Transcript Highlights:

• In Arizona alone, we have 151,000 Arizonans over the age of 65 living with Alzheimer's disease, and it's
• Time for healthy breakfast. May I please move the amendment. Thank you, Mr. Chairman.

Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and a proclamation honoring the East Valley Hispanic Chamber of Commerce. Members also welcomed the Doctor of the Day and several guest groups, including Alzheimer’s Association advocates. The chamber then moved into Committee of the Whole to consider several Senate bills. In Committee of the Whole, the House advanced SB 1037, SB 1233, SB 1290, and SB 1445, adopting committee amendments where offered and giving each a do pass recommendation; SB 1814 was retained. Members discussed SB 1055, which would require reporting certain unlawfully present individuals arrested for crimes to federal immigration authorities, with Democrats raising concerns about profiling and civil liberties and Republicans arguing it simply enforces federal law; it also received a do pass recommendation. SB 1274, relating to transportation and infrastructure, was amended and recommended do pass, SB 1502 also advanced, and SB 1573, concerning foreign or religious sectarian law in state courts, prompted debate over whether it was necessary or duplicative but was likewise recommended do pass. The Committee of the Whole report was adopted, and the measures were assigned accordingly. The House then took up third-reading votes. SB 1168 and SB 1172 passed overwhelmingly, SB 1290 passed after debate about HOA meeting openness, SB 1221 passed on a 32-24 vote after supporters said it would improve tax transparency, and SB 1400 passed 47-9 despite concerns about peer support and counseling protections. SB 1214, a medical practice bill involving stem cell regenerative therapies, failed 25-31 after some members said they were not comfortable with the measure; afterward, a motion to reconsider its failure was adopted, placing it back on the third-reading calendar. The House also granted the Senate permission to adjourn until April 27, and then adjourned until 10 a.m. on Wednesday, April 22, 2026.

Transcript Highlights:

• In Arizona alone, we have 151,000 Arizonans over the age of 65 living with Alzheimer's disease, and it's
• Time for healthy breakfast. May I, please move the amendment. Thank you, Mr. Chairman.

Keywords: 1182, all

Transcript Highlights:

• So this is a very old aging demographic. Most of these are, the average, 85 years old each.
• That's to increase their funding levels and bring them up to healthy levels so we can stop doing that

Bills: HB1739 , HB1784 , HB1889 , HB2116 , HB2206 , HB3625 , HB2939 , HB3028 , HB3265 , HB3313 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3420 , HB3588 , HB3748 , HB3721 , HB3852 , HB4132 , HB4263 , HB4303 , HB4311 , HB4428 , HB4429 , HB4434

Committee: House Government Oversight

Keywords: retirement, law enforcement, disability benefits, pension system, Oklahoma, education reform, local control, student outcomes, curriculum changes, school funding, public retirement systems, pension, retirement benefits, cost-of-living adjustment, COLA, inflation adjustment, CPI-U, Consumer Price Index, firefighters pension, police pension

Summary: The committee opened with prayer, laid over House Bill 1784 as dead, and then heard a long series of measures, many related to pensions, retirement systems, elections, and state procurement/reporting. Early bills included HB 3588 on debtor-creditor law updates, HB 3748 on county partnerships with four-year institutions, HB 4303 extending the municipal ordinance publication deadline from 15 to 30 days, HB 4311 increasing the treasurer’s share of the unclaimed property administration fee from 4% to 6%, and HB 3028 allowing CareerTech to charge processing fees. All of these advanced on due pass votes, with some opposition on HB 3588, HB 4311, and HB 3028. A major block of the meeting focused on retirement and pension policy. The committee advanced HB 4428 and HB 4429 on proxy advisor transparency and fiduciary voting standards for retirement systems, with the author arguing they would improve transparency and keep pension decisions focused on financial returns rather than ESG/DEI considerations. Other pension-related bills that passed included HB 4132 creating a cybersecurity safe harbor for local governments, HB 1889 fixing a COLA gap for certain retired police officers and firefighters, HB 3265 defining “mental health specialist” for disability applications, HB 1739 reinstating a half-pay provision in the state law enforcement retirement system, HB 3313 changing the Retirement Freedom Act by raising contribution and match rates and eliminating vesting, HB 2116 expanding eligibility for State Fire Marshal officers, HB 2206 allowing newly hired school resource officers to join OLEERS, HB 3625 expanding school district investment options, and HB 3721 creating a survivor-benefit election for children of certain public safety officers. Most of these passed with little or no debate, though HB 1739 drew questions about actuarial “safe harbor” language and pension funding. The latter part of the meeting centered on a package of government contracting and transparency bills from Representative Strom. HB 3413, HB 3414, HB 3415, HB 3416, HB 3417, HB 3418, and HB 3420 would require more detailed reporting of contracts, subcontractors, consulting services, and post-contract assessments; create public posting and reporting requirements through OMES and Central Purchasing; revise bidding rules for state, county, and municipal entities; require vendor ownership disclosures; allow live-streamed bid openings; and add misdemeanor penalties for violations of Central Purchasing rules. Strom said the package was intended to improve accountability, documentation, and protection of taxpayer dollars. The committee also passed HB 3852 clarifying poll worker list requirements for county election boards, HB 4434 requiring gubernatorial notice when out of state, and HB 2939 removing fax-machine references from statute. Most measures were adopted with policy recommendations and passed on strong votes, and the meeting ended with Chairman West thanking members for their work and adjourned the committee.

Transcript Highlights:

• institutions, continue to receive a financial benefit and that the endowment fund continues to be healthy
• I have the privilege of guiding people of all ages and from all walks of life through our challenge course

Committee: House State Affairs

Summary: The committee first considered a proposal to raise licensing and fee caps for the Denturity Board, which sponsors said was needed because testing costs about $1,000 while the current cap is $300 and the board is about $6,000 in the red. Members asked who controls fee increases and were told the legislature sets the cap; the motion to introduce the RS passed, though one member noted support for introduction but uncertainty about the bill’s future. The committee then took up RS 33380, which would prohibit out-of-state contributions and expenditures in Idaho elections. The sponsor argued out-of-state money has become a major influence in campaigns and should be barred to protect Idaho voters. Members raised concerns about constitutionality, possible conflicts with Idaho residency law, loopholes for corporations forming in Idaho, and whether the bill would be ineffective against independent expenditures; despite those concerns, the motion to introduce passed narrowly. Next, the committee considered RS 33385, which would lower the threshold for district-wide city council elections from cities over 100,000 population to those over 25,000. The sponsor said this would improve local accountability and reduce campaign costs in 10 cities. The motion to introduce passed without opposition. The committee then heard H.J.R. 8 and a revised RS 33415 concerning Idaho state and endowment lands, shifting the priority toward ongoing revenue generation while preserving public access and explicitly protecting timber, mining, grazing, and recreation. Testimony from outfitters and recreation operators supported the measure as beneficial to rural economies and public access. H.J.R. 8 was held in committee, and RS 33415 was introduced with an amendment and sent to the Second Reading Calendar with a due pass recommendation. Finally, the committee considered RS 33-377, a “shot clock” for initial plan reviews that would require cities, counties, or the state to complete initial review within 30 days for public works projects. The sponsor said the measure would speed permitting, and the motion to introduce passed. One member disclosed a Rule 80 conflict related to a public works license.

Transcript Highlights:

• WE ARE THE THIRD LARGEST STATE IN THE NATION AND OUR DEMOGRAPHICS WITH THE AGE OF PEOPLE IN THE STATE
• THAT OTHER COUNTRIES DON'T HAVE, IT IS THE PATIENTS THAT ARE HURT AND IN THE US I AM PROUD WE HAVE A HEALTHY

Transcript Highlights:

• For single Texas mothers with one or two children aged 0 to 2, basic costs of living may range anywhere
• This fosters a healthy relationship between the two of us, and not based on the exchange of resources

Committee: House S/C on Family & Fiduciary Relationships

Transcript Highlights:

• For single Texas mothers with one or two children aged 0-2, basic cost of living may range anywhere from
• , despite Despite the fact that I do not pay child support directly to his mother, this fosters a healthy

Bills: SB387 , SB1335 , HB1671 , SB1760 , SB1839 , SB1923 , HB1928 , HB4942 , HB5628 , HB5642 , HB1980

Committee: House S/C on Family & Fiduciary Relationships

Keywords: judicial bond, guardianship, probate law, county judge, statutory county court, estates, inheritance, representative duties, court authority, personal representative, retroactive child support, parentage, genetic testing, family code, child's conception, incapacitated persons, court proceedings, guardianship fees, estate management, probate

Transcript Highlights:

• We talk about access last year with healthy created access help with retaining and recruiting family
• it's about time we have a bill of this sort because we have seen so many physicians in this day in age

Keywords: 999, senate, all

Transcript Highlights:

• reinstatement of a youth operator's license, and to my understanding that's someone under 18 years of age
• Seeing none, moving on. deserve to live full healthy safe lives deserve to live full healthy safe lives
• Keep your community healthy. Keep these laws away from our state.
• I know now dozens of lovely trans and non-binary people of all ages.
• I know now dozens of lovely trans and non-binary people of all ages.

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• talk a lot about overrides here today and are happy to answer those questions and learn about the healthy
• committed a loss of life offense, excluding those individuals who have committed their offense before the age
• committed a loss of life offense, excluding those individuals who have committed their offense before the age
• we're reviewing an individual who is someone with a life sentence who committed their crime before the age
• of 21. ...is someone with a life sentence who committed their crime before the age of 21.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met on January 12 to continue its review of DOC classification practices, with Senator Brownsberger and Representative Hunt co-chairing. After brief discussion of the prior hearing, members said there would likely be another opportunity for additional testimony, including possible video testimony from people inside facilities. The main presentation for the day was DOC’s classification system and a UMass Chan study of whether the system predicts institutional misconduct and whether overrides affect its accuracy or create racial/ethnic bias. DOC officials described the objective point-based classification system, its history, and the role of discretionary and non-discretionary overrides. They said the system is designed to balance public safety and reintegration, with initial classification emphasizing offense history and reclassification emphasizing institutional adjustment. DOC reported that, in the current population, about 16% are classified to maximum security, 74% to medium, and 10% to lower security. They also reviewed the non-discretionary restrictions that keep people out of minimum or medium security, and said discretionary overrides are used less often than the National Institute of Corrections’ suggested ceiling and are reviewed within six months. UMass Chan researchers said their analysis used historical DOC data from 2019 to 2022, focused mainly on about 7,600 male reclassification cases, and found that the scored custody level accurately predicted institutional misconduct. They said the tool performed well on standard statistical measures, but predictive accuracy declined after overrides were applied, with overlap appearing between minimum and medium groups. In a supplementary analysis, they said the loss of accuracy was driven primarily by non-discretionary restrictions rather than discretionary overrides. They also said the study did not find evidence of racial or ethnic bias in the tool itself, and that DOC’s current system is comparatively more lenient than many other states. Members and guests raised concerns about overclassification to medium security, the low share of people in minimum, the role of civil commitment restrictions, and whether the data captured historical bias or individual cases where overrides felt subjective. DOC and UMass Chan responded that the study was group-based, not case-specific, and that minimum-security rates are hard to compare across states because Massachusetts’ prison and county systems differ structurally. The commission did not take a vote or formal action, but asked members to send follow-up data questions by the end of the week for referral to DOC and the researchers.

