Transcript Highlights:

• 3 now like any other Schedule 3 drug, right?
• <00:53:42.240> as schedule one to schedule three as schedule one to schedule three as expeditiously
• <00:54:04.079> That's becomes schedule three. Right. That's becomes schedule three.
• three now like any other it's schedule three now like any other schedule<00:54:23.359> three<
• schedule three drug right? schedule three drug right?

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• with the fee schedule, we're recouping about 50% of our costs.
• with the fee schedule, we're recouping about 50% of our costs.
• However, not all schools are able to fully take advantage of those fee schedules.
• These individuals have been instrumental in working within the fee schedule.
• These individuals have been instrumental in working within the fee schedule.

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• So, it's on schedule, but it's on schedule and we're making up some time as we come in.
• So, it's on schedule, but it's on schedule and we're making up some time as we come in.
• Uh it's on schedule. months away really. Uh it's on schedule.
• behind schedule from the original schedule,<00:07:11.599> but<00:07:11.840> it's<00:07
• schedule, but it's on schedule and we're schedule, but it's on schedule and we're making<00:07:13.280

Keywords: 928, house, all

Summary: The Capital Project Overview Committee approved the minutes from its February 24 meeting and then received a briefing on the legislative parking garage from Terry Poff, Chief Operating Officer for the General Court. He reported that the pre-stressed concrete garage, being built with panels fabricated by Unistress in Pittsfield, Massachusetts, remains on schedule, with erection expected in late July through August and functional occupancy targeted for March 17, 2026. He said the garage will provide 409 spaces, security cameras, a communications repeater, and a maintenance plan developed from the outset. In response to questions, he explained nearby street excavation is for drainage vaults and oil-water separators, and that temporary closures will be needed during panel deliveries. He also said the garage was designed with future EV charging infrastructure in mind, but current charging stations would need to be located outside the secure facility; he has begun discussions with city officials about possible curbside charging options. The committee then heard and approved a $754,000 capital request for Cannon Mountain/Franconia Notch State Park maintenance projects. The request, recommended by the Cannon Mountain Advisory Commission, covers lodge exterior repairs, lift maintenance, snowmaking pipe replacements and pump controls, and equipment purchases to improve maintenance operations. The committee approved the item after brief discussion. Next, the Department of Transportation presented two toll-credit requests. The first, CAP 250007, sought toll credits to support transportation planning, regional planning commissions, GIS and asset-management work, and related federal planning requirements; members asked about coordination with Granite data and the effect of a prior budget decision on regional planning officers, and staff said the request would not affect the regular federally funded program. The committee approved the item. The second, CAP 25010, sought $245,000 in toll credits for bus terminal improvements, regional mobility management, a statewide transit assessment, and an intercity bus pilot intended to connect Keene with southern New Hampshire or Concord. Members asked about the subsidy structure and ridership reporting; staff said the intercity service would be a net-cost subsidy and agreed to provide updated ridership and route information. The committee approved this item as well. At the end of the meeting, the committee noted that a quarterly capital projects report from DAS and the community college system was informational only, and members opted not to hear a separate presentation that day. The next meeting was set for September 29 at 9:00 a.m., with a request to invite HHS to discuss closed-loop referral system projects. Members also asked for future updates on the planned sale of the Cenuunu Center, and the committee adjourned after a motion carried.

Transcript Highlights:

• could explore, and that is an on-48-off-996 schedule, or what they call a 1323 schedule.
• could explore, and that is an on-48-off-996 schedule, or what they call a 1323 schedule.
• It is permissive language, does not mandate anything, just allows for changes to their schedule.
• or what they call a 1323 schedule or what they call a 1323 schedule<00:04:05.959> so<00:04:06.200
• <00:04:54.800> Senator their schedule Senator their schedule Senator Reed<00:04:57.759>

Keywords: 958, all

Summary: The Senate Standing Committee on Veterans, Military Affairs, and Public Protection met with a quorum and considered two bills. House Bill 131, sponsored by Rep. Michael Meredith, would give certain former second-class cities more flexibility to change firefighter schedules without a collective bargaining agreement, allowing alternative schedules such as 24-on/72-off and a 48-on/72-off pattern. Meredith said the measure was developed with the Kentucky League of Cities and Kentucky Professional Firefighters and was permissive rather than mandatory. Senators generally supported the bill, noting it would not affect departments that want to keep their current schedules. The committee then heard House Bill 136 from Rep. Jared Bowman, with testimony from Josh Crawford of the Georgia Center for Opportunity. The bill would require more comprehensive annual reporting from the Department of Corrections so lawmakers can better evaluate sentencing, parole, recidivism, rehabilitation, and re-entry outcomes. Supporters said Kentucky currently relies too much on anecdote and incomplete data, and that better information would help direct funding and policy decisions; Bowman also tied the bill to follow-up on last year’s criminal justice reforms. Some members praised the data-gathering effort and discussed possible future tweaks, while one senator criticized HB 5 and said the data should have been collected earlier. Both bills were advanced unanimously by the committee and sent to the Senate floor with favorable consideration. The chair also announced a reminder about the Kentucky National Guard briefing and aerial flight event RSVP deadline.

