Transcript Highlights:

• direct blood donations if the patient provides notice to a hospital at least 72 hours before the planned
• telling patients if the cash price for a drug is lower than the price under their insurance plan.
• This provision ensures that the contracts between PBMs, health insurance plans, and pharmacy agencies
• There is an error in the results of the delay of notification of the health plan.
• And plans aren't using AI at this point for handling.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• ERISA-based PBM plans follow state law. preemption, the U.S.
• This is to make sure that all PBMs, including those that are employer-sponsored plans and ERISA plans
• This is just gonna increase the cost on plans.
• It's not what PB Williams are currently having to follow that are not ERISA plans.
• ERISA plans, they argue, are exempt from following state statute.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Currently, these provisions apply to ERISA plans.
• And if that's through an ERISA plan or any other plan...
• Sort of mandate-like plan, this will eliminate another option.
• Eighty percent of the plans have gone to ERISA.
• An ERISA plan, the savings is baked into the total plan.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• These provisions apply to ERISA plans.
• And if that's through an ERISA plan or any other plan, a sort of mandate-like plan, uh, this, this will
• Um, 25 years ago or so, 80% of the market was in fully funded plans.
• Blue Cross would have a gold, blue, uh, silver, and a bronze plan.
• , the, the savings is, is baked into the total plan.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

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:

• have that plan for just a minute. have that plan for just a minute.
• , the governor's 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:

• > been maintenance employees have been maintenance employees have been recognized<00:03:50.640
• to defend our request for maintenance to defend our request for maintenance funding<00:04:08.239
• transportation cabinet's maintenance transportation cabinet's maintenance budget<00:04:45.280>
• regularly occurring maintenance needs. regularly occurring maintenance needs.
• maintenance related capital projects. maintenance related capital projects.

Keywords: 00:01 Call to Order and Roll Call 00:47 Maintenance 12:40 Approval of Minutes 12:55 Vehicle Regulation 21:08 General Admin and Highways 34:11 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Transportation met without a quorum at first, then later approved the minutes once quorum was established. The committee heard presentations from Transportation Cabinet officials Mike Hancock, Jeremy Slinker, and Sean McCarnieran on maintenance, vehicle regulation, general administration, highways, and related capital projects. Hancock emphasized that maintenance is the cabinet’s most visible public service, especially for snow and ice removal and routine roadway upkeep, and said rising costs have outpaced funding. He cited a 61% increase in highway construction costs since 2020 and said maintenance spending was $488 million in FY 2024 and $511 million in FY 2025, while the FY 2026 baseline request was $483.3 million. The cabinet’s additional maintenance request would add $23.6 million in FY 2027 and $38.6 million in FY 2028, with expected impacts on litter pickup, mowing, vegetation management, and pothole repair if not funded. The cabinet also outlined five maintenance-related capital projects: additional funding for Ballard County maintenance/salt storage, Hopkins County maintenance/salt storage, Whitley County maintenance/salt structure, and the District 2 office and materials lab, plus reauthorization of the Breckinridge County maintenance and salt facility. Hancock also asked for budget language allowing the cabinet to use unexpected restricted and federal funds more quickly, similar to existing authority for federal earmarks. McCarnieran described the governor’s inclusion of funding for the ASHTOWare system, employee health exams, priority IT projects, and a District 7 office renovation request, noting that some items were not funded because they ranked low among competing projects. He also said the governor’s budget included a $7.5 million annual maintenance pool for the cabinet’s 1,200 facilities and requested additional restricted fund authority for Trimark and the Cumberland Gap Tunnel. Slinker focused on the Department of Vehicle Regulation, saying recent investments in staffing and equipment had reduced wait times and improved customer service in driver licensing offices. He requested $535,600 to keep temporary contract workers in place for the rest of the year, warning that without it regional office operations would have to be reduced. He said the surge in demand was driven by new 15-year-old licensing requirements, vision testing, and Real ID implementation, but believed the volume was beginning to level out. He also outlined FY 2027 and FY 2028 plans totaling $20.38 million and $19.85 million, including six new regional offices and a shift away from temporary workers toward state positions. Additional requests included $106,000 for debt service on the new driver’s license modernization system and operating costs of $5 million in FY 2027 and $2.5 million in FY 2028 to support the transition from the old system. Members asked about the cabinet’s funding sources, and officials said the road fund is the primary source, supported by motor fuels tax, usage tax, driver-related receipts, and some restricted funds; they stressed that the requests were not for additional general fund dollars. Questions also covered employee health exam reimbursements, the annual Trimark/Cumberland Gap contract, and the District 7 renovation request. No votes were taken on the budget items during the meeting, beyond approval of the minutes.

Transcript Highlights:

• Districts are also to report reading plans to the Department of Education, which will provide training
• > reading districts are to report um these reading districts are to report um these reading plans
• <00:03:51.120> of<00:03:51.360> ed<00:03:52.239> and<00:03:52.560> the plans
• to the department of ed and the plans to the department of ed and the department<00:03:53.200> of
• Good morning, Chairman Salazar, ongoing maintenance of these systems and ongoing maintenance of these

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Let's plan a meeting on Monday as well.
• And prior to that, I was a planning commissioner for eight years.
• that, I was a planning commissioner for eight<01:48:40.719> years.
• I believe the first time that was in the comp plan was in um 2012, if my memory serves.
• I believe the first time that was in the comp plan was in um 2012, if my memory serves.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• This outlines the major maintenance This outlines the major maintenance appropriations.<00:02:16.239
• historically<00:02:19.440> been major maintenance has historically been major maintenance
• The college has planned in their master plan for all of those projects to move forward in phases.
• little bit about the the funding plan? little bit about the the funding plan?
• And I think this uh this idea plan.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: SB5, SB142, SB158, SB171, SB5

Keywords: archives, history, board of trustees, vacancies, government control, SB142, Alabama, voting, voter registration, election law, Secretary of State, board of registrars, ERIC, Electronic Registration Information Center, National Change of Address, NCOA, voter roll maintenance, address change, voter list cleanup, inactive voter

Transcript Highlights:

• So upon the plan is to put money into it, and then the emergency would go in just like all the other
• And it also adds in reporting requirements and adjustments on the 80-year plan and asset preservation
• plan.
• The overall goal and intent is To increase funding for the roads eight-year plan.
• This also adds in the reporting requirements with an ear plan and the asset preservation plan.

Bills: HB3882, HB4273, HB4280, HB4281

Keywords: transportation, revolving fund, grants, infrastructure, economic development, income tax, aerospace, higher education, tax credit, qualified employee, funding, safety, state highways, bridges, apportionment, Oklahoma, transportation funding, sales tax, road maintenance, public safety

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:

• 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:

• did not participate in those same plans.
• It excludes commercial insurance plans regulated by the state.
• to all state-regulated health plans.
• wants to enroll in that plan.
• It'll potentially vary between different plans, but also different products within the same plan, and

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• plans.
• Third, HB139 plans would not be junk plans.
• plan versus the Fiesta plan?
• plans.
• So there are small plans. You could look at association plans.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• They actually did a business plan for the medical school that dives into a lot of this information and
• At this point, we've introduced our new strategic plan for 2026-2030, a forward-looking map that reflects
• This plan was the result of months of thoughtful collaboration, data analysis, and stakeholder engagement

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:

• And then Secretary Armejo, you mentioned the GLP-1, and I know some health insurance plans are...
• Does such a planning tool exist? So, Mr.
• There's maintenance. We need repairs to occur.
• The one thing to remember is Senate Bill 42 has mandatory participation in the plan of safe care.
• 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:

• 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.
• 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