Transcript Highlights:

• I further know it increases transparency I further know it increases transparency and<01:24:58.280
• Reason number four: it's not transparent enough.
• <03:46:14.640> and voting process are transparent and voting process are transparent and observable
• <03:46:30.600> and keeping elections transparent and keeping elections transparent and observable
• <03:49:21.159> and process requiring transparency and process requiring transparency and accountability

Keywords: 928, house, all

Summary: The House opened with prayer, the Pledge of Allegiance, the national anthem, leaves of absence, guest introductions, and memorial remarks honoring former Representative Carolyn Gargas of Hollis, who was remembered for her long House service, work on child and family issues, and community involvement. The House then adopted a consent calendar and approved a motion to withdraw House Bill 431, which would have created a commission to review draft rules on minimum standards for public school approval and state academic standards; the motion failed after a roll call vote, so the bill remained in play. The House next took up House Bill 109-FN, relative to false reports to law enforcement. The majority supported the bill as a way to add penalties for knowingly false reports about law enforcement officers, arguing officers deserve protection from false accusations and that the knowingly standard is a high bar. The minority opposed it as duplicative of existing law and warned it could chill legitimate complaints against police. After debate and a division vote, the majority committee report of ought to pass was adopted, 198-173. The House also considered House Bill 218-FN, which would provide victims of crime a free police report. The committee amendment changed the bill so victims would receive a written confirmation that a crime occurred rather than the initial police report, to avoid conflicts with right-to-know law and active-investigation confidentiality. Supporters said the change was a small but important clarification agreed to by law enforcement and domestic violence advocates, while opponents argued the original language was already workable and that the floor amendment was unnecessary. A division vote was requested on the amendment, and the transcript ends during that debate before the final outcome on HB 218 is shown.

Transcript Highlights:

• But what I would want to say is, if folks have concerns about the transparency or about the distribution
• But what I would want to say is, if folks have concerns about the transparency or about the distribution
• Transparency is also asserted to be anti-worker.
• in<04:18:53.239> an<04:18:53.439> open<04:18:53.720> and<04:18:53.920> transparent
• <04:18:54.640> setting in an open and transparent setting in an open and transparent setting

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• So, it's really giving us more information and transparency and hopefully helping the institutions to
• So this is trying to give us clarity and transparency on what that could be and what would happen if
• So, it's really giving us more information and transparency and hopefully helping the institutions to
• So this is trying to give us clarity and transparency on what that could be and what would happen if
• So, it's really giving us more information and transparency and hopefully helping the institutions to

Keywords: 1136, house, all

Transcript Highlights:

• a fixed maximum payment amount for specific medical procedures and services, usually based on a transparent
• like Medicare transparent benchmark like Medicare reimbursement<00:03:52.560> rates.
• There should be a limit, a rational, transparent, publicly accountable limit.
• There should be a limit, a rational,<01:26:57.920> transparent,<01:26:58.719> publicly
• rational, transparent, publicly rational, transparent, publicly accountable<01:26:59.679> limit.

Keywords: 926, house, all

Summary: The House took up S. 190, a health care cost-containment bill relating to the Green Mountain Care Board, reference-based pricing, and a study of a public employee health benefit authority. The House first suspended rules to take the bill from the notice calendar, then heard committee reports from Health Care, Ways and Means, and Appropriations. The Health Care committee chair described the bill as a strike-all amendment intended to carry out Act 68’s hospital reference-based pricing timeline, saying it would let the Green Mountain Care Board begin implementation for fiscal year 2027, expand reference-based pricing to qualified health plans and the Vermont Education Health Insurance program, and address hospital pricing transparency, outsourcing, and critical access hospital Medicare outpatient cost-sharing issues. Supporters argued the bill would lower insurance costs, help reduce property taxes, and improve hospital sustainability by reducing the need for hospitals to limit access as they approach revenue caps. The Ways and Means committee said the bill could reduce education spending by lowering health care costs for school employees and reported the bill favorably on a 7-4 vote. The Appropriations committee said it reviewed the bill and an amendment, and noted that much of the detailed language would be changed by the appropriations amendment; it also discussed a possible state innovation waiver under the Affordable Care Act. The Health Care committee reported its strike-all amendment favorably on a 10-0 vote. The bill’s provisions were described in detail, including requiring hospitals and insurers to express rates as a percentage of Medicare, setting a path toward national median hospital prices by 2030, limiting certain reimbursements for QHP and VHI plans, requiring a report on hospital outsourcing and provider tax impacts, and creating a public health system performance tool if funding is available. The speaker also noted that the bill would not affect critical access hospitals or Vermont’s Medicare-dependent hospital in the reimbursement cap provisions, and that critical access hospitals were already working with the Green Mountain Care Board on solutions to Medicare outpatient cost-sharing concerns.

