Transcript Highlights:

• up with the state support is actually an infrastructure where patients can benefit from advanced digital
• with the state support is actually an infrastructure where patients can have benefit from advanced digital
• So all these new digital tools that can be on a phone or it can be on your wrist and a Fitbit, or we

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.

Transcript Highlights:

• And they will also be promoted and distributed through digital channels.
• program on July 4th with the Boston Pops, and then after that they will be available through our digital

Keywords: 995, all

Summary: The special commission on the 250th anniversary of the American Revolution met without quorum, but proceeded with updates on major upcoming 250th events. Chair Sean Garballey and Senator Paul Mark opened the meeting, then Dusty Rhodes gave a detailed overview of Sail Boston and the Tall Ships festivities, including ship arrivals on July 9-10, the opening ceremony on July 10, the parade of sail on July 11, public boarding, harbor fireworks, and the Sail Boston festival. He noted the event will involve 20 countries, about 60 ships, multiple anchorages, and significant coordination with pilots, tugboats, and public safety agencies, with a budget of more than $5 million. Director Kate Fox and Sheila Green reported on Massachusetts 250 campaign efforts, including website and social media performance, merchandise sales, grant-funded exhibits and murals across the state, multicultural outreach, and July 4th programming tied to the Boston Pops Spectacular. They highlighted a series of MA 250 promotional videos, the I-Civics “We Declare” student reading project, the America 250 time capsule submission, the national reading of the Declaration of Independence on July 8, the Great American Block Party in Boston, and the flag sojourn that will bring a ceremonial flag to several Massachusetts sites before it is sent to Washington, D.C. They also mentioned upcoming MA 250 signage at MassDOT service plazas and a new schools-and-farms partnership announced by state secretaries. Jonathan Lane of Revolution 250 updated the commission on Bunker Hill-related events, the Gloucester battle reenactment, Treaty Day in Watertown, and the Declaration of Independence project. He said Revolution 250 secured funding to reprint the Ezekiel Russell Declaration of Independence for distribution to all Massachusetts cities and towns, using an 18th-century press and handmade paper. The commission then discussed creating a Massachusetts-specific time capsule, with members offering to help identify objects and suggesting it include both historic and contemporary items. The meeting ended with general thanks, an invitation to an upcoming Mass Humanities screening, and a motion to adjourn, which passed unanimously.

Transcript Highlights:

• established a commission to study, report, and make recommendations on the creation and implementation of a digital
• support of Amendment Number Five, which establishes a special commission to study the creation of a digital

Keywords: 995, all

Summary: The House opened with ceremonial business, including adoption of resolutions recognizing the Copernicus Institute and honoring October 2025 as Polish American Heritage Month. Members also concurred in Senate petitions and suspended Joint Rule 12 to allow several new petitions to be referred, including proposals on employer notice of I-9 records, Lobular Breast Cancer Awareness Day, a sick leave bank for a trial court employee, and the purchase or lease of Fenn Farm. The chamber then advanced several local and administrative bills, including legislation authorizing MassDOT to convey land in Stoneham and bills on child welfare protections, transit-worker assault penalties, and other local matters. The most substantial debate centered on House No. 4645, a substitute bill addressing assault and battery on transit workers. Supporters argued that transit employees face rising violence and deserve protections similar to other public employees, citing MBTA assault statistics and testimony from workers describing threats, spitting, weapons, and serious injuries. The House accepted the substitute bill and passed it to be engrossed by roll call, 116-0. The chamber also passed to be engrossed a child welfare bill, House No. 4644, after debate on expanded DCF reporting, discharge planning, the independence of the Office of the Child Advocate, education coordination for children in care, and child fatality review reforms; amendments were adopted, including one adding a Department of Social Services social worker to the fatality review team and another creating a commission to study a digital education portfolio for foster youth. The House also adopted an emergency preamble for a bonds bill and passed several engrossed local bills, including measures affecting Hull, Lanesborough, and Norton. The session included a formal visit from a Hokkaido, Japan delegation marking the 35th anniversary of the Massachusetts-Hokkaido sister-state relationship, with remarks entered into the Journal. Members observed moments of silence for Bernard Fang and former Representative Thomas George, and the House later adopted a special adjournment in memory of Mark Haren before adjourning to meet the next day.

Transcript Highlights:

• through 80 hours of training under those core competencies, which list things like documentation, digital
• spelled out in our existing standards, in existing law, that this bill does not touch whatsoever, that digital

Keywords: 987, senate, all

Transcript Highlights:

• The printed transaction receipts is a huge piece because we are seeing scammers diverting digital receipts
• Suffice for moving that into a digital wallet.

Transcript Highlights:

• H593 was referred to Energy and Digital Infrastructure.
• H597, H598, H599, H600, and H601 were referred to Energy and Digital Infrastructure.

Keywords: 926, house, all

Summary: The House opened with a devotional by Representative Tony Miklas, who used the Aesop fable about “belling the cat” to emphasize practical wisdom and the need to consider how legislation will actually be implemented by agencies, towns, businesses, nonprofits, schools, and courts. The chamber then welcomed Representative Valerie Taylor of Mendon, who had been appointed to represent Rutland 11 and took the oath of office; she was escorted to her seat and appointed to the House Health Care Committee. Representative Feltus of Lyndon was also appointed to the Joint Fiscal Committee. Members suspended the rules to introduce 19 House bills by number only, with several referrals announced, including multiple bills sent to Judiciary, Health Care, Government Operations and Military Affairs, Human Services, Energy and Digital Infrastructure, and Environment. The House also referred a petition concerning school security to the Education Committee. In addition, the chamber adopted two joint Senate resolutions in concurrence: JRS 29, setting the weekend adjournment schedule for January 9, 2026, and JRS 31, setting the town meeting adjournment schedule for late February and early March 2026. The House also concurred in moving H.541, relating to interference with voters and election officials, from Government Operations and Military Affairs to Judiciary. The main action item was House Resolution 10, which amended House rules on bill draft request and approval deadlines in the second year of the biennium. The Rules Committee explained that the resolution would move the bill drafting request deadline to December 5, the draft-change deadline to January 15, and the bill approval deadline for introduction to January 31, citing the need for more time for legal review, better coordination between members and Legislative Council, and reduced staff burnout during the holiday and early-session period. The House adopted the resolution. The meeting ended with announcements about upcoming Appropriations budget workshops, a new Creative Sector Caucus, and a Climate Solutions Caucus meeting, followed by adjournment until January 8, 2026 at 3 p.m.

Transcript Highlights:

• That's three double-digit tax increases in a row.
• was, instead of using the old rollback rate, which was 8%, then plus this, you would be into double digits

Bills: SB15, SB9, SB7, SB1, SB2, SB67, SB15, SB9, SB7

Keywords: real property, fraud, theft, elderly, disabled, statute of limitations, criminal offense, property rights, property tax, ad valorem tax, voter-approval tax rate, no-new-revenue tax rate, tax rate calculation, Tax Code, local government finance, municipality, county, special taxing unit, sales and use tax, property tax cap

Transcript Highlights:

• This allows digitized identification cards to be accepted as a valid form of identification under certain
• circumstances and authorizes state and county law enforcement agencies to accept a digitized identification

Keywords: 912, senate, all

Summary: The Judiciary Committee met on a decision-making agenda and took up a series of bills, mostly accepting committee recommendations with either technical or substantive amendments. HB 472 would allow digitized identification cards to be accepted as valid ID under certain circumstances; the committee amended it to clarify that a physical ID may still be required where state or federal law demands it, and the measure passed. HB 510 on water shortages and emergencies, HB 871 on the effective date of Act 130 relating to the Hawaiian Homes Commission Act, HB 1120 on the Department of Health’s nuisance-abatement authority, and HB 1162 on motorcycle instruction permits all passed with amendments or technical changes. HB 544 establishing a pet insurance framework, HB 995 extending reporting time for firearm carry license reports, HB 10002 extending the White Correctional Oversight Commission coordinator term, HB 1093 clarifying the Hawaii Public Housing Authority’s powers, HB 1291 expanding labeling rules for winged brown coffee to roasted coffee, and HB 1348 on public-land recreation leases and county-resident lotteries also passed, with HB 1348 amended to require a lottery within a year of vacancy and to limit renewal conditions. The committee also discussed HB 76, requiring skateboard users under 16 to wear helmets, and HB 1259, which would change how speed limits can be reduced without an engineering study. One member raised concerns about HB 1259, arguing the language could allow unsafe reductions on state highways; the committee noted a no vote from that member, but the measure still passed. HB 76 initially passed as amended, then the committee briefly revisited it after a member said they had intended to vote no; on revote, the bill was adopted unamended. Throughout the meeting, members generally voiced no objections to the remaining measures, and each bill was reported out with the stated recommendation.

