Transcript Highlights:

• That's when the caseworker comes in, they check all the time.
• That's when the caseworker comes in; they check all the time.
• If they don't like the program, they can come off the program, go back on the wait list, and wait for
• So we'd waited 10 years since he signed up at age three.
• will take a long time surely do, and that was today.

Summary: The committee met with a quorum present and heard six bills, all of which were reported favorably. HB 1567, relating to insulin administration by direct support professionals, was amended to clarify the type of insulin that may be administered and to allow supervision of self-administration of an insulin pen. Supporters described the bill as a way to keep people with developmental disabilities in group homes rather than forcing institutional placement; the amendment and bill both passed unanimously, 17-0. PCS for HB 1103, on services for persons with disabilities, would expand the APD managed care pilot statewide in phases, require more transparency on waitlist data, create a statewide family care council, and address transition services for young adults leaving foster care. Testimony was mixed: supporters emphasized the long APD waitlist and the need for a voluntary option, while some witnesses and members raised concerns about the accelerated rollout, limited data, and preserving consumer-directed care. The committee adopted the bill 17-0. CS for HB 127, on exceptional student education, would create micro-credentials and coordinate with the Florida Center for Students with Unique Abilities and OSHA to support students with disabilities transitioning to work; it passed 17-0 after testimony from a parent and advocates. HB 989, concerning licensure of family foster homes, was amended to streamline license transfers for foster parents moving within Florida while maintaining oversight and directing DCF rulemaking. A teacher and other supporters said the bill would reduce bureaucracy and help children remain in stable homes; it passed 17-0. PCS for HB 1091, on substance abuse and mental health care, updates processes related to the 988 crisis line, methadone treatment needs assessments, and forensic evaluators, and adds data/reporting requirements for DCF managing entities. After one amendment and testimony from supporters and one opponent, it passed 16-0. Finally, HB 633, on behavioral health managing entities, was amended and then approved 17-0; it requires more structured data and reporting from managing entities to increase accountability and transparency in the behavioral health system.

Transcript Highlights:

• Uh Representative Hicks, do you know the approximate wait time kids are like right now, kids that are
• So, the wait time varies.
• that despite our system gaps, wait that despite our system gaps, wait times,<00:03:12.959> and
• <00:04:35.440> time do you know the approximate wait time do you know the approximate wait
• So, the wait time Thank you, Chair.

Keywords: 1183, house

Transcript Highlights:

• are waiting, so you can see that there's a little over 3,000 children on our wait list.
• We need to take the time.
• I would like to get some additional insight on the wait list. Are there caps on the wait list?
• I would like to get some additional insight on the wait list. Are there caps on the wait list?
• I see that there was a wait list mentioned for SRAs, but also are there not wait lists for the ABC program

Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.

Transcript Highlights:

• have minor children, they have to wait have minor children, they have to wait 60<00:02:18.480>
• that 60-day waiting period starts. that 60-day waiting period starts.
• They're losing half the time assets.
• Kentucky, with only a 60-day waiting Kentucky, with only a 60-day waiting period<00:11:43.760>
• It was a horrific time in my life.

Keywords: 00:00 - Call to Order/Roll Call 01:13 - Discussion of 26RS HB 109 26:47 - Roll Call Vote on 26RS HB 109 32:30 - Discussion of 26RS HB 190 36:15 - Roll Call Vote on 26RS HB 190 37:30 - Adjournment, 958, all

Summary: The House Families and Children Committee met in the 2026 regular session and heard House Bill 109, which would amend Kentucky divorce law to waive the current 60-day waiting period for couples with minor children when the parties have already completed mediation or collaborative family law and are ready to finalize their decree. The bill sponsor, Representative Deetsz, argued the measure would reward families who have already done the work to resolve custody, parenting time, and property issues outside of court, and said it would not affect traditional litigation cases. She also explained that delays can be especially burdensome when retirement-account division requires a QDRO after the decree. Committee members discussed how long collaborative cases typically take, with the sponsor estimating about six months on average and longer in complex cases, and noted that some judges already require parenting classes or allow reconciliation conferences in certain circuits. David Walls of the Family Foundation testified in opposition, saying the bill would make divorce easier for parents with children and move Kentucky in the wrong direction. He argued waiting periods can encourage reconciliation, protect marriage commitments, and reduce harms to children and public costs associated with family fragmentation. He urged lawmakers to preserve or even lengthen the waiting period rather than eliminate it, and framed the issue as protecting children and strengthening marriage. During questions, Representative Bojanowski strongly objected to Mr. Walls’ characterization of divorce, saying her own divorce was necessary for her children’s well-being and that the bill simply shortens the process after mediation. Representative Elliott asked about typical timelines in collaborative cases and noted that some courts require parental education. Representative Moser asked whether counseling is required; the sponsor said it is not, though reconciliation conferences may be requested at a judge’s discretion. The transcript ends after discussion of the bill and before any recorded vote or final committee action.