Transcript Highlights:

• Instead, they impose non-disclosure agreements, no price caps, and no transparency.
• Fair and transparent ebook licensing is critical. Restricted access harms literacy.
• Fair and transparent ebook reach.
• <01:26:16.000> I'm transparency against future claims.
• I'm transparency against future claims.

Bills: HF3698, HF4243, HF4239, HF4241, HF4242, HF4240

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, campaign finance, elections, political contributions, disclosure, reporting thresholds, economic interest statements, financial disclosure, ethics, public officials, local officials, metropolitan governmental unit, metropolitan area, candidate filings, principal campaign committee, political committee

Transcript Highlights:

• Do you think they appreciate the transparency of going over in detail what the problem is?
• <01:19:49.040> of they appreciate the transparency of they appreciate the transparency of
• So, I'm trying to be just honest and transparent with you and everybody watching, um, because at the
• <01:43:07.760> with to be just honest and transparent with to be just honest and transparent
• ><01:50:52.639> where<01:50:52.880> members transparent public process where members transparent

Keywords: 910, house, all

Summary: The committee heard several bills on water, land, housing, permitting, and historic preservation. For SB 746/SD2/HD1 on invasive species, DLNR and the Department of Agriculture supported the intent but warned that a bounty approach for coconut rhinoceros beetle could have unintended consequences, divert resources from biocontrol research, and be vulnerable to abuse; Hawaii Farm Bureau supported the measure. The committee also heard SB 1541 on the WoE water system, with testimony from ADC, Kunia Village Title Holding Company, and Farm Bureau in support, emphasizing the importance of the system for agriculture and the high cost of water on lands already dedicated to farming. The most extensive discussion was on SB 66, relating to building permit review and county permitting authority. DPP opposed the bill, saying the problem is not just agency review time but the broader permitting process, including applicant corrections, outside-agency review, staffing shortages, and low pay that make it hard to fill vacancies. DPP said it already meets or beats existing review deadlines for residential permits and is using tools like electronic plans and AI to help applicants submit better plans. Several supporters, including Iron Workers Local 625, an individual witness, and Hawaii Food Industry Association, backed the bill but urged a pilot program or other safeguards; some also asked for broader permit coverage beyond single-family homes. Committee members questioned DPP about whether applicant correction time should count against the clock, whether self-certification could be used, and whether the state should fund any new mandate. The committee then took up SB 26 on affordable housing, with HHFDC, OPSD, and HCDA in support and no opposition noted. Finally, on SB 1263 relating to historic preservation, HHFDC and DLNR supported the bill, while OHA offered comments and requested amendments, especially on the new risk-based review process for high-, medium-, and low-risk areas. OHA said the new procedure should be implemented carefully and allowed more time, describing it as a pilot that should be done well to be useful while still protecting cultural and historic resources. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• I don't view this as being as transparent with voters as we should be.
• So I don't think this is a transparent way to get at the flexibility that our school districts need.
• I don't view this as being as transparent with voters as we should be.
• So I don't think this is a transparent way to get at the flexibility that our school districts need.
• <01:07:46.559> with view this as being as transparent with view this as being as transparent

Keywords: 1187, senate, all

Transcript Highlights:

• There is no transparency or accountability when insurance companies routinely make doctors and patients
• Establishing an Office of Patient Protection is an important step to improve transparency, support patients
• There is no transparency or accountability when insurance companies routinely make doctors and patients
• There is no transparency or accountability when insurance companies routinely make doctors and patients
• Transparency, support patients, and make sure the insurance that people are paying for covers the care

Keywords: 1187, senate, all

Transcript Highlights:

• The Met Council has not been fully transparent about the project's increasing costs, and the Met Council
• The Met Council has not been fully transparent about the project's increasing costs, and the Met Council
• The Met Council has not been fully transparent about the project's increasing costs, and the Met Council
• so what we are looking for transparent so what we are looking for the<00:26:24.559> areas<00:
• in how we're trying to learn transparent in how we're trying to learn from<01:18:39.440> where

Keywords: 1187, senate, all

Transcript Highlights:

• And I guess trust and your efforts need to be transparent and unbiased.
• But again, that transparency piece is one that we really emphasize in the work that we do at the center
• But so that ability to provide transparent and unbiased information to a community so that they can make
• Any legislative changes must transparently address these implications for local residents.
• So in terms of openness and transparency, that the committee is interested in, and you've heard discussing

Keywords: 908, all

Transcript Highlights:

• And I guess trust and your efforts need to be transparent and unbiased.
• But again, that transparency piece is one that we really emphasize in the work that we do at the center
• To be dependent upon, and I believe transparent and unbiased information. Absolutely.
• But so that ability to provide transparent and unbiased information to a community so that they can make
• Any legislative changes must transparently address these implications for local residents.

Summary: The committee met to review advanced nuclear energy issues in North Dakota, beginning with approval of the April 21, 2022 minutes. Nucleon presented an overview of the advanced reactor landscape, distinguishing light-water SMRs, advanced Gen 4 reactors, and microreactors. The presentation emphasized that light-water SMRs are the most near-term deployable and use familiar low-enriched uranium fuel, while many Gen 4 designs may require high-assay low-enriched uranium (HALU), which is not yet supported by a mature U.S. supply chain. Nucleon also noted that advanced reactors are being developed primarily for industrial heat applications, while microreactors are niche, higher-cost systems for remote or mission-critical uses. Committee members asked about fuel availability, safety, recycling, and whether large reactors such as AP-1000s were evaluated; the presenter said fuel development is proceeding in parallel but remains a bottleneck, and that siting and grid capacity often make SMRs more practical than gigawatt-scale plants in North Dakota. Representatives from the National Association of State Energy Officials described how other states are supporting advanced nuclear through task forces, roadmaps, regional coordination, grants, tax incentives, workforce and supply-chain efforts, and pilot programs. They highlighted the Advanced Nuclear First Mover Initiative and said states are focusing on multi-state coordination, demand aggregation, regulatory coordination, waste management, workforce readiness, and community engagement. They also discussed affordability tools such as construction work in progress (CWIP), financing incentives, and consumer protections, citing examples from Kentucky, Texas, Virginia, Illinois, Missouri, Utah, Tennessee, and others. In response to questions, they explained that pilot programs often involve site-readiness and feasibility studies, and that the federal Nuclear Innovation Campus process is moving forward with multiple submissions while broader waste and recycling policy may require congressional action. The Public Service Commission said it would likely have a major role in any North Dakota nuclear project through certificate-of-public-convenience-and-necessity review, siting, and rate regulation, but noted gaps in current law for small reactors, co-located facilities, NRC coordination, and long-term site stewardship. The commissioner said the commission has no authority over a private, self-contained reactor not connected to the grid. The Department of Environmental Quality explained that the state regulates radioactive materials under its agreement-state authority, but NRC retains primacy over fission reactors; DEQ would likely assist with emergency planning and could have a larger role if fusion reactors emerge. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, requiring a dedicated radiological emergency preparedness program, training, drills, public outreach, and likely additional funding and staffing, with industry expected to bear much of the cost. The Department of Water Resources said North Dakota’s water laws and prior-appropriation system are adequate for nuclear siting, that the Missouri River is the best likely source, and that no statutory or budget changes are currently needed from a water perspective. The committee recessed for lunch after these agency presentations.

Transcript Highlights:

• And I guess trust and your efforts need to be transparent and unbiased.
• But again, that transparency piece is one that we really emphasize in the work that we do at the center
• But so that ability to provide transparent and unbiased information... ...to a community so that they
• Any legislative changes must transparently address these implications for local residents.
• So in terms of openness and transparency that the committee is interested in, and you've heard discussing

Summary: The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability. Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts. North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.

Transcript Highlights:

• enhances Additionally, the legislation enhances Additionally, the legislation enhances transparency
• by requiring a statewide transparency by requiring a statewide elections<01:00:37.040> database
• And it would improve transparency and election administration through a comprehensive statewide
• Additionally, this bill would create transparency by creating a statewide elections database, ensuring
• <01:05:22.760> by this bill would create transparency by this bill would create transparency

Keywords: 1136, house, all

Transcript Highlights:

• In closing, local boards already operate transparently and directly accountable to voters.
• In closing, local boards already operate transparently and directly accountable to voters.
• In closing, local boards already operate transparently and directly accountable to voters.
• In closing, local boards already operate transparently and directly accountable to voters.
• In closing, local boards already operate transparently and directly accountable to voters.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 SB 11 Discussion 00:01:20 SB 11 Vote 00:05:00 SB 41 Discussion 00:5:43 SB 41 Vote 00:15:03 SB 59 Discussion 00:20:30 SB 59 Vote 00:28:15 SB 57 Discussion 00:29:40 SB 57 Vote 00:40:00 SB 125 Discussion 00:42:43 SB 125 Vote 00:50:53 SB 191 Discussion 00:53:19 SB 191 Vote 00:59:38, 958, all

Summary: The committee first took up Senate Bill 11, a proposal to create a matching-grant program for neighborhood storm shelters in rural Kentucky. Sponsor Steve Meredith and supporters from the Kentucky League of Cities and the City of Morgantown said the idea was to use FEMA-style funding to help residents who live far from community shelters, noting that in some rural counties it can take 30 to 45 minutes to reach a shelter during severe weather. The committee adopted the substitute and passed the bill 11-0, with no nay votes. The committee then considered Senate Bill 41, which would require a ballot referendum whenever a taxing entity raises property taxes more than 4 percent, rather than relying on the current petition process. Sponsor Gary Boswell said the bill would give taxpayers more direct control and argued that local governments should simply avoid raising taxes above the threshold. Superintendents from Rockcastle and Casey counties opposed the bill, saying it would weaken local control, add election costs, delay budgets, and make it harder for school districts to keep up with inflation, insurance, transportation, and construction costs. After debate, the committee passed the bill 7-3 with favorable expression. Next, the committee heard Senate Bill 59, which would add criminal penalties to KRS 65.013, the law barring public funds from being used to advocate for or against ballot questions. Sponsor Steve Rawlings said the measure was prompted by reports of school officials using public resources to oppose a 2024 ballot issue and argued the law needs real enforcement to protect taxpayers and election integrity. Members raised concerns about First Amendment issues and the bill’s gray areas, especially for public employees speaking on their own time; Rawlings said the substitute removed volunteer references, allowed balanced issue debates, and clarified that employees acting on their own time and resources would not be prohibited. The committee passed the bill 8-3 with favorable expression. The committee also began hearing Senate Bill 57, as substituted, from Senator Danny Carroll. The bill would create a nuclear-ready site readiness pilot program under the Kentucky Nuclear Energy Development Authority, with up to three projects receiving up to $25 million each to help cover early site permitting and related licensing costs. Carroll, along with witnesses from the UK Center for Applied Energy Research and the Public Service Commission, said the goal is to build a nuclear energy ecosystem in Kentucky, with safeguards including surety bonds, deadlines, and cost-recovery provisions. The discussion was still underway when the transcript ended.

Transcript Highlights:

• I think that's something that in transparency and what this committee is tasked with, with government
• That's not transparency.
• :45.840> in >> and that's something that in >> and that's something that in transparency
• and what this uh I think transparency and what this uh I think committee<00:19:49.440> is<00:
• Now, if they're protecting transparency.

