Transcript Highlights:

• We do want to get the testimony from the witnesses that have driven a ways, uh, and then because the
• personal, but we would get uh citizens that have driven from quite a ways away, and then uh citizen testimony
• ><00:00:52.000> uh ways away, and then uh ways away, and then uh citizen<00:00:53.120> testimony
• , and then we we really citizen testimony, and then we we really appreciate<00:00:55.440> We<00
• <00:17:54.320> Any Thank you for your testimony. Any Thank you for your testimony.

Keywords: 919, house, all

Summary: House File 18 was taken up in committee, with the chair noting a preference to hear testimony from people who had traveled farther before hearing from lobbyists or other local witnesses. Representative Engan presented the bill as a family-support measure that would exempt certain infant care items from sales tax, arguing that the cost of raising children has risen sharply and that the bill would provide immediate relief to parents. He cited examples of potential savings on cribs, mattresses, strollers, and baby bottles, and said he was open to expanding the list of covered items. Chair Gomez offered a DE1 amendment that would replace the blanket sales tax exemption with an expansion of Minnesota’s child tax credit, arguing that the child-rearing cost burden is better addressed through targeted assistance rather than a broad exemption that could also benefit higher-income purchasers. After discussing the policy differences and the fiscal impact, Gomez withdrew the amendment. Members then asked questions about the bill’s scope, whether luxury items should be excluded, and why the exemption was limited to baby items rather than older children’s needs. Engan said he would be open to excluding luxury items and to discussing broader expansions, including school supplies. The committee then heard testimony in support from Sarah Gangelhoff of the Women’s Foundation of Minnesota, who said the bill would help families facing high housing, food, and child care costs and would especially benefit women and single-mother households. Maggie Hanggi of the Minnesota Catholic Conference also supported the bill, saying the tax relief could help families afford essential infant items and reduce fear for prospective parents. Members raised concerns about whether tax exemptions effectively reach the families most in need, with one member noting that low-income families may not even be in a position to shop for these items; Engan responded that the savings would still be real for those who do purchase them. No final vote or disposition on the bill was taken in the portion provided.

Transcript Highlights:

• And with that, I'm happy to take any questions. and standard Testimony. - Thank you.
• No testimony. and have now been the director of the Kauai SBDC office for two years.
• I don't testimony. Thank you. And next up, Director Toka, also in support.
• In corporation testimony is strong supporting Nicole. - Thank you. Thanks, Strong.

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard several governor’s nominations for advisory and regulatory boards. The first group included William Smith, Michelle Ige, and Kayana Neman for the Community-Based Economic Development Advisory Council; Leland Park and Cynthia Hobson for the Small Business Regulatory Review Board; and Nicole Kacal for the Hawaiʻi Technology Development Corporation board. DBEDT and related witnesses testified in support of all nominees, and each nominee described experience in small business, finance, community engagement, or technology. Much of the discussion focused on strengthening Hawaiʻi’s economy through small business support, financial literacy, and better access to capital and grants. Committee members questioned nominees about priorities for Hawaiʻi Island and the state more broadly. Topics included agricultural infrastructure, value-added food production, shared processing facilities and commercial kitchens, workforce housing, and ways government and nonprofits can partner to help small businesses navigate permitting, licensing, and grant processes. Several nominees emphasized community impact, measurable outcomes, and practical regulatory reform. Nicole Kacal also discussed diversifying the economy beyond tourism, expanding technology and AI opportunities, and creating locally governed training and research pathways so workers can adapt to changing jobs. At the end of the hearing, the committee voted to recommend advice and consent for all nominees. The nominations for GM 608, GM 609, GM 612, and GM 613 were adopted by voice vote, with Senators Kim and Fevella excused. The committee then voted separately on GM 794 for Nicole Kacal, and that recommendation was also adopted. The hearing concluded with adjournment.

Transcript Highlights:

• Joint Budget Committee, the Department of Treasury, PARA, the Department of Revenue, and any public testimony
• revenue, and parah, the department of revenue, and any<00:39:17.680> public<00:39:18.000> testimony
• <00:39:18.960> 15<00:39:19.359> minutes<00:39:19.680> upon any public testimony
• . 15 minutes upon any public testimony. 15 minutes upon adjournment<00:39:20.480> of<00:39:20.720

Keywords: 981, all

Transcript Highlights:

• Langabeld, if you all could please introduce yourself for the record and proceed with your testimony.
• for the record and proceed<00:02:51.680> with<00:02:51.920> your<00:02:52.160> testimony
• proceed with your testimony. Thank you. proceed with your testimony. Thank you.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on November 12, 2025, approved the October 22 minutes, and heard an update from Cabinet for Health and Family Services Secretary Steven Stack and Public Health Commissioner John Langfeld on Kentucky’s application for the federal rural health transformation grant. The presenters described the grant as a $50 billion, five-year program with annual CMS scoring and rescorings, no state appeal rights, and a December 31 deadline for CMS to announce awards. They said Kentucky submitted its application on November 3 and had gathered stakeholder comments earlier in the process. The testimony emphasized that the grant is intended to support new models of rural care rather than replace existing funding or pay for clinical services or lost hospital revenue. Officials said the state had to address at least three of five federal strategic goals, including prevention and chronic disease, sustainable access, workforce development, and care/technology innovation. They also reviewed restrictions such as no new building construction, no payment for monthly broadband costs, and a cap of 5% for electronic medical record-related spending. The presenters said CMS has been clear that funding should focus on innovation in care delivery, rural access, and related policy goals, and that the state’s award could vary year to year based on performance milestones. The meeting was interrupted by a building fire alarm and evacuation announcement before the presentation was completed.

Transcript Highlights:

• And with that, we'll have you take a step back and we'll welcome testimony in support of Assembly Bill
• Your testimony is so important, and we really appreciate it.
• With that, we will move to testimony in opposition to Assembly Bill 404.
• And to our committee secretary, please move that to testimony in support. Thank you so much.

Keywords: 909, all

Transcript Highlights:

• All right, thanks for being here this morning and for your testimony. Chair calls Renzo Soto.
• Um, for your testimony.
• We're gonna limit testimony to 1 minute, and it's gonna be a 1 minute. It's gonna be a hard stop.
• OK, thank you for your testimony. It's your call is Judy Powell.

Transcript Highlights:

• Um, there's been multiple occasions this session where this committee has heard testimony about the funding
• So the, uh, the other thing I will say is that, uh, I've given you written testimony, more details, but
• Wiseman, thank you for coming in your testimony.
• The issue is simply this, we've heard testimony before, and I believe Mr.

Bills: SB 35, SB 1113, SB 1365, SB 1394, SB 2243, SB 2245, SB 2589, SB 2199, SB 2200

Keywords: transportation, TxDOT, Texas Department of Transportation, road projects, highways, infrastructure, bridge construction, interchanges, corridor improvements, road widening, railroad grade separation, sound barrier, unified transportation program, legislative notice, project prioritization, capital projects, state highway system, Farm-to-Market Roads, San Antonio, Harris County

Transcript Highlights:

• witness affirmation forms and to hand them in physically here to my clerk, um, before you provide your testimony
• Uh, we will now proceed to the testimony, uh, portion of this hearing.
• OK, I believe that concludes, uh, the public testimony.
• That concludes, uh, the public testimony of this meeting.

Transcript Highlights:

• We encourage the public to provide written testimony before the hearing by visiting the committee website
• Please note that any written testimony submitted to the committee is considered public comment and may
• Testimony on any such bill will be limited to a statement of name, organization, if any, and position
• The committee will allow no more than 40 minutes of testimony in total.

Summary: The Assembly Appropriations Committee met on April 30, 2025, for a regular order hearing on a large slate of bills. After opening remarks and quorum, the committee approved a consent calendar in two motions: one for bills eligible for the Assembly floor consent calendar and another for unanimous bills not eligible for floor consent. The committee also deemed the suspense calendar approved without further discussion. Several housing and shelter-related bills were presented. AB 1061 by Quirk-Silva would allow SB 9 duplex and lot-split provisions to apply in historic districts, with limits to protect individually listed historic sites and maintain street-facing appearances; California YIMBY supported the measure. AB 750 by Quirk-Silva would strengthen oversight of homeless shelters by requiring posted resident-rights information, standardized reporting, and penalties for noncompliance, including possible withholding of state funding. AB 712 by another member would increase penalties for public agencies that violate state housing law and bar indemnification demands against applicants when agencies break those laws; it was described as part of a fast-track housing package. The committee then took public comment, dominated by extensive opposition to AB 928. Dozens of individuals, many identifying with poultry, feed, gamefowl, agricultural, or related organizations, testified against the bill, saying it would harm their livelihoods, culture, religious practices, or constitutional rights and could kill birds. A few speakers also testified on other bills, including support for AB 1337 and AB 804 and opposition to AB 1337. After public comment concluded, the meeting adjourned.

Transcript Highlights:

• Members, today we will have public testimony first, and then we will move the bill, the DE4 amendment
• We have scheduled public testimony from 1 to 1:40.
• I understand the desire to study it and appreciate the testimony shared regarding everything that is
• Just a couple of comments on some of the testimony we heard.

Bills: HF2446

Keywords: agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant

Transcript Highlights:

• For the purpose of this hearing, we are accepting witness testimony in person, and we are also accepting
• written testimony throughout the Legislature's position letter portal.
• Thank you so much for your testimony.
• I don't have any pre-prepared testimony, but as Ms.

Summary: The Assembly Elections Committee met on March 26, 2025, adopted its 2025-26 committee rules, and approved a five-bill consent calendar. The committee then heard several election-related measures focused on transparency, accessibility, and election administration. AB 775 (Fong) would modernize behested payment reporting by extending filing deadlines, requiring direct filing with the FPPC in most cases, and improving online public access; the FPPC chair testified in strong support, and the bill drew no opposition. AB 287 (Lackey) would require vote centers and polling places to provide accessible parking and curbside voting accommodations for voters with disabilities; Los Angeles County election officials and Disability Rights California supported the bill, while LAUSD raised concerns about parking shortages and storage costs and requested amendments. AB 331 (Pellerin) would clarify that certification of election results is a ministerial duty, address misleading ballot return envelopes, and ensure voter information guides reach incarcerated voters in a usable format; the Attorney General’s office sponsored the bill, while the Secretary of State expressed concerns about the feasibility of a state takeover of county canvassing and said it was working on a solution with the author. The committee members generally supported the bills, emphasizing transparency, voter access, and election integrity. AB 775 and AB 287 both received favorable votes after brief discussion, with members noting the importance of transparency in campaign-related reporting and accessibility for voters with disabilities. AB 331 also passed, though the Secretary of State’s office flagged implementation concerns about the proposed certification backstop and the lack of state equipment and staff to canvass ballots. The chair indicated she would continue working with the Secretary of State and other stakeholders on amendments or a workable remedy. All items ultimately passed out of committee. AB 775 was approved 5-0 and re-referred to Appropriations, AB 287 passed 6-0, and AB 331 passed 6-0 and was re-referred to Public Safety. The committee also later confirmed the votes of absent members and adjourned after all agenda items were disposed of.

Transcript Highlights:

• Our committee's policies for testimony in today's hearing are as follows.
• Primary witness testimony is limited to two witnesses in support and two in opposition.
• Each witness will have two minutes to give their testimony.
• I also want to note that we are accepting written testimony through the position letter portal on the

Keywords: 988, house, all

Transcript Highlights:

• <00:21:45.200> just<00:21:45.360> now, was part of your testimony just now, was part
• of your testimony just now, anti-fraud<00:21:46.720> packages<00:21:47.280> brought<00
• And and I listened to her testimony and I believe she said what she believed in earnest.
• So, if you could introduce yourself for the record and jump straight into your testimony.
• Uh we appreciate your help testimony. Uh we appreciate your help here<01:39:33.440> today.

Bills: SF856, HF3168, HF3528, HF389

Keywords: Inspector General, fraud prevention, state audit, public funds, misuse, transparency, government accountability, ethnic councils, diversity, governance, state participation, community representation, barbering, licensing, examinations, barber schools, public safety, certifications, Barber Examiners Board, Minnesota Historical Society

Transcript Highlights:

• I think if it would be helpful, it would help if you would focus on the testimony because this is all
• The bill just passed, so I would like to make sure that we're focused on the testimony of the OIG and
• <01:19:54.640> because would focus on the testimony because would focus on the testimony because
• on the testimony of the OIG<01:20:00.800> and<01:20:00.960> the<01:20:01.120> DHS.
• <01:37:27.840> is I listening to the earlier testimony is I listening to the earlier testimony

Keywords: 1183, house

Transcript Highlights:

• And not seeing no further questions, thank you for your testimony.
• Thank you for your testimony. Representative Lockett has a question. Judge, for your testimony.
• I appreciate your uh your testimony.
• So, maybe just testimony only. It may be some presentations.
• So, maybe just testimony only. agenda. So, maybe just testimony only.

Keywords: Call to Order and Roll Call- 00:00:14 Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:02:02 Response from the Kentucky Fire Commission-00:32:06 Judge Testimony on Child Removal-00:42:47 Update on Child Removal and Reunification-01:11:19 Staffing at Kentucky Veteran Centers-01:40:15 Adjournment-02:05:55, 958, all

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.

Transcript Highlights:

• I had already previously submitted a written letter of testimony to the committee.
• I had already previously submitted a written letter of testimony to the committee.
• I had already previously submitted a written letter of testimony to the committee.
• submitted a written letter of testimony submitted a written letter of testimony to<00:26:53.200>
• I shouldn't have been overly urgent with my testimony.

Keywords: 928, house, all

Summary: The committee held a public hearing and work session on House Bill 25/25A, the capital improvements budget. Representative David Mills introduced HB 25A, which makes appropriations for capital improvements for the biennium and extends certain lapses from prior appropriations, noting it is based on Governor Ayotte’s budget. The hearing then focused on requests to add or restore funding for several projects, including community college capital needs, Veterans Home ADA and safety upgrades, career and technical education renovations in Milford, and airport infrastructure funding. Shannon Reed of the Community College System of New Hampshire asked for an additional $2.6 million for IT infrastructure, critical maintenance, and energy management systems, citing failing boilers, roof work, cybersecurity needs, and a recent costly water damage incident at Lakes Region Community College. John Graham, representing the New Hampshire Veterans Home, requested $1.5 million for ADA compliance and safety improvements such as floor replacement and wider doors, saying the work would help the home before an upcoming VA inspection and protect federal funding. Lance Whitehead testified for Milford CTE, asking the committee to keep $9.9 million in the budget for a scaled-down renovation; members discussed the town’s failed vote, the need for local matching funds, and the possibility of another vote next year. Tim Thompson of Concord and Margaret Burns of NHMA urged restoration of airport matching funds, arguing that about $3.6 million in state money would leverage roughly $62 million to $65 million in federal FAA funds for safety and infrastructure projects. Trisha Lambert and Andrew Pomroy of the Bureau of Aeronautics and airport management association explained the airport program, the 12 federally funded airports, and how projects are selected through airport master plans and a capital improvement program. After public testimony, the committee closed the hearing on HB 25A. In the work session that followed, staff distributed supporting documents, including cost breakdowns and comparison sheets. The chair indicated the committee would work from the governor’s $143 million capital budget as a baseline and proposed reducing it by about $10 million, largely by removing the Milford CTE item because both towns had voted it down and would not have another vote for a year. The chair said the goal was to bring the overall budget to about $133 million and then repurpose the remaining funds through straw polls and further committee action.

Transcript Highlights:

• I had already previously submitted a written letter of testimony to the committee.
• submitted a written letter of testimony submitted a written letter of testimony to<00:26:53.200>
• I had already previously submitted a written letter of testimony to the committee.
• I shouldn't have been overly... with my testimony.
• I shouldn't have been overly... with my testimony.

Keywords: 928, house, all

Summary: The committee held a public hearing and work session on House Bill 25A, the capital improvements appropriations bill, which Representative David Mills said was based on Governor Ayotte’s budget and included appropriations for capital improvements and extensions of prior appropriation lapses. The hearing drew testimony on several requested additions to the bill, with the chair noting the unusually large turnout and moving quickly through speakers. No questions were taken on the initial bill presentation, and the public hearing on HB 25A was later closed. The Community College System of New Hampshire asked for an additional $2.6 million, including $800,000 for IT infrastructure, $1.3 million for critical maintenance, and $500,000 for energy management systems. The witness said the money would address cybersecurity and online learning needs, replace failing boilers and a roof at several campuses, and prevent costly damage such as frozen pipes. The New Hampshire Veterans Home requested $1.5 million for ADA compliance and safety improvements, including floor replacement and wider doors, citing an upcoming VA inspection and the importance of preserving federal funding. Testimony also focused on career and technical education and airport funding. Milford CTE sought to keep $9.9 million in the budget for renovations after a local vote fell short, explaining the project had been scaled down from an earlier $60 million concept and that the school board wanted another chance to seek voter approval. On aviation, Concord, the New Hampshire Municipal Association, and Department of Transportation representatives urged restoring state matching funds for FAA airport grants, saying roughly $3.6 million in state money would leverage about $62 million to $65 million in federal funds for safety and infrastructure projects at public airports. Committee members asked about project selection, matching requirements, and the airport priority process, and witnesses said the program is driven by FAA-approved capital improvement plans and safety needs rather than business-return rankings.

Transcript Highlights:

• I do include some examples within my testimony. One of those examples is the City of Beach.
• I do include some examples within my testimony. So one of those is the City of Beach.
• She said they have a sample, totally a draft, attached to her testimony.
• She said they have a sample, totally a draft, attached to her testimony. Ms.
• And I think you got some history on what that was from earlier testimony.

Keywords: 908, all

Summary: The committee met to continue its tax reform and relief study agenda, approved the December 3, 2025 minutes, and announced a new subcommittee to examine property tax statement issues with counties, auditors, and the tax office. Representative Headland was named chair, Senator Rummel vice chair, and Representatives Dressler and Dr. Dr. and Senator Patton were also assigned. The chair noted the group may need an additional meeting and thanked staff and attendees. A major portion of the meeting focused on economic development incentives. The Department of Commerce presented on the Renaissance Zone program and TIF districts, describing Renaissance Zones as locally tailored tools that combine local property tax relief with state income tax incentives. Commerce said the program has supported thousands of projects since 1999 and cited examples from Beach and Mandan showing increases in property and taxable value, business retention, housing, and downtown revitalization. Committee members raised concerns that smaller rural communities often lack the staff and expertise to apply, and Commerce said it provides outreach through conferences, office hours, and one-on-one assistance. League of Cities and local officials from Bismarck and Ellendale echoed the capacity issue, discussed how the programs have worked in their communities, and suggested possible reforms or more targeted support for small towns. Ellendale’s mayor also described two TIF districts, one for industrial infrastructure in Oaks and one for housing infrastructure tied to a data center project in Ellendale. The committee then turned to stripper oil taxation. The Tax Department gave a comparison of oil and gas tax structures in selected states, noting that most have some form of stripper or marginal well provision, while Alaska does not appear to have a specific stripper-well exemption. Members asked for more detail on definitions and North Dakota’s annual adjusted rate. The Department of Mineral Resources followed with a detailed presentation on North Dakota stripper wells, explaining the statutory thresholds, the 12-consecutive-month production test, and the fact that once a well qualifies it remains on stripper status even if production later rises. DMR said about 11,332 stripper wells are active, representing roughly 54% of wells and about 16% of state production, and emphasized that stripper status can extend well life, preserve tax revenue, and reduce orphaned wells. Committee members and industry witnesses discussed refracs, the economics of keeping marginal wells active, and the competitive disadvantage created by North Dakota’s oil price discount. No votes were taken on these informational items.

Transcript Highlights:

• That concludes the public testimony. We are in debate. Is there a debate?
• Thank you for your testimony.
• We've heard lots of testimony against it.
• There is no testimony. We got this an hour ago.
• There's obviously no testimony on the floor.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• <00:40:24.960> on just heard um a detailed testimony on just heard um a detailed testimony
• Thank you all for your testimony.
• Uh, Senator, are giving your testimony.
• Thank you all for your<00:48:22.079> testimony.
• Um, I don't know if you your testimony.

Keywords: 958, all

Summary: The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities. Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation. Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.