Transcript Highlights:

• meet demand. program.
• Uh this program is our grants program.
• The program demand has been program.
• reduction to the program.
• program.

Bills: HF2430, HF2433

Keywords: education finance, teacher training, Read Act, state aid, school funding, education funding, children with disabilities, transition aid, special education, school district consolidation, 1183, house

Transcript Highlights:

• contains all the forecasted programs contains all the forecasted programs except<00:13:16.360>
• estimate for these forecasted programs estimate for these forecasted programs uh<00:15:46.959>
• um including Provisions related Programs um including Provisions related to<00:37:07.440> program
• that program.
• that program.

Keywords: 1183, house

Transcript Highlights:

• federal program? federal program?
• <00:08:08.160> uh household incomes and the program uh household incomes and the program uh
• tenants of this program is increasing tenants of this program is increasing the<00:09:33.680>
• <00:09:41.680> u other types of assistance programs u other types of assistance programs u
• Again the largest benefit we program.

Keywords: 958, all

Summary: The Interim Joint Committee on Natural Resources and Energy met for a public hearing and presentation on the Low-Income Home Energy Assistance Program (LIHEAP). After approving the minutes, members heard from Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky, who explained that LIHEAP is a 100% federally funded block grant used in Kentucky to help low-income households pay home energy bills, prevent utility disconnects, and support weatherization and crisis assistance. Hall outlined the program’s income eligibility limits, the fact that payments go directly to vendors or utilities rather than households, and the program’s funding levels, including $43.4 million spent in federal fiscal year 2025 and an anticipated $58 million for federal fiscal year 2026. The presenters described LIHEAP’s main components: fall and spring subsidy programs, winter crisis assistance, and weatherization. They gave participation figures for recent program cycles, including tens of thousands of households served in each component, and explained that weatherization prioritizes elderly, disabled, households with children, and high-energy-burden homes. They also noted that weatherization is carried out in partnership with the Kentucky Housing Corporation and includes repairs and efficiency measures such as insulation, air sealing, and safety checks. Rick Baker described Community Action Kentucky’s role as the statewide administrator through 23 local community action agencies, emphasizing their presence in all 120 counties and their local board structure. Members praised Baker’s long service and the program’s importance for families facing high energy costs, especially in coalfield areas. One member asked for clarification on a slide reference to “Assurance 16,” but the transcript cuts off before the answer is completed. No votes or other committee actions were taken beyond approving the minutes.

Transcript Highlights:

• So for youth who are in residential BRS programs, while those are supportive and therapeutic programs
• One of the advantages about residential programs, both BRS residential programs for youth for whom that
• For psychiatric residential treatment services, each program has consideration and each program has..
• Each program has consideration and each program has the jurisdiction to manage its community milieu because
• or programs that really, outside of eating disorder programs, but programs that can work with kids who

Keywords: 907, all

Transcript Highlights:

• programs are assisting young people.
• This would simply be establishing the program and then if we choose to use the program, we could then
• this healthcare workforce grant program. this healthcare workforce grant program.
• <00:04:08.080> the with the office of justice programs the with the office of justice programs
• train locally at like the CNA programs train locally at like the CNA programs at<00:09:09.680>

Keywords: 919, house, all

Summary: The committee took up House File 3732, with the author moving both the bill and two separate amendments. The DE1 amendment would create a healthcare workforce grant program to let the Department of Employment and Economic Development identify and fund healthcare workforce shortage areas, while the A1 amendment would establish an Office of Community Investment to provide strategic grant management and help align grants with legislative priorities. Both amendments were adopted, and the bill was laid over for later consideration. The bill author explained that the healthcare workforce proposal is meant to address shortages that market forces alone have not solved, citing examples such as CNA training and rural oncologist recruitment. The Office of Community Investment was described as a way to improve grant oversight, set clearer goals, and strengthen collaboration between agencies and the legislature, drawing on the model of the Office of Justice Programs. Testimony from the Mong American Partnership strongly supported the healthcare workforce grant program, describing successful CNA and phlebotomy pathways, but also noting long waitlists and the need for flexible funding. Members discussed the importance of locating training opportunities in greater Minnesota and in communities with workforce gaps, so distance and travel barriers do not limit access. Several legislators said the proposal would help create good-paying jobs, strengthen healthcare access, and support overworked healthcare workers. The bill’s sponsors also emphasized that codifying grant programs can speed up future funding decisions and improve accountability, and they said the measures would return for further consideration in a few days.

