Transcript Highlights:

• Areas where those services may not be available.
• What are the right services? What are the right...
• So universal services and supports are simply just that, right?
• Here's a quick services spotlight.
• They come to our services or to our locations.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.

Transcript Highlights:

• services.
• </c> responsibility for those EIDBI services. responsibility for those EIDBI services.
• then to receive that parent services then to receive that parent chosen<00:14:31.199><c> service.
• </c> chosen service. chosen service.
• services.

Bills: HF4893

Keywords: education finance, student support, aid allowances, appropriation, school funding, 1183, house

Transcript Highlights:

• We passed... ...services that are provided, health care services that are provided in the Department
• An act to amend the Social Services Law in relation to enforcement.
• An act to amend the Social Services Law in relation to including services provided by certified recovery
• So this is in response to something: there is a need for an inventory of service lines and lead service
• So this would facilitate these lead service line inspections.

Keywords: 993, senate, all

Summary: The committee considered a series of health-related bills, many of which were described as repeat measures previously passed by the Senate. Topics included expanding telehealth coverage, increasing Department of Health oversight of correctional health services, improving transparency for managed long-term care plans, requiring written consent for psychotropic medications in nursing homes and adult care facilities, extending Medicaid inpatient coverage for childbirth, expanding abortion travel funding eligibility for active-duty military families, simplifying Medicaid enrollment and recertification, adding certified recovery peer advocates to standard coverage, strengthening protections against sexual misconduct by medical providers, covering medically tailored meals and nutrition therapy, regulating retail clinics, requiring nurse representation on hospital governing boards, creating a blood clot and pulmonary embolism work group, testing potable water in parks, setting PFAS drinking water standards, improving lead service line identification, creating a quality incentive program for Medicaid managed care, expanding concussion information requirements to additional youth sports, setting a residency requirement for funeral director licensure, and changing Medicaid Inspector General audit practices. Most bills were briefly explained by sponsors or the chair, with limited debate. Several members asked clarifying questions on specific provisions, including the frequency of park water testing, how concussion information would be distributed, and details of the nurse representation requirement. The chair also noted pulling one correctional health bill from the agenda in favor of a more comprehensive measure, and one bill on correctional health was formally removed from consideration. The committee voted on each remaining bill, generally with unanimous or near-unanimous support. Most measures were reported to either first reading or finance, while the bill on psychotropic medications was sent to aging. The correctional health bill that remained on the agenda was approved despite one opposition, and the bill on funeral director licensure was also advanced with one abstention. The meeting concluded after all listed bills were acted on.

Transcript Highlights:

• Garson, for your service. Thank you very much, Dr. Garson, for your service.
• Garson, thank you so much for your service, your continued service, and after today continuing your service
• Garson, thank you so much for your service, your continued service, and after today continuing your service
• And for behavioral health services... So how do we prevent?
• And those services are almost non-existent.

Summary: The Senate Committee on Rules established quorum and approved several routine items on the agenda, including governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee noted that some 2026 committee changes would take effect February 1, 2026, and that new committees would depend on adoption of a Senate resolution. The committee then heard from Dr. Hernando Garson, nominated as chief medical officer of the Emergency Medical Services Authority. He described his background in emergency medicine, disaster response, and EMS leadership, and members questioned him about EMSA’s strategic plan, data integration, statewide standards versus local flexibility, ambulance patient offload time regulations, stakeholder engagement, and emergency response coordination. Dr. Garson emphasized data-driven decision-making, technical assistance to local agencies, collaboration with hospitals and EMS stakeholders, and the need for safer alternatives to routine ambulance transport such as community paramedicine, telehealth, and nurse triage. He also discussed disaster preparedness for vulnerable and rural communities and the use of regional and state assets, including ambulance strike teams, during fires and floods. The committee approved his appointment 4-0. The final item was Stephanie Weldon’s nomination as Deputy Director of the Office of Health Equity at the Department of Public Health. Weldon, who identified as Yurok-Tolowa and Karuk, spoke about her tribal, county, nonprofit, and state experience, her role as the first Native American woman in the position, and her commitment to health equity, rural communities, and culturally responsive public health work. Senators asked about how the office sets priorities, measures outcomes, addresses behavioral health, tribal consultation, youth mental health, and how it responds to political pressure around DEI language; Weldon said the office focuses on community-driven, data-informed work and transparency. Public commenters strongly supported her confirmation, citing her leadership on the California Reducing Disparities Project and related equity efforts. The committee approved her appointment 4-0, sending it to the full Senate for confirmation.

