Transcript Highlights:

• If someone is Medicaid eligible, hence the need to make sure people who are Medicaid eligible actually
• become part of the...” “...people who are Medicaid eligible actually become part of the program, that
• our Medicaid program does a pretty good job in funding treatment for people with these illnesses.
• We struggle with some patients have Illinois Medicaid, some have Missouri Medicaid.
• We don't require that anyone has any Medicaid. But it is an increasingly recognized model of care.

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• </c> long-term funding for Medicaid long-term funding for Medicaid expansion.
• Again, the 10 or 15 years of Medicaid expansion money is unlikely to be there.
• </c><00:20:31.360><c> post</c> Uh working with uh Medicaid post Uh working with uh Medicaid post division
• </c><00:20:45.280><c> beneficiaries</c> eligible Medicare Medicaid beneficiaries eligible Medicare Medicaid
• Comments about, um, you know, loss of federal funding for Medicaid down the line.

Bills: HB20 , HB276 , HB644 , HB812 , HB816 , HB916 , HB1131 , HB1247 , HB1518 , HB1525 , HB1537 , HB1541 , HB1546 , HB1553 , HB1562 , HB1565 , HB1566 , HB1576 , HB1577 , HB1591 , HB1605 , HB1612 , HB1613 , HB1614 , HB1618 , HB1620 , HB1650 , HB1656 , HB1658 , HB1661 , HB1664 , HB1668 , HB1676 , HB1707 , HB1711 , HB1713 , HB1715 , HB1718 , HB1727 , HB1749 , HB1756 , HB1774 , HB1776 , HB1801 , HB1802 , HB1805 , HB1813 , HB1815 , HB1831 , HB1838 , HB1853 , HB1854 , HB1859 , HB1863 , HB1871 , HB1872 , HB1918 , HB1920 , HB1952 , HB1965 , HB1966 , HB1967 , HB1969 , HB1972 , HB1973 , HB1974 , HB1975 , HB1980 , HB1985 , HB2005 , HB2023 , HB2031 , HB2033 , HB2062 , HB2113 , HB2114 , HB2116 , HB2138 , HB2139 , HB2156 , HB2158 , HB2159 , HB2171 , HB2208 , HB2268 , HB2270 , HB2272 , HB2273 , HB2276 , HB2289 , HB2310 , HB2315 , HB2335 , HB2338 , HB2339 , HB2340 , HB2343 , HB2361 , HB2384 , HB2387 , SB2338 , SB2431 , SB2438 , SB2593 , SB2907 , SB2671 , SB2321 , SB3084 , SB2401 , SB3033 , SB2972 , SB3032 , SB2806 , SB3014 , SB2108 , SB2981 , SB2973 , SB2423 , SB2078 , SB2322 , SB2397 , SB2896 , SB2088 , SB2347 , SB2408 , SB2970 , SB2851 , SB2713 , SB2697 , SB2312 , SB2192 , SB2363 , SB2530 , SB3028 , SB2024 , SB3007 , SB2599 , SB2596 , SB2662 , SB2930 , SB3334 , SB2378 , SB3019 , SB3231 , SB2240 , SB2372 , SB2175 , SB2046 , SB2298 , SB2922 , SB2835 , SB3263 , SB2174 , SB2128 , SB2006 , SB2489 , SB3134 , SB2982 , SB2425 , SB2849 , SB2797 , SB2795 , SB2575 , SB2521 , SB2765 , SB2386 , SB2852 , SB2022 , SB2117 , SB2277 , SB2387 , SB2688 , SB2885 , SB3132 , SB3219 , SB2169 , SB2591 , SB2090 , SB2983 , SB888 , SB3249 , SB2611 , SB2429 , SB2463 , SB3154 , SB3131 , SB3152 , SB3315 , SB2448 , SB2054 , SB2140 , SB2520 , SB2377 , SB2986 , SB2010 , SB2189 , SB2026 , SB3010 , SB2818 , SB2002

Transcript Highlights:

• And depending on their individual circumstances, they qualify for other programs like Medicaid.
• And depending on their individual circumstances, they qualify for other programs like Medicaid.
• I don't believe we did cut Medicaid rates for hospitals specifically, from my experience.
• It's based on—we did not cut the actual reimbursement rate for services directly related to Medicaid
• We also did not see an expansion of Medicaid.

