Transcript Highlights:

• These licensees may not use AI in such a way that allows it to make independent therapeutic decisions
• The bill defines a permitted use of AI to mean the use of AI by a licensed professional to assist in
• in use today.
• We understand and appreciate the bill's objective to address the use of artificial intelligence and therapeutic
• of AI that are already being used to save time, support clinical workflow, and improve ...uses of AI

Summary: The House Health Care & Wellness Committee held public hearings on HB 2564 and HB 2599, then moved into executive session on several bills. HB 2599, which would restrict the use of AI in therapy and psychotherapy services, drew strong support from the prime sponsor, mental health professional groups, a privacy advocate, and an AI ethics researcher, all of whom warned that chatbots can mislead users, encourage delusions or self-harm, and lack licensure, accountability, and confidentiality protections. Several witnesses from health systems and telehealth organizations supported the bill’s intent but asked for narrower definitions and amendments to avoid unintended impacts on clinician-supervised tools, screening questionnaires, scribes, and other legitimate uses of AI. No vote was taken on HB 2599 during the hearing. HB 2564, which would give the Health Benefit Exchange authority to adopt market-factor certification criteria for exchange plans, was presented as a way to address affordability, bare counties, and plan duplication. Supporters included the Exchange, consumer advocates, rural and tribal representatives, navigators, and some individual consumers, who said the bill could improve access, preserve bronze plan availability, and help stabilize the market in counties with too few carriers. Opponents from health plans, Regence, Premier, and insurance producer groups argued the bill would expand exchange authority without clear standards, could reduce competition and carrier participation, and might conflict with existing OIC filing and confidentiality processes; the OIC supported the bill but requested an amendment on rate disclosure timing. The committee then moved to executive session and later reported out HB 1784, HB 2242, HB 2384, and HB 2505 with due pass recommendations, while deferring action on HB 1809 and HB 2261. In executive session, the committee adopted a substitute for HB 1784 on certified medical assistants by an 18-0 vote, adopted one amendment and passed a substitute for HB 2242 on preventive services and immunization recommendations by an 11-7 vote, and passed a substitute for HB 2384 on actuarial reviews for continuing care retirement communities by a 16-2 vote. It also adopted an amendment and passed a substitute for HB 2505 on limited adult family home licensure exemptions for certain foster family situations by an 18-0 vote. The meeting adjourned after those actions.

Transcript Highlights:

• This bill would prevent therapy and psychological services from using AI to do therapy or to diagnose
• They can still use it. What I think they were concerned about is AI being used for billing.
• They can be recorded, but it can't make independent therapeutic decisions.
• It can't generate therapeutic<00:08:22.479><c> recommendations.
• </c> therapeutic recommendations. therapeutic recommendations. and<00:08:24.639><c> um</c><00:08:24.800

Keywords: Call to Order 00:00 Roll Call 00:03 HB 185 Discussion 1:00 HB 185 Vote 2:05 HB 455 Discussion 3:30 HB 455 Vote 9:00 Adjournment 10:30, 958, all

Transcript Highlights:

• Thank you for having us.
• Nicotine use disorder or cannabis use disorder without parental consent.
• disorders, they’ve been using.
• Of someone actively using drugs.
• bill, check in with us.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• They use less of the drug.
• the therapeutic cannabis.
• the therapeutic cannabis.
• the therapeutic cannabis.
• the therapeutic cannabis.

Keywords: 1189, house, all

Transcript Highlights:

• 16:30.000><c> required</c><00:16:30.480><c> within</c> us today specifically required within us today
• ,</c><00:19:55.760><c> which</c> the issue before us, which the issue before us, which is<00:19:58.000
• </c> what we have before us what we have before us today.<00:21:00.400><c> And</c><00:21:00.559><c> the
• </c><00:24:10.000><c> against</c> the argument that was used against the argument that was used against
• 26:45.840><c> is</c> this therapeutic rate increase is this therapeutic rate increase is supposed<00:

Keywords: 0:16 – CALL TO ORDER 0:20 – ROLL CALL 0:56 – ELECTION OF CO-CHAIRS 1:54 – APPROVAL OF MINUTES 2:10 – OFFICE OF THE ATTORNEY GENERAL 3:28 – PERSONNEL BOARD 4:30 – EDUCATION AND LABOR CABINET, BOARD OF EDUCATION, DEPARTMENT OF EDUCATION 5:18 – PUBLIC PROTECTION CABINET, OFFICE OF CLAIMS & APPEALS 12:03 – PUBLIC PROTECTION CABINET, DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 12:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 14:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR COMMUNITY-BASED SERVICES 31:44 – NEXT MEETING ANNOUNCEMENT/ADJOURNMENT, 958, all

Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.

