Transcript Highlights:

• Uh, it coincided with the end of federal operating assistance from the federal government.
• The federal government continued a significant capital investment program, both on a formula basis but
• The federal government correct.
• that program. that program.
• funded by federal COVID relief dollars. funded by federal COVID relief dollars.

Bills: HF4693

Keywords: transportation, license plates, validation stickers, replacement fees, government fees, 1183, house

Summary: The Transportation Finance and Policy Committee approved the April 13, 2026 minutes and then heard a presentation from Charles Carlson of Metropolitan Transportation Services on regional transit governance and finance in the Twin Cities area. Carlson reviewed the history of transit governance from private streetcars and buses to public control, including the creation of the Met Council and Metropolitan Transit Commission in 1967, later fragmentation through suburban opt-outs and the Regional Transit Board, and the 1994 consolidation that made Metro Transit part of the Met Council. He also explained the role of the Transportation Advisory Board as a state-created advisory body to the council’s federally designated MPO function, and noted that any major structural change to the Met Council could trigger federal redesignation requirements. The presentation then focused on funding changes over time. Carlson said transit was long supported by fares, property taxes, and federal aid, but that property taxes for operations were prohibited in 2001, federal operating assistance ended, and the state shifted to general fund support and then motor vehicle sales tax revenue. He described the 2006 constitutional dedication of motor vehicle sales tax, the volatility of that revenue during the Great Recession, and the use of one-time state appropriations and later federal COVID relief to cover operating gaps. He said the 2023 legislature created the regional 3/4-cent transportation sales tax to stabilize transit operations, reduced the state’s rail operating obligation, and moved Metro Mobility/Metro Move into a state forecast-based program effective in 2025. Members asked several questions about the structure of suburban “opt-out” providers, including Maple Grove and Plymouth, and how they can contract with Metro Transit or private providers while still retaining control of their allocated funds. Carlson explained that replacement service municipalities receive statutory and formula allocations and choose how to use them. He also described Metro Move as a waiver-based service begun in 2024 that uses human services and Medicaid funds to reduce pressure on the state general fund. Later discussion covered ridership and service shares, with Metro Council providing the vast majority of regional transit service and suburban providers accounting for a small share. No votes or bill actions were taken beyond adoption of the minutes; the chair indicated a bill would be taken up later in the meeting.

Transcript Highlights:

• As previously recommended by the Federal Office of Special Education Programs, California districts are
• put a voucher program together?
• I did have one question about the kind of the combining of the integration of the federal program and
• programs, but does not enable the federal administration to reach in with its own agenda to change the
• I taught, or I coordinated, English learner programs last time we had this administration and this federal

Summary: The Assembly Education Committee heard a full agenda of bills, first adopting a consent calendar of 11 measures without individual presentations. The committee then took up AB 1412, which would require California schools to implement or adopt a transferred special education student’s IEP within 30 days for out-of-state transfers and to coordinate more quickly on records. The author and military-family witnesses said the bill would reduce delays for highly mobile students, especially military children; a school administrators group opposed it. The bill received initial support from committee members and was moved on call. The committee also reconsidered AB 281, which would require notice to parents when outside consultants provide sex education instruction; the author accepted amendments removing a copy-right provision, but the bill remained on call after a split vote. The committee heard AB 1005, which would create a statewide drowning-prevention education and swim-lesson voucher framework for underserved communities. The author and supporters described drowning as a preventable public health and equity issue, while the bill was clarified as developing a plan rather than immediately launching a voucher program. It was voted out on a 3-0 roll with the measure placed on call. AB 908, as amended, would add compliance monitoring for existing requirements that schools use LGBTQ-inclusive instructional materials and curriculum under the FAIR Act. Supporters said the bill would improve implementation and student safety; opponents raised concerns about privacy, girls’ sports, and school burdens. The committee approved the bill 5-2 and sent it to Appropriations. The committee then heard AB 1401, which would affirm parents’ access to school records, including unofficial records unless exempt by law. The author argued that parents need clearer access to information held by schools and vendors, while school officials and teachers’ union representatives warned the bill was too vague and could sweep in personal notes, journals, and other sensitive material. The bill failed on a 2-3 vote and was placed on call. Finally, AB 727 would require student ID cards to include the Trevor Project hotline for LGBTQ youth; supporters framed it as a suicide-prevention measure, while opponents argued it conflicted with parental rights and religious beliefs. Committee discussion focused on whether 988 already provides similar access and whether the Trevor Project is an appropriate resource to print on IDs; the hearing continued with the bill still under consideration.