Transcript Highlights:

• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration
• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration
• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration
• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration
• The Committee on Steering, Policy and Scheduling reports that the matter be scheduled for consideration

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and then took up several routine matters from the Committee on Rules, including ceremonial resolutions recognizing the Concord-Nenezi sister city relationship, the 35th anniversary of the Massachusetts-Hokkaido sister-state relationship, and congratulating Rachel Cohen on earning Eagle Scout. The House suspended the rules and adopted those resolutions. It also suspended Joint Rule 12 on a number of petitions, including proposals involving neuropsychology evaluations for persons with intellectual disabilities, pharmacists’ participation as preferred providers, a sick leave bank for a Department of Transportation employee, and land/easement authority for the City of Lowell. The main substantive issue was House Bill 4001, the fiscal year 2026 state budget, which came from the Senate with a full substitute amendment. The House suspended the rules but voted not to concur with the Senate amendment. The chamber then agreed to reappoint a conference committee, naming Representatives Michlewitz, Ferrante, and Smola to negotiate with the Senate. The House also considered and advanced several Public Service Committee bills establishing sick leave banks for state and local employees, including Kendra Winner, Dana Johnson, Stephen Forget, Daniel Yender, and Martin Kratman; each was ordered to a third reading after suspension of the rules. Later, the House took up Senate No. 2521, a fiscal year 2025 supplemental appropriations bill. After suspension of the rules, the bill was read a second time, ordered to a third reading, passed to be engrossed, and then enacted. The emergency preamble was separately adopted by a recorded vote, and the bill was finally passed. The House also adopted an order to meet again the following Monday at 11 a.m., then adjourned.

Transcript Highlights:

• That's the beauty and simplicity of FRS scheduling.
• fentanyl analogs as a Schedule 1 drug.
• And surgically scheduled those modifications.
• We definitely have to schedule fentanyl and all of its analogues as illicit fentanyl into Schedule 1
• The first and most important aspect of this is getting this scheduled as a Schedule 1.

Transcript Highlights:

• Okay, so just getting through the Schedule 1, Schedule 2, and the exemption of cannabis, where is the
• I don't have the exact section, but if you go to the different controlled schedules, Schedule 1 and 2
• So federally, Schedule 1 or Schedule 2 would also include...
• So federally, Schedule 1 or Schedule 2 would also include ecstasy, a pretty common drug that I know kids
• They define all the Schedule I substances, Schedule II, III, and IV.

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• the unpredictability of work schedules the unpredictability of work schedules is<04:32:06.119>
• What's your schedule?
• What's your schedule?
• I mean, it's just scheduling.
• , whilst they post a schedule, it's kind of a rolling schedule.

Keywords: 1189, house, all

Transcript Highlights:

• Uh, this is a core pediatrics vaccination and screening schedule.
• So, it mentions the vaccination schedule.
• It redirects actually to the AAP website, the AAP Immunization Schedule.
• for various Administration schedule for various vaccines.
• I'll add that additional PDF schedule that is there.

Keywords: 928, house, all

Summary: The Special Committee on COVID Response Efficacy met to review its mission, approve prior minutes at a future meeting, and discuss materials related to COVID-19 vaccination guidance. Members examined a pediatric vaccination handout from a private pediatric practice and compared it with New Hampshire DHHS and AAP/AAFP immunization guidance, focusing on how COVID-19 vaccine recommendations are presented for children and adults. Committee members also discussed the scope and accuracy of the committee’s endnotes and supporting documents. The main business was a draft letter urging the governor to direct state agencies to stop recommending COVID-19 mRNA vaccines. Members revised the letter paragraph by paragraph, including changing wording about age ranges for children, clarifying references to the American Academy of Pediatrics, and adding discussion of vaccine safety concerns, alleged suppression of safety data, and federal investigations. They also debated whether to reference specific reporting systems such as VAERS and V-safe, and whether to include examples from other states, including Tennessee, Arizona, Minnesota, and Florida, as evidence of broader concern about mRNA vaccines. After the edits were completed, Representative Villio moved to accept the letter as amended, Representative Leroy seconded, and the committee approved it by voice vote 4-0. The chair said the revised letter would be finalized and distributed later in the week. The meeting then adjourned at approximately 11:57 a.m.

