Transcript Highlights:

• non-veterinarian dental practitioner answered that the other day: the International Association model that's utilized
• Association other day the International Association model<00:03:50.400> that's<00:03:50.720> utilized
• /c><00:03:51.360> with<00:03:51.519> the<00:03:51.680> testing model that's utilized
• with the testing model that's utilized with the testing or<00:03:52.159> any<00:03:52.360>

Keywords: 958, all

Summary: The Senate Agriculture Committee met to continue discussion of a committee substitute for a bill dealing with non-veterinary equine dental practice. The chair first addressed a procedural issue, saying any handouts distributed without the chair’s approval were improper and would not be part of the official record. The committee then reintroduced and approved the committee substitute by motion and second, before moving into member questions rather than hearing additional public testimony that morning. Senator Reed asked what testing would be required for state approval and about the bill’s timeline. The response said the bill would rely on an internationally recognized testing model, with education and continuing education requirements, and that the measure included an 18-month period to allow existing practitioners time to comply. Senator Deneen then raised concerns about the grandfather clause, the five-year lookback, and whether the bill could set a precedent that would further encroach on veterinary practice. In response, supporters said the bill was intended to create a structure for a practice that already exists, with training, insurance, a registry, and a grievance process to weed out bad actors while preserving access and affordability for horse owners, especially in rural areas where veterinarians may be scarce or unavailable. The discussion also included historical context, with members noting the issue had been considered during earlier veterinary modernization efforts and had been worked on through open work groups, surveys, stakeholder meetings, and multiple drafts. Supporters argued that without a regulated framework, some horse owners might not be able to afford veterinary care, which could leave horses untreated. No final vote on the bill itself was described in this portion of the meeting beyond approval of the committee substitute.

Transcript Highlights:

• HB 2052, mobile homes utilities fraud hearings; Commerce.
• HB 2052, mobile homes utilities fraud hearings; Commerce.
• HB 2912, utility resource plan commission review; Enru.

Keywords: 1182, all

Transcript Highlights:

• Hamilton High School in Chandler, and the project that she was working on that she won an award for was utilizing
• The project that she was working on that she won an award for was utilizing AI for drug discovery, developing
• state land use. 2750 Arizona boat snowboard, 2752 commission authority, 2755 state land use, 2756 utilities

Keywords: 1182, all

Transcript Highlights:

• 405 SEEKS TO RECTIFY THE SITUATION BY CLARIFYING WHEN AND HOW NO DAMAGES FOR DELAY CAUSES MAY BE UTILIZED
• PROJECTS, IT CONSTRICTS THE FLORIDA BUILDING COMMISSION TO ESTABLISH A UNIFORM PERMIT APPLICATION TO UTILIZED
• LUCAS PARSONS NATIONAL UTILITY CONTRACTOR ASSOCIATION IS A COMP OPPONENT. DO YOU WISH TO SPEAK?

Transcript Highlights:

• And so it'll go from being a closed park that no one can utilize to an open and operating park that is
• mention that in my opening, but I'm glad it was mentioned here, is not only underutilized, it's not utilized
• It's not utilized. Is it closed to the public? Yes. All right, it's fenced off. Interesting.

Summary: The Governmental Organization Committee met as a subcommittee because it initially lacked a quorum, then later established quorum and heard several bills. AB 445 by Majority Leader Aguiar-Curry would grant Colusa County 10 on-sale liquor licenses to address a long-standing shortage and support local economic development; the author said she would accept committee amendments. The bill was later approved on a due-pass-as-amended motion to Appropriations, with the roll held open for absent members before additional aye votes were added. AB 766 by Assemblymember Sharp-Collins would require state agencies and departments to conduct an equity analysis before implementing budgets or regulations, with the review performed by a DEIA coordinator or qualified equivalent. Supporters, including a college administrator and a nursing instructor, argued the bill would protect diversity, equity, inclusion, and access efforts and help address systemic barriers in education and health care. The committee voted 13-? on the measure after a due-pass motion to Appropriations, with the roll held open and later additional aye votes recorded. AB 971 by Assemblymember Alvarez would facilitate transfer of about 3.83 acres of city-owned land in San Diego to the San Pasqual Band of Mission Indians, contingent on affirmative action by the City of San Diego. The author and tribal witnesses described the bill as a step toward correcting historical injustices and reopening a currently closed park as a tribal-operated historical park and museum. The measure passed on a due-pass motion to Appropriations, again with the roll held open for absent members before additional votes were added.

