Transcript Highlights:

• benefit manager is Express Grips for all of our plans.
• So in cases where, um, a plan would. cover in vitro fertilization, we ask questions and we get data on
• We would continue to... develop the cost estimates for our plans, for the TRS plans, but I think...
• the teacher retirement system plan, the employee's retirement system plan.
• plans, etc., not the ERISA plans, etc., which is, you know, 50% of the market give or take in Texas.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• and have that plan ready to go when session comes instead of being working through the on a tight and
• . issuers or administrators, and expenses for enrollees, health plans, and policy makers.
• We're reviewing and I will plan to come back with a committee substitute. Thank you very much.
• as if their family members are covered by a plan.
• In today's world, each plan or carrier, if you will, had its own unique questionnaire form.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Bills: SB 1194, SB 1215, SB 1253, SB 1268, SB 1302, SB 1484, SB 1532

Keywords: water management, bond issuance, eminent domain, regional authority, fee structures, local governance, environmental quality, oyster cultivation, coastal management, natural resources, marine ecosystems, Texas Parks and Wildlife, Texas Water Development Board, guidance principles, flood plan, state water plan, rule review, infrastructure, water discharge, general permit

Transcript Highlights:

• cases under the False Claims Act.
• But now let's introduce the case.
• actually prosecuting these cases. actually prosecuting these cases.
• case management and support plan case management and support plan development,<00:58:15.920>
• management or the through the case management or the support<00:59:34.000> planning<00:59:34.360

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• I was unaware of the volume of cold cases that our state continues to work on.
• The same process as is currently the case with nonmedical parole cases.
• So that would be part of that file that's parole board would look at for this case, as is the case with
• any case that they get.
• I think that would be a case-by-case basis that I don't think would be fair for me to make a blanket

Bills: SB1636, SB1584, SB1730, SB1255, SB1627, SB137, SB2062, SB1470, SB1284

Keywords: cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, sexual assault, evidence kits, DNA testing

Transcript Highlights:

• with you know that some of the realities or maybe it needs to be certain age groups that that's the case
• c><00:02:00.000> that<00:02:00.320> that's<00:02:00.560> the<00:02:00.799> case
• certain age groups that that's the case certain age groups that that's the case because<00:02:02.320

Bills: SB209, SB248, HB122, SB99, SB209, SB248, HB122, SB99

Keywords: sales tax exemption, Consumer Price Index, local government, clothing, school supplies, emergency preparedness, Alabama Administrative Procedure Act, APA, administrative law, judicial review, agency deference, Chevron deference, de novo review, contested case, state agency, regulatory power, individual liberty, statutory interpretation, rule interpretation, license revocation

Transcript Highlights:

• This is consistent with historic plan.
• energy preparedness planning. energy preparedness planning.
• This bill complements the planning.
• Um the other thing is in in any case.
• ,<01:39:13.600> is so to speak, Google in this case, is so to speak, Google in this case,

Bills: HF4560, HF4559, HF2317, HF3179, HF4880, HF2862, HF4374

Keywords: Public Utilities Commission, PUC, energy regulation, utility regulation, electric utility, public utility, rate case, multiyear rate plan, decoupling, rate decoupling, greenhouse gas, social cost of carbon, environmental cost, resource planning, certificate of need, distributed renewable energy, interconnection, budget billing, electronic filing, contested case

Transcript Highlights:

• And in this case.
• type and the statute that applies to the particular case type.
• That's actually a pending case right now. Okay. Could you speak to that?
• Because it is a pending case.
• So in the case of network networking is very much that way.

Bills: HB3146, HB3719, HB3895, HB3923, HB4748, HB4751, HB4936, HB4952, HB4990, HB4991, HB5061, HB5196, HB5238, HB5246, HB5487

Keywords: State Office of Administrative Hearings, SOAH, administrative hearings, contested case, contested case hearing, administrative law judge, ALJ, final decision, proposed decision, agency hearing, hearing continuance, rescheduling, Texas administrative law, Government Code Chapter 2001, workers' compensation, Department of Human Resources, Texas Labor Code, Transportation Code, Agriculture Code, Insurance Code

Transcript Highlights:

• So we’re certainly hoping that’s the case within the 2026 recommended highway plan.
• So we’re certainly hoping that’s the case within the 2026 recommended highway plan.
• highway plans. highway plans.
• > a strategic plan, "A good plan is like a strategic plan, "A good plan is like a road<00:42:25.760
• 100%<00:50:42.720> budget<00:50:43.119> plan. 100% budget plan. 100% budget plan.

