Transcript Highlights:

• "Are they interchangeable now cuz I was going to ask?"
• &gt;&gt; Are<01:46:25.000><c> they</c><01:46:25.120><c> interchangeable</c><01:46:25.920><c> now</c><
• 01:46:26.080><c> cuz</c><01:46:26.240><c> I</c><01:46:26.280><c> was</c> &gt;&gt; Are they interchangeable
• now cuz I was &gt;&gt; Are they interchangeable now cuz I was going<01:46:26.520><c> to</c><01:46:26.600

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• expansions to new communities, only keeping the system that we have safe and making sure that if a road interchange
• safe and making sure that if<00:20:36.320><c> a</c><00:20:36.400><c> road</c><00:20:36.680><c> interchange
• needs</c><00:20:37.560><c> to</c><00:20:37.640><c> be</c><00:20:38.200><c> fixed,</c> if a road interchange
• needs to be fixed, if a road interchange needs to be fixed, that<00:20:39.080><c> you</c><00:20:39.200

Committee: Senate Energy, Utilities, Environment, and Climate

Transcript Highlights:

• I may interchange that with IDD, but I'm really talking about the complex population.
• I<00:03:24.680><c> may</c><00:03:25.160><c> interchange</c><00:03:25.640><c> that</c><00:03:25.800><c
• > with</c><00:03:26.480><c> IDD,</c><00:03:27.120><c> but</c><00:03:27.400><c> I'm</c> I may interchange
• that with IDD, but I'm I may interchange that with IDD, but I'm really<00:03:27.680><c> talking</c><

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• We now see a corporatized, profit-based view of labor relations that treats these nurses as interchangeable
• relations that treats these<00:04:25.600><c> nurses</c><00:04:26.080><c> as</c><00:04:26.400><c> interchangeable
• </c><00:04:27.199><c> and</c><00:04:27.520><c> even</c> these nurses as interchangeable and even these
• nurses as interchangeable and even dispensable<00:04:29.840><c> rather</c><00:04:30.160><c> than</c>

Committee: Senate Labor

Transcript Highlights:

• This was off of the I-94 interchange. You can see a number of businesses alongside the interstate.
• 01:05:38.599><c> The</c> Dayton uh This was um uh off of The Dayton uh This was um uh off of The Interchange
• :40.640><c> can</c><01:05:40.839><c> see</c><01:05:41.160><c> a</c><01:05:41.279><c> number</c> Interchange
• of I94 you can see a number Interchange of I94 you can see a number of<01:05:41.760><c> businesses</

Committee: House Capital Investment

Transcript Highlights:

• Kim Delfino, speaking in support on behalf of the Center for Biological Diversity, Occidental Arts and
• 1305 would establish state policy to determine whether the reintroduction of grizzly bears is biologically
• establish its official state policy to determine whether the reintroduction of grizzly bears is biologically
• Shannon Labushane, on behalf of the Center for Biological Diversity, in strong support.
• Shannon Labushane on behalf of the Center for Biological Diversity in strong support.

Committee: House Water, Parks, and Wildlife

Transcript Highlights:

• I mistakenly got it interchanged for one of the other 23 Senate bills I had.

Bills: SB65 , SB444 , SB592 , SB640 , SB1242 , SB1257 , SB1304 , SB1501 , SB1642 , SB1946 , SB2178

Committee: House Alcohol, Tobacco and Controlled Substances

Summary: The Alcohol, Tobacco, and Controlled Substances committee met to consider a series of Senate bills, most of them advancing with little or no opposition. SB 1304 expanded retailer tasting limits for beer, wine, and liquor samples; after brief discussion about liquor store support and tasting flexibility, it passed. SB 1501, as amended, allowed any approved third-party vendor to provide continuing education for the medical marijuana industry, and SB 1946 initially received a committee substitute but was later rescinded and returned to its original engrossed form as a distillery bill reducing a local distillery license fee from $3,125 to $1,250. SB 592 clarified distributor obligations when replacing products for quality-control reasons, and SB 65 allowed possession and use of Narcan and fentanyl test strips; both passed. The committee also heard SB 1257, which moved THC-related substances into Schedule 1 while keeping dronabinol/Marinol in Schedule 3; members discussed federal alignment, singular/plural wording, and synthetic THC coverage, and the Oklahoma Bureau of Narcotics stated it had no objection. An amendment was adopted to make the terminology consistent. SB 444 passed to allow certified hospice personnel to destroy narcotics after a patient’s death. SB 640, with a committee substitute, added abandoned marijuana grow facilities to the definition of public nuisance to help local authorities clean them up, and it passed after confirmation that prior distancing language had been removed. Later, SB 2178 was amended to remove language that would have placed liability on employees, leaving ABLE-directed insurance requirements for certain events; the amended bill passed. SB 1242, another bond-bill-related measure, was revised to restore the $2,000 fee and add a requirement that OMA notify law enforcement when a license is terminated, and it advanced. Finally, SB 1642 passed to allow seven-day pain-medication prescriptions to be split into shorter fills, with the author arguing it could reduce addiction risk. The committee adjourned after all recorded votes were taken and several bills were reported out favorably.

