Transcript Highlights:

• I don't know how many acres of land are in the pipeline right now to be changed over from fee status
• I guess I could answer the question about the pipeline and how many acreage would be in that pipeline
• every single acre that rightfully belongs to the Turtle Mountain Band of Chippewa is in the future pipeline
• Now, that pipeline might last 50 years to 100 years, but we will continue to reclaim through purchase

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• Community Development Department, workforce development and trying to get folks back into the job pipeline
• work with Northrop Grumman to train them to their specs, you know, so that they can get a direct pipeline
• closely with businesses at the regional level to anticipate their talent needs and build training pipelines
• committee on a diverse and well-prepared educator workforce tasked with strengthening the teacher pipeline
• committee on a diverse and well-prepared educator workforce tasked with strengthening the teacher pipeline

Summary: The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side. The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes. On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork. Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.

Transcript Highlights:

• Our pipeline of students—17-year-olds who are wanting to go into and become new freshmen and major in
• And part of that’s just simply the pipeline. Senator Saurvog. Mr. Chairman, Dr.
• But we’ve also done work on this for a number of years, this paraprofessional kind of pipeline on special
• Chairman: the pipeline for providing these people is that, I mean, it's—I believe it was over a thousand
• So the graduates that are coming up in May, it's the primary workforce pipeline for Trinity Health.

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• We need to create jobs to keep all the journeymen working so we can fill the pipeline of apprentices
• We need to create jobs to keep all the journeymen working so we can fill the pipeline of apprentices
• that need to be trained because... ...working so we can fill the pipeline of apprentices that need to
• I don't know whether it was related to this one bill in particular, but the big pipeline project, the

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing on H. 4975, Governor Healey’s bill to manage the impact of the federal “One Big Beautiful Bill” (OB3) on Massachusetts tax law and state revenues. Administration officials, led by Secretary of Administration and Finance Matt Gorowitz, said OB3 would otherwise reduce FY26 revenue by about $442 million and argued for a phased-in conformity approach that would preserve the current-year budget while still adopting selected federal business tax provisions over time. The proposal would phase in the research and experimental expenditure deduction first, delay other major corporate provisions for two years, extend the pass-through entity excise to income subject to the 4% surtax, add a one-year delay mechanism for future federal tax changes over $20 million, limit opportunity zone benefits to Massachusetts investments, and make smaller technical changes to DFML contributions and casino reporting thresholds. Committee members questioned the rationale for phasing in rather than fully decoupling, the effect on the budget if the bill did not pass, and the treatment of opportunity zones, the surtax, and future federal tax changes. Public testimony was split. MassBudget, Progressive Massachusetts, and several labor and public-sector groups urged the committee to permanently decouple from the federal corporate tax changes rather than delay them, arguing that the bill would still send state revenue to corporate tax breaks, often for investments outside Massachusetts, and that the state should protect funding for schools, health care, human services, and other public services. The Massachusetts Society of CPAs supported the administration’s timing and the research-and-development provisions, citing filing deadlines and the importance of certainty for businesses and startups. Business and tax experts also testified that rushed conformity can create revenue losses and that the governor’s review-and-delay framework was a prudent improvement, though some said decoupling should be the default if the Legislature does not act. Unite Here Local 26 testified against sections 3 and 4, which would raise the slot-machine jackpot reporting threshold from $1,200 to $2,000, arguing the current threshold helps with problem-gambling intervention, preserves slot attendant jobs, and generates revenue. Several union leaders, including the Massachusetts Teachers Association, AFT Massachusetts, SEIU 509, the Massachusetts Building Trades, the AFL-CIO, and 1199 SEIU, urged permanent decoupling, warning that OB3’s federal tax cuts and related spending reductions would worsen budget pressures, harm public services, and shift costs onto workers, patients, and schools. No votes were taken at the hearing.

Transcript Highlights:

• So again, we're a pipeline for talent.
• We're a pipeline for ratcheting that up and making it stronger.
• When you can move them through the pipeline, get them out quicker, less debt, moving them forward, that's
• An additional 14 returned to NDSU this summer, with nearly 200 in the pipeline for future semesters.

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• ’s an exciting time, and there have been a number of efforts to make sure that we are building a pipeline
• We are building a pipeline of talent for Louisiana students for the high-demand, high-wage, high-impact
• opportunities and apprenticeships for our students to make sure that all of these efforts to create this pipeline
• resolution helps ensure students gain meaningful career experience while employers build stronger talent pipelines

Bills: HR118, HR196, HR237, HR285, HCR85, HB442, HB443, SCR5, SCR29, SCR33, SCR63, SB25, SB202, SB319

Keywords: water utility, tax credit, excessive rates, residential service, subcommittee, fallen trees, property damage, insurance, property values, hurricanes, storm damage, local government, homeowners, risk management, committee study, census, military population, Department of Defense, representation, federal funding

Transcript Highlights:

• Do we want every single manhole, um, every single pipeline that data published online or is there some
• <00:30:32.799> um<00:30:33.200> every<00:30:33.600> single<00:30:33.919> pipeline
• <00:30:34.640> that manhole um every single pipeline that manhole um every single pipeline

Keywords: 916, all

Transcript Highlights:

• But the quicker we can, but we do have a pipeline of companies that are very interested in New Mexico
• We do have a pipeline of companies that are very interested in New Mexico.
• But, you know, building a pipeline for economic development, and I've said before, I know enough just
• A pipeline for economic development is years.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• increase the number of Native American students who go into teaching, so, you know, diversifying our pipeline
• So the pipeline with having medical care and transitional, as you know, transitional living and care
• and those pipelines.
• When something comes up, we try to have something in the pipeline ready to go, and it's due at the end

Transcript Highlights:

• Val Leggett-Romero presenting about pipeline initiatives that year, and we've come a long way in collaboration
• And that funnel, if you will, not a pipeline, but a funnel has created more health care professionals
• vital that the more people you introduce to health careers, on one side of the funnel, it's not a pipeline
• years now, thinking that if you take this many students and you introduce them to health careers, a pipeline

Transcript Highlights:

• Without an adequate pipeline of trained pediatric subspecialists.
• will support industry. area as well as those looking to locate in the region, providing them with a pipeline
• understands and has a strength in knowing the wants and needs of rural Texas can help us improve those pipelines
• Presently, our IT director is helping to create curriculum to create. a pipeline of talent to fill our

Keywords: 1184, house, all

Transcript Highlights:

• I mean, this is a highly sophisticated effort to know where to plug in on pipelines, where to plug in
• which was caused by a static charge in an attempt to steal petroleum from a facility designed for pipeline
• And again, shocking that nobody was killed or seriously... ...designed for pipeline maintenance.
• curious; I want to make sure they're funded and available, and so I'd kind of like to know what the pipeline

Bills: SB476, SB664, SB745, SB826, SB989, SB1080, SB1171, SB1320, SB1437, SB1727, SB1809, SB2289, SB2320

Keywords: education, funding, school infrastructure, public schools, teacher support, intoxication manslaughter, criminal penalties, ignition interlock devices, youth offenders, vehicular homicide, Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A

Summary: The committee heard and advanced several criminal justice bills, with most of the discussion focused on oilfield theft, DWI enforcement, juvenile justice, reentry licensing, jail transparency, and court/judicial standards. SB 1320 would create a DPS oilfield theft unit headquartered in the Permian Basin; supporters from industry, law enforcement, and a district attorney described increasingly sophisticated, organized theft tied to cartels and multi-jurisdictional criminal networks, while DPS said it currently has only two officers working the issue. The committee voted SB 1320 out unanimously and placed it on the local and uncontested calendar. SB 826, which would enhance DWI committed in a school zone to a state jail felony, also passed unanimously after brief explanation and no testimony. SB 1171, adding juvenile justice OIG peace officers to Schedule C salary, was reported favorably on a committee substitute, and SB 1080, which would allow incarcerated people to obtain occupational licenses effective upon release, also passed on a committee substitute after testimony from formerly incarcerated advocates and reentry supporters. The committee also considered several bills aimed at tougher DWI penalties. SB 476 would increase intoxication manslaughter penalties when the offender violates an ignition interlock restriction; the bill was supported by the author, victims’ family members, Galveston officials, and law enforcement, but opposed by the Texas Civil Rights Project, which argued treatment and prevention would be more effective. After discussion about possible amendments, the bill was left pending. SB 745 would create a new first-degree felony option for intoxication manslaughter involving multiple deaths, and it was reported favorably after testimony from a prosecutor supporting the need for a stronger sentencing option. SB 2320 would broadly increase penalties for DWI offenses, including first-time DWI, DWI with an open container, high-BAC DWI, and repeat offenses; it was supported by a grieving family member and a sheriff, and the committee voted it out favorably. On juvenile justice, SB 1727 would expand tools to address assaults on staff at Texas Juvenile Justice Department facilities by lowering the age for transfer to adult prison in some cases, allowing earlier transfer of determinate-sentence youth, and restricting release when a criminal case is pending. Juvenile probation officials supported the bill as a public safety and victim-rights measure, while the Texas Civil Rights Project opposed it, arguing it would send children to inappropriate adult facilities and conflict with juvenile justice principles; the bill was left pending. SB 1437 would expand the juvenile justice do-not-hire registry to include non-certified positions, and it passed unanimously after supporters said it would help close loopholes that allow predators to move between child-serving jobs. SB 2289, requiring counties that house inmates out of state to report that information and any deaths to the Texas Commission on Jail Standards, also passed unanimously. Finally, SB 989, requiring criminal background checks for court personnel who determine bail, and SB 664, establishing statewide qualifications and oversight for magistrates and associate judges, were explained and discussed as transparency and public-safety measures, with SB 989 reported favorably and SB 664 under committee consideration at the end of the transcript.

