Transcript Highlights:

• I go now to Senator French. nursing services. And I would agree with nursing services.
• Not nursing home care, home care. There we go. Insurance.
• Not nursing home care, home care. There we go. Insurance.
• short-term, long-term nursing home care. short-term, long-term nursing home care.
• <00:07:35.960> There Not nursing home care, home care.

Keywords: 918, senate, all

Summary: The committee took up a series of amendments to the bill. Representative Keagle’s A21 amendment, which would have prohibited online sweepstakes games, raised the paddle wheel prize value, and added Hessian pepper as a social skill game, was discussed with support cited from a broad coalition of organizations, but it failed on a roll call vote. The A27 amendment, directing the Department of Commerce to perform a 62J evaluation of home care nursing services, was then adopted after members described it as a temporary step toward a longer-term solution for disability home care issues. Senator French’s A11 amendment, which raises the cap on deposits into the consumer protection restitution account and changes how those funds are distributed to eligible consumers, was also adopted. Representative O’Driscoll then offered the H.F. 4188 A22 amendment, described by counsel as incorporating language from House File 4333 on short-term and long-term home care insurance; members supported it as a way to expand private insurance options, and it was adopted. Finally, Representative Keagle moved Article 3, Section 11, a provision to reimburse clinical trainees providing mental health services at full rates, and that motion was adopted as well. Afterward, the committee authorized nonpartisan staff to make technical or necessary corrections to the bill, noted that the bill would not be wrapped up that day, and then adjourned.

Transcript Highlights:

• . physicians, nurses, and EMTs.
• Finally, we have nursing.
• We are one of 48 states to be in the nursing compact.
• We have nursing students.
• assistants on the long-term care, nursing home side.

Transcript Highlights:

• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• On the CMS databases on nursing homes, where you find the rankings of nursing homes for the like.

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• <00:10:04.600> home required in a similar nursing home required in a similar nursing home
• have it for to be for a hospital nursing have it for to be for a hospital nursing home<00:20:40.640
• programs uh to be done in nursing programs uh to be done in nursing facilities<00:32:05.600>
• I had seen the public health nurse form.
• I had seen the public health nurse form.

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• <00:42:11.280> facilities<00:42:11.680> are most nursing facilities are most nursing
• So this funds the nursing home 164.
• <01:37:13.040> services note and um that if the nursing services note and um that if the nursing
• looking at if just adding that nursing looking at if just adding that nursing component<01:37:40.960
• I'm just saying if I look at that expenditure versus nursing home, I'd much rather help nursing homes

Keywords: 1187, senate, all

Transcript Highlights:

• Floored, my mother said quietly, “Would you like to meet that nurse?” “That nurse was me.”
• We need more nurses. We need more firefighters. We need more. We need more nurses.
• I did check our nursing passage rate. It was 94%, also outstanding.
• One of the best programs is the nursing program, where the practical nursing students pass at 90.91%,
• My name is Sherry Young, and I am a nurse practitioner.

Bills: S1570, S1376

Keywords: missing persons, special needs, autism, search-and-rescue, Florida, voluntary program, funding, genetic counseling, education grants, state universities, faculty recruitment, student financial assistance

Summary: The committee heard and approved two bills before moving to a long confirmation agenda. SB 1570, by Sen. Gates, would restore Project Leo, a previously sunset program that helps locate missing persons with special needs through voluntary tracking devices and coordination between CARD centers and local sheriffs; it was praised as a proven tool for families and first responders and was reported favorably. CS/SB 1376, by Sen. Burgess, would create grants to support genetic counseling education and help address Florida’s shortage of genetic counselors; testimony noted the state’s limited supply of licensed counselors and the need to expand clinical training, and the bill also passed favorably. The committee then considered a block of reappointments to university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and others. No one requested separate votes on the reappointments, and the block was confirmed unanimously for recommendation to the next committee. A series of new appointees then appeared and largely emphasized workforce training, nursing, military support, and local economic development at their institutions. Witnesses included appointees to Pensacola State, Polk State, St. Petersburg College, UNF, FIU, UWF, Valencia, the College of the Florida Keys, and others; several highlighted strong NCLEX pass rates, dual enrollment, and partnerships with employers or military communities. One nominee, Florida Poly reappointment Ilya Shapiro, faced pointed questioning from Sen. Bracey Davis about past comments regarding race and the Supreme Court; he said his remarks were about hiring criteria, not a specific justice, and reiterated opposition to race- or sex-based selection. The committee also briefly struggled to reach Sherry Young by phone before hearing her testimony for Chipola College, where she said she wanted to give back as an alumna and nurse practitioner. Most new appointees were recommended for confirmation in a block, while Thomas Zachary Smith of UWF was pulled for separate consideration.

