Transcript Highlights:

• and runs for all the facility management professionals in state government.
• Compared to a general capital project.
• How do you manage somebody who can't get up to that upper bunk?
• A couple of the reasons for that is that generally...
• It's just like technology generally that way.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met on October 17 with members attending in person and virtually. The commission approved the September 15 minutes and then heard a detailed presentation from DCAM Commissioner Adam Bakey on the correctional facilities portfolio, including the age and condition of DOC and sheriff facilities, deferred maintenance, ADA compliance, decarbonization mandates, and how capital funding is allocated. Bakey said the correctional portfolio includes 36 facilities, with average ages over 50 years, and described how older, rapidly built facilities from the tough-on-crime era now face significant maintenance and replacement needs. He also explained the distinction between catch-up deferred maintenance and ongoing keep-up needs, and noted that construction costs and code thresholds have made projects more expensive. Commissioners and sheriffs asked about ADA requirements, aging and overcrowded facilities, hazardous materials, parts availability for obsolete systems, plumbing and health risks, and whether a newer, more modern correctional facility should be considered. Bakey said many projects trigger broader code upgrades, that some dormant facilities remain in the portfolio, and that health-care and correctional construction are among the most expensive building types. He outlined current funding, including annual deferred maintenance allocations for DOC and formula-based five-year commitments for sheriffs, plus a new competitive capital program for larger sheriff projects. He also explained the Designer Selection Board and “house doctor” process used to procure architects and engineers. The commission then shifted to planning its next steps, focusing on public input. Members agreed the next meeting should likely be a public hearing or include public testimony, with possible input from people with lived experience and consideration of facility tours, especially of women’s facilities such as Framingham. Members emphasized the need to define the commission’s scope clearly so testimony stays focused on structural and consolidation issues rather than all correctional policy topics. The meeting ended with plans for the co-chairs to coordinate the public process and a motion to adjourn, which passed without opposition.

Transcript Highlights:

• Uh, my name is Laura Ziegler with Associated General Contractors of Minnesota.
• Ziegler with Associated General Ziegler with Associated General Contractors<00:54:58.840> of<
• are a non-profit labor management are a non-profit labor management committee<01:03:39.800> representing
• Services Office of Inspector General. Services Office of Inspector General.
• <01:25:59.880> that Um we've got an Attorney General that Um we've got an Attorney General

Keywords: 1187, senate, all

Transcript Highlights:

• What we're going to do in order to make up for the CPB funding losses is to generate more donations to
• The only real thing I will point out is that we generate our own funds.
• We're also looking at a field services manager.
• Abandoned wells are a big problem just in general. I know that a few, at least, we.
• You have a revenue compliance director, field services manager, internal auditor. It seems like.

Keywords: 914, all

Transcript Highlights:

• So the first question, just in general, is there benefit? And that's what Dr. Forsyth talked about.
• He found that 20% of the cases he reviewed experienced inadequate medication management.
• As he reviewed, he found inadequate medication management.
• The management of involuntary medications lacks structure and accountability.
• Regarding clinical leadership and medication management, we have hired a board-certified...

Keywords: 985, all

Transcript Highlights:

• highest priorities for General Fund?
• highest priorities for General Fund?
• They should take it to the Attorney General if they find it.
• And so that helps to train the next generation.
• And I'll go back to my inspector general bill from last year.

