Transcript Highlights:

• Included in the department's special pay adjustment plan were 99 vacant positions.
• To families, to help families make informed decisions on the best child care option for them.
• He came out of retirement and really enjoys what he does. But he is overloaded a bit.
• The state has a true bargain on our insurance plans.
• Now, especially with the turnover, one of the worries are succession planning.

Summary: The Pre-K through 12 Budget Subcommittee met for two workshops. The first focused on vacant positions in the Division of Early Learning and the Department of Education. Committee members reviewed vacancy reports, including long-vacant positions and positions that had received discretionary pay adjustments. Division and department officials said many vacancies were being filled, advertised, or under review, but acknowledged persistent recruitment and retention problems, especially for engineering, legal, finance, IT, and other specialized roles. Members questioned whether some long-vacant positions were still necessary, whether overtime and workload were being affected, and whether outside contracting, cross-training, combining positions, or eliminating some vacancies could help. Officials said they were considering those options and noted that hiring has become slower and more difficult since the pandemic, with lower applicant volume and more competition from other agencies and private employers. The second workshop addressed draft legislation related to school choice scholarships and the FEFP. The chair said the committee’s prior hearings raised concerns about student identification numbers, cross-checking between districts and scholarship organizations, duplicated FTE reporting, delayed district payments, scholarship payment timing, and inconsistent data sources. She said the proposed language is intended to standardize scholarship processing and improve accuracy and efficiency while preserving the long-standing FEFP principle that funds follow the student. She also said funding scholarship students below the line would not solve the identified problems and could create disparities. The draft would align processing for the Family Empowerment Scholarship and Florida Tax Credit Scholarship programs and would reduce add-on weights by 50% while keeping the current policy structure. No votes were taken. The chair invited further comments and said the draft budget and legislation would continue to be refined before rollout. The meeting adjourned without objection.

Transcript Highlights:

• Let them have the option, at least, to be able to go to the credit reporting agencies and freeze their
• at least to be able to go to the option at least to be able to go to the<01:02:18.720> credit
• As I mentioned before, it has a little work that needs to be done, so we will be deferring this bill
• this bill till next will be deferring this bill till next week<01:38:42.840> Wednesday<01:38:
• plan plan to<01:40:46.560> um<01:40:46.880> remove<01:40:47.480> those to um remove

Keywords: 910, house, all

Summary: The committee on Economic Development and Technology heard testimony on several measures, beginning with SB 1343, which would amend quorum requirements for the Small Business Regulatory Review Board. The board chair testified in support, saying it has been difficult to fill all seats and that using active seats for quorum would help the board function more effectively. No opposition or questions were raised, and the committee moved on. The committee then heard SB 1578, which drew mixed testimony. DBEDT supported the measure and the Attorney General suggested inserting preamble language from HB 1025 to provide historical context on the East-West Center. Austin Martin of the Libertarian Party of Hawaiʻi opposed the bill, arguing it could invite improper behavior, create loosely regulated satellite offices, increase foreign influence, and add competition for land ownership. The committee took no vote during the hearing. The bulk of the meeting focused on SB 1641, a measure to establish a Hawaiʻi film commission/authority and related funding and governance structure. DBEDT supported the intent and offered friendly amendments to clarify the distinction between film and media industries, while the Honolulu Film Office and labor representatives from IATSE, Teamsters, and Pride at Work supported the bill but urged changes. Their concerns centered on conflicts of interest, especially having producers on the commission, and they asked for more labor representation and clearer oversight rules. The Attorney General raised constitutional and special-fund concerns, saying the grant standards and special-fund language needed work. Committee members discussed renaming the entity as a Hawaiʻi Film Authority, broadening its scope beyond cultural production, adjusting the commission makeup, and clarifying funding sources, including the existing film and creative industries fund and the 0.2% rebate contribution. No final vote was taken in the portion provided, but members indicated the bill would need substantial revisions and an HD1.

Transcript Highlights:

• When did this plan come into place, and what specifically are you doing under the plan?
• So there are options. The state does either offset that on future benefits, or we have an option.
• So there are options.
• What is the state's plan to deal with that?
• I'd love to take that back as an option to explore.

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• status in case planning. status in case planning.
• Aging out is not a plan.
• ,<05:25:21.520> establishing capital raising options, establishing capital raising options
• ,<05:53:45.760> and members without housing options, and members without housing options,
• <06:18:59.680> like affordable housing options like affordable housing options like firstlook

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 19, 2026, 1012, house, all

Transcript Highlights:

• Okay, but at least at this point, your plan, while we might have a traffic light or something, would
• If tolling proves to be a viable option, of course we want to consider latching on to that.
• It's on our plan. It's just there are so many worthy projects out there that we need to tackle.
• Yes, so it's also on our long-range plan, our four-lane grid network.
• And so that's there as a planning guide as we see future revenues in the future.

