unanimously. HB 4157, on liability protections for commercial spaceflight and exploration, passed 28-3. HB 2240, concerning certain void marriages, passed after adoption of a Birdwell amendment extending filing deadlines to 90 days for certain active-duty service members and Foreign Service officers. HB 367, on verification of excused absences for students with severe or life-threatening illnesses, passed unanimously after clarifying school district forms and TEA model forms. HB 1506, expanding expedited handgun license eligibility to certain retired county court judges, passed 29-2. HB 4449, on alcohol sales in annexed municipal areas, passed 29-2. HB 3812, on health plan prior authorization requirements, passed 30-1. The Senate also announced a long list of bills and resolutions signed in the presence of the Senate. A major portion of the meeting centered on HB 521, a voting-related bill on curbside voting for voters with disabilities. Senator Paxton described it as an anti-misuse measure requiring a signed eligibility form for curbside voting, creating a 20-foot electioneering buffer, limiting election officer assistance in marking ballots unless a second officer is present, and adding reporting requirements for people who assist seven or more curbside voters. Senators Miles, Menendez, Johnson, Campbell, Cook, and others questioned whether the bill would burden disabled voters, create a de facto registry of volunteers, and impose a harsh Class A misdemeanor penalty for failing to complete the form. Paxton said the bill was intended to protect legitimate curbside voters and curb abuse, and the chamber adopted Paxton Floor Amendment No. 1 after a recorded vote. Zaffirini’s Floor Amendment No. 2, allowing an escorting voter to receive his or her own ballot at the curbside or entrance, was adopted. Menendez’s Floor Amendment No. 3 to reduce the penalty failed. The bill was then passed to third reading on a 20-11 vote, with a motion by Senator Miles to have the exchanges reduced to writing and placed in the journal adopted. The Senate also passed HB 3000, creating a grant program for rural ambulance service providers, after a comptroller-related amendment; HB 5616, establishing the Texas Presidential Library Promotion Program and funding for traveling exhibits, after narrowing the bill to mobile exhibits only; HB 4211, addressing certain residential property interests controlled by entities, which passed 30-1; HB 1178, creating temporary educator certificates for out-of-state certified educators and military spouses, which passed unanimously; HB 2243, creating the Texas Commission on Teacher Job Satisfaction and Retention, which passed after debate over the need to streamline education mandates; and HB 42, increasing and reallocating the constitutional Higher Education Fund appropriation by 50% to $1.18 billion, which passed 31-0. Finally, HB 2512, a Fort Worth-specific bill limiting ETJ release for land subject to active development agreements, passed after debate over broader ETJ and de-annexation policy, with a local-only clarifying amendment adopted and a proposed broader amendment withdrawn. The meeting ended with the Senate beginning consideration of HB 3372, which would bar school district administrators from receiving financial benefits tied to outside consulting or contracting with education entities, though the transcript cuts off during questions on that bill.

Transcript Highlights:

• How does this accommodate if there's a holiday?
• you're not going to be able to build because you need that shorter setback on the front in order to accommodate
• order</c><00:44:02.800><c> to</c> setback on the front in order to setback on the front in order to accommodate
• 03.520><c> the</c><00:44:03.680><c> setback</c><00:44:04.480><c> to</c><00:44:04.720><c> the</c> accommodate
• the setback to the accommodate the setback to the water.<00:44:06.880><c> So</c><00:44:07.119><c> in

Keywords: 928, house, all

Summary: The subcommittee on SB 170 opened with the Pledge of Allegiance and then worked through the bill section by section, focusing first on a housing-related provision that would prohibit municipalities from requiring occupants to be related by blood or marriage. The chair proposed adding “school enrollment status” as a protected class to prevent towns from limiting where students may live, especially in Durham. Members debated whether that phrase was too vague and whether “educational status,” “enrollment status,” or “school enrollment status” was the best wording. Public testimony raised concerns that adding a new protected class could have broader implications under the state’s anti-discrimination law and could also affect municipal zoning authority, while supporters argued the bill was aimed at preventing local rules that restrict student housing and group living arrangements. The subcommittee did not take a final vote on that language during the discussion. The committee then turned to land-use and subdivision provisions. The Department of Environmental Services testified that its test-pit and related land-development rules are already protective of groundwater and surface water, and that municipalities sometimes impose stricter setbacks or other requirements locally. Builders and housing advocates argued that more stringent local requirements for test pits, well siting, and related approvals add time and cost and can impede housing development, while some municipal concerns were raised about aquifer and wellhead protection overlay districts and local groundwater safeguards. Public testimony also supported making state standards uniform across municipalities, though one speaker noted that local and state review processes can differ and that the bill could simplify approvals. The subcommittee also discussed a road-length provision, with one member supporting limits on municipal caps that could impede development and another suggesting a possible water-and-sewer-capacity qualifier. Additional sections were explained as allowing utilities and infrastructure to be placed in subdivision open spaces or perimeter buffers, and requiring municipalities to act quickly on plan changes after initial review. The chair indicated support for several of the sections as drafted, and the discussion ended with the committee moving through the remaining provisions without recorded final votes in the transcript.

Transcript Highlights:

• would have imagined biological males forfeiting their well-established privileges in athletic accommodations
• would have imagined biological males forfeiting their well-established privileges in athletic accommodations
• their wellestablished privileges in their wellestablished privileges in athletic<00:40:00.520><c> accommodations
• to</c><00:40:01.800><c> then</c><00:40:02.040><c> Dawn</c><00:40:02.359><c> the</c> athletic accommodations
• to then Dawn the athletic accommodations to then Dawn the cloak<00:40:03.480><c> of</c><00:40:03.640

Keywords: 1183, house

Transcript Highlights:

• Vehicles also have to have accommodations for individuals who are wheelchair bound or just making sure
• Vehicles also have to have accommodations for individuals who are wheelchair bound or just making sure
• Vehicles also have to have accommodations for individuals who are wheelchair bound or just making sure
• Vehicles also have to have accommodations for individuals who are wheelchair bound or just making sure
• Vehicles also have to have accommodations for individuals who are wheelchair bound or just making sure

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.

Transcript Highlights:

• If accommodations are needed for today's hearing or any hearing in the future, please communicate that
• reasons, including the compensation of our workers, the provision of their health care benefits, or accommodating
• reasons, including the compensation of our workers, the provision of their health care benefits, or accommodating
• reasons, including the compensation of our workers, the provision of their health care benefits, or accommodating
• reasons, including the compensation of our workers, the provision of their health care benefits, or accommodating

Keywords: 1183, house

Transcript Highlights:

• So, please come see me, and the door's open and the attitude is certainly accommodating. Thank you.
• the doors open and the attitude is the doors open and the attitude is certainly<00:32:40.880><c> accommodating
• </c> certainly accommodating. Thank you. certainly accommodating. Thank you.
• > to</c><00:34:41.760><c> where</c><00:34:41.919><c> we</c><00:34:42.079><c> don't</c> to some accommodation
• to where we don't to some accommodation to where we don't hamstring<00:34:42.800><c> law</c><00:34:43.040

Bills: HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328, HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328

Keywords: bail reform, illegal aliens, violent offenses, pretrial detention, flight risk, court hearings, doxing, personal identifying information, harassment, online safety, law enforcement, public servants, penalties, consumer protection, illicit material, private rights, digital privacy, nonconsensual distribution, incarceration, pregnancy