Transcript Highlights:

• Members, we're going to take up Tab 3, Senate Bill 1340 on coordinated screening and progress monitoring
• Screening system to identify students exhibiting characteristics of dyslexia and dyscalculia.
• If screening indicates these characteristics, the district must ensure that the student is placed on
• State Board of Education to adopt rules to implement and enforce these screening procedures.
• State Board of Education to adopt rules to implement and enforce these screening procedures.

Summary: The committee heard and advanced several education-related measures. CS/SB 1062 on speech and debate, sponsored by Senator Brodeur, was amended with a delete-all and rewritten to create a Speech and Debate Hall of Fame, designate Florida Speech and Debate Week, authorize a teacher endorsement and FLVS institute, direct statewide coursework and credentials, and require annual district reporting. Supporters, including parents, the Florida Debate Initiative, and school representatives, praised the bill’s funding and statewide expansion of debate opportunities. The committee adopted the amendment and reported the bill favorably. The committee also heard and reported favorably SB 1718 on educator preparation and certification, which aims to reduce administrative delays for initial certification and reinstatement while maintaining standards; an Orange County school administrator suggested adding language to allow educators to bank professional learning hours. SB 1646 on educational facilities was presented as revising the funding formula and priorities for school capital projects, with added attention to safety, maintenance, and planning, and it was reported favorably. CS/SB 564 on student volunteers at polling locations was amended to clarify that pre-registered or registered high school students may volunteer at polling places and count the hours toward graduation or postsecondary financial aid; election officials and civic groups supported the bill, and it was reported favorably. SB 1340 on coordinated screening and progress monitoring was also reported favorably. It requires school districts to screen students for characteristics of dyslexia and dyscalculia, place identified students on support plans, and use evidence-based interventions, with the sponsor emphasizing early identification and intervention. The committee then recommended confirmation of Laila Collins to the State Board of Education, and the meeting concluded after a birthday recognition and adjournment.

Transcript Highlights:

• Okay, then I will share my screen with you all. screen with you all.
• Could you let me know if you're seeing my screen? We are not seeing your screen.
• It says I am screen sharing. It says I am screen sharing. I can see it, Madam Chair. I'm seeing it.
• Which screen can you see? Your notes and your slide. See your notes and your slide.
• The first is prevention.

Summary: The committee held an interim work session focused first on carbon capture, utilization, and sequestration (CCUS), then on hazardous waste and extended producer responsibility (EPR). On the CCUS topic, industry and nonprofit presenters described point-source capture, direct air capture, mineralization, and geologic sequestration, emphasizing Washington’s basalt formations and state trust lands as strong candidates for storage. They argued that CCUS can help hard-to-abate industrial sectors, support jobs and investment, and provide a pathway for compliance, while also noting the need for clearer permitting, subsurface rights, pipeline authority, and storage infrastructure. Ecology and Commerce staff explained current state policy touchpoints, including Cap-and-Invest offsets and exemptions for permanently stored CO2, the public comment process underway to define “thousand-year” permanence, and how CCUS might fit within the Clean Energy Transformation Act without counting emitting generation as non-emitting. Some presenters supported more state action and primacy over federal permitting, while others warned about costs, energy use, uncertain capture performance, and the need to ensure real net greenhouse gas reductions and long-term liability protections. Members asked about public meetings, whether mineralized carbon would qualify as exempt under the Climate Commitment Act, the timeline for Ecology guidance, aquifer and water-quality concerns, energy intensity of capture systems, and liability if storage later proves problematic. Responses said Ecology’s guidance process is already underway, public meetings will be virtual, mineralized carbon would likely qualify if it meets the permanence standard, and EPA rules require storage in deep saline formations below drinking water aquifers. Industry speakers said capture energy use varies by source and concentration, and one presenter noted that some states use trust funds funded by injectors to address long-term liability. The second half of the session shifted to hazardous waste and EPR. Ecology staff reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described moderate risk waste and household hazardous waste management in Washington. They highlighted that E-Cycle and PaintCare are producer-funded, that the battery stewardship program will begin in 2027, and that the mercury lamp program is in transition after its prior stewardship organization exited, prompting enforcement notices and a pending replacement plan. Ecology recommended best practices for future EPR programs, including clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong agency enforcement and plan approval authority. Local government speakers from King County and Douglas County described rising collection costs, equity and access barriers, rural travel distances, and the need for stable funding and flexible local implementation. King County said it collected over 3 million pounds of hazardous products in 2025 and supports EPR as a way to shift costs from ratepayers to producers, while Douglas County emphasized that rural residents will participate when services are accessible and that future systems should account for geography and local infrastructure.