Transcript Highlights:

• We're not the age to be ones where I think the other population we're looking at are these, the elderly
• We're getting a set of people that are aging or they're aging out or are they coming out, you know, in
• We're getting a set of people that are aging or they're aging out or are they coming out, you know, in
• Our population cohorts, the persons who were mandated, folks that we released, were average age of 65
• Just custodial type of issues, that we at least have a healthy discussion on what type of voting they

Summary: The Special Commission on Criminal Justice Reform 3.0 heard a presentation from the Massachusetts Parole Board focused on how parole, probation, the Department of Correction, sheriffs, and community providers coordinate reentry and supervision. Chair Angela Gomez described the board’s mission, its discretionary parole process, and the work of its transitional services, life sentence, victim services, and field services divisions. She highlighted 2024 activity including 2,810 institutional release hearings, 141 life-sentence hearings, 100 victim access release hearings, 18,238 victim notifications, 53 pardon petitions, 70 commutation petitions, 41 early termination applications, and supervision of about 2,993 committed parolees. She also emphasized the board’s shift toward evidence-based practices, individualized conditions, graduated sanctions, and more service-oriented supervision, including GPS guidelines and community-based interventions. Members focused heavily on data questions and the practical overlap among agencies. Senator Brownsberger and others asked for clearer breakdowns of releases, active supervision, average length of supervision, and distinctions between parole, mandatory release, revocations, and interstate compact cases. The board explained that some figures combine in-state and out-of-state cases, that roughly 400-plus people on supervision are lifers, and that annual revocations can remain technically supervised until final hearings. Members also asked for more detailed outcome data on employment, housing, treatment, and program retention, as well as a clearer breakdown of people who refuse parole versus those who decline after a grant. The board said it could provide follow-up data and noted that many refusals are driven by pending cases, desire to avoid supervision, or preference for serving time inside. The discussion also covered collaboration with UMass, including risk assessment research, training on best practices, and real-time support for medication and drug-testing issues through community pathways. The board and commissioners described shared housing and reentry resources such as MASH, community justice resource centers, sheriff-run programs like Rocky Hill and HOPE, and other placements that help stabilize people after release. Several speakers stressed that housing is the biggest gap and that agencies are trying to keep people in the community with employment, benefits, treatment, and safe housing. The commission also received an update on the Mattis-related clemency/parole cohort: 210 individuals were identified, 144 were immediately eligible for hearings, 100 hearings had been completed, 10 were scheduled, and some had postponed or were still being calculated for eligibility. The meeting ended with plans for a March 9 public hearing and a request for follow-up data and continued site visits before the commission moves into recommendations.

Transcript Highlights:

• I am the ag research... Good morning, Chair Saldaña. My name is Pam Lewison.
• I am the Ag Research Director for the Washington Policy Center and a fourth-generation farmer.
• My name is Cody Anderson with L&L Ag Production here in Connell.
• And having access to healthy, affordable, quality food is our right as humans.
• I noted with the AG. It was interesting. I think it was the AG that testified.

Summary: The committee first heard Senate Bill 6045, which would place agricultural employees under the Public Employment Relations Commission for collective bargaining, including card-check or election certification, bargaining duties, and interest arbitration. Staff explained the bill’s scope, exclusions, enforcement provisions, and fiscal note, and members asked about the domestic-violence privilege language, the fiscal impact, and implementation timing. Public testimony was sharply divided: labor and farmworker advocates said the bill would correct a historic exclusion of agricultural workers and improve wages, safety, and dignity, while growers and industry groups argued it would raise costs, create coercive card-check concerns, and risk disruptions during short harvest windows. The sponsor closed by saying the bill was a starting point and that she would continue working with stakeholders. The committee then took up Senate Bill 6188, an agency-request bill on asbestos training rules. Staff said it would remove a limit on Labor and Industries’ rulemaking authority so the agency could adopt additional training and certification requirements beyond those specifically required by federal law; the fiscal note showed no fiscal impact. The sponsor and L&I said the change would let the state strengthen worker safety around asbestos removal, while the Building Industry Association opposed it, warning about divergence from federal standards and added costs. The hearing then moved to Senate Bill 6053 on domestic workers, which would create statewide labor protections including minimum wage and overtime, written agreements, notice requirements, anti-discrimination protections, and enforcement by L&I and private actions. Testimony from domestic workers, advocates, and caregivers supported the bill as a needed extension of basic protections, while L&I noted implementation costs and technical amendments. Finally, the committee heard Senate Bill 5852 on immigrant workers and I-9 audits. Staff described requirements for employers to notify workers within 72 hours of a federal inspection notice, provide copies of results and correction timelines, limit voluntary access to records without a warrant or subpoena, and prohibit retaliation, with enforcement by the Attorney General and private lawsuits. The Attorney General’s office and supporters said the bill would add due process and transparency and reduce fear during workplace raids, while business, hospitality, county, and small-business representatives argued it could conflict with federal law, create heavy compliance burdens, and expose employers to severe penalties and lawsuits. No votes were taken in the transcript; the committee heard testimony and closed hearings on the bills discussed.