Summary: The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill. On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.

Transcript Highlights:

• Hawaiʻi Education Caucus in support, American College of Obstetrics and Gynecology in support, Save Medicaid
• </c> Gynecology and support save Medicaid Gynecology and support save Medicaid haai<00:02:06.200><c>
• this work are still trying to achieve sustainability through Medicaid billing.
• </c> the sustainability through Medicaid the sustainability through Medicaid billing<00:16:28.240><c>
• </c> Moving on to SB 1411, relating to Medicaid third-party liability.

Committee: Senate Health and Human Services

Summary: The committee heard testimony on a long calendar of health-related measures, beginning with SB 297, a proposed constitutional amendment to protect reproductive freedom. Supporters included medical, labor, and advocacy groups, while opponents, including Hawaii Family Forum and Hawaii Christian Coalition, argued the term “reproductive freedom” was too vague and could be misunderstood. Testimony on SB 350, a similar constitutional amendment protecting contraception, also drew strong support from medical and advocacy groups and opposition from religious organizations; one witness said the measure was especially important to protect reproductive care and contraception. Several bills focused on health system administration and public health. SB 1438 on home care agencies, SB 1439 on nuisances, SB 1441 on transferring the AAHU regional health care system to the Department of Health, SB 1442 on children’s mental health services, SB 1443 on the Department of Health, SB 1444 on general excise tax, and SB 1445 on youth mental health all received mostly supportive testimony from state agencies and community organizations. On SB 1445, the Hawaii State LGBTQ Commission asked that LGBTQI+ and Native Hawaiian youth be specifically considered in mental health services. SB 1450, creating an intensive mobile team pilot for houseless individuals with serious brain disorders, drew support from state agencies and providers; a street medicine advocate said the pilot could help address sustainability, insurance, and service delivery on the streets. The committee also heard testimony on access and workforce measures, including SB 1596 on nursing, SB 1565 on acupuncture, SB 1564 on Medicaid, SB 1418 for an emergency DHS appropriation, SB 1417 on crimes against protective services workers, SB 1411 on Medicaid third-party liability, SB 1399 on a family resilience pilot program, SB 1398 on trauma-informed care, SB 1281 on telehealth, and SB 1279 on telepharmacy. Most of these measures drew broad support from agencies, provider groups, and advocacy organizations. On SB 1281, HMSA opposed the bill as written, warning about audio-only telehealth and federal rule changes, while other health groups supported it as important for rural, kupuna, and disabled residents. On SB 1417, a Honolulu Police Department captain supported stronger protections for DHS workers but could not provide complaint data and said he would follow up later. The hearing ended with the chair noting quorum and asking whether the committee was ready for decision making; no votes or final actions were recorded in the transcript.

Transcript Highlights:

• just wanted to address a major issue that some of you who have been following the proposed cuts on Medicaid
• We need to advocate that Medicaid should be protected for those most vulnerable individuals, individuals
• We all, some of you who have been following the proposed cuts on Medicaid, that's a significant challenge
• We need to advocate that Medicaid should be protected for those most vulnerable individuals, individuals
• </c><00:14:43.399><c> or</c> would be the decrease of Medicaid or would be the decrease of Medicaid or

Transcript Highlights:

• Litman and Medicaid to cover the enhanced FMAP. Mr.
• </c><00:47:28.480><c> thank</c> those was enrolled with Medicaid thank those was enrolled with Medicaid
• c> because they accept Medicaid of those because they accept Medicaid of those the<00:50:15.480><c> DHHS
• I'm just curious, would these payouts be Medicaid specific?
• Medicaid on average it's about $770,000 Medicaid on average it's about $770,000 a<02:11:17.920><c> year

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• HHS may disqualify any doctors or hospitals that provide such care from Medicaid and Medicare.
• the federal Medicaid program from funding gender-affirming care for patients under the age of 18, and
• I'm the State Medicaid Director at the Department of Health Care Services.
• The second proposed rule would prohibit Medicaid... ...gender dysphoria in minors.
• And there's also the impacts of HR1 that are happening in terms of eligible Medicaid patients.