Transcript Highlights:

• As previously recommended by the Federal Office of Special Education Programs, California districts are
• to put a voucher program together?
• I did have one question about the kind of the combining of the integration of the federal program and
• the state program.
• programs but does not enable the federal administration to reach in with its own agenda to change the

Keywords: 988, house, all

Transcript Highlights:

• And if the federal money ever recovers...
• Chairman, does this essentially mean if the federal government does not...
• I mean, they're still going to try to pursue the federal money. Restored.
• I mean, they're still going to try to pursue the federal money.
• And I believe they're eligible for $20 million for a federal loan.

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• And so our position is let's start the new program, get it going, then we can add money later, but it
• The issue I see is, um, the ability to get the program passed and get the bill passed.
• that belongs to the federal government. that belongs to the federal government.
• question, we think with the federal question, we think with the federal partners<00:10:25.920>
• If it goes onto onto other federal land.

Keywords: 916, all

Summary: The meeting focused on resolving a House-Senate disagreement over funding for a new forestry/fire mitigation program. House members explained that their objection was not to the program itself, but to the Senate’s increase from the original $3 million level; they argued the program should start at the lower amount and be expanded later if needed. Senate members responded that the higher amount was based on forest health briefing information showing significant beetle kill, rising fire danger, and the need to act quickly while federal partners and current conditions made treatment work feasible. They cited recent large fire suppression costs and argued the added funding would have a strong return on investment by reducing future suppression expenses. After discussion of possible compromise amounts, including $4 million and then $3.5 million, House members said $3.5 million would be more acceptable to their chamber and suggested supplemental funding could be considered later if the program proved successful. The Senate agreed to the $3.5 million compromise. Members also noted that other amendments in the bill, including repeal of a sunset date and changes intended to speed contracting by removing an attorney general step, were important and appreciated by the House. The committee then took a voice vote on the compromise, and it passed unanimously. Members indicated they would take the agreement back to their respective chambers as part of the conference report and expected the bill to move forward.

Transcript Highlights:

• of existing programs.
• COLA or other program expansions for preschool, just as it does for all other Proposition 98 programs
• There are also three positions and $25.4 million federal funds to support various programs, including
• categorical programs.
• federal program, because the federal program is not available for every district in California.

Keywords: 987, senate, all

Transcript Highlights:

• So they redesigned the whole program.
• So they redesigned the whole program.
• So the redesign of the program was to get rid of some of those incentives and to restructure the program
• So the redesign of the program was to get rid of some of those incentives and to restructure the program
• So they've restructured the program that they have, since...

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• It also allows local governments to apply for federal grants.
• And hopefully we will be getting a lot of federal money coming into this.
• It aims to integrate state oversight with federal standards, specifically the Federal Genius Act, to
• Is there a decrease in the school lunch program in this budget, or are we?
• So there’s nine different Florida Forever programs.

Bills: S0314, S0530, S0576, S0800, S0990, S1078, S1440, S1568, S1588, S1614

Keywords: payment stablecoin, financial regulation, anti-money laundering, state oversight, digital currency, financial services, Florida lottery, state lottery, lottery tickets, lottery retailer, Department of the Lottery, Division of Security, ball machine, lottery vending machine, instant tickets, online lottery tickets, major procurement, vendor disclosure, performance bond, retailer bond

Summary: The committee heard and advanced several bills related to engineering regulation, cybersecurity, financial services, and state administration. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; it was reported favorably after questions about whether it would reimburse victims of unlicensed practitioners, with the sponsor noting it would not and that affected individuals would need to pursue complaints and private legal action. CS/SB 576 created a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing of cybersecurity services and priority for fiscally constrained counties; it received support from local government and industry groups and was reported favorably. CS/SB 1078 set transition requirements for gubernatorial administrations, including liaisons, briefing books, office space, IT access, and controlled access to agency records under a memorandum of understanding, and it also passed favorably. The committee also approved CS/SB 314, which creates a regulatory framework for payment stablecoin issuers in Florida, and CS/SB 530, which updates lottery operations, security, retailer rules, and bonding requirements. CS/SB 1614, after adoption of a technical substitute amendment, would limit local governments’ eligibility for certain state funding if they have excess funds, have recently been audited by the legislative audit committee, or fail to affirm expenditure of prior funds; the sponsor said it would give the Joint Legislative Auditing Committee more enforcement leverage, and the bill was reported favorably. CS/SB 990 authorizes protective cell captive insurance companies to expand insurance market capacity and potentially lower premiums, while CS/SB 1588 is a step toward implementing last session’s gold and silver legal tender law; both were reported favorably. Additional bills passed included CS/SB 1440, which adds cybersecurity-related exemptions and reporting provisions for financial institutions, loan originators, and money service businesses, and CS/SB 1568, which creates a Florida Stable Coin Pilot Program allowing DFS fees to be paid with approved stablecoins. The stablecoin bill was amended to add guardrails, including fee limits, website notice requirements, and restrictions if no approved issuers are available. The committee also received a brief budget overview highlighting major funding items such as Florida Forever, Everglades restoration, water quality, Farmers Feeding Florida, citrus recovery, school lunches, state parks, and law enforcement and staffing items, and members later recorded additional votes before the committee adjourned.

Transcript Highlights:

• We intended it to be a safety program. It's back to being a safety program. So, thank you.
• We intended it to be a safety program. It's back to being a safety program. So, thank you.
• We intended it to be a safety program. It's back to being a safety program. So, thank you.
• I know the House put in, and based on federal law, yes, we can establish federal law.
• And asked as an or federal law.

Keywords: 1191, senate, all

Transcript Highlights:

• Uh we worked with the program.
• Uh I would follow the federal rules.
• spending, child care assistance program spending, child care assistance program improvements,<00
• <00:06:09.520> that it's based on uh some programming that it's based on uh some programming
• assistance program. assistance program.

Keywords: 00:00 - Call to Order/Roll Call 01:26 - Discussion of 26RS HB 6 17:45 - Roll Call Vote on 26RS HB 6 20:20 - Discussion of 26RS HJR 50 22:30 - Roll Call Vote on 26RS HJR 50 23:19 - Adjournment, 958, all

Summary: The committee heard House Bill 6, as amended by a committee substitute, which was described as a broad child care reform package developed through a multi-stakeholder collaborative. The substitute added a two-year pilot program for off-base child care at Fort Campbell and Fort Knox, beginning July 1, 2026, and making the bill an emergency measure for that purpose. Sponsors said the bill focuses on long-term reforms to affordability, quality, and access, including modernization of the All Stars quality rating system, creation of micro centers, support for children with special needs, child care data and transparency measures, CCAP improvements, and changes to the employee child care assistance partnership (ECAP). Testimony explained that micro centers are intended to fill gaps such as rural, third-shift, drop-in, and partnership-based care, would initially be limited to 10 statewide with no more than two per county, and could serve 4 to 24 children under a more flexible regulatory framework. Members also discussed whether family child care homes like the “Miss Barbara” model fit the bill; sponsors said they are not micro centers, but the bill includes other provisions to support family child care homes. Questions also focused on ECAP, which was described as a tri-share model in which employers contribute, the state matches for eligible employees, and the employee pays the remainder; sponsors said the bill privatizes ECAP first before considering expansion to teachers or public employees. House Bill 6 passed favorably by a vote of 12-0-1, and the title amendment passed. The committee then took up House Joint Resolution 50, also sponsored by Representative Heavrin. The resolution asks the Kentucky Auditor’s office to study the administrative regulations, statutes, agency policies, and processes affecting the opening and operation of licensed and certified child care services, with particular attention to the All Stars program. The sponsor said the goal is to identify opportunities for change through a thorough third-party review, noting that the All Stars system has been in place for about 10 years and that many child care rules are tied to federal funding and cannot be changed quickly. The resolution passed unanimously by a vote of 13-0. The meeting concluded with notice of the next committee meeting and adjournment.

Transcript Highlights:

• The annual review of the department's tentative work program.
• The Transportation Disadvantaged Program interacts with multiple federally funded programs, state agencies
• , including the innovative service delivery program.
• We really do see that a lot as pilot programs. The veterans example I mentioned is a pilot program.
• So every state and federal grant usually has a local match.

Summary: The Senate Transportation Committee met, took roll, and heard introductory remarks from members about their districts and transportation priorities, with several senators noting congestion and mobility challenges in their regions. The committee then received a presentation from the Florida Transportation Commission on its oversight role for FDOT, including annual and quarterly performance reviews, review of the five-year work program, and monitoring of tolling and transit authorities. Members asked whether the commission gets involved in project prioritization; the answer was no, because it is statutorily limited to high-level oversight rather than day-to-day project decisions. The committee next heard two reports related to transportation disadvantaged and paratransit services. FDOT’s Melissa Smith described the statewide Transportation Disadvantaged program, its governance structure, service models, and challenges such as fragmented administration, cost, inconsistent reporting, and rural service limitations. She outlined recommendations including better use of technology, regional partnerships, improved training, and alternative delivery models like microtransit and TNC partnerships. A University of South Florida researcher, Martin Katala, discussed best practices for paratransit and demand-response service, emphasizing route optimization software, dynamic dispatching, service standards, vendor accountability, and the use of TNCs and mobility management to improve efficiency and reduce travel times. A later presentation from UF’s I-Street program focused on emerging technologies for transit, including in-cabin monitoring, automatic restraints, accessible booking and tracking tools, and the need for statewide safety standards and better driver interfaces. Finally, FDOT Secretary Jared Perdue and District 5 Secretary John Tyler provided an update on the transition of SunRail local entities. They explained the differences among commuter rail, intercity rail, and light rail, and said SunRail’s financial transition to local partners was completed on January 1, with operational transition to follow over up to three years. They contrasted that with Tri-Rail, where FDOT still funds operations and discussions about a future transition are ongoing. Members asked about the differences between SunRail, Tri-Rail, Amtrak, and Brightline, and the presenters explained that commuter rail serves regional daily commuters while intercity rail connects regions. The committee concluded without taking any formal votes or other legislative action.

Transcript Highlights:

• County, Jewish Federation of the Desert, Jewish Federation of San Diego, Jewish Federation of the Greater
• and subject to federal law.
• So there really is no federal law for the most part that would allow you to sue a federal officer.
• So there really is no federal law for the most part that would allow you to sue a federal officer.
• And federal agents are not; the federal rulings on the Bane Act further exacerbate that.

Keywords: 988, house, all

Transcript Highlights:

• The RHT program that was created by the federal government is designed to give the citizens this preventative
• It's a federal program.
• It's a federal program.
• It's a federal program.
• It's a federal program.<00:15:59.600> this<00:15:59.920> fits<00:16:00.160> the<

Keywords: 958, all

Summary: A presenter from Fast Health Corporation described a proposed Kentucky Health Command System tied to Senate Bill 175, which would create a state-sanctioned AI platform for rural hospitals and telehealth. The company said the system would help rural residents get health information remotely, triage minor issues, and escalate more serious cases to Kentucky providers, with use cases including blood pressure, diabetes, maternity care, smoking cessation, and other preventive-care topics. The presenter argued the system would help rural hospitals compete with out-of-state telehealth companies and keep patients connected to local care. The presentation also emphasized a commercial model the sponsor said would generate new revenue through ads and branded interactions, with the bill reportedly directing 80% of that revenue to rural hospitals and 20% to the state to maintain the system. The presenter said the technology would augment, not replace, doctors and nurses, and claimed it could improve access and convenience in underserved areas. Committee members raised concerns about liability, whether the AI could provide medical advice, and whether there was evidence it had reduced emergency room visits; the presenter said the system could not give medical advice and acknowledged the technology is still very new. The sponsor of the bill said the goal was to help transform rural health care, reduce unnecessary ER use, and capture revenue that would otherwise go to commercial search engines and out-of-state companies. No vote or final action was taken during the portion of the meeting provided, and the discussion ended with questions about branding, loyalty, and the legal limits of the AI system.

Transcript Highlights:

• So this is an existing program. It 2023. So this is an existing program.
• meal programs. meal programs.
• , social programs?
• A program that uses the EFA program? A program that uses taxpayer<02:19:20.240> money?
• I would say the whole program as drafted here is contingent upon the federal money being available for

Keywords: 1189, house, all

Transcript Highlights:

• It applies only to Caltrans contracts funded by state dollars, not federal funds.
• The evidence from ASE programs around the country, The evidence from ASC programs around the country
• their own programs.
• Christopher Sanchez on behalf of the Consumer Federation of California, in support.
• , otherwise known as an encroachment permit program, within the project's right-of-way.

Keywords: 988, house, all

Transcript Highlights:

• or rewards programs.
• cure an ADA federal claim.
• they could still be subject to a federal lawsuit?
• They could still be subject to a federal lawsuit.
• So they've proactively gone in the program.

