Transcript Highlights:

• foundation of this North American model. foundation of this North American model.
• through laws and rules. through laws and rules.
• a want and waste rule.
• there are hard and fast rules. there are hard and fast rules.
• One, if we do that, I would prefer we do it in rule because the rest of it is in rule.

Keywords: 1189, house, all

Transcript Highlights:

• This shift resulted in the privatized model that we operate today.
• This shift resulted in the privatized model that we operate today.
• The model would need to predict.
• more of a rule provider and an urban.
• And so we're very invested in the funding model, as you make, the year.

Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.

Transcript Highlights:

• Various rules and different things, you couldn't use it.
• We can’t let the exception rule this thing, right?
• Is this model set in any other state presently?
• I'm talking about the model as far as now.
• You mentioned three other states that have adopted this model.

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• The court, in its ruling, acknowledged that the certification program is necessary to protect public
• However, the court stated it's ruling that the program was necessary for purposes of public safety.
• Madam Chair, if I may, can you make a clarification between hobby rocketry and model rockets?
• Model rocketry has its own regulatory regime under state law.
• Model rockets, oh, I think I have it the other way around. Is that right? Yes.

Keywords: 988, house, all

Transcript Highlights:

• Once it's appropriate and we have a quorum, we will be adopting the committee rules.
• of putting fires out to a prevention-first model.
• Before we actually vote on this, we do need to adopt our committee rules.
• But if you were to just go look up what are the rules, right now you're going to get mixed rules.
• With that, the rules of the committee is we do not need everyone to vote on rules. It had 15 votes.

Summary: The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations. The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information. AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.

Transcript Highlights:

• I, I know there's a jail enforcement model and a warrant model.
• We are truly a national model. Um, thank you for your invitation to testify.
• Our TCO commissioners approved those model policies in April of 2024.
• the model, the model policies for medical and psychological examinations of police officers, uh, and
• And that model has worked really well.

Transcript Highlights:

• We have a rule for DHS.
• So if we would, I think you guys have the next rule and the next rule.
• model.
• This rule also stands reviewed without objection. Next rule, please.
• The last rule we have on the agenda today is a rule to allow us to be exempt from the recovery audit

Keywords: 1204, all

Transcript Highlights:

• We have a rule for DHS.
• So if we would, I think you guys have the next rule and the next rule.
• model.
• This rule also stands reviewed without objection. Next rule, please.
• The last rule we have on the agenda today is a rule to allow us to be exempt from the recovery audit

Summary: The committee opened with prayer, approved the January 7 meeting minutes, and then reviewed several Department of Human Services rules. One rule would allow rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, addressing a service gap, especially in Jefferson County. Another rule would let DHS participate in a CMS cell and gene therapy model to support value-based payment agreements for treating sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS explained that recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prohibits contingency arrangements of that kind. DHS said the state already has multiple other program integrity layers, including internal reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the role of recovery audit contractors, and DHS responded that they perform post-payment audits and recoveries. All three DHS rules were reviewed without objection. Near the end of the meeting, Representative Pilkington asked about a reported increase in uninsured individuals in a DHS postpartum report, but DHS said it was not prepared to answer and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. The committee then adjourned.

Transcript Highlights:

• model laboratory school in Kentucky. model laboratory school in Kentucky.
• the superintendent at Model Lab School. the superintendent at Model Lab School.
• of innovation at Model Lab. of innovation at Model Lab.
• education's performance funding models. education's performance funding models.
• , a model that we can craft a a model, a model that we can craft a system<02:04:13.840> for<02

Keywords: 958, all

Summary: The meeting focused on Kentucky school choice and innovation, with discussion of the state constitution’s “common schools” requirement and how that has been interpreted alongside newer education models. Chairman Tipton described model laboratory schools, Gatton and Craft Academies, magnet and virtual programs, and said these options show that Kentucky has long expanded opportunity through innovation. He then turned the discussion to Senate Bill 207, which he said was designed to support schools of innovation. Senator Steve West reviewed the history of Kentucky charter schools and explained that SB 207 was modeled on a South Carolina approach. He said the bill allows a local school board to contract with a third-party entity to manage an existing school, seek waivers from certain state rules, and receive SEEK funding while also allowing outside private investment. He emphasized that the district initiates the process, that the school remains public, and that the bill includes accountability through a time-limited contract that can be ended if the school is not performing. Members asked about the difference between SB 207 and the earlier charter school law, whether schools could cherry-pick students, and whether teachers would remain district employees. West and Tipton said the new model is tied to an existing school rather than a new charter, cannot cherry-pick students, and keeps teachers as district employees. Representative Brown raised concerns that charters and exceptions could leave some children out, especially lower-income students, while West responded that the proposal is intended to expand choice for families who may not otherwise have it and cited examples from other states where similar models improved low-performing schools. No vote or formal action was taken during the discussion.

Transcript Highlights:

• So, and there's some pros and cons listed on this document about each model.
• About each model.
• that just, would you, could you do that in admin rules?
• Why don't we just come up with a simple model? I mean, the model we have right now ain't working.
• I've been looking at that model and thinking about what that was.

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• And that's basically your wastewater and things for local political subdivisions. And then we go.

Keywords: 908, all

Summary: The committee heard House Bill 2014, the budget for the Industrial Commission, with Representative Kempenich walking through the agency’s major components: the administrative office, Bank of North Dakota, housing finance, Department of Mineral Resources, and the State Mill and Elevator. He described mostly special-fund operations, including bond payments, economic development programs, the rail loan program, the Rebuilder’s Loan Program, housing incentive funding, abandoned well reclamation work, lignite research, litigation reserves, and a capacity purchase arrangement for a future natural gas pipeline. He also explained several one-time funding items, such as grid resiliency grants, housing-related transfers from the Strategic Investment Fund, and enhanced oil recovery funding repurposed from a prior salt cavern study. Members asked about the reduction in housing incentive funding from the Senate version, the use of one-time Strategic Investment Fund dollars for ongoing housing programs, and whether a trigger should be added to increase housing funding later. Kempenich said no trigger was discussed and emphasized that housing needs vary widely across the state. Another exchange focused on the enhanced oil recovery grant program, which he said would be driven largely by the Energy and Environmental Research Center and would use repurposed funds. A longer discussion covered the natural gas pipeline capacity purchase, including its purpose, possible routes, and the idea that the state would be buying capacity rather than immediately building a pipeline. The committee adopted Amendment 25.0181.0207 on a 21-1 vote, with one member absent and not voting. The committee then passed HB 2014 as amended on a 21-1 vote, with one member absent and not voting. Representative Kempenich was designated to carry the bill. The chair then noted this was the final budget hearing for the committee, with one bill remaining to be heard later.

Transcript Highlights:

• empower the governor's office to collaborate with various state and federal agencies, political subdivisions

Bills: SB825

Keywords: illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report

Summary: The Senate Committee on Border Security heard testimony on Senate Bill 825 by Senator Middleton, as substituted, which would require an annual or biennial study of the economic, environmental, and financial impacts of illegal immigration in Texas. Middleton said the bill is intended to provide lawmakers with comprehensive data on costs to law enforcement, health care, education, infrastructure, and taxpayers, and to support possible federal reimbursement claims. Several senators, including Hinojosa and Eckhardt, agreed that a study is needed but raised concerns about bias, the scope of the study, and whether the Comptroller’s Office rather than the governor’s office should conduct it. Middleton argued the governor’s office was the best coordinating entity because it could direct multiple agencies to provide data, while Hinojosa and others emphasized the Comptroller’s expertise and prior 2006 study. Public testimony was generally supportive of the idea of a study but critical of the bill’s framing. Sarah Cruz of the ACLU of Texas said the study should be a full cost-benefit analysis and warned that focusing only on costs could create an anti-immigrant narrative. Danny Woodward of the Texas Civil Rights Project also supported the concept but recommended moving the study to the Comptroller or, alternatively, creating a neutral commission. Jaime Pointe of Every Texan likewise supported updating the 2006 analysis and said state agencies should be able to cooperate with a governor-led study. Resource witnesses from the governor’s office, HHSC, TEA, OCA, TDCJ, and DPS explained that data collection would be uneven across agencies. HHSC and TEA said they often do not collect immigration status and, in TEA’s case, federal law limits schools from requesting such information; OCA and TDCJ said they could provide only partial or indirect data unless new reporting requirements were added. DPS said it already has Operation Lone Star data but would need to collect additional information if tasked with the broader study. The chair asked the governor’s office to provide a follow-up answer on separation-of-powers and related authority questions by the following Tuesday, and the committee recessed subject to the call of the chair without taking a vote on the bill.