Transcript Highlights:

• As such, HHS may disqualify any doctors or hospitals that provide such care from Medicaid and Medicare
• If that proposed rule goes into effect, every patient, regardless of whether they receive Medicaid or
• I'm the State Medicaid Director at the Department of Health Care Services.
• The second proposed rule would prohibit Medicaid... ...gender dysphoria in minors.
• Medicare and Medicaid dollars. I mean, that is what's at stake if these rules are finalized.

Summary: The joint hearing focused on access to gender-affirming care in California, with members of the Senate and Assembly budget subcommittees hearing first from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services. State officials described California’s legal protections against discrimination, privacy protections, shield laws, and Medi-Cal and commercial plan coverage requirements for medically necessary gender-affirming care. They also outlined ongoing litigation and advocacy against federal actions and proposed rules that could restrict care, including challenges to executive orders, HHS declarations, and federal reimbursement rules, as well as a temporary restraining order protecting care at Rady Children’s Hospital. Committee members pressed the agencies on why some hospitals that had stopped providing care had not been sued, how the state measures network adequacy and equitable access, whether the $15 million previously allocated for gender-affirming care had been used, and what additional statutory changes might be needed. DMHC and DHCS said they regulate health plans rather than providers directly, rely on complaints and independent medical review to address denials or delays, and do not track utilization or have a specific provider category for gender-affirming care. DOJ said it is focused on the federal government as the source of pressure on hospitals and providers, while members discussed possible shield-law expansions and, if federal rules are finalized, the possibility of state-only funding to preserve access. The second panel featured a physician, clinic leaders, parents, and a transgender teen describing how families navigate care and the effects of hospital closures and insurance barriers. Dr. Johanna Olson-Kennedy gave a history of transgender health care, described puberty blockers and hormones as established treatments, and said minors need parental consent for medical interventions. J.M. Jaffe of Lyon Martin Community Health Services said community clinics are absorbing patients after hospital programs closed and asked for $26 million in state funding to expand capacity. Parents and youth testified about delays, out-of-network referrals, lost coverage, and the emotional strain of uncertainty, while also urging the Legislature to stabilize access and protect continuity of care.

Transcript Highlights:

• Now, that is federal Medicaid, not state Medicaid.
• to Medicaid enrolled services provided to Medicaid enrolled students<00:39:55.160><c> when</c><00:39
• Now, that is federal Medicaid, consent.
• Now, that is federal Medicaid, not<00:39:59.120><c> state</c><00:39:59.400><c> Medicaid.
• </c> not state Medicaid. not state Medicaid.

Transcript Highlights:

• Health and welfare, that includes Medicaid, at 7.7%.
• I think everybody's aware on this committee about Medicaid expansion.
• Health and welfare, that includes Medicaid at 7.7%.
• I think everybody's aware on this committee about Medicaid expansion. changes.
• I think everybody's aware on this committee about Medicaid expansion.

Committee: House Revenue and Taxation

Transcript Highlights:

• Attorney General Ellison's Medicaid Fraud Control Unit already has done great work catching people who
• First, it expands the office's subpoena power when it comes to investigating Medicaid fraud.
• In contrast, 89% of the funds that go out the door are in the form of Medicaid.
• They determine the Medicaid fraud control unit size based on the size of our state Medicaid budget, which
• Now, based on the size of our state Medicaid budget, it's 41.

Bills: HF2354 , HF1672 , HF2389 , HF2870 , HF2743 , HF1918 , HF2551 , HF1671

Committee: House Judiciary Finance and Civil Law

Transcript Highlights:

• And then we're also adding an additional $100 million to Medicaid sustainability.
• So we've been spending the Medicaid trust fund.
• The Medicaid trust fund, the first report that I get every single week is what’s the balance in the Medicaid
• Medicaid trust fund.
• Well, I’m Medicaid. I’m Medicaid.”

