Transcript Highlights:

• Determining cause and manner of death affects criminal cases, civil liability, insurance outcomes, public
• Determining cause and manner of death affects criminal cases, civil liability, insurance outcomes, public
• I mean, who enforces that, and what is the consequence of someone not having adequate insurance?
• So, I mean, I'll go double-check whatever insurance requirements are there should be there.
• If there's an insurance requirement, that's already there. This doesn't change that.

Summary: The Senate Local Government Committee heard briefings and public testimony on several bills. SB 6064 would let qualifying regional fire protection districts or authorities take over administration and enforcement of the International Fire Code within their boundaries, with notice to counties and equivalent jobs for displaced workers; supporters said it would improve consistency and local control, while counties, fire marshals, and builders opposed it as unnecessary and likely to add permitting complexity and delay. SB 6101 would require county coroners to be appointed rather than elected, while preserving appointed medical examiners in larger counties; the sponsor cited the Yakima County coroner controversy as the reason for the bill, and opponents argued it would reduce voter accountability and could increase costs, though some supporters said appointment would professionalize death investigations and improve consistency. SB 6077 would extend from 21 to 28 business days the deadline for assessors and taxpayers to exchange valuation evidence before property tax appeal hearings, with supporters saying the change would give taxpayers a fairer chance to respond and opponents saying the bill should also address long delays in scheduling hearings themselves. The committee also heard SB 5820, which would repeal Clark County-specific Growth Management Act authority allowing freight rail-dependent uses on certain resource lands adjacent to a short-line railroad. The sponsor and supporters said the 2017 law was a poorly written special exemption that threatens agricultural and resource lands and should be repealed; opponents, including the railroad operator, business groups, and local officials, argued the rail overlay supports economic development, jobs, and low-emission freight movement and that the county should retain local control. Testimony on SB 5820 also raised concerns about safety, land-use conflicts, and the meaning of “adjacent,” with some witnesses saying the land is currently underused and others saying it is needed for future industrial and rail-served development. Finally, the committee heard SB 6013, an agency-request bill updating ski-area terminology and safety provisions to include aerial tramways, toes, and conveyors in the state’s ski lift regulations. State Parks supported the measure as a technical update to align safety inspections, insurance requirements, and rider conduct rules with current equipment terminology. The transcript ended before any vote or executive action was taken on these bills, and the chair noted some previously scheduled executive session items were moved to a later date.

Transcript Highlights:

• The fluctuation can be items such as salaries, workforce benefits, insurance, and leasing cost.
• it should cost versus what it is costing, along with other avenues to modify the process, such as insurance
• Specifically on your slide of future opportunities, analyzing rising insurance premiums.
• It needs to be a stand-alone insurance adjustment that we can actually see.
• “Everything in Tier 1 is either internal in-house, salary and fringe operating costs, insurance, C-suite

Bills: S0042 , S0578 , S0624 , S7018

Committee: Senate Children, Families, and Elder Affairs

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, Alzheimer's disease, Alzheimers, dementia, related dementias, brain health, early detection, caregiver support, elderly affairs, Department of Elderly Affairs, Department of Health, public health outreach, memory loss

Summary: The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote. The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably. Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably. The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.

Transcript Highlights:

• The fluctuation can be items such as salaries, workforce benefits, insurance, and leasing costs.
• are current things, we're going to see increasing need in the difficulty of purchasing liability insurance
• It needs to be a stand-alone insurance adjustment that we can actually see.
• It needs to be a stand-alone insurance adjustment that we can actually see, and that shows where they
• Everything in Tier 1 is either internal, in-house, salary and fringe operating costs, insurance, C-suite

Committee: Senate Children, Families, and Elder Affairs

Keywords: 999, senate, all

Transcript Highlights:

• , even though they have great insurance.
• 24:02.159><c> um</c> emergency health um who don't have um emergency health um who don't have um insurance
• even though they have great insurance even though they have great insurance.<00:24:04.960><c> We</c>
• 05.280><c> seen</c><00:24:05.440><c> that</c><00:24:05.679><c> over</c><00:24:05.919><c> the</c> insurance
• We have seen that over the insurance.

Keywords: 1187, senate, all

Transcript Highlights:

• The top priority of resilient palisades is to build back in a way that is insurable.
• Our insurance industry is looking for any reason not to insure rebuilt homes, do not help them out.
• Now, when they're looking to rebuild, some of them didn't have insurance.
• I did a bill that said if you didn't have insurance, you didn't have code compliance coverage on that
• insurance, you don't have to put solar on your house if you didn't have it prior.

Summary: The committee heard a series of housing and wildfire-recovery bills, with members repeatedly framing the package as a response to the Los Angeles fires and the state’s broader housing affordability crisis. AB 306, by Assembly Member Schultz, would place a six-year moratorium on new residential building-code updates and local code modifications except for health-and-safety emergencies. Supporters argued it would reduce costs and provide certainty for rebuilding and new housing production, while opponents from environmental, clean-energy, and labor groups warned it would freeze beneficial code improvements, delay innovation, and limit local control. Despite those concerns, several members said they would support the bill while seeking amendments, and the committee voted it out on a due pass recommendation to Appropriations. The committee also approved AB 301, which would require state agencies to follow shot-clock style deadlines for reviewing building permits, and AB 253, which would allow licensed third-party professionals to conduct certain post-entitlement permit reviews if local departments take more than 30 days. Supporters said both bills would reduce delays, lower costs, and speed rebuilding and housing production; some members emphasized that safety reviews must remain intact. AB 301 passed on a due pass vote to Appropriations, and AB 253 passed 8-0 to Local Government. AB 462, by Assembly Member Lowenthal, would exempt accessory dwelling units in Los Angeles County’s coastal zone from coastal development permit requirements, with the goal of speeding ADU construction for disaster recovery and housing supply. Supporters said ADUs are a proven tool and that the bill would help displaced residents and future coastal disaster areas; one member of the public opposed the bill, arguing ADU proliferation can change neighborhood conditions. The committee sent AB 462 to Appropriations on an 8-0 vote. The final bill discussed, AB 299, would let disaster-displaced families stay in hotels, motels, and short-term rentals for more than 30 days without triggering landlord-tenant rules, mirroring an earlier homelessness-related law; the transcript ended as the author began presenting the bill and its support.

Transcript Highlights:

• From providing legal services advice, risk pool insurance, continuing education. legislative tracking
• It's an insurance. company.
• TAC, TML, and TASB make most of their money off selling risk pool insurance, which is single bid and
• We are self-insured, in Johnson County we're self-insured. Right, and not everybody does it.
• If I may, we're self-insured too. Pecos County is self-insured. And the other thing is...

Bills: SB 18 , SB 19 , SB18 , SB19 , SB666 , SB688 , SB707 , SB888

Committee: Senate State Affairs

Keywords: Texas Water Code, TCEQ, Texas Commission on Environmental Quality, water permit, water appropriation, dam permit exemption, reservoir, flood control, floodwater control, erosion control, sediment control, watershed protection, flood prevention, Natural Resources Conservation Service, NRCS, USDA, local sponsor, district, authority, water infrastructure

Transcript Highlights:

• This way, they can have insurance, support their families, and not live off of public assistance. ...
• The problem with the cuts to state employees is you've got defined benefit employees and a health insurance
• more employment in a county, then some of the children or others in their families could afford insurance
• So we're trying to not just be a payer of claims because Alabama Medicaid is an insurance company.
• plan, it appears that they're... ...an insurance plan, it appears that they're on a low plan in terms

Keywords: 924, joint, all

Transcript Highlights:

• </c> um after that I became an insurance um after that I became an insurance fraud fraud fraud investigator
• </c><00:31:54.519><c> there</c> say there isn't fraud in Insurance there say there isn't fraud in Insurance
• tax credit which an insurance company can take against their BPT, and a bunch of others.
• tax credit which an insurance company can take against their BPT, and a bunch of others.
• there's the insurance tax credit which<03:16:30.720><c> a</c><03:16:31.120><c> insurance</c><03:16:31.600