Transcript Highlights:

• So what we said is you, the, the nurse can do the the Medicaid practice without her, uh, or his or her
• Um, advanced practice registered nurse can participate in a, an insurance plan without her physician,
• She's representing Texas Nurse Nurse Partners. And herself.
• Uh, I'm testifying in support of House Bill 1942 on behalf of Texas nurse practitioners and myself.
• I'm a board certified family nurse practitioner as well as psychiatric mental health nurse practitioner

Bills: HB139

Keywords: ad valorem tax, tax rates, voter-approval, taxing unit, property tax, local government

Transcript Highlights:

• This includes funding for the nursing program.
• education or nursing workforce.
• Nursing education or nursing workforce. This would help greatly.
• by AHCA, requires each nursing home to conduct a safety culture survey biannually, provide the nursing
• homes and the for-profit nursing homes alike?

Keywords: 999, senate, all

Transcript Highlights:

• We are also seeing that in our clinical hours with nurses.
• Then there is a nursing faculty grant program that would create incentives for clinical nurses to teach
• Then there's the nursing faculty grant program, which would create incentives for clinical nurses to
• The second issue is that about 18% of nurses in their first year of practice leave nursing practice.
• **Greg Owens.** ...and the retention of nurses.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• This will add autonomous practice for psychiatric nurse practitioners, certified registered nurse anesthetists
• , clinical nurse specialists, and certified nurse practitioners.
• We represent about percent of the nursing centers across the state.
• Removed and keep the current CON process for nursing centers intact.
• Florida's nursing centers are currently about 87% occupied.

Transcript Highlights:

• these are not a nursing home setting. these are not a nursing home setting.
• residents really do not meet nursing residents really do not meet nursing home<00:05:29.520>
• the person's coming from a nursing home. the person's coming from a nursing home.
• You mean by that is nursing facilities.
• And 25 on nursing facility expenditures.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• I'm the president of the Massachusetts Nurses Association, representing over 25,000 frontline nurses.
• Nurses are leaving the bedside.
• We have a nursing crisis.
• So that's who they are in the nursing home.
• So that's who they are in the nursing home.

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• Like many other nurses working at the bedside, nurses at our hospital experience firsthand what happens
• Like many other nurses working at the bedside, nurses at our hospital experience firsthand what happens
• Private equity run nursing infections.
• Let the doctors and nurses and people that clean the place do their mission.
• Let the doctors and nurses and people that clean the place do their mission.

Keywords: 1187, senate, all

Transcript Highlights:

• And so, you know, I have a perspective on this from a nurse, as a nurse and as a nurse who's not working
• as a nurse, as a matter of fact.
• Would you consider this successful if you got 50 more nurses or 100 more nurses?
• behalf of the Nursing Association and the Nurse Practitioner Council.
• behalf of the Nursing Association and the Nurse Practitioner Council.

Keywords: 996, all

Transcript Highlights:

• Licensed practical nurses.
• Any time we would respond to a nursing home in Melrose, try and find a nurse at night to tell you which
• My wife's 31 years at Boston Medical Center as a nurse. My daughter's a nurse practitioner.
• But in the nursing homes, I saw my enlisted medics go into the nursing homes and operate as LPNs, so
• But in the nursing homes, I saw my enlisted medics go into the nursing homes and operate as LPNs, so

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• It is my honor to recognize today's nurse, Marla Lyceum.
• She is now at Edmond Integris as the clinical nurse manager.
• It is my honor to recognize today's nurse, Marla Lyceum.
• It is my honor to recognize today's nurse, Marla Lyceum.
• Tigris as the clinical nurse manager.

