Transcript Highlights:

• Senate Bill 1833 codifies a federal waiver prohibiting the use of SNAP benefits for the purchase of candy
• This waiver was approved. And went into effect on February 1st in the state of Oklahoma.
• things are we have Taskoma with educating bud tenders, and they have until January 1st to Get that program
• They are not going to have the program up and running by that point.
• Members, this is cleanup language defining what an accredited chiropractic program is.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Transcript Highlights:

• It comes from the programs eligible for Enhanced Federal Student Loan Access.
• Members, House Bill 549 creates the Bayou Works program.
• of a pilot program.
• Members, what this bill will do is create more access to programming.
• It's just creating a pilot program for certain Department of Corrections programming and services to

Bills: SR146, SCR12, HB221, HCR115, HCR116, HCR58, HB1, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3, HB2, HB3, SCR3, SB56, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR5, HCR32, HCR49, HCR50, HCR53, HCR60, HCR62, HCR64, HCR68, HCR78, HCR81, HCR86, HCR97, HCR102, HCR31, HCR47, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB42, HB45, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB971, HB1017, HB1234, HB1235, HB9, HB177, HB181, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB895, HB906, HB950, HB975, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, HB17, HB27, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB205, HB211, HB226, HB259, HB271, HB308, HB310, HB324, HB337, HB351, HB399, HB403, HB571, HB712, HB723, HB726, HB740, HB750, HB759, HB812, HB844, HB966, HB1006, HB1009, HB1018, HB1036, HB1038, HB1107, SB29, SB42, SB78, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB441, SB449, SB487, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB43, SB149

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Transcript Highlights:

• Members, House Bill 549 creates the Bayou Works program.
• and for the establishment of a pilot program.
• Members, what this bill will do is create more access to programming.
• It's just creating a pilot program for certain Department of Corrections programming and services to
• It's just a digitized program. It does the same kind of thing.

Bills: SR146, SCR12, HB221, HCR115, HCR116, HCR58, HB1, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3, HB2, HB3, SCR3, SB56, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR5, HCR32, HCR49, HCR50, HCR53, HCR60, HCR62, HCR64, HCR68, HCR78, HCR81, HCR86, HCR97, HCR102, HCR31, HCR47, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB42, HB45, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB971, HB1017, HB1234, HB1235, HB9, HB177, HB181, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB895, HB906, HB950, HB975, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, HB17, HB27, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB205, HB211, HB226, HB259, HB271, HB308, HB310, HB324, HB337, HB351, HB399, HB403, HB571, HB712, HB723, HB726, HB740, HB750, HB759, HB812, HB844, HB966, HB1006, HB1009, HB1018, HB1036, HB1038, HB1107, SB29, SB42, SB78, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB441, SB449, SB487, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB43, SB149

Keywords: SR146, Senate Resolution 146, Louis Thomas Nelson, Thomas Nelson, condolences, memorial resolution, tribute, obituary, public service, St. Martinville, Cade, St. Martin Parish, police juror, mayor, community center, water system, school bus driver, school board, Louisiana Senate, sympathy