Summary: The committee heard testimony on several bills. AB 416 would allow emergency room physicians to initiate 5150 mental health holds, with supporters saying it would reduce emergency room bottlenecks and speed care for patients in crisis. County and behavioral health representatives opposed the bill, and some members raised broader concerns about the 5150 system and juvenile placements. The bill was ultimately approved on a do-pass as amended vote. AB 446, the Surveillance Pricing Act, drew extensive testimony. The author and supporters argued it would prohibit businesses from using personal data to charge different prices for the same product or service, describing the practice as discriminatory and exploitative. Business and industry groups opposed the bill, warning that its language was too broad, could affect discounts and loyalty programs, and would create litigation risk through a private right of action. After discussion about enforcement and possible amendments, the bill passed on a do-pass motion. AB 632 would give local governments a faster way to collect penalties for serious code violations, including unsafe housing, fire hazards, and illegal cannabis activity, by allowing certain fines to become money judgments and clarifying lien authority. It had support from county and city groups and no opposition was voiced in the hearing; the bill passed as amended. ACA 7, a constitutional amendment intended to clarify and limit misuse of Section 31A, also moved forward after brief support testimony. The committee then took up AB 649, which would extend protections for businesses that proactively obtain certified access specialist inspections and fix accessibility violations; the author, a small business owner, and others testified in support, while disability rights groups moved to neutral after amendments. Members discussed the balance between access enforcement and reducing predatory litigation, and the bill was still under consideration as the transcript ended.

Transcript Highlights:

• In 1985, the federal beef checkoff program was established as part of the Farm Bill, after a national
• And the other 50 cents remains in Arizona for program use.
• And I'll highlight just two of our programs. Thank you.
• No, they cannot, because that is not allowed in the federal program.
• I know that there's not a county in this state that has an FFA program or a 4-H program at their county

Keywords: 1182, all

Transcript Highlights:

• Blue Moon is our lunar permanence program.
• the inception of that program.”
• programs.
• But when you look at the actual data, the money, the programs, the NASA programs, the NASA program...
• But when you look at the actual data—the money, the programs, the NASA programs, where it's going, and

Summary: The Committee of Military, Veterans Affairs, Space, and Domestic Security heard a series of informational presentations focused on Florida’s aerospace and space ecosystem. Blue Origin described its Florida operations at Rocket Park, Launch Complex 36, and Port Canaveral, highlighting New Glenn and Blue Moon development, recent launch activity, workforce development efforts, and major capital investment in the state. Amazon Leo (formerly Project Kuiper) outlined its low-Earth-orbit broadband network, customer terminals, satellite and gateway architecture, dark-sky mitigation efforts, and Florida investments including a payload processing facility and launch support infrastructure. Starcatcher Industries presented its concept for an orbital energy grid that would beam power to satellites, discussed demonstrations in Florida, customer interest, and plans for a first satellite launch next year. Space Florida President and CEO Rob Long gave a strategic update on the state’s aerospace industry, citing billions in private investment, growth in aerospace establishments and projects, spaceport infrastructure investments, workforce and university partnerships, and the importance of maintaining Florida’s competitiveness against other states. NASA Kennedy Space Center Director Janet Petro then emphasized Artemis II preparations, rising launch demand, aging infrastructure, and the need for stronger state-federal coordination and investment in research, workforce, and common-use infrastructure. She compared Florida’s support structure with Texas and argued that Florida must act to avoid losing aerospace leadership. Members asked questions about mobile and aviation applications for Amazon Leo, dark-sky impacts, satellite counts, Starcatcher’s power transmission losses and storage approach, and NASA’s funding and infrastructure constraints. Petro also discussed limits on commercial investment in common infrastructure under federal rules and suggested that state investment and better alignment among partners could help. No bills were considered and no votes were taken beyond adjournment; the committee concluded by adopting a motion to adjourn.

Transcript Highlights:

• The federal court said that the Voting Rights Act, the federal Voting Rights Act, required a second majority-Black
• But federal election law—that's federal election day, the November day that we're all sort of used to
• The EAC does, though, continue its core programs, one of which is the voting system certification program
• The president's executive order would have said that votes for federal offices at the federal general
• or limit a federal action.

Keywords: 904, all

Transcript Highlights:

• Also to highlight some recent federal programs to help improve access in both Medicare and Medicaid for
• 00:31:22.799> programs highlight some recent federal programs highlight some recent federal programs
• > separate<00:38:16.079> program generous program is a separate program generous program
• balance program.
• Uh the balance program balance program.

Keywords: 958, all

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