Summary: The committee heard a presentation from ARDOT Director Jared Wiley, who introduced Highway Commission members and reported that the agency has completed the final five recommendations from its long-running efficiency review. He highlighted new public-facing maintenance and construction dashboards on the agency website, and noted quarterly reports on land conveyances, Infrastructure Investment and Jobs Act funding, annual revenue expenditures, and major projects were provided with no major questions or objections. Members asked about ARDOT’s budget priorities, project delivery, and specific corridors. Wiley said roughly 75% of construction dollars go to maintaining the existing system, with additional maintenance and operations funding also directed to upkeep; he said Arkansas has about 16,300 centerline miles, nearly 40,000 lane miles, and about 73,700 bridges. He gave updates on Interstate 57 and Highway 5 work in Lonoke County, Interstate 49 public meetings in northwest Arkansas, passing-lane projects on Highway 412/62 in north central Arkansas, widening plans for Interstate 40, the Toad Suck Bridge flood mitigation project, and Highway 82 improvements in south Arkansas. The director also discussed ARDOT’s litter control efforts, saying the agency spends about $8 million annually on litter pickup and is exploring future legislation. He said work-zone safety tools such as cameras and mobile work-zone enforcement are helping reduce dangerous driving, though distracted driving remains a problem. Wiley also announced new agency initiatives on human trafficking awareness training for staff, a “Street Smart” traffic-safety education program for students, and a spring cleanup effort in which ARDOT crews and some office staff will collect litter statewide. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• That's their retirement.
• They are only required to plan for building.
• for and plan flexibly.
• There will be for-sale options; there will be rental options. All units will be publicly owned.
• That's transparency, that's fair, and that's good planning.

Summary: The committee first heard AB 1157, the Affordable Rent Act, which would lower California’s annual rent cap, remove the single-family home exemption, and eliminate the sunset on existing tenant protections. The author and supporters argued that renters are facing severe affordability pressures, especially in single-family rentals, and that stronger statewide rent stabilization is needed to prevent displacement and homelessness. Opponents, including apartment, building, and property-owner groups, said the bill would discourage housing production, harm small landlords, and override a deal they said was intended to be temporary while the state focused on building more housing. Public testimony on AB 1157 was extensive, with many renters, tenant advocates, labor groups, and community organizations speaking in support, while many landlords, business groups, and property-owner representatives spoke in opposition. Committee members were split: some praised the bill as a necessary response to the rent crisis, while others warned it could reduce investment and worsen the housing shortage. The committee ultimately voted 7-5 to pass AB 1157 to the Assembly Judiciary Committee. The committee then approved the consent calendar, including AB 413, AB 1152, and AB 1275, on a 9-0 vote. It also heard ACA 3, which would require the University of California to make available a limited number of down payment loans for eligible long-term support staff who are first-time homebuyers. Supporters said the measure would help lower-wage UC workers afford homeownership and improve retention, while UC and other opponents argued the proposal was duplicative of existing state programs, unnecessary, and potentially harmful to UC finances. The discussion focused on financing mechanics and the relationship to CalHFA, but no final vote on ACA 3 was included in the portion provided.

Transcript Highlights:

• SB 1250 is fundamentally about planning smarter.
• rather than the Transportation Asset Management Plan, also known as TAMP.
• This is a planning bill, I want to emphasize that.
• Matthew Bakerworth, Planning and Conservation, in strong support. Thank you.
• Jeannie Ward Waller, on behalf of Pew, Climate Plan, WCN, and NRDC, in support.

Keywords: 988, house, all

Transcript Highlights:

• Introduction and reference of bills will be deferred.
• Today I rise to recognize Daryl Thomas, who is retiring from the California State Assembly as the chief
• Congratulations on your retirement—well deserved.
• Even in retirement, David never stopped serving.