Transcript Highlights:

• Um, uh, on, on how, how healthcare is being utilized, how it's being consumed, and the cost implications
• with the report that Texas Department of Insurance used to do, Texas mandate benefits cost and utilization
• Yep, and, and I would imagine, um, you know, utilization and the cost of those, uh, benefits drive premium

Bills: HB138

Keywords: voter registration, application rejection, transparency, election integrity, state law

Transcript Highlights:

• House Bill 946 is an act relating to the advertisement and cost of utilities under a residential rental
• advertisement and cost of utilities advertisement and cost of utilities under<00:05:18.640> a
• advertisement and costs of utilities advertisement and costs of utilities under<00:05:31.960>
• Next is House Bill 940, which is an act relating to miscellaneous public utility subjects.
• relating to miscellaneous public utility relating to miscellaneous public utility subjects.<01:39

Keywords: 926, house, all

Summary: The House opened with a devotional reflection on Nowruz, the Persian New Year, emphasizing renewal, spring, and the challenges facing Iranian families amid conflict. The speaker connected the holiday’s themes of hope and responsibility to Vermont and democracy, then the chamber moved to routine business, including first readings and referrals of five House bills: H.945 on hemp products, H.946 on utility advertising and costs in rental agreements, H.947 on a residential universal design building code, H.948 on membership of the Retired Employees Committee on Insurance, and H.949 on homestead and non-homestead property tax yields and technical education finance changes. Three Senate bills were also read and referred: S.189 on hospital service reductions, S.203 on penalties for repeat DUI offenses, and S.313 on transforming Vermont’s career technical education system. The House also recognized several guests and announcements, including family members of members, airport employees, a UVM student intern, and visitors from Brazil. A House concurrent resolution, HCR 168, was read and congratulated Girl Scout Troop 60336 of Milton on earning the Bronze Award for a community garden project that improved accessibility through rain barrels and raised beds. The resolution highlighted the troop’s leadership and the role of its co-leaders, and the chamber applauded the guests in attendance. The main floor action centered on House Bill 642, relating to youthful offender proceedings, where Representative Booton of Barre City offered an amendment to stop the scheduled expansion of Raise the Age to 20-year-olds. Supporters argued the change would preserve current treatment of 18-year-olds while preventing an automatic expansion they said could strain the system and raise public safety concerns; opponents, including the Judiciary Committee, urged waiting for required Department for Children and Families reports due in 2026 before making changes. After debate, a roll call vote was taken on the amendment, with members calling the roll as the vote proceeded.

Transcript Highlights:

• floor for passage into law so that we floor for passage into law so that we can<00:19:54.640> utilize
• to<00:19:55.440> protect<00:19:55.760> the<00:19:55.919> victims can utilize
• this to protect the victims can utilize this to protect the victims in<00:19:56.559> Wyoming.
• :52.960> definition<01:14:53.679> that Um, it is the most common provision that is utilized
• Miss Hackle, welcome. certainly indicates that it was utilized certainly indicates that it was utilized

Bills: HB0008, HB0009, HB0028

Keywords: stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, sexual exploitation, law amendment, explicit conduct, sex crimes, 916, all

Transcript Highlights:

• Speaker and gentlemen, in getting an electric utility built there because of the electric utility that
• Public utility built there because of the electric utility that they're going to have to start purchasing
• Speaker and gentlemen, they came to me and asked how I could help them get a municipal utility built
• Utility built in their area because that is their priority, Mr. Speaker and gentlemen.
• That's when we came through utilizing that extra capacity that we had.

