Transcript Highlights:

• So there are disclosures, campaign spending, you know, certainly I can kind of get into the weeds with
• c><00:50:59.839><c> so</c><00:51:00.079><c> there</c><00:51:00.319><c> are</c><00:51:00.559><c> disclosures
• Um so there are disclosures u lapses.
• Um so there are disclosures u campaign<00:51:02.319><c> spending</c><00:51:03.040><c> um</c><00:51:03.280

Keywords: 912, senate, all

Summary: The Judiciary Committee held an informational briefing on the rule of law with U.S. Representative Ed Case. Chair Carl Rhodes opened by explaining the purpose of the briefing, noting it was being livestreamed and that public testimony would not be taken in the usual way. He described the rule of law as central to democracy and introduced Case, who was invited to discuss the concept and its relevance to recent federal actions affecting Hawaii. Case framed the rule of law as a durable system grounded in the Constitution, federal laws, separation of powers, and checks and balances, with each branch of government and the public itself playing a role. He emphasized that Congress makes the laws, the president executes them, and the courts decide whether the Constitution and laws are being followed. He also stressed that elected officials swear to uphold this structure and that the rule of law is distinct from ordinary policy disagreements. Case then argued that the Trump administration has undermined the rule of law through actions such as dismantling or weakening agencies created and funded by law, withholding appropriated funds, removing inspectors general and other independent officials, ignoring or challenging court orders, weakening the independence of agencies like the Department of Justice and the Federal Reserve, and intimidating dissenting voices, the press, and other opponents. He said these actions have harmed Hawaii and reflect a coordinated effort to concentrate power in the executive branch. He noted that Congress has not been serving as an effective check, while federal courts have been the main remaining check through more than 46 lawsuits, and he identified voters as the ultimate check and balance, briefly correcting the timing of the next midterm election to 2026.

Transcript Highlights:

• earlier related to for-profit entity acquisitions of nursing homes and assisted living facility disclosures
• nursing homes and assisted<00:53:24.720><c> living</c><00:53:25.040><c> facility</c><00:53:25.359><c> disclosures
• </c><00:53:26.000><c> and</c> assisted living facility disclosures and assisted living facility disclosures

Keywords: 1187, senate, all

Transcript Highlights:

• I'm here today as a co-sponsor of the bill, and I am going to read a statement from a woman who was unable
• Actually, your last statement was a great segue to my question, which is: we heard earlier that this
• c> a</c><02:36:12.720><c> great</c><02:36:12.880><c> segue</c><02:36:13.359><c> to</c> your last statement
• was a great segue to your last statement was a great segue to my<02:36:13.720><c> question</c><02:36
• an absolute defense. ...will sue the innocent party for saying things out loud, making truthful statements

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• the advisory committee created by the Long-Term Care Bill in 2024, and would lower the ownership disclosure

Committee: Joint Joint Committee on Aging and Independence

Keywords: 995, all

Summary: The Committee on Aging and Independence heard testimony on a package of long-term care and elder care bills focused on building on the state’s 2024 long-term care reform law (Chapter 197). Richard Moore of Dignity Alliance urged favorable action on the bills as a “long-term care 2.0” effort, arguing they would strengthen the workforce, protect residents’ rights, improve clinical quality, and increase transparency and sustainability in nursing homes and other facilities. He also raised concerns about staffing funds not reaching direct care workers and suggested further oversight of how appropriated money is spent. Patricia Crispy of the American Nurses Association testified in support of House Bill 766, which would require at least one registered nurse with full voting rights on the board of directors or trustees of every acute care hospital and nursing home. She and the bill’s sponsor, Representative Vanado, said nurses’ clinical expertise and 24/7 presence make them valuable contributors to governance and patient safety. Committee members asked whether the bill would cover assisted living and how many facilities already have nurse board members; the witness said she would provide more data and clarify the assisted living question. Senator Lovely testified on two bills: Senate 479, which would expand transparency and accountability in long-term care by tightening fire safety, smoking, hearing-loss, and ownership disclosure requirements, adding advocacy groups to an advisory committee, and increasing penalties; and Senate 480/House 795, which would require single-occupancy rooms in nursing homes unless residents consent to share, to improve privacy and reduce infection spread. Deborah De Benedictus also testified in support of House 759, describing her father’s experience in assisted living and arguing for the use of cameras in elder care facilities to monitor care and deter neglect. The committee discussed privacy concerns, notification rules, and the need for honest staffing and care practices, and then adjourned without taking any recorded votes or formal actions in the transcript.

Transcript Highlights:

• Please be aware that personal information you give on this card is subject to public disclosure.

Bills: HB2 , HB3 , HB799 , HB1039

Committee: Senate Revenue & Fiscal Affairs

Keywords: capital outlay, budget, infrastructure, appropriation, general obligation bonds, bond authorization, capital improvement, financial management, state treasury, boiler safety, inspection, licensing, state fire marshal, operating certificate, regulations, local sales tax, local use tax, sales and use tax, tax audit, local collector

Transcript Highlights:

• opinions Are rather brief and a lot of times don't contain any significant detailed wrist risk disclosures

Bills: SB1778 , SB1570 , SB134 , SB1966 , SB1636 , SB1725 , SB1726 , SB259 , SB504 , SB592 , SB2030 , SB1572 , SB843 , SB1242 , SB1255 , SB1262 , SB1264 , SB1286 , SB1581 , SB1290 , SB1316 , SB1319 , SB1369 , SB1379 , SB1381 , SB1400 , SB1427 , SB1436 , SB1461 , SB1496 , SB1509 , SB1534 , SB1553 , SB904 , SB1592 , SB1645 , SB1684 , SB1767 , SB1772 , SB1813 , SB1894 , SB1928 , SB1946 , SB1980 , SB2040 , SB2060 , SB2061

Keywords: reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations

Transcript Highlights:

• When we say amount and type of seeding materials used, will we get a full disclosure of all the ingredients

Summary: The Environment, Energy, and Technology Committee approved the minutes from March 12 and then heard Senate Concurrent Resolution 120 from Representative Hill. Hill argued the resolution supports Idaho’s role in the emerging nuclear energy industry, especially reprocessing used nuclear fuel at INL, and said it would clarify Idaho’s position under the 1995 settlement agreement so the state would not become a long-term storage site. He emphasized economic opportunity, fuel supply benefits, and the governor’s support. The committee had no public testimony and voted to send SCR 120 to the floor with a due-pass recommendation. The committee then took up Senate Bill 1269, sponsored by Representative Fuhrman, which would revise Idaho’s cloud seeding laws to increase transparency and reporting. Fuhrman said the bill would add clearer definitions, require public meetings and annual/monthly reports, align with federal reporting, and narrow liability protections by excluding gross negligence and willful misconduct. Questions focused on what materials are used in cloud seeding, whether all ingredients would be disclosed, how often and where seeding occurs, and whether the program is already permitted or monitored. Paul Arrington of the Idaho Water Users Association testified that current cloud seeding uses silver iodide along with propane and acetone for ground generators, and flares for aircraft, and said reporting already exists but the bill would make it more formal and public. Several members raised concerns about proprietary chemicals, environmental and health effects, and whether the bill functioned as an immunity measure. Arrington said the amounts used are very small, that studies show no known harmful impacts at current levels, and that contractors report to the Water Resource Board under existing agreements. After debate, the committee voted 9-6 to send SB 1269 to the floor with a due-pass recommendation.

Transcript Highlights:

• , to provide that certain records of the Department of Juvenile Correction shall be exempt from disclosure

Summary: The Senate convened with 34 members present and approved the previous day’s journal. After prayer and the Pledge of Allegiance, the body received committee reports on several measures, including Senate Joint Memorial 109, Senate Resolution 115, and multiple Senate bills that were referred to the appropriate committees or advanced to second reading. The Senate also received House Bills 540 and 541, both sent to the Judiciary and Rules Committee, and moved House Bill 514, House Bill 515, Senate Bill 1244, and Senate Bill 1232 to third reading. The chamber then paused for its Lincoln Day Service, featuring remarks on Abraham Lincoln and the American experiment by Secretary of State Phil McGrane. Following the service, the Senate took up several gubernatorial appointments to the Idaho Health Insurance Exchange Board. The Senate adopted committee reports confirming Dr. Karen Cabell, Robert Cuyo, and Kevin Settles, with members speaking in support of each nominee’s health care, business, and public service experience. The Senate also adopted the committee report confirming Senator Todd Lakey to the State Insurance Fund Board. In miscellaneous business, senators made introductions and announcements, including notice of a noon Capital Clarity session on weather modification and mosquito abatement and comments about a recent go-kart event. The Senate adjourned until 11 a.m. the following day.

Transcript Highlights:

• You may say, well, that's a material disclosure. Go sue the seller.

Committee: House Conservation and Natural Resources

Keywords: 959, house, all

Transcript Highlights:

• You may say, well, that's a material disclosure. Go sue the seller.

Committee: House Conservation and Natural Resources

Summary: The Committee on Conservation and Natural Resources heard House Bill 1624, sponsored by Rep. Sassmann, which updates Missouri’s invasive plant law. The bill makes clerical corrections to Latin plant names and extends the existing affidavit requirement, previously applied to nurseries and nursery dealers, to seed dealers so they cannot knowingly sell seeds of listed invasive species. Support came from the Missouri Municipal League, Sierra Club, Missouri Cattlemen’s Association, an individual landowner, and the Conservation Federation of Missouri, all describing the bill as a needed cleanup and expansion of last year’s law. One witness from Armourvine opposed the bill, arguing the plants have medicinal uses and warning against broader restrictions on landowner choice. No vote was taken in the hearing. The committee then heard House Bill 1736, sponsored by Rep. Wellenkamp, a disaster resilience measure focused on parks and flood mitigation. The bill would allow cities and counties to use existing sales tax revenue tied to parks to buy repetitive-loss properties, remove structures, and convert those areas into natural floodways, greenways, or other stormwater management spaces that still function as parks. The sponsor and several members discussed repeated flood damage in St. Charles, St. Louis County, and other river communities, emphasizing that the proposal would help with voluntary buyouts, reduce long-term losses, and avoid expensive concrete infrastructure. Members asked about eminent domain, funding limits, and how the land would be kept from future development; the sponsor said the bill is limited to voluntary sales and local discretion. Support for HB 1736 came from St. Charles County and the Sierra Club, which said the bill would clarify eligible park fund uses, support natural stormwater infrastructure, and protect environmental and economic resilience. Committee members from affected districts described local examples where buyouts and park conversions had worked or where flooded homes remain a burden. There was no opposition testimony, and the hearing concluded without a vote.

Transcript Highlights:

• sponsored by Representative Leilani relating to civil liability for the production, solicitation disclosure

Committee: House Judiciary & Civil Jurisprudence

Transcript Highlights:

• Budget-driven revenue: one thing to point out is the voluntary disclosure program.

Summary: The conference committee met on Engrossed Substitute Senate Bill 5167, the state operating budget, and received a detailed staff briefing on the proposed conference report. Staff explained how to read the comparison documents, the four-year balanced-budget outlook, and the main resource assumptions, including use of the March 2025 revenue forecast, exclusion of the statutory 4.5% growth assumption, revenue legislation totaling about $8.7 billion, numerous fund transfers, and reversion assumptions. They also noted the proposal does not include a temporary salary reduction or furloughs. The briefing highlighted major policy areas and their net five-year impacts, including increases for state and higher education employee compensation, K-12 education, long-term care and developmental disabilities, corrections, information technology, and other policy items. It also described net reductions in behavioral health, children/youth/families, higher education, natural resources, other human services, and health care/public health, with many of the changes tied to delayed programs, rate adjustments, fund shifts, and savings options from Governor Ferguson. The committee then heard member comments, with supporters emphasizing K-12 funding and fiscal responsibility, and Senator Gildon opposing the process and the closed-door nature of the budget development. A motion was made and seconded to recommend adoption of the conference report and pass the bill. The roll call showed one member voting do not recommend, one member excused, and the remaining members recommending adoption. By vote of the committee, the conference report was adopted, and the committee adjourned.

Transcript Highlights:

• For those investors and speculators, the legislature has created disclosure requirements and a series

Transcript Highlights:

• contain lists of certain government employees that are allowed to exempt their names from public disclosure

Bills: SJR36 , SJR34 , SJR18 , SCR9 , SB616 , SB565 , SB384 , SB140 , SB262 , SB370 , SB372 , SB495 , SB627 , SB764 , SB842 , SB971 , SB767 , SB480 , SB1066 , SB929 , SB765 , SB523 , SB62 , SB19 , SB18 , SB666 , SB688 , SB707 , SB888 , SB687 , SB706 , SB847 , SB869 , SB890 , SB992 , SB1145 , SB494 , SB290 , SB766 , SB11 , SB10 , SB13 , SB263 , SB412 , SB20 , SB441 , SB442 , SB1621 , SCR13 , SB569 , SB314 , SB25 , SB293 , SB914 , SB260 , SB1248 , SB740 , SB14 , SJR34 , SCR9 , SB10 , SB11 , SB19 , SB20 , SB25 , SB62 , SB140 , SB260 , SB262 , SB290 , SB293 , SB314 , SB370 , SB384 , SB412 , SB441 , SB442 , SB480 , SB494 , SB495 , SB616 , SB627 , SB706 , SB707 , SB764 , SB767 , SB869 , SB890 , SB929 , SB992 , SB1145 , SB1621 , SJR34 , SB140 , SB262 , SB370 , SB480 , SB627 , SB764 , SB767 , SR224 , SB1626 , SB1627 , SB1628 , SB1629 , SB1630 , SB1631 , SB1632 , SB1633 , SB1634 , SB1635 , SB1636 , SB1637 , SB1638 , SB1639 , SB1640 , SB1641 , SB1642 , SB1643 , SB1644 , SB1645 , SB1646 , SB1647 , SB1648 , SB1649 , SB1650 , SB1651 , SB1652 , SB1653 , SB1654 , SB1656 , SB1657 , SB1658 , SB1659 , SB1660 , SB1661 , SB1662 , SB1663 , SB1664 , SB1665 , SB1666 , SB1667 , SB1668 , SB1669 , SB1670 , SB1671 , SB1672 , SB1673 , SB1674 , SB1675 , SB1676 , SB1677 , SB1678 , SB1679 , SB1680 , SB1681 , SB1682 , SB1683 , SB1684 , SB1685 , SB1686 , SB1687 , SB1688 , SB1689 , SB1690 , SB1691 , SB1692 , SB1693 , SB1694 , SB1695 , SB1696 , SB1697 , SB1698 , SB1699 , SB1700 , SB1626 , SB1627 , SB1628 , SB1629 , SB1630 , SB1631 , SB1632 , SB1633 , SB1634 , SB1635 , SB1636 , SB1637 , SB1638 , SB1639 , SB1640 , SB1641 , SB1642 , SB1643 , SB1644 , SB1645 , SB1646 , SB1647 , SB1648 , SB1649 , SB1650 , SB1651 , SB1652 , SB1653 , SB1654 , SB1656 , SB1657 , SB1658 , SB1659 , SB1660 , SB1661 , SB1662 , SB1663 , SB1664 , SB1665 , SB1666 , SB1667 , SB1668 , SB1669 , SB1670 , SB1671 , SB1672 , SB1673 , SB1674 , SB1675 , SB1676 , SB1677 , SB1678 , SB1679 , SB1680 , SB1681 , SB1682 , SB1683 , SB1684 , SB1685 , SB1686 , SB1687 , SB1688 , SB1689 , SB1690 , SB1691 , SB1692 , SB1693 , SB1694 , SB1695 , SB1696 , SB1697 , SB1698 , SB1699 , SB1700

Keywords: parental rights, parents, children, custody, care and control, upbringing, family law, constitutional amendment, Texas Constitution, child welfare, education policy, medical decisions, parental authority, primary decision makers, family autonomy, capital gains, taxation, state revenue, individual investment, Supreme Court

Transcript Highlights:

• </c><00:59:30.000><c> consistent</c><00:59:30.559><c> with</c> provided and disclosure consistent with
• provided and disclosure consistent with federal<00:59:31.119><c> rules.
• “Accreditation is a statement that shows that a person is understanding of specific standards and it's
• Representative Feist said, “Accreditation is a statement that shows that a person is understanding of
• It is a statement of who we are and what we value.

Keywords: 1183, house

Transcript Highlights:

• to be that assessment, and the assessments are done, um, largely from the property line or from statements
• to be that assessment, and the assessments are done, um, largely from the property line or from statements
• c><00:20:36.799><c> line</c><00:20:37.480><c> or</c><00:20:37.679><c> from</c><00:20:38.320><c> statements
• </c><00:20:38.799><c> of</c> the property line or from statements of the property line or from statements
• </c> so the the the laws and and disclosures so the the the laws and and disclosures largely<01:26:00.080

Keywords: 928, house, all

Summary: The committee held a work session on a bill arising from the Lee case involving animal seizures and humane society involvement. Members and the commissioner discussed concerns about due process, lack of clear notice to animal owners, the need for owners to understand when they are surrendering ownership, and whether humane agents should have additional training or certification. Several members also questioned the role of the NH SPCA and humane societies, the absence of oversight, and whether there was any financial or policy conflict in their involvement. The commissioner said the Department of Agriculture does not have a direct relationship with humane societies, but does coordinate with police on seizures, and noted that problems tend to arise when agencies do not consult the department first. Testimony and discussion focused on possible fixes to the bill, including clearer written notice of rights, requiring a third-party qualified veterinarian or other neutral evaluator, establishing the condition of animals at the time of seizure for later court proceedings, and possibly using teleconferencing with a veterinarian in limited circumstances. Some members suggested the bill may need a broader study committee, while others said it should be amended now rather than delayed. The chair said the bill would be worked on further and sent to the subcommittee for more detailed review. The committee then opened a hearing on HB 250, which would allow local governing bodies to regulate dog muzzling. Representative Jodi Newell testified that the bill was intended to let municipalities respond to dangerous dogs, citing Keene’s attempt to require muzzling after a serious incident but lack of clear authority under current law. Deborah LeBlanc also testified about a dog attack that seriously injured her dog and said a muzzle requirement could have prevented the attack. Committee members asked about the incident, existing dog-control laws, and whether the dog had been leashed; the discussion suggested the bill was meant to clarify local authority over muzzling as a public safety measure.

Transcript Highlights:

• He then asked about the statement that this is a compromise between Democrats and Republicans and asked
• that says you know if like a statement that says you know if you're<02:18:10.000><c> changing</c><02
• I'm not sure financial impact statement I'm not sure that<02:29:38.960><c> that</c><02:29:39.080><c>
• It just simply seeks a disclosure. If it's understood in that manner, does it still bother you?
• if it's simply seeks a disclosure if it's understood<02:37:48.680><c> in</c><02:37:48.800><c> that</

Keywords: 928, house, all

Summary: The committee first heard HB 659, which would establish the New Hampshire College Graduate Retention Incentive Program. A Department of Revenue Administration analyst explained technical issues in the bill, focusing on whether the incentive is intended to operate as a rebate or a tax credit, how it would be administered, and how it would interact with the business enterprise tax and business profits tax. She said the bill’s language was unclear on the administering agency, effective tax years, caps, and carry-forward treatment, and noted that reducing BET can also reduce the BET credit against BPT, though not on a one-for-one basis. Committee members asked follow-up questions about the BET/BPT interaction, administrative costs, and whether the Department of Business and Economic Affairs would need additional staffing. Andrew Horn then testified in support, saying the bill is meant to address the large number of New Hampshire college graduates who leave the state after graduation by encouraging them to stay and by incentivizing businesses to hire them. The chair closed the hearing on HB 659 after no further public testimony. The committee then took up HB 770, a bill to establish a program allowing New Hampshire high school students to earn tuition credits at state higher education institutions through community service. Representative Schultz described the bill as a “triple play” intended to increase volunteerism, expand service and internship opportunities for students, and make college more affordable. Ryan Casey, a junior at Bishop Brady High School, testified that the proposal would help students reduce future loan debt while benefiting communities and encouraging young people to attend college in New Hampshire. Committee members asked about eligibility, including why private and preparatory school students were excluded, whether public school students would qualify, whether mandatory service hours would count, and how the bill’s references to education and business eligibility should be read. Schultz said the exclusion of private and prep schools was intended because public school students are more clearly New Hampshire residents, and she noted that mandatory school service hours had been excluded in revisions. The Department of Education then testified that the program would require significant administration, estimating at least three full-time staff, software or tracking systems, and rulemaking to oversee volunteer sites, schools, student eligibility, and tuition credit distribution. No vote was taken in the excerpt, and the hearing remained in testimony phase.

Transcript Highlights:

• . >> The revenue impact statement will be ready by, um...
• Um Um Um &gt;&gt; the<00:45:39.680><c> revenue</c><00:45:40.000><c> impact</c><00:45:40.400><c> statement
• </c><00:45:40.720><c> will</c><00:45:40.960><c> be</c> &gt;&gt; the revenue impact statement will be
• &gt;&gt; the revenue impact statement will be ready<00:45:41.359><c> by</c><00:45:42.000><c> um</c> ready
• Um, so what this bill is doing is making a statement about sports officials that they should be treated

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The committee heard testimony on HB 1790 HD1, which would require law enforcement and oversight agencies to collect and report data on stops, use of force, and complaints to the Hawaii Crime Lab, which would publish incident-level information and annual reports. Supporters, including the Office of the Public Defender, Office of Hawaiian Affairs, the ACLU of Hawaii, Hawaii Justice Rising, and the Policing Project, said the bill would improve transparency, help identify disparities, and support better policy and accountability. OHA requested amendments to ensure Hawaiians are identified as a distinct category in the data, and the University of Hawaii’s Ashley Rubin said the Crime Lab would work with agencies to make implementation as seamless as possible. The Department of Law Enforcement supported the bill’s intent but asked for a longer timeline and culturally appropriate methodology, while HPD opposed the bill as written, saying it would require too many new data points, create a significant administrative burden, and rely on subjective perceptions of race and ethnicity; HPD also noted it is piloting an e-citation system that could help with data collection. Committee members questioned HPD about current manual processes and technology options. The chair reported 18 testimonies total: 15 in support, one in opposition, and two with comments, and no vote was taken in the excerpt. The committee then heard HB 1611 HD1, which would phase down the general excise tax on groceries and nonprescription drugs until a full exemption takes effect in 2034. The Department of Taxation offered technical recommendations, including clearer definitions for groceries and nonprescription drugs and a technical change regarding the county surcharge exemption. Supporters, including the Hawaii Public Health Institute and the Hawaii Food Industry Association, argued the GET on groceries is regressive and worsens food insecurity, especially for low-income households, and said the bill would provide needed relief. The Tax Foundation of Hawaii offered technical concerns, including a possible wholesale-tax enforcement issue once the exemption is fully phased in. The excerpt ends during testimony on HB 1611, with no final committee action shown.

Transcript Highlights:

• Um they all have to sign confidentiality<01:07:10.920><c> statements</c><01:07:11.520><c> to</c><01:07
• :11.600><c> make</c><01:07:11.800><c> sure</c> confidentiality statements to make sure confidentiality
• statements to make sure that<01:07:12.280><c> cuz</c><01:07:12.400><c> they're</c><01:07:12.520><c>
• Um, being familiar with 990s, you try to put as much as you can in there for disclosure purposes, but
• </c> Therefore, it is my statement Therefore, it is my statement that<01:35:37.760><c> through</c><01

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• That notice must include a summary of obligations incurred by accepting the funds or a statement that
• </c> obligations, clear public disclosure obligations, clear public disclosure helps<04:23:39.680><c>
• But they also put in a disclosure there that people have to recognize this.
• You and I have often heard the statement, well, optometrists are doctors, aren't they?
• , optometrists are statement, well, optometrists are doctors,<07:44:57.640><c> aren't</c><07:44:57.880

Keywords: 1189, house, all