Transcript Highlights:

• This is relating the procedure for a commissioner's court to close, abandon, or vacate certain public
• I testified before Texas Transportation Commission.

Bills: HCR 114, HB 137, HB 283, HB 1398, HB 1960, HB 2153, HB 2431, HB 2638, HB 2699, HB 2999, HB 3208, HB 3389, HB 3413, HB 3510, HB 3642, HB 3859, HB 3974, HB 3986, HB 4142, HB 4173, HB 4174, HB 4542, HB 4605, HB 4663, HB 4731, HB 5064, HB 5216, HB 5218, HB 5332, HB 5453, HB 5577

Keywords: memorial, pedestrian bridge, Houston, Sergio Ivan Rodriguez, city council, oversize vehicles, transportation permits, Hidalgo County, port authority, highway routes, healthcare, insurance, mental health, treatment access, state funding, transportation, axle weight, aggregates, regulations, Texas law

Transcript Highlights:

• Senate Bill 2080 will allow navigation districts to craft policies and procedures more closely aligned
• This provision would be subject to the approval of the applicable commission.

Summary: The Senate Transportation Committee heard several bills focused on transportation infrastructure, public safety, and local commemorations. SB 2841 would clarify the overweight corridor designation for the Port of Brownsville so all three statutorily approved bridges are treated uniformly for northbound and southbound overweight traffic; the Port of Brownsville testified in support, and the bill was left pending. SB 39 would restore the commercial motor vehicle “admission rule” framework in collision cases; Senator Birdwell explained the committee substitute, and the bill was later reported favorably. The committee also heard and later advanced SB 682, SB 1369, and SB 1422, which rename stretches of highway or a bridge in honor of fallen firefighters and military service members, with no opposition testimony and all left pending before final votes. The committee also heard SB 2366, which would create a grant program for short-line railroad projects through rural rail transportation districts for track, bridge, capacity, and restoration work. Senator Hughes and several witnesses from rural rail districts and rail advocacy groups supported the bill, while TxDOT explained current rail funding is limited and that the bill would be the first such grant program for Class 3 short lines; members discussed that the bill would need a floor amendment because state funds cannot be paid directly to railroads. SB 1013 would expand crosswalk protections under the Lisa Torrey-Smith Act to include certain driveway curb cuts along sidewalks; it was supported by the author and left pending before later being reported favorably. The committee also considered SB 2080, which would modernize port and navigation district rules by easing records and procurement requirements, exempting certain security and cybersecurity discussions from recording, and expanding some operational authority. Port Houston and the Texas Ports Association supported the bill, while the City of Corpus Christi raised concerns that the language could expand port economic-development authority beyond navigation purposes and affect local tax bases; the Port of Galveston also noted concerns about the filed version but supported the bill as presented, and the committee substitute was later reported favorably. SB 2001 would create specialty license plates and related parking/toll benefits for permanently disabled peace officers; SB 2705 would codify registration exemptions for certain farm equipment and some specialty plates. Both were supported by witnesses, adopted with committee substitutes where applicable, and reported favorably. Final votes on the reported bills were largely unanimous or near-unanimous, and the committee recessed after leaving some motions open briefly.

Transcript Highlights:

• I'm just wondering procedurally, I think we already passed this bill to the full committee. Yeah.
• Section 23 involves approval from the Emergency Commission, and I think that's...

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• effectiveness of teacher apprenticeship programs, analyzing current certification standards and procedures
• I've been on the commission since June, so I've already served on a couple of hearings, and I've enjoyed

