Transcript Highlights:

• residential services, that Medicaid reimburses.
• We reimburse for psychiatric services, so mental health services.
• We reimburse for psychiatric services, so mental health services, and in psychiatric hospitals or in
• It is a way in which we verify the services, the start date, start time, end time, date, place of service
• It is a way in which we verify the services, the start date, start time, end time, date, place of service

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.

Transcript Highlights:

• But for me, I’ve always viewed public service as a calling.
• And then, Deputy Secretary for the Office of Youth Services.
• contracts that were with the Department of Children and Family Services to provide services to children
• We're with the Department of Children and Family Services to provide services to children that are covered
• Louisiana to provide services to them.

Bills: HCR95, HB4, HB244, HB615, HB648, HB1049, HB1201

Keywords: sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, delegates, state election, ratification, Louisiana, public meetings, broadcast, transparency, government accountability

Transcript Highlights:

• and cybersecurity services and provide those services. ...commodities and cybersecurity services, and
• And it requires rulemaking by Florida Digital Service. And as I said, one more thing.
• and cybersecurity services and provide those services. commodities and cybersecurity services, and provide
• And it requires rulemaking by Florida Digital Services. And as I said, one more thing.
• The state would be required through Florida Digital Service. The state would, thank you.

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard and reported favorably several bills. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; Senator Sharif asked about restitution for victims, and the sponsor said the bill does not create a reimbursement mechanism. CS/SB 576 would create a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing support, grant access, and data-sharing requirements; local government and cybersecurity groups waived in support. CS/SB 1078 would establish transition procedures between gubernatorial administrations, including liaisons, briefing books, office space, IT access, and access to agency records under a signed confidentiality agreement. The committee also reported favorably CS/SB 314 on payment stablecoin issuers, CS/SB 530 updating lottery operations and security rules, CS/SB 1614 giving JAC/LAC-related audit findings more enforcement effect for local governments seeking state funds, SB 990 authorizing protective cell captive insurance companies, SB 1588 beginning implementation of the prior gold-and-silver legal tender law, CS/SB 1440 adding cybersecurity-related exemptions and reporting provisions for financial institutions, and CS/SB 1568 creating a stablecoin pilot program for DFS fee payments. Several bills had support testimony from state agencies and industry groups, and some included technical or guardrail amendments that were adopted without objection. The committee also received a budget overview highlighting major funding items, including more than $350 million for Florida Forever, $738 million for Everglades restoration, more than $500 million for water quality projects outside the Everglades, $60 million for Farmers Feeding Florida, and more than $250 million for citrus recovery. Members asked questions about school lunch funding, state park improvements, land acquisition, water quality funding, gaming enforcement offices, and staffing for PERC. After the bills and budget discussion, members recorded a few affirmative votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• of things—not just food, but other services, health care services, a host of things.
• Service integration hub.
• They can absolutely go anywhere they need to receive service.
• Well, thank you for your service, Bill.
• And pharmaceutical products, business services, and organic chemicals.

Keywords: 996, all

Transcript Highlights:

• WHEN THE PROVIDER SERVICES MODULE WAS SCHEDULED TO GO LIVE.
• WE WILL START WITH THE INTEGRATION SERVICES INTEGRATION PLATFORM.
• THE AGENCY PROCURED A NEW CONTRACT FOR PDM SERVICES IN APRIL 2024.
• SO THE PROVIDER SERVICES MODULE, THIS ONE CONSOLIDATES PROVIDER ENROLLMENT SERVICES INTO A SINGLE PROCESS
• SO YOU WILL SEE THE FALL IMPLEMENTATION PATH FOR RECIPIENT SERVICES ON THIS MODULE.

Transcript Highlights:

• I would have asked about her service on the board.
• We do not tell them what scope of services they can provide.
• That they cannot provide these services.
• Again. that they cannot provide these services.
• , we do not license the scope of services.

Keywords: 1182, all

Transcript Highlights:

• And I thank you for your service this fiscal session.
• It is time to fund supported living services for all the Hunters.
• services, investments.
• There is no cut in services based on this tax cut.
• But again, no cuts in the services. Any other discussion?

Summary: The Senate Revenue and Tax Committee considered Senate Bill 1, sponsored by Senator Jonathan Dismang, which would continue Arkansas’s phased income tax reductions, lowering the personal income tax rate to 3.7% and delaying the corporate income tax change until the following January. Dismang said the bill was part of a long-running effort begun in 2013 to reduce rates using conservative budgeting and surplus revenue, and he estimated the change would reduce the effective tax burden for a person making $65,000 by about 45%. Committee members supporting the bill emphasized that the measure would not cut state services and argued Arkansas should balance competitiveness with funding essential programs. Several speakers opposed the bill, including a clergy member/social worker, a parent advocating for disability services, representatives from Arkansas Appleseed and Arkansas Advocates for Children and Families, and a community advocate from the Arkansas Coalition of Marshallese. They argued the state should preserve revenue for public schools, health care, housing, food assistance, early childhood education, and supported living services, citing underfunded schools, a waitlist for pre-K, hospital and child care pressures, and the needs of low-income and vulnerable residents. Some speakers said the tax cuts would disproportionately benefit higher-income taxpayers while providing little relief to working families. In closing, Dismang said Arkansas could be both compassionate and competitive and that no essential services would be cut because the state is operating with a surplus. After discussion, Senator Dismang moved do pass, Senator Petty seconded, and the committee approved SB 1 by voice vote. The committee then adjourned.