Transcript Highlights:

• but really what I believe is actually happening is, yes, a lot of things do flow through Florida Digital
• But to have this umbrella go across to ensure, because there's a lot of people at Florida Digital Service

Summary: The committee first took up House Bill 1183, by Rep. G. Lombardo, as amended by a strike-all. The bill would provide liability protection for local governments and private-sector entities that substantially comply with certain cybersecurity practices, including multi-factor authentication, disaster recovery plans, and related policies and procedures. Rep. Lombardo said the measure is intended to create incentives for better cybersecurity and to limit class-action exposure after incidents, while still allowing suits where negligence can be shown. Supporters included TechNet, the Florida Justice Reform Institute, the Florida League of Cities, Associated Industries of Florida, the Florida Association of Counties, and Dr. Edward Long of the James Madison Institute; Vice Chair Steele, Rep. Blanco, and Rep. McFarland also spoke in favor. Ranking Member Bracy Davis opposed the bill, saying she was not comfortable granting liability protections to entities that may have contributed to breaches and questioning whether substantial compliance would be self-attested. The amendment was adopted, and the bill was reported favorably by a 14-2 vote. After the vote, the committee shifted into an extended discussion about Florida’s state IT governance structure, procurement, and project management. Members criticized the current federated model as fragmented and lacking clear accountability, with repeated references to long-running problems such as cost overruns, weak vendor oversight, workforce shortages, and the troubled I-Connect system. Several members argued that the state needs a single accountable leader or stronger enterprise authority over agency technology decisions. Ranking Member Bracy Davis raised concerns about the impact of broken systems on vulnerable populations and asked about the role of advisory councils. Rep. G. Lombardo, Vice Chair Steele, Rep. Miller, and Rep. Groh all emphasized the need for centralized leadership, better alignment of authority and budget, and more disciplined procurement and integration practices. A public witness, Victoria Zep of Team 180, testified in support of a more enterprise-wide approach and said the private sector also wants more organization and transparency. She criticized short procurement timelines, limited competition, and poorly written scopes, and urged the state to post procurements more openly and seek broader vendor input. She also discussed the need to respect agency-specific federal requirements while still improving statewide coordination. The chair closed by asking members to bring forward ideas for immediate and long-term reforms, including review of Senate Bill 7026, and the meeting adjourned without further business.

Transcript Highlights:

• have surveys that show that 86% of adults in Minnesota regularly have a regularly look at print and digital
• And so, I emphasize in saying digital, much of the testimony you heard here briefly was along the lines

Transcript Highlights:

• He was also Co-Chair of the Alabama Digital Expansion Authority and the Alabama Rural Broadband Oversight
• I've had an opportunity to serve with him on the Alabama Digital Expansion Authority, and he has done

Bills: SJR 3, SB 5, SB 21, SB 72, SB 703, SB 764, SB 790, SJR 36, SJR 3, SJR 34, SJR 18, SCR 9, SB 616, SB 565, SB 384, SB 5, SB 21, SB 72, SB 140, SB 262, SB 370, SB 372, SB 495, SB 627, SB 703, SB 764, SB 842, SB 971, SB 790, SB 767, SB 480, SB 1066, SB 929, SB 765, SB 523, SB 62, SB 19, SB 18, SB 666, SB 688, SB 707, SB 888, SB 687, SB 706, SB 847, SB 869, SB 890, SB 992, SB 1145, SB 494, SB 290, SB 766, SB 11, SB 10, SB 13, SB 263, SJR 3, SB 5, SR 172, SR 176, SR 177, SR 190, SR 193, SR 194, SR 202, SR 203, SR 208

