Transcript Highlights:

• Representative Shields? Here. Representative Titus? Here. Happy to be here. Right. Chairman Brown?
• Shields? Smith? Aye. Dennett? Titus? Aye. Wilson? Enthusiastically, yes. Titus? Aye. Wilson?
• Representative Shields, thank you for coming up today.
• Representative Shields. Thank you.
• Representative Shields. Thank you. Thank you for being here and for what you do.

Keywords: 959, house, all

Transcript Highlights:

• If they are on a fully insured plan, you can see the dotted line.
• On a fully insured plan, you can see the dotted line.
• , who pays, and who regulates the difference between self-funded and fully insured.
• So have you ever done that at Blue Cross and Blue Shield?
• Have you ever done that at Blue Cross and Blue Shield?

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• There's also a drop-down shield.
• You can see that drop-down shield right here, but that drop-down shield more often than not is misplaced
• There's also a drop-down shield.
• You can see that drop-down shield right here, but that drop-down shield more often than not is misplaced
• move around the room, a wing shield that helps protect from the floor, and then a shield that is mobile

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Summary: The committee began with member and staff introductions, then took up a series of health and human services bills. The first group focused on radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms: SB 1120 would require at least half of procedure rooms in covered facilities to have a radiation protection system by July 1, 2027; SB 1118 would create a state grant program for rural hospitals to help pay for those systems; and SB 1121 would prohibit requiring lead aprons in rooms equipped with such systems, while allowing voluntary use with a real-time dosimeter. Physicians, nurses, and a hospital CEO testified that long-term radiation exposure and heavy lead aprons have caused cancer, cataracts, and orthopedic injuries, and that commercially available systems can reduce exposure to near zero. Some members raised questions about cost, vendor involvement, FDA clearance, and whether the bills should be discussed with stakeholders; the Health Systems Alliance of Arizona said it was neutral and wanted further stakeholder meetings. All three bills were adopted by 7-0 votes, with SB 1120 and SB 1121 amended. The committee then heard SB 1001, which would appropriate $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program. Blind and low-vision speakers described long waitlists, the need for independent living training, and how services help seniors remain at home rather than enter more costly care. The bill passed 6-0 with one member not voting. Next, SB 1072 proposed ongoing General Fund and Medicaid spending to raise reimbursement rates for home- and community-based services for people with intellectual and developmental disabilities, plus room-and-board funding and a workforce survey/reporting requirement. Providers testified that the system is underfunded, staff turnover is high, overtime is extensive, and many people wait for services; the bill passed 6-0 with one not voting. The committee also approved SB 1125, requiring the Department of Child Safety to annually seek MOUs with tribes and improve tribal access to information about placements and enforcement actions involving licensed group homes, after members asked about the stakeholder process and tribal participation. SB 1123, which removes the requirement that a supervising forensic pathologist be board-certified before delegating autopsy-related tasks to trainees, passed after Maricopa County said the change would help address training delays and workforce shortages. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under specified safeguards, drew support from the sponsor and an assisted-living operator but also opposition from a member concerned about off-label treatment in nonmedical settings; it passed 5-2. Finally, SB 1112, reducing the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allowing a judge to waive the witness requirement in some cases, passed 5-2 after testimony from supporters who said the current rule often blocks treatment for seriously mentally ill people and from opponents who argued it weakens due process. The committee then began SB 1113, which would allow service of court-ordered evaluation and treatment documents by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before action on that bill.

Transcript Highlights:

• sure people know, and law changes that have happened in a few years so that people are able to be fully
• informed and fully responsible with that information.
• It does require that signature and review before the transfer is fully executed.
• It requires that signature and review before the transfer is fully executed, and some of these other
• We identified a gap in Delaware's rape shield law that this legislation will fix.