Summary: The Senate Education Pre-K-12 Committee heard and advanced a series of education-related bills, beginning with SB 540, the Evan B. Hartzell Act, which would require age-appropriate disability history and awareness instruction across grade bands. The committee adopted a delete-all amendment, heard emotional testimony from Melissa Hartzell about her son Evan’s experience with disability and inclusion, and reported the bill favorably. The committee also passed SB 1296, creating a pilot study on school cellphone bans; SB 1590, creating a task force to review educator preparation, certification, and professional learning; SB 1702, a broad education bill with provisions on private school facilities, marching band credit, school readiness reimbursements, and charter school monitoring tools; SB 1150, exempting school social workers from certain certification testing requirements; SB 1708, revising School of Hope rules and adding a Miami-Dade co-location framework; SB 822, updating charter school governance and operations; SB 444, requiring annual human trafficking awareness training for school personnel; and SB 742, expanding workforce development and money-back guarantee programs. Most of these bills were amended before being reported favorably by committee vote. The committee also considered and reported favorably SB 8, a claims bill providing a $1.2 million settlement for Marcus Button and his family arising from a 2006 Pasco County school bus crash that caused severe lifelong injuries. Senator Gaetz opposed claims bills in general, arguing the sovereign immunity cap should be raised so such cases can be resolved locally. Several bills drew questions and debate over implementation details, including concerns about charter school dress and hair policies under SB 822, the scope of human trafficking training under SB 444, and the zoning implications of private school facility provisions in SB 1702. Sponsor responses generally emphasized that the bills were intended to clarify existing policy or improve student safety, access, or educational outcomes. The committee also took up confirmation appointments. It recommended confirmation of the slate of appointees on Tabs 12 and 14 through 21 by voice vote, and separately recommended confirmation of Daniel Fogunoli to the State Board of Education after debate in which Senator Davis and Senator Osgood opposed the appointment. The meeting concluded with members recording additional votes, including Senator Burgess’s affirmative vote on SB 1150, and then adjourned.

Transcript Highlights:

• bill, and I am also a member of veteran organizations such as the Alameda County Veterans Affairs Commission
• On top of medications and procedures for one round of IVF, it is likely that most couples will have to

Summary: The Assembly Committee on Revenue and Taxation held its second regular hearing of the 2025-26 session and announced that, under reinstated suspense-file rules, every bill on the agenda would be referred to suspense rather than voted on immediately. The committee first heard AB 53, which would create a state income tax exemption of up to $20,000 for military retirees and certain survivor benefits. Supporters, including veterans’ groups, military retirees, and local officials, argued California is the only state taxing military retirement pay in full and that the exemption would help retain veterans and their families. Committee members voiced strong support, but the bill was sent to suspense. The committee then heard several wildfire-related tax relief bills. AB 429 would exempt certain wildfire settlement payments from gross income for victims of fires from 2020 through 2026; the author and a Greenville fire victim described the burden of taxing settlement funds, and rural county and forestry groups supported the measure. AB 97 proposed similar relief for Bobcat Fire settlement payments, and AB 389 would create a personal income tax credit for home-hardening expenses in high fire-risk areas, with Cal Fire and realtor representatives supporting the bill as a way to reduce future losses. Each of these measures drew no formal opposition in the hearing and was referred to suspense. AB 386 would create a tax credit for employers that help full-time employees repay student loans, up to $3,000 per employee per year. Supporters said it would help recruit and retain workers and reduce student debt burdens, while the California Tax Reform Association opposed the bill because it lacked allocation criteria and would reduce General Fund and education revenues. Committee members expressed interest but asked for clearer eligibility standards, and the bill was sent to suspense. AB 490 would allow a deduction for interest paid on qualified personal vehicle loans; the author framed it as relief for families dependent on cars, but opposition again came from the tax reform group, which argued the deduction would mainly benefit higher-income taxpayers. The bill also went to suspense. The committee also heard AB 547, which would create a tax credit of up to $5,000 for IVF and other fertility-treatment expenses. The author and a witness who described a long and costly IVF journey said the credit would help families afford treatment and support parenthood; members responded sympathetically and asked why the proposal was structured as a tax credit rather than a health coverage mandate. Finally, AB 330 would extend the prepaid mobile telephony services collection act through 2031, preserving an 80-cent surcharge that supports 911 and local government revenues; local government representatives and cities supported the extension, and it too was referred to suspense. The hearing ended with the committee adjourning after all measures were held for suspense-file consideration.