Transcript Highlights:

• the consent of the individual, which is a significant expansion, which is also against the federal rules
• the consent of the individual, which is a significant expansion, which is also against the federal rules
• the consent of the individual, which is a significant expansion, which is also against the federal rules
• the consent of the individual, which is a significant expansion, which is also against the federal rules
• the consent of the individual, which is a significant expansion, which is also against the federal rules

Keywords: 1183, house

Transcript Highlights:

• They are independent political subdivisions of the state government, entities that exercise less than
• <00:21:25.600> When<00:21:25.840> it going to rule secondary roads.
• When it going to rule secondary roads.
• KRS 68.197, the county home rule statute, I believe, authorizes counties to do that and then has some
• KRS 68.197, the county home rule statute, I believe, authorizes counties to do that and then has some

Keywords: Meeting Start: 00:00:13 Roll Call 00:00:24 Approval of Minutes from September Meeting 00:02:10 Presentation of Special Purpose Governmental Entities Report 00:03:19 Presentation of Kentucky League of Cities Legislative Platform for the Upcoming 2026 Session of the General Assembly 00:15:37 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 00:37:05 Adjournment 00:55:53, 958, all

Summary: The committee received reports on special purpose governmental entities from the Department for Local Government and the Fire Commission. DLG staff described SPGEs as limited-jurisdiction political subdivisions and reviewed the department’s registry, reporting portal, compliance monitoring, and planned system upgrades such as a two-way message center, automated noncompliance notices, and tracking for new entities and board expirations. They reported that, as of October 10, 2025, 69% of SPGEs were active and discussed compliance data by cycle, fiscal year, and district type. The Fire Commission reported that fire department mergers have reduced the number of departments by 16 since last year, largely because of volunteer staffing shortages, while financial disclosure compliance had risen to 94%. The commission also noted 509 compliance reviews, 19 in-house inquiries, seven referrals to outside agencies, and one recent federal prison sentence in a theft case. Members asked whether DLG advises SPGEs on tax rates; staff said it only performs calculations and the entities set their own rates. Questions to the Fire Commission focused on whether department reductions meant station closures; officials explained that most changes were mergers that keep physical buildings in place while combining personnel and finances to meet minimum staffing requirements. They said the trend is spread across the state but is especially pronounced in rural areas. The Kentucky League of Cities then presented its 2026 legislative agenda. Its priorities included modernizing city revenue options, increasing equity in road funding, fixing tax increment financing issues, addressing transient room tax collection from web-based platforms, strengthening emergency response coordination, clarifying massage parlor regulation preemption, correcting unintended consequences of House Bill 606, improving newspaper publication rules, and modernizing procurement statutes. KLC also said it supports allowing all cities to collect restaurant tax revenue, wants cities to receive a larger share of road funds and EV-related revenues, and seeks state collection and remittance of any future local sales tax to comply with the Streamlined Sales and Use Tax Agreement. Members asked about best-value bidding, road-fund equity, Airbnb tax litigation, EV prevalence, and disaster funding applications; KLC said cities currently must accept the lowest bid, the road split should better reflect city street costs, the Airbnb tax case remains pending, EV data by locality has not been studied, and allowing cities to apply directly for disaster funds would reduce reliance on county officials. No votes or formal actions were taken beyond approving the September meeting minutes.

Transcript Highlights:

• And that came from a Fifth Circuit ruling dealing with claims by minority coalitions under Section 2
• The Voting Rights Act and federal courts have repeatedly ruled.
• So, registering now, oddly enough, will lead the federal court to rule against Texas.
• We are not here because of new census data but because. of a court ruling, Petaway v.
• This ruling does not compel you to redraw maps in a way that silences communities.

Keywords: 1185, senate, all

Transcript Highlights:

• It's just, you know, would you agree that the rules on an airplane are different than the rules out and
• Or the rules at like a large-scale sporting event? The other day. Yes.
• It really did create this whole new business model.
• To sustain their business model.
• Localized access points and their business model.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Developing an advanced language model, like our latest model ChatGPT 4.5, involves two key steps.
• Users can ask our language models to analyze or write text or code, ask our image models to draw images
• And all our models go through red teaming. ...of our red teaming process, and all our models go through
• That model, that what we call base model output, is not actually ready for public consumption.
• So at that point, if I were to prompt the model, tell me a story about a princess, the model would then

Summary: The subcommittee met to hear a panel discussion on artificial intelligence and automation in Florida government. Panelists from Worldwide Technology, OpenAI, the James Madison Institute, and the Florida Digital Service described AI as a tool to improve efficiency, constituent services, fraud detection, translation, HR workflows, public safety, and regulatory review, while emphasizing that AI should supplement rather than replace workers. They also stressed the importance of data readiness, workforce training, governance, and having existing technology systems and policies in place before broader deployment. Members asked about public records concerns, vendor vetting, model integrity, and how to balance innovation with privacy and security. Chief Schoonover said agencies are already using or exploring AI in areas such as Medicaid analysis, environmental data, emergency management, tax forms, and child support, and noted that the Digital Service publishes prohibited vendor and application lists. OpenAI discussed its red teaming, safety evaluations, privacy controls, and government products such as ChatGPT Gov, and said it does not train on personal data or target users with ads. The committee also discussed concrete examples of efficiency gains, including reduced call times, faster translation turnaround, and streamlined HR classification work, as well as concerns about job disruption and constituent access. In closing, members raised data center infrastructure and energy needs, with panelists noting that AI depends on substantial compute, power, cooling, and utility capacity. The chair concluded by encouraging continued dialogue and noting that future AI legislation should be targeted to specific problems rather than overly broad.

Transcript Highlights:

• Therefore, these rules have been skirted.
• TMB Rule 168, Sections 25.25 to 28 are the rules that apply, as they do to any other doctor's office.
• This staffing model limits where AAs can practice.
• We have delegation rules ... ...rules so that there's a physician monitoring what you're doing, and if
• The CMS rules that Dr.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• , rather than the California driver or the California taxpayer pay model.
• , and then you don't get the benefits of the rule in the first place.
• The first is for the zero-emission airport shuttle rule and Advanced Clean Fleets, or ACF, rule, and
• the second is for the zero-emission forklift rule.
• We believe that this model urgently needs to be replaced with a polluter-pay model.

Summary: The committee hearing focused heavily on CARB’s broad trailer bill request for regulatory fee authority. Finance and CARB argued the proposal would let CARB develop fees to recover reasonable costs for implementing and enforcing regulations, while the LAO recommended rejection because the authority was too broad, could apply to an entire division of code, and would delegate core legislative taxing/fee-setting power without enough guardrails. Members from both parties raised concerns about the breadth of the authority, accountability, affordability impacts, and whether the Legislature would be put in an up-or-down position after CARB had already developed regulations. CARB responded that fees would still go through a budget change proposal and legislative approval before collection, and cited existing examples such as transport refrigeration units and commercial harborcraft fees. The committee then reviewed CARB’s request for permanent resources to implement SB 905 on carbon capture, utilization, storage, and carbon dioxide removal. CARB said the Legislature had previously authorized limited-term positions and funding, but it had struggled to recruit and retain staff with specialized regulatory and technical expertise, and that the work had included pre-rulemaking contracts, technology review, and permit-related preparation. Members questioned the pace of work, the use of limited-term positions, and whether additional permitting authority would be needed. CARB said it hoped to begin rulemaking later in the year if permanent resources were approved. Members also discussed the cap-and-trade spending plan, noting lower-than-expected auction revenues but higher interest earnings, and the need to monitor the Greenhouse Gas Reduction Fund and possible May Revision changes. The committee then heard overviews of the zero-emission vehicle package, the Community Air Protection Program, demand-side grid support, and e-bike incentives. CARB described ongoing investments in community-based transportation equity, drayage trucks, harbor craft, and other clean technology demonstrations, while members pressed on affordability, program duplication, and whether enough funding was being directed to incentive programs. No formal votes were taken during the portion provided, and the chair repeatedly indicated that the hearing was intended to surface concerns for later budget negotiations.

Transcript Highlights:

• <00:05:17.919> of by the Medicaid managed care rule of by the Medicaid managed care rule of
• in Kentucky could potentially be a model in Kentucky could potentially be a model for<00:07:52.160
• And there's a two-year model, a four-year model, a six-year model, and an eight-year model.
• > six-year<01:37:53.760> model,<01:37:54.159> and four-year model, a six-year model
• , and four-year model, a six-year model, and an<01:37:54.480> eight-year<01:37:54.880> model

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.