Bills: HB372, HB414

Keywords: HB372, Justice of the Peace Court, Delaware courts, Title 10, court administration, judicial staffing, county courts, Kent County, New Castle County, Sussex County, Wilmington, 24-hour hearings, court locations, court hours, magistrate court, access to justice, court consolidation, Delaware General Assembly, destructive weapon, possessing a destructive weapon

Summary: The committee heard several bills focused on public safety, courts, and family law. House Bill 141, with House Amendment 1, would require the Department of Safety and Homeland Security to create a firearm responsibilities notice for firearm purchasers through licensed dealers, covering Delaware gun laws, safe storage, lost/stolen reporting, straw purchases, suicide prevention, and other safety responsibilities. Testimony from the NRA, Delaware State Sportsmen’s Association, Moms Demand Action, the Coalition for Safer Delaware, and Delaware State Police was uniformly supportive, emphasizing education, standardized dealer practices, and potential evidence for straw-purchase prosecutions. No committee questions were raised, and the bill was moved forward after public comment. House Bill 326 would create a new offense for theft by impersonating a family member, aimed at scams involving spoofed calls, texts, or online messages that pressure victims to send money. The sponsor described the bill as a response to increasingly sophisticated fraud enabled by artificial intelligence, and noted that a House amendment removed an original mandatory minimum jail term, leaving sentencing to the courts. No public testimony was offered on the bill. House Substitute 1 for House Bill 150 would prohibit civil arrests inside courthouses and certain Department of Labor proceedings, with the sponsor arguing that such arrests deter people from coming to court or seeking protection; the bill would allow criminal arrests and civil arrests only with advance written notice. No testimony was taken on that measure. Senate Bill 284, the First State Emergency Responders Act, would create a narrowly tailored offense for intentionally approaching within 25 feet of first responders at emergency scenes after crossing a barrier or ignoring warnings, if done to interfere, threaten, or harass. Supporters, including police, fire service, and sportsmen’s groups, said it would protect responders and preserve emergency operations, while the Office of Defense Services opposed it on First Amendment and overbreadth grounds, arguing existing laws already cover much of the conduct. Senate Bill 304 would amend Delaware’s safe school zone law to allow private schools to use trained, vetted sentries or similar security arrangements; supporters said it would give smaller private schools an affordable safety option, while the sponsor said the bill needed more work and should not move forward yet. The committee also heard Senate Substitute 1 for Senate Bill 314, which would clarify how courts handle evidence that a sexual assault complainant previously made a false allegation; DOJ and ODS said the substitute reflects a consensus approach, and YWCA Delaware supported it as a survivor-protective reform. Finally, Senate Bill 343 would expand methods for serving child support respondents in Family Court by authorizing service through certified mail and carriers such as USPS, UPS, and FedEx, addressing cases where people avoid in-person service using doorbell cameras and other technology. The Division of Child Support Services supported the bill as a practical update that would improve timeliness while preserving proof-of-delivery safeguards. At the end of the meeting, a motion was made and seconded, and the chair adjourned the session.

Transcript Highlights:

• plans. shielded self-funded multi-state plans like ours for many of the proposed owner provisions of
• So I think from a legislative standpoint, the transparency is huge, and I fully support that.
• I want to start by saying I am Ted Hosp from Blue Cross Blue Shield of Alabama.
• Respectfully, sir, that's not a decision that Blue Cross Blue Shield of Alabama makes.
• . than Blue Cross Blue Shield of Alabama.

Keywords: 923, senate, all

Transcript Highlights:

• Riggs, Shields: Yes.
• Shields. Aye. Aye. All right.
• So, you know, Representative Shields, to Representative Shields' point of where you vote might be a way
• I think Representative Shields, you had a quick follow-up.
• Representative Shields. Thank you.

Keywords: 959, house, all

Transcript Highlights:

• You just say that the advanced shielding techniques can get us down to the...
• I mean, they have shielding systems that don't have real-time dosimetry.
• There are seven or eight companies that provide the shielding.
• So I fully support 1672. Limiting the step process is what I hear.
• My caregivers would be fully trained in the hyperbaric, as everyone would.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• Fully Hopefully that fixes that. Morning, Madam Chairman, committee members.
• I think Blue Cross Blue Shield reference cost reports.
• Fully. >> Madam Chairman, just a thought on your thought process.
• I think that's something we don't fully appreciate.
• Bully, Blue Cross Blue Shield Wyoming is interested in...

