Transcript Highlights:

• Madame Clerk, if you could please call the roll. >> Senator Boswell, Senator Clemons, Senator Girdler
• proceed. >> Thank you, Mr.
• could please call the roll.
• Stand up and ... please call the role. please call the role.
• Thank you, Senator Nees. >> Thank you, Mr. Chairman, and committee members.

Committee: Senate Economic Development, Tourism, & Labor

Keywords: Meeting Start: 00:00 Roll Call: 00:25 SB 129 Discussion: 01:14 SB 129 Voting: 03:35, 958, all

Transcript Highlights:

• Thank you. Thank you very much.
• Thank you. Thank you very much.
• Thank you. Thank you very much.
• Thank you. Thank you very much.
• Thank you. >> Any other questions? >> Seeing none, Madame Clerk, please call the role.

Committee: House Tourism & Outdoor Recreation

Keywords: Meeting Start: 00:00 Roll Call: 00:04 HB 168 Discussion: 01:20 HB 168 Voting: 05:12, 958, all

Transcript Highlights:

• Thank you. >> Thank you, Madam Chair.
• Thank you. Thank you for your testimony. Thank all of you for being here.
• Thank you to the sponsor and the AG and everyone else for bringing this bill before us.
• Um this is uh you you can't see this.
• Thank you for your testimonies today. >> Thank you. >> Thank you.

Committee: House Small Business & Information Technology

Keywords: Meeting start: 00:00 Roll call: 00:05 HB 227 discussion: 01:10 HB 227 voting: 49:38, 958, all

Transcript Highlights:

• and years on end before you finally get to an answer.
• you</c><00:09:19.760><c> finally</c><00:09:20.080><c> get</c><00:09:20.240><c> to</c> years on end before
• you finally get to years on end before you finally get to an<00:09:20.720><c> answer.
• </c> sure you know. sure you know.
• Do you think if if you think 90 mind?

Committee: Senate Economic Development, Tourism, & Labor

Keywords: Meeting start: 00:00 Roll call: 00:24 SB 52 discussion: 01:28 SB 52 voting: 25:08, 958, all

Transcript Highlights:

• When I saw the price tag before I did the ABR for it, I wanted to dig into it some more.
• Thank you. >> And I will just say the driving factors of those growths, I've mentioned it before, is
• Thank you. >> And I will just say the driving factors of those growths, I've mentioned it before, is
• Thank you. >> And I will just say the driving factors of those growths, I've mentioned it before, is
• um is has been um long-term care before um is has been um long-term care um<00:54:21.760><c> you</c>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• I really do appreciate the opportunity to bring this bill before you.
• Um, once again, I do appreciate the opportunity to speak before you.
• Um, once again, I do appreciate the opportunity to speak before you.
• Um, once again, I do appreciate the opportunity to speak before you.
• Thank you. please call the vote. Thank you.

Committee: House Tourism & Outdoor Recreation

Keywords: Meeting start: 00:00 Roll Call: 00:04 HB 168 discussion: 01:39 HB 168 vote: 21:04, 958, all

Transcript Highlights:

• Okay, so Sammy, if you would, before we get started, please call the roll. Senator Boswell.
• Great to see you here today. If you could also identify yourself for the record before you speak.
• Um, this is a prime example in my call you a child but how do we get our call you a child but how do
• > record</c><00:04:05.760><c> before</c><00:04:06.000><c> you</c> yourself for the record before you
• call madame clerk, if you could please call the<00:26:35.120><c> role.

Committee: Senate Economic Development, Tourism, & Labor

Keywords: Meeting start: 00:00 Roll Call: 00:37 SB 39 discussion: 04:10 SB 39 vote: 26:35, 958, all

Transcript Highlights:

• Thank you. thank you. Thank you. Thank you.
• I would ask that we be informed on that maybe at a meeting before y'all do that, just to make you know
• </c><00:26:08.559><c> you</c> of that comprehensive plan before you of that comprehensive plan before
• </c> before y'all do that just to make you before y'all do that just to make you know<00:26:15.919><c
• Look forward to seeing you next month. With that, no further business before the committee.