Transcript Highlights:

• landfill one time in 2012. landfill one time in 2012.
• <00:10:31.200> for waiting and waiting and waiting for waiting and waiting and waiting for
• Agencies shouldn't be able just to wait and wait and wait and nothing get done.
• be able just to wait uh and wait<00:23:58.640> and<00:23:58.960> wait<00:23:59.360>
• So, wait and wait and nothing get done.

Keywords: Meeting start: 00:00 Roll call: 00:24 SB 52 discussion: 01:28 SB 52 voting: 25:08, 958, all

Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met with a quorum and adopted a committee substitute for Senate Bill 52. The sponsors, Senators Rawlings and Elkins, explained that the substitute narrowed the bill to state public agencies, exempted cities and counties, extended the basic decision deadline from 30 to 60 days, added an additional extension for safety, health, and public welfare concerns, removed an earlier jury-trial provision, and exempted Kentucky State Police exams. They said the bill is intended to require clear permit criteria, timely agency decisions, and meaningful appeal rights for permits tied to constitutionally protected activity, without eliminating existing licensing or permitting requirements. Senators supporting the bill described long agency delays and uncertainty in permitting as costly for contractors, schools, landfill projects, and energy development. Senator Elkins gave a detailed example of a landfill permit process that took years, and other members said agencies should be held to timelines or at least provide reasons for delay. Senator Boswell and Senator Clemens raised concerns that the safety/health/welfare extension could remain subjective and that hard deadlines might pressure agencies and risk public safety. Senator Thomas also said he supported the goal but was voting no because he wanted a safer middle ground. Audrey Ernsburger of the Kentucky Resources Council testified in a neutral-to-cautious position, saying the group agreed that complete applications should be reviewed in a timely and predictable way, but objected to the default-approval mechanism and some burden-shifting provisions in the original language. She warned that deadlines could begin before an application is complete, that deficiencies might not toll the clock, that automatic approval could create public-health risks in some licensing contexts, and that KRS Chapter 13B already governs administrative hearings and judicial review. She said KRC would prefer a statutory process without a hard deadline. After discussion, the committee voted 9-2 to report Senate Bill 52 favorably, as amended.

Transcript Highlights:

• Families routinely encounter a long wait list.
• Thank you sincerely for your time.
• Thank you so much for your time.
• And the reason I did that is because there was a wait list of six to 12 months for people waiting to
• I thank you for your time.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• lists and depriving many of timely support.
• lists and depriving many of timely support.
• Connecticut a long time. Maine, Pennsylvania, New York, New Jersey, long time.
• The wait lists are usually about 10 years.
• This time has a cost.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• Of those on the waitlist, nearly 40% have waited over a decade. JJ waited 18 years.
• Thank you for your time.
• So there are time frames in there.
• You do need some time for that.
• You do need some time for that.

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• We cannot wait. We have waited more than a decade, and enough is enough.
• We cannot wait. We have waited more than a decade, and enough is enough.
• We cannot wait. We have waited more than a decade, and enough is enough.
• She said they can't wait because their time might run out.
• She said they can't wait because their time might run out.

Keywords: 1183, house

Transcript Highlights:

• Another key part of this bill is the minimum 72-hour waiting period between the time the background check
• a<00:05:03.199> cooling time waiting periods provide a cooling time waiting periods provide
• Needing to wait would have given him time to think about his decision.
• Needing to wait would have given him time to think about his decision.
• Needing to wait would have given him time to think about his decision.

Keywords: 1189, house, all

Transcript Highlights:

• So what are those waiting times?
• So what are those waiting times?
• So what are those waiting times?
• So what are those waiting times?
• for waiting times.

Keywords: 958, all

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

Transcript Highlights:

• But you tell us to wait. We got to wait.
• Not one time.
• Because we got to wait, because it takes a long time. It takes more than 12 years.
• Or do we have to wait? I won't know because... Or do we have to wait?
• There is no more time. We don't need to wait until June for another assessment.

Summary: The hearing focused on the long-delayed Southern California Veterans Cemetery project at Gypsum Canyon in Anaheim, with opening remarks from Assemblymember Sharon Quirk-Silva, Senator Tom Umberg, and Assemblymember Avelino Valencia emphasizing the project’s importance to Orange County veterans and families. Anaheim city leaders, including the mayor pro tem and council members, voiced strong support and described the city’s role in planning, utilities, and final approvals. Quirk-Silva reviewed the project history, including prior legislation, county and state funding commitments, and the recent federal determination that the site meets VA criteria for a state veterans cemetery. The first panel, representing the veterans community, included the American Legion, American Gold Star Mothers, and Valor. They argued that Orange County—home to a large veteran population—still lacks a local veterans cemetery, forcing families to travel long distances to Riverside or elsewhere. Testimony stressed the emotional and practical burden on aging veterans and grieving families, and called for immediate action and possession of the property. Some speakers were sharply critical of CalVet and the pace of the process, saying veterans have waited too long and that the project should move forward without further delay. The second panel, from Orange County, described the county’s and cemetery district’s support and the unique opportunity to develop a shared site for a public cemetery and a separate state veterans cemetery. County officials said the county has dedicated land and funding, and that shared infrastructure—roads, utilities, grading, and access—could reduce costs substantially if the two projects are coordinated. They also said the county is ready to transfer the property to CalVet when appropriate and that the project has already cleared major local approvals and litigation. The final panel from DGS and CalVet explained the state’s feasibility study and current planning work. DGS said the 2023 study estimated the state’s portion of phase one at about $126 million, largely driven by site work and grading, though that estimate may change as assumptions are updated. CalVet said it is working with DGS and the county on a revised concept plan to lower costs and refine the timeline, and that legislative budget action will be needed to authorize spending from the Southern California Veterans Cemetery fund. No formal vote was taken; the hearing was informational, and the main action was continued coordination among the state, county, city, and veterans groups, with public comment at the end overwhelmingly urging faster construction.

Transcript Highlights:

• because I think that's a little... the wait list that we were speaking of last time, because I think
• wait list?
• One is just a refresher: What is the average wait time for the wait list, please?
• How accurate is the wait list?
• Are you purging it if people move, if people unfortunately pass away, or if there's a longer wait time

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

Transcript Highlights:

• Time is our friend.
• So it might be Leslie's time, might take a different amount of time than Carmen's time.
• c> Carmen's different amount of time than Carmen's different amount of time than Carmen's time.<00
• So we broke out wait list by time frame.
• So this a few times.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• Let the us on in time for dawn.
• <00:02:57.240> running time is running time is running out out out for for for everyone.
• at this time. at this time.
• Waite and his wife, Sergeant-at-Arms Administrative Assistant Donna Waite, for their dedicated state
• Mike Waite has been a part of the State House for 20 years, and in that time he had the bright idea of

Keywords: 926, house, all

Summary: The House opened with a devotional performance by the State House singers, then moved to routine chamber business. The Speaker announced that the Committee on Ways and Means had reported favorably on Senate Bill 214, which concerns pre-kindergarten education in geographically isolated school districts and includes an appropriation; it was referred to Appropriations under House Rule 35A. House Resolution 17, affirming that all Vermonters are presumed competent to communicate and must be provided effective communication resources of their choice, was read by title only and placed on the calendar for action on the next legislative day. The chamber also took up two adopted House Concurrent Resolutions honoring long-serving State House staff. HCR 279 honored Head Doorkeeper Michael C. Waite and his wife, Sergeant-at-Arms Administrative Assistant Donna Waite, for their public service, and HCR 282 honored Doorkeeper Dennis Miles for his dedication to the General Assembly and Vermonters. Both resolutions recounted the honorees’ military, law enforcement, educational, and State House service and directed the Secretary of State to send copies to the honorees. Several members then offered remarks recognizing the Waite and Miles families, praising their mentorship, service, and support for the page program and chamber operations. Additional announcements included a diaper and wipes drive in the State House lobby to support Vermont military families through the National Guard Family Readiness Program, a welcome for Vermont nurses participating in a national rally, and recognition of guests from Champlain Community Services. The House then recessed until approximately 2:00 p.m.

Transcript Highlights:

• children are waiting, so you can see that there's a little over 3,000 children on our wait list.
• That was the last time that there was an increase.
• That was the last time that there was an increase.
• I would like to get some additional insight on the wait list. Are there caps on the wait list?
• Okay, so for SRA, it is a statewide wait list.

Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.

Transcript Highlights:

• And so the question— >> Wait, wait, wait, wait, wait. Hold on. Excuse me.
• And so the question— >> Wait, wait, wait, wait, wait. Hold on. Excuse me.
• And so the question— >> Wait, wait, wait, wait, wait. Hold on. Excuse me.
• And so the question— >> Wait, wait, wait, wait, wait. Hold on. Excuse me.
• >> Wait, wait, wait, wait, wait. Hold on. >> Wait, wait, wait, wait, wait.

Bills: HB163, HB344, SB11, SB92, SB164, HB22, HB89, SB227, SB6

Keywords: income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety

Transcript Highlights:

• And at the time, they had a waiting list, so we weren't really worried.
• And I said, what's the average length of time of waiting? And they said, maybe six months.
• We do not have the time to wait and must implement a solution that will help older adults, who often
• We do not have the time to wait and must implement a solution that will help older adults who often have
• The people living with ALS don't have time to wait. Their families don't have time to wait.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• on another wait list.
• Um, we were asked, uh, just recently by MOAB to also divide out the wait list by wait list time frames
• and maximum, uh, days on a wait list and then the average wait list.
• One wait list.
• And, as Leslie showed previously, the time the average number of days that someone would be on a waiting

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• But some of these people are waiting a long time before they reach the top of that list.
• Do you know like an average wait time for the transfer or what the goal wait time for transfer usually
• Again, because we have seen this reduction in wait time.
• I will point out on that note, the average that we just discussed with that wait time, that is exactly
• There are certainly longer wait times and shorter wait times.

Keywords: 1184, house, all