Keywords: 916, all

Transcript Highlights:

• I'm committed not just to shielding our most vulnerable from abuse, but also to shielding taxpayers from
• I'm committed not just to shielding our most vulnerable from abuse, but also to shielding taxpayers from
• I'm committed not just to shielding our most vulnerable from abuse, but also to shielding taxpayers from
• I'm committed not just to shielding our most vulnerable from abuse, but also to shielding taxpayers from
• I'm committed not just to shielding our most vulnerable from abuse, but also to shielding taxpayers from

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:19 Auditor of Public Accounts 00:01:07 Office of Secretary of State 00:10:22 Kentucky State Treasury 00:17:51 Office of Attorney General 00:28:50, 958, all

Summary: The Budget Review Subcommittee on General Government met for its first meeting and heard budget-related presentations from the Auditor of Public Accounts and the Secretary of State, with the Treasurer beginning a presentation at the end of the transcript. Auditor Allison Ball reviewed her office’s 2024 and early 2025 work, including hundreds of county and state audits, several special examinations, and ongoing reviews such as the kinship care funding issue, the Kentucky Department of Education audit, and the Jefferson County Public Schools audit. She said her office is focused on waste, fraud, abuse, and legal compliance, and asked the committee to consider future budget changes, including aligning her appropriation with restricted funding and restoring a stronger performance-audit function. She also highlighted audits that exposed serious problems, including the Department of Juvenile Justice review, and said those reports are intended to serve as models for other entities to avoid similar failures. Secretary of State Michael Adams said his office is self-sustaining through fees and does not need tax dollars, but asked for greater access to its own revenues and more flexibility in using them. He highlighted the Safe at Home address confidentiality program, saying recent changes expanded protections for survivors of domestic violence, sexual assault, and human trafficking, and that the program has grown rapidly while remaining funded by offender fines. Adams also urged lawmakers to again adjust county election funding for inflation, noting the current per-voter and per-precinct amounts were set decades ago. In questioning, Representative Hart asked whether the Safe at Home program was self-funding; Adams replied that it covers only about 10% of its operating cost and said the best solution would be to let the office use more of the revenue it already collects rather than rely on tax dollars. Treasurer Martin Medcafe, introduced with staff member Russell Weber, praised the General Assembly’s fiscal discipline and described the Treasury’s work in managing state funds. He reported strong results from the Unclaimed Property Fund, saying the office returned $35.5 million to Kentuckians in its first year and $3.8 million in the first month of the current year, and said the State Investments Commission generated $682 million in returns last year. He also highlighted financial literacy efforts through the Kentucky Financial Empowerment Commission and said the Treasury is helping manage opioid settlement funds, which are now earning up to $200,000 per month through investment. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Tulsa had a lot of critical incidents and didn't have ballistic shields.
• First, I mean, I got interested in trying to get shields in police cars.
• I mean, lightweight rifle-rated shields are expensive.
• We kind of came up with the middle-of-the-road shield.
• How many people did you see running up with a ballistic shield?

Summary: The committee heard extensive testimony on Oklahoma school safety from Commissioner Tipton, OSSI director Mike Fike, OACTIC director Alan Young, OSBI lieutenant Isiles Keene, and Rogers County Sheriff Scott Walton. The main focus was a statewide school-safety framework built around response, prevention, and recovery. Witnesses described training law enforcement in the LASER active-shooter response model, adding A-TURK training for coordinated law enforcement/fire/EMS response, expanding run-hide-fight and Stop the Bleed instruction for educators and staff, conducting risk and vulnerability assessments, and using the Rave panic-button system and the ProtectOK tip app to speed reporting and dispatch. They also emphasized behavioral threat assessment and management (BTAM) teams as a prevention tool to identify and support at-risk students before violence occurs. Members asked about administrator and teacher training, school counselor involvement, how apps are deployed on personal versus school devices, and whether schools are actually using the programs. Witnesses said administrators, counselors, and SROs should be part of BTAM, that training is most effective when it is realistic and repeated, and that Rave is geofenced and typically invited onto devices by schools. Several members stressed that school leaders must buy in for safety plans to work, and one member raised concerns about traumatic training and the need for mental-health support as part of prevention. Witnesses said mental-health referral and monitoring are part of BTAM, but the school and local partners must manage the process. OSBI’s lieutenant added broader context, comparing school safety to fire safety and noting that Oklahoma still lacks some statutory requirements for intruder drills and stronger penalties for school threats. He also discussed possible future tools such as surveillance analytics, gunshot detection, ballistic-rated doors and walls, and better access controls, while warning that technology should supplement, not replace, basic safety systems and training. Sheriff Walton closed by describing rural response challenges and his foundation’s effort to place ballistic shields in schools and police cars, arguing that human resources and rapid communication remain the biggest gaps. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• done over and over and over again, we once again tell other states that women in Massachusetts are fully
• It contains vital provisions designed to shield personal information, restrict cooperation with out-of-state
• And thirdly, a universal shield for providers protecting all patient privacy.
• providers can confidently respect and uphold a broader range of patient choices, knowing they are shielded
• ensures that professional conduct in Massachusetts, adhering to our standards of care, should be shielded

Keywords: 995, all

Summary: The House first took up several routine matters, adopting resolutions recognizing the 30th anniversary of the Glasgow Lands Scottish Festival and congratulating Father Gerald Francis Finnegan, S.J., on his long ministry. Members also suspended Joint Rule 12 to allow a petition establishing a sick leave bank for a Massachusetts State Police employee to go to the Committee on Public Service. The chamber then moved to Senate Bill 2543, An Act Strengthening Health Care Protections in the Commonwealth, and adopted the Ways and Means amendment before sending the bill to third reading. Later, after the bill was released from third reading, the House considered it on final passage. Supporters described the measure as protecting reproductive and gender-affirming care, patient data, providers, and Massachusetts residents from out-of-state interference, while also incorporating federal emergency care requirements. Amendment 4, which would have barred state funding for campaign ads discouraging pregnant women from using pregnancy resource centers, was rejected. Amendment 8, which would have broadened the bill to include refusals of care and other preventive care for adults and minors, was also rejected after opposition argued it could allow one parent to block care for a child. Amendment 6, as changed, narrowing certain data protections to abortion-related care, IVF, and gender-affirming care, was adopted. The House also adopted Amendment 7, clarifying that businesses handling information for payment, treatment, or health care operations would not violate the bill, and Amendment 9, directing the Commissioner of Public Health to convene a technical advisory group to review a section of the General Laws. After these amendments, the bill passed to be engrossed by a vote of 136-23. The House then observed a moment of silence for victims of the Gabriel House assisted living fire in Fall River and adjourned to meet the next day in informal session.

Transcript Highlights:

• And so when you look at the one, it's Blue Cross Blue Shield; one is Sanford.
• Prior to then, it was Blue Cross Blue Shield, and then anything over went into our reserves.
• And then the new plan would be fully implemented.
• Shield. Right. Yeah. Yep, we can definitely get that, I'm guessing, shortly. Thank you.
• That's what Derek's just checking on: what the bid from Blue Cross Blue Shield was.

Bills: SB2160

Keywords: health insurance, public employees, uniform group insurance, retirement, state employees, 908, all