Keywords: Meeting Start 00:00 Attendance Roll Call 00:04 Approval of Minutes 00:36 KOAP Report 00:51, 958, all

Summary: The committee met with a quorum, approved the June 12 minutes, and then received a presentation from Brandon Reid and Bill McCloskkey of the Agricultural Development Board on the June report and the 25th anniversary of the Agricultural Development Fund. They described a joint anniversary meeting held at the Kentucky Historical Society, thanked staff, and noted that the board presented members with a token of appreciation. They also reported a clean annual audit, with the audit report to be shared more fully at a later meeting. The presenters reviewed June activity and funding decisions, saying the development board approved about $3.3 million and the finance board about $5 million in loans. They highlighted program activity such as advisory council meetings, site visits, project reports, and county comprehensive plans. Specific projects discussed included the Food Chain project, which sought support for equipment and improvements to expand Kentucky product marketing; Miller Rockbridge Farms LLC, which sought county support for a barn for an education program; and Thompson Family Farm LLC, which sought funding for a livestock buying station. The board approved reduced or county-only funding in some cases, including $45,643 for the Food Chain project and county money for the farm projects. Members asked about the meaning and purpose of the county comprehensive plans and how counties use them to guide funding decisions. The presenters explained that House Bill 611 created a structure in which each county council develops a comprehensive plan, updated on a five-year cycle, to prioritize local agricultural investments and evaluate applications. They said county councils work with extension agents and the Agricultural Development Office, and that staff attend meetings, provide training, and help new agents and council members understand the program. Members emphasized that the planning process helps ensure funds are targeted to local needs and supports diversification of agriculture beyond tobacco.

Transcript Highlights:

• Representative Thompson, if you want to come up, and if you have any guests with you, we'll go over the
• Thank you all for being here. Thank you very much for having us.
• you very much for being here thank you very much for having<00:01:16.640><c> us</c><00:01:16.799><c>
• Could you go ahead and make—I have a motion and a second. You have any comments?
• Thank you all for coming and thank you all for being here bright and early.

Keywords: Meeting Start: 00:00 Roll Call 00:18 HB 524 Discussion: 00:45 HB 524 Vote: 02:30, 958, all

Summary: The committee met with a quorum and took up its only item, House Bill 524. Representative Aaron Thompson, joined by State Controller Joe McDaniel and State Risk Director Sher Wisman, explained that the bill would extend the Finance Cabinet’s authority over the state self-insurance fund for state buildings through July 2030. The bill also renames the State Fire and Tornado Insurance Fund to the Commonwealth’s Property and Casualty Insurance Fund to better reflect the more than 7,100 buildings and contents covered. Members briefly discussed the measure, with the chair noting the need to move it before the current authority expires on July 1. A motion and second were made, and the committee voted favorably on the bill. The roll call showed support from the members present, and the chair announced the bill passed with favorable expression. Because there was no consent, the bill will still need to be considered on the floor. The chair thanked staff and attendees and noted the committee was likely nearing the end of its session work.

Transcript Highlights:

• Thank you. Before we get into the agenda, just a couple of administrative announcements.
• Welcome and thank you for everything you do in your local county, and thank you for being here with us
• </c> welcome and thank you for everything you welcome and thank you for everything you uh<00:05:33.440
• Yes, thank you.
• Thank you for bringing it to us today. Are there any other issues before the committee?

Keywords: Meeting Start: 00:02 Attendance Roll Call: 03:09 SB 245 (Sen. Smith): 05:55 Adjournment: 11:21, 958, all

Summary: The committee met, established a quorum after some initial roll-call and IT issues, and recognized several guests, including a student page, local tourism representatives, and Scott Smith of the East Kentucky trail authority. Members also briefly highlighted ongoing tourism and trail development efforts in eastern Kentucky and thanked guests for their work and local support. The main item of business was Senate Bill 245, sponsored by Senator Brandon Smith. He explained that the bill closes a loophole in the confirmation process for board appointments and reappointments, so that if the Senate declines to confirm a reappointment—or takes no action on it—the person cannot continue serving for an extended period without confirmation. In response to questions, he clarified that the bill is aimed narrowly at preventing unconfirmed members from remaining in office and making major fiduciary decisions, while preserving the governor’s appointment authority. After discussion, a motion and second were on the bill, the clerk called the roll, and the committee voted to pass Senate Bill 245 favorably. The chair announced that the bill is now eligible for consideration on the House floor, and the committee adjourned.

Transcript Highlights:

• Um, but Miss Sasha, please call the roll. Vice Chair Susan Witten: Hello, thank you, uh, Chairman.
• </c> call upon members in order in Q when you call upon members in order in Q when you have<00:02:29.560
• Members, you have House Bill 552 before you.
• have House Bill 552 table members you have House Bill 552 before<00:04:56.600><c> you</c><00:04:56.960
• ><c> committee</c> before you again you saw the committee before you again you saw the committee footage

Keywords: Meeting Start 00:00 Roll Call 01:21 HB 552 Discussion 04:54 HB 552 Vote 07:12, 958, all

Summary: The House Standing Committee on Tourism and Outdoor Recreation held its first meeting of the 2025 session, welcomed new members and Vice Chair Susan Tyler Whitten, reviewed committee procedures, and introduced staff. Members also introduced several guests, including family members, interns, and visitors from Kenton County. The chair noted there were no minutes to approve because it was the first meeting. The committee then heard House Bill 552 from Judge Executive John Sims of Falmouth County, who said the bill is a joint effort supported by KLC and the County Judge/Executive Association. He explained that the measure makes minor wording changes, replacing references to “jurisdiction” with “county or city” and changing “chairman” to “chair,” with the goal of ensuring smaller communities retain representation on local tourist commissions. Chair King added that the bill would allow a mayor or judge executive to appoint a county resident to a tourism board even when the tax district or business ownership crosses city-county lines. After brief discussion and no further questions, the committee voted on the bill. The vote was overwhelmingly in favor, with members present voting yes and Representative Whitaker explaining his support by saying tourism is a team effort in the counties. House Bill 552 passed out of committee and was sent to the House floor for further consideration.

Transcript Highlights:

• When you are asking a question, please address the chair before asking that question, and we do this
• Representative Walker Thomas, if you all come to the table. going uh couple things here before we going
• <00:10:54.000><c> thank</c><00:10:54.120><c> you</c><00:10:54.240><c> Mr</c> you thank you Mr you thank
• :15:26.000><c> the</c> um you know I can't describe to you the um you know I can't describe to you the
• Thank you for that answer, and I agree with you.

Keywords: Meeting Start 00:00 Roll Call 01:37 HB 398 Discussion 02:18 HB 398 Vote 30:35, 958, all

Summary: The House Standing Committee on Economic Development and Workforce Investment met for its first 2025 session meeting, took roll, and established a quorum. The committee adopted a committee substitute for House Bill 398, an act relating to occupational safety and health, before hearing testimony. Sponsor Representative Walker Thomas said the bill is intended to align Kentucky’s occupational safety and health rules more closely with federal standards, provide clearer reference points for employers, and improve consistency and compliance while maintaining worker safety. He also explained that the substitute added and clarified a de minimis citation provision and defined “qualified representative,” and he noted a typo in the substitute would be corrected on the floor. Members asked whether the bill would change Kentucky’s OSHA structure or affect state offices, and Thomas said Kentucky remains a state-plan state with its own offices and enforcement staff, and that the bill would not eliminate those offices. He said the measure is meant to streamline rules and clarify that certain notices would carry no penalty when there is no substantial impact on safety or health. He also said employers must be given an opportunity to be present for inspections, typically with 45 minutes to an hour to arrange representation. Opposition testimony came from Dustin Ryan Stadler of the Kentucky State AFL-CIO and Gerald Atkins of Working Strategies 2 on behalf of the Kentucky State Building and Construction Trades Council. They argued the bill weakens worker protections, reduces accountability, limits who may request inspections, and could prevent family members from seeking inspections after a fatal workplace incident. Stadler described a fatal construction accident he witnessed in 2006 and said OSHA protections exist for a reason. Atkins cited workplace deaths and injuries, said the bill would go beyond prior 2021 changes, and warned that allowing Franklin Circuit Court to award uncapped costs and attorney fees against OSHA could chill enforcement. Several members then questioned whether federal standards are sufficient, with supporters saying the bill simply aligns Kentucky with federal rules and opponents arguing Kentucky should retain the ability to keep stronger protections for certain industries. No final vote on House Bill 398 was taken in the portion of the meeting provided.