Transcript Highlights:

• Next, we have Leon Commissioner from the Public Utilities Commission with comments.
• And if the electric utility approves that, it comes to the PUC and it's just approved, there's no review
• Right, and if the electric utility approves that, it comes to the PUC and it's just approved.
• and fuel cost medical and high utility and fuel cost medical and general<00:25:57.000> insurance<
• He said this could be an opportunity to utilize paid family leave as a tool and a benefit to recruit

Keywords: 910, house, all

Transcript Highlights:

• <00:23:47.919> terrained the definition of utility terrained the definition of utility terrained
• Um, but interesting that this measure says to include a utility terrain vehicle.
• So in your mind, what is the utility terrain vehicle?
• But this says include the utility terrain vehicle, a motor vehicle that accommodates one driver, one
• The section 286-12 is amended to read that all-terrain vehicles and utility terrain vehicles used as

Bills: HB1694, HB1695, HB1986, HB1797, HB1879, HB2034

Keywords: sustainable aviation fuel, tax credit, greenhouse gas emissions, renewable energy, Hawaii, economic development, carbon footprint, aviation sector, renewable fuels, local production, energy resilience, agricultural innovation, job creation, clean fuel standard, alternative fuels, carbon intensity, emission reduction, greenhouse gases, transportation, autonomous vehicles

Summary: The committee opened by explaining hearing procedures, including a two-minute oral testimony limit and that decision-making would follow after testimony. It then took up SB 20008, which would set 55 mph as the maximum speed limit on all parts of the DKI/Saddle Road highway. The bill’s introducer described it as a response to safety concerns and noted prior public opposition when the speed limit was lowered from 60 mph; the Hawaii Police Department was listed in opposition, while DOT and several individuals testified in support. No vote was taken during the portion provided. The committee next heard SB 20009, requiring new plates/tags or emblems for used motor vehicles transferred between private individuals, and SB 2026, which would require drivers approaching stationary vehicles on the shoulder or roadside to slow down and, if necessary, change lanes. The Attorney General supported SB 2026 but recommended narrowing and clarifying the language by removing references to shoulder/roadside, collision or mechanical problem, and other limiting definitions so the duty would apply more broadly and be easier to enforce; AAA and OMA also supported the measure. Members discussed the practical need for a mandatory move-over rule, especially for roadside workers and tow operators, and the committee heard concerns about enforceability on two-lane roads and in accident scenes. SB 2053 was then heard, authorizing electronic signatures on supporting documents used to transfer ownership of total-loss vehicles to insurers without notarization and requiring insurers to indemnify the finance director for claims arising from those electronic title issuances. The Hawaii Insurers Council, Copart, the City and County of Honolulu, and others supported the bill, with Copart describing it as a modernization that would reduce delays for total-loss settlements; technical amendments were requested. The committee also heard SB 2172, which would allow all-terrain vehicles to operate at night if equipped with lights and a slow-moving vehicle emblem, adjust helmet requirements, define utility terrain vehicles, and include ATVs in motor vehicle insurance law. DOT said it could support the bill only if limited to low-speed areas, and the insurance industry warned it could create a new insurance scheme; the City and County of Honolulu opposed while the Hawaii Farm Bureau and an individual supported. Finally, SB 2253 was introduced to expand first-degree negligent injury to include injuries negligently inflicted by intoxicated drivers, with DOT, county prosecutors, and the Honolulu Prosecutor’s Office in support; Honolulu prosecutors said they would oppose a proposed amendment because they wanted the language to preserve the offense as a lesser included offense tied to negligent homicide.

Transcript Highlights:

• <00:36:59.920> by districts are being utilized by districts are being utilized by necessity
• We only utilize programs that are approved.
• And how are we utilizing our guidance counselors and those people in our schools today?
• Or are we not utilizing them the way I just, you know, mentioned?
• Or are we not utilizing schools today?

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• Department of Agriculture to utilize the commodity procurement program to purchase domestic shrimp from
• and Means Committees to study the potential establishment of a state income tax credit for water utility
• Nine other states utilize this practice; Louisiana would be the 10th.
• That's not counting... ...utilize this practice. Louisiana would be the 10th.

Bills: HR210, HR211, HR212, HR213, HR214, HR215, HR216, HR217, HR196, HR197, HR198, HR199, HR200, HR201, HR203, HR204, HR205, HR206, HR207, HR208, HR209, HCR87, HCR88, HCR89, HCR90, HR118, HCR63, HCR69, HCR86, SCR6, SCR18, HB79, HB165, HB175, HB198, HB437, HB457, HB488, HB603, HB646, HB763, HB902, HB909, HB971, HB981, HB1066, HB1089, HB1099, HB1125, HB1154, HB1231, HB1245, HB1246, HB1247, HB1248, HB1249, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, HCR41, HCR76, HCR77, SCR19, SCR3, HB64, HB68, HB92, HB316, HB549, HB578, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1192, HB1195, HB1198, HB1244, HB167, HB227, HB243, HB321, HB335, HB398, HB492, HB624, HB689, HB708, HB804, HB906, HB926, HB955, HB968, HB969, HB978, HB985, HB1005, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1187, HB1203, HB1217, HB1220, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, SB66, SB68, SB76, SB139, SB336, SB475, HCR32, HB181, HB1118, HB1082, HB225, HB864, HB1166, HB1189, HB59, HB617, HB897, HB911, HB1223, HB901, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1113, HB1180, HB1234, HB1240

