Transcript Highlights:

• knife some of the best and brightest in Kentucky working on everything from promoting affordable, reliable
• Um, with the technology that you were just referencing, how much of that is AI and how reliable have

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:07 Office of the Attorney General Update: 00:04:52 Department of Kentucky State Police Update: 00:44:57, 958, all

Transcript Highlights:

• hypotheticals, of course, but I think over the last 50 or so years in Minnesota we've gotten to a really reliable
• hypotheticals, of course, but I think over the last 50 or so years in Minnesota we've gotten to a really reliable

Keywords: 1183, house

Transcript Highlights:

• Reliable grant administration funding ensures stable and adequate funding for the cost to implement the
• Reliable grant administration funding ensures stable and adequate funding for the cost to implement the

Keywords: 1187, senate, all

Transcript Highlights:

• So our model is a shared services model.
• So our model is a shared services model.
• <00:04:34.720> Um<00:04:35.520> and model is a shared services model.
• Um and model is a shared services model.
• Um one is a a consent model. controls. Um one is a a consent model.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• .<00:38:49.480> Um model.
• Um model.
• 12.080> models<01:01:12.440> would<01:01:12.640> already models, the funding models
• or is this a good model?
• or is this a well, is this a bad model or is this a good<01:08:11.960> model?

Keywords: 00:00 Call to Order 02:45 Roll Call 05:25 Cosmetologists 13:48 Barbers 01:16:06 Adjournment, 958, all

Transcript Highlights:

• versus a budget model.
• <00:15:48.040> and agency model versus a budget model and agency model versus a budget model
• The person using services in the budget model is a purely self-directed model, which means that if a
• The person using services in the budget model is a purely self-directed model, which means that if a
• The person using services in the budget model is a purely self-directed model, which means that if a

Keywords: 1187, senate, all

Transcript Highlights:

• And that is now the model that a lot of international frameworks are based on, and Genius is based on
• Are there any auto insurers operating in New York State who use algorithmic models or AI-driven models
• We have to make sure there's appropriate governance and escalation paths for the models themselves and
• They could, you know, a model could take in a whole variety of variables, but then a decision is made
• So if an AI model is being used, a consumer needs to be aware of that.

Keywords: 993, senate, all

Summary: The Senate Banking Committee met for its first meeting of the session, with Chair James Sanders Jr. and Ranking Member George Borrello opening the hearing and noting a collaborative approach to committee work. The committee first considered and advanced several bills: S.114, which would prohibit state-chartered banks from investing in or financing private prisons; S.2040, which would require money transmitters to provide a consumer warning; S.5473, which would require disclosures in advertisements involving virtual tokens; and S.8406, Sanders’ bill to amend the community bank deposit program. Each bill was moved and approved by committee, with S.8406 passing unanimously. The committee then heard from Caitlin Azar, Acting Superintendent of the Department of Financial Services (DFS), who outlined her background and DFS priorities. She emphasized affordability, consumer protection, stability, and innovation, and discussed DFS-led initiatives in the governor’s budget, including Banking Development Districts, non-bank mortgage CRA regulations, CDFI investment guidance, and consumer restitution. She also said DFS plans to issue buy-now-pay-later regulations in February, expand student lending protections and borrower education, and continue work on insurance affordability, including auto and homeowners insurance reforms, anti-fraud efforts, and discounts tied to telematics, dash cameras, and safe-driving courses. Members questioned Azar about the balance between regulation and access, especially in crypto, buy-now-pay-later, and insurance markets. She said DFS aims to preserve competition while preventing discriminatory or excessive practices, and described existing oversight of virtual currency, including coordination with federal regulators. Another member asked about AI in auto insurance underwriting and pricing; Azar said DFS requires transparency, bias review, governance controls, and consumer recourse, and that credit scores cannot be used to deny or increase rates. The chair also raised concerns about foreclosure in Southeast Queens, improving BDD paperwork and data collection, and increasing the number of state-chartered credit unions. Azar said DFS is working on process improvements, community input, and maintaining open communication with the committee, but no additional votes or formal actions were taken during the DFS hearing.

Transcript Highlights:

• in transparency and coordination with respect to the overall model.
• Understanding of the model itself.
• That is not something that we're seeing in these kinds of models.
• That is not something that we're seeing in these kinds of models.
• And so they prefer the life care model.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• model for research<00:15:17.600> projects.
• The intent here is to flip that model The intent here is to flip that model and<00:17:04.520>
• <00:19:11.960> is<00:19:12.200> the My model of the world is the My model of the world
• <00:20:31.360> Um from the model that you have set out.
• Um from the model that you have set out.

Keywords: 916, all

Transcript Highlights:

• And it changes the economic model of how we have.
• The quality model, as you pointed out, is also based on volume.
• I mean, the problem is I'm not a government model guy.
• But another model that we can use to supplement that model is to invest in some of the rural communities
• It's a very intensive case management model.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• You know, we have these economic models that model the economy and help us forecast economic variables
• We have a U.S. economic model and a Washington state economic model.
• is better, and kind of call it our own model, but it's largely the S&P model.
• And then we have the Washington model, which was built in-house before I was ever here, but a great model
• the U.S. model.

Summary: The committee first received a presentation from Dr. Reich on the Economic and Revenue Forecast Council (ERFC), including how the council’s joint executive-legislative forecasting process works, the main state revenue sources, and recent economic conditions. He said Washington’s economy is slowing, with weak employment growth, softer taxable sales, and uncertainty from tariffs, federal spending, and the federal shutdown. He also noted that the September forecast was reduced, mainly because of lower sales tax and real estate excise tax collections, and that the state still expects modest growth rather than a recession. Members asked about whether Washington tends to lag national downturns and how forecast information should affect budgeting; Dr. Reich said the forecast is a revenue tool, not a budgeting decision, and that spending choices remain with elected officials. The Department of Revenue then presented on Washington’s sales and use tax structure and the implementation of Senate Bill 5814, which expands retail sales tax to several services effective October 1, 2025. Steve Ewing explained how sales and use tax are sourced, how reseller permits and the multiple points of use exemption work, and how the new law applies to live presentations, temporary staffing, investigations and security services, IT services, custom website development, advertising services, and custom software. He said DOR held listening sessions, issued interim guidance, and set up a centralized landing page and outreach efforts to help taxpayers understand the changes. He also described a six-month grace period for certain pre-existing contracts through March 31, 2026, but said penalties and interest still apply under the statute. Committee members raised concerns about how businesses and individuals will know when a service is taxable, who is responsible for collecting and remitting tax, and how sourcing will work for services delivered across multiple locations or online. DOR staff walked through examples involving accounting services, live lectures, virtual events, advertising campaigns, and search engine marketing, including the use of reasonable allocation and pool codes when exact sourcing data is unavailable. Members also questioned the administrative burden on small businesses and professionals newly subject to tax, and whether additional legislative fixes or relief from penalties and interest may be needed. No votes or formal actions were taken in the work session.

Transcript Highlights:

• in the model by 20%.
• an model allocates.
• This model provides an model allocates.
• So there's no reason whole model.
• ,<00:51:53.680> that are increasing our funding model, that are increasing our funding model

Bills: HB0159

Keywords: student rights, free expression, K-12 education, speech protection, religious views, political speech, 916, all

Transcript Highlights:

• And so when we think about these changes to risk models, it's a big deal.
• And so when we think about these changes to risk models, it's a big deal.
• So there, this is a little bit, gets into a little bit more technical, but the risk models that we're
• This year, and those were just adjustment factors to the same model.
• Now we're actually pulling the models apart. So we, we Segal, don't have a CMS...

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:

• As you’ve heard, Minnesota’s model is really one of a state-directed and county-administered model for
• As you’ve heard, Minnesota’s model is really one of a state-directed and county-administered model for
• As you’ve heard, Minnesota’s model is really one of a state-directed and county-administered model for
• As you’ve heard, Minnesota’s model is really one of a state-directed and county-administered model for
• As you’ve heard, Minnesota’s model is really one of a state-directed and county-administered model for

Keywords: 1183, house

Transcript Highlights:

• We therefore support an amended model.
• The university itself does not use that model.
• The university itself does not use that model.
• statewide sustained funding model.
• statewide sustained funding model.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met without a quorum, so no minutes were approved. The committee then heard a presentation from Western Kentucky University President Timothy Kabone, who highlighted WKU’s recent gains in graduation rate, retention, degree production, graduate enrollment, research activity, and financial stability. He said WKU’s FY 2026 budget is structurally balanced without one-time reserves, and he tied the university’s growth to its strategic plan and to Senate Bill 77, which created a pathway for WKU’s first PhD program. WKU’s initial PhD offering is planned in data sciences for fall 2027, and Kabone said the university continues to pursue R2 research status. Kabone also outlined WKU’s budget requests, including a 4.5% base appropriation increase for each year of the biennium, a $30 million increase in the performance funding pool, a $30 million trust fund for tuition waiver reimbursement, and $2 million per year for the Gatton Academy. He also requested continued funding for the Kentucky Mesonet, 8.9% of proposed asset preservation funding, and support for a $280 million new Potter College facility. He emphasized inflationary pressures, rising fixed costs, and the burden of mandated tuition waivers, and said the university supports performance funding but wants the model adjusted to better reward student success rather than enrollment growth. Members asked about WKU’s student housing situation and the transition away from the former student life foundation model. Kabone said the foundation structure had run its course, that the university had lacked adequate oversight under the old arrangement, and that WKU is moving to a public-private partnership with Gilbane and the College Housing Foundation. He said the new model would not increase the university’s debt load and would replace older residence halls with a roughly 1,000-bed complex, eliminate community-style bathrooms over time, and expand living-learning communities. Representatives McCool and Tipton praised WKU’s graduation and retention results and asked questions about the housing project and its timeline. The committee then heard from CareerVXR and KCTCS about a proposed career exploration pilot. Company representatives said the platform uses web-based and virtual reality experiences to show students real jobs and workplaces, with the goal of addressing an “awareness gap” in workforce participation. They proposed a $1.8 million, two-year pilot to reach 50,000 to 60,000 students in three regions, including Hazard Community and Technical College, Southeast Community and Technical College, and western Kentucky. Members asked about cost, funding source, and locations, and were told the request would come through the KCTCS budget. The meeting ended with notice that the next meeting was scheduled for Thursday, February 26.

Transcript Highlights:

• being a potential model for our state.
• or not there are dual language models or their heritage models.
• So we have right now created two separate Site visit models: one is a federal model and the other is
• a state model.
• So, how are we building an apprenticeship model?

Keywords: 996, all

Transcript Highlights:

• And these webinars are to really model at the statewide level how are we aligning?
• We can ask our LEAs and our grantees to do that, but how are we modeling that ourselves?
• So do you have any theories at this point as to why the community school model has...
• If the community schools model can help with that, I think that's brilliant.
• If the community schools model can help with that, I think that's brilliant.

Summary: The joint informational and oversight hearing focused on community schools in California, with members emphasizing that the purpose was to examine effectiveness, implementation, and sustainability rather than the Governor’s budget proposal. The California Department of Education described the California Community Schools Partnership Program, created in 2021 and funded with more than $4 billion, including planning, implementation, extension, and county coordination grants. Officials said nearly 2,500 schools are participating and highlighted the statewide technical assistance structure, including the State Transformational Assistance Center, eight regional centers, county offices, and CDE support. Researchers from the Learning Policy Institute and UCLA presented early findings and implementation data. LPI reported reductions in chronic absenteeism and suspensions, along with gains in math and English language arts, with especially large benefits for Black students and other historically underserved groups. UCLA described the Annual Progress Report as a statewide improvement tool showing growth in capacity-building, shared decision-making, whole-child supports, and continuous improvement. Members asked about how the reports measure outcomes, how to interpret outliers, and how to distinguish community schools effects from other concurrent initiatives; presenters said matched comparison methods and deeper case-study work are being used, with additional statewide findings expected in June. Panelists from Oakland Unified, LAUSD/UTLA, San Diego Unified, and advocacy organizations described key elements of success: integrated student supports, strong family and student engagement, collaborative leadership, community partnerships, and school-site decision-making. They gave examples such as wellness centers, dual enrollment, student senates, parent leadership, and community campaigns that built trust and increased participation. Members also raised concerns about sustainability, implementation fidelity, and whether community schools improve participation in LCAP processes. Presenters said major barriers include unclear early guidance, the need for a mindset shift away from top-down models, and uncertainty about long-term funding for coordinators and other staff. The panel’s recommendations centered on stable ongoing funding, stronger technical assistance, shared governance, and embedding community schools practices into district and county systems.

Transcript Highlights:

• is, and try to get those models started. is, and try to get those models started.
• <00:18:06.960> and we're trying to change that model and we're trying to change that model
• <00:18:40.160> uh we'll all get both models uh we'll all get both models uh institutional<
• institutional feeding um models taken institutional feeding um models taken care<00:18:42.640>
• within this model since 2018. within this model since 2018.

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• The current operator at that location runs on a volunteer model.
• So to take out any volunteer or peer support type of model would not be to our city's benefit.
• You look at the model, it is community to community.
• Senator Gallegos: ...congregate model facilities. Has that ever been done and has that money...
• We introduced new, thanks to our partnership with the Healthcare Authority, new models.

Transcript Highlights:

• By using psychiatric expertise through consultation rather than requiring more specialists, the model
• By using psychiatric expertise through consultation rather than requiring more specialists, the model
• So what's the solution here is the collaborative care model.
• It's an evidence-based model integrating behavioral health care into primary care settings.
• So the model really has three primary care team members.

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.