Transcript Highlights:

• , which is a community health worker program, and also the East Kentucky Family Medicine Residency Program
• , among many other outreach programs.
• Uh, state directed programs.
• and the NEMT waiver are capitated and the NEMT waiver are capitated waivers.<00:49:32.640> So
• if I didn't say the Medicaid program if I didn't say the Medicaid program turns<00:57:13.599>

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• immunization purchasing program. immunization purchasing program.
• case that program goes away. case that program goes away.
• the integrity of the do to improve the integrity of the program.<00:59:17.200> Uh<00:59:17.520
• for improvement.
• . program. program.

Keywords: 910, house, all

Transcript Highlights:

• Um, the agency continues to work hard to try to build out our and improve our online web file tools to
• Next, we have our targeted appraisal Review Program, or TARP as we like to refer to it.
• The TARP is a triggered program.
• Um, we just concluded our first round of reviews for this program.
• We also have our methods and assistance program.

Transcript Highlights:

• We are allocating $100 million into the Workforce Capitalization Incentive Grant Program for public schools
• This funding supports the development and implementation of amazing programs that improve reading and
• We are allocating funds in high-impact tutoring programs to improve learning outcomes for struggling
• Grant Program may be used for.
• This creates a tax program to encourage supporting these programs by offering tax relief.

Keywords: 999, senate, all

Transcript Highlights:

• They use it to improve efficiencies, reduce costs, and improve the delivery of the products.
• The way that worked out in terms of the capital improvement, which is what the GRT tax supports, is about
• Representative, what about the programs that the schools talk to?
• It extends the program instead of cutting it off, the way I remember it.
• But, uh, Madam Chair, Representative, it extends the GRT for the spaceport and for capital improvement

Transcript Highlights:

• What that indicates is that as we continue to grow and improve our environment for game and fish, the
• This bill is a huge improvement over the current system when it comes to the commission.
• Common recipients of the program, and the current partners, or the current entities that they partner
• One of the types of funds, specifically, is venture capital investments.
• These venture capital investments may not see the return on investment that they want.

Transcript Highlights:

• credential programs.
• This program equips students.
• Management Program.
• programs in the country.
• expand. at our physical therapy, excuse me, PA program, physician assistant program.

Keywords: 1184, house, all

Transcript Highlights:

• Arizona welcomed its first new anesthesiology residency program in 25 years, bringing the state's total
• to three accredited programs.
• She previously served as program director for the Hospice and Palliative Medicine Fellowship at Creighton
• improvement — Government and Appropriations; HB 2983, appropriation, Help Chapter, capital improvement
• HB 2992, pilot program, sexual abuse prevention — Education and Appropriations.

Keywords: 1182, all

Transcript Highlights:

• So this is an improvement. I would point out this is an improvement, number one.
• So this doesn't fund the apprenticeship program.
• Well, to date, this has been a pilot program.
• So we have two capital outlay proposals as well.
• consistent with the successful REAP-1 and REAP-2 programs.

Summary: The committee first heard a DMV budget presentation on the state-to-state verification system required for Real ID compliance and the Digital Experience Platform (DXP) modernization project. DMV officials said the state-to-state system is a pointer-based exchange used when a person applies for a license in another state, with only limited identifying data shared initially and the full driver history sent only after a qualified request. Members raised concerns about privacy, possible misuse by other states or federal actors, notification to Californians, hacking, and whether California could detect or stop abusive access. DMV said it can monitor requests, see patterns of access, work with AAMVA and legal counsel, and seek to block or challenge misuse; LAO said California is in a difficult position and should consider guardrails rather than opt out. On DXP, DMV said the project is on its revised schedule and budget, occupational licensing is complete, vehicle registration is expected by the end of calendar year 2026, and the full system should be finished by fiscal year 2028-29, with phased rollout and reappropriated funding to keep costs controlled. The committee then heard from the California High-Speed Rail Office of Inspector General on a trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a framework for retaining and disclosing work papers, and the proposed trailer bill would create that framework while also adding authority to hire needed classifications and purchase goods and services. He also said the office needs a clearer statutory definition of “proposed agreements” and notice when the High-Speed Rail Authority is reviewing them, so the office can review contracts and related agreements effectively. LAO raised no concerns with the trailer bill language, and Finance said any amendments would come in the May revision. Members debated the scope of confidentiality in the Inspector General proposal, especially whether reports could be held confidential when they identify weaknesses in fraud controls, security, or other vulnerabilities. The Inspector General said confidentiality would be temporary, tied to articulating the risk, reassessing it every 120 days, and releasing the report once the risk is no longer substantial; he also said the office had already published reports at its discretion and had found at least one procurement violation involving an amendment that added services not in the original contract. Several members pressed for stronger transparency and suggested time limits or broader disclosure, while others argued the bill would improve oversight and make the Inspector General’s authority clearer. No votes were taken during the discussion, and the item was left for further work on the trailer bill and AB 1608 language.

