Transcript Highlights:

• So, MENAT and the State Health and Value Strategies organization estimate that the provisions in the
• <00:10:12.480> organization<00:10:13.279> estimate<00:10:13.760> that strategies
• organization estimate that strategies organization estimate that the<00:10:14.240> provisions
• To be perfectly clear, the margin numbers are not developed by the Kentucky Hospital Association.
• The KHA worked very closely with Chairman Guthrie in developing the House version of the new law.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• development with private activity bonds.
• Uh, developments, can you elaborate just a little bit?
• And I think development and the pace of that development is now forcing us to do more of that.
• And the developers are moving out into area where they can buy land cheaper, um, develop that land and
• I think one of the easiest things to consider about these developments is that building the developments

Transcript Highlights:

• our community March's development our community March's development disabilities<00:25:50.360>
• development development Partners<01:30:09.719> the<01:30:10.000> state's<01:30:10.360>
• recent Senate hearing the developer recent Senate hearing the developer acknowledged<01:32:45.920
• you were to see the developers you were to see the developers presentation<01:39:07.159> you<
• exempts um the potential the developer exempts um the potential the developer from<01:55:54.639>

Keywords: 910, house, all

Transcript Highlights:

• <00:05:18.160> a um broad um task which is to develop a um broad um task which is to develop
• While the new training is in development, we're actively working on it.
• An example of task and strategies An example of task and strategies included<01:56:35.040> increasing
• > successful<01:58:16.480> for This strategy has been successful for This strategy has been
• developing our comprehensive onboarding. developing our comprehensive onboarding.

Keywords: 1183, house

Transcript Highlights:

• That's one of the strategies we're working on.
• and looking into the development.
• But we've developed, when we developed the truck stop, and so the next aspect would be to do the land
• All of that is already developed.
• Those funds came from some of our economic development ventures in Oklahoma, but we are going to develop

Transcript Highlights:

• Item C is the net of new federal BEAD funding for broadband development of 1.67 billion, offset by a
• Moving to page seven, item seven highlights the agency's strategy for the COVID-19 recovery efforts,
• One authorizes the carry forward of unexpended balances appropriated to the Broadband Development Office
• It has to do with the local development agreement database. I'd have to ask. I'm not sure.
• Which is about the local development agreement database.

Bills: SB 1, SB1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, appropriations, budget, state funding, education, healthcare, infrastructure, 1185, senate, all

Transcript Highlights:

• I urge the committee to reject the bill and support evidence-based public health strategies.
• And I would welcome any um strategies.
• >> I believe that people much smarter than me today can give you strategies for that.
• Imagine the cost of a red box ...today can give you strategies for that.
• <02:14:07.360> One<02:14:07.760> strategy One strategy to decrease use is to use other

Keywords: 1191, senate, all

Transcript Highlights:

• economic development activities there. economic development activities there.
• <00:35:33.440> uh and also uh within the development uh and also uh within the development
• within the development area. within the development area.
• um they can provide for development um they can provide for development construction<00:40:27.680
• They're projections that were developed They're projections that were developed using<00:58:42.920>

Keywords: 1187, senate, all

Transcript Highlights:

• So a community would go find a developer. They could develop it themselves.
• They could use their regional council, their economic development group, to develop some lots for sale
• So a community would go find a developer. They could develop it themselves.
• They could use their regional council, their economic development group to develop some lots for sale
• the price of the new home, that infrastructure for a development.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2265, which would provide the Fargo National Cemetery with up to a $3 million line of credit to help fund improvements such as indoor bathrooms, parking, a family gathering area, an office, a hearse garage, and a veterans gallery. Supporters said the cemetery has expanded rapidly since 2019, has already conducted about 1,000 burials, and needs better facilities for families and the Honor Guard; they also said the project would be subject to federal VA approval and, once completed, would be taken over by the VA. Members raised questions about the project’s cost, timing, funding sources, whether the bill should be a grant instead of a line of credit, and whether a chapel should be specifically included. No vote was taken on SB 2265 during the excerpt. The committee then took up Senate Bill 2230, which would have the Secretary of State mail active voters a guide on ballot measures at least 45 days before an election, with objective summaries, fiscal impacts, and arguments for and against each measure. Secretary of State Michael Howe said the office already receives many questions about ballot measures and would post the same information online and at polling places, while emphasizing the need to keep the material objective and consistent with election-law restrictions. Members generally supported the idea as a voter-education tool, and the committee adopted a due pass motion on SB 2230 by a 19-0 vote. Finally, the committee heard Senate Bill 2256, which would provide one-time state support for the NDSU Research and Technology Park in Fargo to expand its role in commercialization, robotics, precision agriculture, and defense-related technology. Park CEO Brenda Weiland explained that the park is a 501(c)(3) nonprofit spun out of NDSU, governed by a board with both university and industry representation, and that the new model is intended to bridge the gap between research and market-ready products without competing directly with private industry. Members asked about ownership, intellectual property, the planned partnership with Carnegie Mellon’s robotics center, and how the park would use the funding; the discussion focused on contracts, licensing, and the park’s intent to build technical capacity and attract companies. The excerpt ends before any vote on SB 2256.