Transcript Highlights:

• One of them is going to come back and fill us in just a little bit more about this.
• What other testing supplies are you just saying they're not using?
• So the motion is to accept it as you presented to us?
• So I would encourage us not to vote until next week.
• For us to make changes right now, I think, are maybe a little premature.

Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• Utilization management involves measures used to ensure appropriate medication use, such as quantity
• Therapeutically equivalent would be a drug that can be used to treat the same condition.
• Those are considered therapeutic equivalents.
• A couple years ago, the local sovereigns would tell us to use inflation, but that inflation got too high
• , and I noticed they're not asking us to give it an inflationary rise. ...us to use inflation, but that

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• > for</c><00:10:51.079><c> therapeutic</c> uh for therapeutic uh for therapeutic purposes.<00:10:53.760
• Um, it was said in our work session two days ago that home growth of cannabis for therapeutic use is
• Um, it was said in our work session two days ago that home growth of cannabis for therapeutic use is
• Um, it was said in our work session two days ago that home growth of cannabis for therapeutic use is
• Um, it was said in our work session two days ago that home growth of cannabis for therapeutic use is

Keywords: 928, house, all

Summary: Division 3 of House Finance met in a continued work session on Senate Bill 118, with no LBA present. The chair reviewed the bill’s complicated history: it began as a short Senate bill, was expanded in the Senate to address Hampstead Hospital and related contracts, and was later amended by the House Health and Human Services Committee to add the substance of House Bill 53, which would allow home cultivation of cannabis for therapeutic use. Members also discussed the bill’s timing against upcoming legislative deadlines and the available options, including recommending it ought to pass, retaining it, ITL, or amending it. A member asked about the $160,000 appropriation tied to Hampstead Hospital employees. Deputy Commissioner Marissa Hen explained that most of the money would cover accrued time owed to a small number of employees who transitioned through multiple staffing arrangements at the hospital, and the rest would honor previously promised bonuses for a few workers who would otherwise miss them after the transition to Dartmouth Health. She said the payments were intended to make employees whole after repeated changes in hospital management and staffing. Representative Stringham then offered Amendment 2345H, which would strip the House-added cannabis provisions and keep only the Senate-originated Hampstead Hospital-related sections. He argued this would improve the bill’s chances of surviving a gubernatorial veto and preserve the portions members broadly supported. The amendment failed on a 6-3 roll call. The committee then voted 6-3 to recommend the bill ought to pass without the amendment. Members also designated Representative Seaworth to speak for the majority and Representative Daniels for the minority when the bill reaches full Finance, and the work session adjourned.

Transcript Highlights:

• Robert, and you, and you must outrank us.
• So we may have only 12 to 15, so I don't think it's going to take us any time.

Bills: SB3038, SB3045, SB3065, SB3069, SB3071, HB2025, HB2149, HB3370, HB4205, HB4506, HB5424, HB5652, HB24, HB3687

Keywords: Fort Bend County, Municipal Utility District, MUD, special district, Rosenberg, Texas Commission on Environmental Quality, TCEQ, ad valorem tax, bond issuance, assessments, fees, taxes, eminent domain, road district, storm drainage, infrastructure financing, development agreement, municipal consent, temporary directors, public utility district

Summary: The Senate Committee on Local Government met with a quorum and took up a series of pending bills, mostly local-government measures. Early action included final committee approval of Senate Bill 1633 and S.J.R. 60, followed by Senate Bill 3038 and Senate Bill 3045, both reported favorably and placed on the local and uncontested calendar. The committee also considered House Bill 24, adopted a committee substitute, and reported the substitute version favorably; House Bill 2025 was likewise reported favorably and sent to the local and uncontested calendar. Members then handled several companion and local bills, including House Bill 2713 as the companion to Senate Bill 1331, which was reported favorably and placed on the local and uncontested calendar. House Bill 3348, House Bill 3370, House Bill 3505, and House Bill 4506 were each reported favorably, with no objections to local-and-uncontested placement. House Bill 5424 passed on a 6-1 vote, and House Bill 5652 passed with one present-not-voting, both also sent to the local and uncontested calendar. The committee also adopted substitutes and reported House Bill 3687 and House Bill 4205, though both were later reconsidered because the wrong script had been read. After reconsideration, House Bill 3687 and House Bill 4205 were each re-voted and reported favorably to the full Senate, with both placed on the local and uncontested calendar. Senate Bill 3071 was also reported out on a 5-2 vote after adoption of a committee substitute. The meeting ended with no further business and the committee standing at recess subject to the call of the chair.