Transcript Highlights:

• I tried to catch you all beforehand, and if you will please call the roll.
• I'll give you the option either going before or after. I have a signup sheet.
• You can either go before or after, your choice. Okay, please do proceed.
• Representative Gentry, you want before or after?
• I know in general, you know, I'm from Jefferson County, and what I've ... this before but um the driving

Keywords: Meeting start 00:00 Roll Call 00:20 HB 1 Discussion 02:00 HB 1 Vote 13:10, 958, all

Summary: The House Standing Committee on Appropriations and Revenue met on January 8, 2025, with a full roll call and a welcome to new members. The committee took up its only agenda item, House Bill 1, sponsored by Chair Jason Petrie, which would implement a further 0.5% reduction in the individual income tax rate, effective January 1, 2026, with conforming date changes tied to the state’s existing tax-cut framework under House Bill 8 and the budget director’s certification of reserve and revenue conditions. Jason Bailey of the Kentucky Center for Economic Policy testified against the bill, arguing that Kentucky’s recent permanent income tax cuts were enacted during an unusual period of temporary pandemic-era revenue surpluses and federal aid, and warning that another cut could worsen future budget pressures. He said the proposed reduction would cost about $718 million annually when fully phased in and would increase risk to state services, especially in poorer rural areas that rely heavily on state funding. In response to questions, the sponsor and other members described the bill as limited to the income tax rate and said any future reversal would require statutory change. Representative Gentry asked about the broader policy goal of moving toward a more consumption-based tax structure and whether the income tax cuts were intended to support growth and population retention. He said he had seen anecdotal signs of housing and population activity in Jefferson County and surrounding areas, though he acknowledged the difficulty of proving causation. He ultimately passed on the bill, saying he wanted more data and was concerned about benefits flowing more to higher-income taxpayers. The committee then voted 17-0 with 3 pass votes to report House Bill 1 favorably to the House floor.

Transcript Highlights:

• The meeting was called to order.
• Madam Secretary, please call the roll. Senator Boswell. Senator Funky PRM. Senator Given.
• House Bill 1 is before the committee.
• The goal, the chair said, is first and foremost to reduce the income tax rate, but also to put before
• The roll was called on the motion. Senator Boswell, yes. Senator Funky Fom, yes.

Keywords: Meeting start 00:00 Roll Call 00:10 HB 1 Discussion 00:40 HB 1 Vote 02:22, 958, all

Summary: The Appropriations and Revenue Committee met with a quorum and welcomed several new members. The main item of business was House Bill 1, which would reduce the individual income tax rate from 4% to 3.5% beginning January 1, 2026. The chair described the bill as the final step in a deliberate, multi-year process to lower income taxes while forcing regular legislative choices about whether to increase spending, hold it steady, or reduce it further. In explaining support for the bill, the chair emphasized that tax reductions should only occur when the Commonwealth can reasonably cover its expenses, pointing to major state priorities such as foster and adoptive services, Kentucky State Police, Medicaid, and the justice system. The chair argued that cutting revenues without corresponding spending reductions is not serious policy and urged members to demand specific spending cuts from anyone proposing faster tax reductions. The committee voted on the bill and approved it unanimously, 11-0. House Bill 1 was reported favorably to the floor.

Transcript Highlights:

• At this time, could you please call the roll? >> Mr. Adams, here. >> Miss Gardner, here. >> Mr.
• I will tell you another story. We'll just call this kid Johnny.
• Can you talk about, um, I know that before there was a thing of, you know, the courts, we don't pay for
• Can you talk about, um, I know that before there was a thing of, you know, the courts, we don't pay for
• Can you talk about, um, I know that before there was a thing of, you know, the courts, we don't pay for

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:08 Agency Updates: 00:01:27 Truancy: 00:01:43, 958, all

