Transcript Highlights:

• Lower wealth is associated with higher chronic disease burden, worse maternal outcomes, higher stress
• It was a position that I think of any kind of acute and chronic.
• And on a more chronic level, the question is really what can we do? What can the legislature...
• And on a more chronic level, the question is really what can we do? What can the legislature?
• On the chronic level, the question is really: what can we do?

Committee: Joint Joint Committee on Racial Equity, Civil Rights, and Inclusion

Transcript Highlights:

• Washingtonians and elderly people with chronic illnesses often rely on third parties to help manage their
• Washingtonians and elderly people with chronic illnesses often rely on third parties to help manage their
• for ambulance service, providing there is an interfacility specialty care transport under certain conditions
• Certain conditions for hospitals to make sure these nurses understand what's in the ambulance and certain
• conditions for this to be used.

Summary: The Senate considered a consent calendar package and a regular calendar package, both described as bipartisan and unanimously supported, and both motions to advance them passed by voice vote. The body then moved a series of House bills from the white sheet to the floor calendar, with no recorded roll-call votes and generally little or no opposition. Topics included ghost guns and 3D-printed firearms (HB 2320), updating terminology from “alien” to “non-citizen” (HB 2632), inmate indigency thresholds (SHB 2539), incident reporting by private detention facilities (HB 2464), electronic notarization (SHB 2158), theater alcohol licensing and safeguards for minors (ESHB 2476), behavioral health coordination and training for schools and educational service districts (E3SHB 1634), non-compete law fixes (ESHB 1155), manufactured home rent increase notices (SHB 2452), false identification as a peace officer (ESHB 2165), permit timelines for certain special purpose districts (E2SHB 2418), life insurance lapse notifications to third parties (SHB 2428), agricultural regulatory stress and a task force study (HB 2619), ambulance staffing by registered nurses in certain transports (ESHB 2110), special education report timelines and meeting notice for parents (ESHB 2557), and siting standards for step housing, including permanent supportive, transitional, and indoor emergency housing (ESHB 2266).

Transcript Highlights:

• In closing, financial conditions evolve.
• Right now, nearly one quarter of Minnesota students are chronically absent.
• </c> of Minnesota students are chronically of Minnesota students are chronically absent.<00:18:47.679
• </c><00:43:06.319><c> absenteeism,</c> efforts to address chronic absenteeism, efforts to address chronic
• </c> we have statewide data on chronic we have statewide data on chronic absenteeism<00:43:32.319><c>

Committee: Senate Education Finance

Transcript Highlights:

• </c><00:37:15.040><c> um</c> apply to both acute and chronic um apply to both acute and chronic um medical
• . conditions. conditions. uh<00:51:10.880><c> we</c><00:51:11.200><c> are</c><00:51:11.520><c> we</c>
• </c><01:08:32.640><c> aren't</c> facing serious medical conditions aren't facing serious medical conditions
• conditions, and older adults to remain stable and independent.
• conditions, and older adults to remain stable and independent.

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

Transcript Highlights:

• continuous monitoring, and if you can keep the blood sugar within a certain range, you can avoid chronic
• So we see this investment as a gain on return by preventing chronic disease and disability, as well as
• Senate Bill 1049 amends the conditions under which the court may grant a spousal maintenance order, as
• The bill amends the conditions under which the court may grant a spousal maintenance order, as well as

Summary: The committee heard staff presentations on a series of bills covering elections, education, health, criminal law, taxes, and property issues. Among the measures described were HB 2308 on dental insurer ownership restrictions; SB 1126 on school cooperation with DCS caseworkers; SB 1210 on out-of-state online postsecondary registration; SCR 1006 on restroom accommodations and pronoun/name use in public schools; and several election-related bills, including SB 1006 on campaign contribution itemization thresholds, SB 1029 on committee treasurers after a candidate’s death, SB 1038 on transmission of cast vote records, SB 1057 on ballot paper fraud-countermeasure certification, and SB 1237 on consultation for election rulemaking. Most of these were noted as being on third-read consent calendars. The committee also discussed HB 283, as amended by a strike-everything amendment, to update diabetic coverage requirements in health benefits plans, with testimony emphasizing newer glucose-monitoring technology and potential long-term health savings. Other bills summarized included SB 1049 on spousal maintenance standards, SB 1053 on concealed weapons permit fees for residents versus nonresidents, SB 1093 on expanding the definition of riot and adding it as a predicate offense, SB 1160 on restricting drones within one mile of ticketed entertainment events, and SB 1211 on lifetime injunctions for victims of felony aggravated harassment involving domestic violence. Members asked several questions, especially about the drone restriction and its scope, including exemptions for law enforcement and written consent from event organizers. Later discussion covered tax and property measures: SB 1293 would limit GPLIT revenue abatements so school district-designated revenues are not abated; SB 1294 would keep a destroyed property’s classification in place for up to five years or until its use changes, with members discussing how that would preserve valuation and aid rebuilding after fires or other disasters; and SB 1430 would make technical, clarifying, and cleanup changes to Department of Revenue tax statutes. No votes were taken in the excerpt, and the meeting concluded after questions and discussion.

Transcript Highlights:

• Chairman, members, House Bill 2671 narrows the adjudications and dispositions of chronic felony offender
• a.m. includes any felony related to sexual offenses to the list of convictions that count towards a chronic
• And right now, the way the chronic felony offender is written, nobody has discretion.
• And right now, the way the chronic felony offender is written, nobody has discretion.
• Additionally, it broadens the conditions under which individuals convicted of other felonies under the

Summary: The Special Committee on Government heard three measures and advanced all of them on due pass recommendations. First, HCR 2044, sponsored by the Speaker, would expand Arizona’s constitutional prohibition on preferential treatment and discrimination based on race or ethnicity in public education, spending, hiring, and contracting. Supporters, including Goldwater Institute, Our America, and Heritage Action, argued it would close loopholes around DEI and reaffirm merit-based treatment. Some members raised concerns that the resolution would chill speech and discussion about race and identity, while others said it was needed to prevent race-based preferences. The committee approved the resolution 4-3. The committee then considered HB 2671, as amended by the Blackman Amendment. The bill narrows mandatory adult-court transfer for juveniles classified as chronic felony offenders, limiting it to higher-level felonies and preserving transfer for serious violent offenses. Sponsor Rep. Hernandez and juvenile public defender Michelle Robbins said the change would restore judicial and prosecutorial discretion, keep lower-level repeat juvenile offenders in juvenile court, and reduce recidivism by allowing access to rehabilitative services. Members from both parties spoke in support, emphasizing second chances and juvenile justice reform. The committee adopted the amendment and passed the bill 7-0. Finally, the committee heard HB 2676, also sponsored by Rep. Hernandez, which lowers the minimum age for restoring firearm possession rights for certain juvenile offenders from 30 to 25 and broadens restoration eligibility for other juvenile felony convictions. Supporters said the bill aligns firearm-rights restoration with juvenile record-destruction timelines and helps rehabilitated individuals move forward without unnecessary barriers to employment, education, and housing. The committee passed the bill 7-0 and then adjourned.

Transcript Highlights:

• It can cause chronic and acute pain, long-term musculoskeletal change, and increased aggression and biting
• evidence-based medicine, the research has made it clear that elective declawing creates risks of chronic
• ><00:03:33.960><c> of</c> elective declawing creates risks of elective declawing creates risks of chronic
• pain, behavioral issues, and chronic pain, behavioral issues, and mobility<00:03:36.920><c> problems
• </c><00:13:53.800><c> of</c><00:13:53.960><c> the</c> legitimate medical conditions of the legitimate

Transcript Highlights:

• They have much higher incidence of chronic health care conditions, etc., etc., etc.
• have other types of chronic health conditions, as So, the tax premium tax is a source of So, the tax
• <01:25:46.800><c> health</c><01:25:47.040><c> care</c><01:25:47.280><c> conditions,</c> chronic health
• care conditions, chronic health care conditions, etc. etc. etc.
• </c><01:27:13.520><c> health</c><01:27:13.760><c> conditions,</c><01:27:14.360><c> as</c> Types of chronic

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• I gave you some of that red alert in terms of chronic disease.
• Chronic disease is anywhere from 60 to 80 percent direct or indirect costs of the system.
• disease, Whole nutritious foods actually reduces the likelihood of chronic diseases.
• There are terms and conditions that we have to agree to: this is conditional money based upon satisfactory
• Conditional money based upon satisfactory performance.

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• consider in those conditions with regard to this program.
• So that chronic inflammation, we know people living under chronic stress, we know people that... live
• It can become elevated because you've had a chronic low-lying infection.
• Alzheimer's and all these inflammatory conditions. oils that have ketogenic properties.
• The impact that these conditions have on individuals, families, and our economy.

Bills: HB5 , HJR3 , HB155 , HB513 , HB5 , HB155

Committee: House Public Health

Keywords: dementia, research, health care, Texas Institute, grants, medical breakthroughs, oversight, prevention, funding, healthcare, Texas, autopsy, confidentiality, public records, medical examiner, law enforcement, HB 513, surgical smoke, surgical plume, smoke evacuation

Transcript Highlights:

• chart is showing you that about 70,000 people on a given night in early 2024 met the criteria for chronic
• Disabling conditions can include physical disabilities, serious mental health and substance use challenges
• And so as the homelessness crisis has continued, rates of chronic homelessness have continued to climb
• “Are working more effectively than these, or at least under certain conditions.
• outside of local control. as a funding condition does not account for factors outside of local control

Transcript Highlights:

• chart is showing you that about 70,000 people on a given night in early 2024 met the criteria for chronic
• Disabling conditions can include physical disabilities, serious mental health and substance use challenges
• And so as the homelessness crisis has continued, rates of chronic homelessness have continued to climb
• Are working more effectively than these, or at least under certain conditions?
• outside of local control. as a funding condition does not account for factors outside of local control

Summary: The Senate Budget and Fiscal Review Subcommittee 4 met to hear an oversight discussion focused on homelessness, including the state of homelessness in California, state data systems, and the Homeless Housing, Assistance, and Prevention (HAP) program. In opening remarks, the chair emphasized accountability and the need to focus on families and people at the bottom rung, while the vice chair argued that homelessness and affordability problems stem from policy choices and the state should give counties more flexibility rather than top-down mandates. The committee also announced that the one scheduled vote would be postponed and public comment would be taken later. Dr. Ryan Finnegan of UC Berkeley’s Turner Center presented recent homelessness data, saying California’s homelessness remains high at about 187,000 people in the 2024 point-in-time count, with most still unsheltered, though the unsheltered share has declined somewhat. He explained differences between point-in-time counts and the state’s Homeless Data Integration System (HDIS), noted progress in shelter, permanent supportive housing, rapid rehousing, and interim housing capacity, and highlighted declines in youth and veteran homelessness. He also described persistent racial disparities, the large number of chronically homeless people, and risks from federal changes and possible reductions to programs such as Emergency Housing Vouchers and Continuum of Care funding. Members questioned the causes of recent trends, the role of Housing First, Proposition 47, Martin v. Boise, and how funding streams such as HAP and CalAIM are layered together. The California Interagency Council on Homelessness then outlined its data systems and AB 799 implementation. Staff explained that HDIS aggregates HMIS data from all 44 continuums of care and is used to measure outcomes, disparities, and program effectiveness statewide. They said HAP 4 was cost-effective under the State Auditor’s methodology, and that new AB 799 dashboards will provide more public-facing fiscal and outcome reporting by June 2027. Members asked whether the system can better distinguish which interventions work, how self-sufficiency will be measured, how fraud is detected, and whether the council can meet the auditor’s concerns on time. Cal ICH said it has met prior statutory deadlines, that program outcome data already exist, and that fiscal reporting will be built through a web-based tool and aligned with existing departmental reporting systems.

Transcript Highlights:

• And the FDA had not necessarily regulated biosimilars, but we knew that for chronic illnesses we needed
• And if you are someone with a chronic illness and you are on 15 different medications, right, you're
• If it's working, and I'm just curious, but if it's working and you have a chronic illness, I mean, you
• These credits could increase to $900 per employee or $100,000 invested with certain conditions such as
• Or $100,000 invested with certain conditions such as clean energy development or brownfield development

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• Podiatrists are essential for managing chronic foot and ankle conditions, especially for our millions
• Chronic issues. Studies also show a link between fluoride consumption and lower IQ in children.
• The CDC notes that tooth decay is the most common chronic childhood disease.
• Chemicals and combinations have caused a chronic disease epidemic that disproportionately...
• condition.

Bills: SB623 , SB1266 , SB1310 , SB1373 , SB1580 , SB1952 , SB2032 , SB2269 , SB2544 , SB2653 , SB2796

Committee: Senate Health & Human Services

Transcript Highlights:

• These are ratios of the assumed quality of life with a given condition to life with no just... of my
• These are ratios of the assumed quality of life with a given condition to life with no just...
• Of the assumed quality of life with a given condition to life with no disability.
• So many conditions that reduce predicted life expectancy—diabetes, heart disease, cancer, etc.
• Crisis standards are condition-specific.

Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met and heard a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used rationing criteria that prioritized short-term or long-term survival in ways that disadvantaged disabled people, older adults, and people with certain chronic conditions, and he discussed related issues such as QALYs, DNR pressure, and inequities in vaccine prioritization. He also noted that disability rights advocates, legal groups, and allies used litigation, media outreach, and public pressure to force revisions to the standards, and that Massachusetts ultimately adopted more protective third-round standards that limited the use of life-expectancy judgments and banned QALYs in those decisions. Members asked why the disability health care discrimination bill has not passed despite being reintroduced over multiple sessions. Killick said the main obstacle now appears to be lack of legislative prioritization rather than active opposition, after earlier concerns about QALYs were resolved through compromise. He identified the bill as S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, and said it had been favorably reported out of the Health Care Financing Committee. Members thanked him for the presentation and for his work during the pandemic. The meeting then moved to roll call, approved the minutes by motion and second, and adjourned after noting the next meeting date as August 31st.

Transcript Highlights:

• prescribed to treat serious mental illness, and limiting prior authorization for drugs that treat chronic
• health conditions.
• prescribed to treat serious mental illness, and limiting prior authorization for drugs that treat chronic
• health conditions.

Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• poor treatment. in the United States and 10% of Arizona population suffers from the sleep apnea condition
• More than 85 million elders will come around by 2050, which needs palliative care and chronic disease
• When care is delayed, conditions worsen. Families...
• Care is delayed, conditions worsen, families suffer, pain becomes chronic, and costs rise, often ending
• Meaning if you have this condition or that, we can’t discriminate.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• In the early 1980s, fewer than 13% of the US children had a chronic condition.
• </c> 13% of the US children uh had a chronic 13% of the US children uh had a chronic condition.<00:03
• Today, that has soared to condition.
• </c> health conditions. health conditions.
• ><c> mental</c> Currently, chronic disease and mental Currently, chronic disease and mental health<00

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• Percent of those expenditures on chronic and mental health conditions.
• Of children have a chronic condition, and childhood cancer is soaring by over 50 percent since the 1970s
• Members, we need to break the system and address chronic disease.
• How we currently approach chronic disease? Yes, I would agree with that.
• Yes, I mean, all of these chronic health conditions that are plaguing Americans, it would be...

Bills: SB835 , SB3070 , SB22 , SJR59 , SB926 , SB1494 , SB251 , SB456 , SB500 , SB1307 , SB2615 , SB2995 , SB2321 , SB973 , SB974 , SB865 , SB506 , SB781 , SB1522 , SB1558 , SB510 , SB667 , SB763 , SB2073 , SB1858 , SB1660 , SB505 , SB2900 , SB1433 , SB1540 , SB1964 , SB1300 , SB1644 , SB2217 , SB2373 , SB2431 , SB1758 , SB2480 , SB3039 , SB3047 , SB3073 , SB2920 , SB2781 , SB826 , SB766 , SB2460 , SB527 , SB1946 , SB2885 , SB1243 , SB2610 , SB2595 , SB857 , SB37 , SB8 , SB10 , SB227 , SB261 , SB12 , SB15 , SJR27 , SB552 , SB835 , SB3070 , SB22 , SJR59 , SB25 , SB57 , SB127 , SB293 , SB441 , SB3059 , SB512 , SB241 , SB1718 , SB140 , SB2055 , SB2075 , SB2018 , SB1534 , SB1567 , SB785 , SB1233 , SB1580 , SB1663 , SB413 , SB447 , SB519 , SB467 , SB1579 , SB1191 , SB1021 , SB1838 , SB2807 , SB2835 , SB546 , SB2121 , SB2167 , SB2035 , SB2024 , SB1032 , SB1049 , SB1266 , SB1400 , SB1302 , SB401 , SB1596 , SB1281 , SB1242 , SB1343 , SB310 , SB1346 , SB2753 , SB2703 , SB2221 , SB1719 , SB2177 , SB800 , SB790 , SB748 , SB571 , SB1957 , SB1923 , SB1896 , SB1760 , SB1335 , SB2368 , SB2477 , SB2587 , SB2972 , SB2986 , SB2965 , SB1563 , SB1467 , SB1164 , SB1137 , SB614 , SB705 , SB961 , SB918 , SB955 , SB869 , SB850 , SB863 , SB1610 , SB1055 , SB2206 , SB457 , SB2337 , SB1362 , SB926 , SB1494 , SB251 , SB456 , SB500 , SB1307 , SB2615 , SB2995 , SB2321 , SB973 , SB974 , SB865 , SB506 , SB781 , SB1522 , SB1558 , SB510 , SB667 , SB763 , SB2073 , SB1858 , SB1660 , SB505 , SB2900 , SB1433 , SB1540 , SB1964 , SB1300 , SB1644 , SB2217 , SB2373 , SB2431 , SB1758 , SB2480 , SB3039 , SB3047 , SB3073 , SB2920 , SB2781 , SB826 , SB766 , SB2460 , SB527 , SB1946 , SB2885 , SB1243 , SB2610 , SB2595 , SB857 , SCR9 , HB5560 , HB762 , HB 107 , HB 114 , HB300 , HB138 , HB4386 , HB2495 , HB581 , HB3348 , HB5323

Keywords: sexual abuse, nondisclosure agreements, confidentiality agreements, public policy, victim rights, lottery, bingo, regulation, Texas Lottery Commission, Department of Licensing and Regulation, criminal offenses, state administration, audits, transfers, Texas, moving image industry, incentive program, film production, grant funding, job creation

Transcript Highlights:

• 31,000 dual eligibles in New Hampshire, uh, tending to have more complex needs, um, often multiple chronic
• conditions or behavioral issues.
• conditions or behavioral issues.
• </c><00:14:52.480><c> conditions</c><00:14:52.880><c> or</c> often multiple chronic conditions or often
• multiple chronic conditions or behavioral<00:14:53.600><c> issues.

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.