Keywords: 00:03 Call to Order and Roll Call 00:57 Capital Projects and Highway Plan 56:11 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Transportation met to hear the Kentucky Transportation Cabinet’s presentation on the governor’s 2026 capital projects budget and recommended highway plan. Secretary Gray and cabinet staff first thanked KYTC snow and ice crews, local road departments, first responders, utility workers, and others for their work during a major winter storm, then outlined the capital budget request. The cabinet said its facilities are aging, with about 35% at or beyond useful life, and that limited road fund revenues led it to focus mainly on maintenance, maintenance pools, aircraft maintenance, environmental compliance, AASHTOWare upgrades, state park road maintenance, truck parking, and reauthorization of several projects, including airport work and road projects. The cabinet said the governor’s budget includes about $22.8 million in state funds for the capital budget over the biennium, plus carry-forward language for maintenance pools and project reauthorizations to avoid losing federal funds. Members asked about repeated reauthorizations, cost increases, and whether projects should be restarted as new requests after carrying over for multiple budgets. The cabinet responded that budget office policy generally allows only one reauthorization before a project must be resubmitted, and said many delays are due to acquisition or other project issues. Members also questioned the basis for increased-cost line items and the $5 million request for commercial truck parking; cabinet staff said they could provide original project cost details and that many increases are inflationary, while the truck parking project is expected to use federal funds and is a cabinet priority. The committee also discussed the decline in road fund receipts, which the cabinet attributed largely to lower motor fuels tax revenue. The presentation then shifted to the 2026 recommended highway plan. Officials said the plan covers more than 1,300 projects over six years and anticipates about $9.5 billion in federal and state funding. They said the plan is intended to maintain existing assets, advance long-term priority projects, and honor prior commitments, including the Mountain Parkway, the Brent Spence Companion Bridge, and the I-69 Ohio River Crossing. About 40% of plan funds are dedicated to existing pavements, bridges, and guardrails, and officials cited a 61% rise in highway construction costs from 2020 to 2025 as a major challenge. To help offset those pressures, the cabinet is seeking $125 million from the budget reserve trust fund for the Brent Spence Bridge and release of a federal grant condition tied to the already appropriated $150 million for the I-69 crossing. No votes were taken at the meeting.

Transcript Highlights:

• And it only applies in civil cases.
• Um, you know, that would have to really be part of a case presented to a grand jury in determination.
• Criminal cases could likely take...
• I've seen cases that have lasted a year or two, but typically not longer than that. lasted a year or
• In our court system, they take years, especially on cases like this.

Bills: HB411, HB559

Keywords: HB411, Alabama, civil practice, affirmative defense, traffic obstruction, roadway obstruction, blocking traffic, protest, demonstration, street blockade, highway, bridge, road, personal injury, wrongful death, property damage, tort liability, civil lawsuit, stay of proceedings, parallel criminal case

Transcript Highlights:

• years, and I see there is a brokenness to the system in terms of the ability to process families, cases
• And in nearly two decades of work in the system, the cases involving medical misdiagnosis have been the
• And in nearly two decades of work in the system, the cases involving medical misdiagnosis have been the
• And these cases are nearly impossible to get justice for these families.

Bills: S0556, S0794, S1600

Keywords: high school diploma, graduation requirements, physical education credit, performing arts credit, marching band, Special Olympics, students with disabilities, IEP, individual education plan, 504 plan, Florida education, school credits, diploma substitution, ROTC, dance class, State Board of Education, public schools, graduation pathways, adaptive physical education, Agency for Persons with Disabilities

Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably. The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably. Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.

Transcript Highlights:

• case management.
• case managers.
• my case manager.
• For example, in case management, did you know you can have two case managers?
• contracted case managers, families. contracted case managers, families.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• . plans. plans.
• waiver case management. waiver case management.
• which they do in our cases. which they do in our cases.
• ahead of uh the planned uh elimination. ahead of uh the planned uh elimination.
• Is H0032 treatment planning?

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• transformation plan. transformation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• , have the But we don't actually, in many cases, have the actual data to know where these students are
• In some of those cases, it's twice the national average.
• They actually did a business plan for the medical school that dives into a lot of this information and
• In this case, I believe that that is the case. Thank you, Mr. Chair. Okay, great question.
• Well, Superintendent, if that's the case, then the same barrier that gives you a no now will give you

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• Does such a planning tool exist? So, Mr.
• The secretaries themselves meet at least three times a week on case reviews, discussing specific cases
• It's a very intensive case management model.
• The majority of the remaining cases are roughly cannabis-exposed.
• So again, there's mandatory participation in the plan of safe care starting 7-1-2026.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• But classrooms should still be multilingual, bilingual, if that's the case for that student population
• Parent notification and read-at-home plans recognize that families are essential partners in literacy
• And it sounds like that's the plan. Much more quickly than that.
• And it sounds like that's the plan. There's also been discussion, Mr.
• I believe the plan is we'll hear the math bill. I believe the special ed bill will be on for that.

Bills: SB29, SB37

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• So she's had that planned for a while, but she does hope to be with you for future meetings.
• road plan. road plan.
• with a game plan with a game plan that<00:31:37.240> we<00:31:37.360> can<00:31:37.520
• I was going to give just a brief plans.
• , the General Assembly provided an plan, the General Assembly provided an additional<00:48:43.920>

Keywords: 00:01 Call to Order and Roll Call 01:22 Overview/Impact of Executive Order 47:02 General Funds in Road Plan 50:37 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met for its first meeting and received an overview from Transportation Cabinet officials on the governor’s executive order responding to high gas prices. Deputy Secretary Mike Hancock and budget director Shawn McKiernan explained that the order declared a state of emergency, reduced the state motor fuels tax by 10 cents per gallon, froze the tax rate for FY27, and urged Congress to suspend the federal gas tax. They said the emergency regulation would remain in effect until the war in Iran ends or Kentucky gas prices fall below $3 per gallon, and that any transportation budget shortfalls could be covered by the state budget reserve trust fund if requested later by the governor. McKiernan estimated the 10-cent reduction would reduce the road fund by about $26.8 million per month, with roughly 44% flowing to county road aid, rural secondary, and municipal road aid. He said the immediate impact to counties and cities would be about $11.8 million for one month, while the cabinet would see about $15 million per month less available for its own use. He also said the freeze on the FY27 motor fuels tax rate would prevent a scheduled increase and, compared with the budget assumption, would produce about $42 million in net additional revenue, split between local governments and the cabinet. He added that if the reduction lasted through December, the major transportation programs could be down about 16.9% from budgeted levels. Members focused on the effect on local governments, the road fund, and the cabinet’s cash management process. Several senators and representatives criticized the executive order as short-sighted or political, while others emphasized the need for a long-term solution to transportation funding. Questions were raised about how make-whole payments to counties and cities would be handled, how the cabinet manages cash flow, and whether the state should continue relying on general fund transfers to support the road plan. Cabinet officials said they would work with lawmakers, explained that project authorizations are managed based on cash flow and seasonal spending patterns, and noted that construction and maintenance costs have risen sharply, making revenue adequacy a continuing concern.

Transcript Highlights:

• administrators on behalf of the plan administrators on behalf of the plan both<00:46:59.760>
• rebates are helpful to plan financials. rebates are helpful to plan financials.
• Uh but we uh we're plan would have.
• So, the plan is of that savings.
• We are a data-driven organization. plan value but also keep premiums as low plan value but also keep

Keywords: Voter List Maintenance - State Board of Elections -- 05:38 State Employee Health Insurance Plan – 44:18 Discussion of HB 622 (2025 RS) – 01:01:43, 958, all

Summary: The Interim Committee on State Government met on July 29, established a quorum, approved the June 24 minutes unanimously, and heard an update from the State Board of Elections on voter list maintenance. Taylor Brown, the board’s general counsel, explained the federal NVRA requirements and Kentucky’s statutory process for maintaining voter rolls, including use of USPS change-of-address data, ERIC reports, and agreements with non-ERIC states. He said Kentucky has entered or discussed agreements with several states, and that the board sends postcards to voters believed to have moved; if a voter does not respond to an 8D2 postcard and does not vote over two federal election cycles, the registration may be removed. He also described other removal categories such as death, felony conviction, incompetency, duplicate registrations, and self-requested cancellations. Brown reported that between July 1, 2024, and June 30, 2025, the board removed 284,381 registrations from the rolls, including 42,675 for death, 5,940 for felony conviction, 5,527 for registration in another state, 578 for incompetency, 223 based on jury questionnaires indicating non-citizenship, 746 self-removals, and 3,381 duplicates, along with 225,311 removals through the address-maintenance program. He said Kentucky’s total registrations decreased by roughly 169,000 over the year and are now below the Census Bureau’s estimate of the state’s voting-age population. Brown emphasized that receiving a postcard does not mean a voter has been purged and that failure to vote alone does not trigger removal. Members asked about the 223 non-citizen-related removals, the availability and effectiveness of alternatives to ERIC, the partisan criticism of ERIC, and how duplicate registrations are identified. Brown said the non-citizen jury questionnaire cases had been referred to the Attorney General for further review, that Kentucky currently has no organized alternative to ERIC but is pursuing reciprocal agreements with states such as Florida, and that ERIC recently changed bylaws to remove a postcard requirement that had been costly for member states. On duplicates, he said the board uses multiple data points, not just name and address, and noted that fuller Social Security data could improve accuracy. Committee leaders praised the board’s work and said they wanted to meet before session to discuss possible statutory changes to improve voter list maintenance.

Transcript Highlights:

• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• <00:54:32.559> their that's what they use to plan their that's what they use to plan their

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.