Summary: The Senate opened with roll call, a prayer by campus pastor Anthony Brown, and the Pledge of Allegiance. After the journal was read, the chamber took up a series of resolutions and bills, beginning with measures directing studies on mineral servitudes, student non-enrollment determinations, autism services, school nurse orientation, declining school enrollment, behavioral health and homelessness, floodplain map updates, opioid treatment in correctional facilities, oversized vehicle permits, rural economic development, hunting education in schools, and fraud prevention for seniors. Several local and commemorative resolutions were also adopted, including Tangipahoa Parish Fair Day, recognition of Lane Frenchy Boudreau’s military service, and a memorial resolution honoring Bob Bowman. Personal privilege remarks also recognized festival royalty, the Westlake High School baseball team, Dr. E. Joseph Savoy, and 101-year-old Thelma Smith Williams. The Senate concurred in or adopted numerous House concurrent resolutions, often after brief explanations and, in some cases, amendments. These included measures on criminal history background checks for ambulance personnel, autism support services, school nurse orientation, acute care access for individuals with developmental disabilities, child abuse reporting training, physical therapy student loan eligibility, migratory waterfowl research, and a task force on senior fraud prevention. The chamber also adopted resolutions related to seafood competitiveness, bridge backup motors, I-12 improvements, and a Louisiana Energy Protection Act-style climate litigation measure, along with a resolution supporting Preeclampsia Day and a new Woman’s Hospital initiative. The Senate then moved through a long calendar of House bills on third reading and final passage. Bills passed included measures on Safe Haven Law postings in schools, official journal pricing, the Governor’s Task Force on Impaired Driving, the Bayou Growth Opportunity Workforce Program, sexual assault survivor rights, intercollegiate athletics revenue-sharing records, renewable energy recycling, school emergency operations plans, the Louisiana FIRST data system, oilfield site restoration fees, inmate programming, automatic reinstatement of suspended driver’s licenses, special vehicle permits, climate-change damages, the Louisiana Center for State Schools, the Sexual Assault Survivor Empowerment Task Force, fire limits, police chief appointment in Folsom, digitized credentials, Sewage and Water Board procurement, behavioral health crisis insurance coverage, the Louisiana Talent Accelerator Office, indigent defender fee thresholds, prestige license plates, public license tag agent fees, highway naming, public defender terminology cleanup, an improvement district in Orleans Parish, a Democratic Party license plate, DWI-related substance definitions, commercial driver’s license rules, and a Shreveport demolition/local property bill. Several measures drew debate, especially HB 608 on athletics revenue-sharing transparency, which passed 32-13 after concerns about public records and taxpayer transparency. The final bill mentioned, HB 1059 on TOPS math requirements, was introduced at the end of the transcript but its disposition was not shown.

Transcript Highlights:

• And so I was curious about first of all, is that the author can explain what the program is?
• I want to Remind the gentleman that this is the third year of the grant program.
• This is year three of a five-year program for a CrNA program. Thank you.
• These are monies that we give them every year for programming. Follow up, yes. Thank you, Mr.
• Their services were cut in their day programs that they went to.

Bills: HB3418, HB3985, HB3463, HB3002, HB4303, HB3919, HB3416, HB3417, HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219, SR39, SB1177, HB3298, HB2696, HB3941, HB3970, HB3264, HB3321, HB2650, HB3497, HB3980, HB3981, HB4421, HB3177, HB3322, HB3499, HB3500, HB3845, HB3742, HB3622, HB1250, HB2710, HB3831, HB4408, HB1002, HB3008, HB3086, HB3595, HB3678, HB4107, HB3695, HB3315, HB3590, HB3006, HB3151, HB2959, HB2398, HB3026, HB3467, HB4268, HB3372, HB2210, HB4359, HB4427

Keywords: public works, bidding procedures, construction contracts, transparency, public trust, electronic bidding, school districts, property rights, public nuisance, compensation claims, government enforcement, Oklahoma Safe Neighborhoods Act, municipal audit, state auditor, local government, financial transparency, gasoline tax allocations, counties, county officers, education

Transcript Highlights:

• 28.880> ATRIP<00:07:29.520> program university programs, the ATRIP program university programs
• program in 2019 to 2025. program in 2019 to 2025.
• . waiver. waiver.
• on the waiver.
• c><01:11:19.120> are<01:11:19.360> totally waivers and model waiver 2 are totally waivers

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:

• Waiver programs are a little bit different when we look at eligibility.
• <00:09:06.600> amount<00:09:06.800> of waiver program for a certain amount of waiver
• these are the costs of the waiver these are the costs of the waiver programs<00:13:58.199> over
• or cost of the um uh cost of the program or cost of the waiver<00:14:09.560> programs<00:14:10.560
• programs those uh 23 and 24 was waiver programs those uh 23 and 24 was the<00:14:12.680> 10%<

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• <00:50:28.680> programs consolidation of the waiver programs consolidation of the waiver programs
• <00:51:09.400> budgets<00:51:09.920> to waiver programs is we provide budgets to waiver
• So when you look at the service menu today and what the service menu would be under the new waiver programs
• <00:59:54.400> programs would be under the new waiver programs would be under the new waiver
• Now, under the waiver reimagine program, they deleted day training and habilitation services, and they

Keywords: 1183, house

Transcript Highlights:

• Medicaid home and community-based waiver Medicaid home and community-based waiver program<00:35:
• So, the state in a 1915C waiver program would not have the authority to mandate or direct services in
• I think I do agree that there are participants in this waiver program who are at a higher level of need
• The Medicaid program has been evolving since that time, and we have multiple waivers, and the program
• The Medicaid program has been evolving since that time, and we have multiple waivers, and the program

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• So if we're putting in $1.7 billion in these waiver programs, what are we getting back?
• So if we're putting in $1.7 billion in these waiver programs, what are we getting back?
• So if we're putting in $1.7 billion in these waiver programs, what are we getting back?
• So if we're putting in $1.7 billion in these waiver programs, what are we getting back?
• home and community based waiver home and community based waiver programs.<01:07:21.119> So,

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:

• The child waiver is a new Kentucky Medicaid program designed for Kentucky children and youth with significant
• So again, it's an HCBS waiver, and we were trying to fit a program that was going to be pretty costly
• And as the chairman noted, you created a waiver program that had two elements, A plus B: an age range
• chairman noted, you created a waiver chairman noted, you created a waiver program<00:44:29.200><
• Well, they're in the waiver program, but they're not able to receive the waiver services because there

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• the Medicaid waiver program, which includes iBudget and long-term care, by July 1, 2026.
• Medicaid waiver program, which I read to be comparable; they would receive comparable services.
• program.
• So if somebody on the waiver program accidentally or purposely, whatever you want, gets put on share
• If every client on the waiver program was put under MTD Medicaid, that is protected Medicaid.

Summary: The committee heard and advanced several bills related to children, families, elder affairs, mental health, disability services, and child care. SB 1050 on the Agency for Persons with Disabilities was amended and reported favorably after discussion of expanding the voluntary IDD managed care pilot statewide, improving transparency on the APD wait list, creating a statewide family care council, addressing transition services for youth leaving foster care, and seeking federal approval for an adult pathways waiver. Testimony from providers and a parent emphasized workforce capacity, county-level identification of clients, Medicaid delays, and the importance of keeping the pilot voluntary; the bill passed with support and some discussion about possible future clarifications on services and Medicaid eligibility. The committee also passed SB 1310, which directs OPPAGA to evaluate student mental health outcomes tied to school mental health assistance funding, and members discussed the need for better data, coordination with managing entities, and avoiding duplication of services. SB 976 on court-appointed social investigators was amended and approved, with the sponsor describing due process protections and fee-shifting provisions for parents challenging court-appointed psychologists. SB 886, creating a crisis care coordination team pilot in Volusia and Polk counties to reduce Baker Act recidivism and improve follow-up care, was reported favorably after the sponsor described its law enforcement and community provider partnerships and an independent evaluation requirement. Later, SB 614 on child care facility and program background screening requirements was amended and passed; the bill requires a public educational webpage explaining Level 2 screening, the clearinghouse, disqualifying offenses, exemptions, and related job listings and timelines. Finally, SB 276 on sheltering or aiding unmarried minors was approved; it increases the offense from a first-degree misdemeanor to a third-degree felony, creates a presumption regarding knowledge of the minor’s age, and adds a defense when the conduct was necessary to protect the minor from danger. All bills considered were reported favorably, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• There are many types of Section 1115 demonstrations or waivers, not just IMD waivers.
• Implemented IMD waivers for SUD.
• waivers do in the various states that have adopted these waivers.
• But we administer those programs: Homestead Tax Credit Program, Disabled Veteran Program. on potential
• But we administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• month, we need a waiver, correct? month, we need a waiver, correct?
• . program. program.
• Your average person coming out of an apprentice program should not need to apply for a waiver.
• Your average person coming out of an apprentice program should not need to apply for a waiver.
• Your average person coming out of an apprentice program should not need to apply for a waiver.

Keywords: 1189, house, all

Summary: The committee first approved the minutes and consent calendar, then took up several rule items. For Department of Safety rule 2611, DMV leadership explained the rule had been under development since January but needed to be updated to reflect a new statutory change and to align the rule with RSA 266. Members discussed narrowing the rule to road-safety items rather than automobile inspection provisions, and the department said it would issue a new public notice and hold another hearing. The committee voted to grant a waiver and postpone the item until the October 15, 2026 meeting. The Board of Active Puncture Licensing item 26-47 was postponed one month at the agency’s request so it could incorporate OS feedback, with no waiver needed. The Insurance Department’s claim settlement rule 25-234 and related item 26-78 drew more extensive discussion over waiver language. Committee members objected that the proposed language gave the commissioner broad discretion to set waiver periods without clear criteria, while agency counsel argued the rule already contained standards and that the language allowed temporary waivers. After discussion about consistency, permanency, and the need for clearer documentation, the committee voted to postpone 25-234 with a waiver and to postpone 26-78. Finally, the committee considered Health and Human Services rule 2690, which sets SNAP certification periods for a pilot demonstration authorized by SB 499. Staff explained that federal changes now require the age threshold for the 36-month certification period to be 65 instead of 60, and that the agency had been directed to make the change by August 12. Agency staff said the rule needed to be updated to match federal direction, and members generally agreed. The committee discussed whether the federal citation was sufficient and whether the rule should reference the law change directly, but no final objection was raised in the portion shown.

Transcript Highlights:

• neighborhoods programs. neighborhoods programs. 2178<00:01:05.000> is<00:01:05.160> being
• <00:11:54.760> Delete sponsor to program operator. Delete sponsor to program operator.
• extensively with um prior to the waiver. extensively with um prior to the waiver.
• ,<00:20:23.240> was waiver, the magic of the waiver, was waiver, the magic of the waiver,
• of the waiting list for the next waiver? of the waiting list for the next waiver?

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• But Senate File 2215 is a waiver reimagine legislative task force on waiver reimagine.
• But Senate File 2215 is a waiver reimagine legislative task force on waiver reimagine.
• Kylin uses the CAC waiver.
• to access to the waiver and use of the waiver.
• in the waiver to access to the waiver in the waiver to access to the waiver and<00:53:46.359>

Keywords: 1187, senate, all

Transcript Highlights:

• That goal had not become reality, so I brought AB 397 to ensure that this waiver program could be set
• programs, and makes some clarifications to some of the existing waiver language in order to get all
• So this new language clarifies that, and that has now been incorporated across all of the waiver programs
• in an English program.
• Would this program apply?

Bills: AB328, AB397

Keywords: Juneteenth, education, economic commission, cultural affairs, racial healing, policy recommendations, African-American studies, higher education, fee waivers, Native American students, unaccompanied youth, academic progress, Nevada System of Higher Education, 909, all

Transcript Highlights:

• For this waiver, individuals are either enrolled into the waiver program or into a pre-enrollment category
• In the middle column here, you see the iBudget waiver program.
• For this waiver, individuals are either enrolled into the waiver program or into a pre-enrollment category
• So in the middle column here, you see the, you have the I budget waiver program.
• MMA, or the managed medical assistance program, as well as the iBudget waiver.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• And then finally, Chapter 256S is Medical Assistance Elderly Waiver, and this establishes the program
• parameters for the MA Elderly Waiver program, including eligibility requirements, assessments, authorization
• parameters for the ma elderly waiver parameters for the ma elderly waiver program<00:35:57.720><
• that program.
• that program.

Keywords: 1183, house

Transcript Highlights:

• There are many types of Section 1115 demonstrations or waivers, not just IMD waivers.
• The waivers typically did not...
• It's not to implement the program.
• But we administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.
• We administer those programs, Homestead Tax Credit Program, Disabled Veteran Program.

Keywords: 908, all

Transcript Highlights:

• So if the state is not providing funding to these programs, there's a very good chance that these programs
• if not grow the program.
• The current program we're talking about is a school safety and threat identification pilot program, which
• is a separate pilot program.
• There are other structural programs.

Bills: HB4154, HB4155, HB4156, HB4157, HB4158, HB4159, HB4160, HB4161, HB4162, HB4163, HB4164, HB4165, HB4166, HB4167, HB4168, HB4169, SB1847, SB1848, SB1849, SB1850, SB1851, SB1852, SB1853, SB1854, SB1855, SB1856, SB1857, SB1858, SB1859, SB1860, SB1861, SB1862

Keywords: general appropriations act, budget, biennial budget, state spending, fiscal year 2026-2027, appropriations, state agencies, public funding, education funding, health and human services, public safety, transportation, government operations, budget bill, fiscal policy, state finance, spending plan, legislative budget, capital appropriations, operating budget