Transcript Highlights:

• Garzon, for your service. Thank you very much, Dr. Garzon, for your service.
• Garson, thank you so much for your service, your continued service, and after today continuing your service
• And for behavioral health services... So how do we prevent?
• I'm the Executive Director of Bass Social Services Foundation.
• I live in Delnark County. have access to those services.

Summary: The Senate Committee on Rules convened, established quorum, and first approved several governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee then heard and advanced two appointments requiring testimony. Dr. Hernando Garzon, nominated as chief medical officer for the Emergency Medical Services Authority, discussed his background in emergency medicine, disaster response, EMS data modernization, local flexibility within statewide standards, ambulance offload time regulations, stakeholder engagement, and alternatives to emergency transport such as community paramedicine and telehealth. Members pressed him on strategic planning, rural and climate-related disaster response, ambulance rate reporting, and how EMSA can better protect vulnerable people during evacuations; his appointment was approved 4-0 and sent to the Senate floor. Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health, described her tribal background, prior public service, and focus on health equity, behavioral health, tribal consultation, data, and community-led programs. Senators asked about measuring outcomes, serving rural communities, balancing equity work amid federal DEI opposition, youth mental health, and preventing fraud or waste through transparency. Public commenters, including tribal, health, and community advocates, strongly supported her nomination. Her appointment was also approved 4-0 and forwarded to the full Senate.

Transcript Highlights:

• Service.
• The services in that center have expanded.
• of Veteran Services officers.
• How are we rendering those services?
• that they've earned through their service.

Transcript Highlights:

• This is a service that wouldn't have otherwise been available.
• Our service... that we provide is available from 7 a.m. to midnight.
• to allow for folks who have been impacted to use your service at no cost.
• You're providing a service. Do they, are those other carriers required?
• San Francisco Municipal Transportation Agency for transit service projects.

Keywords: 988, house, all

Transcript Highlights:

• These resources will expand service opportunities. ...through 2026.
• So these types of, whatever we want to call them—service projects, service learning, internships—really
• I love sharing my story and hope that it inspires other students to become service members.
• Jason Kenney, Chief Deputy Director for the Department of General Services.
• We are asking for a service revolving fund in the amount of $5.9 million.

Summary: The subcommittee held an informational budget hearing covering several GovOps, CDT, CPPA, and DGS items. GovOps reported that most deliverables under the Governor’s generative AI executive order have been completed, including guidelines, procurement tools, community-impact guidance, and a new project delivery lifecycle for Gen AI projects; one workforce-related deliverable remains. Members and public commenters raised concerns about privacy, labor impacts, and how the state will explain and oversee Gen AI use. The committee also heard a proposal to create a California Education Interagency Council with $5 million ongoing and 16 positions to coordinate workforce and education systems; LAO questioned duplication and recommended limited-term funding, while supporters said a neutral convening body is needed to improve coordination and student outcomes. GoServe presented the College Corps budget proposals, describing the program as a paid service and career-development opportunity for undergraduate students that helps reduce college costs while supporting communities through tutoring, food insecurity work, climate and disaster response, and other service. The administration sought one-time and ongoing funding to expand the program to more campuses and students, while LAO objected to the high administrative costs and recommended rejection. Several students and alumni testified that College Corps provided financial support, professional experience, and career pathways. The committee also heard a $5 million proposal for a Belonging Campaign to address loneliness and social isolation through research, outreach, and local grants; LAO said the proposal lacked clear goals and measures, while supporters said the effort is needed for youth, seniors, and community resilience. The Department of Technology updated the Middle Mile Broadband Initiative, saying construction is underway on the statewide open-access network and the project remains on track for the 2026 deadline, though LAO noted a required business plan had not yet been submitted. The California Privacy Protection Agency presented its Delete Act implementation request for the DROP platform, which will let consumers request deletion of personal information held by data brokers; LAO flagged oversight concerns because CDT is both developing the system and involved in project support. Public commenters from business groups urged caution on CPPA’s rulemakings, warning of compliance costs and job impacts. The Department of General Services then discussed implementation of Proposition 2 school facilities bonds, requesting staffing and administrative funding to manage the new bond program and continue school facility work. Officials said the program can also help districts affected by the January wildfires, including interim site funding and expedited assistance. Finally, DGS requested authority and positions to operate Building 18 for labor-agency tenants relocating from older Capitol Mall space; SEIU Local 1000 criticized the state’s four-day return-to-office policy and said telework has improved productivity and retention. No formal votes were taken; the hearing concluded after public testimony and member questions on each item.

