Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=lbWKSd1kvAQ, 2026-06-21T07:16:57+00:00, 2.2.24, Data collected via generic collector engine, HOUSE BUDGET REVIEW SUBCOMMITTEE ON HEALTH & FAMILY SERVICES 2-3-2021 MEETING START 00:00 ROLL CALL 00:39 DISCUSSION WITH CHILDREN’S ALLIANCE PRESIDENT, MICHELLE SANBORN, RAINEY ESTEP HOME CEO, GINNY ANDERSON, AND PEER SUPPORT SPECIALIST, MARIE LYLES. OVERVIEW OF K-STEP PROGRAM, BUDGET NEEDS OF CHILD WELFARE, CHILD CARE FACILITIES NEEDS, AND FAMILY FIRST PREVENTION PROGRAMS. 02:02, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• It's a step in the right direction. I get it.
• It's a step in the right direction. I get it.
• So I think this is probably a really good step, one that probably is a good step in the right direction
• So I think this is probably a really good step, one that probably is a good step in the right direction
• If it wasn't for psilocybin therapy.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• He needed physical therapy every day when he was in the hospital.
• I sit on the task, on the advisory committee on Alzheimer's and related dementias, and this is a step
• Anita Berry, Florida Occupational Therapy Association, waived in support.
• And then secondly, an implementation plan dealing with a number of the steps of the kind that you've
• This bill takes a long, strong step in that direction.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• This is a step in the right direction for Texans, and I want to ensure that we're doing everything. to
• House Bill 2610 would expand Medicaid coverage to include physical therapy and dental services. compression

Bills: HB2140, HB2610, HB3121, HB3339

Keywords: maternal health, mortality review, health committee, obstetrics, public health, Medicaid, cancer treatment, healthcare reimbursement, physical therapy, dental services, protheses, compression garments, mortality, morbidity, doula services, disparities, Black women, maternal mortality, health disparities, socioeconomic status

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=_WvA_uJ3Akc, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:41 DISCUSSION WITH ASSOCIATES IN PEDIATRIC THERAPY, ANGELA SAGERCER ON KY MEDICAID REIMBURSEMENT 01:34, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• Is this in their purview to go through all of this and take all those steps?
• And again, would you agree there's maybe no perfect bullet here, but this is a good step at protecting
• I mean, it's a good step in the right direction. Would you agree? I would absolutely agree.
• You guys have supported independent pharmacy every step of the way in this building.
• We'd love to step up and be able to mail prescriptions to folks that live a little bit further outside

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• We've been involved in past reforms related to step therapy.
• than any other population, step therapies and delays in getting medication can have a very negative
• The bill in front of you today limits the use of step therapy for these individuals and other delays
• Do your client and the members agree with two-step therapy?
• There shouldn't be step therapy for these chronically ill patients.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• the physical therapist if the physical Therapist finds reason within his scope that his physical therapy
• So in this scenario, if the pain had continued, would she have Seen the physician or continued therapy
• Had she been doing physical therapy?
• work on this, that we could amend this to include some kind of a timeline so that we're not doing therapy
• When an individual would go in for this therapy for the research, what does that process look like?

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Bills: SB94

Keywords: adoption, adoptive parent, adoptee, minor adoption, adult adoption, Alabama Minor Adoption Code, Alabama Adult Adoption Code, Department of Human Resources, DHR, county department of human resources, putative father registry, paternity, consent, relinquishment, implied consent, notice of adoption, contested adoption, home study, pre-placement investigation, post-placement investigation

Transcript Highlights:

• It takes a bold step in alleviating the tremendous housing crisis here in the state.
• If I could ask you just to take a little step back, just kind of back up a little bit.
• If I could ask you, just to take a little step back, just kind of back up a little bit.
• Senate Bill 131 is a critical step in that direction, and we urge your support. Thank you.
• SB 222 is critical, step forward.

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=MXhGmmiiaXc, 2026-06-21T07:17:04+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start 00:00 Roll Call 01:33 Music Therapy Licensure Discussion 03:43 Anonymous Lottery Winners Update 11:15 Universal Licensing Discussion 13:22 Review of Administrative Regulation 53:25, 958, all, 2.2.42, 2.1.47

Bills: HB 11, HB491, HB837, HB1562, HB1732, HB1757, HB1888, HB2286

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, massage therapy, civil penalties, human trafficking, public safety, law enforcement, student permit, occupational regulation, education, occupations code, criminal history, HB 2286, interior designers, certificate of registration, renewal, Texas Board of Architectural Examiners

Transcript Highlights:

• I think it's an important step.
• This is one step.
• This is one step.
• This is one step.
• first psilocybin therapy. first psilocybin therapy.

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Transcript Highlights:

• Prior authorization or step therapy requirements may be used when a person with a serious mental illness
• And some therapies can lose effectiveness or fail to meet treatment goals over time.
• Economic development may have to step up to the plate and do a little work.

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Massage therapy is a hands-on service that involves vulnerable contact.
• of the New Mexico Massage Therapy Board.
• Did you know that to receive a massage therapy... ...massage therapy license, candidates must complete
• . ...human trafficking under the guise of massage therapy.
• And will this inhibit a new entrance into massage therapy?