Keywords: 928, house, all

Summary: The meeting was an introductory Ways and Means Committee orientation led by Chair John Janigian. Members went around the room introducing themselves, with several returning legislators and several freshmen describing their backgrounds in business, education, public service, finance, transportation, journalism, military service, and nonprofit work. Janigian explained his own legislative history and professional background, and other members, including Bill Bolton, Fred Doucette, Mary Ford, Jim Tierney, Scott Brier, Thomas Oppel, Mary Murphy, Representative Spar, Susan Elberger, Dennis Malloy, Jordan Ulery, and Julius Soti, briefly described their prior experience and reasons for serving on the committee. The chair then outlined the committee’s role. He said Ways and Means is responsible for revenue estimates that Finance will use to determine how much the state can spend over the next biennium, and that the committee would spend the next five to six weeks developing its best revenue estimate, due around February 15. He also explained that the committee hears from state agencies and departments about how taxes are created, collected, and performing against expectations, and that it reviews bills affecting state revenue, including tax increases, tax decreases, tax removals, and fee-related measures. Janigian noted that the committee had five bills at the time of the meeting and expected more to be referred. He explained that most would be first-committee bills, though some second-committee bills could come over if they involved taxes or fees after passing policy committees. He used marijuana-related legislation as an example of a bill that might first go to another committee and later reach Ways and Means if it had fiscal implications. No votes were taken; the meeting was informational, and members were told how to participate in hearings and follow-up questions during regular committee work.

Transcript Highlights:

• After leaving office, Frank worked in private practice and helped found the Arbella Insurance Company
• and Arbella Insurance Group.
• He also served as chairman of the Arbella Insurance Group.

Keywords: 995, all

Summary: The Senate convened, recited the Pledge of Allegiance, and then took up reports from the Temporary Committee on Rules. The chamber adopted orders placing Senate No. 14, proposing permanent Senate rules for the 2025-2026 session, and Senate No. 15, proposing permanent joint rules for the Senate and House, on the Orders of the Day for February 12, 2025, with amendments due electronically by February 10. In both cases, the rules were suspended to allow immediate consideration, and the orders were adopted without objection. The Senate also adopted an order to adjourn and reconvene on Monday at 11:00 a.m. Senator Keenan then offered a motion, joined by all members, that the Senate adjourn in memory of Francis Xavier Bellotti. The Senate heard a tribute recounting Bellotti’s military service, public career as lieutenant governor and attorney general, and his contributions to civil rights, environmental protection, and civic life. The motion to adjourn in Bellotti’s memory was adopted, and the Senate adjourned with a moment of silence in his honor. The chamber is set to meet again on Monday at 11:00 a.m.

Transcript Highlights:

• makes the new primary care task force a permanent board to inform regulations by the Division of Insurance
• to establish a capitated primary care payment model by all state-regulated insurance.
• The cost of this therapy was not covered by workers' comp or my insurance.
• The cost of this therapy was not covered by workers' comp or my insurance.
• I paid out of The cost of therapy was not covered by workers' comp or my insurance.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• He most recently served as staff counsel for the State Compensation Insurance Fund.
• They rely on insurance brokers and related professionals to recommend insurance carriers, negotiate rates
• Compensation arrangements with insurers and third parties are concealed from the public and sometimes
• This requires insurers that provide PrEP through the medical benefit to also provide PrEP through the
• Senate Bill 1054 by Senator Cabaldon, an act relating to unemployment insurance.

Keywords: 987, senate, all

Transcript Highlights:

• This means there is no need to apply for new Medicare or Medicaid or private insurance billing numbers
• But then it softens that, and it caveats it, and it says, unless you have a contract with an insurance
• The Melville Fire Protection District has been in contracts with insurance companies and has participated
• Where it becomes an issue is when you provide the service to a hospital or to an insurance company, you
• And then I have to tell the insurance company, I can see these two, but not these three.

Committee: House Local Government

Keywords: 959, house, all

Transcript Highlights:

• This means there is no need to apply for new Medicare or Medicaid or private insurance billing numbers
• But then it softens that, and it caveats it, and it says, unless you have a contract with an insurance
• And if we don't have the ability to meet that need through our contracts with insurance companies or
• Where it becomes an issue is when you provide the service to a hospital or to an insurance company.
• And then I have to tell the insurance company, I can see these two, but not these three.