Summary: The Assembly convened after an initial quorum call, then proceeded with prayer, the pledge, and routine motions. Members approved several procedural requests, including moving AB 362 to the inactive file and allowing the Natural Resources Committee to hear AB 34 on January 16. The chamber also recognized guests and paid tribute to retiring Republican caucus consultant Daryl Thomas, with remarks from multiple members praising his long service and legal analysis work. The main floor action centered on ACR 116, a resolution honoring Reverend Dr. Martin Luther King Jr. Members from several caucuses and both parties spoke in support, emphasizing King’s legacy of civil rights, economic justice, nonviolence, and unfinished work. After opening the roll for coauthors, the resolution received 67 coauthors and was adopted by voice vote. The Assembly then took up ACR 118, recognizing Korean American Day; members highlighted Korean American history, community contributions, solidarity with other communities, and the significance of Koreatown and Korean American civic life. That resolution also received 67 coauthors and was adopted by voice vote. The consent calendar was then adopted on a 64-0 vote, including ACR 115 on National Blood Donor Month. The chamber also held an adjournment in memory for former legislator David Kelly, with a tribute to his military service, agricultural background, and legislative work on water conservation and sustainable agriculture. The Assembly announced the upcoming Martin Luther King Day recess and adjourned until Tuesday, January 20 at 1 p.m.

Transcript Highlights:

• We've got the towns with local option taxes that are paying in...
• President, I retired life. And so Mr.
• Oh, but I do plan on voting yes.
• Oh, but I do plan on voting yes. Oh, but I do plan on voting yes.
• added to a group life insurance plan. added to a group life insurance plan.

Keywords: 927, senate, all

Transcript Highlights:

• fire engines. work. have a 10-year plan.
• We began the planning to replace our fleet right after COVID. We evaluated many vendors.
• We began the planning to replace our fleet right after COVID. We evaluated many vendors.
• They pay through higher taxes, reduced services, and deferred investment in essential programs.
• What are they planning to do as far as their current operations when they do merge?

Summary: The committee held an informational hearing on the rising cost and long delivery times for fire apparatus and related equipment, with opening remarks stressing that aging fleets, supply chain problems, and delayed replacements are affecting emergency readiness across California. Cal OES and Cal Fire described statewide procurement challenges, including higher prices, multi-year delivery timelines, two-year encumbrance limits, and the strain on mutual aid when engines remain in service beyond their intended replacement cycles. Cal Fire said it operates 537 engines, with 300 meeting replacement criteria and 243 at least 16 years old, and explained the difference between mandatory contracts and one-time acquisitions. The Department of General Services said vendors have cited labor costs, chassis pricing, and the need for longer production timelines, while also noting that statewide contracts can include nominal price increases but not open-ended price hikes. Local fire chiefs from Santa Barbara County, Los Angeles County, Napa, and Fullerton testified that apparatus prices have risen sharply while delivery times have stretched from under a year to three to five years or more. They described specific examples of engines and ladder trucks costing far more than prior purchases and arriving years later, forcing departments to keep older reserve apparatus in service, spend more on maintenance, and defer other budget priorities. Several witnesses said industry consolidation has reduced competition and contributed to delays and price increases, with Los Angeles County and Fullerton noting they have pursued antitrust complaints and litigation against major manufacturers. Napa also described proprietary parts and software limiting in-house repairs, and Santa Barbara County said a vendor’s unfulfilled delivery promise caused the department to lose its place in line. Members asked about possible solutions, including whether the state should consider manufacturing apparatus itself, whether procurement rules or prototype requirements could be streamlined, whether DGS staffing or contract processes could be accelerated, and whether more stable long-term purchasing commitments would help manufacturers plan production. Witnesses said safety-driven specification changes are necessary but can add time, and that the main bottlenecks are industry capacity, consolidation, and vendor performance. The vice chair raised concerns about how grant funding windows and local matching requirements are affected by multi-year delays, especially for small and rural departments that rely on grants and on used apparatus passed down from larger agencies. No votes were taken; the hearing concluded with committee members indicating interest in possible legislative, regulatory, and antitrust follow-up.

Transcript Highlights:

• Retired teachers would receive less in benefits or teachers will have to pay in more.
• have to I guess we could put the money in through TRS, but I would like to understand if there is a plan
• for that. this and what that plan is.
• An increase of $220 per student. will only provide teachers and schools minimal options for students
• Thank you. timer due to the fact that I've retired.

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• The agency attributes this issue to high turnover, particularly retirements.
• agency's overall retirements and other Article 8 agency retirements.
• Optional item 1 seeks about $1.75 million for salary enhancements.
• Retirements, I get it.
• For Planned Parenthood the entire time he was working, he took an early retirement.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Many of the witnesses have travel plans and need to do something else.
• Perhaps most importantly, this increases the optional programs to continue.
• So, is there a payment plan? Yes, yes. There would be a payment plan.
• I'll defer to them. They'll answer it a little better than I will.
• Why don't we say if y'all can plan to be here at 5?