Summary: The committee resumed work on Senate Bill 2160, which would move the Public Employees Retirement System health plan from grandfathered to non-grandfathered status under the Affordable Care Act. PERS officials Rebecca Frickie and Derek Holbein explained that the bill would allow more flexibility in plan design, including higher deductibles, co-pays, and out-of-pocket maximums, while also adding enhanced preventive benefits. They clarified that ACA “essential health benefits” apply to individual and small-group markets, not to PERS as a large employer, and that the bill’s projected cost increases were based on actuarial estimates and prior bid scenarios from Sanford and Blue Cross Blue Shield. Members debated whether the bill would actually save money or simply shift costs to employees. Supporters argued that non-grandfathered status would create more levers to manage medical inflation and could produce net premium savings through plan redesign, citing prior bid comparisons showing potential reductions of 1% to 8% depending on the option. Opponents, including Representative Schauer and North Dakota United president Nick Archelette, questioned how the state would pay for the estimated $25 million to $30 million in added benefits and warned that employees could face higher out-of-pocket costs amid already strained household budgets. Frickie said the legislature would control funding decisions and that current law requiring the state to pay full family premiums could be changed only by statute. The committee also discussed reserve funding, with members noting that a $4.3 million reserve draw in the bill was intended to cover the final months of the biennium and could be modified. After testimony and discussion, Vice Chair Johnson moved a do-pass recommendation and referral to Appropriations. The motion passed 10-3-1, with Representatives Ostlie, Schatz, and Schauer voting no. Representative Gump agreed to carry the bill.

Transcript Highlights:

• Gold assistance to Gold Shield families.
• Shield families suffer tremendous Shield families suffer tremendous heartbreaking<03:20:44.800> loss
• <03:21:01.560> families HRES 364 because Gold Shield families HRES 364 because Gold Shield
• often referred to as the Gold Shield often referred to as the Gold Shield families,<03:23:02.880
• The term gold shield legacy forward.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 13, 2025, 1012, house, all

Transcript Highlights:

• <00:21:16.200> insured individuals on exchanges fully insured individuals on exchanges fully
• Cross and Blue Shield of Kentucky um Cross and Blue Shield of Kentucky um chairman<00:27:51.760> Meredith
• insured plans the estimate, I think, was about $30 million annually for fully insured plans on that
• I think, to Hope’s point, I appreciate Blue Cross Anthem Blue Cross Blue Shield.
• I think, to Hope’s point, I appreciate Blue Cross Anthem Blue Cross Blue Shield.

Keywords: Meeting Start: 00:00 Roll Call: 00:10 SB145 Discussion: 02:23 SB145 Vote: 05:13 SB183 Discussion: 06:13 SB183 Vote: 11:37 HB413 Discussion Only: 16:15, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and first took up Senate Bill 145, sponsored by Sen. David Givens. The bill would update retail installment contract statutes for automobile sales, allowing retailers with installment contracts shorter than 28 days to begin collections after three days instead of waiting for multiple missed payments, and it also harmonizes a related dollar amount in statute from $10 to $15. The committee asked no questions, and the bill received a favorable expression on a roll-call vote. The committee then heard Senate Bill 183 from Sen. Matt Nunn, with testimony from Chris Nolan of the American Property Casualty Insurance Association. The bill would require proxy advisers acting for the State Retirement System to act solely in the financial interest of current and future retirees and to avoid political or social considerations in shareholder voting recommendations. Supporters argued it would keep politics out of public pensions and align proxy advice with fiduciary duties; members praised the bill and noted Kentucky could be among the first states to adopt such a model. The committee approved the bill with favorable expression after a roll-call vote. The committee also reviewed administrative regulation 808 KAR 9:10 from the Department of Financial Institutions, with no vote required. It then took up House Bill 413, a PBM rebate pass-through bill, with testimony from Sarah Wood of the Diabetes Patient Advocacy Coalition. She said the bill would require 85% of negotiated drug rebates to be passed through to patients at the point of sale, lowering out-of-pocket costs, especially for high-rebate drugs such as insulin, while still allowing 15% to remain with plans. She cited examples from other states and argued the bill would benefit about 650,000 Kentuckians. Hope McClaflin of Anthem opposed the bill, saying it would reduce employers’ ability to use rebates to lower premiums, could disproportionately favor high-cost brand-name drug users, and could create significant costs for state and fully insured plans. Members asked questions about other states’ pass-through rates and the effect on premiums, but no final action on House Bill 413 was taken in the portion of the meeting provided.

Transcript Highlights:

• The information, as is often the case, shielded the trafficker and hid the truth.
• That has to do with what are oddly called shield laws.
• There are other provisions of the bill that deal with shield laws broadly.
• These deal with specific provisions in those state's shield laws.
• These shield laws are a new legal development.