Committee: House Local Government, Elections and Pensions

Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.

Transcript Highlights:

• Uh, the bill will maintain the current coverage, insurance coverage, and payment for vaccines for folks
• Uh, the bill will maintain the current coverage, insurance coverage, and payment for vaccines for folks
• 20:26.240><c> current</c><00:20:26.880><c> uh</c><00:20:27.120><c> coverage,</c><00:20:27.679><c> insurance
• </c> the current uh coverage, insurance the current uh coverage, insurance [snorts]<00:20:28.240><c>
• section in section four and insurance section in section four and under<00:27:13.679><c> the</c><00:

Keywords: 927, senate, all

Transcript Highlights:

• If you're under $50,000, your insurance is paid 100 percent. Thank you, Mr. Chair.
• Chair and Senator, I appreciate Representative Lehan's comments with respect to the insurance for the
• Every year if health insurance premiums increase by 10%, you're not losing 10% of the budget.
• Chair, seeking alternative health insurance sources, whatever that might be, or other insurance sources
• Just whatever that might be or other insurance sources. I'm just curious.

Summary: The committee first heard Senate Bill 152, which would create a low-income telecommunications assistance program and continue support for rural broadband operations and maintenance through the State Rural Universal Service Fund. Senator Padilla and Office of Broadband Access and Expansion Director Jeff Lopez said the bill responds to the loss of federal affordability support and would help low-income households pay for broadband, while also preserving funding for rural carriers and maintenance. Supporters included the Greater Albuquerque Chamber of Commerce, the New Mexico Exchange Carrier Group, tribal telecom representatives, and several rural providers, who said affordability is the main barrier to service and that the bill would help families, students, and rural communities. A few witnesses opposed parts of the bill, arguing that the ARS funding should be redirected entirely to broadband affordability and that legacy POTS-line support should sunset. Committee members asked about ETC requirements, satellite and wireless options, rural density, and the sunset provision; the sponsor said the sunset on ARS would be removed and that stakeholder discussions would continue in the interim. The committee voted due pass on the Senate Finance Committee substitute for SB 152. The committee then took up Senate Rules Committee substitute for Senate Bill 132, which would add software planning and replacement to the state’s equipment replacement fund. The sponsor and expert said state agencies now rely heavily on software for core services and that planning for software alongside hardware would improve efficiency, security, and long-term sustainability. There was no opposition, and the committee voted due pass on the substitute. The meeting then shifted to a lengthy discussion of Senate changes to House Bill 2, the budget bill. Senate Finance staff described roughly 300 changes, including additional funding for fire response, early childhood, housing, health care, quantum initiatives, public safety, courts, transportation, education, and several social service programs. Members questioned cuts or reallocations affecting state employee pay, public school capital outlay, the state fair redevelopment, CARA, personal care services, the Office of Child Advocate, and other items. The presenters repeatedly defended the Senate’s use of funds as a way to preserve reserves while prioritizing health care, housing, education, and other recurring needs, and said reserves would remain above the target level even with the changes discussed.

Transcript Highlights:

• In 2022, the insurance premium tax fund, Act 833, was incorrectly deposited into the Fire Department
• In 2022, the insurance premium tax fund, Act 833, was incorrectly deposited into the Fire Department
• I mean, usually in a case like that, banks make it good, and then they've got an insurance policy to
• “Or get excess insurance at that particular bank, either one of them would be accepted.
• Because you get FDIC insurance, but it has a cap on the amount.