Transcript Highlights:

• 2027 and 2028 school district performance audit schedule.
• Our goal with this performance audit schedule and our future schedules is to reduce the timeframe such
• over the two-year schedule.
• occurred, and did not show up to one scheduled meeting.
• The schedule has been ambitious.

Summary: The committee first heard an update on Topok Elementary School District’s long-running noncompliance with Arizona’s Uniform System of Financial Records. The Auditor General’s office explained the USFR noncompliance process and reported that Topok had made substantial progress, correcting many deficiencies in areas such as open meeting law, procurement, payroll, attendance reporting, property control, and information technology. The district’s superintendent and staff described the corrective actions they had taken, the use of outside consultants, and their plan to maintain compliance through stronger leadership, training, and consistent procedures. Members praised the district’s progress and asked about the remaining deficiencies and the status of the 3% state-aid withholding, which the Auditor General said would be addressed by the State Board of Education. The committee then considered a request for a fourth school safety special audit, tied to concerns raised by Representative Martinez about Phoenix Union High School District and school violence response practices. The Auditor General said the proposed audit would be a new topic focused on policies and procedures for responding to credible threats of violence and allegations of staff misconduct affecting student safety, and could include Phoenix Union in the sample. Representative Martinez described a fatal 2024 shooting, weapons incidents, and concerns about district oversight. The committee approved the motion 10-0. Next, staff presented the fiscal years 2027-2028 school district performance audit schedule, describing 26 randomly selected school districts and career and technical education districts, plus 84 planned follow-ups. The Auditor General said the schedule is intended to shorten the average time between audits and that the school audits division is now fully staffed. Members asked about county coverage and the inclusion of ESA accountability, but the schedule was ultimately presented for review rather than approval. The committee also heard a detailed federal compliance audit presentation on the Child Care and Development Fund (CCDF) administered by DES. The Auditor General reported repeated findings involving missing provider documentation, questioned costs, and FFATA reporting errors, including a 2024 sample that led to questioning $2.88 million in costs. The office recommended stronger documentation, record retention, reporting procedures, and staff training; DES concurred and said it would correct the findings in 2026. Members discussed the limits of the single-audit scope, the possibility of a broader special audit, and the federal government’s recent actions on CCDF oversight in other states. Finally, the committee considered and discussed a special audit request for CCDF that would broaden review to provider oversight, licensing, site visits, and billing accuracy across multiple state agencies, with estimated costs of $547,000 to $625,000 and a projected report date of July 31, 2027.

Transcript Highlights:

• Schedule considerations.
• Um, schedule risk.
• And so schedule and scope.
• allow us to compress schedule.
• you know, this unknown schedule delay? you know, this unknown schedule delay?

Keywords: 00:05 Call to Order and Roll Call 01:20 Road Projects 46:30 Approval of Minutes 46:50 Railroads 57:26 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met without a quorum, so it could not approve the minutes. The chair announced an Eastern Kentucky University health forum later that day and then proceeded with testimony on alternative delivery methods for road projects. Jason Sawala of the Kentucky Transportation Cabinet and Chad Laroo of the Kentucky Association of Highway Contractors were sworn in and introduced themselves. Sawala explained KYTC’s use of alternative delivery tools, including design-build, construction manager/general contractor (CMGC), and public-private partnerships (P3s). He said the cabinet’s goal is to deliver the best value to taxpayers in terms of quality, cost, and time, and emphasized that alternative delivery is most useful on projects with special circumstances such as innovation needs, specialized technology, complex constructibility, schedule pressure, or early contractor input. He cited the cabinet’s wrong-way driving prevention project as an example where design-build helped evaluate technologies and coordinate with stakeholders such as EMS and first responders. He also outlined the main tradeoffs: alternative delivery can improve collaboration and sometimes accelerate schedules, but it also brings risks related to right-of-way acquisition, utility relocation, changing scope, and the need for dedicated staff and compressed decision-making. He stressed that these methods are not a cure-all and are not appropriate for every project, while noting that traditional design-bid-build remains effective for most of KYTC’s work. Representative Branscum responded favorably, saying early contractor involvement is valuable and consistent with his experience in the vertical construction world. No votes or formal actions were taken because the committee lacked a quorum.