Transcript Highlights:

• Um, we have enrolled over 23 million passengers in that program today. It is a security program.
• Um, we have enrolled over 23 million passengers in that program today. It is a security program.
• Um, we have enrolled over 23 million passengers in that program today. It is a security program.
• Um, we have enrolled over 23 million passengers in that program today. It is a security program.
• Um, we have enrolled over 23 million passengers in that program today. It is a security program.

Summary: The committee held an interim study on airport security vendors, prompted by Representative Hayes’s earlier House Bill 1271, which would have restricted Oklahoma airports from contracting with third-party identity verification companies such as Clear. Hayes explained the bill stemmed from concerns raised after a December 2022 TSA letter and broader questions about whether these vendors create security risks or bypass TSA screening. The committee heard first from Clear, then Idemia, and then Tulsa International Airport, with members focusing on how identity verification works, whether it differs from TSA screening, and whether the state should regulate these services. Clear’s representative said the company provides an opt-in biometric identity verification service at airports, not physical screening, and that every passenger still goes through TSA screening. He said Clear operates in about 60 airports in roughly 40 states, has about 40,000 members in Oklahoma, and has paid more than $1.1 million to Oklahoma airports since launching in the state. Members questioned how Clear verifies IDs, whether Real ID is required, whether the company can manually override biometric checks, whether it shares data, and whether it has had security issues. Clear said it uses source corroboration with state DMV systems, does not sell data, has no manual override, and has worked with TSA on security upgrades after earlier concerns. Idemia’s representative described the company’s broader biometrics work for Oklahoma and the federal government, including fingerprint systems for the Oklahoma Bureau of Investigation, civilian background-check enrollment, TSA checkpoint credential authentication technology, and TSA PreCheck enrollment. She said Idemia’s role stops at identity verification and that TSA retains responsibility for screening and for decisions about who enters trusted traveler programs. Tulsa International’s COO said Clear does not replace TSA, that TSA retains exclusive authority over screening, and that the airport leases space to Clear and receives revenue from the arrangement. No vote was taken, and the meeting ended after questions and testimony.

Transcript Highlights:

• Actually, it's not unusual to end a program or start a new program based on need.
• to end a program or start a new program to end a program or start a new program based<00:39:22.040
• associate degree through this program associate degree through this program that's<01:04:59.319>
• A lot of these programs, even though it's a short-term program and it's foundational, it becomes the
• We've been able to build some new programs, expand some new programs.

Keywords: 928, house, all

Summary: The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program. A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up. Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.

Transcript Highlights:

• And whenever I hear of a new program, I think, okay, I've got to stand up a brand new program, right
• It took a while for our behavioral wellness program to put a program in place.
• and a lot of these residential treatment programs are 90-day programs.
• That's the exact same program.
• of neglect of the program.

Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.

Transcript Highlights:

• We found that the educator preparation programs, once they graduate from their program as a licensed
• increase in program attendance.
• to states program.
• So existing programs like the programs.
• <02:27:24.720> within program within program within >> for<02:27:25.280> us.

Keywords: 910, house, all

Transcript Highlights:

• So this type of program would really help with that, would it not?
• This bill has no fiscal note, as the program is already fully funded.
• in collegiate mental health degree programs.
• There was a lot of interest in this program, and we saw that.
• They wouldn't have to stay in the program longer to get more amounts.

Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Transcript Highlights:

• <01:17:45.040> A the FA program is in that program. A the FA program is in that program.
• This program.
• already in the program.
• a program program expanding a program significantly significantly significantly um<01:49:42.000>
• Um that's a flaw in the program. program. program.

Keywords: 928, house, all

Summary: The Education Funding Committee met in executive session on a bill concerning school meal access and reimbursement. The bill would address local school districts’ responsibility to provide meals during school hours, reimburse schools for meals served at no cost, and make an appropriation. The committee first moved to retain the bill, with supporters saying it was complex, had uncertain fiscal impacts, and should be considered alongside other related meals bills. Opponents argued the committee already had enough information, that the bill served a small number of students at relatively low cost, and that delaying action would harm children who need food to learn. The committee also heard from Tim Roar, a Keene school business administrator and co-designer of the bill, who explained that the proposal was intended to be an opt-in program for districts, with rulemaking to set participation requirements. He said the bill was meant to target aid to students between 175% and 200% of poverty, reduce bad meal debt, and avoid spending taxpayer money on families who could afford to pay. He estimated the state cost at about $250,000 in year one, with local taxpayer costs around $8,500 for Keene, and said some districts already have systems for online applications while others do not. Committee members questioned him about meal debt, online application software costs, and how districts handle students who reach debt limits. Roar said districts still feed students who are hungry, but use other resources and family outreach when meal debt is capped, and he argued that parents should be responsible for providing lunch when they can afford it. Other members pushed back, saying they had seen students go hungry and that teachers sometimes pay for lunches themselves. One member noted the bill would increase eligibility, make it easier to apply, strengthen personal responsibility, and was not a mandate. The discussion ended without a recorded final vote in the excerpt, though the retain motion remained the central action under debate.

Transcript Highlights:

• . programs. programs.
• the loan program to this committee. the loan program to this committee.
• and program integration. and program integration.
• uh uh uh program. uh uh uh program.
• That program was a great program use.

Keywords: 916, all

Transcript Highlights:

• All program income received by the VR program is to report it as federal program income earned.
• We have a pre-EDS program.
• It's a very successful program.
• However, the program is in a hiatus until Congressional renewal of the program has passed.
• It is a structured program.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• We only look at the nursing program.
• Within the nursing program of any academic institution, we look to make sure that that program will meet
• programs.
• When I was a nursing program...
• I did it an accelerated program.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• assistance programs on a regular basis. assistance programs on a regular basis.
• It's all wrapped up in those programs that provide assistance for those programs.
• order to qualify for these programs. order to qualify for these programs.
• programs we have.
• program, we should focus on the programs program, we should focus on the programs we<00:52:58.640

Keywords: 1187, senate, all

Transcript Highlights:

• type of program, is that in place?
• proposals for these programs.
• That program has been cut.
• That program has been cut.
• But I assure you, every university has food insecurity programs and housing insecurity programs.