Transcript Highlights:

• You use it for non-recurring investments or capital outlay.
• The third is using this surplus to improve quality of life.
• And you capitalized endowment funds.
• That it's now creating a new general Fund program.
• Capital outlay, both Recommendations use some general fund for capital outlay projects.

Keywords: 996, all

Transcript Highlights:

• , pickup programs, and product take-back requirements.
• Quick programming note before we take up Senator Jones next.
• Emily Campbell with the California Baptist Capital Ministry.
• Hi, Barack Campbell from the California Baptist Capital Ministry.
• I still think it is a substantial improvement on existing law.

Summary: The committee heard several public safety bills and took testimony on each, with members often noting amendments and continuing negotiations. SB 1009 by Senator Becker would require juvenile courts to find that less restrictive alternatives are unsuitable before ordering detention, and would require periodic review of continued detention and consideration of alternatives at disposition. Supporters argued it would reduce unnecessary youth detention and improve transparency; probation, judges, and police groups opposed it as an undue limit on judicial discretion and potentially unsafe in serious cases. The chair said he would recommend an aye with amendments, but the bill was held pending quorum and later remained on call. SB 1130 by Senator Gomez Reyes would update privacy law for wearable recording devices such as smart glasses, requiring consent before recording in places where people have a reasonable expectation of privacy and banning devices or accessories designed to defeat recording indicators. Supporters said the bill addresses secret recording and invasive surveillance; opponents from tech and hospitality groups sought clarification to avoid unintended liability for businesses and exempt workplace communication devices. Members discussed those exemptions, and the chair recommended an aye, but the measure also remained on call. Senator Blake Spear presented SB 99, which would let courts consider military protective orders in domestic violence proceedings and require better communication between civilian law enforcement and military authorities. Supporters from the Department of Defense, local officials, and military representatives said it would close protection gaps for military families; the ACLU opposed it on due process grounds because MPOs are issued without judicial process. The chair and author emphasized that the bill only allows consideration of MPOs and does not require civilian enforcement of them. The bill passed out on a vote, though it remained on call for additional members. The committee also heard SB 937 by Senator Gonzalez, restricting flashbang use for crowd control and banning flashbangs and explosive breaching charges in immigration enforcement, and SB 1022, creating a statewide anti-trafficking task force. SB 937 drew support from civil rights and community groups and opposition from police and sheriffs over the use-of-force standard and limits on tactics; it passed out on a vote but remained on call. SB 1022 was supported by survivor and faith groups and opposed by public defenders and sex worker advocates who raised concerns about racial disparities and enforcement harms; it also passed out on a vote. Later, SB 1395, extending criminal protective orders for certain felony sex offenses against minors up to 20 years, and SB 1230, increasing penalties for repeat illegal dumping, were both heard with mixed testimony and were held on call after committee votes. The committee also adopted a consent calendar and several bills were moved forward with amendments.

Transcript Highlights:

• <00:19:11.600> on really try to sh up our human capital on really try to sh up our human capital
• Thompson stated that a lot of our other programs, welding and a lot of those programs that involve college
• Thompson stated that a lot of our other programs, welding and a lot of those programs that involve college
• students, EKU with their textbook program, and Murray State with their scholarship programs for low-income
• programs for lowincome their scholarship programs for lowincome students<00:46:47.839> we<00:

Keywords: 958, all

Summary: Aaron Thompson, president of the Council on Postsecondary Education, and Travis Pal briefed the committee on Kentucky higher education performance, affordability, workforce alignment, and budget needs. Thompson said the state has made progress toward its 60x30 attainment goal, reporting 56.2% of adults with a credential of value and a 6.4% one-year increase in credentials. He highlighted gains in completion, enrollment recovery after COVID, lower student borrowing and debt, and faster degree completion, saying Kentucky is now back to an average of 4.1 years for four-year degrees. He also emphasized that postsecondary education has a strong return on investment for both students and the state. A major theme was student success and access. Thompson described efforts to reduce barriers through test-optional admissions, the elimination of zero-credit developmental education, expanded wraparound supports, and Bridge programming for students not fully prepared for college. He also promoted Futurity, a student-facing information website, and said CPE wants modest ongoing funding to maintain it. He argued that higher education must work in a P-20 system with K-12, and that the state should better communicate the value of certificates, trade programs, and other credentials, especially for adult learners and men, who he said are underrepresented in college-going. The presentation also focused on performance funding, capital needs, and workforce initiatives. Thompson and Pal said performance funding has pushed institutions toward more need-based aid and lower costs for low-income students, but they want more base funding, more performance funding dollars, and relief from about $38 million in mandated tuition waivers. They also said asset preservation and deferred maintenance remain major needs, estimating roughly $7 billion in campus need overall. On workforce, they cited healthcare pipeline work supported by state funding and private partners, and said HB 200 continues that effort into aviation, aerospace, and defense. No votes or formal committee actions were taken during the presentation, which ended with members indicating interest in further discussion.

Transcript Highlights:

• <00:50:29.920> uh infrastructure that will improve uh infrastructure that will improve uh
• So quick overview of the PACE program: PACE is a program or a model that is PACE is a program or a model
• the mow program and mow programs<01:19:38.320> are<01:19:38.520> also<01:19:39.239>
• <01:37:09.600> in our program we have a program in our program we have a program in Kentucky
• The PACE program requires that the capitation rate per member would be less than the state would otherwise

Keywords: 1187, senate, all

Transcript Highlights:

• program? program?
• <00:54:11.040> and know there's been some improvements and know there's been some improvements
• :59.839> was<00:57:00.240> $10 Medicaid program in 2017 was $10 Medicaid program in 2017
• improve outcomes. improve outcomes.
• programs, not to run them in perpetuity. programs, not to run them in perpetuity.

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• <00:12:52.000> history National Title in the program history National Title in the program
• <00:43:34.880> this offering any amendments to improve this offering any amendments to improve
• unauthorized tour of the US C capital unauthorized tour of the US C capital building<00:55:57.400
• <00:56:04.960> to supporters walked to the capital to supporters walked to the capital to
• <00:56:12.799> took individuals entered the capital took individuals entered the capital took

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

Transcript Highlights:

• , and improving resilience.
• So we run the school lunch program and the school breakfast program.
• In addition to that, we have summer feeding programs and adult feeding programs.
• A couple more programs in Consumer Protection include the hemp program.
• The 2627 biennium includes non-law enforcement capital transportation, critical capital repair and improvement

Keywords: 1185, senate, all

Transcript Highlights:

• takeaway here is that this is improving. takeaway here is that this is improving.
• , existing systems, programs, existing systems, programs, associations,<00:10:35.480> and<
• , apprenticeships, grow-your-own programs.
• , apprenticeships, grow-your-own programs.
• , apprenticeships, grow-your-own programs.

Keywords: 1183, house

Transcript Highlights:

• So this is an improvement. I would point out this is an improvement, number one.
• So this doesn't fund the apprenticeship program.
• Well, to date, this has been a pilot program.
• program, which is the primary fix-it-first program to rehab and maintain the highway system.
• So we have two capital outlay proposals as well.

Keywords: 988, house, all

Transcript Highlights:

• Capital Architecture Board 6.29. Minnesota Management and Budget is on 3.31. Revenue 7.4.
• These include capital grounds, legislative facilities, and space for veterans and service organizations
• Additionally, extending capital mall design framework funding will allow for the completion of the first
• phase that is currently underway on the capital complex.
• and similarly undermines their increased role in preventing fraud in agency and state government programs

Bills: HF2783

Keywords: state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant

Transcript Highlights:

• A summary of TEA's federally funded program. Programs can be found on page 29.
• The intent of this program is to improve college career and military readiness for all students and increase
• One would be the ESA program. What costs are associated with setting up an ESA program?
• We experienced increased health care costs in both of our programs. programs.
• about well was the virtual program as good as the in-person program that we operate so the Person program

Keywords: 1184, house, all