Transcript Highlights:

• Well, first of all, I have a very rigorous conflict screening procedure in my office.
• And I also consult with the judicial conduct commission anytime we have a question.
• said</c><01:14:42.040><c> it</c><01:14:42.120><c> would</c><01:14:42.240><c> be</c> uh Judicial Commission
• said it would be uh Judicial Commission said it would be okay. okay. okay.
• </c> on the Judicial Selection Commission on the Judicial Selection Commission application<01:31:45.480

Keywords: 912, senate, all

Summary: The Judiciary Committee first took up decision-making on two judicial nominations heard the previous day. Governor’s Message 796, naming Annalisa En Bernard Lee as Circuit Court Judge for the Second Circuit (Maui County), and Governor’s Message 797, naming Michael K. Soong as Circuit Court Judge for the Fifth Circuit (Kauai), were both recommended for consent and adopted by unanimous roll-call votes. The committee then heard testimony on Governor’s Message 801, the nomination of Vladimir P. Devens as Chief Justice of the Hawaii State Supreme Court. Support came from the Governor’s office, Honolulu Prosecutor Steve Alm, Honolulu Managing Director Michael Formby, the Hawaii Association for Justice, United Public Workers, HGEA/AFL-CIO, the Hawaii Filipino Lawyers Association, labor and trade unions, retired Chief Justice Mark Recktenwald, retired judges, bar and court officials, and many other individuals and organizations. Supporters emphasized Devens’ legal experience, work ethic, labor-law background, community ties, mentorship, and ability to manage the judiciary and address the appellate backlog. A few speakers opposed the nomination, including Chuck Freedman, who raised concerns about union influence and potential conflicts, and others who submitted opposition testimony. Devens also testified, describing his Honolulu upbringing, education at UC Berkeley, six years with the police department, and more than 30 years in private practice before joining the Supreme Court. He said the chief justice role is primarily an administrative one, highlighted his experience with bar and judicial administration committees, and identified reducing the appellate backlog as a major priority. No vote was taken on GM 801 during this portion of the hearing.

Transcript Highlights:

• :42:41.800><c> be</c> we need to fix first what would it be we need to fix first what would it be commiss
• 42:43.520><c> you</c><00:42:43.640><c> chair</c><00:42:44.079><c> uh</c><00:42:44.200><c> and</c> commiss
• brown thank you chair uh and commiss brown thank you chair uh and representative<00:42:45.280><c> uh
• </c> was built a few years back commission was built a few years back commission Brown<00:47:51.520><
• the commission to give the<01:08:52.440><c> providers</c><01:08:53.080><c> technical</c><01:08:53.679

Keywords: 1183, house

Transcript Highlights:

• Utilities Commission with comments.
• </c> commission and the commission develops commission and the commission develops confidence<00:56:56.799
• I'm an engineer at the commission. I'm here on behalf of Cherry Timber and the commission.
• I'm available for any commission.
• </c> Commission in support. Commission in support. Not<02:25:57.040><c> present.

Keywords: 910, house, all

Summary: The committee heard SB 2694 SD2, which would authorize the Public Utilities Commission to create automatic adjustment mechanisms for water carriers, including a water carrier inflationary cost index, and to waive certain requirements under the Hawaii Water Carrier Act. Testimony was sharply divided. The Department of Transportation, Young Brothers, and several shipping, harbor, labor, and business-related supporters argued the bill would modernize regulation, reduce the need for large catch-up rate cases, and help keep rates aligned with rising costs. Young Brothers said its current rate-setting process is expensive and delayed, and that annual adjustments with guardrails such as a 5% cap and periodic full reviews would support sustainable operations and the state’s supply chain. Some supporters also said the company’s less-than-container-load service and required inter-island routes create costs that are not fully covered by current rates. Opponents, including the Consumer Advocate, the Maui Chamber of Commerce, Hawaii Food Industry Association, restaurant and chamber groups, and other businesses, argued the bill would lead to higher costs for consumers and businesses and should not move forward. Several testified that shipping costs already significantly affect pricing and that automatic increases would worsen the cost of living. The Consumer Advocate said Young Brothers should focus on cost control and implementing its business plan rather than automatic rate increases. The Maui Chamber and others pointed to a recent PUC decision that imposed a two-year stay on rate increases and said the bill would undermine that protection. Some opponents urged the committee to defer to the PUC’s regulatory authority. The PUC explained that it regulates water carriers as public utilities under existing statute and said it had recently approved a temporary rate increase while imposing a two-year stayout period on further increases, with emergency relief still possible. PUC members said they were still examining whether they have authority to adopt the proposed WICI mechanism by rule and wanted legislative clarity. In response to questions, the PUC said it prefers the current two-year stayout as reflected in its order. Young Brothers also clarified that it serves less-than-container-load cargo, that some routes and services are cross-subsidized because they are not profitable, and that an independent observer is being put in place to monitor implementation of its updated business plan. The transcript ended with the committee still taking questions; no final vote or disposition on the bill was shown.