Summary: The Juvenile Justice Oversight Council met on October 8, 2025, approved the minutes from the August 29 meeting, and then focused its agenda on truancy and chronic absenteeism. Chad Butler, director of pupil personnel for Meade County and president of the Kentucky Department of Pupil Personnel directors, said chronic absenteeism remains a major problem statewide, citing recent Kentucky rates around 28% to 30% and noting that schools are trying to identify best practices to get students back in class. He said causes appear to include post-COVID social-emotional distress and confusion about when students should stay home, and he described a local effort to use a Healthy Kids Clinic model to keep some students in school when possible. In response to questions, he said chronic absenteeism has only been tracked seriously in the last two to three years and that House Bill 611 appears to have increased the number of youth entering the court system for habitual truancy; AOC said it would provide county-by-county data and outcomes later in the meeting. The council then heard from John Tyson of Alabama, a former Mobile district attorney, who described the Helping Families Initiative as a school-community partnership designed to address truancy and related behavior issues without arrest. Tyson said Alabama defines chronic absence as missing 10% of the school year and emphasized that the program is preventive rather than punitive, using warning letters, family engagement, assessments, individualized intervention plans, and referrals to community services. He said the program has operated since 2003, now includes 20 district attorneys and 44 school systems, and served more than 95,000 students, 73,000 families, and 162,000 parents in the most recent year. Tyson reported that in Mobile County the program was associated with a 3.15% attendance improvement in 2023-24 and a 4% reduction in the issue in 2024-25, along with a 50% reduction in truancy and 58% reduction in chronic absenteeism, and he said the program produced a large return on investment. Tyson also stressed that student absenteeism wastes tax dollars and that better attendance improves educational outcomes and community safety. He described the program’s use of a case-management database, real-time data tracking, and more than 1,000 referral agencies, and said the model is intended to be replicated statewide. He closed with examples of students whose attendance and family circumstances required coordinated support rather than punishment, including a teen mother and a disruptive child, to illustrate his view that schools, courts, and social services should work together to address underlying needs and keep children in school.

Transcript Highlights:

• Madam Secretary, would you please call the roll? Senator Chambers. Senator Armstrong. Senator Berg.
• President, before we vote on the bill, I want to give you an opportunity to say a few words. funky fomer
• Thank you, Mr. President, and thank you all for this vision.
• Um, I do want to... ...we do have a motion on the bill, but before we vote on it, I do want to let you
• Madam Secretary, would you please call the roll? Senator Chambers. Senator Armstrong. Senator Berg.

Keywords: Roll Call 00:20 Approval of Minutes 01:00 SB 87 Discussion 01:23 SB 87 Vote 09:45, 958, all

Summary: The committee met with a quorum, approved the minutes from the February 12 meeting, and then took up its only agenda item, Senate Bill 87. A committee substitute was adopted before testimony. Senator Shelley Funke Frommeyer presented the bill with representatives from CVG, describing it as an efficiency measure for Kentucky’s aviation sector. The bill’s main provisions would streamline procurement rules for Kentucky’s three largest commercial airports by tying the acquisition threshold to the FAA’s simplified acquisition threshold, which adjusts with inflation. Testimony also explained that the bill directs the Council on Postsecondary Education and the Transportation Cabinet to study workforce needs in aviation, especially the shortage of air traffic controllers, and to examine ways Kentucky postsecondary institutions could help create a path to additional training and possibly a second site for final credentialing. Committee members and the Senate President spoke in support of the bill’s workforce and aviation goals. The President said CPE should be doing this kind of planning without needing extra funding, and noted the bill fits CPE’s coordinating role. The chair announced the fiscal note on the underlying bill showed no impact, though it may change with the substitute. The committee then voted to report Senate Bill 87 favorably with the committee substitute attached, and adjourned after no further business.

Transcript Highlights:

• Before we call the roll, I'm going to ask everyone to please stand and a pledge of allegiance to our
• Thank you very much this afternoon. Madame Secretary, at this time please call the roll.
• have with you there today if you<00:03:41.400><c> you</c><00:03:41.519><c> may</c><00:03:41.720><c>
• Thank you.
• Thank you.

Keywords: Pledge of allegiance, roll call, welcome of new members 00:00:15 Consideration of HB 313 00:03:20, 958, all

Summary: The House State Government Committee held its first meeting of the session, established a quorum, welcomed new members, and heard only one item of business: House Bill 313, sponsored by Representative Kim King. King said the bill would add a Kentucky History Month recognition and tied it to recent local anniversary celebrations, arguing it could support education, economic development, and tourism. Kentucky Historical Society Executive Director Scott Alvi testified in support, describing the proposal as part of a broader effort to create a legacy around the nation’s 250th anniversary, coordinate statewide history events, and promote heritage tourism. Members asked why June was chosen and whether an emergency clause should be added so the measure could take effect in time for this June. King said June was selected because it aligns with Statehood Day and Boone Day and leads into July 4th, and she said she was open to the emergency-clause idea, though any amendment would need to be filed in writing later. The committee then voted on the bill and passed it 19-0, with no opposition. The chair noted the bill would next go to the House floor and closed by joking that the meeting was unusually short.

