Transcript Highlights:

• <00:47:28.800> disabilities<00:47:29.440> waiver, the developmental disabilities waiver
• , the developmental disabilities waiver, the<00:47:30.560> acquired<00:47:31.040> brain
• Any questions on the developmental disabilities waiver? Question. Representative McDonald.
• So, eligibility works in two ways with the developmental disability system.
• <00:53:02.720> So developmental disability system. So developmental disability system.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• <00:05:40.800> and<00:05:41.240> communication<00:05:42.240> access Disability and
• disabilities.
• intellectual and devel developmental intellectual and devel developmental disabilities<00:14:25.759
• adding 5.5 million in disabilities adding 5.5 million in fiscal<00:14:27.360> year<00:14:27.519
• <00:30:32.840> to criminal investigation division to criminal investigation division to include

Keywords: 912, senate, all

Summary: The committee met in decision-making only and first took up HB 300, the Senate majority budget package. The chair described the bill as a response to economic uncertainty and reduced revenue forecasts, and outlined a wide range of appropriations and staffing changes across state agencies, including agriculture, education, health, public safety, housing, labor, natural resources, and corrections. The package emphasized one-year funding for many new programs, vacancy reductions, and investments in services such as preschool, mental health, wildfire mitigation, cybersecurity, public access, and workforce development. HB 300 was recommended to pass with amendments and was adopted unanimously, with members voting yes and no reservations noted only as procedural responses. The committee then acted on HB 794 and HB 795, both recommended to pass with amendments by changing the defective date to 2050; both measures were adopted without discussion. On the 101 agenda, HB 400, the Judiciary budget bill, was recommended to pass with amendments. The bill included vacancy reductions, security funding, permanent staffing for several court and justice programs, and support for civil legal services, immigration-related services, and technology licenses. HB 400 was adopted. HB 410 was also adopted with amendments and a defective date change to 2050. On the 102 agenda, the committee passed several bills either unamended or with targeted amendments. HB 3, HB 134, HB 177, HB 237, HB 648, HB 713, HB 735, HB 1391, and HB 1462 were passed unamended. HB 214 passed with amendments expanding eligibility for retired employees to fill labor-shortage or succession-planning positions, including certain management positions excluded from collective bargaining; one member raised concerns about school resource officers and community fit, which the chair said could be addressed in the committee report. HB 441 passed with amendments to direct cigarette tax funds to the Hawaii Cancer Research Special Fund, with a discussion about whether e-cigarettes should be included. Other measures passed with amendments included HB 448, HB 667, HB 727, HB 740, HB 806, HB 1020, HB 1345, and HB 1365, generally involving date changes, blank appropriations, or technical language. HB 1391 was adopted with a reservation from Senator Kim. The meeting concluded with HB 1462 adopted unamended.

Transcript Highlights:

• It includes everything from the Division of Emergency Preparedness to the Division of Disease Control
• and the Division of Community Health Promotion.
• It includes everything from the Division of Emergency Preparedness to the Division of Disease Control
• disabilities.
• And the people that we're talking about have developmental disabilities only.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• , Developmental and Intellectual Disabilities. >> Good morning.
• <00:21:11.120> of I'm the director for the division of I'm the director for the division of
• , and intellectual disabilities. disabilities. disabilities.
• <00:31:06.080> disability intellectual developmental disability intellectual developmental
• The Department for Behavioral Health, Developmental, and Intellectual Disability uses the funding

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:09 Approval of Minutes 00:00:48 KOAP Report 00:01:09 Update from CHFS 00:20:27, 958, all