Transcript Highlights:

• Services that we provide to each campus.
• besides the library services.
• Now the State Library also provides this service.
• besides the library services.
• Now the State Library also provides this service.

Summary: The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs. On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known. The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.

Transcript Highlights:

• Among his many service patrols.
• Singleton, thank you for your military service and your exemplary public service to our students and
• Services. Services.
• registering with a selective service. registering with a selective service.
• record of service and accomplishment. record of service and accomplishment.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• We are a protective service agency, just as DCF and Aging.
• My son is receiving services in the elementary school, and currently there are... ...services in the
• I mean, they’re offering the service.
• What are the special services that they are going to require?
• How they manage the budgets they have and who gets what level of service.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hearing on a broad slate of disability-related bills. Topics included creating a permanent Acquired Brain Injury Advisory Board (H. 231/S. 134), establishing a system for compensating guardians who serve incapacitated, unbefriended individuals through MassHealth (H. 253/S. 154), expanding Nikki’s Law to require MassHealth day habilitation programs to use the abuse registry (S. 165 and related bills), modernizing and streamlining the Disabled Persons Protection Commission’s statute and procedures (H. 243/S. 139), updating the definition of developmental disability to align more closely with federal law and include people such as those with fetal alcohol spectrum disorder (H. 276/S. 150), removing outdated and offensive terminology from the General Laws (H. 232/S. 137), and an autism education reform bill (H. 286). Several bills had no sign-ups, and the committee also noted related measures on cueing and prompting in PCA programs (H. 277/S. 157).

Transcript Highlights:

• Motorist services will be the topic.
• Thank you for your service at Visit Florida.
• Thank you for your service at Visit Florida.
• The primary focus of the Division of Workforce Services is to provide services to job seekers and job
• through training or career services.

Summary: The committee met to receive a base budget overview for agencies under its jurisdiction, which include the Division of Emergency Management, Department of Commerce, Department of State, Department of Transportation, Department of Military Affairs, and Department of Highway Safety and Motor Vehicles. Staff explained the budget format and noted that the Legislature appropriated more than $20.2 billion to these agencies in the current fiscal year, a 66.7% increase over 10 years. The Department of Transportation then presented on the Moving Florida Forward initiative, describing it as a $7 billion effort to advance 20 major congestion-relief projects statewide. Secretary Jared Perdue said the department is ahead of schedule, with 14 of 20 projects expected to be underway by the end of the calendar year. He highlighted major projects including I-4 in Polk and Osceola counties, I-75 improvements, Southwest 10th Street in Broward County, Fruitville Road, Capital Circle in Tallahassee, and I-275, and discussed innovations such as aggregate supply grants, modified phase design-build, workforce hiring events, and voluntary acceleration. Senators asked about business impacts from construction, tourism-related transit funding, aggregate sourcing, and labor shortages; the secretary said FDOT works with local businesses and that additional revenue sources for transit would require legislative action. The Department of Highway Safety and Motor Vehicles reviewed motorist services, revenue collection, licensing, vehicle titling, specialty plates, insurance compliance, driver safety, and commercial driver licensing. Officials said the department collected about $2.9 billion in revenue in fiscal year 2023-24 and described modernization efforts, including electronic verification systems, Real ID compliance, mobile licensing units, and a planned digital driver license. Members asked about the driver license backlog in Miami-Dade and Broward, and the department said service delays were driven by growth and staffing constraints but should improve with $7.5 million in recent funding and the eventual transition of services to county tax collectors. Questions also addressed temporary paper licenses and birth certificate fraud prevention. The Department of Commerce presented on the Job Growth Grant Fund and Visit Florida. Commerce said the grant fund, created in 2017, has awarded $257 million to 70 projects in 37 counties since 2019, with demand exceeding supply about four to one. Officials emphasized that the program supports targeted industries and workforce and infrastructure projects, and they highlighted examples in CDL training, semiconductors, advanced manufacturing, and health care. Senators raised concerns about small businesses affected by transportation construction, and Commerce said it has an Office of Small Business Innovation and other tools, though the grant fund is limited by statute to targeted industries. Visit Florida then described its public-private tourism marketing role, saying the state’s $80 million appropriation is matched by private investment and that the latest EDR review found a $3.30 return in tax revenue for every state dollar spent. Visit Florida reported record visitation and tourism spending, along with hurricane recovery marketing and rural promotion efforts.