Bills: HB4028, HB4075, HB4077, HB4074, HB4076, SB1221, SB1921, SB2118, SB1932, SB2134, HCR1025, SB1432, HCR1024, HCR1022, SB1122, HB4029, HB4063, HB4073, HB4078, SB1936, SB44, SB237, SB248, SB1360, SB985, SB1204, SB1239, SB1307, SB2143, SB1428, SB1390, SB1400, SB1405, SB1732, SB1832, SB1859, SB1989, SB2018, SB1427

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, water resources, appropriations, funding, state treasury, infrastructure projects, emergency act, emergency management, disaster relief, pandemic response, state appropriations, HB4074, Health Care Workforce Training Commission, Health Care Workforce Revolving Fund, health workforce, health care workforce

Summary: The House opened with roll call, prayer, the Pledge of Allegiance, and several recognitions and introductions, including Deer Creek students, Skiatook Chamber members, Sand Springs youth leaders, and international visitors studying U.S. energy policy. The chamber also honored the Nurse of the Day, Marla Lyceum, and heard a lengthy farewell speech from Minority Leader Munson reflecting on her service, constituent work, leadership, and bipartisan relationships. Members then took up several special presentations and resolutions, including HCR 1024 recognizing Route 66 Day and its economic importance, HCR 1022 honoring National Lineman Appreciation Day, and a citation for Langston University Day at the Capitol. The House also recognized Deputy Kenton Blumenthal as Oklahoma’s 2025 Officer of the Year for heroic actions during a dangerous pursuit. Later, the House introduced the pages of the week. On legislation, the House passed SB 1122 on ad valorem tax, which supporters said would equalize tax treatment for broadband infrastructure and promote business fairness, over some concern about tax policy and revenue impacts. The chamber also passed HB 4029, HB 4063, HB 4073, HB 4078, and SB 1936, with emergency clauses adopted on the first four. HB 4063, which referred two previously approved state questions to a special August election, drew extended debate over ballot timing, turnout, and whether combining the questions was appropriate; it ultimately passed and the special election referral was approved. SB 1936, which elevates falsely impersonating a law enforcement officer to a D1 felony, passed unanimously.

Transcript Highlights:

• I started last session hearing reports about there being gaps in our coverage with sexual assault nurse
• too this bill I have not nurses too this bill I have not specifically<00:04:19.400> ran<00:04
• do you want to yeah sure good nurses do you want to yeah sure good morning<00:05:26.199> um<00
• What we really want is those sexual assault nurse examiners that have that training in these hospitals
• if a person came Nursing if a person came out<00:14:45.279> um<00:14:45.920> for<00:14