Keywords: renewable energy, job creation, veteran employment, economic development, energy security, asthma, allergy, awareness, healthcare, public health, Louisiana, St. Bernard Parish, special recognition, parish day, state capitol, Louisiana resolution, ceremonial resolution, honorary resolution, community celebration, local heritage

Summary: The House met on April 27, 2026, with prayer, the Pledge of Allegiance, and a series of personal privileges recognizing Domestic Violence Prevention and Advocacy Day, Guarantee Corporation’s 100th anniversary, Delta Waterfowl, FFA and 4-H students, St. Bernard Parish Day, the Louisiana Notary Association, and New Orleans Day. The chamber also received Senate messages, committee reports, and introduced several resolutions, including measures on Gulf States renewable energy, asthma and allergy awareness, St. Bernard Parish Day, and other commemorations. The floor then took up a long series of bills and resolutions. Among the notable measures were House Bill 316 on literacy and tutoring, House Bill 578 changing statutory references from gender to sex, House Bill 748 expanding toll exemptions for school board vehicles, House Bill 101 redesignating a portion of U.S. Highway 190 as the Jesse Jackson Memorial Highway, House Bill 1032 cleaning up DWI terminology, House Bill 1081 transferring the Louisiana Ports and Waterways Investment Commission, House Bill 1108 creating a homeschool pride prestige plate, House Bill 1129 giving in-state auctioneers preference for selling surplus state property, House Bill 1157 creating a Louisiana State Infrastructure Bank, House Bill 1192 creating a dental hygienist prestige plate, House Bill 1195 revising athletic commission rules and NIL-related provisions, House Bill 1198 barring arbitration in child custody and visitation matters, House Bill 181 allowing limited tax-data sharing for Medicaid/SNAP integrity, House Bill 1118 requiring disclosure of hospital ownership by real estate investment trusts, House Bill 1082 changing venue rules in suits involving municipal police employees’ retirement systems, House Bill 225 proposing a lifetime two-term limit for governor, House Bill 864 on municipal fire limits and storage of flammables, House Bill 1189 requiring captain’s licenses for certain freshwater charter guides, and House Bill 549 creating the Bayou Growth Opportunity Workforce Program. Most measures passed, often after brief debate and technical amendments. Several bills were recommitted or returned to the calendar, including House Bill 902, House Bill 1245, and House Bill 1247, while House Bill 225 failed on final passage. The House also considered and passed multiple Senate bills dealing with tax administration, child custody testimony, Supreme Court disciplinary jurisdiction over out-of-state lawyers, civil investigation demands in Medicaid fraud cases, service of process fees and notice, and permanent homestead exemption registration. The session ended with the House in recess after completing its bill agenda for the day.

Transcript Highlights:

• cost but it doesn't impact utilization. cost but it doesn't impact utilization.
• Um we included a factor for utilization Um we included a factor for utilization for<00:07:55.039
• <00:08:32.719> Basically,<00:08:33.039> the utilization of clients.
• Basically, the utilization of clients.
• rates might be. ...on sort of what those utilization rates might be.

Keywords: 1189, house, all

Transcript Highlights:

• A numbering system shall be utilized, and a log maintained to identify where each party of customers
• A numbering system shall be utilized, and a log maintained to identify where each party of customers
• A numbering system shall be utilized, and a log maintained to identify where each party of customers
• A numbering system shall be utilized, and a log maintained to identify where each party of customers
• <02:13:42.199> live including the department utilizing live including the department utilizing