Transcript Highlights:

• I don't think that the university should be set up as a pipeline for the defense sector here.
• I think we have to envision a better future for people and give them other pipelines and thinking about
• I think we have to envision a better future for people and give them other pipelines and thinking about
• I think we have to envision a better future for people and give them other pipelines and thinking about

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on March 14, 2025, and heard five University of Hawaii-related bills. SB 741 would create an external audit committee for the UH system and Board of Regents; UH and UHPA opposed it, saying existing internal and external audits already provide robust oversight, and the committee later recommended deferring the bill indefinitely as duplicative. SB 1252 SD2 would create a dementia training program for health care providers; the Alzheimer’s Association and other supporters said broader training is needed across the care workforce, while the university discussed using JABSOM as a coordinator. The committee deferred the bill to March 19 for an HD1 reflecting JABSOM’s suggestions and removing the appropriations/FTE language. SB 1502 SD1 would fund faculty positions, student programs, and facilities at UH Manoa and West Oahu for defense-sector workforce development. UH and Chamber of Commerce Hawaii supported the measure, describing a pipeline for students into intelligence, cybersecurity, and related fields, while one individual opposed it as too closely tied to military contracting and urged investment in other sectors instead. The committee amended the bill to remove FTE references and advanced it; the vote to pass with amendments was adopted, with several members voting aye and some excused. SB 1530 would require performance-based allocation of UH general funds and efficiency reporting. UH and the Attorney General’s office raised concerns, saying the bill’s metrics would apply across the entire general fund budget and were not practical as drafted; the committee also noted opposition from the Budget and Finance Department and individuals. SB 1624 SD1 would restrict RIM funds to renewing, improving, or modernizing existing facilities and require annual reports. UH opposed the bill and explained that RIM is a lump-sum approach used to address deferred maintenance and capital needs, with Board of Regents approval and quarterly reporting already in place; the Attorney General suggested constitutional amendments. The transcript ends during discussion of SB 1624, with no final action shown in the excerpt.

Transcript Highlights:

• also going to attempt to address that through exceptional item 2 in our LAR. which will build a pipeline
• And the other thing that I mentioned was the pipeline program that we're trying to establish paid in
• I'm gonna turn to the next page Some cases that are in our pipeline right now One that's caused, you
• We're going to be at TAMIU, so that's what's coming up in the pipeline. The other case...

Keywords: 1184, house, all

Transcript Highlights:

• be occupations like accountants where the gap is not there because we have enough supply in the pipeline
• So it keeps the stability of OKWIRE as a foundation, but there's a pipeline now for this engine and this

Keywords: 914, all

Summary: The meeting opened with routine business: confirmation of Open Meetings Act compliance, roll call, approval of the prior minutes, and no public comment. The main presentation was a detailed update on OK WIRE and a new workforce-gap validation model. Staff described moving from a simple job-posting approach to a four-factor method using wage growth, time-to-fill, occupation growth relative to the state average, and the ratio of postings to existing jobs. Examples were given for registered nurses, industrial occupations, software developers, and accountants to show how the model would identify validated workforce shortages or areas needing only monitoring. The team said the new dashboard would be added to the existing OK WIRE system, include links to training programs, and be completed by the end of August without additional cost under the current vendor contract. An agency report followed, covering the work of 929 Strategies on a 30-60-90 day plan, office relocation, contract terminations, grant administration, and budget cleanup. Staff said they had moved out of Film Row, were temporarily in Denver Davidson, and would move into permanent space in the Jim Thorpe building in October. They also discussed the rapid response grant, ARPA grant spending, and a planned data tool to support layoffs response and rural health workforce planning, including work with the Healthcare Workforce Training Commission and health partners. The board then voted to enter executive session under the cited Oklahoma statutes to discuss employee evaluations, possible salary increases, and confidential legal/operational matters. After returning, the board thanked staff for their budget work, decided not to hold the July 9 meeting, and adjourned, planning to resume discussion at the August meeting.

