Transcript Highlights:

• The original bill, CS for HB 743, is health care practitioner to health care practitioner.”
• It punishes professionals who care and educate them.
• And the fact that, you know, gender-affirming care is care that's centered on treating dysphoria, improving
• Care, you are recognized. Thank you. Good morning.
• I was suspended for three days without pay.

Summary: The Judiciary Committee heard and voted on a series of bills covering child abuse reporting, firearms products liability, crime victim records, guardianship eligibility, historic monuments, animal welfare, juvenile justice, and restrictions on sex reassignment care for minors. HB 373, on the statute of limitations for violations involving required child abuse reports, passed unanimously. HB 1551, as amended, clarified that a firearm is not defective merely because it lacks optional safety features and preserved design-defect claims and nonretroactivity; after substantial testimony and debate, it passed 13-5. CS/HB 1113, expanding public-records protections for crime victims and briefly exempting law enforcement victims, passed unanimously. CS/HB 737, allowing courts more discretion in appointing guardians with prior felony convictions and adding a narrow exception for certain older convictions, also passed unanimously as amended.

Transcript Highlights:

• A couple of days later, she goes, highlight of my day. Thanks for visiting.
• And I miss him every single day.” “He did leave me Tucker to care for and cherish.
• And each day she's here with me every day that I'm here.
• care.
• So one day I had a real rough day.

Keywords: 998, house, all

Transcript Highlights:

• </c> living and caring for their loved ones. living and caring for their loved ones.
• </c> ensuring their loved ones are cared for. ensuring their loved ones are cared for.
• Because we are faced every day.
• So on day 365, the following next day they go into a waiver slot.
• </c> the level of care. the level of care.

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.

Transcript Highlights:

• access to fresh, affordable, healthy food, people are not healthy, and they cannot contend with the very day-to-day
• When I was transitioning out of care, I was worried about day-to-day self-care.
• When I was transitioning out of care, I was worried about day-to-day self-care, access to nutritious
• life skills such as opening a bank account, managing savings, and learning taxes and budgeting for day-to-day
• Every day, our members work alongside children, youth, and families experiencing poverty, Every day,

Bills: H5085 , H5286

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Keywords: poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on miscellaneous bills, including H. 5286, which would require DCF to consult a medical professional when a parent presents evidence of a pre-existing diagnosis that could explain symptoms mistaken for abuse or neglect. Representative Brian Mario said the bill would give DCF another tool in difficult cases. Jennifer Fernandes testified about her family’s experience with her grandson being removed after doctors initially suspected a skull fracture that later proved unfounded, saying the bill could help prevent similar outcomes. Committee members expressed sympathy and indicated interest in further discussion. The committee then heard extensive testimony on H. 5085/S. 3095, the omnibus “An Act Significantly Alleviating Poverty.” Supporters described the bill as a comprehensive anti-poverty package built from the Poverty Commission’s work, combining higher cash assistance grants, matched savings, baby bonds, a guaranteed stipend for youth aging out of foster care, expanded tax credits, language access, clean slate record sealing, and worker protections. Senator Eldridge, Senator Miranda, Representative Decker, and many advocates argued that poverty is tied to housing instability, child welfare involvement, health harms, and racial and gender inequities, and that the bill would help families meet basic needs, build wealth, and reduce the benefits cliff. Witnesses from social service, legal aid, labor, immigrant advocacy, and public health groups strongly supported the bill’s provisions. Several focused on specific sections: child support pass-through and a broader good-cause exception for TAFDC recipients; extending the state EITC to ITIN filers; creating baby bonds and matched savings programs; automating criminal record sealing; improving language access at state agencies; and ending the subminimum wage for farm workers. Former foster youth and service providers said the guaranteed stipend would help young adults avoid homelessness and transition more safely into adulthood. No votes were taken during the hearing, and the chairs repeatedly noted the limited time and encouraged written testimony and follow-up conversations.

Transcript Highlights:

• And so, because, as you know, it's been a long day.
• Or associations of health care practitioners.
• But they're coming every day.
• That's what Kit Carson has during the day.
• Every day, I look at the Sandia.

Summary: The committee first took up the proposed 2026 tax package, Senate Bill 151, and adopted a committee substitute after discussion of the package’s funding capacity and included measures. The substitute bundled five bills: a physician tax credit, a quantum facility infrastructure tax credit, a construction materials gross receipts deduction for affordable multifamily housing, a local journalist employment tax credit, and a health equipment gross receipts deduction. Members discussed amendments that raised the physician credit from $4,000 to $10,000, narrowed the housing deduction to project-based certification, and reduced the journalist credit threshold from four stories to three. Concerns were raised about the fiscal impact on municipalities, especially Albuquerque, and about the funding mechanism, but the committee voted 6-4 to give the substitute a do pass recommendation. Senator Sanchez explained his vote, saying he wished more could have been included in the package. The committee then heard Senate Bill 18, the Clear Horizons Act, which would codify statewide greenhouse gas reduction targets and direct the Environment Department and Environmental Improvement Board to develop plans and rules for emissions reductions. The sponsors said the bill builds on the governor’s 2019 executive order, includes a 10,000-metric-ton threshold for covered emitters, allows certified offsets, and is intended to protect public health, reduce climate-related costs, and provide regulatory certainty. Supporters argued the bill would help communities facing wildfire, drought, health harms, and rising insurance and utility costs, and that it would encourage clean-energy investment and long-term economic stability. Opposition testimony came from mining, oil and gas, rural electric cooperatives, construction, agriculture, auto dealers, chambers of commerce, banks, water recycling companies, and realtors. They argued the bill functions like a carbon tax or broad regulatory mandate, would raise energy and compliance costs, could reduce investment and jobs, and would disproportionately affect rural, tribal, agricultural, and low-income communities. Several witnesses warned of higher electricity and fuel bills, revenue losses for local governments, and uncertainty from delegating major policy decisions to rulemaking. Supporters included public health advocates, educators, local officials, clean-energy businesses, tribal and environmental advocates, and residents affected by wildfire and drought, who said the bill is necessary to address climate harms and protect public health and the economy. No final committee vote on SB 18 was reached in the portion provided.

Transcript Highlights:

• It even potentially gets at access to care: not saying that I need care, but if I did, would I have concerns
• We are integrating education, behavioral health, and health care into one coordinated system of care
• Students are happy to walk into those days.
• And we will connect them to care.
• I care about all of them and want to make sure that they have access to the supports and care that they

Keywords: 988, house, all

Transcript Highlights:

• Today is National Health Care Fraud Takedown Day. It's a coordinated...
• It is National Health Care Fraud Takedown Day.
• Again, today on National Health Care Fraud Takedown Day, we are announcing filing criminal charges in
• Day in and day out, they're doing work to protect vulnerable patients, recover stolen funds, safeguard
• I don't care whether you're a Republican or Democrat.

Summary: Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud. The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided. In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.

Transcript Highlights:

• We continue to work every day.
• </c> okay February 17th yeah President's Day okay February 17th yeah President's Day all<01:21:14.080
• care after care that of psychological care after care that type<02:03:40.239><c> of</c><02:03:40.400>
• </c> suicide as care that is not medical care suicide as care that is not medical care that<04:38:47.520
• and hospice care.

Keywords: 928, house, all

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• are able to have a year less payment for that child care.
• Yesterday I had to go to an urgent care, and today Dr.
• And please take care of your arm, Isaac.
• We will never forget those stories, but day in and day out, we come to this legislature to making sure
• She pays attention, and she cares deeply about people.

Keywords: 988, house, all

Transcript Highlights:

• care eligibility screenings used by Aging and Disability Resource Centers.
• This just honors and says we change the day to Civic Engagement Political Violence Awareness Day across
• Made it so that my daughter thinks of her birthday as a day of hate.
• It's a day of remembrance. It is a day of remembrance because of the Charlie Kirk assassination.
• We have many in the state and many of them advertise memory care or they say they have a memory care

Committee: Senate Fiscal Policy

Keywords: 999, senate, all

Transcript Highlights:

• We welcome today, on day 35 President.
• ,</c><00:13:54.280><c> Senator</c> Now, to the orders of the day, Senator Now, to the orders of the day
• </c> health care services. health care services.
• Rural health care.
• </c> underserved or unserved health care underserved or unserved health care areas.

