Transcript Highlights:

• identification and assessment of member needs, the coordination of services across providers, and then evaluation
• :35:19.760> then services across providers, and then services across providers, and then evaluation
• <00:35:22.960> They evaluation of intervention impact.
• They evaluation of intervention impact.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• And if you'll turn your attention to the packet that we sent in, there's a data evaluation and outcome
• <00:34:05.120> there's<00:34:05.360> a<00:34:05.519> data<00:34:05.760> evaluation
• <00:34:06.320> and sent in, there's a data evaluation and sent in, there's a data evaluation

Keywords: 958, all

Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” efforts. Chair Funky Fromm opened by describing a recent foot injury from a road hazard and used it to emphasize the importance of infrastructure, nutrition, sleep, and activity as part of a broader wellness culture. The main witnesses were Kentucky Commissioner of Agriculture Jonathan Shell, Holly Harris of Appalachian Regional Health Care (ARH), and Jim Muser of the Kentucky Hospital Association. Shell and Harris described a partnership between the Department of Agriculture, the Kentucky Hospital Association, and hospitals such as ARH to connect local farmers with hospital cafeterias, farmers markets, CSA-style subscription food boxes, and medically tailored meals. Harris said ARH serves a large region with 14 hospitals, more than 95 clinics, about 6,700 employees, and 1,300 medical staff, and that the system began by improving employee food options because hospital workers often have limited access to healthy meals during shifts. They reported examples such as a local-protein burger, parking-lot farmers markets, subsidized CSA boxes for employees, and plans for container gardens at some hospitals. The witnesses said the program is intended to improve health outcomes, reduce readmissions, support chronic disease management, and also increase rural prosperity by expanding demand for Kentucky farm products. Shell said more than 40 hospitals had already been onboarded into the food-is-medicine program, with measurable outcomes being studied through pilots such as one at Russell County Hospital. He also noted that some systems, including CHI St. Joseph Health, Taylor Regional, and UK King’s Daughters, have formally embedded food-as-medicine goals into strategic plans. Members and witnesses also discussed barriers, especially the lack of reimbursement, fragmented short-term funding, and regulatory or purchasing hurdles that make it difficult for small farmers to participate. Shell said the goal is to make the model scalable and easier for hospitals and farmers to navigate, while Harris emphasized that ARH has been funding its efforts without reimbursement because of its mission. No votes or formal policy actions were taken beyond approving the minutes.

Transcript Highlights:

• This figure does not include the cost to families for evaluations and other medical appointments, repair
• <01:30:54.320> for include the cost to families for include the cost to families for evaluations
• <01:30:55.520> and<01:30:55.840> other<01:30:56.000> medical evaluations and other
• medical evaluations and other medical appointments,<01:30:57.520> uh,<01:30:57.840> repair

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• if they would be able to go off from that, it would also give the hospital essentially 60 days to evaluate
• <00:39:18.880> to the hospital essentially 60 days to the hospital essentially 60 days to evaluate
• c> competency<00:39:20.720> of<00:39:20.880> that<00:39:21.359> student evaluate
• the competency of that student evaluate the competency of that student and<00:39:21.920> the<

Keywords: 1191, senate, all

Transcript Highlights:

• the work done, but this would give us some flexibility that when positions become vacant, we can evaluate
• :44:47.040> can when positions become vacant, we can when positions become vacant, we can evaluate
• 44:48.320> of<01:44:48.480> the<01:44:48.639> money<01:44:48.880> for evaluate
• the best use of the money for evaluate the best use of the money for that<01:44:49.280> position.

Keywords: 1191, senate, all

Transcript Highlights:

• Though we are continuing to evaluate its potential impact on our members as technology evolves and the
• Though we are continuing<00:23:53.760> to<00:23:54.000> evaluate<00:23:54.640> its
• c><00:23:54.960> potential continuing to evaluate its potential continuing to evaluate its potential

Keywords: 1187, senate, all

Transcript Highlights:

• Fresh Energy is evaluating the role hydrogen can play in building a carbon-neutral economy.
• It does require high-purity water to run through that system, so we're still evaluating if it's something
• It does require high-purity water to run through that system, so we're still evaluating if it's something
• It does require high-purity water to run through that system, so we're still evaluating if it's something

Keywords: 1183, house

Transcript Highlights:

• They found the credit does not pay for itself and that DoR has insufficient tools to properly evaluate
• 00:41:17.200> tools<00:41:17.839> to<00:41:18.160> properly<00:41:18.560> evaluate
• insufficient tools to properly evaluate insufficient tools to properly evaluate the<00:41:19.280

Keywords: 1187, senate, all

Transcript Highlights:

• We had the assisted living place evaluate her, and they said they could return her to her residence,
• Uh we had the the assisted living<00:08:07.440> place<00:08:07.759> evaluate<00:08:08.599
• her<00:08:09.599> and<00:08:09.840> they<00:08:10.080> said living place evaluate
• her and they said living place evaluate her and they said they<00:08:10.479> could<00:08:10.720

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• I just want to make sure that we don't lose important data as we're later trying to evaluate whether
• I just want to make sure that we don't lose important data as we're later trying to evaluate whether
• I just want to make sure that we don't lose important data as we're later trying to evaluate whether
• I just want to make sure that we don't lose important data as we're later trying to evaluate whether

Keywords: 1183, house

Transcript Highlights:

• Representative Dils continued that permanent in total gets thrown around a lot, but those subject to re-evaluation
• c> to<01:35:40.880> Ral lot but those subject to Ral lot but those subject to Ral re-evaluation
• 42.800> often<01:35:43.119> those<01:35:43.280> who<01:35:43.400> are re-evaluation
• are often those who are re-evaluation are often those who are terminally<01:35:44.119> ill<01

Bills: HF2090, HF982, HF2229

Keywords: higher education, scholarship, financial aid, state grant, tuition assistance, Pell grants, student retention, education equity, disabled veterans, veterans' dependents, dependent children, college affordability, books and fees, University of Minnesota, public colleges, Office of Higher Education, veterans benefits, military families, permanent disability, 100 percent disability

Transcript Highlights:

• We did not trigger a notice of violation, but we have operational evaluation requests that we have to
• 37:24.280> planning<00:37:24.640> effort<00:37:25.040> and<00:37:25.920> evaluated
• facility planning effort and evaluated facility planning effort and evaluated our<00:37:26.640><

Bills: HF343, HF446, HF448, HF674, HF811, HF832, HF1661, HF1528, HF1536, HF1541, HF1670, HF1438, HF1714, HF1748, HF1835, HF1904, HF1929, HF1942

Keywords: HF343, Chisago County, Shorewood Park Sanitary Sewer District, Rush Lake, sewer extension, wastewater infrastructure, sanitary sewer, treatment pond, sewage treatment, capital investment, bonding bill, state bonds, Public Facilities Authority, local infrastructure, municipal utilities, water quality, sanitation, bond proceeds fund, Minnesota bonding, HF446

Transcript Highlights:

• The purpose of the resale decal is not to evaluate the entire home and all of the criteria.
• purpose of the resale decal is<01:15:24.440> not<01:15:24.600> to<01:15:25.040> evaluate
• the<01:15:25.880> entire<01:15:26.400> home<01:15:26.719> and is not to evaluate
• the entire home and is not to evaluate the entire home and all<01:15:27.040> of<01:15:27.159>

Keywords: 1187, senate, all

Transcript Highlights:

• The commission takes this very seriously and continues to work towards this goal as it evaluates utility
• this<01:20:44.480> goal<01:20:44.719> as<01:20:44.800> it<01:20:44.960> evaluates
• <01:20:45.480> utility this goal as it evaluates utility this goal as it evaluates utility

Keywords: 1183, house

Transcript Highlights:

• We worked with a third party to evaluate soil, water, and carbon impacts of crop production practices
• practices we worked with a third party practices we worked with a third party to<00:42:36.880> evaluate
• > soil<00:42:38.000> water<00:42:38.400> and<00:42:38.680> carbon to evaluate
• soil water and carbon to evaluate soil water and carbon impacts<00:42:39.760> of<00:42:39.960

Bills: HF1126, HF967, HF1066, HF1669, HF926

Keywords: property tax, Indian Tribe, tax exemption, Minnesota, public charity, property tax exemption, Minnesota statutes, unorganized territory, federally recognized, soil conservation, water conservation, local government aid, environmental funding, Minnesota legislation, tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, tobacco

Transcript Highlights:

• Continuous evaluation and improvement within the program by the nursing director and faculty ensures
• 41:29.319> continuous in the Minnesota rules continuous in the Minnesota rules continuous evaluation
• > and<00:41:30.680> Improvement<00:41:31.200> within<00:41:31.440> the evaluation
• and Improvement within the evaluation and Improvement within the program<00:41:32.000> by<00:

Keywords: 1183, house

Transcript Highlights:

• That is Hazard Evaluation and Emergency Response. So we looked at our database.
• that<01:32:45.639> is<01:32:45.960> uh<01:32:46.119> Hazard<01:32:46.560> evaluation
• <01:32:47.840> emergency that is uh Hazard evaluation emergency that is uh Hazard evaluation

Keywords: 910, house, all

Summary: This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support. The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session. A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples. An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• weather situation, but because soil and hydrology and the plant communities are the things they use to evaluate
• <01:13:57.040> they<01:13:57.159> use<01:13:57.360> to<01:13:57.560> evaluate
• <01:13:58.120> those<01:13:58.400> so the things they use to evaluate those so the
• things they use to evaluate those so um<01:14:00.080> we've<01:14:00.320> looked<01:14:

Keywords: 1183, house

Transcript Highlights:

• assistance to colleges in the state and, in addition, helps us administer this program in terms of doing evaluation
• <00:08:33.200> terms<00:08:33.479> of<00:08:33.680> doing<00:08:34.039> evaluation
• <00:08:34.760> and program in terms of doing evaluation and program in terms of doing evaluation

Keywords: 1183, house

Transcript Highlights:

• These are complex economic decisions that are best evaluated by the experts at utilities and the Public
• decisions<00:59:38.559> that<00:59:38.680> are<00:59:38.920> best<00:59:39.240> evaluated
• <00:59:40.079> by<00:59:40.319> the decisions that are best evaluated by the decisions
• that are best evaluated by the experts<00:59:41.000> at<00:59:41.200> Utilities<00:59:

Keywords: 1183, house