Keywords: 988, house, all

Summary: The committee first heard a budget item on demand-side grid support and emergency load flexibility funding. The Department of Finance proposed redirecting General Fund money for summer 2026 to the CEC’s Demand-Side Grid Support program and using accumulated CalCHAP interest to support a successor ratepayer-funded demand response program for summers 2027 and 2028. The CEC and CPUC said they are working on a transition from DSGS to ELRP or an equivalent program, while the LAO said the proposal mainly presents a choice between keeping the money in General Fund savings or using it for DSGS. Members pressed the administration on why DSGS should be sunset when it has higher enrollment and lower administrative costs than ELRP, and on whether the state should continue funding demand response at all. The CPUC argued ELRP and DSGS are not directly comparable, said it is pursuing a broader demand flexibility rulemaking, and noted a decision on a successor program is expected in Q3 2026. No vote was taken in the excerpt, but members signaled interest in keeping DSGS funding at the CEC. The second item concerned trailer bill language for the transmission accelerator program under SB 254 and Proposition 4. GoBiz and IBank described a new financing structure for major transmission projects selected through CAISO’s competitive planning process, with about $26 million in administrative resources over five years. The LAO raised no specific concerns but emphasized that this is the Legislature’s first appropriation for a new program and that the final language should clearly reflect legislative intent. Members asked about state liability, ownership, and how the financing would lower ratepayer costs; staff explained that state financing would cover only a portion of large projects and could reduce the amount included in utility rate base, with estimated lifetime savings varying widely. Members also discussed offshore wind transmission needs and asked for an update on related Proposition 4 funding. The final item covered CEC and DPMO budget requests related to petroleum market oversight and supply stabilization. The CEC requested funding for additional positions to implement AB X2-1 and related fuel market monitoring work, while DPMO sought to make a data specialist position permanent. The LAO said it found the staffing requests justified. Members questioned why the work is funded through the Energy Resources Programs Account, whether staff from paused price-gouging work could be reassigned, and what evidence had been found of price gouging or market manipulation. CEC and DPMO said their work on reporting, analysis, and supply stabilization continues, that some staff are still working on related analyses, and that they are preparing further workshops and recommendations. The discussion also touched on refinery closures, gasoline imports, and the state’s changing fuel supply conditions, but no formal action was taken in the excerpt.

Transcript Highlights:

• So just that one building in that general area.
• Data that we can use to manage the grid in real time that are that the generators and transmission operators
• The aspect regarding losing generation.
• Those who co-generate by having the transmission.
• And they build, and then they build their own generation, their own backup generation, and their own.

Bills: SB 6, SB6, SB504, SB765, SB815, SB929

Keywords: hemp, consumable hemp, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, delta-8, delta-9, intoxicating hemp, hemp gummies, hemp vape, edibles, cannabinoid regulation, hemp licensing, retailer registration, product registration, QR code labeling, child-resistant packaging, minor access

Transcript Highlights:

• It's a very different animal serving as a general counsel.
• a general generalist basically of all, you know, law.
• That's actually being handled by the Attorney General. They represent us.
• However, the General Counsel is the liaison.
• Generally, our agency's only appropriated.

Keywords: 1184, house, all

Transcript Highlights:

• that management area. that management area. state<00:10:12.560> forestry<00:10:13.440>
• To me, that's active management.
• wanting to manage for fire and I'm wanting to manage for, you know, better, stronger forests for the
• manage for, you know, better, stronger forests for the generation that's on my ranch right now.
• c> tended management, timber management has tended management, timber management has tended to<00

Bills: HB0078, SF0012, SF0013, SF0052, SF0069, SF0070

Keywords: forest health, grant program, state forester, wildfire prevention, environmental conservation, habitat improvement, military, national guard, reenlistment, extension bonus, funding, Wyoming, Wyoming National Guard, recruitment, referral bonus, military service, eligibility expansion, incentive program, wildlife management, environmental restoration

Transcript Highlights:

• JERRY NEWMAN FLORIDA HEALTH INFORMATION MANAGEMENT ASSOCIATION.
• I TOO, FLORIDA INFORMATION MANAGEMENT ASSOCIATION WITH OVER 40 YEARS IN THE PROFESSION.
• GENERALLY SPEAKING THIS IS AN ANNUAL OR BIANNUAL DEALT WITH IN THE RULEMAKING AUTHORITY.
• ALSO IN THE CHIEF EXECUTIVE OFFICE OF MANAGEMENT OF COMPANIES WAIVES IN SUPPORT.
• WE HAVE ALREADY GOT A LOT OF RULES THAT MANAGE THE PROCESS OF WHAT WE'VE GOT HERE RULES THAT MANAGE THE

Keywords: 999, senate, all

Transcript Highlights:

• appropriation uh from the general fund. appropriation uh from the general fund.
• So, general fund-supported general obligation bonds, trunk highway fund general obligation bonds, and
• So, general fund-supported general obligation bonds, trunk highway fund general obligation bonds, and
• So, general fund-supported general obligation bonds, trunk highway fund general obligation bonds, and
• No, we use GIO for the capital manager. No, we use GIO for the capital manager.