Keywords: 958, all

Summary: The Senate convened with an invocation and Pledge of Allegiance, then established a quorum, approved the prior journal, and excused absent members. The chamber received second readings of several bills and resolutions, including measures on ad valorem taxes, planning and zoning, tax-dollar restrictions, provisional medical licensing, Medicaid oversight, environmental regulations, municipal financial reporting, nuclear workforce development, and county law libraries. Committee reports advanced bills on economic development, education, judiciary, and veterans/public protection, and the body also received a list of newly filed bills and resolutions covering topics such as rural revitalization, athletics, SNAP eligibility, diaper tax exemption, domestic violence, middle school math, pedestrian bridges, constitutional amendments, education, and several honorary resolutions. The Senate then took up House Bill 314, which would reorganize the Kentucky Communications Network Authority (Kentucky Wired) by moving it under the Commonwealth Office of Technology, restructuring its board, and adding members representing cities and counties. Supporters said the bill was an administrative change, not a funding measure, intended to focus the network on students, teachers, and public users while awaiting an audit. Critics argued the project has been a costly taxpayer burden and called for stronger oversight. The bill passed final passage 32-6. The chamber also passed Senate Bill 157, which aligns Kentucky law with federal mortgage rules so that certain rate buy-down payments do not count against borrower fee caps, with supporters saying it would help housing affordability and reduce costs for borrowers. Senate Bill 214 also passed unanimously; it allows the Kentucky Department of Agriculture to accept non-federal funding for grants without routing those funds through the Department of Finance. The Senate later adopted several resolutions, including Senate Resolution 61 recognizing Links Incorporated Day, Senate Resolution 114 commemorating the 80th Southern Legislative Conference, and Senate Resolution 118 honoring Joseph H. Mattingly Jr. Additional remarks highlighted a Black History Celebration event and a lengthy floor speech criticizing the Kentucky Hospital Association’s reserves and urging investigation, followed by consideration of Senate Resolution 55 on Profound Autism Day in Kentucky.

Transcript Highlights:

• We're hearing it every day.
• to day.
• to day.
• , and our health care, and more.
• Care is essential.

Bills: HB2334 , HB2140 , HB2326 , HB2100

Committee: House Finance

Keywords: cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund

Transcript Highlights:

• I am concerned that we are 200—and I don't have my glasses on—96 days away from the day, from the day
• , from the day, from the day away from the date of this hearing where these requirements go into place
• recently at the Sacramento County offices speaking to eligibility workers, sort of learning about their day-to-day
• Counties are required to provide health care to individuals, but it is subsistence-level care.
• So have a great day. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• I use it every day.
• Let's stand together for early patient care, ensuring care comes swiftly and hope for patients reigns
• health care, keeps... ...coming.
• reproductive health care.
• At the end of the day, the Timely Care Act is about making sure that when someone is sick, the system

Summary: The Assembly met in session, established a quorum, and opened with an Asian American and Pacific Islander Heritage Month ceremony. Members adopted House Resolution 35 recognizing May as AAPI Heritage Month, with extensive floor remarks from caucus leaders and members highlighting AAPI history, contributions, and solidarity with other communities. The chamber then honored 14 AAPI honorees from across the state, including public servants, advocates, artists, health professionals, and community leaders, before moving to the regular file. On the floor, the Assembly passed a series of bills on social media harms to minors, labor privilege, foster care family-finding, low-impact camping areas, student body association governance, drink-spiking prevention at music festivals, behavioral health access, greenhouse gas recapture, physical therapy access, housing enforcement, insurance licensing, density bonus clarification, water district proxy voting, park district updates, secured transactions, and property tax relief during emergencies. Most measures passed with broad or unanimous support; notable votes included AB 2 on social media platform accountability passing 59-0, AB 1109 on union communications privilege passing 45-4, AB 409 on student body association open meetings passing 55-6, AB 518 on low-impact camping passing 55-0, AB 668 on drink-spiking protections passing 72-0, AB 348 on behavioral health access passing 69-0, AB 663 on HFC recapture passing 71-0, AB 574 on physical therapy access passing 68-0, AB 712 on housing enforcement passing 57-1, AB 943 on insurance pre-licensing reform passing 63-0, AB 87 on density bonus law clarification passing 63-0, AB 523 on Metropolitan Water District proxy voting passing 62-1, AB 769 on park district code cleanup passing 68-0, AB 771 on secured transactions passing 69-0, and AB 1416 on property tax installment deferrals passing 66-0. The Assembly also took up AB 446, the Surveillance Pricing Protection Act, which would prohibit businesses from using personal data to charge different prices for the same product or service. Supporters described the practice as predatory and discriminatory, while noting ongoing concerns about preserving legitimate discounts and loyalty programs. The bill was presented as a consumer protection measure aimed at preventing hidden price discrimination and reducing cost-of-living pressures. The transcript ends amid repeated and partially duplicated readings of AB 446, without a final vote shown for that item.