Transcript Highlights:

• Thank you, Madam Secretary. Will you please call the roll?
• </c><00:07:56.000><c> you</c><00:07:56.240><c> today,</c> which is what we have before you today, which
• Will you please call the Secretary. Will you please call the role?
• Thank you, Sandy. Appreciate you being here today. Any members with questions before we let her go?
• Senator will you please call the role?

Keywords: 00:02 Call to Order and Roll Call 00:45 Approval of Minutes 01:01 Information Items 06:25 Project Rpt from Postsecondary Institutions-KCTCS 10:50 Project Rpt from Finance and Admin Cabinet 18:08 Lease Rpt from Finance and Admin Cabinet 27:12 Rpt from OFM – KY Infrastructure Authority 33:56 Rpt from OFM – CED EDF Grants 47:20 Rpt from OFM – Office of Financial Mgmt 56:53 Adjournment, 958, all

Summary: The committee first handled routine business, including approval of the February meeting minutes and several information items. Those items covered university equipment purchases, school district and transportation-related debt issuances, Northern Kentucky University’s planned construction-manager/general-contractor delivery method for the medical examiner/crime lab relocation project, a lease-space advertisement, postsecondary asset preservation allocations, and lease-law compliance reports. Members then discussed the Northern Kentucky crime lab project in more detail; staff explained that the memorandum of agreement would cover the construction portion while the lease would cover operations, and members were told the project should move forward without procurement problems. The committee approved a Kentucky Community and Technical College System project to modify the fire academy maintenance building after the related dormitory project was set aside because of major cost overruns. KCTCS said the dormitory would be about $3 million over budget, so it would not be bid; instead, the maintenance building would be expanded to add showers and restroom/locker facilities, bringing that project from $2 million to about $3.2 million. The committee also approved a Transportation Cabinet project for the Hardin County I-65 southbound commercial motor vehicle station relocation, with members asking about the estimate, the lack of a direct prior example, and the fact that the loadometer equipment itself would be purchased separately and was not included in the construction estimate. Finance and Administration Cabinet lease items were then considered. The committee approved a Department of Public Advocacy lease in Christian County and a Transportation Cabinet vehicle regulation lease in Kenton County, both negotiated down from initial asking prices and both including utilities. Two lease modifications were reported without action: a Department of Revenue fit-up in Jefferson County and an expanded vehicle regulation lease in Adair County. Members also approved a package of Kentucky Infrastructure Authority items, including four loans and six Cleaner Water Program grant reallocations, covering sewer and water projects such as MSD’s Patty’s Run flood pumping station, Paducah-McCracken County’s wastewater treatment plant, Mount Washington’s lift station replacement, and Eminence’s wastewater plant expansion. Finally, the committee heard a batch of Kentucky Product Development Initiative economic development grants and approved the action items in one vote. The projects included due diligence and infrastructure work for industrial and site-development projects in multiple counties, with local match requirements and KEDFA approvals described for each. The committee also received three line-item water grants from House Bill 1 that required no action, and the meeting ended after the grant presentations and approvals.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=iogvjV91QvU, 2026-06-21T07:17:15+00:00, 2.2.24, Data collected via generic collector engine, 00:15 - Call to Order/Roll Call 01:30 - Approval of Minutes 02:00 - Legislative Proposals 02:18 - Discussion of 26RS HJR 24 03:48 - Dicussion of 26RS HB 169 05:54 - Discussion of 26RS HB 176 09:27 - Discussion of 26RS SB 345 16:53 - Adjournment, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• So, Representative Neighbors, you have the floor. go ahead and u call the role. go ahead and u call the
• So I like this provision, and I'm glad that you have brought this before us and I look forward to working
• before us and I you um have brought this before us and I look<00:24:41.279><c> forward</c><00:24:41.600
• If you have a even an before about this.
• Thank you. you. you.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.