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 946 on wastewater management, which would clarify that the ban on discharging wastewater or raw sewage into state waters after 12/31/26 applies to treatment plants. Testimony was in support from the Department of Health, Maui County Council, Mayor Bisson, and individuals, and no one testified in opposition. SB 849 on wildlife conservation would prohibit intentional taking, harming, or killing of the Hawaiian hawk (ʻio) and increase penalties for taking native aquatic life, wildlife, and land plants; DLNR supported the bill, noting the ʻio was delisted federally in 2020 and that the measure also updates penalties and adds a rehabilitation/community service option. No questions were raised, and the bill drew support testimony only. For SB 330 on invasive species prevention, the Attorney General raised a supremacy clause concern with language requiring state enforcement of federal quarantines and recommended reverting to a prior version with a catchall for federal regulation. The Coordinating Group on Alien Pest Species supported the bill as a way to close a biosecurity gap, while the Department of Agriculture said it supported the intent but wanted to avoid acting without a cooperative agreement with USDA and suggested deleting the portion allowing action without such an agreement. The committee also heard SB 1393 on public land use, which would require the School Facilities Authority to consult with DOE and other agencies before land conveyances or leases and repeal a requirement that DOE transfer title upon request; both SFA and DOE supported the measure, with DOE emphasizing the need for early communication and consultation, and members asked about possible disagreements or stalemates. The committee then heard SB 321 on private roads and ways, which would deem certain privately owned roads and similar ways transferred to adjacent owners or community associations if conditions are met. The Hawaii Land Title Association said the bill as drafted would create uncertainty and proposed a court process to clarify ownership and create a recordable order; written support came from the Mortgage Bankers Association of Hawaii, Hawaii Financial Services Association, and one individual. SB 66 on housing permitting would require permit decisions within 60 days for certain housing projects and deem permits approved in some circumstances; DLNR’s historic preservation office supported the intent but noted county historic preservation roles, OHA suggested amendments to clarify county duties, and DPP opposed the time limits as risky for health and safety reviews, warning about back-and-forth review cycles and possible mismatches between approved plans and field work. Realtors, NAIOP, Hawaii Food Industry Association, Hawaii YIMBY, and the Maui Chamber supported the measure, while Lahaina Strong, Hawaii Good Neighbor, and two individuals opposed it. Finally, the committee heard SB 1170 on expeditious redevelopment of affordable rental housing, which would speed permits for rebuilding permanently affordable multifamily rental housing damaged by natural disasters and exempt certain projects from EIS requirements. HHFDC supported the bill, citing the Front Street Apartments rebuild and the long SMA permit timeline on Maui, and the Office of Planning and Sustainable Development supported the intent while suggesting technical placement of amendments. Testimony in support also came from the Maui Chamber of Commerce and Joe Blanco, who described difficulties rebuilding a project originally developed under older statutory requirements and said the bill’s added language addressed those issues.

Transcript Highlights:

• generators out of paying the utility property tax.
• What happens today is that those utilities that pay this utility property tax, this revenue goes 100%
• the official plan for the utility the official plan for the utility property<04:14:07.880> tax
• No, we did courts fees, lottery, and then the last one would be utility property tax.
• Lottery, we did Lottery, and then the last one would be utility property tax.

Keywords: 1189, house, all

Summary: The committee received a Department of Revenue Administration update from Commissioner Lindsay Stepp focused on revenue estimates for fiscal years 2025, 2026, and 2027. She explained the department’s forecasting method, which uses five scenarios based on the first seven months of actual collections and different assumptions for the remaining months, then selects a reasonable high and low range for FY 25 and applies projected growth rates for FY 26 and FY 27. Members asked several clarifying questions about how the scenarios are chosen and how the estimates relate to economic growth and taxpayer behavior. For business taxes, Stepp reported FY 25 year-to-date collections of $110.3 million, 18.2% below plan and 17.2% below prior year. She said the shortfall reflects both economic conditions and a resetting of estimated payments after unusually strong pandemic-era profits, and noted that the department cannot fully separate changes in taxpayer liability from changes in estimated payment behavior. She said approximately just under $72 million was refunded in FY 24 due to the CCO cap, and that FY 25 year-to-date refunds are at 41.7%. For business taxes, the department’s FY 25 range was based on either continued underperformance versus plan or a return to prior-year levels, with FY 26 and FY 27 growth projected at 3% to 8%. The committee also reviewed meals and rooms tax, tobacco tax, and related trends. Meals and rooms revenue was $6.9 million, or 3.3%, ahead of plan and prior year; the FY 25 gross estimate was $475.894 million, with a net range of about $331.82 million to $335.259 million after municipal transfers and school building aid. Stepp said recent monthly results suggest some fluctuation tied to disposable income, weather, and travel patterns, but no clear sustained decline. Tobacco tax was $18.1 million, 14% below plan and 4.8% below prior year; she said cigarette stamp sales are declining while e-cigarettes and other tobacco products are growing, with FY 25 tobacco revenue projected at $182.5 million to $185.3 million and FY 26-FY 27 growth ranging from -5% to flat. No votes or formal actions were taken.

