Transcript Highlights:

• I think this was just a blanket approval of GLP-1s from the Medicaid population.
• of GLP1s from Medic the Medicaid of GLP1s from Medic the Medicaid population.<00:08:56.959> So
• <00:16:12.160> I<00:16:12.320> believe reimbursement within Medicaid.
• I believe reimbursement within Medicaid.
• that individuals with um temporary that individuals with um temporary license<00:16:38.800> interim

Keywords: 00:00 Call to Order 0:22 Roll Call 1:05 SB 65 Discussion 9:30 SB 65 Vote 11:55 SB 177 Discussion 26:34 SB 177 Vote 30:05 SB 245 Discussion 33:07 SB 245 Vote 33:48 Adjournment, 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 3, 2026, with a quorum present and first took up Senate Bill 65, sponsored by Senator Steve West. The bill would nullify administrative regulations found deficient by the Administrative Regulations Review Subcommittee. West said the committee had found three deficient regulations this year, including one related to vaping rollout problems and one involving GLP-1 coverage expansion for Medicaid. Senator Berg raised concerns that striking the GLP-1 regulation could limit Kentucky’s ability to use these drugs for weight loss and other health benefits, but the sponsor and others said the action would only block the specific regulation and that doctors could still prescribe GLP-1s under existing Medicaid authority. The committee passed SB 65 with favorable expression, 8-2. The committee then considered Senate Bill 177, sponsored by Senator Rick Girdler, and first adopted a substitute. The bill concerns speech-language pathologist licensure. Testimony from Kate Wood Hall and Ann Blandford of the Kentucky Speech-Language-Hearing Association explained that the substitute would remove the mandatory post-professional graduate experience as a requirement for full licensure, while keeping an interim pathway and preserving an optional compact-related pathway. They said the change responds to updated graduate training standards and federal billing issues, including CMS guidance that had temporarily disrupted reimbursement and access, especially in rural areas. Members asked whether the change would weaken standards or affect compact participation; witnesses said it would not, and that the compact option remained available. The committee also noted that pages two and three of the substitute were missing and staff would restore them. Several senators spoke in favor while explaining reservations. Senator Berg supported the bill and shared a personal story about speech therapy in her family. Senator Douglas also voted aye but expressed concern about reducing requirements for trained professionals and about incentives in professional education. Senator Chambers Armstrong asked whether the opt-in structure would create barriers or affect compact participation, and witnesses said it would not increase costs and that other states, including Virginia and Oregon, were pursuing similar approaches. SB 177, as amended by the substitute, passed with favorable expression.

Transcript Highlights:

• Therefore, it is paid for by insurance, Medicare, or Medicaid. So...
• Therefore, it is paid for by insurance, Medicare, or Medicaid.
• Therefore, it is paid for by insurance, Medicare, or Medicaid.
• If we don't meet that, we don't get Medicaid or Medicare.
• If we don't meet that, we don't get Medicaid or Medicare.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• backup for Medicaid uh with those funds. backup for Medicaid uh with those funds.
• for coverage. for coverage.
• pay Medicaid claims.
• Why is the Medicaid pay Medicaid claims.
• Kentucky for Medicaid. Kentucky for Medicaid.

Keywords: 958, all

Summary: The meeting opened with prayer and the Pledge of Allegiance, then moved into committee and floor reports. Several measures received favorable committee reports and were ordered to first reading and placed on the calendar, including Current Resolution 9, Senate Joint Resolution 23, House Bill 145, House Bill 567, and House Bill 506 with House Committee Substitute 1. The chamber also noted that House Bills 500 and 504 had already received two readings and were sent to the Rules Committee before House Bill 500 was brought up for final consideration. Most of the discussion focused on House Bill 500, the executive branch budget bill. Members described it as a “good first draft” and emphasized a budget process they said was more transparent than in prior years. The bill was presented as a restrained two-year operating budget with spending growth kept at a little under 2% annually, while setting aside about 2% of projected revenues, or roughly $614 million, in the Budget Reserve Trust Fund for future needs. The budget also used base reductions in some areas while exempting others such as Medicaid benefits, SEEK, corrections, behavioral health, and veterans programs. Subcommittee chairs then outlined major spending areas. Education provisions included a 2% annual increase in base SEEK funding, transportation funding held flat, equalization for recallable nickel funding, continued retirement contributions, and major support for postsecondary access, dual credit, asset preservation, and workforce training. Health and family services provisions held Medicaid steady while adding waiver slots, behavioral health and substance use support, public health investments, and funding for rural health and laboratory capacity. Other sections covered personnel and pensions, veterans services, infrastructure, public safety, economic development, tourism, and environmental projects. The only recorded action on the floor was adoption of House Committee Substitute 1 to House Bill 500, followed by a motion for final passage of the bill as amended. The transcript ends as discussion on final passage begins, before any final vote is shown.

Transcript Highlights:

• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.

Keywords: 1187, senate, all

Transcript Highlights:

• This short-term hardship exception would be a temporary exception from the Medicaid work requirement
• <00:28:55.120> temporary exception would be a temporary temporary exception would be a temporary
• temporary exception<00:28:56.000> from<00:28:56.240> the<00:28:56.399> Medicaid
• <00:49:12.880> the<00:49:13.119> coverage qualifying the coverage qualifying the coverage
• <01:15:45.920> coverage of uh adult dental Medicaid coverage of uh adult dental Medicaid coverage

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Bills: HF3676, HF3683, HF3395

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Summary: The committee first approved minutes from February 19 and February 26, while skipping the February 24 minutes because of a drafting error that would be corrected later. It then took up House File 3676, a Safe at Home program bill described by Rep. Nash as arising from a constituent’s dangerous identity exposure and intended to tighten protections for participants, including allowing emancipated minors to enroll. Testimony from the Secretary of State’s office explained that the bill would clarify who may apply for a minor, require proof of guardianship, strengthen court findings before a participant’s physical address can be disclosed, increase penalties for harmful disclosure, prohibit discrimination based on participation, require state agencies to designate a Safe at Home contact person, allow use of the Safe at Home card as proof of residence for certain ID purposes, and require judge training. Members raised concerns about federal compatibility, constitutionality of court-related provisions, and the need for a fiscal note on the felony penalty. Several sections were noted as being removed or modified in a later engrossment, and the committee voted to re-refer HF 3676 to the Transportation Finance and Policy Committee. The committee then heard House File 3683, which would direct the state budget forecast to include the estimated cost of fraud. Rep. Nash argued that fraud is a significant but unquantified drain on state resources and said the bill would adapt existing forecast language used for inflation to track fraud costs. Minnesota Management and Budget Deputy Commissioner Anna Mingi testified that fraud is unacceptable and that the agency works to prevent and detect it, but said the twice-yearly forecast is not the right tool for this kind of retrospective analysis. She explained that if fraud is identified, the forecast would reflect reduced spending through program integrity actions rather than a separate fraud-cost line item. The bill was moved and referred to the general register after a roll call was requested.

Transcript Highlights:

• Um, over spilling over to page six, retroactive Medicaid eligibility rule making.
• Try not to bore you to death on Medicaid. making. making.
• Medicaid, on the other hand, is administered by the Wyoming Department of Health.
• I'm joined by our state Medicaid agent today, Jesse Springer.
• when it comes to citizenship verification, income verification, and multi-state enrollment on the Medicaid

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Transcript Highlights:

• It authorizes DOEA to provide temporary direct services during declared emergencies or lead agency failures
• If they chase a promotion, they risk losing Medicaid.
• These are families who deserve to have medical health care, especially Medicaid.
• They don't get health insurance, and without their Medicaid, they would not be able to work.
• I think that when we codify it now, when you're enrolled in the Medicaid waiver program, everyone is

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Bills: HB2, SB48, SB64, SB100

Keywords: general appropriation, budget, Medicaid, education funding, public safety, State Fairgrounds District, fairgrounds bonds, public financing, bond authorization, gross receipts tax, gaming tax, tax-backed bonds, infrastructure funding, Albuquerque fairgrounds, State Fair Tid, economic development, municipal bonds, revenue pledge, capital projects, New Mexico finance

Transcript Highlights:

• 52:14.559> unit Minnesota's Medicaid fraud control unit Minnesota's Medicaid fraud control unit
• million in state funds on our Medicaid million in state funds on our Medicaid fraud<00:52:57.440
• 10.880> grown Minnesota's Medicaid budget has grown Minnesota's Medicaid budget has grown quite
• have program integrity in our Medicaid have program integrity in our Medicaid units.<00:59:04.400
• :36.640> more<01:14:36.880> than Dakota's Medicaid rates are more than Dakota's Medicaid

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

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

Transcript Highlights:

• So there are things like within Medicaid and so on that probably should stay within HHS, even though
• there so there are things<00:33:56.440> like<00:33:56.600> within<00:33:56.880> Medicaid
• <00:33:57.399> and<00:33:57.480> so<00:33:57.880> on things like within Medicaid
• and so on things like within Medicaid and so on that<00:33:58.880> probably<00:33:59.440>
• this coverage and this care<00:45:20.400> for<00:45:21.079> for<00:45:21.400> everyone

Bills: HF25, HF1, HF428

Keywords: pregnancy support, women's health, maternity homes, nonprofit organizations, grant funding, abortion, family services, Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices

Transcript Highlights:

• the only authority that is licensed by the U.S. government, particularly CMS, to administer the Medicaid
• So either more temporary employees will need to be brought on to handle those functions to ensure that
• So either more temporary employees will need to be brought on to handle those functions to ensure that
• So either more temporary employees will need to be brought on to handle those functions to ensure that

Bills: HF1, HF779, HF1034

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=aNg2fNu_Rg0, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:27 APPROVAL OF MINUTES 01:02 DISCUSSION WITH COMMUNITY BASED SERVICES, LESLIE HOFFMAN, DEPUTY COMMISSIONER, PAM SMITH, DIRECTOR FOR MEDICAID SERVICES. WAIVER ENROLLMENT NUMBERS, AND RATE & STUDY FINDINGS. 2:06 DISCUSSION WITH CEO, KY ASSOCIATION OF PRIVATE PROVIDERS, AMY STAYED ON THE IMPLANTATION OF THE INCREASE FOR WAIVER PROVIDERS THAT IS LISTED IN HOUSE BILL 1 24:18 DISCUSSION WITH LESA DENNIS, ACTING COMMISSIONER WITH DEPT. OF COMMUNITY BASED SERVICES &SHANNON HALL, CHIEF OF STAFF ABOUT SOCIAL WORK RECRUITMENT & RETENTION IN THE FIELD AND OFFICES. 32:16, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• But if I could ask some questions regarding Medicaid and Medicaid spending. >> Medicaid and Medicaid
• >> Emergency Medicaid, and $200 million for Medicaid over the age of 65.
• >> EMERGENCY MEDICAID, AND $200 MILLION FOR MEDICAID OVER THE AGE OF 65.
• MANY OF THEM ARE PROVIDING COVERAGE COUNTING ON REIMBURSEMENT RATE OFTEN TIMES IT IS MEDICAID, AND UNFORTUNATELY
• Medicaid. We heard a lot of talk about Medicaid in this budget. Now why?

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• SB 1110 authorizes Medicaid to cover specified orthotics or prosthetic services and directs the Agency
• function for people with disabilities and mandates annual reporting on orthotics and prosthetics coverage
• And I know it is expensive and I know it will have an impact on the state budget and Medicaid, but in
• And there is already an act of Florida code in Medicaid for this combined test.
• If we don't meet it, we don't get Medicaid or Medicare.

Keywords: 999, senate, all

Transcript Highlights:

• And in this one, the governor proposed the changes to retroactive coverage for Medicaid, a requirement
• coverage.
• Medicaid program. Medicaid program.
• . coverages. coverages.
• disenrolled from their Medicaid disenrolled from their Medicaid coverage.<01:40:09.640> Our

Keywords: 1187, senate, all

Transcript Highlights:

• When that temporary law networks.
• limited, many of which had Medicaid limited, many of which had Medicaid insurance<01:08:10.400><
• , coverage, coverage, uh<01:15:23.960> they<01:15:24.080> pay<01:15:24.200> 20,000
• coverage.
• denied or disenrolled from Medicaid denied or disenrolled from Medicaid coverage. coverage. coverage

Keywords: 1187, senate, all

Transcript Highlights:

• The as the Medicaid advisory committee.
• Medicaid Services. Medicaid Services.
• time. coverage of these >> Take your time. coverage of these medications<00:03:26.800> are<
• heart disease um and di in the Medicaid heart disease um and di in the Medicaid program<00:04:01.920
• There's a little bit of an issue with these temporary facilities. They're temporary veterinarians.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.