Transcript Highlights:

• determine if our present uh service determine if our present uh service provider<00:24:03.360> or
• as a developer and then have our service as a developer and then have our service provider<00:34
• also the obligation of the service also the obligation of the service provider.<00:37:19.760>
• <00:37:22.960> are frame requirements as no services are frame requirements as no services
• there's so been so many service outages. there's so been so many service outages.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:27 Legislative Research Commission 00:01:15 KentuckyWired Operations Company 00:17:30 Wireless Internet Service Providers Association 00:40:15 Administrative Office of the Courts 01:08:55 Kentucky Auditor of Public Accounts 01:33:00, 958, all

Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.

Transcript Highlights:

• Hello, Lorraine Freas, Department of Health Care Services.
• to service alongside them.
• to service alongside them.
• service.
• Today, service members may be deployed overseas, activated, service members may be deployed overseas,

Keywords: 987, senate, all

Transcript Highlights:

• You talked about service, military service men and women, which I know a lot of private institutions
• service payments.
• and that we deliver a high-quality service.
• the services helped them. 74% of students who used basic needs services said the services helped them
• I think you will see expanded services there.

Summary: The Assembly Budget Subcommittee on Education Finance held an oversight hearing on the California State University system covering enrollment, core operations, Title IX/civil rights, and basic needs. The Department of Finance said the Governor’s 2026-27 budget does not change CSU enrollment targets from the prior year and proposes a 5% ongoing General Fund increase for core operations as the final year of the compact. The Legislative Analyst’s Office recommended a lower resident undergraduate enrollment target than the Governor’s proposal, separate funding for enrollment growth rather than folding it into base, a smaller or no base increase tied more closely to inflation, earmarking some base funds for capital renewal, retiring deferred payments, and avoiding new multi-year compact commitments. CSU said enrollment has rebounded for three straight years, but growth is uneven across campuses, with several Northern California campuses still facing structural declines tied to demographics and community college pipelines. CSU described a multi-year reallocation plan shifting about 10,000 FTE and $89 million in ongoing funding toward higher-demand campuses, plus $40 million in one-time support, and said seven campuses submitted turnaround plans aimed at recovering enrollment over the next several years. The system highlighted strategies such as dual enrollment, guaranteed admission pathways with community colleges, outreach to high school students, retention and advising efforts, and new degree models for working adults and military-connected students. Members raised questions about how campus targets are set, whether the May Board of Trustees discussion will address a systemwide enrollment framework, and how CSU will manage future deficits if projected out-year funding does not materialize. On core operations and facilities, CSU said it faces about $320 million in mandatory cost increases in 2026-27 and is pursuing shared services, procurement consolidation, campus administrative sharing, and program redesigns to reduce costs. CSU and the LAO emphasized the system’s large deferred maintenance backlog, estimated at $8.6 billion, and discussed whether CSU’s bond/debt capacity is sufficient to address it; CSU requested up to $1.1 billion for deferred maintenance, while the administration did not propose new funding. The committee also heard CSU’s annual Title IX and civil rights update: CSU said it has implemented 15 of 16 State Auditor recommendations, has dedicated Title IX coordinators at every campus, is using a systemwide case management dashboard, and is piloting centralized investigations at five campuses. Finally, on basic needs, the Governor maintained current funding levels for food assistance/basic needs, rapid rehousing, and mental health. CSU reported heavy use of food pantries, CalFresh support, emergency housing, and counseling services, while warning that federal changes to CalFresh and related funding could make it harder to serve students in need.

Transcript Highlights:

• property for the Committee of Human Services.
• services, including the repeal provisions.
• Financial Services HB 3807 by Haristovolo relating to establishing a childcare service waiting list priority
• The Committee on Pensions, Investments, and Financial Services.
• Refer to the Committee on Human Services, HB 3844 by Villalobos.

Transcript Highlights:

• , reunification, prevention, associated services, and adoption services, and they contract through the
• department to do those services.
• , associated services without adoption services, and they contract through the department to do those
• services.
• that may hinder services, right?

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• That is considered a sales and service, high slice.
• Medical centers, as well as sales and services, which includes medical clinics, dining services, housing
• as well as advocacy and healing services.
• used by undergraduates and 60% of all services... ...made up about half of all services used by undergraduates
• and 60% of all services used by graduate students.

Summary: The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid. On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary. The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed. The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.

Transcript Highlights:

• <00:08:34.560> uh in the provision of Medicaid service uh in the provision of Medicaid service
• <00:25:06.080> is Services these are Services Medicaid is Services these are Services Medicaid
• providers for the same Clinical Services providers for the same Clinical Services House<00:25:32.559
• Services Services um<00:30:08.559> there<00:30:08.679> are<00:30:08.880> studies
• <00:30:54.039> in income have access to these services in income have access to these services

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• thank you for your outstanding service thank you for your outstanding service to<00:02:16.160>
• providing direct health care services. providing direct health care services.
• local services, and tracks outcomes. local services, and tracks outcomes.
• > used<00:09:43.920> more health services were used more health services were used more
• and be able to bill for that service. and be able to bill for that service.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• , health care provider charges, eligibility for services, and questions for Department of Human Services
• The United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
• Services, you are recognized.
• DMS, the Division of Medical Services, is covering the bulk of our fee-for-service population.
• And then we have a shared services attorney that can help as needed.

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action. The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.