Transcript Highlights:

• , and had prioritized paying her rent over paying her utilities.
• Since the beginning of the 2026 school year, um, beginning of 2026, they have utilized these funds to
• um beginning of 2026, um beginning of 2026, they<00:09:00.040> have<00:09:00.240> utilized
• these funds to assist they have utilized these funds to assist families<00:09:02.360> affected
• It can be used for rental assistance, utility assistance, eviction prevention and move-in support.

Bills: HF4561, HF4343

Keywords: homeless prevention aid, homelessness, housing stability, rental assistance, family homelessness, unaccompanied youth, housing navigation, legal representation, family outreach, county aid, Tribal governments, local government aid, general fund appropriation, unspent funds, aid redistribution, sunset repeal, Minnesota property tax aid, services for persons experiencing homelessness, sales tax, use tax

Transcript Highlights:

• How many veterans are currently utilizing this particular facility?
• many veterans are currently utilizing many veterans are currently utilizing this<00:27:20.400>
• <00:36:28.560> Um, skills uh utilizing their vehicles.
• Um, skills uh utilizing their vehicles.
• <01:20:38.640> all where they'll be used utilized all where they'll be used utilized all throughout

Keywords: 916, all

Transcript Highlights:

• Uh, it's led to rural access gaps, much longer wait times and higher utilization of our ERS. this is
• <00:05:08.240> of<00:05:08.479> our wait times and higher utilization of our wait times
• and higher utilization of our ERS.
• So we do not, you know, establish the rates that the managed care entities utilize, as it was discussed
• or um utilizing cost reports annually. or um utilizing cost reports annually.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• going to need help with a utility going to need help with a utility payment<01:19:19.920> to<
• And I think what's great about utilizing the legislature, utilizing nonprofits, is it becomes a filtering
• <01:23:49.960> the what's great about utilizing the what's great about utilizing the legislature
• ,<01:23:50.680> utilizing<01:23:51.240> nonprofits<01:23:51.960> is<01:23:52.080
• > it legislature, utilizing nonprofits is it legislature, utilizing nonprofits is it becomes<01

Keywords: 958, all

Summary: The meeting opened with the pledge and prayer, a roll call established quorum, and members announced a Veterans Caucus meeting to follow the session. The committee also recognized distinguished veteran Joe Mash Masterson of Bardstown, who was praised for his Army service, long-time advocacy for veterans, and leadership in the American Legion and local veteran organizations. Masterson thanked his family, the American Legion Post 121, and the VA staff, and several members offered remarks honoring his service and the committee’s practice of recognizing veterans. The committee then briefly addressed a referred administrative regulation, 017 KAR 001 030, which leadership described as technical updates to existing policy; no vote was taken. After that, members heard testimony from KDVA and Finance and Administration officials on the ongoing HVAC replacement project at the Radcliffe Veteran Center. Officials said the system had been problematic for years, that design work began early to accelerate the project, and that the work was complicated by the need to replace the system in an operating nursing facility. They explained that the project was bid in March, awarded to Less Mechanical, and that protective measures, shop drawings, and equipment orders were underway. Committee members pressed officials on why the problem had taken so long to resolve, why the original system had been installed, whether the issue had been communicated regularly, and whether the state should be paying for a replacement in a relatively new facility. Officials said the original system’s components and warranties had failed, that they had tried to replace parts before moving to a full replacement, and that the system’s manufacturer and quality differed from a similar facility in Glasgow that had not had the same issues. They said the current phase one contract was about $6 million, with the remaining funds held for phase two to restore full occupancy; phase two design was nearly complete and could be bid later if funding is approved. Officials estimated phase one completion around January 2026 and full completion around March 2027, depending on funding and scheduling.