Summary: The meeting opened with a quorum, approval of the September 18, 2025 minutes, and a staff update on recent tobacco settlement-funded agriculture activities. The agriculture side highlighted Commissioner Shell’s outreach, including school visits, farm visits, and speaking engagements in Kentucky and a trip to Tennessee to discuss program models. A representative also described a national conference in Iowa, where Kentucky’s agriculture finance program was praised as a $180 million loan program built with tobacco settlement funds. The board noted September approvals totaling $950,000 for the agriculture development board and $3.3 million for the finance corporation, along with staff activity such as site visits, program closures, and project reports. The board also announced that the KKMP report covering 2015-2022 would be distributed and that the annual report, marking the program’s 25th anniversary, was being prepared. The board then reviewed two featured projects. The Organic Association of Kentucky requested $425,000 for organic producer support, but the board approved only one year of funding at $29,000, with members noting concern about recurring applicants and the need to evaluate long-term funding. The second project, by Joseph Dale Bentley in Lewis County, sought $51,300 to expand a small ruminant facility for goat production and export. Members were particularly interested because the project was already operating and creating market opportunities for Kentucky goat producers; the board approved half the project cost to help expand infrastructure and potentially allow quarantining on site. The cabinet then presented its annual update on tobacco settlement fund use in public health. Julie Brooks, Sarah Johnson, and Andrea Day reported on the HANS home visitation program, tobacco prevention and cessation efforts, lung cancer screening, and early childhood oral health. HANS served more families in FY25, rising from 6,293 to 6,715, and increased services from 139,943 to over 143,000. Tobacco prevention and cessation programs continued to support Quit Now Kentucky and My Life, My Quit, though officials noted federal uncertainty and the loss of federal tobacco control infrastructure. They also reported a slight decline in student outreach and cessation requests, but continued demand from schools and communities for vaping and nicotine prevention support. Lung cancer screening expanded to 55 screens, with Kentucky cited as a model for other states due to improved incidence, survival, and early detection rates. Early oral health efforts continued through local health departments, with more trainings for public health nurses, continued varnish kits, and expanded support for dental graduates and hygiene teams.

Transcript Highlights:

• place that are different from DHS cuz we're moving staff, or we moved programs, we created a new division
• , we created staff, or we moved programs, we created a<00:15:27.160> new<00:15:27.320> division
• , and we are adding to it, a new division, and we are adding to it, but but but we<00:15:30.079> don't
• You can't care for seniors or care for disabled people until you've passed the background study.
• people until you've passed for disabled people until you've passed the<01:04:26.240> background

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• Um, a disabled or person over 65 is an employer prioritizing based on enrollment level employment outside
• Um, a disabled or person over 65 is an employer prioritizing based on enrollment level employment outside
• Um, a disabled or person over 65 is an employer prioritizing based on enrollment level employment outside
• Um, a disabled or person over 65 is an employer prioritizing based on enrollment level employment outside
• Multiple divisions of section 136A.834 define the exemptions from private career school licensure.

Bills: HF4362, HF4252, HF4440

Keywords: firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry

Transcript Highlights:

• Because it is your presence, God, that will remove division and bring unity.
• Disabilities and Titles 18, 36, 37, 28, and 46 relative to the Office for Citizens with Developmental
• Disabilities within the Louisiana Department of Health.
• Disabilities and Titles 18, 36, 37, 28, and 46 relative to the Office for Citizens with Developmental
• Disabilities within the Louisiana Department of Health.

Bills: SB525, SR112, SR109, SCR61, SCR62, SCR12, HB175, HB276, HB437, HB456, HB457, HB459, HB488, HB579, HB656, HB804, HB818, HB841, HB981, HB1052, HB1089, HB1101, HB1154, HB1166, HB1193, HB1194, HB1203, HB1209, HB1244, HB1249, HB221, HCR69, HCR58, SB57, SB405, SB414, HB62, HB193, HB203, HB205, HB210, HB220, HB222, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB799, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1236, HB1241, SB106, SB206, SB248, SB441, SR86, SCR30, SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB276, SB295, SB388, SB450, SB465, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: unclaimed property, abandoned property, escheat, state treasurer, administrator, claimant, purchase agreement, assignment, property recovery, owner verification, documentation requirements, fraud prevention, bankruptcy, bankruptcy court, court order, Uniform Unclaimed Property Act, Louisiana Revised Statutes, R.S. 9:167.1, Chennault International Airport, 40th anniversary

Transcript Highlights:

• disabled individuals are not cut in the budget this year.
• The disabled, the elderly, poor children will have their health coverage curtailed and cut back.
• It's the federal administration who right now is using division in... Washington.
• For the funding for developmentally disabled, and you heard that call, and you've done that.
• disabled, for those with disabilities, the people that need the help the most were the first to lose