Transcript Highlights:

• Seeing none, we're going to go ahead and invite one of our favorite visitors to the Ag and Natural Resources
• accomplished the same result... ...could we accomplish the same result by directing the Department of Ag
• And we want to acknowledge this, I think, is your first time in the Ag and Natural Resources Committee
• all of your good work in the Environment Committee, but I think this is your first time joining us in Ag
• The question I asked of Representative Parshley was about whether it would put our ag at a disadvantage

Summary: The House Agriculture and Natural Resources Committee heard public testimony on House Bill 2279, which would require the Department of Agriculture to create a program and criteria to evaluate PFAS chemicals in fertilizers and pesticides. The prime sponsor argued PFAS are persistent “forever chemicals” that are entering soil, water, wildlife, and people, and said Washington should begin acting now rather than waiting for federal action. WSDA said the bill is implementable but would require rulemaking, ongoing staff resources, and likely a 12-month extension to complete stakeholder engagement; it also noted the bill should be clarified to address all pesticides, not just new ones. Agricultural and industry witnesses opposed the bill as duplicative of EPA review and warned it could reduce product availability and put Washington farmers at a competitive disadvantage, while environmental advocates supported it as a needed food-safety and environmental measure. No vote was taken on the bill during the hearing. The committee then heard House Bill 2463, which would expand the Washington Commodity Donation Program and create a Farm to Food Pantry Program to help hunger-relief organizations buy Washington-grown food directly from farmers. The sponsor said the bill is part of a broader state response to reduced federal food-security support and is intended to keep families fed by strengthening local food purchasing. Testimony was largely supportive from food banks, food hubs, farmers, AARP, and hunger-relief groups, who said the programs help move surplus produce, dairy, protein, and other products to people in need while supporting local farms and reducing waste. Several witnesses, however, raised concerns about language limiting participation to organizations that “solely” function for food sourcing, saying it could exclude many existing regional organizations and reduce resilience; one tribal representative also requested an amendment to include tribally owned small-scale farms. No action was taken on HB 2463 during the hearing. After the hearings, the committee went into caucus and then held executive session only on House Bill 1941, which authorizes licensed cannabis producers to form agricultural associations for collective processing, handling, and marketing. Supporters said it would help smaller cannabis producers cooperate and prepare for possible federal changes, while opponents argued it was premature given marijuana’s federal status and too broad in scope. The committee approved HB 1941 on a 6-5 vote and reported it out of committee with a do-pass recommendation. House Bill 2238 was deferred to the following day for further review of amendments.

Transcript Highlights:

• As you've heard me talk a lot over the last few years, you can currently use ag land, rural land, and
• a lot of the appeals that FutureWise was involved with around protection and UGA expansion of those ag
• They kept failing to actually protect ag lands around those freight dependent uses, and they haven't
• It's allowed in certain rural situations, but not on ag lands.
• What this bill did was say we can put those on ag lands now, and I think that's... ...the frustrating

Bills: SB5820 , SB6064 , SB6077 , SB6101 , SB6013 , SB6066

Committee: Senate Local Government

Keywords: freight rail, rail corridor, short-line railroad, rail-dependent uses, industrial land use, growth management act, GMA, comprehensive plan, transportation element, land use planning, local government, county planning, city planning, critical areas, agricultural lands, forest lands, mineral resource lands, urban growth area, development regulations, notice on permits

Transcript Highlights:

• Health Work Group and directed the work group to develop a strategic plan for prenatal through the age
• The second is to provide age-appropriate education on behavioral health and other universal supports
• not sure if I have right now a really great answer to how I can maybe address that or how people my age
• like, a really great answer to, you know, how I can maybe address that or how, you know, people my age
• persisting, while in Washington State suicide remains the second leading cause of death for youth ages