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• but it should not require us to fully but it should not require us to fully submit<00:13:50.120>
• This includes Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, and they are the only
• This includes Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, and they are the only
• <00:31:05.000> of includes Blue Cross through Shield of includes Blue Cross through Shield
• <01:17:40.760> and today that I fully I fully agree and and today that I fully I fully agree

Keywords: 1183, house

Transcript Highlights:

• so when Sarah Cleary asked the question, I thought to myself, well, I think it's Blue Cross Blue Shield
• contract includes requirements for whatever vendor holds that contract, which is Blue Cross Blue Shield
• that we have for the provider, we withhold a portion of the capitation payment to Blue Cross Blue Shield
• It did not fully fund the agency request in this area.
• That's something that will be sometime before it's fully implemented. Yes, Mr. Chair.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• shielded.
• shielded.
• shielded... you want to continue or move to your you want to continue or move to your question?
• The Transportation Cabinet, excuse me, would be required to use fully shielded lights when they
• , and they have to be shielded within 30 days.

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:15 HB 658 Discussion: 03:40 HB 658 Roll Call Vote: 04:50 HB 142 Discussion: 06:30 HB 142 Roll Call Vote: 22:45 HB 571 Discussion: 24:25 HB 571 Roll Call Vote: 29:10, 958, all

Summary: The committee first took up House Bill 658, which would require the Transportation Cabinet to adopt regulations extending the allowable period for a restricted CDL license from 180 to 210 days within a 12-month period for agriculture businesses. Rep. Felicia Rabourn presented the bill with support from Todd Griffin of the Kentucky Retail Federation and Agra Business Association. The committee quickly moved to a vote, and the bill passed with favorable expression. Members indicated it would move forward similarly on the House floor. The committee then considered House Bill 142, a deer-management bill sponsored by Rep. Pollock and amended by committee substitute. Pollock said the bill is intended to help farmers and landowners more quickly obtain destruction tags and address overpopulated deer, especially does, after describing crop losses, vehicle collisions, and deer carcasses seen along roadways. Members from farming districts strongly supported the measure, saying deer damage is costly and widespread and that the bill would reduce paperwork by allowing landowners to obtain tags without having to route everything through each landlord. Questions focused on how Fish and Wildlife would determine overpopulated zones and how the damage-verification process would work; Pollock said the department retains discretion and must inspect damage within 15 days. The committee adopted the sub and passed the bill with favorable expression. Finally, Rep. Kim Holloway presented House Bill 571, which would require Transportation Cabinet light fixtures to be fully shielded to reduce light pollution affecting agriculture. She said light trespass can disrupt crop photoperiodism, pollination, and yields, and noted the economic importance of Kentucky agriculture. Members asked whether the bill applies only to Transportation Cabinet lights and how complaints would be handled; Holloway said it applies to state transportation lights and includes a process for landowners to request shielding, with a 30-day compliance period and a construction/maintenance exemption of up to 180 days. The committee approved the committee substitute and continued discussion of the bill.

Transcript Highlights:

• building and ensuring safety The Shield building and ensuring safety The Shield act<00:10:24.920
• for the safety of our folks The Shield for the safety of our folks The Shield act<00:14:58.560><
• most advanced in developing this Shield most advanced in developing this Shield Act<00:48:26.960
• I wonder about my ability to hold up a shield, a literal shield like that.
• I wonder about my ability to hold up a shield, a literal shield like that.

Keywords: 1183, house

Transcript Highlights:

• So we are fully behind this and hope that you will pass this bill.
• Clifford Dorn, the president of Operation Safe Shield.
• We protected them fully, and the officers greatly appreciate it.
• I will forever be grateful to Operation Safe Shield. Dave Shields and Dr. Dorn. Thank you.
• But anyway, thank you to Operation Safe Shield.

Bills: HB1583, HB1775, HB1832, HB1836, HB1837, HB1866, HB1983, HB2029, HB2217, HB2318, HB2363, HB2486

Keywords: mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers