Transcript Highlights:

• So that means we have a lot of Medicaid payers in our practice. >> Okay.
• Um on Medicaid payers in our practice.
• Many of our children have commercial primary; they have Medicaid secondary.
• When you bill commercial primary, you can't change rules, right?
• When you bill commercial primary, you can't change rules, right?

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• That primary language. And so it may miss that block of text.
• And the payer, if they're using some sort of AI, is reviewing clinical documents.
• We’re also dealing with primary care, clinics, CBOs.”
• And this is something I'm very familiar with as a primary care physician.
• In the safety net setting, one of the ways we primarily care for patients is primary care.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• As a primary care physician, I would still see my patient for those refills.
• anytime we see changes that have The prospect of increasing premiums, it's of concern for the premium payer
• So it just recommends and evaluates six specific areas: First, the primary drivers for premium increases
• This committee has been really focused on cost drivers over the last several years, but we feel that payers

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• Payers may have different rules than providers.
• Payers may have different with whom.
• Payers may have different rules<00:12:38.240> than<00:12:38.480> providers.
• <00:27:04.400> care linked back to the lack of primary care linked back to the lack of primary
• Looking at optimized installed resources that the state already has and KHI being the primary one.

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:

• One of the primary causes of that housing issue is that towns have abused the zoning process.
• <00:39:00.640> goal<00:39:00.839> of 232 uh some bullets the primary goal of 232 uh
• some bullets the primary goal of this<00:39:01.160> bill<00:39:01.400> is<00:39:01.520
• the um other issue that I just payers the um other issue that I just wanted<00:41:43.520> to<
• so we think that's a good to rate payers so we think that's a good thing<00:53:07.200> it<00:

Keywords: 1191, senate, all

Transcript Highlights:

• DeCegile: YES, I BELIEVE THE RUNOFF ELECTION PIECE THAT WILL BE MOVED TO THE PRIMARY ELECTION DATE IN
• Chair Gaetz: GO AHEAD SENATOR. >> Vice Chair Bernard: SO THE ELECTION WOULD BE DURING THE AUGUST PRIMARY
• TREMENDOUS COST SAVINGS, ONE OF MY BIGGER CITIES WOULD SAVE MORE THAN HALF $1 MILLION JUST ON THE PRIMARY
• AS CHAIR I HAVE TWO PRIMARY PRIORITIES.
• OFFICE OF PUBLIC COUNSEL OBVIOUSLY IS A PRIMARY, SEES WHAT THAT IS BUT OBVIOUSLY IT IS CONCEALED FOR

Keywords: 999, senate, all

Transcript Highlights:

• It's cost effective and incredibly valuable for Arizona primary care providers who serve the women of
• payers of health care in Arizona.
• The CMS interoperability rules only apply to certain impacted payers.
• Pharmacists must make a reasonable effort to identify the patient's primary care provider and notify
• Arizona ranks eighth nationally for health care provider shortage areas, and only 35% of primary care

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• provider might use revenues generated through this 340B program, the reimbursement rates paid by any payer
• The reimbursement, whether that's paid by the payer, the patient, or both, is $100 in both cases
• what would be paid by the patients through co-pays or co-insurance, plus reimbursements from any payers
• I think last year we spoke a little bit more about payer-level revenue, giving you a sense of the extent
• level um revenue more about uh payer level um revenue giving<00:25:23.720> you<00:25:23.880><

Keywords: 1187, senate, all

Transcript Highlights:

• of what it means for the uninsured population, what it means for providers who rely on a Medicaid payer
• what it means for the uninsured population what it means for for providers who rely on a Medicaid payer
• who are now going to be relying more on the health safety net that's going to be harder to Medicaid payer
• And yesterday, we talked about our lack of primary care physicians.