Transcript Highlights:

• it's still within 30 miles of the city, and from that source, treated water comes down through a pipeline
• within 30 miles of the city and from that source, water comes, treated water comes down by, through a pipeline

Summary: The Committee on State-Federal Relations heard testimony on HB 3484, which would formalize agreements between border municipalities and treat certain infrastructure, services, and facilities as Texas assets for funding eligibility if they are within 30 miles of the border. Representative Van Deaver and a witness from Texarkana described how the bill would help Texarkana, Texas, secure state funding for jointly used facilities such as wastewater, water treatment, and airport assets that are physically located in Arkansas but serve Texas residents. Members asked about whether Arkansas benefits from the facilities and whether the bill would apply only to U.S. border cities; testimony clarified that it applies to Texas municipalities bordering another U.S. state, and the bill was left pending after the committee substitute was withdrawn. The committee also heard HCR 112, by Representative Perez, which urges Congress to allow state-issued Real ID cards, including Texas driver’s licenses, to be accepted as identification for U.S. citizens re-entering the country at land and sea ports of entry. Perez argued that Texas already verifies citizenship and lawful presence for Real ID issuance, that most Texans already have Real ID-compliant licenses, and that acceptance at the border would reduce costs and delays for routine cross-border travel without weakening security. Members asked about the security features of Real ID, implementation timing, passport delays, and how border crossings currently work; Perez said the resolution would not replace passports for international air travel and would apply only to U.S. citizens returning at land and sea ports. HCR 112 was also left pending, and the committee adjourned after HDR 125 was withdrawn from the schedule.

Transcript Highlights:

• There's no workforce pipeline of new providers on the horizon.
• Now there's no workforce pipeline of new providers on the horizon.

Summary: The committee took up issue number seven, Child Care Rate Reform Transition Plan, and heard a presentation from the LAO on an eight-part transition plan for the period before implementation of the alternative methodology-based child care rate system. The plan would provide interim rate increases to existing regional market rates and standard reimbursement rates beginning January 1 of the budget year, keep the higher of SRR or ARMR as the single rate, annualize cost-of-care supplements, update hold-harmless language, eliminate the private market cap, authorize one-time systems transition funding with JLBC approval, and require annual reporting on parent co-pays. Members asked about the timeline and public/legislative feedback process, and administration staff said they were working toward the July 1, 2025 deadline while continuing stakeholder engagement through the rate and quality advisory process. Public comment was overwhelmingly focused on child care and early learning funding. Providers, county offices, advocacy groups, and education organizations urged the Legislature to move quickly on the alternative rate methodology, provide interim relief through a cost-of-living adjustment, reimburse based on enrollment rather than attendance, and preserve health and retirement benefits and workforce stability. Many speakers also pressed for funding to expand the promised 200,000 child care slots, warning that waitlists remain long and providers are under financial strain. Several commenters supported maintaining or extending grants and technical assistance for transitional kindergarten, inclusive early education, and mixed-delivery early learning programs. A separate set of comments addressed the Inclusive Early Education Expansion Program, with Sacramento County education officials and others urging a statewide plan that would extend support to the 20 counties not currently receiving grants, especially rural areas. Other speakers raised concerns about facilities and staffing impacts from TK expansion, the need for consistent eligibility rules across subsidized programs, and the importance of statewide systems-level funding. The chair thanked the LAO, administration, and public commenters, said the item would remain open until after the May Revision, and adjourned the meeting.

Transcript Highlights:

• to be hard to create, say, more doctors and more dentists because it's just high cost, a longer pipeline
• to be hard to create, say, more doctors and more dentists because it's just high cost, a longer pipeline
• So we're hoping to find ways to increase the pipeline in the workforce for emergency medical staffing
• So we're hoping to find ways to increase the pipeline in the workforce for emergency medical staffing
• in the workforce for uh the pipeline in the workforce for uh emergency<00:07:53.360> medical<

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• Here’s the Cal it actually tip to 17 total to date, and we have another 10 in the pipeline already.
• Here’s the Cal it actually tip to 17 total to date, and we have another 10 in the pipeline already.
• Here’s the Cal it actually tip to 17 total to date, and we have another 10 in the pipeline already.
• Here’s the Cal it actually tip to 17 total to date, and we have another 10 in the pipeline already.
• Here’s the Cal it actually tip to 17 total to date, and we have another 10 in the pipeline already.

Keywords: 912, senate, all

Transcript Highlights:

• We do have solar gardens in our pipeline. Thank you, Mr. Chair.
• So, we do have them in our pipeline, but to date, we have not closed on any solar garden loans.
• So, we do have them in our pipeline,<00:48:42.600> but<00:48:42.800> to<00:48:42.920>
• > date,<00:48:43.240> we<00:48:43.360> have<00:48:43.520> not pipeline, but
• to date, we have not pipeline, but to date, we have not closed<00:48:44.280> on<00:48:44.480><

Keywords: 1187, senate, all