Bills: SB2969, SB3263, SB2602, SB3229, SB3199, SB2550, SB2877, SB3325, SB2024, SB2614, SB2613, SB3063, SB2319, SB2800, SB2892, SB2321, SB2407, SB2805, SB2153, SB2595, SB2781, SB3233, SB2360, SB1432, SB2543, SB2599, SB3053, SB2001, SB2041, SB3247, SB3253, SB2401, SB2673, SB3067, SB411, SB2934, SB3219, SB2919, SB2239, SB2532, SB2601, SB1032, SB2446, SB2152, SB2721, SB3076, SB3140, SB2671, SB2338, SB2268, SB99, SB2930, SB3069, SB3096, SB3097, SB3090, SB2060, SB3028, SB2544, SB2069, SB2552, SB3218, SB3022, SB148, SB2259, SB2578, SB2928, SB2816, SB2580

Keywords: SB2969, Maui wildfire, Maui wildfires, wildfire exposure, Maui Health Registry, University of Hawaii, public health, biomonitoring, medical screening, mental health services, trauma recovery, disaster recovery, first responders, kupuna, children's health, medically vulnerable, environmental exposure, toxic exposure, respiratory illness, community health

Transcript Highlights:

• And the rumor is that there will be a descheduling commission that will be established sometime this

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• This bill does not eliminate filing, does not weaken the authority of the Hawaii State Ethics Commission
• 22:34.320><c> Hawaii</c><00:22:34.640><c> State</c><00:22:34.799><c> Ethics</c><00:22:35.120><c> Commission
• ,</c><00:22:35.760><c> and</c> the Hawaii State Ethics Commission, and the Hawaii State Ethics Commission
• Today is Queer Day at the Capitol, hosted by the LGBTQ+ Commission for the State of Hawaii.

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• we're hoping to do that with monthly reporting and then um we're allowing the Public Utilities Commission
• First, there are currently two trivial gaming regulatory approvals that require commission approval.
• </c><04:06:50.920><c> that</c><04:06:51.080><c> this</c><04:06:51.240><c> is</c> the judicial procedure
• that this is the judicial procedure that this is referring<04:06:51.840><c> to</c><04:06:52.480><c>
• </c><04:07:27.320><c> to</c><04:07:27.480><c> seek</c> the judicial procedure to seek the judicial procedure

Keywords: 981, all

Transcript Highlights:

• which is also known as the Behavioral Health Services Oversight and Accountability Commission.
• Since the March 26 RFA was released, the commission has received over 400 questions and inquiries.
• Proposition 1 requires up to $20 million be allocated to the Commission annually for five years.
• We are funded by the Commission.
• Our organization is funded by the Commission for Behavioral Health Community Advocacy Program.

Keywords: 988, house, all

Transcript Highlights:

• on Mental Health, and the Children's Commission.
• Are you talking about things like working with a judicial commission or the Commission on State Conduct
• The Children's Commission is part of that.
• canons, but having served on that commission and having seen the difficulties in getting that commission
• Moving on to item 6, Texas Forensic Science Commission.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee held its first hearing of the 89th regular session, adopted nearly identical committee rules from the previous legislature by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the budget framework, emphasizing conservative spending, a $332.9 billion all-funds budget, and major priorities including property tax relief, public education, border security, health and human services, transportation, energy, and water infrastructure. She also introduced committee and leadership staff and described the hearing schedule and public testimony procedures. Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending, including a $23.8 billion ending balance, but warned that revenue growth is returning to more normal levels and that lawmakers should avoid using temporary spikes for ongoing commitments. Senators questioned him extensively about the Economic Stabilization Fund cap, sales tax trends, inflation, and whether the state should consider raising the cap or using severance-tax revenues differently. Hager said the Rainy Day Fund is expected to hit its cap, which would leave more severance-tax revenue in general revenue, and he stressed that infrastructure needs remain significant. The Legislative Budget Board then gave a detailed overview of SB 1 and the budget’s major components. LBB staff explained that the bill includes continued funding for the Foundation School Program, $850 million for the Texas State Technical College endowment, $1.3 billion for the Texas University Fund, $6.5 billion for border security, salary increases for correctional officers and state troopers, $3 billion for dementia research, higher community attendant wages, expanded community-based care, $5 billion for the Texas Energy Fund, and funding to clear volunteer fire department grant backlogs. They also outlined supplemental priorities such as water infrastructure, retirement legacy payments, rail grade separations, wildfire aircraft, and emergency facilities, and said the current controlling budget limit is the tax spending limit. A major portion of the hearing focused on property tax relief. LBB explained that prior-session relief grew from an expected $18 billion to $22.7 billion because of higher-than-anticipated property values and interactions among hold-harmless provisions, and that SB 1 continues and expands relief with $51 billion in total property tax relief, including $3 billion more for compression, $3 billion to raise the homestead exemption from $100,000 to $140,000, and a $500 million placeholder for business tax relief. Senators discussed the automatic nature of some of these costs, the effect of the non-homestead circuit breaker, the role of federal COVID funds, and the need to maintain school finance commitments if the state continues to compress school tax rates.

Transcript Highlights:

• </c> except to clarify that the commission except to clarify that the commission has<02:12:45.040><c>
• c> have</c><04:14:17.359><c> any</c> commission doesn't actually have any commission doesn't actually
• Yeah, typically when you form a commission, once it delivers its report, repeal the commission.
• </c> commissions could take up this study? commissions could take up this study?
• ><c> reporting</c> The final section, commission reporting The final section, commission reporting on

Keywords: 1189, house, all

Transcript Highlights:

• </c> to the NH public utilities commission to the NH public utilities commission and<00:10:45.040><c>
• </c> with the public utilities commission. with the public utilities commission.
• </c> the Federal Energy Regulatory Commission the Federal Energy Regulatory Commission have<01:01:44.960
• </c><03:59:30.560><c> might</c> the public utilities commission might the public utilities commission
• </c> can see on line three, the commission can see on line three, the commission may<04:18:43.040><c>

Keywords: 1189, house, all

Transcript Highlights:

• which is also known as the Behavioral Health Services Oversight and Accountability Commission.
• Since the March 26 RFA was released, the commission has received over 400 questions and inquiries.
• Proposition 1 requires up to $20 million be allocated to the Commission annually for five years.
• I know, you know, the Commission has expressed concerns.
• Our organization is funded by the Commission for Behavioral Health Community Advocacy Program.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• We make it a practice to look at audits from other agencies that the legislative audit commission looks
• :34.880><c> uh</c><00:13:35.040><c> legislative</c><00:13:35.519><c> audit</c><00:13:35.839><c> commission
• </c> the um uh legislative audit commission the um uh legislative audit commission looks<00:13:36.320
• So, a step back in our testing procedures, but still adequate to test the amount in the area. Dr.
• but uh still adequate to to procedures but uh still adequate to to test<00:55:33.920><c> the</c><00:

Keywords: 1183, house

Transcript Highlights:

• They are not paid by commission or something like that.
• </c><00:58:27.760><c> We</c><00:58:28.000><c> do</c> commission or something like that.
• We do commission or something like that.
• So we have so many stringent processes and procedures related to making that eligibility determination
• So we have so many stringent processes and procedures related to making that eligibility determination

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• I don't believe that a commission needs to be set up for that.
• Um, I'm not convinced that we need a commission.
• I I I think you know need a commission.
• :11.200><c> is</c><00:46:11.520><c> not</c> think that a commission is not think that a commission is
• Um it commission that we currently have.

Keywords: 1189, house, all