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee first considered revisions to the JBC rules, which staff said were all prompted by acts passed in the 2025 legislative session. The rules were adopted without objection. Members then received a balanced budget presentation from DFA Secretary Jim Hudson on the governor’s FY27 proposal, which he said was built around three priorities: limiting state government growth, continuing investments in education, and advancing income tax cuts. He highlighted major additions for education funding, EFA growth, pay plan costs, higher education productivity funding, drug task forces, corrections medical costs, the governor’s 1033 initiative, SNAP error-rate reduction, and Medicaid sustainability, while also explaining a new A/B funding category structure intended to prioritize recurring costs and preserve room for tax cuts. Members questioned Hudson about the cost of income tax reductions, the constitutional balanced-budget requirement, education funding, the Educational Adequacy Fund, Medicaid trust fund balances, and the impact of federal changes on Medicaid and SNAP. Hudson said each tenth of a percent income tax cut would cost about $58 million, the budget remained balanced, public education would still receive historic increases, and the Medicaid trust fund would be monitored closely with additional set-asides proposed. He also said the FY27 SNAP administrative cost increase would be about $18 million. The committee then heard from the Division of Higher Education, which reported institutions were 2.61% more productive overall and that the budget recommendation followed the statutory productivity formula. Questions focused on why some institutions were receiving decreases or large increases, how the formula works, and how the new return-on-investment metric and committee composition would affect future funding. The committee approved several higher education-related actions, including personnel changes for nine institutions and special language for North Arkansas College’s move into the University of Arkansas system. Staff then walked members through the higher education appropriation summary, explaining large percentage increases at several institutions were tied to federal funds or corrected carry-forward issues, including the U of A School of Mathematical, Sciences and the Arts, South Arkansas College, SAU Tech, ASU Mountain Home, and ASU Newport. Members also discussed UAPB’s 1890 extension program and the University of Arkansas Division of Agriculture’s land-grant matching funds; officials said UAPB’s recommendation was being aligned with actual spending and that the Division of Agriculture’s Smith-Lever and Hatch matches were included within its overall appropriation. The committee ultimately adopted the Higher Education Coordinating Board’s recommendations for all institutions and then moved on to the Department of Corrections section, with the chair outlining how the committee would proceed through those appropriations by section.

Transcript Highlights:

• I am a Medicaid personal care provider.
• With Medicaid waiver, as he said, the comment was, well, there's no certificate of need, and you can
• have any provider for Medicaid waiver, and that's true.
• But Medicaid waiver is also a slot-based system, so there are only so many spaces in the state for that
• Medicaid personal care is an entitlement program.

Committee: Senate Health and Human Resources

Transcript Highlights:

• One, to really align it with what we currently have in our state Medicaid program, which is the E-Ease
• One, to really align it with what we currently have in our state Medicaid program, which is the EPSTD
• So will every one of these tests be paid for by Medicaid? Thank you for the question.
• That would only apply to the Medicaid portion of the population.
• Why could we not let them do it instead of put a burden on our Medicaid system?

Bills: SB1421 , SB1427 , SB1484 , SB1503 , SB1553 , SB1557 , SB1564 , SB1566 , SB1567 , SB1591 , SB1642 , SB1794 , SB1837 , SB2044