Transcript Highlights:

• So the biggest part of this pie chart, as you can see, is for health and human services.
• To note our Human Services Agency budget is three hundred and forty million dollars.
• from our Human Services Agency including 240,000 Medi-Cal enrollees.
• and then use those dollars to fund a very vital public service in the state.
• It's about attacking our basic ability. to provide human services and healthcare services to Californians

Keywords: 988, house, all

Transcript Highlights:

• Welcome to the subcommittee, the Appropriations Subcommittee for Health and Human Services.
• for claims, benefits, and other services linked to veterans in the state.
• So they're migrating services.
• We run all of the state's outpatient services, all of those community-based services.
• But again, we looked at all those services.

Keywords: 914, all

Transcript Highlights:

• as protective services, victim services, foster care and adoptions, foster workforce development and
• Please welcome Peggy Price. ...and in-home supportive services. Please welcome Peggy Price.
• Please welcome Maria Solorio. ...well-being through regional leadership and public service.
• . ...a Buddhist mission through which she has devoted decades of humanitarian service.
• A proud Filipina and mother, she empowers communities through leadership and service.

Keywords: 988, house, all

Transcript Highlights:

• Programming to help people become aware of and to access services.
• They provide a pretty important service.
• Section 16, the funding from the Human Service Finance Fund, $242 million, is what funds the human service
• You know, we're reluctant to add FTEs, so we contract out services.
• They have to monitor and manage bad evidence of service providers.

Keywords: 908, all

Summary: The committee first took up House Bill 1012, the Department of Health and Human Services budget. Senator Dever walked through the amended budget, highlighting a roughly $5.85 billion all-funds total, major one-time items for IT, child care, housing, behavioral health, juvenile justice, rural EMS, and supportive housing, along with funding for Medicaid expansion, CCBHCs, opioid settlement uses, and several studies and reporting requirements. Members discussed the provider inflation increase, with Senator Mathern urging a 2%/2% rate instead of 2%/1.5%, but the committee adopted the subcommittee amendment and then passed the amended bill 15-0 with a do-pass recommendation. Senator Dever was named as carrier. The committee then considered House Bill 1540, a school choice/education savings account-style bill. Senator Shibley explained the subcommittee amendments, including clarifying the Bank of North Dakota as administrator, adding a means test at 400% of the federal poverty guideline, and adjusting the fiscal note to about $21.7 million for the second year. In debate, members raised concerns about the bank being assigned duties outside its normal role, the lack of DPI involvement, and whether the means test should be tiered rather than a hard cutoff. The committee rejected a do-not-pass motion 5-10-1, then approved a do-pass motion on the amended bill 9-6-1, with Senator Wobama noted as the likely carrier. The meeting ended with the chair announcing the committee would adjourn and reconvene the next morning.

Transcript Highlights:

• services to be able to work together.
• That could provide services or already are providing services to be able to work together.
• Services for aging populations. So, a couple questions.
• Adult Protective Services is the person showing up.
• repeating the exact same service, literally, that the person is receiving.

Summary: The House Committee on Health and Mental Health met in executive session and first adopted a substitute for House Bill 3401, Representative Phelps’s workplace violence bill, then voted the House Committee Substitute do pass. The substitute broadened language by removing a specific reference to bodily fluids, based on testimony from hospital security personnel that broader wording would be easier to prosecute. The roll call showed the substitute adopted and the bill passed out of committee. The committee then heard House Bill 2370, sponsored by Representative Peters, which would require private insurance to cover a one-year supply of self-administered hormonal contraceptives at one time, similar to Missouri HealthNet. Supporters included ACOG, the Missouri State Medical Association, Beacon Reproductive Health Network, and the Missouri Nurses Association, who argued the bill would improve access, reduce missed doses and unintended pregnancies, and save costs by reducing barriers such as transportation, work schedules, and pharmacy refill gaps. The Missouri Insurance Coalition opposed the bill, arguing it would impose a mandate on private plans, increase costs—especially for brand-name products—and raised questions about whether the bill would require bulk dispensing and how it would interact with existing refill rules. The committee also heard informational testimony from MoSPI noting rural access barriers, higher adherence with 12-month supplies, and that Missouri HealthNet already covers an annual supply. Finally, the committee heard House Bill 3278, sponsored by Representative Lobbinger, which would create a multidisciplinary adult protection team framework for adults 60 and older and adults 18 and older with cognitive impairments or disabilities. The bill is intended to improve coordination among agencies handling abuse, neglect, and exploitation cases by allowing limited information sharing and reducing duplicated investigations while preserving confidentiality and guardianship protections. DHSS testified in support, saying the bill would provide a clearer framework for existing multidisciplinary teams, streamline coordination, and help protect vulnerable adults without creating new positions or infrastructure. Committee members asked about membership, meeting frequency, conflicts of interest, and how the bill differs from the ombudsman system; the sponsor and DHSS explained that the teams would be case-specific, generally meet as needed or quarterly, and apply to community cases rather than facility residents. The sponsor also submitted letters of support from existing multidisciplinary teams and related organizations.

Transcript Highlights:

• Anitaa Leab Billo; and whereas while on Maui the team was partnered with the Department of Human Services
• Anitaa Leab Billo; and whereas while on Maui the team was partnered with the Department of Human Services
• Kaiser Permanente Department of Services Kaiser Permanente Department of of<00:19:28.919><c> Health<
• Steven A Cohen military family Services Steven A Cohen military family clinic<00:19:36.960><c> and</
• </c><00:20:35.400><c> in</c> flight for their exceptional service in flight for their exceptional service

Keywords: 910, house, all

Summary: The House was called to order with 47 members present. After the journal reading was deferred and there were no messages from the Governor or Senate communications, members offered several introductions recognizing visiting guests, including tourism and hospitality representatives, Kahakai Elementary School students and staff from Kona, a Portuguese delegation from the Luso American Development Foundation, and other constituents and aides. The chamber then moved to floor presentations. House Resolution No. 84 was presented, commending the United States Air Force Reserve Command 624th Aeromedical Staging Squadron Medical Operations Flight for humanitarian service providing mental health support after the Maui wildfires. Representative Perck moved adoption, Representative Cochran seconded, and the resolution was read into the record describing the unit’s work with state and nonprofit partners to distribute supplies and support survivors’ emotional recovery. The House adopted the resolution by voice vote, and the motion carried. Following the presentation, the House recessed briefly so members could congratulate the honorees. When the House returned, there were no resolutions for action, and announcements included the Women’s Legislative Caucus Easter basket drive, recognition of Hawaii Iron Workers Stabilization Fund visitors, birthday greetings, and a reminder that substantive resolutions were due by 6:00 p.m. The House then voted to keep the journal open until 6:00 p.m. for resolution introductions and adjourned into recess until 12:00 noon Monday.

Transcript Highlights:

• determine if our present uh service determine if our present uh service provider<00:24:03.360><c> or
• </c> as a developer and then have our service as a developer and then have our service provider<00:34
• </c> also the obligation of the service also the obligation of the service provider.<00:37:19.760><c>
• </c><00:37:22.960><c> are</c> frame requirements as no services are frame requirements as no services
• </c> there's so been so many service outages. there's so been so many service outages.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:27 Legislative Research Commission 00:01:15 KentuckyWired Operations Company 00:17:30 Wireless Internet Service Providers Association 00:40:15 Administrative Office of the Courts 01:08:55 Kentucky Auditor of Public Accounts 01:33:00, 958, all

Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.

Transcript Highlights:

• Among his many service patrols.
• Singleton, thank you for your military service and your exemplary public service to our students and
• Services. Services.
• </c> registering with a selective service. registering with a selective service.
• </c> record of service and accomplishment. record of service and accomplishment.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• Calling the Health and Human Services Committee.
• </c> and support Hawaii Youth Services and support Hawaii Youth Services Network<00:04:21.280><c> and
• Services yes um first up we we have okay Services yes um first up we we have okay it's<00:05:01.440><
• </c> Daisy Hartsfield Social Services Daisy Hartsfield Social Services Division<00:05:16.240><c> administrator
• First up was SB 298, relating to Human Services.

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• </c> thank you for your outstanding service thank you for your outstanding service to<00:02:16.160><c
• </c> providing direct health care services. providing direct health care services.
• </c> local services, and tracks outcomes. local services, and tracks outcomes.
• ><c> used</c><00:09:43.920><c> more</c> health services were used more health services were used more
• </c> and be able to bill for that service. and be able to bill for that service.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• And we don't even have a commissioner Services, the agency most overrun with Services, the agency most
• When autism services and housing stabilization services grew by multitudes year-over-year, the state
• For example, many states require electronic visit verification for PCA services and other services.
• </c> services and other services. services and other services.
• addiction services.

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• That was since the service ended on 12-1, not on 7-1.
• But federal law and Idaho law restrict the department in how many services and the certain types of services
• But an example of that might be dental services, chiropractor services, you know, Medicaid expansion,
• But an example of that might be dental services, chiropractor services, you know, Medicaid expansion,
• decisions and services are explicitly protected in Idaho Code.

Keywords: 989, all

Summary: The committee met briefly to clarify priorities for available funding, with the chair noting that JFAC had already removed funding for one SRO-related item and that the committee would need to decide how to proceed. Senator Kevin Cook was invited to outline several potential behavioral health and Medicaid-related uses of funds, emphasizing that he was not lobbying but providing information on costs and impacts. Much of the discussion focused on three behavioral health services that had been cut: Assertive Community Treatment (ACT), Adult Peer Support Services, and Healthy Connections. Senator Cook and Department of Health and Welfare Medicaid administrator Sasha O’Connell described ACT as an evidence-based team service for people with severe mental illness, noting it had been cut under the governor’s holdback and that restoring it would cost about $1.3 million for the remainder of FY 2026 and $4.1 million in FY 2027. Peer support was described as a trained recovery-based service, with estimated costs of $2 million for FY 2026 and $6 million for FY 2027. Healthy Connections, which had ended due to statute rather than department action, was estimated at $1.5 million to finish FY 2026 and $6.3 million for FY 2027. O’Connell explained that the cuts were driven by budget holdbacks and limited options under state and federal law, and that ACT had been moved into the Magellan Medicaid contract to leverage federal matching funds. Members asked about the Medicaid match, the number of people served, and why these services were not included in earlier Medicaid funding decisions. Several members and Senator Cook argued that ACT in particular reduces costs and risks by preventing hospitalizations, jail stays, and law enforcement crises, and cited letters and personal examples supporting the program. The committee did not take final action, but members expressed support for ACT and discussed whether statutory changes or another meeting would be needed before any funding decision.