Transcript Highlights:

• I mean, it's started in 2019, and the direction is good.
• So we're not contracting for outreach, stabilization, acute care, and marketing.
• Was that coming out of the Community Health Care Trust Fund in your original?
• Some was in OMB, some was a direct grant to association of counties. It was kind of a mess.
• Some was in OMB, some was direct grant to associate. and it was kind of scattered.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2265, which would provide the Fargo National Cemetery with up to a $3 million line of credit to help fund improvements such as indoor bathrooms, parking, a family gathering area, an office, a hearse garage, and a veterans gallery. Supporters said the cemetery has expanded rapidly since 2019, has already conducted about 1,000 burials, and needs better facilities for families and the Honor Guard; they also said the project would be subject to federal VA approval and, once completed, would be taken over by the VA. Members raised questions about the project’s cost, timing, funding sources, whether the bill should be a grant instead of a line of credit, and whether a chapel should be specifically included. No vote was taken on SB 2265 during the excerpt. The committee then took up Senate Bill 2230, which would have the Secretary of State mail active voters a guide on ballot measures at least 45 days before an election, with objective summaries, fiscal impacts, and arguments for and against each measure. Secretary of State Michael Howe said the office already receives many questions about ballot measures and would post the same information online and at polling places, while emphasizing the need to keep the material objective and consistent with election-law restrictions. Members generally supported the idea as a voter-education tool, and the committee adopted a due pass motion on SB 2230 by a 19-0 vote. Finally, the committee heard Senate Bill 2256, which would provide one-time state support for the NDSU Research and Technology Park in Fargo to expand its role in commercialization, robotics, precision agriculture, and defense-related technology. Park CEO Brenda Weiland explained that the park is a 501(c)(3) nonprofit spun out of NDSU, governed by a board with both university and industry representation, and that the new model is intended to bridge the gap between research and market-ready products without competing directly with private industry. Members asked about ownership, intellectual property, the planned partnership with Carnegie Mellon’s robotics center, and how the park would use the funding; the discussion focused on contracts, licensing, and the park’s intent to build technical capacity and attract companies. The excerpt ends before any vote on SB 2256.

Transcript Highlights:

• And comments must be directed specifically to the bill under discussion at that moment.
• They're very directional.
• Do they take care of the, I, I mean, in, in all, we recover the cost.
• I really don't care what the rates are.
• The worst part about it, you know, they don't, they don't care.

Transcript Highlights:

• Mental health care is health care. Mental health care is health care.
• , Home Care Alliance, Alzheimer's Association, Home Care Aid Council, Home Care Alliance, Mass Aging
• care attendants, and home care consumers.
• It is a protection for the home care attendants, the home care consumers, and the home care workers.
• withdraws from providing care and then we have a consumer of that care with no one to provide the care

Summary: The Senate took up a series of local and statewide measures, including bills on parking fines in Scituate, a conservation restriction in Middleton, park and field dedications in Boston, toxic-free medical devices, a regional school district vote, and several local personnel and land-use matters. It also approved or engrossed bills concerning the Dalton Fire District, fire and police employment in Conway, reclassifying Beverly fire alarm operators, a Waitley Water District dissolution, a Dighton conservation land/public way issue, Milton liquor licenses, Billerica bike path land transfer, and an easement exchange involving Eversource. Several of these were advanced by suspending rules, ordering third readings, or concurring in House amendments; the Senate also accepted a committee report consolidating S. 545 with H. 899 and passed the consolidated park-dedication bill to engrossment. A major focus was the bill requiring health care employers to develop and implement workplace violence prevention programs. Senators and sponsors described the measure as a compromise aimed at protecting health care workers through annual risk assessments, prevention plans, paid leave, reporting requirements, privacy protections, and a narrow warrantless-arrest provision for assaults on health care workers. The Senate adopted a number of amendments, including changes to employee definitions, complaint protections, disfigurement language, paid leave coverage, federally qualified health center exemptions, de-escalation and community-based response language, mental health treatment coverage, and a one-year pause for certain DDS-related provisions. Some proposed amendments were adopted, while others were rejected or withdrawn, and the bill was ultimately ordered to third reading and passed to be engrossed. The Senate also considered the home care and long-term services bill, with members emphasizing home care licensure, oversight, and planning for long-term care financing. Amendments added or modified provisions related to home care training, evacuation procedures, minority-party representation on commissions, MassPACE participation, and representation for people living with dementia; one amendment on family caregiving was withdrawn after discussion. The chamber likewise advanced an economic development bond and appropriation package through a Ways and Means substitute and adopted a conference committee process on a separate energy affordability bill after the House disagreed with the Senate’s version. The session included ceremonial moments honoring guests and memorializing Jane Yolen and Charlene M. Naylor, and it ended with the Senate adjourning to meet again the following Monday.