Keywords: 995, all

Summary: The inaugural hearing of the newly named House Committee on Federal Funding, Policy and Accountability focused on how federal policy changes could affect Massachusetts, especially in education, health care, research, infrastructure, climate, and business conditions. Chair LaNatra said the committee was created to monitor federal funding decisions and their impacts on state programs and services. Members introduced themselves, then heard testimony from Doug Howgate of the Massachusetts Taxpayers Foundation, Sarah Mills of Associated Industries of Massachusetts, and Quentin Palfrey, the governor’s Director of Federal Funds and Infrastructure. Howgate argued that the Trump administration and new Congress pose ideological, practical, and process-related risks to Massachusetts, citing proposed cuts to Medicaid, education, research, and other domestic programs. He said federal dollars make up about a quarter of the state operating budget and capital plan, warned against using one-time reserves to backfill ongoing federal cuts, and urged the state to prioritize core services while protecting areas where Massachusetts is especially strong, such as higher education and research. In response to committee questions, he said the House Medicaid proposal would still cost Massachusetts hundreds of millions and that international student and NIH-related changes could harm the state’s labor force and innovation economy. He also advised that the state communicate clearly without overreacting to daily federal developments. Mills testified that AIM members are most concerned about uncertainty, tariffs, Medicaid cuts, and NIH reductions. She said tariffs are raising costs, disrupting supply chains, and hurting small and medium-sized businesses, housing construction, and exporters, with AIM’s business confidence index falling to its lowest level since the pandemic. She said Medicaid cuts would raise employer health costs, reduce productivity, and strain the health care system, while NIH cuts would threaten Massachusetts’ life sciences and academic research ecosystem. In questions, she said AIM has increased federal outreach, is coordinating with the U.S. Chamber and the Massachusetts delegation, and is hearing concerns from employers about immigration compliance and workforce disruptions. Palfrey described the Healey-Driscoll administration’s efforts to maximize federal funding, including a biweekly interagency council, a municipal partnership effort, and a statewide roadshow. He said Massachusetts has secured nearly $9 billion from major federal laws for projects such as the Cape Cod bridges, Allston Multimodal, grid modernization, clean-energy school buses, and broadband. He also said the administration launched a public website to track federal impacts and is working with municipalities, nonprofits, and the Attorney General on grant changes, legal issues, and litigation. In response to questions, he warned that cuts to NOAA, NSF, Medicaid, SNAP, and other programs could affect services and the state budget, and said the administration is tracking changes to federal grant applications and conditions. No votes were taken; the hearing was informational only.

Transcript Highlights:

• In plain terms, if not for House Bill 398, future rate payers would be forced to pay twice: once for
• states have included terminal net salvage and depreciation studies and standard... 398, future rate payers
• would be forced 398, future rate payers would be forced to<00:24:06.720> pay<00:24:06.960>
• >> Communicate with the body. >> Yes, ma'am. >> Tomorrow at 10:00, the BR sub on primary and secondary

Keywords: Convene 00:00 Senate Message 05:04 Orders of the Day 06:01 HB 143 06:11 HB 164 08:07 HB 314 11:07 HB 398 21:17 Motions, Petitions, and Communications 29:02 Introduction of New Bills and Resolutions 34:01 Recess for ConC/Rules Meeting 35:40 ConC/Rules Report 40:15 Floor Amendments 41:15 Adjournment 41:26, 958, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a roll call showing 95 members present. The chamber approved the prior journal, received notice that the Senate had passed Senate Bills 20 and 68 and requested concurrence, and then moved to floor action on several bills. House Bill 143, relating to fiduciary bonds, was explained as removing the requirement that a fiduciary sign a bond in the presence of a court clerk or notary public; it passed 94-0. House Bill 164, relating to hearing aid coverage and related services, was described as increasing the coverage cap from $1,400 to $2,500, updating the definition of hearing aid, and adding network adequacy requirements; it passed 93-0 with one abstention. The House then considered House Bill 314, relating to the Kentucky Communications Network Authority and declared an emergency. Supporters said the bill was intended to address long-standing concerns about KentuckyWired management and oversight. A committee substitute and floor amendment were adopted, and the bill was explained as moving KCNA into the Finance and Administration Cabinet, transferring its functions to the Commonwealth Office of Technology, abolishing the separate executive director position, and reconstituting the board with new members and appointments. The bill passed 80-13. House Bill 398, relating to decommissioning costs for electric generating units, was presented as allowing terminal net salvage to be included in rates so utilities can recover end-of-life plant costs over time rather than through larger future spikes; after questions about PSC authority and safeguards, it passed 78-15. After the orders of the day concluded, members made announcements about upcoming committee meetings and a birthday recognition. House Resolution 7, recognizing guiding principles for elections in Kentucky, was reported as having passed unanimously in committee and was adopted without objection. The House also received the report of the Committee on Committees and the Rules Committee, which referred several bills and resolutions to standing committees and posted House Bills 194 and 393 for the next regular orders. The chamber then adjourned until 2 p.m. Tuesday, February 3, 2026.

Transcript Highlights:

• How it ends up in appropriations is that, as you know, medical services is also a payer.
• And so some of the kids that come into care have Medicaid as a primary or secondary payer.
• And so that's why there's a fiscal note attached, because it would impact them on the payer side of things

Keywords: 908, all

Summary: The committee began with roll call and a brief update on remaining work, then took up Senate Bill 2213, the “science of math” bill. Members clarified that the appropriation for the program was not included in the DPI budget and would remain attached to the policy bill for now. The committee adopted the amendment and then gave the bill a do pass recommendation, 21-2. The committee next considered Senate Bills 2036 and 2037, both juvenile justice/Human Services bills involving mental health and criminal responsibility evaluations for minors. Testimony explained that the bills create new processes and require DHS to contract with specialized providers, with appropriations of $500,000 in 2036 and $300,000 in 2037. Members debated whether the funding should come from existing DHS resources or remain as separate appropriations, and whether the programs were one-time or ongoing. The committee adopted amendments on both bills and then recommended both do pass, with 2036 passing 14-6 and 2037 passing 17-4. The committee then heard Senate Bill 2021, the Information Technology Department budget. Representative Bosch outlined major themes in the budget, including migration from PeopleSoft and the mainframe, onboarding/off-boarding automation, double-counting of IT spending, and the transition of education technology from PowerSchool to Infinite Campus. Members also discussed a study amendment related to a statewide enterprise resource planning system, and added language on grant management and compliance management. The committee adopted the amendments and gave the budget a do pass recommendation, 20-0-3. Finally, the committee heard Senate Bill 2011, the Highway Patrol budget. Representative Pyle explained the House changes, including shifting some one-time costs to the motor carrier electronic permit fund, funding for body armor, breath tests, road course resurfacing, fleet costs, handgun replacement, and carryover authority for federal technology funds. The committee adopted the amendment and then passed the budget 21-0-2. The committee then began Senate Bill 2399, a Human Services bill on Medicaid reimbursement for psychiatric residential treatment facilities, but deferred action after testimony from a facility representative and committee discussion about therapeutic leave days, reimbursement rates, and whether a cap on reimbursable days should be set in statute or rule. The chair said the committee would seek more information from DHS and take the bill up the next day.

Transcript Highlights:

• <00:10:12.640> care also uh if you're a primary care also uh if you're a primary care physician
• treatments. uh and I think the primary treatments. uh and I think the primary objective<01:14:27.679
• if you were admitted with the primary if you were admitted with the primary diagnosis<01:18:16.159
• It could assist you the primary users.
• So, these are about primary prevention.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:17 - Approval of June 18, 2025 Minutes 00:02:33 - Introductions and Discussion on Priorities 00:07:27 - Health Data Discussion-KY Health Information Exchange (KHIE) 00:34:02 - Health Data Discussion-Public Health Data 01:19:24 - Health Data Discussion-Other Health Data Platforms 01:42:40 - Consideration of Referred Administrative Regulations (Except 201 KAR 005:010) 01:44:48 - Discussion of Optometry Regulation 201 KAR 005:010 02:25:29 - Hearing on Unified Community Mental Health and Substance Abuse Prevention and Treatment Block Grant Application for FFY 2026 - 2027 Funds 02:33:40 - Administrative Regulation 201 KAR 005:010 Vote Clarification 02:34:03 - Adjournment, 958, all

Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• protection or communication, his weapon, his radio, or his personal communication devices beyond his primary
• To the state of Florida, and they're going to base it on, if I'm a cash payer, they're just going to
• To the state of Florida, and they're going to base it on, if I'm a cash payer, they're just going to
• Department of Education, that 12,429 students revealed in a survey for the 2022-23 school year that their primary
• was a hotel or a motel. 12,429 students revealed in a survey for the 2022-23 school year that their primary

Summary: The committee heard and voted on a long series of criminal justice, public safety, victim protection, and regulatory bills. Several measures were reported favorably, including SB 1374 on school district reporting requirements, SB 1378 on restitution for leaving the scene of a crash, SB 1072 creating an expedited DNA testing grant program, SB 1140 establishing a Hillsborough County criminal offender substance abuse pilot program, SB 1266 revising public records protections for crime victims and certain law enforcement identities, SB 1546 delaying and refining background screening requirements for athletic coaches, SB 1430 on post-judgment execution proceedings related to terrorism victims, SB 1444 making a broad set of criminal justice changes, SB 240 on domestic and dating violence protections, SB 606 clarifying public lodging and food service removal procedures for nonpaying guests, SB 1450 giving law enforcement discretion in arrests involving people with significant medical conditions, SB 44 increasing penalties for impersonating law enforcement with unauthorized red or blue lights, SB 1000 expanding court-ordered sealing options, SB 1400 requiring platforms to remove altered sexual depictions, and SB 1696 addressing rideshare impersonation and transit service rules. Many of these bills were amended before final passage, often with strike-all amendments or technical changes, and several had support from law enforcement, advocacy groups, or industry representatives. Testimony was generally supportive on the public safety and victim-protection bills, with speakers emphasizing faster DNA testing, better protections for domestic violence survivors, clearer rules for hotel and motel operators, and stronger tools against fraud, impersonation, and trafficking. Some bills drew notable concerns or opposition. SB 1266 prompted questions about whether a 72-hour cooling-off period for officer identities could be extended too broadly, while SB 606 drew concerns that the bill could affect families living in hotels or extended stays during the housing affordability crisis. SB 1444 generated discussion about false reporting language, off-duty carry for prosecutors and judges, and the scope of automatic sealing changes. SB 1000’s expanded sealing relief received broad support but was narrowed by amendments excluding certain offenses such as DUI and indecent exposure. The most contentious measure was SB 1804, which would create a capital offense for trafficking a child under 12 or a mentally incapacitated person for sexual exploitation. The sponsor argued it targets the most severe trafficking cases and includes safeguards such as excluding minors from capital punishment and preserving life imprisonment if the capital procedure is invalidated. Opponents, including the Florida Conference of Catholic Bishops and Floridians for Alternatives to the Death Penalty, argued the death penalty is unconstitutional for non-homicide crimes, costly, and ineffective, and committee members raised concerns about whether the bill would incentivize traffickers to kill victims to avoid identification. Debate also touched on broader concerns about the death penalty’s constitutionality and whether life imprisonment is a more severe punishment. The transcript ends during that debate, without a final vote on SB 1804 included in the excerpt.

Transcript Highlights:

• That is your primary ask because that is the way that we can impact you the most.
• You know, we are the bill payers, the governor, She will bargain with the union.
• You know, we are the bill payers. The governor is the bargainer. Correct.
• You know, we are the bill payers. The governor is the bargainer. Correct.
• You know, we are the bill payers. The governor is the bargainer. Correct.

Keywords: 995, all

Summary: The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts. Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students. Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.

Transcript Highlights:

• I'm going to ask Chairman Gleeson to talk about the rate payer protection pledge that was laid out by
• I heard President Trump lay out the Rate Payer Protection Pledge.
• We're also very committed to ensuring that the rate payer is not left footing the bill.
• Should it be the rate payers or should it be the developers and operators? I can begin.
• The primary anxiety for all of my clients is okay, we're not in batch zero.

Keywords: 1184, house, all

Transcript Highlights:

• The primary treatment for mild to moderate hearing loss is hearing aids.
• payers.
• , consistently across uh different payers, consistently across uh different payers, third-party<00
• :35:38.920> payers.
• So, the services are third-party payers.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 SB 6 Discussion 00:40 SB 6 Vote 00:13:30 Cochlear Implants 00:16:25, 958, all

Summary: The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor. The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.

Transcript Highlights:

• payers payers so<00:15:26.240> by<00:15:26.519> passing<00:15:27.120> this<00:15
• The department believes there is a risk that all payers could end up on the hook for this.
• The department believes there is a risk that all payers could end up on the hook for this.
• payer or from<04:48:28.280> the<04:48:28.360> rate<04:48:28.600> payers<04:48:29.320
• risks for rate payers create substantial risks for rate payers um<04:48:33.798> you<04:48:33.920

Keywords: 1189, house, all

Transcript Highlights:

• At the same time, the Lifeline's primary revenue stream was reduced drastically without consulting us
• We are ...the Lifeline's primary revenue stream was reduced drastically without consulting us.
• The five-year plan envisions 988 centers acting as the primary dispatch for non-law-enforcement response
• Our insurance, individuals with commercial and other payers insurance, excuse me.
• Prior to Medi-Cal mobile crisis, the primary avenue that we had to know when someone was in crisis and

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• uh specifically because of rate payers uh specifically because of the<00:16:17.440> storm<00:
• Or we can incurred by the rate payers.
• and the s's primary purpose and the offput<04:46:32.718> is<04:46:32.958> heat.
• <05:29:50.878> In payers costs the most as a result.
• In payers costs the most as a result.

Keywords: 1189, house, all

Transcript Highlights:

• Medicare is a single-payer federal program for those 65 and older.
• Especially with regard to a third-party payer like an insurance carrier where they have negotiated with
• They've been paid by a third-party payer, right?
• Accepts for the private payers that he accepts. Then, they cannot be controverted.
• And then the third-party payer pays something different. It didn't start as a fraud.

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all