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Transcript Highlights:

• get speech therapy, they help pay for caretaking, they help pay for food.
• This is a positive step forward.
• This has nothing to do with the therapy. No, no, Representative.
• This has nothing to do with the therapy.
• I think the therapy is very, very important.

Bills: HR290, HR298, SB405, SCR61, HR318

Keywords: gender-affirming care, gender affirming therapy, gender-affirming hormone therapy, transgender health, trans youth, LGBTQ, mental health, psychosis, psychiatric conditions, puberty blockers, androgen blockers, cross-sex hormones, estrogen, testosterone, informed consent, screening, monitoring protocols, Louisiana Department of Health, LDH, House Health and Welfare

Transcript Highlights:

• go<00:07:10.720> into uh the step therapies that will go into uh the step therapies that
• Um, and then a lot of times the step therapies are going to involve, like, is this obesity looked at
• /c> of times the step therapies are going to of times the step therapies are going to involve<00:07:50.720
• But if you said you had a fiscal note on that. put in step therapy, put in step therapy, it's<00:15:14.800
• occupational therapy. occupational therapy.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• This bill is an important step forward in recognizing the value of camp and allows quality providers
• HB 459 is just another important step and foundational brick toward protecting our children from the
• Staffing shortages and turnover directly impact students who rely on consistent occupational therapy
• There are, based on the research I've done, there are master's programs for occupational therapy, which
• With a master's of occupational therapy will automatically come in with a master's plus 30 baseline.

Bills: SB293, SB279, SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The House Education Committee met and first heard Senate Bill 293, the Youth Camp Licensing Act, which would amend child care licensing rules for youth camps. The sponsor said the bill, with amendments, would remove accreditation language, clarify shelter requirements for outdoor camps, and eliminate limits that had restricted the number of children camps could serve, especially for families using purchase-of-care assistance. YMCA and school representatives testified in support, saying the measure would expand access to safe, affordable summer care for low-income working families. The committee voted to release the bill. The committee then approved Senate Bill 328, which would require the Department of Education’s school facility evaluation instrument to be established by regulation and to include lead-based paint hazards in the standard of good repair. The Childhood Lead Poisoning Prevention Advisory Committee supported the bill, explaining that lead had not been included in the original evaluation tool and that the new language would improve transparency and public comment. Senate Bill 318, updating the Delaware State Education Association special license plate program, also passed after DSEA testified that proceeds support scholarships for educators and students pursuing education careers. House Bill 443, dealing with background checks for education volunteers and mentors, passed as well. The sponsor said it would allow DOE to continue receiving wrapback reports for mentors in the state mentoring program and ensure state and federal criminal background checks remain in place. The committee also released Senate Joint Resolution 15, which directs DOE to reevaluate Delaware’s use of the SAT, modernize the accountability framework, and develop additional measures of student achievement and readiness; supporters argued the SAT does not capture career and technical pathways or other indicators of success. House Bill 459, which prohibits the sale of energy drinks on public middle and high school campuses during school hours or events, passed after discussion focused on whether the bill would affect possession versus sale and whether it could lead to student discipline; DOE said the bill only bans sales, and the sponsor said an amendment would clarify intent. Finally, House Concurrent Resolution 137 passed, directing DOE to review math instruction and MTSS supports statewide; testimony emphasized low math proficiency and the need for stronger, more coherent interventions. The committee also began hearing Senate Bill 279 on occupational therapist salary placement, with discussion centered on aligning OT compensation with other specialist roles and broader salary regulation updates, though the transcript cuts off before final action is shown.

Transcript Highlights:

• I just—so start the first step, yeah?
• So the experts here, I'm going to step away. Thank you so much for stepping in, Ms. Kendall.

Bills: SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The Senate Education Committee approved the June 10 minutes and then heard House Bill 447, which would create a framework for voluntary child care cost-sharing partnerships among the state, employers, community sponsors, and families. Supporters said the bill is meant to help make child care more affordable and support workforce participation by using the existing Interagency Resource Management Committee to coordinate planning and funding. Committee discussion focused on how the tri-share model would work, who would participate, and whether it would reach lower-income families; no public comment was offered on the bill. The committee then took up House Bill 300, as amended, which would establish a statewide Title IX coordinator within the Department of Education to provide training, technical assistance, data collection, and oversight for interscholastic athletics in grades 6 through 12. The bill’s sponsor and supporters said the position would help schools comply with Title IX, improve consistency, and make athletic participation and spending data more transparent; opponents or skeptics questioned whether a new DOE position was needed and whether districts were already meeting their obligations. The sponsor and witnesses responded that existing federal data are delayed and incomplete, that some Delaware schools have participation gaps, and that a state-level coordinator would provide needed support and accountability. Public comment on HB 300 included testimony from the Delaware State Education Association, the Delaware Association of School Administrators, the Delaware School Sports Network, and the Office of Women’s Advancement and Advocacy, all generally supporting the bill or its goals. DASA noted it remained neutral but appreciated changes made in House Amendment 1 to reduce reporting burden. After public comment, the chair asked members to sign the bill release forms for the two bills heard, and the committee adjourned.

Transcript Highlights:

• There’s a step process where you have to have two other drugs ... where you have to have two other drugs

Bills: HB330, HB336, HB322, HB346

Keywords: lead ban, plumbing codes, lead-free, public health, environmental management, respiratory therapy, interstate compact, licensing, military service members, healthcare access, regulation, postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials