Video & Transcript : 'open primary' :
Page 214 of 500
ID
Transcript Highlights:
- it was last year we passed legislation to provide that the state would use the firing squad as a primary
- I open the committee for a motion. Senator Kaiser. Thank you, Mr. Chair.
- That's what this opens up.
- And so this, this, you know, obviously we know that the primary issue is a little bit one-sided, that
Committee:
Senate Judiciary and Rules
WA
Washington 2025-2026 Regular Session
JLARC I-900 Subcommittee for SAO Performance Audits Oct 8th, 2025
JLARC I-900 Subcommittee for SAO Performance Audits
Transcript Highlights:
- Meanwhile, patients who could have been cared for by a primary care provider or social worker can end
- So let's hear from three people who are online, and then we'll open it up for questions for all the presenters
- The Office of Economic Development and Competitiveness is the primary division within Commerce tasked
- So with that, I'd be open for any questions. Thank you.
Summary:
The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain.
Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them.
The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation.
Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.
CA
California 2025-2026 Regular Session
Assembly Communications and Conveyance Committee Jun 23rd, 2025
Transcript Highlights:
- Assembly Member McKinnor, you may open. Yes. Good afternoon, Madam Chair and members.
- I believe we already did other witnesses in support, so we'll now be moving on. ...to the two primary
- areas of concern, I'll start, if it's okay, with the issue of CWA's The issue of the source of CWA's primary
- When the CPUC opens their new rulemaking, there will once again be an opportunity for the public to provide
Summary:
The Assembly Communications and Conveyance Committee heard AB 470 by Assembly Member McKinnor, a bill to modernize California’s carrier-of-last-resort rules for voice telephone service and create a process for carriers to transition away from obsolete copper networks in favor of advanced telecommunications infrastructure. The author and supporters said the bill is aimed at preserving reliable voice and 911 access while encouraging private investment in fiber and other modern networks, and emphasized that it is not a broadband bill. Support came from AT&T, business groups, and a former Cal OES director, who argued the bill provides a careful, phased modernization with CPUC oversight and increased public-safety investment requirements.
Opposition came from TURN, CWA District 9, digital equity organizations, labor groups, and several local governments and county representatives. Critics raised concerns about the adequacy of the mapping process, reliance on broadband and wireless coverage data, the lack of on-the-ground verification, the challenge process, possible loss of Lifeline protections, and the impact on workers and union jobs. They also argued the bill could allow carriers to reduce universal-service obligations without enough safeguards for rural and vulnerable customers.
Committee members discussed those concerns at length, especially the map-making process, the challenge procedure, and whether the bill sufficiently protects workers and customers who could be left behind. The author said the bill includes a 10-year backstop if service is lost, a CPUC-led process, and a three-to-one fiber buildout requirement tied to relinquishment, and expressed willingness to continue working with labor on workforce language. The committee ultimately passed AB 470 on a 7-0 due pass vote.
HI
Transcript Highlights:
- And that’s why you have to open bed space at the minimum-security facilities. >> Okay.
- Okay,<00:36:53.920><c> we</c><00:36:54.240><c> are</c><00:36:54.480><c> opening</c><00:36:54.800><c>
- </c><01:41:49.280><c> Uh</c> and we get a special project open.
- Uh and we get a special project open.
- </c><03:17:08.319><c> responsibility</c> Authority retains primary responsibility Authority retains primary
Bills:
HB1769
Committee:
House Public Safety
Keywords:
criminal justice reform, rehabilitation, private prisons, racial equity, Native Hawaiians, community well-being, mass incarceration, 910, house, all
Summary:
The committee heard House Bill 1769, which would require the Department of Corrections and Rehabilitation to incrementally reduce the number of people incarcerated in private out-of-state correctional institutions. The DCR director opposed the bill, saying the department does not control overall prison population levels because courts determine admissions, and arguing that Hawaiʻi’s in-state facilities are already over capacity, especially Halawa, which he said is 165% over design capacity. He said only a small portion of the population is under departmental control through furlough programs and argued that bringing people home would require building a new medium-security prison.
Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Public Defender’s office, and several individuals, argued the bill creates a phased, accountable path to reduce reliance on mainland prisons and bring people home. Supporters emphasized the harms of separating incarcerated people from ʻohana and culture, the disproportionate impact on Native Hawaiians, and the need for diversion, treatment, re-entry support, and fair sentencing. Several testifiers also said the department has more control than it claimed, pointing to underused furlough options, reclassification, and empty beds at some in-state facilities, while others urged clearer statutory language and guardrails.
Members questioned the director about whether people could be reclassified or moved to available beds at facilities such as Kulani and Waiawa, and about whether the department could do more through staffing and contract changes. The director said some proposals had been sent to the Department of Human Resource Development, but that major facility changes would be costly and that minimum-security facilities would need substantial upgrades to house medium-security inmates. After discussion, the chair said the committee would defer HB 1769 to Wednesday, February 18, 2026, at 11:30 a.m. for decision-making and adjourned the meeting.
NH
Transcript Highlights:
- was the primary Community but this<00:18:34.840><c> has</c><00:18:35.039><c> come</c><00:18:35.280><
- I'd be open to any questions, and I have a handout if I can pass it around.
- I'd be open to any questions, and I have a handout if I can pass it around.
- Actually, I appreciate you opening this avenue of conversation.
- Actually, I appreciate you opening this avenue of conversation.
Committee:
Senate Judiciary
AR
Arkansas 2026 Regular Session
CHILDREN & YOUTH COMMITTEE- SENATE & AGING, CHILDREN & YOUTH, AND LEGISLATIVE AFFAIRS- HOUSE Feb 11th, 2026
Transcript Highlights:
- Okay, I'm going to keep it open for a little bit longer. All right, seeing none.
- Okay, I'm going to keep it open for a little bit longer. All right, seeing none.
- Is this open to any organization in Arkansas? That's a great question.
- Vera Lloyd Consolidated youth services are the primary two that we have.
- And I'm always open to talk to judges about any concerns they have.
Summary:
The committee first approved the December 10 minutes and then approved Representative Bentley’s appointment to the Child Maltreatment Oversight Committee. Members then received the Arkansas Infant and Child Death Review annual report, which covered unexpected child deaths in 2023. Reviewers said 170 non-natural deaths were identified, but 22 could not be reviewed because of criminal investigations, prosecutions, or missing records. Of the 148 reviewed deaths, 69 were accidents, 14 suicides, 18 homicides, and 47 were undetermined causes, including sudden unexpected infant death. Members asked how the report’s recommendations could be used, and presenters said the report is intended as a prevention tool for agencies, nonprofits, and others; they also noted that child abuse prevention grant applications are being shaped by the report’s recommendations and offered to share the RFP with the committee. A question about suicide and homicide data by age was answered by pointing members to the age breakdown in the report, with most of those deaths concentrated among 15- to 17-year-olds.
The committee then took up HCR 1010 and a broader discussion of juvenile justice reform. Representative Shepard said the resolution was meant to confront data on juvenile incarceration and the cost of the system, while Senator Irvin, Judge Troy Braswell, Judge Kathy Hess, and AOC Juvenile Division Director Burke Steen described years of reform efforts built around validated risk assessments, diversion, and community-based services. They said Arkansas adopted tools such as SAVRY, the MAYSI, and substance-abuse screening to individualize juvenile court responses, and they emphasized that the goal is to keep children at home and in their communities when safe to do so. Members discussed the need for more mental health and substance-abuse services, better school collaboration, and the role of school safety dashboards and FINS/truancy cases in identifying problems earlier.
Judges and staff said the reforms have reduced delinquency filings, DYS commitments, and revocations, while increasing diversions, though they noted data gaps in some counties and the need for better reporting. They also stressed that some serious offenses still require detention or commitment, and that judges must balance public safety with rehabilitation. Representative Barnes and others asked whether the numbers might be worse without judicial discretion and community programs, and the presenters agreed that individualized decision-making and graduated sanctions matter. Representative Inatt asked about tracking youth with disabilities, and the presenters said that specific diagnoses are not currently tracked but that national court data efforts may soon add behavioral-health data points. The committee then heard from DYS Director Michael Crump, who provided detailed data on DYS commitments, secure and community-based placements, detention-center use, demographics, offense levels, average length of stay, education outcomes, recidivism, dual DCFS/DYS custody, costs, and interagency coordination. He said commitments fell sharply during COVID, have since risen and then begun to decline, and that the system is working to reduce detention use, improve education and treatment, and expand community-based providers statewide.
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 31st, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- Let's open up public testimony on Senate Bill 34. I would like to call Michael DeLanzo.
- All right, at this time, we'll open up public testimony on Senate Bill 1948.
- Open up public testimony on the committee substitute for Senate Bill 1948.
- Open public testimony. Michael Moon.
- Flower Mound continues to ban livestock on open space zoned for residential purposes.
Bills:
SB34 , SB119 , SB261 , SB532 , SB1035 , SB1245 , SB1247 , SB1267 , SB1442 , SB1930 , SB1948 , SB2078 , SB2112 , SB2143 , SB2155
Committee:
Senate Water, Agriculture and Rural Affairs
Keywords:
wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Aug 10th, 2026
Transportation
Transcript Highlights:
- The hearing room is open for attendance at this hearing, and it can be watched from a live stream on
- We will allow two minutes each for two primary witnesses, and support and opposition of the bill.
- of this hearing to come so we can establish a quorum, and noting that our quorum roll will be held open
Committee:
House Transportation
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 01/30/25
Commerce and Consumer Protection
Transcript Highlights:
- So this means that people will likely lose insurance, fewer Minnesotans will receive primary care, and
- lose insurance fewer motans will likely lose insurance fewer motans will receive<00:01:37.119><c> primary
- care and more people receive primary care and more people rely<00:01:39.119><c> on</c><00:01:39.280>
- I'm open to any other plans we have.
- With that, I'll open it up for questions. Mr.
Committee:
Senate Commerce and Consumer Protection
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 3rd, 2026
Transcript Highlights:
- We're going to open it up to our members to ask you questions.
- So let me open it up to our audience, and I think I see Leo's hand up. Thanks.
- Because ultimately the state being our primary example, the 3% workforce goal that we have set for our
- . ...help guide this program and how we're implementing it because ultimately the state being our primary
- I can share that again, but we're open to inviting folks to speak more about the housing crisis issue
Summary:
The Massachusetts Permanent Commission on the Status of Persons with Disabilities opened its June virtual meeting with roll call and approval of the March minutes. The chair reported on recent “Meeting the Moment” community conversations, noting strong attendance and positive feedback from the Lowell event, and announced the next community conversation will be held July 14 in Northampton. The commission also previewed its National Disability Employment Awareness Month event for October 7 at the State House, which will include a panel on artificial intelligence and its impact on people with disabilities.
A major presentation came from the Supplier Diversity Office on its Empowering Abilities in Contracting and Employment (EAC) program. The coordinator described the program’s history from a 2016 law and 2018 pilot to its statewide launch on July 1, 2025, and said it now applies to new statewide contracts. She reported about 292 active disability-owned and service-disabled veteran-owned businesses certified, about 40 vendors currently on EAC contracts, and growth expected to about 80 by July and more than 130 by November. The program’s goals include increasing certification and contracting opportunities, improving workforce participation, and reaching a 3% disability workforce goal among vendors. Members praised the program and asked about the mix of disability-owned and veteran-owned businesses, geographic reach, and how the model might be replicated elsewhere.
The advisory council update highlighted ongoing collaboration across access, employment, youth transition, housing, health equity, transportation, technology, and AI, with members sharing resources and planning to support the October employment event. Subcommittees then reported on recent work: the disability employment subcommittee heard about transition-to-employment barriers, the disability employment tax credit, veteran services, and a State Exchange policy brief on disability employment; the workforce supports subcommittee hosted a webinar on apprenticeships as a response to workforce shortages in disability services; and the long-term services and supports/health equity subcommittee heard presentations on care coordination resources and on health care inequities for people with disabilities during and after COVID. The executive director also reported on ongoing meetings with state agencies and advocacy groups about MassHealth, caregiving, aging, AI, and employment barriers such as the benefit cliff. The meeting ended with commissioner announcements on the Paul Spooner Generational Leadership Summit and a Medicaid summit, discussion of housing and transportation as employment-related issues, and a motion to adjourn, which passed unanimously.
WA
Washington 2025-2026 Regular Session
Joint Legislative Committee on Water Supply During Drought Apr 30th, 2026 at 08:30 am
Joint Legislative Committee on Water Supply During Drought
Transcript Highlights:
- Chair, if you're open to it, as I mentioned earlier, I'm in New Orleans right now for my day job and
- The emergency drought response grant application period opened April 8th.
- And I'm happy to open up to any questions. I can't hear you. You're muted. Okay.
- The last two years we've had significantly low flows on the Elwha River that feeds the primary water
- So we'll see where that goes with areas that don't... ...the primary water supply to the city of Port
WA
Washington 2025-2026 Regular Session
Joint Legislative Committee on Water Supply During Drought Apr 30th, 2026
Joint Legislative Committee on Water Supply During Drought
Transcript Highlights:
- Chair, if you're open to it, as I mentioned earlier, I'm in New Orleans right now for my day job and
- The emergency drought response grant application period opened April 8.
- And I'm happy to open up to any questions. I can't hear you. You're muted. Okay.
- see where the last two years we've had significantly low flows on the Elwha River that feeds the primary
- The primary water supply to the city of Port Angeles.
Summary:
The committee met with a quorum and first elected Rep. Reeves as chair and Rep. Dent as vice chair for the coming year, with the vote appearing unanimous. After a brief discussion about who would chair the rest of the meeting, the committee proceeded to its regular agenda focused on the 2026 drought situation in Washington.
The Washington state climatologist, Karen Mbacca, and Department of Ecology drought staff presented data showing a statewide drought declaration issued April 8 due to very low snowpack, warm winter temperatures, and resulting water supply concerns. They described the state’s statutory drought criteria, current reservoir and streamflow conditions, Yakima Basin water supply forecasts, likely summer temperature and precipitation outlooks, and the possibility of an El Niño developing later in the year. Ecology said the declaration makes $3 million in drought response grants available and allows expedited water transfer processing, and staff said they are already hearing concerns about impacts to agriculture, fish, and drinking water systems.
Committee members discussed the need for longer-term drought preparedness, possible legislative tools, and whether additional funding or reservoir/storage strategies should be considered. Rep. Dent and others asked about available grant money and future mitigation planning, while Ecology said it is open to working with the legislature and stakeholders on resilience measures. The committee then heard a contrasting presentation from Dr. Cliff Mass of the University of Washington, who argued there is no current drought emergency because reservoirs are full, precipitation and soil moisture are near or above normal in many areas, and agriculture is performing well; he said the state’s drought declaration is not justified by current conditions. Members questioned him about reservoir capacity, drought definitions, and forecasts, and the meeting ended with several members thanking departing legislators and noting the importance of continued water planning.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 43 Apr 20th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- And whereas these Oklahoma National Guard firefighters' primary mission was aviation emergency response
- That a city can be broken open and choose to become more generous and not more guarded That hope is not
- Why open the scope so broadly?
- I believe our courts should remain open, and I believe Oklahoma taxpayers should not be left holding
- shoved down the throat by boards of directors subscribing to an ideology who is openly admitted their primary
Keywords:
Oklahoma City, terrorism, Alfred P. Murrah Federal Building, memorial, remembrance, first responders, community support, child abuse, reporting requirements, sexual misconduct, law enforcement, school personnel, confidentiality, student safety, fossil fuels, liability protection, climate change, energy independence, oil and gas, 914
WA
Washington 2025-2026 Regular Session
Senate Agriculture & Natural Resources Feb 19th, 2026
Transcript Highlights:
- So this bill simply takes the sunset off, and I appreciate that and open it up to any questions.
- Madam Vice Chair, we'll open the public hearing if there's no further questions. Thank you, Chair.
- Madam Vice Chair, we'll open the public hearing if there's no further questions. Thank you, Chair.
- support to truly deliver on the goal of food security in these communities statewide, one of the primary
- One of the primary reasons the Acmination sought out a food-producing farm was largely in part to address
Summary:
The Senate Agriculture and Natural Resources Committee held public hearings on several House bills. ESHB 2238 would require the Department of Agriculture to develop a statewide food security strategy, monitor food system performance, and report on agricultural regulatory costs and competitiveness; the sponsor and many stakeholders from agriculture, food banks, school nutrition, counties, and advocacy groups supported it as a coordinated response to food insecurity and farm viability, while one requested amendment was addressed on the House floor. HB 2199 would expand the derelict vessel removal program by changing the definition of derelict vessel to allow earlier intervention when vessels are unregistered for two annual periods; ports, local officials, and environmental advocates testified in support, and the bill had no fiscal impact noted. HB 2104 would remove the sunset from the Aviation Assurance Funding Program for wildland fire response, with support from fire chiefs and the sponsor emphasizing its value for rapid initial attack and cost savings. HB 2554 would repeal statutes from Initiative 456 that conflict with treaty fishing rights; the Attorney General’s Office, Department of Fish and Wildlife, and the sponsor supported repeal as necessary to remove unenforceable anti-tribal language, while testimony comments showed substantial opposition. HB 2619 would create a legislative task force to review regulatory stress in agriculture and recommend changes; the sponsor linked it to farmer mental health and suicide prevention, and there was no public testimony. HB 2343 would require public game farms operated by Fish and Wildlife to obtain water discharge permits and meet manure/runoff controls; staff noted it would apply to the known public facility and carry modest compliance costs, with no public testimony. The committee also unanimously waived the five-day notice rule for HB 2104, 2554, 2619, and 2343, and closed the hearings without taking final votes, planning to consider all six bills in executive session at a later meeting.
FL
Florida 2025 Regular Session
October 8, 2025 - 10:30 AM
Transcript Highlights:
- THIS IS OPEN, GO AHEAD AND START INPUTTING YOUR INFORMATION.
- STREAMLINING THAT FROM A PRACTITIONER'S STANDPOINT AND I BELIEVE THE PRESIDENT I BELIEVE FEMA WILL BE OPEN
- SURCHARGE FEES ETC., OUR TRADITIONAL REVENUES ARE FLAT SO IF YOU LOOK AT THIS BAR CHART AND LOOK AT THE PRIMARY
- BEFORE WE WERE DOING WORKFORCE DEVELOPMENT ON A PRIMARY PROJECT BY PROJECT BASIS SO WE BEGAN TO TRANSFORM
- I DROVE IT AFTER THESE LANES OPEN IN AN HOUR AND 15 MINUTES.
OK
Oklahoma 2026 Regular Session
Joint Committee on Appropriations and Budget Apr 20th, 2026 at 04:30 pm
Joint Committee on Appropriations and Budget
Transcript Highlights:
- The annex is already open, which will hold 32 beds.
- Ta f, please open the cue for a vote.
- Seeing no call for debate, staff, please open the queue.
- Seeing no call for debate, staff, please open the queue.
- Seeing no call for debate, staff, please open the queue.
Bills:
HB4028 , HB4029 , HB4059 , HB4063 , HB4073 , HB4074 , HB4075 , HB4076 , HB4077 , HB4078 , SB1130 , SB1131 , SB1132 , SB1133 , SB1134 , SB1142 , HB4028 , HB4029 , HB4059 , HB4063 , HB4073 , HB4074 , HB4075 , HB4076 , HB4077 , HB4078 , SB1130 , SB1131 , SB1132 , SB1133 , SB1134 , SB1142
Keywords:
tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 2/18/25
Energy Finance and Policy
Transcript Highlights:
- We have a very open and transparent stakeholder process.
- We have a very open and transparent stakeholder process.
- We have a very open and transparent stakeholder process.
- We have a very open and transparent stakeholder process.
- We have a very open and transparent stakeholder process.
Bills:
HF75
Committee:
House Energy Finance and Policy
Keywords:
HF75, earned incentive release credit, earned incentive credits, revocation, revocable credits, corrections, Minnesota Department of Corrections, prison discipline, incarcerated persons, inmate misconduct, facility rules, sentence reduction, supervised release, Minnesota Rehabilitation and Reinvestment Act, public safety, rehabilitation, prison credits, executed sentence, 1183, house
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 28 January, 2026; 8:15 AM
Appropriations
Transcript Highlights:
- </c><00:14:07.279><c> it</c> that point and I'm going to then open it that point and I'm going to then
- up some wounds that need to be opened up some wounds that need to be fixed. fixed. fixed. and<00:19:
- We know that two<00:57:40.720><c> of</c><00:57:40.880><c> the</c><00:57:41.359><c> primary</c><00:57:
- I can't tell you that all three of those would be fully, you know, would be full if they were open.
- Um, the primary impact is going to be in the SNAP program, as far as I can see.
Committee:
Joint Appropriations
KY
Kentucky 2026 Regular Session
Administrative Regulation Review Subcommittee (6-9-26)
Transcript Highlights:
- Before we go any further, I'm just going to open it up. Does anybody have any questions on it?
- Before I get<00:31:42.120><c> into</c><00:31:42.400><c> that</c> I'm getting ready to open it up for
- I'm going to pause here and open it back up to any questions from members that may have popped up.
- So, I'm going to now circle back to the primary problem that Mrs.
- </c> the primary the primary problem<00:46:48.680><c> that</c><00:46:48.840><c> Mrs.
Keywords:
0:06 - Roll Call
0:30 - Approval of Minutes
0:45 - OFFICE OF THE ATTORNEY GENERAL
2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER
2:55 - BOARD OF DENTISTRY
5:30 - BOARD OF OPHTHALMIC DISPENSERS
7:30 - BOARD OF NURSING
8:32 - BOARD OF EMERGENCY MEDICAL SERVICES
9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES
15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH
18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES
23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES
1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS
1:03:46 - Next meeting/adjournment, 958, all
Summary:
The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute.
The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set.
The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students.
The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Health Services (3-3-25)
Transcript Highlights:
- Conway said the bill offers no provisions to protect patients when they are denied care, opening the
- He said ensuring patient safety is the primary responsibility and that SB 132 is confusing in some ways
- </c> ensuring patient safety is the primary ensuring patient safety is the primary responsibility<00:
- She said it opens the door to substandard care by allowing health professionals to deny services based
- This bill opens up a plethora of issues, and if we're talking about conscience, then we have to address
Summary:
The committee heard testimony on Senate Bill 132, a health care conscience-protection measure. Supporters said the bill would protect health care professionals from being forced to participate in procedures or services that violate sincerely held religious or ethical beliefs, while explicitly excluding emergency care. They argued it would help recruit and retain providers, preserve ethical integrity in medicine, and has worked in several other states. Supporters also emphasized that the bill is aimed at procedures or services, not at denying care based on who a patient is, and noted that the bill includes a civil cause of action to give it enforcement teeth.
Several supporters described personal experiences. A nurse said lack of conscience protections affected her career choices and limited her path into women’s health. Dr. Warman said he had requested not to perform anesthesia for abortions and later chose non-narcotic pain management because he objected to heavy opioid prescribing, saying conscience protections allow professionals to practice responsibly. Senators asked about examples, the bill’s scope, whether it could be used to discriminate, and which states have similar laws; Mississippi, Florida, Montana, Ohio, South Carolina, and Arkansas were named. Questions also focused on the bill’s civil enforcement provisions and whether it could be used against patients based on identity or religion.
Opponents warned the bill was overly broad and could allow refusals of care by a wide range of health workers, including clerks, ambulance drivers, pharmacists, nurses, and physicians. Dr. Karen Abrams said it could lead to denial of birth control, Plan B, blood transfusions, and other care, especially in rural areas with few alternatives, and could worsen Kentucky’s provider shortages. David Conway said the bill lacked patient protections, could increase delays and discrimination, and could prevent reassignment of objecting staff. The chair noted there were seven people signed up in opposition, limited testimony to two minutes each, and said the committee would return to the bill after hearing additional opposition and other pending bills.