Committee: Senate Health and Human Services

Summary: The Senate Health and Human Services Committee heard and advanced a series of health-related bills. Senate Bill 1503 would allow a digital abortion-related service provider to participate in the Choosing Childbirth grant program without requiring a brick-and-mortar Oklahoma presence; it passed 10-2. Senate Bill 1553, dealing with appeals reviewed by psychologists, passed unanimously. Senate Bill 1427, as amended, would add antibody screening for type 1 diabetes with parental consent and Medicaid reimbursement for the Medicaid population; it passed 9-3. Senate Bill 1642, allowing physicians to prescribe opioids in divided quantities during the initial seven-day period, passed unanimously. Senate Bill 1421, requiring non-physical intervention training for direct-care staff and volunteers in certain mental health facilities, also passed unanimously. The committee also approved several behavioral health and rural care measures. Senate Bill 1837 would ask the Oklahoma Health Care Authority to seek a federal exemption so rural providers of home- and community-based services can also provide case management and person-centered planning; it passed 12-0. Senate Bill 1566, aimed at expanding access to autism diagnosis and ABA therapy by broadening who may diagnose ASD and allowing telemedical supervision of behavioral techs, passed 9-3 with title off due to fiscal concerns. Senate Bill 1567, a cleanup bill for APRN prescriptive authority and medical board fee language, passed 9-3. Senate Bill 1794 would create a statewide behavioral health vacancy registry to help place people in crisis more quickly; it passed 11-1 with title off after fiscal concerns were raised. Later, the committee approved Senate Bill 1484, requiring medical examiner investigations of SIDS and sudden unexpected infant deaths to include review of immunization and medical records and adding parental notification/consent provisions unless a crime is suspected; it passed 12-0. Senate Bill 1557, transferring ABA therapist licensing duties from DHS to a licensing board, passed after an amendment shifting the board involved. Senate Bill 1564, requiring a standardized billing code and reimbursement rate for certain dental surgeries under general anesthesia, passed 11-1 with title off because of a $1.9 million fiscal note. Finally, Senate Bill 1591, as amended, would cap THC in medical marijuana edibles at 10 mg per edible and 100 mg per package to reduce child poisonings; it passed 10-2. Several bills were amended during discussion, and multiple members noted fiscal concerns, parental consent, and access-to-care issues throughout the meeting.

Transcript Highlights:

• This bill will basically allow a border hospital to take and treat Medicaid payments or Medicaid patients
• forward for the purpose of addressing income verification for programs with DHS and would also be Medicaid
• forward for the purpose of addressing income verification for programs with DHS and would also be Medicaid
• :12.240><c> to</c> and this probably will trickle down to and this probably will trickle down to Medicaid
• Um but it's primarily Medicaid as well.

Committee: Joint Medicaid

Transcript Highlights:

• Matt Friedman, on behalf of the Utility Reform Network.
• Chair, members of the committee, Matt Friedman, on behalf of the Utility Reform Network.
• Chair, members of the committee, Matt Friedman, on behalf of the utility reform.
• Chair, members of the committee, Matt Friedman, on behalf of the Utility Reform Network.
• Adrian Tinnon with TURN, the Utility Reform Network, and we are here in proud sponsorship of SB 1098.

Committee: Senate Energy, Utilities and Communications

Transcript Highlights:

• Authority in the audience, the most amazing team of people I know, uh, including staff from our Medicaid
• They might also qualify for Medicaid. They might also qualify for SNAP.
• We've get get this question quite often with the Medicaid reimbursement increases.
• Does that happen anywhere in the state as far as with what you guys deal with and or with Medicaid?
• Uh, they have to file quarterly with Centers for Medicaid on their expenditures.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• the State Department of Health system of vital statistics when verifying eligibility to receive Medicaid
• If the death of an applicant is confirmed, the authority shall deny the applicant Medicaid funding.
• in a State Department of Health System of vital statistics when verifying eligibility to receive Medicaid
• program beginning no later than January 1, 27. are rolled in the state Medicaid program beginning no
• Once the person has died, they remain on the Medicare or Medicaid rolls. Thank you, Mr. Chair.

Bills: SB1328 , SB1380 , SB1436 , SB1558 , SB1572 , SB1651 , SB1805 , SB1831 , SB1836 , SB2014 , SB2023 , SB2044 , SB2179 , SB933

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• We've worked on the issue of the pending Medicaid issue and the pending Medicaid applications.
• We've worked on the issue of the pending Medicaid issue and the pending Medicaid applications.
• Um our facility took a 2.19% Medicaid Um our facility took a 2.19% Medicaid cut<00:54:21.119><c> on</
• We've worked on the issue of the pending Medicaid issue and the pending Medicaid applications.
• We've worked on the issue of the pending Medicaid issue and the pending Medicaid applications.

Committee: Senate Finance

Transcript Highlights:

• It supports Medicaid providers, Medicaid MCOs' information sharing for claims and processing through
• </c> you know, we have our uh new Medicaid you know, we have our uh new Medicaid oversight<00:57:17.920
• Kentuckians are on the Medicaid program.
• . the the Medicaid complexity in there. the the Medicaid portion<01:03:25.359><c> of</c><01:03:25.440
• Medicaid to a marketplace plan. Medicaid to a marketplace plan.

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.