Keywords: Government Structure - Room 409, 12 January, 2026; 2:00 P.M., 925, all

Summary: The committee held its first meeting under its new Government Structure Committee name and began by electing Senator Chris Johnson as secretary. The chair explained the committee’s purpose as improving efficiency, effectiveness, and stewardship of taxpayer dollars, and said members had asked statewide officials and agencies for ideas on streamlining government and reducing costs. Commissioner of Agriculture and Commerce Andy Gibson testified at length about ways his agency has found efficiencies, especially after the COVID-era consolidation of three agencies into one. He said state procurement and construction rules can add major time and cost to projects, citing a proposed $300,000 building that grew to about $1 million through the state process. He recommended raising repair and quote thresholds, streamlining construction procedures, reconsidering restrictions on payments between state agencies, and allowing more flexibility for agencies to help one another when authorized. Members questioned Gibson about the repair caps, the construction cost increase, Ticketmaster and other technology/vendor arrangements, and whether agencies should have more decentralized control over contracts. The chair and several senators agreed the committee should examine red tape, vendor relationships, and procurement rules, and Gibson said he would provide more information and work with the committee. No formal legislation was acted on in the portion provided. The transcript then shifted to testimony from the Insurance Commissioner, who said his department is heavily affected by IT and board structure issues and oversees 17 boards. He urged consolidation of some boards, criticized the effects of SB 2362 on special-fund agencies, and said the State Fire Academy and other operations have been constrained by general-fund treatment and limited authority. He also discussed insurance-rate pressures, including projected premium increases, wind pool rate concerns on the Gulf Coast, and the need for mitigation to stabilize costs.

Transcript Highlights:

• It's basically a better transparency mechanism to make sure that if a defendant is in more than one court
• Yes, we're trying to get full transparency in the criminal justice system so that everyone who's making
• And secondly, they need to be transparent through the Office of Court Administration with their operations
• Members, Senate Bill 843 aims to improve transparency by requiring the Texas Education Agency to create
• Members, SB 1951 provides more transparency for taxpayers and accountability for appraisal districts

Bills: SB664, SB40, SB9, SJR1, SJR5, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1762, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, SCR25, SB687, SB1332, SB2185, SB552, SB664, SB40, SB9, SJR1, SJR5, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1762, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SCR25, HB2525, HB142, HB140, HB29, HB451, HB3809, HB3307, HB 1130, HJR1, HB9, SB17, SB260, SB509, SB1506, SB1637, SB2308

Keywords: Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A, bail training, Article 17.024, Article 15.17, local administrative judge, State Commission on Judicial Conduct, Office of Court Administration, county courts, criminal justice, criminal jurisprudence, judicial qualifications

Transcript Highlights:

• We really look forward to implementing these recommendations to provide more transparency and efficiency
• <00:50:45.920> and transparency and transparency and efficiency<00:50:47.839> um<00:50:
• It's also the parties appearing before it, but rules and more transparent rules about those processes
• <00:57:36.200> rules<00:57:36.520> about rules and more transparent rules about rules
• and more transparent rules about those<00:57:37.240> processes<00:57:38.240> would<00:

Keywords: 928, house, all

Summary: The Fiscal Committee met on February 21 and first approved the January 30 minutes and the consent calendar, with item 2540 removed by the Department of Education and item 25057 set aside for discussion. The committee then took up FIS 25057, a Department of Transportation request tied to a federal grant for building information modeling and related data standardization across DOT systems. Transportation officials explained that the $2.405 million consultant-heavy request would connect surveying, design, construction, and asset management systems, improve efficiency and long-term asset tracking, and help the department catch up with other states. Several senators questioned the lack of immediate, quantifiable budget savings and the reliance on consultants, but the item was ultimately adopted. The committee next approved FIS 25054 for the Department of Health and Human Services after questioning a $16 million shortfall in the Children’s Health Insurance Program. DHHS explained the variance as a budgeting and accounting issue tied to separating CHIP from Medicaid managed care, pandemic-era continuous enrollment, and the new federal requirement for 12 months of continuous coverage for children. Members also approved a Cannon Mountain fee item, where park officials described a proposed price freeze for early-bird passes, a new in-season tier, and modest increases in off-season pricing, while noting operating cost pressures, strong snow conditions, and favorable customer value ratings. That item was adopted unanimously. The committee also approved the Department of Corrections item after discussion of staffing, retirement eligibility, overtime, and recidivism. Commissioner Helen Hanks said retirement-eligible staff had declined slightly, recruitment was improving, overtime hours were down, one housing floor had been closed because of lower population, and the department had reduced reincarceration by 8% over seven years, which she said produced substantial savings. The item was adopted. During informational items, the committee heard a Legislative Budget Assistant performance audit of the New Hampshire Commission for Human Rights. The audit found the commission inefficient and ineffective in processing complaints, with average case closure taking 840 days, significant backlogs dating back decades, expired administrative rules, weak management controls, disorganized and outdated procedures, unreliable data, and unresolved prior audit findings. The audit included 25 recommendations, two of which may require legislative action. Commission staff said they appreciated the recommendations and expected the additional resources from the prior budget cycle to help address the backlog and improve transparency and efficiency.

Transcript Highlights:

• We also wanted to increase transparency for participants and providers.
• <00:12:13.839> for<00:12:14.399> participants<00:12:14.920> and transparency for
• participants and transparency for participants and providers<00:12:16.880> lots<00:12:17.079>
• Again, here's just the waiver rates and all transparency, just showing what the benchmark rate was, what
• and all transparency just showing what<00:18:00.120> the<00:18:00.240> Benchmark<00:18

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• Again, no personal identifying information would be available, but again allows the transparency and
• Again, no personal identifying information would be available, but again allows the transparency and
• Again, no personal identifying information would be available, but again allows the transparency and
• Again, no personal identifying information would be available, but again allows the transparency and
• Again, no personal identifying information would be available, but again allows the transparency and

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• This bill seeks to create a structure that will address this problem and also this transparency gap.
• This bill seeks to create a structure that will address this problem and also this transparency gap.
• Transparency and minimum support timelines could avert waste and encourage longer support.
• This response is essential to maintain public trust through transparency.
• We organized the community, submitted comments, and engaged a process exactly as California's transparency

Summary: The committee began as a subcommittee due to the lack of a quorum and heard several privacy- and technology-related measures. The first item was H.R. 117, a resolution urging Congress to reform Section 230 of the Communications Decency Act. The author and supporters argued the law is outdated and shields platforms from accountability for harms such as harassment, exploitation, scams, and other online abuse. Witnesses, including a survivor parent and a gender justice advocate, described harms to children, women, and LGBTQ people and urged a two-year sunset to force federal reform. Some members supported the resolution as a call for federal action, while one member said he could not support it because the resolution was too general and lacked specificity about the reforms being sought. No vote was taken because the committee lacked a quorum. The committee then heard SB 898, which would require manufacturers of connected consumer products to disclose how long they will support the software and to notify consumers when products approach end of life. The author said consumers deserve transparency about security updates and continued functionality, and supporters from Consumer Reports and PIRG emphasized cybersecurity risks, consumer confusion, and electronic waste from unsupported devices. Opponents, including business and industry groups, raised concerns about enforcement through the unfair competition law, notice burdens, labeling issues, and compliance challenges, especially for products with long support windows or third-party dependencies. One member expressed support, noting the cybersecurity risks of end-of-life devices, but again no vote was taken because there was no quorum. The committee also heard SB 435, which would narrow the CCPA definition of publicly available information to limit how businesses classify data as public. The author and supporters said the bill would close a loophole that allows data brokers and others to monetize personal information without meaningful consent and could help prevent surveillance and misuse of data, including by government agencies. Opponents argued the bill would upset the balance between privacy and the free flow of information, create compliance uncertainty, and retroactively reclassify information that businesses reasonably believed was public. Some members said they supported the goal of stronger privacy protections, while others said the bill was too broad. The committee again could not vote due to the lack of a quorum. Later, the committee heard SB 923, which would expand Californians’ right to delete personal information to cover data obtained from third parties and require online businesses to offer a web form or similar method for deletion requests. Supporters, including the California Privacy Protection Agency and consumer advocates, said the bill would make deletion rights meaningful and better address data broker practices. Opponents sought an opt-out-of-processing alternative and raised operational and legal concerns, but supporters said deletion is not the same as retention or processing limits. Members largely spoke in favor of the bill’s privacy goals, but no action was taken. The committee also heard SB 947, the “No Robo Bosses Act,” which would require human review for certain automated employment decisions and limit predictive analysis in workplace discipline and termination. Labor groups supported the bill as a safeguard against biased or erroneous AI-driven decisions, while business, public employer, and local government groups opposed it as overbroad and burdensome. Members voiced support for human oversight in employment decisions, but the item was not voted on because the committee still lacked a quorum. Finally, the committee began hearing SB 1114, the SOGI Data Privacy Act, which would restrict disclosure of sexual orientation, gender identity, and intersex data to federal agencies absent a court order or legal requirement; the author and witness framed it as a response to federal efforts to obtain sensitive LGBTQ-related data.