Summary: The Assembly convened after a quorum call and proceeded to floor business, with the main item being SB 101, the state budget bill. Before debate on the bill, Assembly Member Sanchez offered amendments to redirect funding toward Proposition 36 implementation, wildfire prevention, Medi-Cal provider reimbursement, developmental services, and other priorities; the majority moved to lay those amendments on the table, and the motion passed 43-18. The chamber then took up SB 101 as the budget bill for immediate effect. Debate on the budget was extensive and sharply divided. Supporters, including Assembly Member Gabriel and several committee chairs, described the budget as a difficult but responsible compromise that protects Medi-Cal, IHSS, child care, housing, wildfire prevention, and other safety-net programs while responding to a projected deficit and federal uncertainty. Opponents criticized the budget as fiscally unsound and argued it relied on accounting gimmicks, did not adequately fund Proposition 36 or wildfire prevention, and continued spending on high-speed rail and Medi-Cal coverage for undocumented immigrants. Several members also raised concerns about gas taxes, provider reimbursement, probation funding, and the impact on vulnerable Californians. After debate, the Assembly voted on SB 101 and passed it 57-19. The measure was sent immediately to the Senate. The body then announced upcoming session schedules, with no floor or check-in sessions on June 14 and 15, and a floor session set for June 16 at 1 p.m., before adjourning.

Transcript Highlights:

• OK, that's one division. And then we'll go on to our next division unless that's good.
• All right, my last division, now we're on to our Policy Research and Quality Initiatives division.
• This is on if they're vulnerable on one or more developmental domain.
• My questions are around disabilities.
• differences or developmental delay.

Transcript Highlights:

• California has committed itself to providing all people with developmental disabilities the services
• We're a nonprofit serving clients with intellectual and developmental disabilities.
• disabilities.
• disabilities.
• disabilities.

Summary: The Assembly Committee on Insurance met as a subcommittee and heard several bills related to workers’ compensation, insurance access, climate resilience, and farmworker protections. AB 815 would prevent social service workers who use personal vehicles to transport clients from being misclassified as commercial or for-hire drivers under personal auto policies; supporters said the current practice leads to unaffordable premiums and denied claims, while no opposition testified. AB 1329 would revise the Subsequent Injury Benefit Trust Fund to reduce litigation and medical-legal costs and lower employer assessments; insurers and business groups opposed unless amended, citing concerns about eligibility standards and the QME process, but the bill advanced after amendments were discussed. AB 1048 would allow disputed unauthorized payment reductions for medical providers to be reviewed through independent bill review; supporters framed it as a transparency measure, while opposition argued IBR is the wrong forum and existing contract dispute processes should control, though the bill also passed. AB 1236 would create a Department of Insurance grant program for climate and sustainability risk-reduction projects, with broad support from the department, environmental groups, and insurers, and it passed unanimously. The committee also heard AB 1336, the Farmworker Heat Illness Prevention Act, which would create a rebuttable presumption that a heat-related injury arose out of employment when an agricultural employer fails to comply with heat illness prevention standards. Supporters, including United Farm Workers, argued the bill would help protect farmworkers amid extreme heat and enforcement gaps; opponents from the workers’ compensation and agricultural sectors said the measure improperly uses the compensation system to enforce OSHA rules and could create unclear adjudication and delay issues. Members discussed Cal/OSHA enforcement limits, undocumented workers’ reluctance to report violations, and the relationship between the bill and existing workers’ compensation procedures. Despite opposition, AB 1336 passed on a divided vote. The committee also took up a consent calendar including AB 1125, AB 1293, and AB 1398, which were approved together. Roll calls were held open and later completed, and the bills that advanced were sent to the Committee on Appropriations. The meeting concluded with the committee adjourning after final votes were recorded.

Transcript Highlights:

• So, six agencies and seven divisions.
• This includes the transfer of the developmental disability supports and the health care certification
• Like I spoke about a second ago, an $89.3 million increase in the Developmental Disability Support Division
• disabilities providers.
• I don't think we're going to see a decrease in enrollment on the developmental disabilities waiver.

Transcript Highlights:

• from the former Aging and Long-Term Support Administration, as well as developmental disabilities community
• Individuals in developmental disabilities that have been enrolled.
• disability and therefore are served through developmental disabilities or the 040 budget.
• You have to first have a diagnosis, and this is only true in the developmental disability space.
• You can see there's 145 of these people that are receiving services under developmental disabilities.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• Governor's Letter Number 11 for DHS Developmental Disabilities contains positions.
• C-14, Governor's Letter Number 14, Department of Correction, Division of Correction, contains special
• Governor's Letter Number 11, DHS Developmental Disabilities, contains positions.
• C-14, Governor's Letter Number 14, Department of Correction, Division of Correction, contains special
• Governor's Letter Number 25, Department of Commerce, Division of Workforce Services, is believed to contain

Summary: The committee met briefly to review a long list of agency and governor’s letters and determine which items should be referred to subcommittees. The chair explained that the main purpose of the meeting was referral only; any letters not acted on would be carried over to next Tuesday’s agenda. Under agency communications, letters from the Auditor of State, Supreme Court, Secretary of State, and Lieutenant Governor were referred to personnel because they contained positions. Under the governor’s letters, several items were referred to personnel or special language, including requests involving the Department of Education, Department of Health, multiple DHS divisions, the Department of Correction, the Department of Agriculture, the Department of Public Safety, Shared Administrative Services, Workforce Services, Energy and Environment, and the Department of Finance and Administration. No substantive debate or votes were described beyond the referral decisions. The chair then announced a busy schedule for the following week, with personnel, JBC, claims, peer review, and special language meetings set across Tuesday through Thursday, and the meeting adjourned.

Transcript Highlights:

• <02:44:50.560> The To put that into perspective, the developmental disability community in
• <02:45:12.080> And developmentally disabled accounts.
• And developmentally disabled accounts.
• It's developmentally disabled in a residential setting.
• It's developmentally disabled in a residential setting.

Keywords: 928, house, all

Summary: The meeting was a House budget briefing focused on the overall state budget and the first of three divisions. The presenter reviewed the size and structure of the budget, noting that the state had eliminated the interest and dividends tax and still balanced the budget. He explained the major spending categories in the general fund and total budget, emphasizing that health and human services and education remain the largest areas, while transportation is largely self-funded. He also walked through the revenue picture, including business taxes, insurance taxes, court fees, communications taxes, and Medicaid recoveries, and said the remaining interest and dividends tax revenue reflected late payments from prior assessments. Members asked about the size of the tax cut from eliminating the interest and dividends tax, federal funding stability, and why Medicaid was being reduced if federal support was expected to remain steady. The response was that the lost revenue would have been about $200 million absent repeal, and that the budget gap was addressed through many small cuts across departments. On federal funds, the presenter said most aid is tied to multi-year grants and that core programs such as Medicare and Medicaid were expected to remain relatively stable, though some federal reductions could occur. He also said some agency reductions came from eliminating long-vacant, funded positions and from expected lapses. The discussion then moved into Division One, which covers smaller and miscellaneous agencies. The division made cuts to the governor’s office, eliminated a temporary position at the Governor’s Commission on Disability, reduced Department of Information Technology spending through a back-of-budget cut, and found savings in Administrative Services. It also delayed maintenance at the Sununu Youth Services Center, stopped advertising for paid family medical leave, changed retiree health insurance funding, and consolidated several personnel-related boards into one. The division eliminated the Commission on Aging and the Office of the Child Advocate, made a temporary special education advocate position permanent, reduced the Secretary of State’s budget, kept municipal rooms-and-meals distributions flat, and made changes to the retirement system, including $55 million to improve Group 2 retirement benefits and a new retirement structure for future state hires. The judicial branch was also asked to find savings and received two additional judges because of expected caseload increases from other eliminations.

Transcript Highlights:

• Number three, also with the Disability Coalition, is increasing by $17,500 for the Arkansas Disability
• Number three, also with the Disability Coalition, is increasing by $17,500 for the Arkansas Disability
• consultant for disability case processing services.
• Contract 61, Division of Correction with Lemus E.
• Contract 135 is with the Division of Developmental Disabilities.

Keywords: 1204, all

Transcript Highlights:

• Very good work, Division Two.
• <00:16:28.360> two work division two work division two all<00:16:30.120> right all
• In the area of Health and Human Services, there are devastating reductions to the developmental disabilities
• <00:31:54.200> disabilities<00:31:55.200> and<00:31:55.360> the developmental disabilities
• and the developmental disabilities and the Community<00:31:55.919> Mental<00:31:56.240> Health

Keywords: 928, house, all

Summary: The House Finance Committee met for final approval of HB 1 and HB 2, with legislative budget staff Michael Kain reviewing the final amendment documents and surplus statements. Kain explained that HB 1474H and HB 1484H incorporated the committee’s prior votes and the Governor’s recommended sections, and he walked through the budget math for the general fund, education trust fund, Highway Fund, and Fish and Game Fund. He said the committee’s proposal remained balanced overall, though the current-year general fund showed a projected deficit that HB 2 would address by allowing a possible rainy day fund transfer if needed. He also noted that the committee’s revenue estimates were below the Governor’s, requiring reductions and adjustments to appropriations and lapse assumptions. Members discussed the rainy day fund provisions, including a section in HB 2 that suspends existing restrictions so a transfer can be made if the deficit materializes. Kain said the committee’s approach differed from the Governor’s because the state was not below the overall revenue plan, and the fiscal committee would retain a role in determining any transfer. He also summarized that the Highway Fund would end with about a $13 million balance and Fish and Game with about $3 million, both without additional general fund support. The committee then adopted two amendments to HB 2 unanimously: Amendment 1473H, a technical cleanup to the Group 2 retirement seven-year rule, and Amendment 1482H, a technical correction to the recreational services language. Amendment 1484H, which incorporated those changes into HB 2, was adopted on a 14-1 vote after minority members objected to the bill’s broader cuts and policy changes, including reductions to state agencies, health and human services, and education-related provisions. The committee also adopted Amendment 1474H to HB 1A on a 14-1 vote after similar debate over budget reductions, vacancies, university funding, and school spending limits. Finally, the committee voted 14-1 to report HB 1A and HB 2 as amended as ought to pass, with the minority voting no and the committee planning a full House presentation the following week.

Transcript Highlights:

• disabilities.
• disabilities.
• disabilities.
• disabilities.
• "And or developmental disabilities in their own homes and in their own communities.

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:

• It's by the Governor's Commission on Disability.
• So, it's you have to have a disability, and just about everybody who's aging has got some kind of disability
• Congratulations for the Developmental Disabilities Council. My name is Carly Malone.
• Disabilities Council Program P727.
• disabilities who are seeking leadership training.

Keywords: 996, all

Transcript Highlights:

• population with developmental population with developmental disabilities<01:26:08.840> a<
• <01:26:14.199> disabilities children with developmental disabilities children with developmental
• <01:26:48.000> disabilities<01:26:48.760> who<01:26:48.920> need developmental disabilities
• disabilities saying that developmental disabilities saying that no<01:27:21.119> more<01:27:21.400
• > in developmental disabilities can live in developmental disabilities can live in the<01:28:18.639

Keywords: 1189, house, all

Transcript Highlights:

• I pray for unity and not division.
• Information regarding a local intellectual and developmental disability authority to the parents or guardians
• or developmental delay written information regarding...
• Services available through the local intellectual and developmental disability authority at the first
• To the provision of information regarding a local intellectual and developmental disability authority

Bills: SB128, SB203, SB317, SB393, SB397, SB731, SB781, SB801, SB867, SB1071, SB1086, SB1087, SB1232, SB1262, SB1444, SB1483, SB1782, SB1798, SB1861, SB1897, SB1944, SB2023, SB2082, SB2215, SB2309, SB2497, SB2549, SB2566, SB2603, SB2607, SB2617, SB2688, SB2797, SB2799, SB2841, SB2891, SB2919, SB2928, SB2969, SB2994, SB3070, HB11, HB12, HB26, HB33, HB34, HB45, HB48, HB130, HB148, HB198, HB210, HB303, HB647, HB668, HB677, HB762, HB791, HB1022, HB1041, HB1188, HB1240, HB1242, HB1261, HB1318, HB1397, HB1465, HB1520, HB1535, HB1729, HB1778, HB1950, HB2003, HB2027, HB2029, HB2559, HB2596, HB2607, HB2692, HB2712, HB2742, HB2768, HB2775, HB2788, HB2802, HB2894, HB3474, HB3594, HB3611, HB3698, HB3699, HB3700, HB4187, HB4753, HB4804, HB4850, HB4885, HB5061, HB5238, HB5560, HCR90, SJR34, SB529, SB541, SB693, SB963, SB1173, SB1646, SB1734, SB1833, SB1968, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB2308, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2309, SB1861, SB2617, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1782, SB1944, SB1232, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, SB524, SB2233, SB2683, HB1393, HB2559, HB26, HB2607, HB3810, HB388, HB12, HB2712, HB2692, HB1633, HB1318, HB685, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR90, HCR98, SJR60, SB1319, SB1978, SB3038, SB3045, SB1633, HB3126, HB2856, HB3114, HB3041, HB3505, HB4205, HB5652, HB3687, HB5424, HB4506, HB3370, HB2025, HB4273

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, student privacy, numerical class rank, education policy, academic programs, high school, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 393, Sparks, Middleton