Video & Transcript : 'nonemitting generation' :
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WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Jan 20th, 2026
Transcript Highlights:
- Did I get that about right, just generally?
- Currently, that goes to the general fund.
- So that isn't money that We were generating almost $30 million a year.
- We were generating almost $30 million a year.
- The tobacco industry continues to target each new generation of youth.
Summary:
The committee first heard House Bill 2483, which would create an annual data broker registry at the Department of Licensing beginning in 2027. Staff explained that data brokers would have to register, pay a fee, and disclose information about the types of data collected, security measures, opt-out options, and whether precise geolocation or consumer health data is involved. Prime sponsor Rep. Kloba said the bill is intended to make data collection and resale more visible to consumers and to address harms such as scams, tracking, and surveillance pricing. Testimony was mixed: TechNet, the Association of Washington Business, and the Washington Retail Association opposed the bill as drafted, saying the definition of data broker is too broad and could sweep in businesses that are not true data brokers, while the sponsor and committee members discussed possible clarifying amendments and public-data carve-outs.
The committee then heard House Bill 2400, which would regulate monetized social media content featuring children. Staff described provisions requiring vloggers above certain revenue thresholds to register with the Department of Revenue, creating trust accounts for minor children appearing in monetized videos, allowing young adults to request deletion of monetized childhood content, requiring reporting by social media services, and establishing civil penalties and statutory damages. Rep. Reeves said the bill is meant to draw a line between ordinary family posting and monetizing children online, citing concerns about child labor protections and exploitation. TechNet and AWB opposed the bill, arguing that social media platforms should not be made the middleman for trust accounts and that the private right of action and enforcement structure should be revisited; they urged further work during the interim.
Finally, the committee took testimony on House Bill 2439, an omnibus tobacco and vapor product bill. Staff said it would create a responsible vendor program, raise license fees and penalties, require retailers to buy from licensed wholesalers or distributors, add certification requirements for vapor manufacturers, study extended producer responsibility for vapor waste, expand lab testing authority, tighten age-verification rules, prohibit certain imitation or entertainment vapor products, remove state preemption so local governments could adopt stricter rules, and redirect portions of tobacco tax revenue to public health accounts. Supporters, including public health groups, King County, the American Heart Association, and pediatricians, backed the youth-prevention, local-control, and funding provisions. Industry and retail witnesses opposed the bill, focusing on the loss of preemption, higher fees, compliance burdens, and the risk of pushing sales to the illicit market; some also argued the bill should rely more on state-level uniform regulation and stronger enforcement rather than new restrictions.
UT
Utah 2025 Regular Session
Economic Development and Workforce Services Interim Committee - November 19, 2025
Economic Development and Workforce Services Interim Committee
Transcript Highlights:
- I'm an Associate General Counsel with the Office of Legislative Research and General Counsel.
- I'm an Associate General Counsel with the Office of Legislative Research and General Counsel, and I am
- Generations.
- However, it is high-leverage work with generational impact.
- This is something that was generated by our director, Nicole Handy, so it came out of Utah.
WA
Washington 2025-2026 Regular Session
Senate Housing Sep 16th, 2025
Transcript Highlights:
- Whereas impact fees tend to be facilities that you're generally covering with general taxes: schools,
- It's either paid by the general public or ratepayers through general taxes.
- They could have multiple generations on site. The options are many. Next slide.
- And this is generally what a population distribution looks like for income.
- that it can be parlayed into the next generation of ownership.
Summary:
The Senate Housing Committee heard presentations on a range of housing finance, permitting, and affordability tools. Chattanooga described its affordable housing PILOT program, which uses a per-unit property tax abatement tied to the rent loss from providing affordable units, with a 15-year term and annual compliance monitoring. Committee members asked about the program’s structure, whether it had been used elsewhere, and who was participating; the presenter said the first mixed-income project would bring 278 units with 42 affordable units and that the model was attracting private market-rate developers. Shoreline then described its MFTE and inclusionary zoning approach, emphasizing that longer tax exemption periods and station-area zoning changes had helped spur development, with most current pipeline projects concentrated near light rail stations.