Keywords: 1187, senate, all

Transcript Highlights:

• by the management company.
• by the management company.
• by the management company.
• by the management company.
• by the management company.

Keywords: 910, house, all

Transcript Highlights:

• Management council granted that request.
• Management council undertake that work.
• that was in our letter to management that was in our letter to management council.<00:09:09.800>
• I mean, we're hearing from the facility managers and the superintendents.
• I think that will be an issue over the next few years. uh management to give a report to this uh management

Keywords: 916, all

Summary: The Select Committee on School Facilities met to satisfy its quarterly statutory requirement and to discuss interim priorities. Staff from LSO reviewed the committee’s duties: monitoring K-12 school facilities statewide, prioritizing needs for the interim, and preparing a budget request due by November 1. They also noted the ongoing litigation related to the Chapter 3, Section 8 exception process and said the committee would move forward with securing a consultant to study that issue, as previously authorized by Management Council. A major topic was school funding formulas, especially how average daily membership (ADM) affects routine and major maintenance funding and how excess square footage is treated. Members revisited an earlier proposal to fund 135% of allowable square footage, which did not advance this session, and discussed whether some schools should instead be funded at a minimum percentage of their actual square footage. Staff explained that some districts have buildings larger than their formula allowance, and that the issue is complicated by older buildings, pools, and other unique facilities. They also noted that recent changes to the major maintenance multiplier increased funding and that some districts are still not fully covered by the formulas. Safety and security funding was another focus. The State Construction Department reported that $10 million was appropriated this year for safety and security upgrades, with some funds expected to go toward vestibules, bollards, and design work, and the rest through a district application process. Officials said the last comprehensive safety assessment was done more than 10 years ago and suggested a new consultant-led study to update priorities, since technology and building conditions have changed. Members also discussed the role of school resource officers and whether the committee should continue leading this work rather than handing it off to the recalibration committee. The committee also examined declining enrollment and excess capacity across the state, citing examples such as Newcastle, Shoshoni, Casper, Campbell County, and Fremont County. Officials said some districts are right-sizing by taking schools offline, while others cannot easily reduce capacity because the buildings are essential to the community. Charter school leasing was raised as a related concern, including the Mills charter school and the fact that the state pays lease costs based on ADM and allowable square footage. No formal votes were taken, but the committee agreed to continue studying these issues, likely including site visits and further data requests during the interim.

Transcript Highlights:

• It was difficult, but we managed. And the bipartisan work was absolutely amazing.
• a bachelor's degree should not have to take a general knowledge test.
• Perhaps want to go ahead and get services through managed care.
• So, you know, I'm not really a huge fan of managed care.
• the challenges posed by our waste management systems and the incinerator.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• to the general fund. to the general fund. >> Okay. >> Okay. >> Okay.
• Um and the state to manage their dams.
• There's very few of those, general fund.
• . managing. managing.
• <00:32:29.200> responsibilities transfer of management responsibilities transfer of management

Keywords: 1189, house, all

Summary: The Long Range Capital Planning and Utilization Committee first approved the March 16, 2026 minutes, then took up several Department of Transportation property actions. The committee approved a Greenland access point sale for a cell tower site to Wakefield Investments for $132,800 plus a $1,100 administrative fee, and approved disposal of two Epsom parcels to the town at no cost, with the town assuming demolition of the former depot and the committee waiving the fee. It also approved a Milton access point sale to Jeremy West Champney and Cameron McDermott for $90,000 plus the fee, with conditions requiring permits and other approvals. During the DOT items, members asked about appraisals, access restrictions, and where the administrative fee goes; staff said the fee generally offsets agency administrative costs and may go to a dedicated fund or the general fund depending on the project. The committee then considered three Department of Environmental Services requests for utility easements to bring power to dams so gates can be operated more efficiently and potentially remotely. It approved an easement with New Hampshire Electric Co-op for Pine River Dam in Wakefield, an easement with New Hampshire Electric Co-op for Sunset Lake Dam in Alton, and an easement with Eversource for Suncook Lake Dam in Barnstead. Members discussed whether to waive the $1,100 administrative fee on these items, with some questioning the fee’s purpose and where it is deposited. The committee ultimately approved the DES items as requested, including the fee waivers, while asking staff to research the fee’s history, sufficiency, and use for a future report. Finally, the committee received informational items from the New Hampshire Council on Resources and Development. Members briefly discussed a property at Bloody Point in Newington and the related Sullivan Bridge demolition, and DOT staff said the property had been tabled previously and is now being worked on with Fish and Game for a possible transfer of management and future water access use. No votes were taken on the informational items.

Transcript Highlights:

• secondarily, how could the general secondarily, how could the general assembly<00:31:53.760>
• management for the cabinet. management for the cabinet.
• and Records Management. and Records Management.
• <01:05:02.079> and government uh entities in general and government uh entities in general
• they're specialized and we generally they're specialized and we generally base<01:10:26.719>

Keywords: 958, all

Summary: The Interim Joint Committee on State Government met for its first meeting and heard a presentation from the Kentucky Center for Statistics (KY Stats) by Executive Director Matt Barry and Legislative Director Calli Arnold. The presentation reviewed KY Stats’ statutory background, its evolution from KESUS, its board membership, and its role in housing Kentucky’s longitudinal data system and labor market information office. Barry explained that KY Stats links data from multiple state sources, validates and cleans it, deidentifies it, and uses it to produce reports, evaluations, and responses to data requests for policymakers, practitioners, and the public. Barry described the scale of the system, noting more than 6,000 active data elements, 178 unique file types, and data from 48 sources across 26 agencies. He highlighted the agency’s privacy and security practices, including separate servers for source data and deidentified reporting data, and said KY Stats does not use real-time data. He also outlined the types of reports produced, including the annual high school feedback report and a recent life outcomes report tracking the 2017 public high school cohort’s postsecondary education, completion, wages, and employment outcomes. Members asked about the timeliness and availability of data, especially SNAP and Medicaid information, and Barry said most data arrive annually or quarterly and that Medicaid data had been used in a limited one-time project rather than as an ongoing feed. Questions also focused on artificial intelligence; Barry said KY Stats has not integrated AI but is exploring it cautiously because of privacy and security concerns. Several members encouraged further work with AI tools, while Barry emphasized that any use would need to protect confidentiality. The committee also discussed staffing and funding, with Barry saying KY Stats has about 49 total staff and annual funding of roughly $3.1 million in state general funds, plus federal labor-related funding. Committee members praised the agency’s work and suggested legislators may not fully understand its capabilities. No votes or formal actions were taken.

Transcript Highlights:

• The Related to connective tissue repair, wound care, or pain management.
• Lori, you're always kind, thoughtful, generous.
• to manage their infrastructure costs, to manage their sewers, their roads, extend water out to the area
• And what I mean by that is if a county has carefully managed and created service boundaries to manage
• Monitoring requirements for regional stormwater management systems.

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, several introductions, and an announcement that there would be no weekend conference. The chamber then took up a long special-order calendar of bills, generally moving each measure through third reading and final passage, often by substituting House companion bills. Early measures included trust law modernization (SB 786/HB 895), military affairs changes and Guard retirement corrections (SB 474), rounding rules for cash transactions as pennies phase out (SB 1074), podiatric medicine regulation and informed-consent requirements (SB 1092), veterans court expansion (SB 50/HB 199), RV park special assessment clarification (SB 118), concurrent jurisdiction for juvenile offenses on military installations (SB 502/HB 351), alcoholic beverage loss deductions (SB 678/HB 1137), and bail bond/pretrial release revisions (SB 600). Most passed unanimously or near-unanimously; SB 600 passed 36-1 after questions about charitable bail bonds and an amendment aligning with the House version and prosecutors’ concerns. The Senate also considered bills on portable electronics and eyewear insurance (SB 772), the linking industry to nursing education fund and health science workforce programs (SB 1246), recovery residences and behavioral health licensing (SB 1030, with a technical amendment on background checks and probationary licenses), felony battery enhancements for repeat offenders and offenses against law enforcement (SB 436), and child welfare changes including foster-home visitor screening, a permanent statewide Step Into Success program, and a best-practices repository (SB 1718). These measures were explained by sponsors as efforts to streamline regulation, improve workforce and health-care training, strengthen public safety, and reduce administrative burdens while preserving safeguards. Votes on these bills were overwhelmingly favorable, with final tallies typically 36-0 or 37-0. A major portion of the meeting was devoted to a farewell tribute to Senator Lori Berman. Members from both parties praised her leadership, collegiality, policy work, and advocacy on issues including voting rights, women’s rights, Israel and antisemitism, school safety, breast cancer, and family law. Berman delivered a lengthy farewell reflecting on her 16 years in the Legislature, her caucus leadership, and the importance of dignity, respect, and public service. The Senate adopted a motion to spread her remarks upon the journal and then recessed before returning to continue the calendar.

Transcript Highlights:

• the maps. uh reliance on generalized the maps. uh reliance on generalized maps<00:09:43.680>
• <00:10:50.320> GIS more efficient than a generalized GIS more efficient than a generalized
• And I I like the that the generalized?
• Linda Child, Deputy Attorney General.
• <00:59:13.760> in other um the people all the managers in other um the people all the managers

Keywords: 912, senate, all

Summary: The committees heard testimony on five housing-related measures. SB 2232 would create a three-year tiny home grant pilot program within HHFDC, with annual reporting to HHFDC and the Legislature; testimony was mixed, and the bill was later recommended for passage with amendments, including a full-time housing development specialist, a residential-use-only restriction for the tiny homes, and a blanked appropriation. SB 2192 would bar county down-zoning that reduces housing capacity unless equivalent capacity is added elsewhere in the county; it drew support from housing advocates and comments from planning officials, and was also recommended for passage with amendments. SB 2378 would clarify insurance requirements for single- and multifamily projects seeking expedited county permitting; engineers and housing groups supported it, while one testifier opposed it, and it was recommended for passage with a technical amendment. SB 2524 would appropriate funds to the City and County of Honolulu for housing-related departments to comply with prior acts; the Honolulu department supported it, and members asked about prior spending and funding sources. SB 2398 would require residential housing utility availability maps; the Honolulu Board of Water Supply opposed the bill as written, citing infrastructure security, accuracy, liability, and administrative burden concerns, while supporters said it would improve transparency for developers. The chair proposed amendments to make the maps broad and geographic rather than parcel-specific, remove contested-case and reliance provisions, allow disclaimer language, and change the date; the bill was then recommended for passage with amendments, with one member noting reservations. All five measures were ultimately passed out of committee with amendments, with votes recorded and some members excused.

Transcript Highlights:

• Kalahari is a generational project. It's a generational project. going.
• Kalahari is a generational project. It's a generational project.
• Kalahari is a generational project.
• We're a family generational business, myself and my wife, our first generation.
• They're generation three. But we love what we do.

Summary: The committee heard a long series of bills, most of them expanding or adjusting hotel occupancy tax or qualified hotel project authority for specific local governments. Measures discussed included HB 2404 for Childress County; HB 3066 for Allen’s Kalahari resort project; HB 4682 for Plano; HB 4683 for Anna; HB 3076 creating a project finance zone in Frisco; HB 3567 for Wichita County; HB 3715 for McAllen; HB 1039 for Alpine; HB 3182 for Burleson; HB 4926 for Grimes County; HB 4222 for Victoria County; HB 3377 for Katy; HB 4659 for Addison; HB 3241 for Georgetown; HB 4098 for Taylor; HB 3178 for Kerr County; HB 3179 for Mason County; HB 2289 for New Braunfels; HB 4412 for Kermit; HB 5165 for Monahans; HB 3500 for Bastrop; and HB 3169 for Carrollton. In each case, authors and local officials described tourism, convention, hotel, airport, or mixed-use development needs and argued the bills would help attract visitors, investment, and jobs. One non-hotel-tax bill, HB 4226, would exempt Texas food banks from sales tax on vehicle purchases and rentals, with testimony emphasizing the scale of food bank operations and the savings’ impact on meal delivery and disaster response. Testimony was generally supportive from city officials, economic development representatives, and industry groups such as the Texas Hotel and Lodging Association. Several witnesses described major private projects, including Kalahari in Allen, a proposed hotel and conference center in Addison, a mixed-use project in Georgetown, and a large development tied to Samsung growth in Taylor. For HB 4226, food bank representatives said the bill would help them purchase refrigerated trucks and other delivery vehicles, while an opponent questioned the fiscal note and the scope of the exemption. HB 4926 drew opposition from Camp Allen, whose representative argued a new county hotel tax would raise costs for guests and could hurt the retreat center’s operations. HB 3178 also drew an objection from a Kerr County resident who argued the tax would grow county government and pointed to event center losses, though the author said the revenue would support tourism-related county uses. The committee took no final votes on the bills in this transcript. After each bill was laid out and testimony concluded, the chair repeatedly asked whether there was objection to leaving the bill pending; in each instance, no objection was heard, and the bills were left pending. Several committee substitutes were offered and then withdrawn or noted as conforming drafts, but no bill was reported out or otherwise acted on beyond being left pending.

Transcript Highlights:

• ,<00:13:14.560> and amenities, property management, and amenities, property management, and
• train general plant expansion project. train general plant expansion project.
• something with and the rest we manage. something with and the rest we manage.
• managed it well? managed it well?
• our teachers how to manage children. our teachers how to manage children.

Keywords: 0:00:01 Call to Order and Roll Call 0:00:28 Approval of Minutes 0:00:40 Information Items 0:01:13 Rpt from Postsecondary Institutions 0:26:46 Project Rpt from Finance and Admin Cabinet 0:30:53 Lease Rpt from Finance and Admin Cabinet 0:39:20 Rpt from OFM – KIA 0:52:42 Econ Development – EDF Grants 0:55:15 OFM Debt Issues 0:58:43 Informational Discussion 1:44:36 Adjournment, 958, all

Summary: The committee first handled routine business, including a quorum call, approval of minutes, and informational items on school district financing and KCTCS equipment purchases. It then considered two KCTCS capital projects after initially rolling them together and later unrolling them: a Fire Commission Fire Academy maintenance building project that had grown from an original $2 million authorization to $4.7 million because of design changes, soil issues, and higher mechanical costs, and a $1.5 million renovation of the Blake Lee building at Somerset Community College for a health science simulation lab. Members questioned the large cost increase on the fire academy project and the adequacy of front-end due diligence, while KCTCS said the project was bid and ready to proceed and that a 15% contingency had been included. Both projects were approved by roll call vote, with the Blake Lee project ultimately approved after the committee unrolled the items and took them separately. The committee next heard and approved a University of Kentucky public-private partnership for the Hamburg East Medical Office Building, a five-story, 220,000-square-foot facility with a not-to-exceed budget of $275 million. UK said the project is intended to expand outpatient access, consolidate some services, and support projected growth in patient volume; the building will house multiple specialties, urgent care, therapy, imaging, and a retail pharmacy. Members asked about possible community uses, consolidation of services, and whether the project would free up other space, and UK said it hopes to consolidate some services and free campus space. The project was approved by roll call vote. The committee then approved three UK lease renegotiations: a specialty pharmacy and infusion services lease at Wellington Way in Lexington, a Department of Ophthalmology and Visual Sciences lease at Conte Terrace, and a College of Social Work lease at McGrath Park Way. Members asked about rising lease rates, occupancy, and whether space needs should be reduced; UK and the lessor’s representative said the pharmacy space remains busy, the ophthalmology lease was lower than before, and the social work lease had been negotiated down from a higher request. The committee also approved a Department of Military Affairs project amendment for a Mutual Field Maintenance Shop Restoration project, increasing federal funding by $1 million to $4.5 million because of higher construction costs, and approved a Kentucky State University Shanty Hall renovation project funded by bond and HBCU Title III funds. Finally, it approved a new lease for the Office of Mines and Minerals in Pike County, a new lease for the Cabinet for Health and Family Services in Pulaski County, and a lease renewal for the Cabinet for Health and Family Services in Kenton County after questions about rent increases and office utilization; the cabinet said the Kenton County space still has limited vacancy and remains in use by field staff. The meeting ended as the Kentucky Infrastructure Authority began presenting six sewer and water loans and six cleaner water program grant reallocations, with members agreeing to roll those items for later consideration.

Transcript Highlights:

• You'll see that we are requesting an increase in general funds.
• The first is in our managed care organization, so our managed care contract includes requirements for
• So why is it two-for-one general to federal? Mr.
• So that's a decrease in general fund spending of 7.8%? Yes.
• This is $4 million worth of general fund.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.