Transcript Highlights:

• placement and international Advanced placement and international baccalaureate<00:25:52.800> exams
• Page 107, use of lottery revenues.
• Page 107, use of lottery revenues. Page 107, use of lottery revenues.
• This directs a reduction in operating costs across 13 expense codes.
• costs across 13 expense codes. costs across 13 expense codes.

Keywords: 958, all

Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.

Transcript Highlights:

• Within the Department of Revenue, there's $76.4 million for payments to fiscally constrained counties
• The best way I could answer that is that we've gotten that money from general revenue.
• It says all remaining funds are deposited into the general revenue fund based on the most recent revenue
• Statute, shall be transferred to the general revenue fund. That is the bill. Are there amendments?
• The committee would implement standards across multiple chapters of the Florida Building Code.

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• We did do an initial sort of internal consideration of this.
• So could we cover some mobile crisis units with 988 charge revenue?
• With the shift of Medi-Cal percentage from 85 to 50, we will lose revenue.
• a revenue and stability work group.
• .. ...be expected fluctuations within revenue, let alone a serious downturn in revenue that could be

Keywords: 987, senate, all

Transcript Highlights:

• vacant positions reporting; SB 1057, watermark paper ballots; SB 1058, firearm transaction merchant codes
• , STEM teachers, districts; SB 1102, early childhood education providers appropriation; SB 1106, Internal
• Revenue Code and conformity deductions; SCM 1001, Donald J.

Keywords: 1182, all

Transcript Highlights:

• I'm State Senator Mimi Stewart [ID: member_10608] from the International District and East Gateway area
• additional funding must Go into the fund from some source, either increasing contributions or another revenue
• But there's also our own administrative code that has been in existence for quite some time.
• And this is per 2.82.8 of the New Mexico Administrative Code.
• information and outreach as we can, but we also now require that every school has some form of an internal

Transcript Highlights:

• There's no general revenue attached to this appropriation and direction to spend general revenue.
• There's no general revenue attached to this appropriation and direction to spend general revenue, so
• Is it something that y'all intend to try to fund with your existing revenues, or not revenues, but your
• Is it something that y'all intend to try to fund with your existing revenues or not revenues but your
• Revenues or not revenues, but your existing budget. Thank you. Yes. Thank you.

Keywords: 1204, all

Transcript Highlights:

• Speaker, I rise today in honor of Gracia Nunes, a former intern in my office who recently passed away
• <00:20:44.760> in<00:20:44.880> my of Gracia Nunes a former intern in my of Gracia
• Nunes a former intern in my office<00:20:45.400> who<00:20:45.559> recently<00:20:46.039
• would plummet by almost 1.9 revenues would plummet by almost 1.9 trillion<01:20:19.120> dollar
• People were literally used with Black Codes to place them in jail.

Keywords: U.S. House of Representatives Floor Proceedings on Friday, February 7, 2025, 1012, house, all

Transcript Highlights:

• from this requirement, which occurred because TSTC is included in a different part of the Education Code
• This unique funding model and the lack of property tax revenue available to other two-year institutions
• guest lecturer at a university with future education administrators, teaching the Texas Education Code
• The bill is filed to all the commissioner actions under Section 39A.002 of the Education Code.
• Senate Bill 2138 would close a critical loophole by applying Government Code Chapter 809 to governing

Summary: The committee heard and discussed several higher education and public school bills. Senator Burwell presented SB 1242 to remove an outdated Coordinating Board approval requirement for Texas State Technical College land and facility acquisitions, and SJR 59 to create a constitutionally dedicated endowment for TSTC capital needs; both drew strong support from industry and workforce groups and were left pending. SB 757, by Senator Middleton, would create a debt-to-earnings accountability system for public college programs, with supporters saying it would protect students from low-value degrees and opponents warning it could unfairly penalize programs with long-term value, especially graduate, medical, and public service fields; it was also left pending. SB 1241, by Senator Millington, would expand acceptable college entrance exams beyond the SAT and ACT, including the Classic Learning Test, and was left pending after testimony from CLT, homeschool, and student groups in support. SB 1085, by Senator Blanco, would let Sul Ross State University offer lower-division courses at its satellite campuses in the Middle Rio Grande region; it too was left pending. The committee then took up a series of public school and higher education measures, voting several out favorably. SB 605, as substituted, limits commissioner approval of charter school expansion amendments for schools under conservatorship or a management team and was reported favorably 9-0. SB 1871 and SB 1873, both by Senator Perry, were revised to narrow teacher immunity, clarify removal and suspension procedures, require periodic review of in-school suspension placements, and align discipline rules; both substitutes were adopted and reported favorably. SB 1872, SB 1874, SB 762, SB 1962, SB 1750, SB 2252, SB 2253, SB 2365, SB 1924, and SB 37 were also considered, with most reported favorably on party-line or near-unanimous votes. SB 1750 would replace a flat charter school facilities funding cap with an attendance-based formula; SB 2252 and SB 2253 address kindergarten readiness, early literacy/numeracy, and educator preparation; SB 2365 concerns student phone use during instructional time; SB 1924 restores local citation authority for certain school offenses and adds reporting, notice, and completion requirements; and SB 37 would expand state oversight of higher education curriculum, governance, faculty senates, and compliance with state law. Other measures heard included SB 769, which would require a Coordinating Board report on barriers faced by students with disabilities in higher education; supporters emphasized the need for better data and accessibility, while witnesses suggested broader reporting on race, disability types, and K-12-to-college transitions. SB 2231 would designate a Free College Application Week in October and was left pending. SB 1878 would modernize the Josie School statute and provide formula funding and aid eligibility for Polytechnic College. SB 1409 would authorize universities to offer self-funded student health benefit plans, with Rice University and Texas 2036 supporting the measure as a way to lower costs and expand coverage. SB 2431 would require universities to give foreign language credit for study abroad programs, SB 2314 would require schools to inform students about opting in or out of record sharing for direct admissions through My Texas Future, and SB 2138 would extend the state’s anti-ESG contracting restrictions to public higher education endowments and governing boards; these later bills were introduced and left pending.

Transcript Highlights:

• Also is our youth after-school enrichment revenue.
• Early Childhood Family Education revenue, or ECFE programs, um, there's a large piece of revenue that
• <00:09:00.680> that there's a a large piece of Revenue that there's a a large piece of Revenue
• programs uh the school Age Care Revenue programs uh the school Age Care Revenue uh<00:09:29.600>
• and Elizabeth Fontaine International and Elizabeth Fontaine International Institute<00:30:56.760

Keywords: 1187, senate, all

Transcript Highlights:

• Chair members of the committee, you will see that for other transfers, federal revenues, and other revenues
• So overall, this is a general fund decrease, but a total revenue increase.
• Right now we're doing the Public Defender Agency Code 280.
• Both recommendations actually increase funding from other revenues.
• decrease federal revenues.

Keywords: 996, all

Summary: The committee first heard an Aging and Long-Term Services Department budget presentation comparing the LFC and executive recommendations. The main differences were in the Aging Network, Adult Protective Services, Program Support, and Long-Term Care Division, especially the executive’s proposed $10 million infusion into the Kiki Savadra Senior Dignity Fund and $6.2 million for expanding New Mexico Care. LFC staff explained that the committee recommendation was lower in general fund and fund-balance use, while the executive emphasized rising senior population needs, meal and transportation costs, and the cost savings of keeping older adults at home. The secretary also reviewed the department’s special requests, including the conference on aging, outreach, emergency preparedness, and the Kiki fund, and described New Mexico Care’s growth, its evaluation results, and the department’s plan to separate Kiki into its own accounting fund. Members largely focused on senior services, rural meal delivery, transportation, caregiver support, and the Kiki fund. Several members urged stronger support for non-metro aging providers and for New Mexico Care, citing its role in keeping seniors out of nursing homes and the program’s reported savings and outcomes. Questions also covered eligibility, background checks for caregivers, respite care, dementia and Alzheimer’s screening, and whether Kiki funds can support home modifications such as ramps. The committee then voted to adopt the LFC recommendation with one executive language change: adding the executive’s page 14 language allowing an additional 12.5% distribution for initial payments to aging network providers at the start of FY27. Representative Dow opposed the motion. The committee then moved to the Attorney General’s budget. LFC staff explained that the office’s budget relies heavily on the Consumer Settlement Fund, with both recommendations reducing general fund revenue while increasing settlement-fund use, and that performance measures were in consensus. The Attorney General said the office was not seeking more general fund, but wanted greater ability to use funds it recovers. He highlighted major consumer and public safety work, including litigation against major social media and AI platforms, a case involving Snapchat and child exploitation/extortion, the statewide crime gun intelligence center, efforts to address oilfield theft, work on missing and murdered Indigenous persons, and efforts to protect federal funds coming into New Mexico.

Transcript Highlights:

• Those would be two new codes, in addition to the 46 tribal codes that we currently have.
• A tribal utilities code that mirrors what the state has in its code, but also includes the provisions
• So that really has impacted our gaming revenue. So that really has impacted our gaming revenue.
• Because it's in the North Dakota Century Code.
• Can you speak to how specifically is it going against Century Code?

Summary: The Tribal and State Relations Committee met at Standing Rock and heard extensive comments from tribal council members, state legislators, and tribal program leaders about ongoing state-tribal coordination issues. Early discussion focused on the committee’s purpose, the need for better communication, and frustration that the meeting agenda and time allotted did not include enough state department heads or program experts to address child welfare, ICWA, Medicaid, and other human services concerns. Tribal leaders emphasized that Standing Rock wants more direct, regular communication and more practical follow-through from prior meetings. A major theme was health and human services, including concerns that the state’s rural health transformation efforts and human service zone structure do not fit tribal needs, especially for a direct-service tribe that relies on federal funding and Indian Health Service. Members also raised foster care delays, housing shortages that force children off-reservation, substance abuse treatment capacity, and the need for cultural competency in child welfare and education. Other issues included missing and murdered Indigenous people, law enforcement cooperation, extradition and banishment ordinances, cross-deputization, roads, water and sewer infrastructure, census accuracy, and the need for updated lists of tribal liaisons and bills affecting tribes. Economic development and sovereignty issues were also discussed. Standing Rock leaders raised concerns about e-pull-tabs and charitable gaming, saying state regulation has reduced tribal gaming revenue and that e-tabs should be treated as Class III gaming. They also objected to county-issued fireworks and liquor permits that affect reservation communities, arguing that state and county authority often conflicts with tribal sovereignty. In response, legislators said e-tabs and charitable gaming were likely to return as legislative issues and suggested possible solutions such as restricting e-tabs near tribal lands. The committee also discussed the need for more information on tribal-related bills and for legislators to receive cultural and treaty training. Several tribal projects and programs were presented. Joseph McNeil described Sage Development Authority’s 235-megawatt wind project, which is paused because of federal permitting delays, and asked for state support to move it forward. Dave Arshambo described Wojou’s land regeneration, buffalo, food sovereignty, youth, and wellness programs. Later, Cheryl Carey of Sacred Pipe Resource Center introduced the needs of the urban Native population in Bismarck-Mandan and statewide, noting that many Native people live off-reservation and often fall through the cracks in state-tribal discussions. The committee adjourned for lunch and planned to continue with additional presentations afterward.

Transcript Highlights:

• The changes would be purely internal.
• The changes would be purely internal.
• And actually, that might be a very positive change for the entire tax code.
• We have weatherization, bringing homes up to code. We are building houses.
• We have weatherization, bringing homes up to code. We are building houses.

Bills: HB70, HB93, HB95, HB139, HB140, HJR4

Keywords: Public Regulation Commission, PRC, utility oversight fund, public utilities, utility regulation, commissioners, commission staff, chief of staff, ethics, Gift Act, revolving door, post-employment restrictions, consumer complaints, telecommunications, pipeline safety, natural gas pipelines, oil pipelines, license fees, regulatory oversight, administrative cleanup

Transcript Highlights:

• I would like to thank my intern, Ed Schreiber.
• I'd like to welcome John Bertonson, who is a constituent of mine and an intern of the representative
• and... ...more equal with the federal code on the due dates for the returns.
• Revenue Service on the electronic filing.
• Has this language change been reviewed with the Department of Revenue? Oh, yes.

Keywords: 959, house, all

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the prior day by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week and honor fallen law enforcement officers with a moment of silence, and several members gave farewell remarks for departing colleagues and interns. The chamber also introduced a number of special guests, including student groups, interns, a former representative, and the University of Missouri wheelchair basketball team. The House then took up Senate messages and committee reports before acting on House Committee Substitute for House Bills 1839, 2921, and 3015. The sponsor explained the Senate amendment was a technical correction to an online age-verification provision related to pornography; the House concurred 104-30 and then finally passed the package 112-25. The chamber also considered the conference committee report on House Bill 2596, which was described as a small-business health plan measure that modernizes pooled-plan language and adds a 12-month contraception coverage provision while removing a Senate-added blood pressure cuff requirement. After debate on the conference report and a severability clause, the House adopted the report 120-26 and then third-read and passed the bill 119-27. Finally, the House debated Senate Bill 905, which would create the Missouri Ranger training program allowing schools to optionally place specially trained personnel with narrow law-enforcement authority on campus. Debate focused heavily on school safety, local control, training standards, liability, funding, and whether the proposal would improve protection or instead increase the presence of guns in schools. Supporters argued it would give districts another optional safety tool, especially where school resource officers are unavailable, while opponents said schools need more mental health and educational resources rather than armed personnel and raised concerns about training, child development, and unintended harm. The House adopted an amendment clarifying the program after a 96-46 vote, but the transcript cuts off before final passage of the bill.

Transcript Highlights:

• We're looking at the budget as a whole, but when it's the general revenue that's included, there is over
• And it's the general revenue that's included.
• There is over $53 billion in general revenue in the budget, of which education is about 45%, or $23 billion
• my graduate degree from Florida International University as well.
• Well, that is the word of code. I was... You are unmuted. Okay. That is the word of COVID.

Summary: The Appropriations Committee on Higher Education heard a presentation from the Governor’s Office on the proposed education budget, which totals $32.5 billion overall and includes no tuition or fee increases for Florida residents. Officials highlighted major funding for financial aid and scholarships, including Bright Futures, Benacquisto, veteran-related scholarships, EASE, Open Door, law enforcement/first responder programs, and workforce initiatives. They also emphasized increases for workforce education, Florida College System operations, nursing pipeline and line funds, and university operations, performance funding, and faculty recruitment and retention. Committee members asked questions about the Ocoee Scholarship, the proposed post-secondary Guardian program, and how university recruitment and retention funds would be used; officials said the Ocoee Scholarship remains funded at current levels, the Guardian program would offer flexible campus safety options, and the university funds would be distributed to institutions for faculty recruitment and retention without additional directives. The committee then heard from a series of appointees and reappointees to boards of trustees for state colleges and universities, who described their backgrounds and priorities. Testimony consistently focused on affordability, workforce alignment, nursing and allied health programs, dual enrollment, adult learners, and local economic needs. Several trustees highlighted strong nursing NCLEX pass rates, expansion of campuses or programs, and efforts to tailor education to regional workforce demands such as health care, construction, law enforcement, aviation, and hospitality. One appointee from Miami-Dade College emphasized helping adult students return and complete degrees by easing credit transfer and admissions barriers. After hearing from the appointees, the committee took up the full slate of confirmations as a block. A motion was made and the roll was called; the confirmations were approved favorably, with members voting yes and no opposition recorded. The committee then adjourned.

Transcript Highlights:

• They just kind of tap in some code words, and then it says deny or don't deny.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Summary: The committee opened with prayer and then heard a long series of Senate bills, many of them agency request or cleanup measures. Early bills included SB 1983, directing DHS to provide foster care data to resource family partners to better identify foster family needs; SB 444, allowing hospice personnel to control or destroy controlled substances after a patient’s death; and SB 1503, a PCS related to pregnancy resource center outreach and in-state referrals, which drew discussion about virtual versus face-to-face support and was reported out after members agreed to continue working on the language. Other measures advanced included SB 1561 on progressive discipline for certain M.T.M.S. personnel, SB 592 and SB 1946 on alcohol-related licensing/sales issues, SB 1501 and SB 1567 as cleanup or implementation bills, and SB 1833 codifying a SNAP waiver barring candy and soft drinks purchases. The committee also considered several health and human services bills. SB 2026 expanded access to military discharge papers to grandchildren; SB 904 addressed public funds and state facilities, with members raising concerns about legislative interference in medical decision-making and liability; SB 2178 modified alcohol licensing insurance requirements; SB 1651 updated Oklahoma Medical Board license language; SB 1558 clarified the definition of a child for level E group homes; SB 1565 promoted Food is Medicine efforts to improve maternal and infant outcomes; and SB 1553 required psychologist review of appealed adverse determinations involving mental health claims. SB 1257, with a policy recommendation, expanded THC/controlled substance language to align with federal guidelines, and SB 1749 made a cleanup change related to food trailers and LP gas inspections. Later in the meeting, the committee advanced SB 65 with a policy amendment adding fentanyl and xylazine test strips; SB 1242, which included OMMA education and abandoned grow cleanup provisions; SB 1642, allowing shorter acute prescriptions to help reduce addiction risk; SB 640, treating abandoned grow facilities as public nuisances so local governments can abate them; SB 667, clarifying accreditation language for chiropractic programs; SB 1436, requiring hospitals to provide information on obtaining records after stillbirth or miscarriage; SB 1484, codifying medical examiner practices in infant or child deaths; SB 1562, addressing hospice patient solicitation; SB 1794, creating a mental health bed-availability database; SB 1644, seeking data on alpha-gal syndrome to support federal research funding; SB 1533, ensuring burial assistance for Oklahoma veterans who die out of state; SB 933, creating a right-to-try pathway for individualized treatments; and SB 1555, aligning the definition of intellectual disability with federal law. Most bills were reported out do pass, with recorded votes ranging from unanimous to a few nays on some measures. SB 1304 was laid over, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• RULES 60 G-1.001 FLORIDA ADMINISTRATIVE CODE AND CAN YOU PLEASE GO AHEAD AND PRESENT THE OBJECTION. >
• DEFINITION OF FOLLOWING LANGUAGE PROBING, ALSO IN THE LANDS ACQUIRED BY THE BOARD OF TRUSTEES OF THE INTERNAL
• >> WITH THAT BEING SAID, IS THERE ANY INDICATION OF WHAT KIND OF REVENUES WERE GENERATED FROM LICENSING
• TYPICALLY THE PARENTS AS AN ALTERNATIVE TO CIRCUIT COURT ADMINISTRATED THROUGH THE DEPARTMENT OF REVENUE
• THERE WOULD BE SOME FORMALITIES OF THE FLORIDA EVIDENCE CODE PARTICULARLY WITH REGARD TO HEARSAY OUR

Keywords: 999, senate, all

Transcript Highlights:

• Those would be two new codes in addition to the 46 tribal codes that we currently have.
• A tribal utilities code that mirrors what the state has in its code, but also has provisions that make
• So that really has impacted our gaming revenue. So that really has impacted our gaming revenue.
• Because it's in the North Dakota Century Code.
• Can you speak to how specifically is it going against Century Code?

Summary: The Tribal and State Relations Committee met at Standing Rock with tribal council members, state legislators, and agency representatives to discuss state-tribal coordination and local priorities. Early discussion focused on process concerns, including the short agenda time and the need for better communication, more advance notice, and more relevant state department staff at future meetings. Tribal leaders asked for lists of state tribal liaisons and bills affecting tribes, and state members said they would follow up, share grant and deadline information, and plan another meeting in Bismarck with program experts and agency staff. A major portion of the meeting centered on health, child welfare, law enforcement, housing, infrastructure, and sovereignty issues. Tribal speakers said rural health transformation funding and other state programs often do not fit direct-service tribes or IHS-funded systems, and they raised concerns about Medicaid, ICWA, foster care delays, human service zones, housing shortages, and the placement of Native children off-reservation. They also discussed missing and murdered Indigenous people, search-and-rescue cooperation, cross-deputization, extradition and banishment ordinances, and the need for stronger law enforcement partnerships that respect tribal sovereignty. Other concerns included poor roads, water and sewer needs in Sioux County communities, census accuracy, and the impact of data centers and other development on water and health. Economic development and regulatory issues were also discussed. Standing Rock representatives raised concerns about charitable gaming and e-pull tabs, saying the machines function like Class III gaming and have harmed tribal revenue while spreading into local businesses. They also described problems with county-issued fireworks permits and state/county liquor licensing rules that they said undermine tribal authority within reservation boundaries. In response, legislators said the committee would continue to look at these issues, and one member suggested possible legislation such as limiting e-tabs near tribal lands. The committee also heard from Joseph McNeil of Sage Development Authority about a 235-megawatt wind project on tribal, allotted, and fee land; he said federal permitting delays have stalled the project and asked for state support to help move it forward. The meeting concluded with a presentation from Dave Archambo of Wojou, a nonprofit focused on land regeneration, buffalo, food sovereignty, cultural programming, and youth wellness. He described the organization’s work on buffalo processing, gardening, fishing, hunting, language, and arts programs, and framed it as a response to historical trauma and community healing. The committee then broke for lunch and planned to resume with the Wojou presentation after the recess.

Transcript Highlights:

• That's a model, a pilot aimed at reducing Medicaid costs by using international price comparisons.
• To be approved, the provider must submit a diagnosis code confirming type 2 diabetes.
• code of confirming<00:15:25.600> type<00:15:25.920> two<00:15:26.160> diabetes.
• market<01:03:53.359> with competitive in international market with competitive in international
• non-competitive in an international non-competitive in an international market,<01:04:07.039>

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• New revenue now gives HHS the runway to implement items that will achieve those savings and revenue goals
• We need to uh think big and revenue.
• <01:13:04.159> as a lot lower uh when you take revenue as a lot lower uh when you take revenue
• ,<01:14:12.159> it's Operational cost is not revenue, it's Operational cost is not revenue
• these revenues in the following manner. these revenues in the following manner. $7<01:17:40.080>

Transcript Highlights:

• I was a lowly intern.
• I am a primary care doctor, trained in internal medicine.
• And in there is a provision that we tax sports wagering revenues at 10%.
• This is Monopoly money, but yet they did get to deduct it off of their revenues.
• There's actually an International Street Medicine Institute.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.