Transcript Highlights:

• And then there's various kinds of, whether the primary care or acute care, delineations between that.
• And then there's various kinds of, whether the primary care or acute care, delineations between that.
• Without the clarity of care, care would be delayed or services may not be offered at all.
• or 12 visits or 45 days...
• For that direct access, past that 12 days or 12 visits or 45 days, the patient would have to have an

Keywords: 988, house, all

Transcript Highlights:

• Patrick's Day.
• Our providers operate 24 hours a day, 7 days a week, caring for vulnerable adults who rely on us for
• </c> interrupt your day. interrupt your day.
• </c> come in and impact the day-to-day come in and impact the day-to-day operations<00:46:56.800><c>
• </c> statutorily, not in day-to-day statutorily, not in day-to-day operation.<00:48:16.160><c> And</c

Bills: HF4110 , HF4101 , HF4144 , HF3546

Committee: House Human Services Finance and Policy

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• in and day out.
• Because we care about the community. We care about each other and we care about the company.
• We use technology every day to save lives, but when technology is used in patient care, nurses...
• of care.
• $130 a day.

Summary: The committee heard several bills focused on public safety, labor enforcement, pensions, and workplace safety. AB 1054 would create a voluntary DROP-style retirement option for CHP officers and Cal Fire firefighters to help retain experienced personnel; supporters said it would be cost-neutral and help staffing, while an opponent warned it could affect bond ratings and create pension risk. The bill passed the committee 4-0 and was sent to Appropriations. AB 2129, which would improve Cal Fire compensation to aid recruitment and retention, also passed 4-0 to Appropriations with support from firefighters and no opposition. AB 1383, a broader PEPRA-related measure lowering retirement age and adjusting compensation caps for public safety workers, drew extensive support from firefighters and peace officers and strong opposition from cities, counties, and other local government groups over long-term pension costs; after debate over fiscal impacts, it passed 4-0 to Appropriations. The committee also considered AB 605 on refinery safe staffing during shutdowns, prompted by layoffs and reduced staffing at refineries such as Phillips 66 Wilmington. Supporters argued the bill would protect workers and nearby communities during refinery wind-downs, while petroleum and business groups said closures are not inevitable and opposed the bill’s premise. The bill passed 3-0 to Environmental Quality. AB 1859 would let joint labor-management committees access public works sites to help detect wage theft and safety violations; construction labor supporters backed it as an enforcement tool, while laborers, local governments, and builders raised concerns about duplication, property access, and project disruption. It passed 2-0 to Judiciary, on call. The committee then heard AB 2321, a pilot program allowing county district attorneys in Alameda and Santa Clara to investigate workplace deaths, which supporters said would address Cal/OSHA’s backlog and weak enforcement; employers and safety practitioners opposed it, citing expertise, due process, and overlapping investigations. It passed 2-0 to Appropriations, on call. Finally, AB 2575 began testimony on healthcare AI guardrails, with the author and nurses arguing that AI should support, not replace, clinical judgment and that patient safety requires human oversight.

Transcript Highlights:

• As I was sitting there the day before yesterday... ...the day before yesterday in Conway, in the Ida
• care they need.
• It would just be more health care.
• health care.
• of health care.

Committee: All BOYS STATE

Summary: The meeting opened with remarks to Arkansas Boys State delegates about leadership, public service, and the significance of the Capitol, followed by prayer, attendance, and announcements that both chambers were organized and ready for business. The House then considered House Bill 1001, which would have increased funding for rural health care through a 10% tax on people earning at least $300,000; supporters argued it would improve access and quality in rural areas, while opponents raised concerns about fairness, funding, and driving away doctors and taxpayers. The bill failed, 24 yeas to 51 nays. House Bill 1002, aimed at funding more teachers for rural school districts and limiting how many subjects a teacher could be assigned, drew debate over teacher burnout, funding, and whether it would improve outcomes; it passed after immediate consideration, 38 yeas to 36 nays, though the transcript later includes a conflicting note that it failed. House Bill 1003, the Arkansas Data Centers Act of 2026, would let counties restrict data centers and impose a 10% tax for conservation; supporters emphasized local control and resource protection, while opponents warned about jobs, economic loss, and federal issues. It passed 62 yeas to 7 nays. House Bill 1004, reducing motor vehicle registration fees, was debated as a way to ease costs for families but criticized for reducing transportation funding; it failed, 20 yeas to 46 nays. The chamber then moved to Senate bills. Senate Bill 1 proposed incentives tied to SNAP benefits and healthier food purchases, including a Double Bucks-style program; supporters said it would help address food insecurity and obesity, while opponents objected to taxing junk food and burdening non-SNAP users. It passed 43 yeas to 27 nays. Senate Bill 2 would require reading tests in earlier grades and provide state tutoring for students who fail; supporters said it would address literacy problems early, while opponents wanted clearer provisions for older students and more detail on implementation. It passed 67 yeas to 6 nays. Senate Bill 3, the Freedom to Earn Act, would lower the individual income tax rate from 3.7% to 3.0%; supporters said it would help working families and attract business, while opponents argued the benefits would mostly go to corporations and wealthy executives. It passed 53 yeas to 15 nays. Senate Bill 4 created a zoning grant program to encourage mixed-use development in growing cities, funded by a 1% hotel tourism tax up to $50 million; supporters said it would promote housing, small business growth, and downtown revitalization, and it passed 51 yeas to 7 nays. The session ended with a motion to adjourn, which carried.

Transcript Highlights:

• It's urgent care urgently needed to make sure care is appropriate and aligned with the individual child's
• Well, it's a care plan, right?
• So the STARS program is a care plan that is sent out to EMS workers to make sure that they have the care
• So that's built into the care plan.
• for Missourians every day while strengthening the health care system as a whole.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• </c> the cost of care. the cost of care.
• care.
• day care for this provide 24 24-hour day care for this this<00:40:57.400><c> population.
• There's inconsistent abilities day-to-day and the next day.
• There's inconsistent abilities day-to-day and the next day.

Keywords: 958, all

Summary: The committee first approved the minutes from its September 24 meeting after a motion and second. It then heard a presentation from New Mexico Early Childhood Education and Care Secretary Elizabeth Gragensky on that state’s early childhood system and planned universal child care rollout. She described how New Mexico consolidated multiple prenatal-to-age-five programs into a cabinet-level department, expanded pre-K to a longer day, and uses a cost model to set reimbursement rates intended to cover true provider costs, including wages, benefits, occupancy, food, and reserves. She also said the state created an Early Childhood Trust Fund and secured a constitutional amendment to dedicate 0.60% of the land grant permanent fund to early care and education, with the department’s budget growing from about $400 million in 2021 to just under $1 billion this year. Gragensky said families can begin applying for universal child care on November 1, with participation voluntary for both families and providers. She reported that New Mexico is aiming to expand capacity by adding 1,000 registered home providers, 120 group homes, and about 55 more centers, supported in part by a $13 million low-interest loan fund and a request for an additional $20 million. She said the state has seen growth in early childhood professionals, including a 64% increase over the last three to four years, and pointed to reported outcomes such as a 21% increase in literacy and a 75% kindergarten readiness rate, while noting that some measures are new and baseline comparisons are still being developed. Members asked about the funding sources, provider profitability, workforce development, and measurable outcomes. Gragensky said the program is designed to support provider sustainability through rates tied to true cost and includes allowances for sick leave, vacation, benefits, and reserves. She also said maternal labor force participation is 10% higher than the national rate and attributed that in part to child care access. The committee then moved to a separate presentation by Department for Community Based Services Commissioner Lisa Dennis and Division of Family Support Director Roger McCann on anticipated cuts to TANF and SNAP, beginning with an overview of TANF as a federal block grant with a fixed annual Kentucky allocation of about $180.7 million.