Summary: The Assembly Budget Subcommittee on Education Finance held an oversight hearing on the California State University system covering enrollment, core operations, Title IX/civil rights, and basic needs. The Department of Finance said the Governor’s 2026-27 budget does not change CSU enrollment targets from the prior year and proposes a 5% ongoing General Fund increase for core operations as the final year of the compact. The Legislative Analyst’s Office recommended a lower resident undergraduate enrollment target than the Governor’s proposal, separate funding for enrollment growth rather than folding it into base, a smaller or no base increase tied more closely to inflation, earmarking some base funds for capital renewal, retiring deferred payments, and avoiding new multi-year compact commitments. CSU said enrollment has rebounded for three straight years, but growth is uneven across campuses, with several Northern California campuses still facing structural declines tied to demographics and community college pipelines. CSU described a multi-year reallocation plan shifting about 10,000 FTE and $89 million in ongoing funding toward higher-demand campuses, plus $40 million in one-time support, and said seven campuses submitted turnaround plans aimed at recovering enrollment over the next several years. The system highlighted strategies such as dual enrollment, guaranteed admission pathways with community colleges, outreach to high school students, retention and advising efforts, and new degree models for working adults and military-connected students. Members raised questions about how campus targets are set, whether the May Board of Trustees discussion will address a systemwide enrollment framework, and how CSU will manage future deficits if projected out-year funding does not materialize. On core operations and facilities, CSU said it faces about $320 million in mandatory cost increases in 2026-27 and is pursuing shared services, procurement consolidation, campus administrative sharing, and program redesigns to reduce costs. CSU and the LAO emphasized the system’s large deferred maintenance backlog, estimated at $8.6 billion, and discussed whether CSU’s bond/debt capacity is sufficient to address it; CSU requested up to $1.1 billion for deferred maintenance, while the administration did not propose new funding. The committee also heard CSU’s annual Title IX and civil rights update: CSU said it has implemented 15 of 16 State Auditor recommendations, has dedicated Title IX coordinators at every campus, is using a systemwide case management dashboard, and is piloting centralized investigations at five campuses. Finally, on basic needs, the Governor maintained current funding levels for food assistance/basic needs, rapid rehousing, and mental health. CSU reported heavy use of food pantries, CalFresh support, emergency housing, and counseling services, while warning that federal changes to CalFresh and related funding could make it harder to serve students in need.

Transcript Highlights:

• supporting 24 programs and 1,701 apprentices.
• I think it's a great program.
• like an apprenticeship program?
• So these types of programs fit.
• funding supports all apprenticeship programs.

Keywords: 996, all

Summary: The House Labor, Veterans, and Military Affairs Committee met to hear House Bill 7, sponsored by Representative Garrett and Representative Cates, which would continue and support apprenticeship and workforce training funding. The sponsors and the Department of Workforce Solutions described strong growth in apprenticeship participation, especially in the building trades, and said the fund has helped expand programs while maintaining high retention and employment outcomes. They emphasized that the bill would provide predictable, sustained investment in skilled labor needed for construction, infrastructure, and other growing sectors. Supportive testimony came from contractors, chambers of commerce, trade unions, and a small business owner, all of whom said apprenticeship funding is essential to meeting workforce shortages and keeping workers in New Mexico. Committee members asked about program demographics, geographic distribution, rural participation, reentry and high school dropout data, and how apprenticeships connect to displaced workers from energy and industrial closures. The secretary explained that the department uses Rapid Response and economic transition programs for layoffs and closures, and also surveys current energy workers to gauge retraining interest. Several members praised the bill’s return on investment and retention of workers in the state, while Representative de Rassas suggested adding more public transparency and performance metrics. Representative Ortiz asked about future funding after 2031 and whether the program could scale with more money. After discussion, Representative Hall moved a do pass, Representative de Rassas seconded, and the committee approved House Bill 7 with no opposition. The chair also announced upcoming committee meetings and asked members to consent to sharing contact information for committee purposes.

Transcript Highlights:

• But because we've had to reduce programs, we've cut programs by 45% over the last few years.
• The YE program in particular is close to my heart because it's actually the one that funds the program
• There's other programs such as a local partnership program and the State Transportation Improvement Program
• Or we can program a project within the State Highway Operation and Protection Program, which is a major
• its maintenance program funds.

Keywords: 987, senate, all

Transcript Highlights:

• Our programs on slide 5, probably what we're most well known for, of course, is our 4-H program.
• the, uh, LSC program review.
• Um, we continue to try to diversify our tribal programs through our tribal extension program and also
• impacts of that program?
• 4H agents that are leading those programs within those school or after school programs.

Transcript Highlights:

• World Health Transformation Program. World Health Transformation Program.
• this program to be run uh very rigidly. this program to be run uh very rigidly.
• It's program staff.
• It's program staff. So, level team. It's program staff.
• transformation program. transformation program.

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.