Transcript Highlights:

• So if the parent has requested that screening, they've done the screening in the future, do they still
• have that right again if we've already screened the child and we've said they don't have it?
• Just so that parents understand they have the option to ask for the screening.
• Multiple, multiple school administrators that did not know that the Lemon test was abandoned?
• for certain, do certain tests on the students.

Bills: HB4491, HB3240, HB4146, HB4158, HB4159, HB3718

Keywords: extracurricular activities, charter schools, student eligibility, virtual education, Oklahoma Secondary School Activities Association, prayer, religious freedom, public schools, consent, First Amendment, school policy, paid maternity leave, school employees, public health, childcare, work-life balance, education, family leave, tuition, grant

Transcript Highlights:

• We should identify them before third grade, so I believe that even more screening testing has become
• But parents and students, if they tested, some schools haven't tested yet, right?
• They're still testing. But if they tested, they know their scores.
• But parents and students, if they tested, some schools haven't tested yet, right?
• They're still testing. But if they tested, they know their scores.

Summary: The committee first approved the March 9 and 10 minutes, then heard a presentation from the Arkansas Excellence in Teaching Fellowship Program featuring three third-grade teachers from Poyen, Drew Central, and Cabot, along with Department of Education Secretary Jacob Oliva. The teachers described the fellowship as a year-long collaboration among 23 merit-pay recipients from across the state, focused on sharing classroom strategies, data use, and professional support. Members asked about teacher experience, how the fellowship information is shared locally, the role of merit pay, and how teachers are addressing third-grade reading and retention concerns under the ATLAS assessment system. The teachers emphasized early intervention, relationships with students, small-group instruction, progress monitoring, and communication with families; they also described community supports such as churches, food backpacks, and local donations. Several members raised broader questions about poverty, trauma, social services, DHS involvement, and whether similar professional learning should be expanded to more teachers. Secretary Oliva said the fellowship is a small subset of a larger merit-pay program, that participation was voluntary, and that the state is working to improve literacy supports, clarity, and alignment across grades. He also said ATLAS results are now available to schools and families much faster than in the past, often within 24 to 72 hours, and that the state is using the data to identify at-risk students earlier and support intervention before retention decisions are made. The committee then moved to the adequacy/resource allocation presentation from the Bureau of Legislative Research. Staff explained that the report is part of the statutory adequacy review and focuses on state funding sources beyond foundation aid, including categorical and supplemental funds. They noted that districts and charters spent more than $7 billion in the 2025 school year, with roughly 49% from foundation funding and 51% from other sources over the last three years. The presentation outlined the four categorical funds—Alternative Learning Environment, English Learners, Enhanced Student Achievement, and Professional Development—describing their restricted uses, student-based funding formulas, and the ability of districts to transfer some money among categoricals while keeping it within allowable purposes. Staff said categorical funds account for about 4% of total spending, or less than $300 million, and reviewed superintendent feedback on whether those funds met district needs, with responses varying by category and district.

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.
• test in the U.S. and the first and only one that's been done in basalt so far.
• Which screen can you see? Your notes and your slide? Uh-oh. Let's try again.

Keywords: 904, all

Summary: The committee’s interim work session focused first on carbon capture, utilization, and sequestration (CCUS), with presenters from industry, nonprofits, and state agencies describing Washington’s geologic potential, the role of basalt formations, and the difference between point-source capture, direct air capture, utilization, and permanent storage. Industry and project developers emphasized that Washington has major opportunities to reduce industrial emissions, create jobs, and support hard-to-electrify sectors, while state agencies explained current policy touchpoints in the Cap and Invest Program, emissions exemptions for permanently stored CO2, and the Clean Energy Transformation Act. Several presenters urged clearer statutory and regulatory pathways, including rules for pore space, subsurface rights, pipeline siting, and long-term liability; others cautioned that CCUS should be limited to real emissions reductions and not treated as a substitute for broader clean energy measures. Committee members asked about public comment opportunities, whether mineralized carbon would qualify for exemption under the Climate Commitment Act, the energy intensity of capture systems, aquifer protection, and liability if storage later proves problematic. Ecology said it is developing guidance through a public engagement process running through late June and that mineralized or otherwise permanently stored CO2 would likely qualify if it meets the 1,000-year permanence standard. DNR and outside experts also discussed trust lands, water rights, and the need for additional geophysical surveys and test wells. The panel did not take any votes or formal actions. The second half of the meeting turned to hazardous waste and extended producer responsibility. Ecology reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described how moderate risk waste and household hazardous waste are currently collected through county facilities and events. Ecology said the electronics program is its best model, while the mercury lamp program is currently in transition after the prior stewardship organization exited and a new organization is seeking approval. Ecology recommended that future EPR programs have clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong enforcement authority. Local government witnesses from King County and Douglas County described rising costs, access barriers in rural areas, and the need for stable funding and flexible local delivery models. King County said it collected over 3 million pounds of hazardous products in 2025 and argued that EPR could reduce costs for ratepayers and improve equity. Douglas County stressed that rural residents are willing to participate when services are available, but travel distance and operating costs make access difficult. An industry representative supported narrowly scoped stewardship programs like PaintCare but warned that broad household hazardous waste EPR systems can become difficult to administer and may require legislative revisions if responsibilities are not clearly defined. No votes were taken on the hazardous waste topic either.