Transcript Highlights:

• Sensitive uses.
• For example, 81% of a top computer's energy use is in making it, and only 19% in using it.
• But does it look like the model that is used by TDI for the filing used by other agencies?
• Within just a few days, S&P and Moody's had not downgraded us but put us on negative watch.
• What this bill does for us is it helps us shore up... ...financials and hopefully addresses the problems

Bills: HB106, HB144, HB145, HB252, HB1732, HB2221, HB2467, HB2468, HB2517, HB2518, HB2963, HB3016, HB3689, HB3960, HB4386, HB4490, HB4751, HB5247, HJR175, HB2213, HB106, HB144, HB145, HB252

Keywords: HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund, production safety, leasehold operations, electric utility, distribution poles, inspection

Transcript Highlights:

• Because I know you used the word, you used plural on patients, but then never talked about the second
• . in this body who, some of us are doctors, but most of us aren't.
• They come after us all the time.
• I'm sure all of us do.
• And didn't get much of it anywhere That led us deeply into the subject matter and brought us here with

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• They're using all UAMS revenues.
• It comes before us all. Outside whatever system you're currently using, because it doesn't work.
• That takes us to Item E, page... That takes us to Item E, page 28.
• That takes us over to page 130 of Item E. 102 is with DHS, DCFS with ERISA Health, and this is for therapeutic
• That takes us over to page 130 of Item E. 102 is with DHS, DCFS with ERISA Health, and this is for therapeutic

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• recreational cannabis use.
• </c> purchases and use the product. purchases and use the product.
• We understand that patients are relying on us to provide high-quality products, and since therapeutic
• </c> not available anywhere around us. not available anywhere around us.
• and medical use.

Keywords: 1191, senate, all

Transcript Highlights:

• bring us peace with God.
• of our sin and bring all to forgive us of our sin and bring us<00:02:45.280><c> peace</c><00:02:46.360
• </c> us peace with God. us peace with God.
• </c> sharpen a pencil using a knife? sharpen a pencil using a knife?
• </c> of us. of us.

Keywords: 926, house, all

Transcript Highlights:

• you're using it for its intended purpose.
• If it says that it's not for pharmaceutical use, and others, like, you can't use it.
• Can you just talk us through, you know, about this letter?
• You caught us all off guard. That's great.
• , despite this use being explicitly allowed under existing law.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• In addition to lackluster evidence supporting their use, the devices rely on officers to use their discretion
• And AB 1753 moves us closer to that goal.
• And I want to thank my witness for bearing with us on this crazy day for all of us, especially you guys
• And I want to thank my witness for bearing with us on this crazy day for all of us, especially you guys
• who are active... ...used to are a stronger tool to be able to be used against individuals who are actively

Summary: The committee heard a long agenda of public safety bills, with several measures pulled off calendar and one consent calendar adopted. AB 2419 by Assembly Member Quirk-Silva would extend body-worn cameras to Los Angeles County juvenile probation officers. Supporters said cameras would improve accountability, youth and officer safety, and public trust; opponents argued the bill would not solve deeper problems in juvenile halls and raised concerns about officer discretion, privacy, and labor issues. The bill passed to Appropriations on a roll call vote. AB 1902 by Assembly Member Pellerin, co-sponsored by Santa Cruz County, would revise the juvenile detention extension hearing process in response to the Madison Middleton case. Supporters, including the victim’s mother and county officials, said the bill would clarify jurisdiction, allow continuances, permit hearsay at the probable cause stage, extend the maximum detention period, and better protect the public and victims from repeated trauma. Opponents from public defender, youth justice, and civil liberties groups argued the bill expands civil commitment, reduces review frequency, and could lead to inappropriate adult placement. The committee approved the bill to Appropriations, with some members noting remaining concerns. AB 2052 by Assembly Member Stephanie would allow continuity in prosecution for elder and dependent adult abuse cases, including a limited continuance so the same prosecutor can stay with a case. Supporters said older victims and those with dementia or other impairments benefit from a single point of contact and less repeated trauma; opponents said the bill could undermine speedy-trial rights and was broader than necessary. The bill passed to Judiciary. AB 1588, also by Assembly Member Stephanie, would strengthen sideshow and street takeover enforcement by adding motorcycles and dirt bikes to the law and increasing penalties. Supporters framed it as a public safety and accountability measure, while opponents warned it would expand punishment, surveillance, and fines without addressing root causes; the bill was sent to Transportation on a roll call vote. AB 1753, another Stephanie bill, would tighten firearm relinquishment and protective-order enforcement, expand remote hearing access, and align firearm prohibitions across protective order categories; it passed to Judiciary. The committee also heard AB 1739 by Assembly Member Ward, which would criminalize clergy sexual exploitation when clergy provide therapeutic services, with survivors and advocates testifying in support.