Transcript Highlights:

• I've also had the honor of advising the federal government on biological risks, including at the White
• California report on frontier AI policy noted unclear but growing evidence that AI could enable biological
• California report on Frontier AI policy noted unclear but growing evidence that AI could enable biological
• , potentially biological weapons?
• , potentially biological weapons?

Committee: House Health

Transcript Highlights:

• My concern when I enter a bathroom isn't about the gender or the biological sex of other people that
• There was a bill from the regular session that defined biological sex.
• This goes blatantly against biological norms and scientific accuracy, in fact.
• I went into the second-floor women's restroom and realized that there was a biological man inside the
• Reasonable step to ensure an individual whose biological sex is opposite does not enter.

Bills: SB6 , SB7 , SB8 , SB11 , SB12 , SB13 , SB15 , SB 6 , SB 7 , SB 8 , SB 11 , SB 12 , SB 13 , SB 15 , SB 17

Committee: Senate State Affairs

Transcript Highlights:

• The bill also upholds biological truth and scientific integrity. Human sex is binary.
• This bill merely clarifies that sex under Louisiana law means biological sex, and that pronoun use is
• In opposition to your biological sex.
• By telling people don't compel others to address you in a way in opposition to your biological sex.
• Do you know of any lawsuits that have come from... ...biological sex.

Bills: HR153 , HR154 , HR155 , HR156 , HR157 , HR158 , HCR57 , HCR58 , HCR59 , HR133 , HR134 , HR135 , HR136 , HR137 , HR138 , HR139 , HR140 , HR141 , HR142 , HR144 , HR145 , HR146 , HR147 , HR148 , HR149 , HR150 , HR151 , HR152 , SCR28 , SB141 , SB169 , SB206 , SB233 , SB417 , SB421 , SB429 , SB437 , SB477 , SB510 , SB521 , HR1 , HR17 , HCR5 , HB55 , HB385 , HB394 , HB396 , HB406 , HB608 , HB622 , HB676 , HB772 , HB897 , HB902 , HB943 , HB1030 , HB1035 , HB1038 , HB1045 , HB1049 , HB1056 , HB1058 , HB1059 , HB1092 , HB1100 , HB1117 , HB1160 , HB1161 , HB1162 , HB1177 , HB1180 , HB1189 , HB1216 , HB1239 , HB1240 , SB127 , HB284 , HB1 , HB2 , HB3 , HB312 , HB313 , HB383 , HB314 , HCR3 , HB983 , HB1126 , HB21 , HB24 , HB29 , HB31 , HB39 , HB45 , HB77 , HB136 , HB150 , HB263 , HB273 , HB299 , HB315 , HB376 , HB377 , HB431 , HB444 , HB450 , HB519 , HB533 , HB538 , HB559 , HB562 , HB663 , HB664 , HB715 , HB717 , HB805 , HB822 , HB823 , HB834 , HB864 , HB867 , HB1017 , HB1018 , HB1068 , HB1134 , HB1137 , HB1234 , HB1235 , HB1236 , HB211 , HB27 , HB71 , HB214 , HB225 , HB241 , HB244 , HB306 , HB345 , HB366 , HB446 , HB511 , HB514 , HB655 , HB730 , HB743 , HB1027 , HB1037 , HB1043 , HB1082 , HB1091 , HB1096 , HB1103 , HB1167 , HB1174 , HB1175 , HB1230 , HB1237 , HB1238 , SB162 , SB349 , SB350 , SB382 , SB383 , HB401 , HB51 , HB58 , HB140 , HB982 , HB1010 , HB132 , HB193 , HB635 , HB690 , HB1003 , HB750 , HB911 , HB151 , HB180 , HB192 , HB310 , HB961 , HB1146 , HB977 , HB181 , HB901 , HR20 , HR74 , HB9 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB615 , HB682 , HB733 , HB773 , HB996 , HB1113

Keywords: commendation, robotics, high school, competition, education, Tomato Festival, community celebration, Our Lady of Prompt Succor, fundraising, local heritage, Holocaust, remembrance, Yom HaShoah, Jewish history, condolences, community service, law enforcement, legacy, Shreveport, D.A.R.E. Program

Transcript Highlights:

• But what this is doing, the state is recording biological fact.
• This should be recorded as biological fact. Asks you to get back in the queue.
• that you referenced that is earlier in this statute that allows for the amending of somebody's biological
• explicitly putting in says, and this is in Paragraph H on page 4, beginning on April 26, 2022, the biological
• As far as the state of Oklahoma is concerned, it will be based on what the biological sex is.