Transcript Highlights:

• So first up, we have HB 1089, newborn screenings, by Representative Booth and Anderson.
• The RUSP is a list of conditions and diseases that children are tested for postnatally.
• With an FDA-authorized test. genetic counseling, and care.
• With an FDA-authorized test already available, Florida has the opportunity to expand its newborn screening
• But first, we must ensure that screening for Duchenne occurs at birth.

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• According to the report, 62% of tests detected more than one drug in a single subject, and 90% of those
• who tested positive for alcohol also tested positive for one or more drugs.
• to establish probable cause for arrests in drug-impaired driving cases. of tests detected more than
• tested positive for alcohol also tested tested positive for alcohol also tested positive<00:13:02.959
• devices to establish probable screening devices to establish probable cause<00:13:12.000> for

Keywords: 1187, senate, all

Transcript Highlights:

• So we can put it on the screen. Do we have a computer? here. We'll get it up.
• We are going to have staff begin testing the system in March of this year, which is huge.
• meet the justification or legal obligation of a screened-in report.
• They are just screened out at SCI.
• So, we have tested this.

Keywords: 996, all

Transcript Highlights:

• We should identify them before third grade, so I believe that even more screening, testing, it's become
• So I believe that even more screening, testing, it's become more intense for them, which is good for
• So are we testing children?
• But parents and students, if they tested—some schools haven't tested yet, right?
• They're still testing—but if they tested, they know their scores.

Summary: The committee approved the March 9 and 10 minutes and then heard a presentation from the Arkansas Department of Education on the Arkansas Excellence in Teaching Fellowship, featuring three third-grade teachers from Cabot, Poyen, and Drew Central who are also teacher merit pay recipients. The teachers described the fellowship as a year-long Zoom-based collaboration with about 23 educators statewide, focused on sharing classroom strategies, data use, and professional support. Members asked about the teachers’ experience, how they share what they learn with their districts, the range of grades represented in the fellowship, and the relationship between the fellowship and merit pay. The teachers emphasized building relationships with students, using data to drive instruction, early intervention, and collaboration across grade levels, while the secretary said the program is intended to identify and elevate high-performing teachers and spread their practices. A major portion of the discussion focused on third-grade reading, retention, and the new ATLAS testing system. Teachers and the secretary said students are screened and progress monitored throughout the year, families are notified early if students are at risk, and schools are using interventions, tutoring, and individualized reading plans. They said ATLAS results are now available much faster than in the past, often within 24 hours or a few days, allowing teachers and parents to respond quickly. Members asked about the impact of poverty, trauma, foster care, DHS involvement, IEPs, and critical shortage areas; teachers said relationship-building, small-group instruction, and coordination with counselors and special education staff are key. The secretary said the fellowship is a small subset of a broader merit pay program, that participation was voluntary, and that the state is trying to build a coherent system with literacy coaches, high-impact tutoring, and clearer standards rather than teaching to the test. Members also discussed broader policy issues, including the need for more positive public messaging about public education, teacher input in decision-making, and support for early childhood education. Several legislators asked whether the state should expand funding for early learning and whether more literacy or academic coaches are needed in districts that improve and then lose eligibility for state support. The secretary said the state has committed literacy coaches to D and F schools and is still working through how to sustain support as schools improve. He also said the administration would look at data and return on investment before supporting additional funding, and he encouraged legislators to help recruit eligible teachers into future fellowship cohorts. After the teacher panel concluded, the committee moved on to the adequacy resource allocation study, where Bureau of Legislative Research staff began a presentation on state and local education funding sources, categorical funds, and district spending patterns.