Transcript Highlights:

• So, yes, for that fee schedule, the ones that are on the Medicare fee schedule are reduced by 25%.
• Medicare fee schedule are reduced by 25% Medicare fee schedule are reduced by 25% and<00:34:22.480>
• fee schedule. fee schedule.
• schedule as the rate that will be paid. schedule as the rate that will be paid.
• the fee schedule rate setting. the fee schedule rate setting.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Chairman, 1257 moves THC from Schedule 3 to Schedule 1.
• Also Joanna Ball from Schedule 3 or adds it to Schedule 3, which is basically used for chemo patients
• Is there any concern that this will be reversed by federal action if you're changing Schedule 3 to Schedule
• Right now, this is just taking THC from Schedule 3 to Schedule 1 because the flower's already a Schedule
• You remove tetrahydrocannabinol (plural) from Schedule 3.

Bills: SB65, SB444, SB592, SB640, SB1242, SB1257, SB1304, SB1501, SB1642, SB1946, SB2178

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• with the fee schedule, we're recouping about 50% of our costs.
• And we can certainly schedule an offline conversation to dig into it a lot deeper.
• However, not all schools are able to fully take advantage of those fee schedules.
• These individuals have been instrumental in working within the fee schedule.
• These individuals have been instrumental in working within the fee schedule.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• , which is what they call a 1323 schedule.
• So it's an on 24 off 72-hour schedule.
• , which is what they call a 1323 schedule.
• So it's an on 24 off 72-hour schedule.
• <00:04:10.439> with 24 off 72 hour schedule you start with 24 off 72 hour schedule you start with

Keywords: 958, all

Summary: The committee met with a quorum and took up four bills. House Bill 131, sponsored by Representative Meredith, would give former second-class city fire departments more flexibility in firefighter scheduling. Meredith explained the committee substitute would allow a hybrid “1323” schedule while preserving existing collective bargaining agreements and affecting only 13 cities. There was no opposition or public testimony, and the committee adopted the substitute and passed the bill with a favorable expression. House Bill 256, sponsored by the chair, was presented by Representative Flry and Kentucky Land Title Association President Eric Case. The bill sets a 40-year statutory limit on certain dormant title interests to clear old encumbrances and make titles more marketable, while not specifically excluding coal and mineral interests. The committee adopted the substitute and then passed the bill with a favorable expression. House Bill 290, sponsored by Representative Wilson, would update county law library funding rules to allow local bar associations to use library funds for online legal services, addressing unused balances in some counties. The chair and others said the change would better use the resource for attorneys and the public. The committee approved the bill with a favorable expression. House Bill 368, sponsored by Representative Decker, would let smaller counties and local governments use the same alternative public notice methods already available in larger counties, such as posting notices on government websites after a brief newspaper notice. Supporters from county and city groups said the change would save money, improve efficiency, and help with transparency, while Kentucky Press Association Executive Director David Thompson said newspaper publication costs are relatively small and urged the legislature to set standards for government websites before expanding online notice options. The transcript cuts off during Thompson’s testimony, and no final committee action on HB 368 is shown.

Transcript Highlights:

• We are working on a schedule to convene the committee as soon as possible.
• not run into the obstacles that we've run into with this fee schedule.
• included in that schedule?
• So that was another piece that is just so critical with this fee schedule.
• , but as you have heard today, the fee schedule is simply not ready.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• And then they built the rate schedule, the Medicare rate schedule, I mean the rate schedule that's intended
• <04:22:51.080> um<04:22:52.399> and schedule um and schedule um and um um um the<04:22:
• <04:25:33.840> I schedule the Medicare rate schedule I schedule the Medicare rate schedule
• <04:25:36.560> that's mean the the rate schedule that's mean the the rate schedule that's
• The question about the actual rate schedule, if we pass this bill, what is the rate schedule?

Keywords: 928, house, all

Summary: The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops. Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight. Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.

Transcript Highlights:

• Chair and members, now moving into the award schedule detail.
• , the original schedules submitted with the applications and included in the MOUs.
• Begins, the design professionals will be required to provide their own schedule.
• Um, our next PSEOC meeting is scheduled for June 11th.
• But again, I would have to work with everybody's schedule.

Transcript Highlights:

• schedule.
• With respect to certain schedules, yes.
• LTC related party schedules are within the scope.
• With respect to, so certain schedules are within the scope of it.
• On the related party transaction schedule, plus they're reported in Schedule Y of the annual statement

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• Because it is not currently scheduled Because it is not currently scheduled under<00:50:55.119><
• as a Schedule I narcotic.
• as a Schedule I narcotic.
• Scheduled as a Schedule I narcotic.
• of them through scheduling.

Keywords: 1191, senate, all