Committee: All LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Summary: The committee began with prayer and approval of the January 8 minutes, then received updates on delinquent private water and sewer reports. Staff reported that for the 2022 reports, 19 of 43 entities had had their turnback reinstated, while 24 remained in escrow; for the 2023 reports, 59 of 64 entities had filed, leaving five outstanding. The committee also filed a report on Adona, where staff said the city had made enough progress toward substantial compliance with municipal accounting laws to discontinue withholding turnback, and the committee adopted that recommendation. The bulk of the meeting focused on municipal accounting noncompliance cases. Gum Springs and Denning were presented with extensive repeat findings involving budgets not adopted by ordinance or resolution, missing or incomplete bank reconciliations, inadequate receipts and disbursement records, payroll issues, and improper handling of Act 833 funds or other city money. Both cities’ mayors and recorders-treasurers testified about efforts to correct records, obtain training, and work with the Municipal League; the committee voted to start the 60-day turnback-withholding clock for both and then filed the reports. Fargo was deferred because no city representative was present. Additional reports included Green Forest, Elaine, Strong, Brooklyn, Mineral Springs, Rondo, Waldo, Columbia County, and several private water and sewer entities. Strong drew significant concern over missing garbage-bag revenue, improper fund transfers, and deficit balances; the committee deferred that report to the March meeting. The committee also heard investigative or referred reports on the Faulkner County Fair Association, Brooklyn payroll direct-deposit fraud, and other entities with questionable disbursements or recordkeeping. In several cases, staff recommended filing the reports after responses were received; in others, the committee deferred action when responses were lacking or representatives were absent. The meeting ended with a motion to defer a Cross County Rural Water matter so the entity could appear at the next meeting.

Transcript Highlights:

• Labor and Industrial Relations is to assess and collect a service charge for dishonored employment insurance
• Labor and Industrial Relations is to assess and collect a service charge for dishonored employment insurance
• This measure strengthens the integrity of the unemployment insurance program.
• exercising rights under the occupational safety and health law without formal extension. unemployment insurance
• Uh unemployment insurance program.

Bills: SB2119 , SB3131 , SB3069 , SB3180 , SB2137 , SB2993 , SB2778 , SB2672 , SB2014 , SB2967

Committee: House Labor

Keywords: reimbursement, public employees, travel costs, government travel policy, finance management, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, DAGS, Department of Accounting and General Services, comptroller, civil service exemption, collective bargaining exemption, public works special project branch, specialized public works, information technology modernization

Transcript Highlights:

• Balance billing is prohibited, and payment disputes occur only between the insurer and provider, not
• How would an insurance company process the close?
• How would an insurance company process the closed?
• How would an insurance company process the claim? Is there a DX code for it?
• My understanding is that the insurance companies may not pay for multiple visits.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• The accrediting body, KOKA, for DO schools requires effectively an insurance account or a bonded bond
• The accrediting body, KOKA, for DO schools requires effectively an insurance account or a bonded bond
• account or a bonded uh a bond insurance account or a bonded uh a bond that's<00:04:07.680><c> pledged
• The fire and tornado insurance premiums that was funded in the last biennium, we're going to ask for
• The fire and tornado insurance waiverss.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met to begin hearing budget requests from Kentucky universities. Eastern Kentucky University President David McFaden highlighted EKU’s enrollment growth, its large population of Pell-eligible and first-generation students, and its role in producing graduates for Kentucky’s workforce, especially in health care, public safety, manufacturing, engineering, and aviation. He said EKU is seeking support for a Center for Health Innovation, including a doctor of osteopathic medicine program, with a $50 million accreditation escrow and startup funding that would be returned to the state after accreditation. He also described EKU’s health programs, which have strong pass rates and high in-state employment outcomes, and said the university wants continued asset preservation funding, inflationary operating support, and other recurring budget items. McFaden also outlined EKU’s aviation request, including $10 million for new aircraft and support for an enhanced air traffic control program created in response to a legislative study. He said the program would enroll cohorts of about 30 students, likely attract out-of-state students, and require a $5 million startup investment plus $1.5 million in annual recurring support. He added that EKU’s lab school is seeking a revised funding model tied to enrollment rather than a flat mandated amount. Committee members asked follow-up questions about the medical school escrow, aircraft needs, and program capacity, and McFaden clarified that the escrow would remain intact until accreditation and then be returned to the general fund. Kentucky State University President Kakpo then reviewed prior capital support that helped repair a dorm and several leaking roofs, and said the university is still addressing campus infrastructure problems. He said KSU’s main request is a new health sciences building to house its growing nursing program and language program, along with $40 million for additional dorm renovations and a carve-out for its aquaculture program. Kakpo said the aquaculture PhD proposal would be federally funded and could bring in more revenue, while the new building would help relieve overcrowding and support KSU’s research role. In response to questions, he said KSU’s campus housing capacity would be about 1,334 beds if all dorms were repaired, and that the university is rotating students through renovated buildings while trying to keep them on campus. Committee members also raised safety concerns about the December campus shooting at KSU. Kakpo said the incident was isolated, expressed sympathy for the families affected, and said the university has reviewed campus procedures, added police and security positions, and is strengthening safety processes. The meeting did not include any votes or formal actions; it was a budget presentation and question-and-answer session.