Transcript Highlights:

• And also, medical screen on the slide.
• We gave them the option of taking a DNA test.
• We gave them the option of taking a DNA test.
• I've been taking whatever for 5 test.
• amounts that you see on the screen. amounts that you see on the screen.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• COME HIMSELF DOWN INTO IT TO A BLUE GRAPH BUT THEY ARE ALSO DOING BECAUSE THEY ARE POPPING UP ON THE SCREEN
• WELL-BEING, MENTAL HEALTH, HEALTH SCREENING, THINGS THAT ARE TYPICAL. WE HAVE OPT OUT LANGUAGE.
• THOSE ARE WELL-BEING, MENTAL HEALTH, HEALTH SCREENING, THOSE KINDS OF STANDARD FORMS AND THAT'S AN OPT
• >> Chair Canady: YOU ARE RECOGNIZED. >> THE OPT OUT OF THE HEALTH SCREENING QUESTIONNAIRES AND SURVEYS
• NEARLY ALL 50 STATES ALLOW MINORS TO RECEIVE STI TREATMENT AND TESTING WITHOUT PARENTAL CONSENT AND I

Transcript Highlights:

• Now, uh, let me share my screen.
• Can everybody see the screen now?
• see the screen now? see the screen now? >> Yes. >> Yes. >> Yes.
• Back to full screen.
• <00:58:49.440> The screened, routed, and tracked. The screened, routed, and tracked.

Keywords: 910, house, all

Transcript Highlights:

• conducting health screenings. conducting health screenings.
• <00:09:22.120> results<00:09:22.520> that<00:09:22.760> I the audiology test
• results that I the audiology test results that I performed<00:09:23.760> and<00:09:23.960>
• <00:14:27.720> They're<00:14:28.000> going performing the tests.
• They're going performing the tests.

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• And I I doing labs and running tests.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• WE HAVE DONE USER ACCEPTING TESTS BEING DONE NOW THIS MONTH WE HAVE DONE USER ACCEPTING TESTS BEING DONE
• UNDERSTANDING YOUR CONCERNS AND UNDERSTANDING WE'VE BEEN TESTED THIS FOR IMPLEMENTATION AND UNDERSTANDING
• NEXT WE HAVE OUR CMS 416 REPORT OR ANNUAL PERIODIC SCREENING DIAGNOSTIC TESTING.
• THIS IS A FEDERALLY REQUIRED REPORT TO SUBMIT TO OUR FEDERAL CMS ANNUALLY AND DOES INCLUDE SCREENING
• AND TREATMENT ARE WHAT WE CALL -- AND HYPERTENSION SCREENING AND TREATMENT INTO THEIR THAT THEY DEVELOP

Transcript Highlights:

• SB 1072 establishes the expedited DNA testing grant program within FDLE.
• a specialized technique or expedited testing is needed.
• Testing is needed.
• are tested two times a week randomly.
• It talks about blood tests for inmates, which requires testing of inmates for infectious disease if they

Summary: The committee heard and voted on a long series of criminal justice, public safety, victim protection, and regulatory bills. Several measures were reported favorably, including SB 1374 on school district reporting requirements, SB 1378 on restitution for leaving the scene of a crash, SB 1072 creating an expedited DNA testing grant program, SB 1140 establishing a Hillsborough County criminal offender substance abuse pilot program, SB 1266 revising public records protections for crime victims and certain law enforcement identities, SB 1546 delaying and refining background screening requirements for athletic coaches, SB 1430 on post-judgment execution proceedings related to terrorism victims, SB 1444 making a broad set of criminal justice changes, SB 240 on domestic and dating violence protections, SB 606 clarifying public lodging and food service removal procedures for nonpaying guests, SB 1450 giving law enforcement discretion in arrests involving people with significant medical conditions, SB 44 increasing penalties for impersonating law enforcement with unauthorized red or blue lights, SB 1000 expanding court-ordered sealing options, SB 1400 requiring platforms to remove altered sexual depictions, and SB 1696 addressing rideshare impersonation and transit service rules. Many of these bills were amended before final passage, often with strike-all amendments or technical changes, and several had support from law enforcement, advocacy groups, or industry representatives. Testimony was generally supportive on the public safety and victim-protection bills, with speakers emphasizing faster DNA testing, better protections for domestic violence survivors, clearer rules for hotel and motel operators, and stronger tools against fraud, impersonation, and trafficking. Some bills drew notable concerns or opposition. SB 1266 prompted questions about whether a 72-hour cooling-off period for officer identities could be extended too broadly, while SB 606 drew concerns that the bill could affect families living in hotels or extended stays during the housing affordability crisis. SB 1444 generated discussion about false reporting language, off-duty carry for prosecutors and judges, and the scope of automatic sealing changes. SB 1000’s expanded sealing relief received broad support but was narrowed by amendments excluding certain offenses such as DUI and indecent exposure. The most contentious measure was SB 1804, which would create a capital offense for trafficking a child under 12 or a mentally incapacitated person for sexual exploitation. The sponsor argued it targets the most severe trafficking cases and includes safeguards such as excluding minors from capital punishment and preserving life imprisonment if the capital procedure is invalidated. Opponents, including the Florida Conference of Catholic Bishops and Floridians for Alternatives to the Death Penalty, argued the death penalty is unconstitutional for non-homicide crimes, costly, and ineffective, and committee members raised concerns about whether the bill would incentivize traffickers to kill victims to avoid identification. Debate also touched on broader concerns about the death penalty’s constitutionality and whether life imprisonment is a more severe punishment. The transcript ends during that debate, without a final vote on SB 1804 included in the excerpt.

Transcript Highlights:

• of lagoon liners, mechanical bar screens in the force main oxidation ditch, and lagoon switch gear for
• <00:15:05.040> on<00:15:05.199> the components an augur screen on the components an
• augur screen on the Wastewater<00:15:05.920> influent<00:15:06.440> lines<00:15:07.240
• <00:15:11.079> in Lagoon liners mechanical bar screens in Lagoon liners mechanical bar screens
• and the new lab equipment for testing and the new lab equipment for testing and<00:15:27.440>

Keywords: 00:01 Call to Order and Roll Call 00:30 Approval of Minutes 00:59 Information Items 03:34 Finance and Admin Cabinet 12:31 KY Infrastructure Authority 21:47 Office of Financial Mgmt 23:27 Adjournment, 958, all

Summary: The committee first handled informational reports on several bond and lease matters, including school district and board of education debt-service items, upcoming revenue bond issues in Henderson and Jessamine counties, and three advertised lease-space requests for state agencies. Members also reviewed prior lease transactions that had not been approved in November and December; the Finance and Administration Cabinet later canceled and rebid the Harlan County lease and moved ahead with the Perry County lease modification. Additional information items included a Kentucky Communications Network Authority quarterly capital projects report and Eastern Kentucky University asset preservation revisions. The committee then heard from Deputy State Budget Director Janice Thomas on four action items. She reported a $2.85 million USDA-funded renovation at Kentucky State University’s Betty White Building, a $294,000 increase for the Kentucky School for the Deaf’s Middleton Hall renovation, and a $6.1 million restricted-funds scope increase for the KCTCS Science Building Expansion in Elizabethtown. Members asked about how often the statutory 15% increase authority is used for school dormitory and cottage projects and about the competitiveness of construction bids; Thomas said bids are typically competitive but recent estimates have been difficult because of higher material and equipment costs. The committee approved the three action items unanimously and also received a no-action report on a $3.918 million Corrections project to repair and replace the KCIW kitchen drain line. Next, the Kentucky Infrastructure Authority presented seven loans and grants, all of which the committee approved unanimously. The package included sewer and water projects for Frankfort, Sturgis, Scottsville, Morganfield, Western Pulaski County Water District, and Springfield, plus an emergency $5.487 million Kentucky Waters grant for Eddyville after a catastrophic sewer plant failure and weather-related emergency declarations. The projects covered wastewater interceptor and treatment upgrades, sewer collection rehabilitation, water transmission main installation, and planning/design work, with loan terms ranging from five to 30 years and interest rates from 0.5% to 2.25%. Finally, the committee considered a $38.4 million Kentucky Housing Corporation conduit issuance for a 322-unit multifamily rental project in Jefferson County. A member asked how the committee participates in the transaction, and staff explained that it is a conduit issuance and not state debt. The committee then moved to approve the issuance.