Keywords: 00:00 Call to Order/Roll Call 01:23 Discussion of 25RS HB 219 06:40 Roll Call Vote on 25RS HB 219 07:44 Discussion of 25RS HCR 20 09:36 Roll Call Vote on 25RS HCR 20 10:58 Discussion of 25RS HB 303 17:02 Roll Call Vote on 25RS HB 303 18:38 Consideration of Referred Administrative Regulations 21:46 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first considered House Bill 219, sponsored by Representative Rebecca Raymer. The bill requires emergency services to provide mandatory training for emergency medical staff on sexual assault emergency response requirements, with the training developed in collaboration with the Sexual Assault Response Team advisory committee. Testimony from Jenna Cassidy of the Kentucky Association of Sexual Assault Programs and WN Stevens of Children’s Advocacy Centers of Kentucky explained that the training would help emergency department staff properly respond to sexual assault patients, preserve evidence, and connect patients to needed resources; the committee also clarified that the bill is training-focused and not a certification requirement. HB 219 received favorable expression and was reported to the House floor. The committee then heard House Concurrent Resolution 20, also from Representative Raymer, which directs the Legislative Research Commission to study gaps in sexual assault nurse examiner coverage, why those gaps exist, and what hospitals do when no SANE nurse is available. Raymer said the study was intended to gather data for future legislation, and members noted the importance of documenting current practices and supporting efforts to expand SANE coverage. The resolution was adopted with 16 favorable votes and recommended for passage on the House floor. Next, the committee took up House Bill 303, sponsored by Representative Steve Bratcher, which creates a pathway for military medical personnel to translate their training into civilian Kentucky credentials through colleges and universities. The committee substitute broadened participation beyond KCTCS to any Kentucky institution with accredited programs, and Bratcher explained that schools would evaluate military experience, award applicable credit, identify gaps, and still require the relevant licensure exam. Members asked about university participation, credentialing standards, and how prior military radiology training would transfer; Bratcher said the program is voluntary for institutions and works with existing SkillBridge and veterans’ programs. HB 303, as amended by committee substitute, passed unanimously and was recommended for passage. At the end of the meeting, the committee briefly reviewed administrative regulations. Representative Fleming asked about a behavioral regulation that had previously been found sufficient, and staff indicated it had been deferred, later found deficient again in the Senate Health Services Committee, and may be addressed through Senate Bill 65. The chair then allowed members to record additional votes before adjourning and announced the next Health Services meeting would be February 20 at noon in Room 149.

Transcript Highlights:

• are the very things that these nurses are the very things that these nurses are<01:26:52.760>
• school nurses.
• school nurse and a school nurse is and school nurse and a school nurse is school<01:36:26.960> excuse
• It's a different level of nursing.
• It's a different level of nursing.

Keywords: 928, house, all

Summary: The committee first addressed House Bill 415, which would remove the requirement that schools provide menstrual products. Members supporting an ITL said the mandate was unfunded, had been in place since 2019, and was already working without complaints from districts. Other members opposed the bill, arguing menstrual products are essential and that the requirement helps students, especially those with fewer resources. The committee voted ITL on HB 415 by a roll call of 17 yeas, 0 nays. The committee then took up House Bill 388, concerning public reports on special education. Supporters of ITL said they agreed with the goal of transparency but were concerned about student privacy, especially in small districts, and thought the bill’s information requests went too far. They noted that related issues could potentially be addressed in another bill, HB 557. The committee voted ITL on HB 388, 17-0. House Bill 730, which would require schools and some colleges to provide information on adoption, was also moved ITL. The sponsor said adoption is personally important to him but that the bill was not the right vehicle and involved entities such as colleges and the Attorney General unnecessarily; he said related ideas might be folded into other bills later. The committee agreed and voted ITL, 17-0. The committee then discussed House Bill 671, a preschool/early literacy proposal involving a statewide nonprofit digital program, likely Waterford. Members raised questions about who would be covered, data privacy, prior use of federal ESSER funds, whether the program had measurable results, and whether the bill’s nonprofit requirement was too restrictive. Department of Education witness Melissa White said the state had spent $400,000 in FY22 and $600,000 in FY23 on a Waterford contract using ARP ESSER funds, but she did not have participant counts and said the department could not measure literacy gains for that population. She also said the bill’s funding level would likely require an RFP and that, if enacted as written, the program would probably still be Waterford-based. The discussion continued without a final vote in the portion provided.

Transcript Highlights:

• This is skilled nursing.
• How many medical staff per shift and how many nurses per offender do we have?
• Specifically, 11 nurses stated that they were asked to cover unsafe caseloads, including one nurse who
• Twenty nurses reported concerns with follow-up care.
• Fifteen nurses reported concerns with extremely challenging work conditions.

Keywords: 959, house, all

Transcript Highlights:

• <00:36:35.920> By the cost of nursing home care. By the cost of nursing home care.
• care coming once a day or nurse-assisted nursing assistant or anything like that that come and maybe
• care coming once a day or nurse-assisted nursing assistant or anything like that that come and maybe
• once a day or nurse assisted a nursing<00:40:11.040> assistant<00:40:11.440> or<00:40:
• services in a skilled nursing facility. services in a skilled nursing facility.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.