Bills: HB4319 , HB4317 , HB1225 , HB3076 , HB3081 , HB4226 , SCR17 , HB4432 , HB3304 , HB3411 , HB3435 , HB4339 , HB4331 , HB4341 , HB4342 , HB1770 , HB1016 , HB4113 , HB2950 , HB4141 , HB3277 , HB2988 , HB3029 , HB3338 , HB1889 , HB3834 , HB3831 , HB2939 , HB3045 , HB3657 , HB1739 , HB3759 , HB3755 , HB4484 , HB4486 , HB4108 , HB1250 , HB2961 , HB1219 , HB3025 , HB1782 , HB1907 , HB3718 , HB4459 , HB2976 , HB3548 , HB3545 , HB2952 , HB2929 , HB2956 , HB2973 , HB3055 , HB3086 , HB3040 , HB3794 , HB4336 , HB3151 , HB1590 , HB3581 , HB3313 , HB3429 , HB3448 , HB1752 , HB2650 , HB3584 , HB4202 , HB3586 , HB4321 , HB4280 , HB3650 , HCR1020 , HB2116 , HB2206 , HB4301 , HB3625 , HB3147 , HB3403 , HB3498 , HB3970 , HB3975 , HB3976 , HB3980 , HB4265 , HB4266 , HB3638 , HB3880 , HB3930 , HB3942 , HB3944 , HB4191 , HB3242 , HB3678

Keywords: administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity

Transcript Highlights:

• We had people sitting right there at that table telling us, 'Here is my biological experience.
• sex in student 11 relative to biological sex in student athletes<00:10:44.639><c> what</c><00:10:44.800
• experience here is what is biological experience here is what is happening<00:12:23.000><c> in</c><00
• Those in favor of keeping biological males out of the women's sports say aye.
• Those in favor of keeping biological males out of the women's sports say aye.

Committee: Senate Education

Transcript Highlights:

• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• We can basically come in, get access to that data, raise it up so that it can be interchanged at the

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• that I might say the words network geothermal or TENS, which is the acronym, so my apologies if I interchange
• apologies<00:54:20.319><c> if</c><00:54:20.559><c> I</c><00:54:20.880><c> uh</c><00:54:21.200><c> interchange
• </c><00:54:22.640><c> Uh,</c> apologies if I uh interchange them.
• Uh, apologies if I uh interchange them.
• that I might say the words network geothermal or TENS, which is the acronym, so my apologies if I interchange

Bills: HF4236 , HF4122 , HF4377

Committee: House Energy Finance and Policy

Keywords: public utility, interim rates, utility rates, rate case, general rate case, Minnesota Public Utilities Commission, PUC, rate increase cap, rate freeze, refunds, customer refunds, ratepayer protection, electric utility, gas utility, regulated utility, ratemaking, return on equity, rate base, test year, rate design

Transcript Highlights:

• possible dissemination of information from diverse and antagonistic sources and assure the unfettered interchange
• possible dissemination of information from diverse and antagonistic sources and assure the unfettered interchange
• antagonistic sources and assure The antagonistic sources and assure The unfettered<01:08:53.679><c> Interchange
• </c><01:08:54.159><c> of</c><01:08:54.359><c> ideas</c><01:08:54.679><c> for</c> unfettered Interchange
• of ideas for unfettered Interchange of ideas for bringing<01:08:55.120><c> about</c><01:08:55.440><c

Committee: Senate Elections

Transcript Highlights:

• possible dissemination of information from diverse and antagonistic sources to assure the unfettered interchange
• possible dissemination of information from diverse and antagonistic sources to assure the unfettered interchange
• antagonistic sources to assure<01:29:33.960><c> The</c><01:29:34.119><c> unfettered</c><01:29:34.760><c> Interchange
• </c><01:29:35.280><c> of</c> assure The unfettered Interchange of assure The unfettered Interchange of

Committee: Senate Elections

Transcript Highlights:

• The situations that you encounter in foster care are vastly different than your own biological children
• Your own biological children grew up in your own home. They know boundaries.
• It brought unique challenges, including navigating relationships with biological parents, extended family
• Some of those kids have been reunified with biological parents.
• Some of those kids have been reunified with biological parents.

Committee: Senate Health and Welfare

Transcript Highlights:

• THE DIVERSION DIAMOND INTERCHANGE REMOVES THE LEFT TURN COMPLEX.

Transcript Highlights:

• to be the legal father of a child conceived or born during the marriage, even if he is not the biological
• This creates legal, financial, and emotional liability for a child that is not biologically his.
• to be the legal father of a child conceived or born during the marriage, even if he is not the biological
• father. child conceived or born during the marriage, even if he is not the biological father.
• This creates legal, financial, and emotional liability for a child that is not biologically his.

Transcript Highlights:

• In the application itself is to provide services to keep these kids in their homes, in their biological
• In the application itself is to provide services to keep these kids in their homes, in their biological
• In the application itself is to provide services to keep these kids in their homes, in their biological
• In the application itself is to provide services to keep these kids in their homes, in their biological
• homes, in foster homes but in biological homes, in foster homes but in the<00:20:49.520><c> community

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.