Transcript Highlights:

• . test. test.
• And if there's any Medicaid screen.
• They are uh they perform drug testing.
• would do a pre-employment drug screen would do a pre-employment drug screen whenever<00:58:40.680
• have to do a pre-employment drug screen. have to do a pre-employment drug screen.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• You could ask the public schools to use the same test.
• Ask the private schools to use the same tests public schools do.
• They don't need accountability; they don't need a test.
• They have had screening of 80,000 athletes this past year.
• Many to treat them with newborn screening.

Bills: SB 5, SJR 3, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972, SB 365, SB 1786, SB 5, SJR 3, HB 14, HB 43, HB 36, HB 26, HB 149, HB 121, HB 206, HB 136, HB 3114, HB 2733, HB 1732, HB 3700, HB 467, HB 1130, HB 1846, HB 1442, HB 1147, HB 2176, HB 2701, HB 805, HB 2890, HB 1154, HB 1644, HB 2118, HB 1718, HB 2488, HB 2596, HB 2468, HB 484, HB 2578, HB 3204, HB 1041, HB 307, HB 685, HB 538, HB 2525, HB 3125, HB 2027, HB 2894, HB 3077, HB 106, HB 18, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, tax exemption, intellectual disability

Transcript Highlights:

• I THINK SENATOR HUBER WAS CERTAINLY A TEST ON THAT BUT I'M PLEASED NOW LOOKING AT THIS THAT THE FIRST
• SECTION 383.ONE FOR FLORIDA STATUTE IT IS OUR DUTY TO ENSURE EVERY NEWBORN RECEIVES LIFE-SAVING SCREENINGS
• THESE TESTS DETECT THE GENETIC METABOLIC AND CONGENITAL CONDITIONS THAT IF LEFT UNTREATED CAN LEAD TO
• WITHIN 18 MONTHS OF A NEW TEST ADDED THE DEPARTMENT MUST BE ABLE TO INCORPORATE IT INTO OUR PROGRAM.
• THIS MEANS NOT ONLY ADDITIONAL TESTS BUT SUPPLIES, EQUIPMENT, CONTRACTED SERVICES NECESSARY TO PROCESS

Keywords: 999, senate, all

Transcript Highlights:

• That's what those colorful boxes represent that you'll see on the screen.
• Those attributes I just went over all feed into the different control areas that you see on the screen
• We also limited this testing to three districts using their data as test cases.
• Sorry, you're so small on my Zoom screen that all I could say is there was someone else out there.
• You're so small on my Zoom screen that all I could see is there was someone else out there.

Keywords: 904, all

Summary: The committee heard a State Auditor’s Office performance audit on OSPI’s school apportionment system, which distributes K-12 funding to districts. Auditors said the system and its underlying 2008-era infrastructure are outdated, unstable, inefficient, and at high risk of errors or failure. They also found weak controls over data input, documentation, oversight, and monitoring, with heavy reliance on a small number of staff and vendor knowledge. In limited testing of three districts, the system calculated 2023–24 funding correctly, but auditors identified small discrepancies between state budget inputs and underlying statutory language and said broader system risks remain unresolved. JLARC members asked about the scope of the district testing, whether smaller districts face greater risk, the meaning of the funding discrepancies, and whether the system could support a future change to a simpler per-student funding formula. Auditors said the discrepancies were small but could compound into millions statewide, and that the audit did not evaluate broader policy questions or alternative system owners. They recommended OSPI modernize or replace the system and address current control weaknesses while the new platform is developed. OSPI officials largely agreed that the current platform needs replacement and said a feasibility study completed in 2024 found the system at catastrophic risk of failure. They clarified that the Legislature had approved up to $16 million in the state IT pool for the project, but that funding is released through gated oversight and not all of it had yet been appropriated for the current biennium. OSPI disputed the auditor’s characterization of some rounding and budget-law issues, saying the calculations were consistent with agency rules and legislative inputs, and explained that some manual workarounds are used to handle newer statutory requirements. One member of the public testified in support of modernizing the system and strengthening controls. The committee then adjourned.

Transcript Highlights:

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Keywords: 00:00 - Call to Order/Roll Call 01:38 - Discussion of 26RS SCR 9 22:00 - Roll Call Vote on 26RS SCR 9 23:15 - Discussion of 26RS SJR 23 33:20 - Roll Call Vote on 26RS SJR 23 35:18 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.