Transcript Highlights:

• We're all pulling the wagon together in the same direction. Operating in silos.
• We're all pulling the wagon together in the same direction.
• I recently retired after 45 years as a health care executive.
• So we're very proud of Chair Hosseini and his direction for our health board.
• Academics, health care, and research, right?

Summary: The Appropriations Committee on Higher Education met to hear confirmations for 19 appointees and reappointees to university and state college boards, with most of the agenda focused on the University of Florida, Florida A&M University, Florida Atlantic University, University of Central Florida, Florida State University, Florida Polytechnic University, Florida Gulf Coast University, Pensacola State College, State College of Florida Manatee-Sarasota, North Florida College, South Florida State College, and the Florida Prepaid College Board. Testimony from the nominees generally emphasized their educational backgrounds, professional experience, and priorities such as student success, workforce development, financial sustainability, research growth, housing, and maintaining or improving institutional rankings. Several UF trustees highlighted the university’s “One UF” vision, institutional neutrality, and goals of reaching top-three or top-one national status. Other nominees stressed the role of state colleges in workforce pipelines, and Florida Poly witnesses focused on STEM growth, housing, and strong graduate outcomes. One in-person public testimony came from Elijah Hooks, who spoke in opposition to the current FAMU administration and described his expulsion, arrest, and trespass from campus after protesting the appointment of President Marva Johnson. For FAMU, Jocelyn Dobson Rodriguez testified in support of her appointment, emphasizing her legal background, alumni ties, and goals of strengthening leadership, alumni engagement, and the connection between the main campus and the College of Law in Orlando. For Florida Atlantic University, Tina Vidal-Duart was questioned closely about her prior service on the Hope Florida Foundation board and about CDR Health’s involvement in state contracts; she said she was not aware of the foundation’s governance problems at the time and that CDR’s state contract was a flat daily rate. The committee then voted to report all appointees favorably except for Tina Vidal-Duart, whose confirmation was held for a separate vote at the request of Senator Bracy Davis. After discussion, the committee voted 5-1 to report her confirmation favorably as well. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• I don't think Costco will care. I don't think Amazon Food and the rest of them will.
• I don't think Costco will care. I don't think Amazon food and the rest of them will. I care.
• I don't think Costco will care. I don't think Amazon food and the rest of them will.
• and governed health care within our communities around the state.
• And the idea that direct contracting could occur if no bid is received on the first call.

Bills: HB2313, HB2451, HB2298, HB2566, HB2517

Keywords: grocery stores, public ownership, food accessibility, community services, economic development, tax increment financing, local government, municipal finance, public infrastructure, property title protection, land record fraud, county auditors, voluntary program, real estate, procurement, contracting, transparency, financial oversight, municipal permitting, transit projects

Transcript Highlights:

• Okay, that takes care of the Assembly third reading file.
• provider directory administered by the Department of Health Care Services.
• This bill is strengthening California’s rural health care workforce and expanding access to health care
• It prioritizes access to care for the most vulnerable mental health care patients, many of whom are on
• Do you also need help with health care or mental health support?

Summary: The Assembly convened after a quorum call, prayer, and pledge, then handled a long consent and concurrence calendar. Early procedural actions included moving several bills to the inactive file, waiving the floor amendment deadline for certain measures, rescinding prior action on SB 733, and approving a motion to withdraw AB 710 from committee to the third reading file by a 42-12 vote. The chamber also re-referred AB 406 to Labor and Employment and later AB 754 to Housing, while taking up numerous Senate and Assembly measures out of order to accommodate authors and guests. The body adopted several resolutions recognizing October 2025 as California Promotoras Month (HR 58), National Fried Rice Day and National Rice Month (HR 71), Direct Support Professional Recognition Week (HR 70), and All California Day (HR 67). Members also concurred in Senate amendments on a wide range of bills covering insurance, horses, emergency vehicles, health facilities, restitution, education, tribal regalia at graduation, behavioral health, air pollution, energy, dams, greenhouse gases, foster youth, court interpreters, tenancy language access, patient privacy notices, discrimination in school facility rentals, hospital visitation rights, diversion, agriculture, insurance studies, electricity, and environmental stewardship. Most of these measures passed with little or no opposition, though a few drew recorded noes. Several higher-profile policy bills drew debate. SB 694 on veteran claim assistance generated the most extensive discussion, with supporters arguing it would stop predatory, unaccredited companies from charging veterans for VA claims help, and opponents warning it could reduce veterans’ choices and should be paired with broader fixes to county VSO access; the bill ultimately passed 46-0. Other notable actions included concurrence on SB 576 limiting loud streaming ads, SB 512 on transportation tax initiatives, and SB 785 creating a tax credit for durable medical equipment for children with complex medical needs. The Assembly also concurred in SB 250 on Medi-Cal provider directories, SB 831 on the Geological Survey, SB 788 on CPA regulation, SB 456 on muralist licensing, SB 72 on the California Water Plan, SB 76 on used-car fee protections, SB 246 on rural health workforce support, SB 484 on coastal affordable housing, SB 680 on sex offender registration, SB 695 on climate-resilient highway projects, and SB 783 on outdoor advertising. Votes were overwhelmingly favorable across the board, with the chamber repeatedly adopting Senate amendments and resolutions by voice vote or recorded roll call.

Transcript Highlights:

• They are compassionate, caring, and care about education, the best and the brightest.
• the</c><00:43:28.000><c> best</c><00:43:28.200><c> and</c> caring care about education the best and
• caring care about education the best and the<00:43:28.880><c> brightest</c><00:43:29.880><c> but</c><
• </c> care so much about our work and we care care so much about our work and we care deeply<01:10:49.800
• </c> Advocate that in addition to the direct Advocate that in addition to the direct certification<01

Keywords: 1187, senate, all

Transcript Highlights:

• providing legal medical care.
• This bill will be used to target health care providers providing abortion care and the friends and family
• providers that care for them.
• answers and direct, simple questions.
• And if we don't care about it... ...laws that impact their lives in a transparent and direct manner,

Summary: The Civil Justice and Claims Subcommittee met to consider one measure, PCS for HB 289, which would amend Florida’s wrongful death statute to allow parents of an unborn child to recover damages for the child’s wrongful death and to include parents in the definition of survivors. The sponsor said the bill is intended to give parents a remedy when a wrongful act, negligence, breach of contract, or breach of warranty causes the loss of an unborn child, while also preserving existing protections for lawful medical care and the mother. Members questioned the bill extensively about the meaning of “survivors,” whether it could reach surrogacy situations, friends or family who assist someone in obtaining abortion care, paternity issues, and whether abusive or unqualified fathers could bring claims. The sponsor repeatedly said the bill is limited to parents, does not authorize suits against the mother or lawful medical providers, and would still require the normal wrongful death procedures, including appointment of a personal representative. He cited Duncan v. Flynn as the case holding that current law does not allow recovery for the death of an unborn child. Representative Gottlieb offered an amendment modeled on criminal-law protections, aimed at expanding explicit immunity for a pregnant woman and for persons providing medical care or abortion-related conduct with consent. Supporters of the amendment said it would better align civil law with criminal protections; opponents argued it was overly broad and could shield unlicensed conduct. The amendment failed on a voice vote. Public testimony was divided, with supporters from pro-life and Catholic organizations backing the bill and some asking to remove the health care exemption, while opponents from ACLU, Equality Florida, Planned Parenthood affiliates, Florida Voice for the Unborn, Voices of Florida, and others warned the bill could chill reproductive health care, increase liability for doctors and hospitals, and invite lawsuits involving surrogates, family members, and abortion-related care. In debate, supporters said the bill simply recognizes the value of unborn children and gives parents a remedy for wrongful loss, while opponents argued it could create unintended consequences in family law, surrogacy, IVF, and medical practice, and could empower abusive partners or rapists. After closing remarks, the committee voted 13 yeas and 3 nays to report PCS for HB 289 favorably. The meeting then adjourned.

Transcript Highlights:

• Members, the chair would like to take a moment of personal privilege and direct your attention to the
• Being just a statement that is effectively a press release, you mentioned this actually is directing
• is just making sure that the policyholders are made whole before any other transactions are taken care
• We don't care if they sell their company or reorganize or do. Anything else.
• We just want to make sure that policyholders are taken care of. See no further questions.

Bills: SB330, SB2069, SB2095, SB1721, SB1433, SB1316, SB1280, SB1455, SB1456, SB1457, SB1459, SB1461, SB1463, SB1465, SB1466, HJR1088, SB1684, SB378, SB1447, SB1920, SB1443, HR1047, SB1877, SB1884, SB1365, SB2174, SB1525, SB1810, SB1771, SB1805, SB1916, SB1530, SB1847, SB1990, SB2060, SB1992, SB1579, SB1778, SB2132, SB1623, SB2067, SB1589, SB1441, SB1224, SB372, SB1232, SB1264, SB1450, SB2011, SB2030, SB1980, SB1936, SB1477, SB1593, SB1725, SB1670, SB1480, SB1726, SB1633, SB1735, SB1632, SB1277, SB1217, SB1826, SB1824, SB1813, SB1326, SB1937, SB1641

Keywords: elk population, wildlife management, Oklahoma State University, veterinary medicine, ecosystem health, habitat assessment, advanced nuclear energy, nuclear power, small modular reactor, SMR, microreactor, generation III+, generation IV, nuclear reactor, nuclear permitting, nuclear licensing, Oklahoma Corporation Commission, OCC, Oklahoma Advanced Nuclear Energy Office, Oklahoma Advanced Nuclear Development Revolving Fund

Transcript Highlights:

• <00:58:12.960><c> that</c><00:58:13.200><c> this</c> direction that this direction that this debate<00
• Hawkins or maybe the publishers would care to answer.
• </c> care to answer. care to answer.
• </c> met a heightened standard of care. met a heightened standard of care.
• </c><01:35:46.880><c> regarding</c> heightened standard of care regarding heightened standard of care

Bills: HF4456, HF4544, HF3698

Keywords: data broker, data brokerage, consumer privacy, personal data, data privacy, Minnesota attorney general, registration, public registry, civil penalties, enforcement, special revenue fund, privacy rights, data sales, data collection, consumer protection, chapter 325M, controller, processor, data broker registry, transparency

Transcript Highlights:

• It's just, you're not taking care of the veterans.
• We will be signaling to our soldiers and to our veterans that we care about you, and we care about the
• Because I currently have soldiers who I care for.
• So, they may actually deny care to people who need care and cannot get it under that plan, and yet they
• We have to listen to the people who are getting the care, who need the care, who want the care.

Transcript Highlights:

• I don't care what any of the doctors say, it doesn't work.
• I don't care what. garbage works like this does.
• I don't care what any of the doctors say, it doesn't work.
• But I'm here to tell you, I don't care what we ever work on again.
• I also direct the Collaborative for Missouri Psychedelic-Assisted Therapy, and I'm... ...direct the Collaborative

Summary: The committee first met in executive session and voted do pass on House Bill 3037, House Bill 2760, House Bill 1778, and House Bill 2830, each by recorded roll call. HB 3037, HB 2760, and HB 1778 all passed 8-4, while HB 2830 passed unanimously 12-0. The committee also said it would not take up HB 1746 and HB 1769 yet, because more work was needed on an amendment. The public hearing began with House Bill 3005, sponsored by Representative Justice, which would require public and school libraries to adopt and post reconsideration policies for challenged materials, limit requests to local residents or parents/guardians, extend the process to digital materials, and prohibit tracking or retaining personalized user data from digital library resources. Justice said the bill was developed with the Secretary of State’s office and library groups and was intended to add transparency, local control, and privacy protections. Testimony from EBSCO Information Services and the Missouri Library Association supported the bill as a codification of existing library practices and a way to create clearer procedures. The committee then heard a group of similar bills on AI-generated or digitally altered depictions, including measures by Representatives Lucas, Farnan, Gallick, Schmidt, Williams, Houseman, and Dolan. The sponsors described the bills as closing loopholes in child pornography, revenge-porn, and digital impersonation laws, creating civil remedies, criminal penalties, and in some versions platform takedown requirements for nonconsensual altered images. Members raised questions about how to combine the bills, whether sunsets should be included, and how the proposals relate to existing revenge-porn law. No votes were taken on these bills during the hearing. Finally, the committee heard House Bills 2817 and 2961 on ibogaine research for veterans and other trauma-affected populations, followed by House Bills 1717 and 1643 on psilocybin and other alternative therapies. Supporters, including veterans, first responders, clinicians, and family members, described severe PTSD, TBI, addiction, and suicide crises and said these treatments had helped them when conventional care had not. Opponents, including the Missouri State Medical Association, said they did not support non-FDA-approved drugs. Members questioned the cost and structure of the proposed studies, the role of the FDA, and whether similar research is already underway. The hearing ended without a vote on these bills.