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, cryptocurrency, bitcoin, investment reserve, economic resilience, financial security, vehicle rental, damage waiver

Transcript Highlights:

• but we may look at doing something with AI... ...we may look at doing something with AI or with the digital
• Are they going to have to show them proof of that, even from a digital standpoint, or will that... standpoint

Bills: HB2, HB43, HB49, HB94, HB137, HB156, HB200, HB250, HB3, HB42

Keywords: vaccination, parental consent, minors, medical consent, guardian approval, criminal procedure, split sentencing, probation, Class A felony, Class B felony, minimum confinement, HB49, Alabama criminal code, capital offense, capital punishment, death penalty, rape in the first degree, sodomy in the first degree, sexual torture, child sexual abuse

Transcript Highlights:

• about it is a few years ago, whenever we stopped using so much paper, everybody started going to digital
• about it is a few years ago, whenever we stopped using so much paper, everybody started going to digital

Summary: The Agriculture and Natural Resources Budget Committee met with a quorum and heard two Department of Agriculture presentations. First, the Director of Rural and Family Lands described the Rural and Family Lands Protection Program, which buys development rights through perpetual conservation easements on private agricultural land to preserve farming, wildlife habitat, water resources, and open space while keeping land taxable and avoiding state maintenance costs. He said the program has expanded rapidly since 2023 through streamlined applications, templates, and an online portal, increasing acreage protected from about 66,000 acres through 2022 to more than 210,000 acres, with a higher share in the Florida wildlife corridor. He also said review times were reduced by more than 85 days and that projects under $5 million can move faster under statutory authority. The department is seeking $200 million in nonrecurring funding on top of $100 million recurring, citing 203 existing projects and 224 new applications totaling nearly $2 billion in estimated need. Members asked about the scientific ranking process, South Florida participation, project prioritization, maintenance responsibilities, and whether landowners can exit the program; staff said land remains privately owned, easements are in perpetuity, and partnerships and cost-sharing are prioritized. The committee then heard from the Florida Forest Service director, who outlined the agency’s dual mission of wildfire response and land management. He said the service responds to roughly 2,200 to 2,500 wildfires annually, manages 38 state forests and one ranch totaling more than 1.1 million acres, and receives about 15 million visitors each year. He highlighted the impact of Senate Bill 1638 gaming compact funds, which provided $32 million for land management, recreation, equipment, roads, invasive species control, habitat restoration, prescribed burning, reforestation, and staffing support. He said Florida leads the nation in prescribed fire, with 277,818 acres burned on state forests last year and 2.47 million acres burned statewide, and noted ongoing restoration work such as Picayune Strand. He also described challenges including aging equipment, deferred maintenance, contractor availability, and timber market instability caused by hurricanes and mill closures, and suggested longer-term funding and a higher capital asset allowance. Members discussed timber markets, public communication and marketing, recreation fees, and coordination with other agencies and FDOT. The meeting ended with the chair noting that next week’s meeting would report out agency conversations and budget recommendations, and the committee rose.

Transcript Highlights:

• what, what, opioids, whatever the addiction model we wanted a unified message around our addiction platform
• message around our addiction<02:35:53.480> a<02:35:53.520> unified<02:35:54.080> platform
• <02:35:54.640> that<02:35:54.760> allows addiction a unified platform that allows addiction
• a unified platform that allows us<02:35:55.320> to<02:35:55.440> happen.

Keywords: 1189, house, all

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• economy and showing and trying to capture that value that consumers' data provides these social media platforms
• consumers data provides these social consumers data provides these social media<00:31:01.560> platforms
• 02.440> use<00:31:02.720> to<00:31:02.840> make<00:31:03.040> a media platforms
• that they use to make a media platforms that they use to make a profit.<00:31:03.640> So,<00:

Keywords: 1187, senate, all

Transcript Highlights:

• health plans in Commerce and in the Department of Health, in part to get access to the economic platforms
• <00:48:38.800> economic<00:48:39.800> um uh the economic um uh the economic um platforms
• platforms in the Department of Health. platforms in the Department of Health.