Bills: HB1634

Committee: House Education

Keywords: mental health, behavioral support, education, school districts, student assistance, 904, all

Transcript Highlights:

• Health Work Group and directed the work group to develop a strategic plan for prenatal through the age
• With almost every child age 5 through 18 in Washington attending school, and nearly 70% attending Washington
• The second is to provide age-appropriate education on behavioral health and other universal support for
• like, a really great answer to, you know, how I can maybe address that or how, you know, people my age
• In Washington State, suicide remains the second leading cause of death for youth ages 10 to 24.

Summary: The House Education Committee held a work session on the Children and Youth Behavioral Health Work Group and its school-based behavioral health and suicide prevention subgroup, followed by a public hearing on House Bill 1634, as amended in a proposed second substitute. Work group leaders Lisa Callan and Tisha Kirschbaum described the group’s statewide, cross-agency structure, its Washington Thriving strategic plan, and the goal of moving toward a more integrated “system of care” for children and youth. They emphasized that behavioral health, physical health, and education are interconnected, that families and schools often face a fragmented system, and that Washington’s youth flourishing outcomes show a need for stronger supports. Committee members raised concerns about regional disparities, rural access, language and cultural responsiveness, and the burden on schools and educators, while the presenters stressed that schools should be supported to identify needs and connect students to outside clinical services rather than carry the full burden themselves. Representative My-Linh Thai and Christian Stark then outlined the school-based subgroup’s work and recommendations. They said the subgroup meets monthly, includes students, parents, educators, providers, and agencies, and has focused on prevention, early identification, early intervention, and crisis response in schools. For the 2026 session, the subgroup recommended maintaining current investments in school behavioral health programs, strengthening statewide guidance on school behavioral health, and creating a coordinated technical assistance and training network for schools. They explained that the proposed substitute for HB 1634 would direct OSPI and the educational service districts to work with behavioral health agencies and community partners to conduct a needs assessment, map resources, and build a statewide framework for technical assistance and training, with public posting required by August 1, 2027. Testimony in support came from school staff, OSPI, behavioral health professionals, students, parents, and advocacy groups, who described high student anxiety, suicide risk, staffing shortages, and the need for coordinated, accessible supports. One witness from a psychiatric watchdog group opposed the bill, arguing it could increase labeling and drugging rather than holistic care. No vote was taken in the transcript provided.

Transcript Highlights:

• It's a smart investment, as Texas' population grows and ages.
• Make Texas healthy again will help us if we can get it out of the House right now.
• Way back in the dark ages, as a young lawyer in the 80s, I practiced with a firm called Gary Stahl.
• Babies actually don't drink water; you can't drink water until you're a certain age.
• age.

Bills: SB623 , SB1266 , SB1310 , SB1373 , SB1580 , SB1952 , SB2032 , SB2269 , SB2544 , SB2653 , SB2796

Committee: Senate Health & Human Services

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• In terms of age, a significant portion of them...
• In terms of age, a significant portion of them are in their 20s or early 30s.
• And now they're aging, and we love them so much. We want to develop with them.
• Individuals under 21 years of age.
• That's very healthy. Some of the information and points that you saw were for 2022.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• > using</c><00:37:59.360><c> the</c> How many couples are using the procedure, not by name, but the age
• One is comprehensive, medically accurate, age-appropriate sex education, which I would argue very clearly
• </c><00:42:37.200><c> sex</c><00:42:37.520><c> education,</c> accurate, age-appropriate sex education
• , accurate, age-appropriate sex education, which<00:42:38.840><c> I</c><00:42:38.920><c> would</c><00
• healthy? healthy?

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• When we look at age-adjusted, it's considered trauma.
• When we look at age-adjusted, it's considered trauma.
• When we look at age-adjusted, it's considered trauma.
• When we look at age-adjusted, it's considered trauma.
• When we look at age-adjusted, it's considered trauma.

Committee: Senate Education

Keywords: 1191, senate, all