Transcript Highlights:

• that we're looking at trying to prevent that we're looking at trying to prevent is<00:15:29.680>
• <00:32:38.880> by virtually and and visually screened by virtually and and visually screened
• But we have screens inside the scales.
• The ability to close to try to prevent traffic from backing up on those ramps.
• prevent that. prevent that. >> Thank<00:38:03.599> you.

Keywords: 958, all

Summary: The Interim Joint Committee on Transportation approved the minutes from its September 16 meeting and then heard a presentation from Jason Sawala, deputy state highway engineer with the Kentucky Transportation Cabinet, on rest areas and truck parking. He described Kentucky’s system of eight welcome centers, 14 rest areas, and four truck havens, and said the Cabinet spent just over $12 million in fiscal year 2025 to operate and maintain those facilities. He also explained that the Cabinet’s truck parking study found truck parking demand has increased 24% since 2012, driven by just-in-time delivery, stricter hours-of-service and electronic logging requirements, and fewer drivers. Sawala said the study looked not only at Cabinet-owned facilities but also private truck stops and lots, and identified unmet parking demand across the state, especially at 1:00 a.m. He noted that 11 sites, mostly existing rest areas, weigh stations, or welcome centers, were identified as promising expansion locations, with estimated project costs in the $30 million to $36 million range in 2022 dollars. He said the Cabinet is working on design and project development for those sites and is seeking federal funding opportunities where available. Members raised concerns about safety, congestion, and trucks parking on ramps or in residential areas, and several asked about funding, charging for parking, and whether autonomous vehicles might reduce future demand. Sawala said the 820 public rest-area spaces are marked spaces only, that he was not aware of any state charging for public truck parking, and that federal programs can help fund some expansions. He also said he was not aware of local-government parking programs offhand but would look into it. Members generally emphasized the importance of truck parking for safety, commerce, and avoiding burdens on local communities.

Transcript Highlights:

• We are a youth education and prevention program focused on tobacco issues.
• Another challenge for us last year was participation in the in-person screenings and testings.
• Another challenge for us last year was participation in the in-person screenings and testings.
• Another challenge for us last year was participation in the in-person screenings and testings.
• in-person screenings and testings short<00:15:04.639> screening<00:15:05.040> and<00:15

Keywords: 958, all

Summary: The Senate Education Committee met with a quorum and heard first from the Washway Nicotine Youth Advocacy Group, which urged stronger enforcement of Kentucky’s Tobacco 21 law. Youth advocates described the harms of flavored vaping products, argued that nicotine use is targeting children, and called for retailer licensing, annual compliance checks, harsher penalties for illegal sales, and more funding for enforcement. Committee members praised the presentation, and one senator said he had heard a bill on licensed retailers may be coming soon. The committee then heard a lengthy presentation from Cloverport Independent School District and the Kentucky Virtual Academy about the state’s virtual school model. Superintendent Keith Haynes and principals Brandy Fagan and Sally Johnson said KYVA serves about 2,800 students, many of whom are at-risk or have health, safety, behavioral, or family reasons for choosing virtual education. They emphasized that the program uses live synchronous instruction, provides devices and materials, and offers special education and related services. They also said the school had a large wait list and that virtual programs need more flexibility in staffing ratios, scheduling, and testing windows. School leaders acknowledged criticism of KYVA’s proficiency scores and said many students entered far below grade level, with 59% not proficient in English language arts and 79% not proficient in math on recent state testing. They argued the program is too new to judge solely on one year of data and pointed to growth in MAP scores, as well as middle and high school rankings in the top half of Kentucky schools. Fagan and Johnson outlined improvement efforts, including daily interventions, small-group instruction, literacy programs, staff training, and expanded clubs and student activities. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• Over 10,000 individuals were clinically screened.
• And so we also want to prevent relapse and overdose.
• First you'll see on your screen is operational.
• Next, our turn to violence, prevention and domestic security.
• And then lastly, on the screen for crimes against children, And then lastly, on the screen for crimes

Keywords: 999, senate, all

Transcript Highlights:

• It addresses a gap in the newborn screening system by adding screening for a rare but life-threatening
• This is a disease in which the bile ducts are blocked, preventing bile from leaving the liver.
• the existing newborn screening program using the same blood specimen already collected at birth.
• Many of you heard the stories so I won't go too deep into it, but in short, this bill prevents Michael
• We can no longer be complicit in a preventable health risk.

Keywords: 999, senate, all

Transcript Highlights:

• And we have a screen here for those who want to use the CART here in person.
• And then a third measure is focused on screening members, patients...
• Training, and then a third measure focused on screening members and patients for when they come into
• This measure drives improvements in how patients are screened when they come in for services.
• What's preventing access to rehab? The answer lies in disparities.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• Cancer. screenings, and SDI testing, not more barriers.
• STI testing and screening. cancer screening, prevention methods for diabetes treatment, pregnancy counseling
• would significantly increase access to birth control, STI detection, and treatment, and cancer screenings
• Planned Parenthood, she had developed a cervical cancer, a disease that can be. be successfully prevented
• Texas leaders have made it hard for people to get birth control, cancer screenings, and basic health

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• Texans need access to birth control, cancer screenings, and STI testing, not more barriers.
• STI testing and screening, cancer screening, prevention methods for diabetes treatment, pregnancy counseling
• And cancer screenings. Many rural Texans have to travel. Uh, uh Pardon me.
• patients must navigate just to access basic life-saving services like breast and cervical cancer screening
• Texas leaders have made it hard for people to get birth control, cancer screenings, and basic health

Transcript Highlights:

• Whereas not only will effective policies, practices, and funding investments to prevent, detect, and
• The goal is to prevent and detect.
• The goal is to prevent and detect.
• The goal is to prevent or run with you. The goal is to prevent and<00:19:21.039> detect.
• But should you detection screenings.

Keywords: 958, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, then established a quorum with 34 members present. The chamber approved the journal from January 28, received notice that the House had passed House Bills 56, 320, 366, and 389 and requested concurrence, and heard a report that second-reading bills were sent to the Rules Committee. Committee reports advanced several measures, including Senate Bills 1, 3, 48, 84, 102, and 122, which were ordered to first reading and placed on the calendar. The Senate also received new bills and resolutions, including measures on SNAP benefits, unemployment insurance, medical licensing, proxy advisory services, child protection, disabled veterans, public school construction, and a concurrent resolution encouraging nuclear workforce training at Kentucky universities. The Rules Committee posted Senate Bills 20, 34, and 68 for the next regular orders, and the Committee on Committees referred Senate Resolutions 60, 61, 63, 64, and 65 to the floor. Senate Floor Amendment 1 to Senate Bill 3 was introduced. Several honorary and memorial resolutions were adopted, including Senate Resolution 63 honoring Reverend George Clifton Currington, Sr., Senate Resolution 49 honoring Dr. Jacqueline Sugarman, and Senate Resolution 31 designating Suits and Sneakers Day to recognize cancer patients, survivors, and advocates. Senators spoke at length about cancer awareness, personal family experiences, and Kentucky’s efforts to improve screening and treatment access. Announcements were made about an oversight committee meeting after adjournment and a Kentucky State Police Professional Association breakfast the next morning. The Senate adjourned until 9:00 a.m. on Friday, January 30, 2026.

Transcript Highlights:

• range of services including prevention range of services including prevention strategies<00:10:03.959
• prevention prevention Services<00:10:31.040> key<00:10:31.320> provisions<00:10:31.720
• Orchard. diseases for which newborn screening is diseases for which newborn screening is available<00
• <00:56:36.440> program strengthen our newborn screening program strengthen our newborn screening
• <01:02:03.960> now um because of the newborn screening now um because of the newborn screening

Keywords: 1183, house

Transcript Highlights:

• There's protections in place to prevent abuse.
• Her passing was not only devastating, it was preventable.
• Her passing was not only devastating, it was preventable.
• of things that we screen for in newborns.
• This access will empower them to thoroughly screen potential adopters and prevent animals from being

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• This new additional pathway will provide stabilizing, supports and a specific array of services that prevent
• Background screening requirements by Senator Polsky. She's not here. Senator Rouson that I'm sorry.
• Clearinghouse system and level 2 background screening requirements.
• technical information, Taylor to those seeking employment who are required by law to be background screen
• to include details on level 2 background screening, the care provider, background screening, clearinghouse

Keywords: 999, senate, all

Transcript Highlights:

• SB 1002 seeks to maintain consistency in energy policies across Florida, preventing local governments
• They do not prevent landlords from using email.
• The original bill required providers to successfully complete a level 2 background screening.
• It will require providers to successfully complete a level 2 background screening.
• Take up tab 35, CS for SB 1546 on background screening of athletic coaches by Senator Grall.

Summary: The Rules Committee took up a large agenda of bills, with many measures reported favorably after brief explanations, amendments, and testimony. Early bills included CS/SB 658 on lien waivers and releases, which was amended to preserve enforceability despite form differences and then passed; CS/CS/SB 736 on brownfields redevelopment, which drew support from business and redevelopment interests and passed; and CS/SB 1002 on utility service restrictions, which was amended to bar certain building or fire code provisions affecting fuel-source choices and then passed despite opposition from environmental advocates. The committee also advanced CS/CS/SB 1132 on right-to-repair for certain equipment, where manufacturers, dealer representatives, and industry groups warned the bill could undermine dealer networks and existing repair programs, while supporters argued it would improve consumer access and help farmers and equipment owners. The bill still passed. Other measures reported favorably included CS/SB 1378 on restitution for leaving the scene of property-damage crashes, CS/CS/SB 768 on foreign-country controlling interests in health care licensing, CS/SB 772 on school access to glucagon for diabetes emergencies, CS/SB 1400 on removal of nonconsensual altered sexual depictions, and CS/SB 1696 on transportation network company impersonation and transit funding. A major portion of the meeting focused on affordable housing. CS/SB 1730, a follow-up to the Live Local Act, made several changes to zoning, height, density, parking, moratorium, and enforcement provisions, with members raising concerns about parking reductions, attorney’s fees, local control, and impacts in the Keys and other sensitive areas. Supporters said the bill closes loopholes and improves workforce housing implementation, while some witnesses urged additional exemptions for areas of critical state concern. The bill was reported favorably after amendment. Later, the committee considered several bills from Senator Leak, including CS/SB 576 on service of process, CS/SB 606 on public lodging and food service establishments, and CS/SB 1164 on electronic delivery of landlord-tenant notices. CS/SB 606 drew substantial debate over whether hotels and extended-stay properties should be able to remove nonpaying guests without treating them like residential tenants; the sponsor said the bill clarifies transient occupancy and removes mandatory arrest provisions, and it passed. CS/SB 1164, which allows email notice delivery by agreement, passed despite concerns from tenant advocates that the bill should include clearer consent and safeguards. The committee also approved CS/SB 1374 on school district reporting of educator arrests and misconduct, CS/SB 940 on third-party restaurant reservation sales, and began hearing CS/SB 1690 on surrendered infants, which would authorize infant safety devices or “baby boxes” as a legal surrender option, with supportive testimony from proponents describing crisis situations and the need for anonymous surrender options.

Transcript Highlights:

• The crux of the federal entitlement law is that that initial medical screening is required, and that
• entities to implement new health care screening or service programs, or to expand existing programs
• Grant funding is intended to be used on screenings, referrals for treatment, and related services for
• , provides information on screenings and services that are available for no or reduced cost and is not
• limited to the screenings and services that are directly supported by the Sanadi Grant Program.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• preventative services like wellness checks or STI screenings that are provided at Planned Parenthood
• preventative services like wellness checks or STI screenings that are provided at Planned Parenthood
• preventative services like wellness checks or STI screenings that are provided at Planned Parenthood
• preventative services like wellness checks or STI screenings that are provided at Planned Parenthood
• preventative services like wellness checks or STI screenings that are provided at Planned Parenthood

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• BLOOD CLOTS ARE HIGHLY HIGHLY PREVENTABLE. BUT THEY ARE ON THE INCREASE.
• BLOOD CLOTS ARE PREVENTABLE. IF YOU KNOW THE SIGNS AND SYMPTOMS.
• IF WE COULD IDENTIFY THE DBT IT WOULD GO A LONG WAY TO PREVENT PULMONARY EMBOLISM WHICH WOULD PREVENT
• SO, AGAIN, FEDERAL LAW PREVENTS US FROM DISCRIMINATING.
• EARLY PERIODIC SCREENING DIAGNOSTICS SCREENING FEDERAL LAW THAT'S OF PEOPLE IN MEDICAID.

Keywords: 999, senate, all

Transcript Highlights:

• And subject of screen time in schools.
• because of preventable reading deficits. because of preventable reading deficits.
• book as opposed to looking at a screen? book as opposed to looking at a screen?
• So what doesn't exist on a screen.
• Today in screens at school, too.

Keywords: 958, all

Transcript Highlights:

• <00:20:20.320> you that specific part is preventing you that specific part is preventing you
• prevention money is easy to cut.
• He noted that the screening takes about 20 minutes and asked who is actually being screened.
• <05:06:29.360> a question in terms of the screening a question in terms of the screening a
• Um prevention being more state.

Keywords: 1189, house, all

Transcript Highlights:

• You've done an enormous amount in Texas to help prevent more tragic deaths.
• a difference preventing future fentanyl poisonings?
• And I'd really like to get your sense of prevention.
• Prevention. Real quick, so thank you again. Chief, I just had a quick question too for you.
• 100% screening.

Keywords: Coast Guard, maritime drug enforcement, illegal drugs, fentanyl crisis, legislative reforms, public testimony

Summary: The meeting of the Senate Committee on Commerce, Science, and Transportation addressed critical issues surrounding maritime drug enforcement and the Coast Guard's role in stopping the influx of illegal drugs. The chairman highlighted the alarming consequences of current policies allowing drugs to cross borders, emphasizing the need for legislative reforms, such as the Coast Guard Reauthorization Act of 2025. There was an intense discussion regarding the operational challenges faced by the Coast Guard, which has recently made significant drug seizures, indicating progress but also revealing gaps that need addressing. Several witnesses, including victims of the drug crisis, shared their compelling testimonies, which underscored the urgency for stricter controls and comprehensive support for law enforcement agencies involved in drug interdiction efforts.