Transcript Highlights:

• The self-insurance liability account.
• So, as you all may be aware, this is the account that is our state's self-insurance liability program
• Some notable increases in this area, the self-insurance liability account.
• Over 30,000 will lose access to Apple Health insurance. Where will these people go?
• We're seeing increases in insurance costs across the state.

Summary: The House Appropriations Committee opened with committee guidelines for the 2026 session, including limits on testimony, amendment deadlines, confidentiality expectations, and professionalism rules. Chair Ormsby also reviewed housekeeping for the public hearing, noting the meeting was recorded and live streamed, and that testimony would be limited to one minute because of the large number of sign-ups. The committee then began its work session on Governor Ferguson’s proposed 2026 supplemental operating budget, presented by OFM Director Katie Chapman, who outlined the state’s fiscal pressures: higher caseloads in major programs, a revenue forecast decline of about $390 million, federal policy changes tied to H.R. 1, inflation, and a relatively small ending fund balance. She said the governor’s budget solves about a $2.3 billion shortfall through nearly $800 million in spending reductions, revenue shifts, fund transfers, use of about $1 billion from the Budget Stabilization Account, and some tax preference changes, while also making targeted investments in areas such as child welfare, behavioral health, wildfire response, housing, and IT modernization. Chapman also explained that the proposal does not fully balance over the four-year outlook under the state’s statutory assumptions, but said the governor relied on the budget-balance law’s exception tied to BSA use and low employment growth. A question from Rep. Connors about credit ratings was answered with the view that the impact is difficult to predict and that Washington’s strong pension funding and balanced-budget framework remain positives. The public hearing drew testimony from state officials and many advocates, most of whom opposed specific cuts or fund shifts in the governor’s proposal. Secretary of State Steve Hobbs objected to proposed sweeps from the corporations and charities fund and the library archives account, citing prior cuts, layoffs, cyberattack-related costs, and the need to upgrade aging systems. Commissioner of Public Lands Dave Upthegrove urged restoration of wildfire prevention funding, saying the proposed amount was still $30 million short of the commitment in House Bill 1168 and that underfunding would increase suppression costs and risk to communities. Many education witnesses opposed reductions to Working Connections Child Care, transition to kindergarten, local effort assistance, Running Start, and higher education across-the-board cuts, arguing they would harm access, equity, and workforce development. Higher education leaders from community colleges, the University of Washington, Western Washington University, and Evergreen State College described staffing cuts, program reductions, and pressure on student services, while K-12 groups and OSPI said the budget would deepen existing funding gaps. A large portion of testimony focused on human services, health, housing, and civil legal aid. Child welfare and youth-serving organizations supported some targeted investments but opposed cuts to child care, child welfare network administration, and youth programs; advocates for foster youth, homeless youth, and mentoring programs asked for continued or increased funding. Health care and long-term care providers warned that proposed Medicaid and rate changes would reduce access for seniors, people with disabilities, and safety-net patients, while Planned Parenthood and abortion access advocates urged full restoration of the Abortion Access Project and related reimbursements. Housing and legal aid witnesses backed the governor’s proposed right-to-counsel funding but asked for more support, and homelessness advocates sought contingency funding for federal housing programs. Crime victim and domestic violence service providers repeatedly said the proposed $12 million was far short of the roughly $21.38 million needed to avoid service cuts and closures. Other testimony addressed the Climate Commitment Account shift for the Working Families Tax Credit, with environmental advocates opposing the diversion of CCA dollars and workforce advocates supporting the governor’s economic security and employment programs. No votes or formal committee action were taken during the hearing portion described in the transcript.