Bills: HB 1194, HB 1221, HB1738, HB1913, HB2177, HB2178, HB2180, HB2229, HB2282, HB2448, HB2492, HB2777, HB2984, HB3357, HB3553, HB3602

Keywords: emergency protection order, protective order, magistrate, criminal procedure, victim safety, family violence, domestic violence, stalking, assault, magistrate's order, temporary protection, court order duration, defendant restrictions, Article 17.292, Texas Code of Criminal Procedure, emergency restraining order, victim protection, firearm restriction, pretrial intervention, reimbursement fee

Transcript Highlights:

• Senators, we have 20 bills on the agenda today with only a two-hour time slot and no option to extend
• Additionally, this bill ensures that at least 50% of the primary care providers participating in a plan
• At that time, I had already been accepted to Florida State and had made plans to move to Tallahassee.
• It also requires AHCA to develop a comprehensive plan to redesign the Medicaid model waiver.
• And I think if patients choose to do this, it's an option we should have in Florida.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• It allows the pharmacies to plan in advance.
• Um, Hawaii Association of Health Plans, Rachel Wilkinson.
• Um, Hawaii Association of Health Plans, Rachel Wilkinson.
• I'd like to defer this. I know the bill is well intentioned.
• I know the bill is Like to defer this.

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• Representative Frazier then deferred to Renee Carlson.
• Representative Frazier then deferred to Renee Carlson.
• Representative Frazier then deferred to Renee Carlson.
• Representative Frazier then deferred to Renee Carlson.
• Representative Frazier then deferred to Renee Carlson.

Bills: HF1233

Keywords: women's athletics, gender, sports competition, Human Rights Act, biological sex, participation limits, 1183, house

Transcript Highlights:

• <00:43:43.040> change, and 26, the group two retirement change, and 26, the group two retirement
• , versus 1,333 in the Senate plan.
• In the House plan, including the lottery, versus 1,333 in the Senate plan.
• You remember 3.3 on Schedule 2 to the general fund. option for games of chance and kino has option for
• Kino local option has been moved up. Kino local option has been moved up.

Keywords: 1191, senate, all

Summary: The Legislative Budget Assistant staff presented an overview of the Senate changes to the House-passed budget, focusing on revenue estimates, appropriations, and ending balances across the general fund and education trust fund. The presentation emphasized that the Senate’s budget reflected higher revenue assumptions than the House, driven in part by updated April revenue figures, changes to business, tobacco, and real estate transfer tax splits, and different assumptions about video lottery terminal revenue. The Senate also adjusted lapse estimates upward, especially for HHS, after receiving updated information that lapses could be much larger than originally assumed. The presenter walked through the major differences in the surplus statements for fiscal years 2025 through 2027. Compared with the House, the Senate budget generally showed higher revenues, lower or different appropriations in some areas, and larger balances carried forward, including a larger education trust fund balance and a different rainy day fund transfer. The Senate’s approach also changed several policy assumptions, such as maintaining liquor revenue dedication, removing the House’s meals-and-rooms distribution cap, changing the treatment of unique revenue, and altering the process for meeting a targeted revenue amount by giving the governor more flexibility. On the appropriations side, the Senate removed or modified several House reductions and added funding or adjustments in areas including the judicial branch, corrections, HHS, the Human Rights Commission, and certain settlement costs. The presenter also highlighted Senate changes in House Bill 2 and related budget provisions, including a new arts tax credit, a nursing home bed fee, changes to Medicaid premium assumptions, and differences in how motor vehicle inspection repeal and BLT-related revenue are handled. No votes were taken in the portion shown; the discussion was informational and comparative, aimed at explaining the Senate budget changes before conference committee negotiations.

Transcript Highlights:

• What's happening with the turquoise plan?
• And so they plan to use those if the need arises, and so then they inventory all of these options, see
• Retire New Mexico, New Mexico State University did a study.
• It was called Retire New Mexico, and it actually talked about we have a thousand baby boomers retiring
• , into an action plan, into next steps.

Transcript Highlights:

• in a state plan.
• If any changes are made to that state plan, the Medicaid agency files a state plan amendment to CMS for
• in a state plan.
• in a state plan.
• in a state plan.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• We offer competitive insurance options, including 80/20 and 90/10 plans.
• New strategic plans, new direction.
• This is what I do, and I could happily retire doing that.
• We just need, it goes back to more planning time.
• We definitely looked at different options to do that.