Transcript Highlights:

• I really thank her and her staff for the really positive working relationship we've developed with the
• In some areas, we are in the plan development phase.
• That really was done by the University of New Mexico as part of the strategy to develop the regional
• This has been developed with quite a few folks having some input.
• And so we've been trying to think of strategies or glide path strategies to get unlicensed providers,

Keywords: 996, all

Transcript Highlights:

• great concern not only for the safety and well-being of our children, but also for the healthy development
• 04:26.520> and<02:04:26.960> Futures Representative Lisa Merer continued: “...the development
• In this case, we already have the state of Utah doing this, and I think New Hampshire's strategy for
• <02:39:54.960> I<02:39:55.040> think<02:39:55.479> n's<02:39:56.160> strategy
• Utah doing this and I think n's strategy Utah doing this and I think n's strategy for<02:39:57.720

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• And I’m like, no, that’s important to be able to have that to develop and grow and understand.
• They often struggle in school, develop trust issues, or they become very hypervigilant.
• It was developed by Dr. Jackie Campbell.
• And last, I’d like to say that hope is a strategy.
• And hope is our strategy. We must believe in children.

Summary: The committee met to discuss domestic violence with a focus on teen dating violence, healthy relationships, and the impact of technology on abuse. Chair Blanca Rubio opened by describing the urgency of the issue, including a recent teen murder in her district tied to domestic violence, and emphasized that restraining orders alone do not prevent abuse. The first panel featured Janica Morin Pasquale and Taylor Stone Mill, who described warning signs in teens such as constant monitoring through phones and social media, isolation from friends, jealousy normalized by online content, and control through gifts, food delivery, and access to passwords or tracking apps. They stressed that many teens do not tell parents, that parents often miss the signs, and that prevention should begin early and be reinforced in schools, homes, and youth activities. They also cited resources such as Love Is Respect, One Love, and Take It Down, and urged consistent funding and implementation of the California Healthy Youth Act rather than one-time lessons. The second panel shifted to the effects of domestic violence on children and the systems that respond to them. Joyce Blue of the Sacramento Regional Family Justice Center described the center’s wraparound services, including forensic interviews, legal help, housing support, child therapy, and high-risk response, and highlighted the prevalence and danger of strangulation, including cases with no visible injury. She explained that domestic violence is about power and control, that children often normalize abuse, and that safety planning must accompany restraining orders. Susie Flores of Inner Circle Children’s Advocacy Center explained the multidisciplinary forensic interview model used for child abuse cases, gave examples of severe abuse involving children exposed to domestic violence, and noted that many centers are overwhelmed by caseloads. She stressed the need for immediate trauma-informed services and more front-end intervention rather than waiting until long-term harm develops. Dr. Pamela Tate of Black Women Revolt Against Domestic Violence and other members discussed the need to support not only victims but also the systems and educators who are expected to respond. Several members shared personal experiences with domestic violence, sexual assault, and family trauma, and raised concerns about school implementation, immigrant families’ fear of reporting, and the need to address abusers’ behavior and trauma as well. The discussion also touched on statute of limitations issues, with panelists saying memory and trauma can delay disclosure for years and that rigid deadlines can prevent justice. No votes were taken; the meeting was informational and ended with members expressing support for continued collaboration, prevention funding, and stronger implementation of existing law.

Transcript Highlights:

• We recognize the committee and the legislature's desire to not stifle innovation or development and to
• And you may hear testimony that there's really not a strategy to break out these components, that you
• So for us to depend on strategies of the past or things that happened in the past for our continued success
• , that's just a bad strategy.
• No, they are not; they are developed by the system, but there's a website for both of them.

Bills: SB231, SB584, SB600, SB668, SB841, SB986, SB1003, SB1244, SB1625, SB1960, SB1963, SB1964, SB2026, SB2056, SB2368

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• advice from providers, allowing them to act on midlife care, menopause symptoms, and prevention strategies
• Secondary infections can develop as a result, and women develop conditions that can cause serious lifelong
• that I joined But due to steadfast advocacy that I joined in, the Human Services Transportation developed
• This training develops the necessary skills and experience, as well as the judgment to determine when
• It helps the development of the placenta. It keeps the cervix closed.

Keywords: 995, all

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• some kind of strategy to manage this I-205 demand before congestion, air pollution, traffic, and how
• We are currently in the project development phase, which is the first phase of that grant.
• They're developed by our Stantec team, who you'll hear from in a moment, and they're based on annual
• compared against the estimates that the progressive design builder is developing.
• We can look at the analyses and we can come up with some strategies to address it.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• So they've developed over the years, if Mr.
• In terms of data center development, yes. Mr.
• Rhett Bennett: Developer lens into the process and how it's going and the development and growth ahead
• I think we want the economic development.
• Developers don't know when they'll get service, to what degree they'll get Developers don't know when

Summary: The Committee on State Affairs convened to discuss data centers and their impact on Texas's energy infrastructure. The meeting featured testimony from key representatives of the Public Utility Commission (PUC) and ERCOT, who outlined the evolving landscape of energy generation and the challenges posed by the rapid growth of data centers. Notably, ERCOT reported over 450,000 MW of generation resources planned for connection, with a significant portion attributed to data centers, which now represent around 87% of new large load interconnection requests. The committee explored proposed changes to the interconnection process, including a new 'batch study' approach aimed at streamlining the approval of multiple projects simultaneously. This change is intended to address the challenges of managing numerous simultaneous requests and to provide more certainty for developers regarding their energy needs. Testimonies emphasized the importance of ensuring that the costs of infrastructure upgrades are borne by the data centers rather than residential ratepayers, with discussions around the financial commitments required from developers. Several data center developers also provided testimony, highlighting the economic benefits of their projects, including job creation and increased local revenues. They expressed concerns about the potential for a moratorium on future growth due to the new interconnection rules and emphasized the need for a collaborative approach to address water usage and environmental impacts. The committee plans to continue discussions on these topics in future hearings, with a focus on balancing economic growth with energy reliability and resource management.

Transcript Highlights:

• In terms of data center development, yes.
• Rhett Bennett: Developer lens into the process and how it's going and the development and growth ahead
• I think we want the economic development.
• That's where strategy becomes tangible for Texans.
• I lead market development and policy for Google Data Centers.

Transcript Highlights:

• I want to maintain a long-term disciplined approach to UF's financial strategy so that the university
• I do policies related to land management and community development in the state.
• The county outsourced their economic development to us.
• I've recently completed my contract with the development group, so 60 days ago I retired.
• It's really been solely focused on economic development.

Summary: The Appropriations Committee on Higher Education met to hear confirmations for 19 appointees and reappointees to university and state college boards, with most of the agenda focused on the University of Florida, Florida A&M University, Florida Atlantic University, University of Central Florida, Florida State University, Florida Polytechnic University, Florida Gulf Coast University, Pensacola State College, State College of Florida Manatee-Sarasota, North Florida College, South Florida State College, and the Florida Prepaid College Board. Testimony from the nominees generally emphasized their educational backgrounds, professional experience, and priorities such as student success, workforce development, financial sustainability, research growth, housing, and maintaining or improving institutional rankings. Several UF trustees highlighted the university’s “One UF” vision, institutional neutrality, and goals of reaching top-three or top-one national status. Other nominees stressed the role of state colleges in workforce pipelines, and Florida Poly witnesses focused on STEM growth, housing, and strong graduate outcomes. One in-person public testimony came from Elijah Hooks, who spoke in opposition to the current FAMU administration and described his expulsion, arrest, and trespass from campus after protesting the appointment of President Marva Johnson. For FAMU, Jocelyn Dobson Rodriguez testified in support of her appointment, emphasizing her legal background, alumni ties, and goals of strengthening leadership, alumni engagement, and the connection between the main campus and the College of Law in Orlando. For Florida Atlantic University, Tina Vidal-Duart was questioned closely about her prior service on the Hope Florida Foundation board and about CDR Health’s involvement in state contracts; she said she was not aware of the foundation’s governance problems at the time and that CDR’s state contract was a flat daily rate. The committee then voted to report all appointees favorably except for Tina Vidal-Duart, whose confirmation was held for a separate vote at the request of Senator Bracy Davis. After discussion, the committee voted 5-1 to report her confirmation favorably as well. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• Um the uh concern developed those rules.
• Um rules that DOE's already developed.
• worked closely with Liberty to develop worked closely with Liberty to develop their<05:12:29.840
• ,<05:30:31.440> more of the- above energy strategy, more of the- above energy strategy, more
• reviewed through state energy strategy reviewed through state energy strategy um<05:42:20.958>

Keywords: 1189, house, all

Transcript Highlights:

• With this in mind, Mindak developed a deployment strategy to introduce this the bill in front of you,
• <00:10:42.480> a this in mind, Minak developed a this in mind, Minak developed a deployment
• For education and workforce development, this matters.
• ,<00:57:19.760> it As these systems continue to develop, it As these systems continue to develop
• c> education and workforce development, education and workforce development, this<00:57:29.760> matters

Bills: HF3553, HF3513, HF3576

Keywords: vehicle platooning, transportation, public safety, pilot project, Wilkin County, Grant County, autonomous vehicles, transportation regulations, driverless cars, safety standards, first responder interaction, school bus, third-party testing, driver certification, transportation regulation, 1183, house