The committee also heard from the Municipal Research Services Center and the Department of Commerce on tax increment financing, proportional impact fees, and permit timelines. Commerce explained that TIF can fund public improvements such as roads, utilities, broadband, and some affordable housing or child care facilities, while proportional impact fee guidance is intended to help jurisdictions charge fees more closely aligned with actual project impacts. On permit timelines, Commerce presented its first annual report under recent law changes, using 2024 as a baseline year and noting that reported timelines were generally longer than statutory goals; members asked about outliers, paper versus electronic processing, and whether back-and-forth between applicants and staff was driving delays. Commerce said it would follow up with more data, including on CHIP funding and permit reform practices.
Several local governments then shared permitting process improvements. Auburn reported relatively short review cycles and described its move to fully electronic permitting, internal performance standards, and a stock plan program that speeds review for repeated home designs. Bellevue described an AI permitting pilot with a local startup to help with pre-application questions, document triage, and plan review, aiming to reduce incomplete applications and revision cycles. Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would help homeowners split lots, finance, build, and manage ADUs, with the homeowner eventually buying out the partner and retaining ownership; committee members asked about rent setting, management fees, and default risk, and staff said they would follow up. The committee also heard brief overviews of community land trusts and limited equity cooperatives as permanent affordability models, with presenters urging continued state and local funding support and policy recognition for these approaches.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Asia/California Trade and Investment Aug 20th, 2025
Transcript Highlights:
- And I want to give a special shout-out to our next speaker, who is Deputy Consul General Ishihara, who
- As the Council General of Japan, we are delighted to provide additional information, As the Consul General
- Thank you so much, Deputy Consul General. We face together. Thank you very much.
- I am a fourth-generation San Franciscan, born and raised in San Francisco.
- I'm a fourth-generation owner, third-generation operator, so one can say hospitality runs through my
Summary:
The Assembly Select Committee on Asia, California, Trade and Investment held its first informational hearing to examine California’s economic ties with Asia, the effects of federal tariffs, and ways the state can strengthen trade, investment, tourism, and subnational diplomacy. Chair Jessica Caloza opened by emphasizing California’s role as the world’s fourth-largest economy and a major exporter to Asia, and several members and guests highlighted the importance of AAPI communities, sister-city relationships, and coordinated state outreach. Lieutenant Governor Eleni Kounalakis described California’s trade missions, APEC hosting, and ongoing climate and trade partnerships, while Japan’s deputy consul general underscored Japan’s role as a major investor and trading partner and encouraged continued engagement.
The first panel, featuring leaders from the Los Angeles County Economic Development Corporation/World Trade Center Los Angeles, the San Francisco Chamber of Commerce, and Visit California, focused on trade, tourism, and investment trends. Witnesses said tariffs and federal uncertainty are disrupting logistics, manufacturing, business travel, higher education, and tourism, with particular concern about port activity, international student declines, and reduced visitation from Asia. They urged California to remain “open for business,” invest in promotion and infrastructure, and use trade missions, MOUs, and sister-city ties to maintain relationships and attract investment.
The second panel, with economist Kyle Handley and trade expert Glenn Fukushima, focused on the mechanics and consequences of tariffs. Both said tariffs function as taxes on importers and consumers, raise costs for businesses, and create uncertainty that delays investment, hiring, and supply-chain decisions. They warned that California is especially exposed because of its ports, cross-border trade, and reliance on global supply chains, and said new federal vessel fees and shifting trade routes could divert commerce away from California. They argued that the long-term damage includes lost growth and reduced U.S. credibility, and recommended that California “tariff-proof” its economy through faster ports, better infrastructure, export assistance, and reduced permitting barriers.
In the final panel, representatives from the San Diego Regional Chamber of Commerce, Asian Business Association California, and the Small Business Development Center emphasized future opportunities and the needs of small businesses. They said California should deepen ties with Asia through conventions, tourism, and sector-specific partnerships in life sciences, clean tech, semiconductors, hospitality, and small business trade. The witnesses stressed that small and minority-owned businesses need more access to trade missions, capital, technical assistance, and state support, and that California’s economic strength depends on coordinated efforts across regions and industries.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Transportation (8-18-25)
Transcript Highlights:
- </c> the same on our formula is generating the same on our formula is generating the<00:10:01.920><c>
- </c><00:15:40.560><c> are</c><00:15:40.880><c> covering</c> revenues that are generated are covering
- </c> been purposeful, but the the general been purposeful, but the the general funds<00:18:10.799><c>
- The 2000 General Assembly spend down.
- So we have that part of the highway plan that generally is balanced.
Summary:
The committee met on Transportation, approved the prior meeting minutes, and received a road fund update from Transportation Cabinet officials Mike Hancock, Sean McCernan, and Ron Rigney. McCernan reported that FY 2024-2025 road fund revenue came in $38.5 million above the enacted estimate, but was about $11 million below FY24 because of a lower motor fuels tax rate. He said motor vehicle usage tax receipts were stronger than expected, and that the road fund ended the year with a $61.6 million surplus account that, under the budget bill, must be appropriated to state construction.
Members focused heavily on how declining motor fuels receipts affect the formula funds that support cities, counties, and rural/secondary roads. Hancock and McCernan explained that lower gas tax receipts reduce both the road plan and revenue sharing, while higher vehicle sales tax receipts from motor vehicle usage go directly to the road fund and do not help the formula distributions. They also said fuel efficiency, hybrid and electric vehicle trends, and the removal of a prior hybrid fee all affect revenue collections. On tolling, officials said Louisville bridge toll revenues are covering bills and commitments, but they did not have the latest collection figures in front of them and said they would provide them later.
The committee also asked about project delivery delays, right-of-way acquisition, disaster recovery work, annual contract awards, cash management, and overprogramming in the highway plan. Officials said project delays often stem from right-of-way purchases, utility relocation, and the large volume of projects in the plan, and described the process as a “duck paddling” situation with substantial work happening behind the scenes. They said FY25 contract awards were already just under $998 million by the July letting and expected to exceed last year’s total, and explained that cash balances are managed so they do not fall below $100 million; the current balance was said to be about $166 million. No further votes or formal actions were taken beyond approving the minutes.
FL
Florida 2025 Regular Session
Appropriations Apr 2nd, 2025
Transcript Highlights:
- Before us is SPV 2500, the General Appropriations. Bill for the 2025/2026 fiscal year.
- This provides $350,000 in nonrecurring general revenue funds from the FSU Sunshine Genetics Program,
- Vice Chair Rouson: Relating to the implementing of the 2025-2026 General Appropriations Act.
- Chair Hooper: With economic issues to be addressed in the General Appropriations Act, that is the bill
- Amounts for the 2025-2026 school year to be set in the General Appropriations Act and aligns payment
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services May 27th, 2026
Health & Human Services
HI
Hawaii 2026 Regular Session
JHA Public Hearing - Thu Feb 26, 2026 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- Who holds that general lease, 4697? And there's nothing that explains general lease 4697.
- They talk about a general lease, 29-9746 or something, that general lease.
- Who holds that general lease, 4697? And there's nothing that explains general lease 4697.
- c><01:37:02.639><c> plan</c> the term the general plan the term the general plan for<01:37:04.800><c>
- Those are my general elections.
Summary:
The committee heard testimony on House Bill 2592, which would clarify the powers of the Mauna Stewardship and Oversight Authority regarding land use on Mauna Akea and related property transfers. The Department of Land and Natural Resources supported the rural property transfer but objected to language transferring conservation district use permits, saying CDUPs normally run with the land rather than being assigned to specific telescopes or observatories. The University of Hawaiʻi and the observatories generally supported the bill but urged clearer language, especially on the transfer of real property assets, related obligations and liabilities, and the inclusion of milestones for the transition. Office of Hawaiian Affairs supported the bill’s overall intent but warned that some language could be overbroad and might improperly waive future beneficiary claims. Several testifiers opposed the measure, arguing it ignored DHHL lands and beneficiary rights, while others supported it as a way to clarify the authority’s role. Members questioned DLNR about the practical effects of transferring CDUP responsibility, and the committee emphasized that the bill was narrowly focused on specific land.
The committee then took up House Bill 2593, which would authorize the Mauna Stewardship and Oversight Authority to extend existing leases and subleases for up to 10 years. The authority explained that the bill does not itself extend any lease, but instead gives the authority discretion to initiate a transparent public process if extensions are needed. The University of Hawaiʻi supported the concept but said the timing of any extension matters and noted possible legal requirements under state law. The observatories also supported the bill, describing it as a flexible tool during a broader transition process and noting that the authority has held many public planning workshops. Opponents, including Native Hawaiian and community testifiers, argued that the conservation lands should receive the highest protection, that the community had not consented, and that the observatories have had decades to plan ahead. One testifier urged the bill be deferred or killed for lack of clarity. In response to questions, the committee clarified that the bill only authorizes a process and does not itself extend leases, and that any extension would require public participation.
The final measure discussed in the excerpt was House Bill 2047, relating to the AHAPU advisory committee. The discussion focused on the committee’s administrative relationship to the Department of Land and Natural Resources and whether DLNR should oversee basic legal compliance issues such as Sunshine Law and legislative reporting. DLNR explained that the committee is administratively attached to the department, which provides support on human resources, procurement, and legal questions, but that the committee itself generally handles its own operations. The department said it would route compliance questions to its attorneys and implement their advice. The hearing then moved on to House Bill 2231, which would transfer appointment authority for island burial council members from the governor and Senate to the Office of Hawaiian Affairs board of trustees. OHA said it generally supported the change for geographic moku representatives, since it already nominates candidates for those seats, but expressed concern about taking on appointment authority for the large landowner seats because that role is less directly tied to its statutory duties.
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 2/26/26
Energy Finance and Policy
Transcript Highlights:
- asking for general fund money you're asking for general fund money it's<00:08:57.120><c> an</c><00:08
- They currently still power their electricity or they um uh their generation they generate their electricity
- They currently still power their electricity or they um uh their generation they generate their electricity
- So it wouldn't be any general itself.
- So, uh, no cost to the general fund.
Bills:
HF3298
MN
Minnesota 2025-2026 Regular Session
Cmte on Rules - Subcommittee on the Federal Impact on Minnesotans and Economic Stability - 02/20/26
Transcript Highlights:
- </c><00:15:45.839><c> So</c> generally in three large groups. So generally in three large groups.
- </c><00:21:30.480><c> or</c><00:21:30.960><c> general</c><00:21:31.360><c> fund</c> those automatic general
- or general fund those automatic general or general fund or<00:21:31.840><c> other</c><00:21:32.080><
- Generally, you can passage of this law.
- I think of our general fund Nelman.
Summary:
The Senate Rules and Administration Select Subcommittee on Federal Impacts on Minnesotans and Economic Stability met on February 20, 2026, to hear from Minnesota Management and Budget State Budget Director Anna Mingi about federal funding changes affecting the state budget. Before testimony began, Senator Rasmusson objected to a draft committee report that had been prepared in advance of the hearing, arguing it was inappropriate to summarize testimony before it occurred. The chair responded that nonpartisan staff had prepared the draft from Mingi’s submitted presentation and could revise it after the hearing if needed.
Director Mingi explained that federal dollars make up more than one-third of state spending and support about 650 federal awards totaling over $23 billion this year, with more than $15 billion supporting state entitlement programs. She said the federal funding environment had changed significantly since January 2025 through executive orders, pauses, terminations, new grant conditions, delayed awards, and the July 2025 passage of H.R. 1, the federal reconciliation bill. Her main focus was H.R. 1’s effects on health care and food assistance, including work requirements for some adults, changes to eligibility for legal non-citizens, limits on retroactive Medicaid coverage and directed payments, new limits on provider taxes, and SNAP changes that shift some benefit and administrative costs to the state and counties. She estimated H.R. 1 would reduce federal funds to state-administered programs by about $327 million in the current biennium and $1.6 billion in the next, with additional costs to hospitals, counties, and other partners beyond the budget horizon.
Members asked follow-up questions about whether the estimates were relative to the forecast and whether federal Medicaid funding would still rise over time. Mingi said the estimates were based on the November forecast baseline and that Medicaid federal dollars would likely continue growing overall, though the law still creates significant losses relative to prior projections. Senator Rasmusson emphasized that point in remarks to the committee. The discussion then shifted to federal grant pauses and cancellations: MMB’s tracker showed about six awards on hold totaling roughly $491 million, 13 confirmed cancellations across areas including clean energy, education, food assistance, and public health, and additional threatened or litigated cuts not included in those totals. Mingi identified two canceled violence-prevention-related grants, including a FEMA public safety grant and a justice reinvestment grant, and noted that CDC had recently moved to cancel or seek cancellation of several Minnesota public health grants, including a $65 million public health infrastructure award.
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Jul 1st, 2026
Privacy and Consumer Protection
Transcript Highlights:
- But if artificial intelligence can generate obvious errors, can generate obvious bias... ...obvious errors
- , can generate obvious bias.
- And I worry so much about this anxious generation.
- Higher-level definitions, just like the definition of housing, very generally, will be able to be general
- And I thank you for that question because I generally do not like supporting bills that Because I generally
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/24/26
State Government Finance and Policy
Transcript Highlights:
- </c> General may and shall investigate. General may and shall investigate.
- </c> inde- independent, um, inspector general inde- independent, um, inspector general should<00:10:49.240
- Sending this to the general register.
- </c> the general register. All in favor? I. the general register. All in favor? I. Opposed?
- To the general register. And uh Mr.
Keywords:
Inspector General, fraud prevention, state audit, public funds, misuse, transparency, government accountability, HF4482, Minnesota Historical Society, state historic sites, historic site management, historic preservation, county historical society, local historical society, municipality, county government, admission fees, grants-in-aid, site operations, site maintenance
HI
Hawaii 2026 Regular Session
HSH Public Hearing - Tue Feb 10, 2026 @ 9:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- :42.720><c> Peterson,</c> Deputy Attorney General Derek Peterson, Deputy Attorney General Derek Peterson
- </c> [clears throat] you know, generational [clears throat] you know, generational consequences. consequences
- Deputy Attorney General Mark Tom for the department.
- I have a question for the Office of the Attorney General.
- </c> recommendation of the attorney general recommendation of the attorney general from<01:37:58.480>
Bills:
HB1546
Keywords:
Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all
Summary:
The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided.
The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute.
The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required.
Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 2/25/25
Judiciary Finance and Civil Law
Transcript Highlights:
- The bill is on its way to the General Register. Thank you.
- We don't have landowners that are, you know, handing down property for generation after generation.
- We don't have landowners that are, you know, handing down property for generation after generation.
- We don't have landowners that are, you know, handed down property for generation after generation.
- after generation.
Keywords:
corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, trusts, Uniform Trust Code, probate, estate planning, trust protector, directed trust, investment trust advisor, distribution trust advisor, excluded fiduciary, decanting, power of appointment, revocable trust, irrevocable trust, uneconomic trust, rule against perpetuities
FL
Florida 2026 5th Special Session
Appropriations Jun 1st, 2026
Transcript Highlights:
- We have the ability to do it under general law.
- Yes, it would go to the Attorney General, and the Attorney General, I believe, would have 10 days to
- That's what our Attorney General should be doing.
- The bill provides DOR with a 5.5 million dollar appropriation from the general revenue from general revenue
- It is one mill generates less than $5 million. It is one mill generates less than $5 million.
Summary:
The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes.
Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account.
Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- Uh, I think we generally share it.
- ><c> separate</c><00:38:16.079><c> program</c> generous program is a separate program generous program
- And to bring back to the discussion the generous program, which I mentioned briefly, the generous program
- Nice. fully participate in the generous fully participate in the generous program<01:02:54.319><c> which
- fee is generally adequate for lowerc<01:10:17.040><c> cost</c><01:10:17.280><c> generics,</c><01:10:
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
TX
Transcript Highlights:
- So generally at that level, they're looking very closely at these things.
- Do we invoke the Attorney General when those rules are broken and we invoke the Attorney General to enforce
- Are you talking about the GMA 8 example or just in general?
- They are what generate the model. and others.
- I'm not sure the Attorney General wants to take that on.
MS
Transcript Highlights:
- </c> That just goes toward general Medicaid funding.
- probably 60-plus percent is generated outpatient as compared to inpatient.
- It is generally a benefit for hospital providers, but not to everybody.
- That other 32 is general fund revenue.
- are generally a bene the hospital taxes are generally<01:06:26.480><c> a</c><01:06:26.720><c> benefit
MN
Transcript Highlights:
- I think that brings me back to just my general philosophical question about it.
- </c> that brings me back to just my general that brings me back to just my general philosophical<00:20
- Yeah, about the bill in general or for Senator Putnam? Thank you so much.
- </c> is uh zero impact on the on the general is uh zero impact on the on the general fund<00:35:40.440
- </c> our environment for future Generations our environment for future Generations all<00:51:11.319><
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, June 23, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- This year's victory builds on the generational legacy of track and field dominance at the University
- Speaker, today I rise to honor Manuel Castoriia Liserio, a member of the greatest generation, a proud
- So, the SBA Office of Inspector General identified multiple instances in which SBA employees approved
- General lady yields.
- What does intentional disparagement mean for our younger generations?