Keywords: 1187, senate, all

Transcript Highlights:

• so much that the representative that was up here talked about a man who started a mental health platform
• talked about a man who started mental talked about a man who started mental health<01:04:03.520> platform
• > then<01:04:04.840> shut<01:04:05.120> it<01:04:05.280> down health platform
• and then shut it down health platform and then shut it down because<01:04:06.920> his<01:04:07.080

Keywords: 981, all

Transcript Highlights:

• So there's certain platforms that teachers use in their classroom that may require them to give feedback
• So, there's<00:03:09.840> certain<00:03:10.600> uh<00:03:10.720> platforms<00:03
• :11.400> that there's certain uh platforms that there's certain uh platforms that teachers<00:

Keywords: 958, all

Transcript Highlights:

• In fact, Zoom has become the platform of choice among all parties involved in our hearings.
• In fact, Zoom has become the platform of choice among all parties involved in our hearings.
• In fact, Zoom has become the platform of choice among all parties involved in our hearings.
• In fact, Zoom has become the platform of choice among all parties involved in our hearings.

Bills: HB1709, HB2195, HB2023, HB2031, HB2033, HB1937, HB2586, HB2575, HB2038, HB2030

Keywords: water carriers, transportation, public utility, Department of Transportation, liability, agricultural rates, certificates of convenience, cruise ship, passenger head fee, harbor, capital improvement, funding, environmental impact, active intelligent speed assistance, intelligent speed assistance, speed limiter, speed limiting device, speed governor, vehicle telematics, traffic safety

Summary: The joint committees on Transportation, Labor and Technology, and later Transportation and Economic Development and Tourism, heard several bills. SB 2573 would allow administrative driver’s license revocation hearings to be held by interactive conference technology such as Zoom and permit electronic exchange of evidence. The chief adjudicator for the ADLRO supported it as a non-mandatory option that has worked well since 2021, improving attendance and saving time and money; DOT also supported it. The committees voted to pass SB 2573 with technical, non-substantive amendments. SB 3215 would make permanent the requirement that securing mooring lines at commercial docks be performed by labor subject to collective bargaining by repealing the sunset date in existing harbor safety law. DOT did not submit testimony, and the chair noted support from longshore labor. The committees voted to pass SB 3215 unamended. The committees also heard SB 2693, which authorizes $15 million in general obligation bonds for planning, design, and construction of a 50,000-square-foot aerospace hangar and related facilities at Hilo International Airport. A Phoenix Space executive testified in support, saying Hawaii and Hilo have geographic advantages and that the project could support aerospace investment and jobs; several other organizations and individuals submitted supportive testimony. Committee members questioned whether federal matching funds or airport capacity existed, and DOT said it had no assurance of federal participation and would need to check on capacity and potential users. The hearing then moved to SB 2698, which would create a cruise ship special fund and impose a per-passenger head fee on cruise ships docking in state commercial harbors while repealing the existing cruise ship TAT framework effective January 1, 2026. DOT supported the bill but requested amendments to clarify that the new fee is in addition to existing passenger, port entry, and dockage fees and to raise the fee from $6.50 to $10; DOT said the higher amount would better fund harbor improvements such as shore power. Norwegian Cruise Line Holdings testified in support but said the added fee would significantly increase costs, while a local ship supply business supported the cruise industry and opposed the TAT approach, saying cruise activity benefits local farmers and jobs. No final vote on SB 2698 was taken in the excerpt provided.

Transcript Highlights:

• I think it's a platform for us to move forward and provide better data in a more transparent way to the
• /c><00:59:30.480> think<00:59:30.559> it's<00:59:30.799> a<00:59:31.040> platform
• I think it's a platform for any of it.
• I think it's a platform for us<00:59:31.920> to<00:59:32.160> move<00:59:32.480> forward

Keywords: Call to Order and Roll Call- 00:00:00 Approve Minutes from November 13, 2025- 00:00:55 RiverLink Tolling Operations for Louisville Bridges-Quarterhill Testimony- 00:01:48 Staff Report on Veterans’ Centers- 00:26:45 Kentucky Department of Veterans Affairs Response to Staff Report- 0:58:53 Adjournment- 1:18:00, 958, all

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.