Transcript Highlights:

• Chairman, thank you for allowing us to appear.
• Today, there were some delays in getting us access to the ITWIST database.
• Today, there were some delays in getting us access to the ITWIST database.
• Today, there were some delays in getting us access to the ITWIST database.
• </c><00:46:42.520><c> services</c> could be additional therapeutic services could be additional therapeutic

Keywords: 00:00:00 Introductions 00:00:22 Roll Call 00:01:56 Discussion on SB 85 00:14:03 Vote on SB 85 00:16:15 Explanation of Agency Amendment 00:19:04 Voice Vote on Amendment 00:19:33 Discussion on Kentucky Foster Children Housing, 958, all

Summary: The committee first took up Senate Bill 85, sponsored by Senator Meredith, which would move the Office of the Ombudsman from the Cabinet for Health and Family Services to the State Auditor’s office and make related cleanup changes. Meredith said the bill grew out of a prior task force and a two-year transition from Senate Bill 48, and he argued the move would create independence, improve access to the ITWIST database, ensure complaints are not lost in the handoff, and add confidentiality protections for whistleblowers. Auditor Allison Ball and her staff said the bill would codify access and procedures after earlier disputes and a court-mediated settlement, and they described the measure as necessary to make the new structure work effectively. Members asked how the Ombudsman would handle complaints and verify services in cases involving waiver recipients and other cabinet services. Ball and her staff said the Ombudsman would investigate complaints, make inquiries, and provide accountability outside the cabinet structure, with timelines and procedures similar to the Auditor’s office. The committee also discussed staffing and whether the office would need more personnel; Ball said the office already had about 100 people but could use more. The bill passed 10-0 with favorable expression. The committee then approved an agency amendment to administrative regulation 922 KAR 1:001490 concerning foster parent background checks. Cabinet staff explained the amendment corrected a drafting error by removing references to civil determinations in a second section of the regulation because the system cannot search those determinations, while still allowing the required checks under state and federal law. Senator Herron asked what a civil determination meant, and staff said it could involve a court finding in a custody or abuse case, though such findings are now typically handled through the child abuse and neglect registry. The amendment was adopted. Afterward, the committee began a discussion on Kentucky foster children housing and related issues. Ball and Ombudsman staff presented a preliminary assessment of children placed in office buildings, saying the review covered 49 children placed over a four-month period and showed a different picture than the public narrative of only older, high-acuity youth. They reported that some children had no documented behavioral or disability issues, many came directly from home, the average age was 13, the average stay was four nights, and placements were spread across several regions rather than centered only in Louisville. Members raised concerns about the lack of formal policies and procedures, staff safety, and how to ensure children are treated appropriately, and Ball said the Ombudsman was continuing a deeper review. No final action was taken on that discussion in the portion provided.

Transcript Highlights:

• </c> would behave uh when uh when therapeutic would behave uh when uh when therapeutic cannabis<00:13
• </c> think that we're confusing therapeutic think that we're confusing therapeutic massage<00:30:17.360
• </c><01:23:09.760><c> They</c> for them um and for all of us. They for them um and for all of us.
• </c> things like that come in front of us. things like that come in front of us.
• It also gives us time to weigh and measure what the potential therapeutic value of this is, to wait for

Keywords: 1189, house, all

Transcript Highlights:

• It is one sentence long: a qualifying patient's therapeutic use of cannabis in accordance with this chapter
• </c> that of us. that of us.
• </c> seven therapeutic locations? seven therapeutic locations?
• </c> us to decide, right? us to decide, right?
• So we should encourage the therapeutic alternative treatment centers to come back to us with a model

Keywords: 1191, senate, all

Transcript Highlights:

• </c><00:16:33.399><c> cannabis</c> from our staff from therapeutic cannabis from our staff from therapeutic
• </c><00:38:11.520><c> a</c> to thank the chairman for giving us a to thank the chairman for giving us
• </c><00:46:45.599><c> to</c> there's a 90-day lag for we for us to there's a 90-day lag for we for us
• </c> their family or loved ones cannabis use their family or loved ones cannabis use um<00:59:05.319>
• </c> wow I think the committee ow owes us wow I think the committee ow owes us some<01:39:09.840><c>

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.