Transcript Highlights:

• Perhaps most importantly, these resources will be directed to cities and towns across the Commonwealth
• Perhaps most importantly, these resources will be directed to cities and towns across the Commonwealth
• owned roads that are state-numbered, and it would be a responsibility of that city or town to take care
• repair and improve safety and enhance resilience of transportation infrastructure that's under the care
• And I know there's a lot of uncertainty going on in D.C. in terms of different directions, but we also

Bills: H4987, S2905

Keywords: transportation bond bill, municipal roads, municipal bridges, Chapter 90, road aid, highway funding, bridge repair, pavement, MassDOT, MBTA, rail reliability, commuter rail locomotives, Fair Share surtax, Commonwealth Transportation Fund, infrastructure financing, bond authorization, deferred maintenance, climate resilience, parkways, DCR

Transcript Highlights:

• And we did a bill last session to expand family child care around, but also we know how important...
• ...to expand family child care around, but also we know how important it is.
• The bill also adds child care costs to the expenses that may be paid when a director attends a school
• OFM is directed to review and adjust compensation amounts at least every five years.
• If we could start right here and go that direction, introduce yourself.

Summary: The committee first heard Senate Bill 5901, which would change the school construction assistance program so that instructional space on military bases is excluded from a district’s available space inventory when calculating state construction aid. Staff explained the bill would also require state assistance to equal approved project cost minus federal funding received. Senator Christian said the measure is intended to prevent military-base facilities from unfairly reducing districts’ ability to modernize or build schools. Testimony in support came from OSPI, Clover Park School District, and Medical Lake School District, which said the current formula penalizes districts serving military families and can leave them unable to secure needed renovation funding. No opposition was heard, and the bill was later described as having an indeterminate fiscal impact. The committee then took up Senate Bill 5860 on school board compensation. The bill would raise director pay from $50 to $100 per day, increase the annual cap, allow child care expenses to be reimbursed, require OFM to periodically adjust compensation, and direct WASDA to develop finance training for school directors. Senator Cortez said the changes are needed to broaden who can serve on school boards and to help working families participate. Supporters from OSPI, WASDA, and South Sound superintendents said compensation could improve diversity and help recruit and retain board members, though WASDA noted concerns about diverting district funds and said its members do not have consensus on mandatory training. Opponents argued the bill would misuse levy funds and that child care and other expenses should not be paid from local education levies. The committee also heard Senate Bill 5956 on artificial intelligence, student discipline, and surveillance in schools, which would bar automated systems from being the sole basis for discipline decisions, prohibit risk scores and biometric surveillance, require OSPI guidance updates, and direct WASDA to create model policy. Senator Nobles and supporters said the bill is needed to protect students from discriminatory and inaccurate AI-driven decisions; no vote was taken in the hearing. Finally, the committee heard a proposed substitute for Senate Bill 5574, which would require districts to include instruction on Asian American, Native Hawaiian and Pacific Islander, Latino American, and Black American history in required social studies courses during the regular curriculum review cycle, with reporting beginning in 2030. Senator Nobles said the bill is meant to address exclusion and bias in history education and to help students see themselves reflected in the curriculum. Testifiers from education, student, parent, and community groups overwhelmingly supported the measure, saying it would improve belonging, reduce bullying, and build on existing curriculum resources without creating a new course or major new cost. The hearing ended without a vote or other formal action on SB 5956 or SB 5574.

Transcript Highlights:

• billed for the services of MnDOT, my office, and over 70 that receive our representation without direct
• The AGO alleged that Pain Free Patriots violated Minnesota law when its leadership directed that its
• If you say that you really care about. financial, about saving money, then they're going to represent
• I don't give a— I don't care about no re-election.
• I care about Medicaid.

Transcript Highlights:

• This includes $1.2 billion to TRS Care for the statutorily required state contribution for retiree health
• hour, and $17.50 per hour for those attendants in IDD settings such as group homes or intermediate care
• But I, you know, care a lot about our retired teachers, as all of you do, and so we will continue to
• In the budget, you have fully funded TRS Care for our retired school employees.
• appropriations of students or direct appropriations of the university.

Bills: SB1, HB500, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1184, house, all

Transcript Highlights:

• How many veterans are waiting to get care? Right.
• , because we do rely considerably on VA care as well.
• , because we do rely considerably on VA care as well.
• They will be backfilled by residents who are at that lower level of care, assisted living level of care
• , veterans and spouses, so residents in our care.

Summary: The Assembly Budget Subcommittee on State Administration heard several CalVet budget updates first. CalVet reported progress on the Southern California Veterans Cemetery at Gypsum Canyon, explaining that DGS is revising the earlier feasibility study to reflect a smaller footprint and lower grading costs, with updated numbers expected by the end of April. Members and public commenters emphasized the project’s importance and asked whether additional budget authority or trailer bill language was needed; CalVet said it may need more spending authority but wanted to return after the revised study is complete. The committee also reviewed the Yountville skilled nursing facility replacement project, where CalVet said construction is nearing completion, a certificate of occupancy was received, and the new 240-bed facility will replace Holderman Hospital while older buildings will be repurposed for lower levels of care. CalVet also defended eliminating about 178 vacant positions at Yountville and West Los Angeles as a fiscal and staffing efficiency measure, saying current care levels can still be met and that retention and hiring efforts are improving. The committee then took up the Department of Cannabis Control’s enforcement and legal affairs proposal. DCC described the size of the illicit cannabis market, said enforcement alone cannot solve the problem, and asked for additional sworn staff, a new Redding-area field office, and more analysts to focus on distribution networks, organized crime, environmental harms, and high-priority public safety cases. Finance supported the proposal as a targeted investment, while the LAO had no additional comment. Members asked about funding impacts and local co-location options, and DCC said the request would be funded from cannabis excise tax revenues and could help shift sales into the legal market. Public testimony from the cannabis industry strongly supported more enforcement against illicit retail and said it would help legal operators compete. DCC also presented its hemp enforcement and regulation proposal tied to AB 8. The department said the law closes loopholes around intoxicating hemp products, strengthens enforcement across agencies, and prepares for hemp to enter the cannabis regulatory framework in 2028. DCC requested staff for a civil enforcement unit, field-testing equipment, lab capacity to detect synthetic cannabinoids, a track-and-trace specialist, and a policy specialist. Members asked about enforcement in informal retail settings and consumer confusion, and DCC said the biggest problems have been smoke shops and online sales. Public commenters from the legal cannabis industry supported the proposal, saying intoxicating hemp has harmed the regulated market and created public safety risks. The Cannabis Control Appeals Panel then requested ongoing funding of $3.4 million to support 12 positions and its quasi-judicial appeals function. The panel said that with provisional licenses largely phased out, more annual licensees now have appeal rights and the workload is beginning to increase, with two cases currently on the docket. The LAO recommended limiting funding to three years and requiring a workload and comparative analysis before making the funding permanent, while Finance supported ongoing funding as consistent with the panel’s permanent statutory role. Members questioned the panel’s compensation and workload, noting that the five-member body is paid at a high statutory rate despite historically meeting only quarterly, though panel staff said the work now includes substantial case preparation and monthly hearings. Finally, the Department of Consumer Affairs introduced two proposals: $2 million ongoing for the Contractors State License Board’s IT needs and $251,000 plus one limited-term position for the Board of Pharmacy to implement Proposition 34-related licensing policy and reduce barriers to licensure.

Transcript Highlights:

• </c><00:20:53.880><c> so</c> um higher levels of of Health Care so um higher levels of of Health Care
• </c> known as a Medicaid State directed known as a Medicaid State directed payment<00:27:17.360><c> program
• </c> not using Insurance to pay for your care not using Insurance to pay for your care then<00:50:02.640
• It really needs to be about health care rather than sick care, and one of the things that we're working
• Thank you so much. others on um improving our health care others on um improving our health care in<00

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• And this did not just occur within the IHS facilities, but anybody that provided health care to those
• So I share this story to help empower our women, to help guide and give direction as much as possible
• You don't, and that's a directional microphone. You don't have to get real close to it.
• or allowing their biases about certain racial groups seeking reproductive health or any kind of care
• By formally acknowledging this history and directing a comprehensive study of the forced sterilization

Summary: The Senate Indian, Rural and Cultural Affairs Committee heard Senate Memorial 14, which calls on the Indian Affairs Department and the Commission on the Status of Women to conduct a comprehensive study of the history, scope, and continuing impacts of forced and coerced sterilization of Indigenous women and women of color. Sponsors and advocates said the memorial is intended to document harms that occurred not only in Indian Health Service facilities but also through other health providers, while being culturally sensitive and respectful of tribal sovereignty. Supporters described the issue as a reproductive justice, human rights, and Indigenous rights matter, and said the study could help lead to acknowledgment, healing, and possible reparative action. Several witnesses gave personal testimony. Representative Caballero shared a personal experience in which she nearly underwent a hysterectomy after a miscarriage due to forms she was asked to sign while sedated, and said that experience motivated her support. Jean Whitehorse, a Navajo Nation member and daughter of a Navajo code talker, described being sterilized in 1972 after treatment at Gallup Indian Health Service and said the practice caused lasting trauma to Native families. Other speakers, including Elena Giacchi, Keeley Badger, Jennifer Raphael Gatz, Rachel Lorenzo, Alicia Carese Lobbius, Nasserian Olamako, Deanna Warren, and Kat Sanchez, supported the memorial and emphasized the need for survivor testimony, historical records, data gathering, informed consent protections, and culturally grounded healing. Committee members asked about the difficulty of obtaining records and whether the information exists or is being blocked. Witnesses said access is limited, requests often need to come from official state or federal bodies, and many records may be sealed or difficult to retrieve. The Commission on the Status of Women said it could serve as the organizing entity for a three-phase process: gathering data, holding discussions with subject matter experts and survivors, and contracting with an Indigenous organization to prepare the report. After public comment and questions, the committee voted 4-0 to give Senate Memorial 14 a do pass recommendation, and the chair then recessed the meeting.

Transcript Highlights:

• Next up for consideration, committee, is docket 16-0602-2-2501, foster care licensing.
• Before you are foster care licensing rules that are both temporary and pending.
• This is to implement legislation enacted last year on kinship licensure that was part of the foster care
• Seeing none, committee, we have docket 16-0602-250-250, foster care licensing, temporary and pending.
• Seeing none, committee, we have docket 16-0602-250-250, foster care licensing, temporary and pending.

Summary: The Senate Health and Welfare Committee first considered the gubernatorial reappointment of Clayton Steele to the Board of Environmental Quality. After a motion by Senator Harris and a second by Senator Blaylock, the committee voted by voice vote to send the reappointment to the Senate floor with a recommendation that he be confirmed. The committee then reviewed docket 16-0602-2501 on foster care licensing, presented by Jared Larson of the Department of Health and Welfare. Larson said the temporary and pending rules implement last year’s kin-specific licensure legislation, make a largely cosmetic change to suspension/revocation language, and add a substantive standard allowing the department to deny licensure if it can show by a preponderance of the evidence that an applicant committed disqualifying conduct even without a conviction. Senators asked about the effect of raising the foster parent age limit from 21 to 23 under prior legislation; Larson said participation has increased, he had not heard of downsides, and the department would provide a written summary of the impact. The committee approved the docket by voice vote. Finally, the committee took up docket 16-0613-2501, a pending rule repealing the Emergency Assistance for Families and Children chapter. Larson explained the program is entirely federally funded and the existing state rules were essentially a word-for-word copy of federal law, so the department was repealing the redundant chapter in line with its broader effort to remove rules already covered by higher authority. After no questions, the committee approved the repeal docket by voice vote.