Transcript Highlights:

• All four scenarios do assume that toll rates will increase over time with an average escalation rate.
• higher toll rates post-completion.
• truck toll rates.
• The final toll rates will be determined by the commissions, and escalation and the rates themselves are
• As the toll rates adjust annually and Scenario 4 has that slightly lower adjustment rate, they kind of

Keywords: 904, all

Transcript Highlights:

• So we're pretty much, this is kind of a vendor bill?
• We should have some flexibility to change rates.
• We just increased all of our rates.
• The bill says you have to have at least two vendors.
• There's only a handful of vendors.

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• rates.
• It is strictly a vendor bill.
• There are different error rates. I guarantee you the error rate in prescriptions will increase. Mr.
• I don't think they're a vendor that we would call them a vendor.
• The Department of Homeland Security is not a vendor that we would call a vendor.

Bills: SB1041, SB1088, SB1118, SB1128, SB1168, SB1176, SB1189, SB1207, SB1250, SB1272, SB1274, SB1286, SB1428, SB1457, SB1461, SB1503, SB1519, SB1537, SB1582, SB1618, SB1654, SB1713, SB1827, SCR1012, SCR1020

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes

Transcript Highlights:

• As a gross oversimplification on this rate pressure issue, I'd like to give...
• Customers must demonstrate one of the following: have an investment grade rating from a public ratings
• . ...new generating units that's putting more pressure on those rates.
• And so those put more pressure on those fixed costs and drive rates up.
• Utah has currently one of the lowest power rates in the country.

Keywords: 985, all

Transcript Highlights:

• We use one of those pre-vetted vendors.
• You can't fire the vendor. You lose everything.
• Each one of these vendors, you might have multiple vendors working at the same time.
• That's clearly written by a vendor who wants to remain the incumbent vendor for as long as they can."
• That's clearly written by a vendor who wants to remain the incumbent vendor for as long as they can."

Transcript Highlights:

• ABLE TO GET THOSE GENERATORS FROM OUR WAREHOUSE EITHER THROUGH OUR OWN INHERENT STOPS OR THROUGH OUR VENDORS
• THAT EXECUTE DEBRIS AND VENDORS THAT MONITOR THOSE THAT ARE EXECUTING THE DEBRIS MISSION.
• I THINK WE EXPERIENCE OUR WHEN THE COUNTIES PUT THEIR TRUST AND FAITH IN THEIR PARTNER, IN THEIR VENDOR
• RELATIONSHIPS, HAVING THOSE VENDORS WITH TRANSPARENCY ABLE TO SHARE INFORMATION THROUGH THE COUNTY TO
• WE TRIED TO FOCUS ON THESE ARE TRUSTED, THEN IT NO FLORIDA CODE SPECIFICALLY OUR BUILDING CODES, VENDORS

Keywords: 999, senate, all

Transcript Highlights:

• As noted in the agenda, CalOSHA has been challenged with an unusually high vacancy rate for the past
• The vacancy rate has fallen from about 35% to about 23%.
• This vacancy rate does not prevent Cal OSHA from fulfilling its mission to protect workers.
• The vendor contract was cancelled and that provision or work stream was folded into the vendor contract
• It's the ICMS vendor contract. CDT is reviewing that now.

Keywords: 988, house, all

Transcript Highlights:

• What does this look like, especially for, like, a vendor who's trying to do geofence something?
• And when a vendor receives, say, a request to geofence a building, that vendor can obviously see what
• Negotiating with our health care providers to set rates for what actually those reimbursement rates should
• This would be a task force to look at the graduation rates and the retention of our nurses.
• It is to look at our graduation rates and how do we increase our graduation rates and our engagement

Keywords: 996, all

Transcript Highlights:

• I I don't know how or retention rate.
• Um they are from our vendor Kalen.
• </c> historical u demonstration of the rates historical u demonstration of the rates the<00:29:32.880
• </c> these rates constant. these rates constant.
• We showed here the single rate.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:08:10, 958, all

Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.

Transcript Highlights:

• Um, just a comment on the rate study you mentioned a few minutes ago: um, the vendor went out and extracted
• Um, just a comment on the rate study you mentioned a few minutes ago: um, the vendor went out and extracted
• Um, just a comment on the rate study you mentioned a few minutes ago: um, the vendor went out and extracted
• Um, just a comment on the rate study you mentioned a few minutes ago: um, the vendor went out and extracted
• Um, just a comment on the rate study you mentioned a few minutes ago: um, the vendor went out and extracted

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:

• </c> it from a vendor. it from a vendor.
• But we don't have any say in the relationship that the libraries have with the vendors or the rates that
• But we don't have any say in the relationship that the libraries have with the vendors or the rates that
• </c> with the vendors or the or the rates with the vendors or the or the rates that<00:18:44.680><c>
• </c> the vendors the vendors really<00:51:08.240><c> the</c><00:51:08.440><c> vendor</c><00:51:09.320

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, for example, we have one vendor that operates, and it's a growing vendor.
• that operates um and it's a vendor that operates um and it's a growing<00:28:24.559><c> vendor.
• </c> commission rate comes right off the top. commission rate comes right off the top.
• This 54 race days, is that four vendors? Is that three vendors for [clears throat] 2025? >> Mr.
• </c> of of tax rates. of of tax rates.

Keywords: 916, all

Transcript Highlights:

• are Curr certified voting system vendors are Curr certified in<00:26:29.159><c> Minnesota</c><00:26:
• Once all contests and candidates have been finalized, counties can work with their vendors to prepare
• He said there are some vendors, including large IT cybersecurity vendors, that can provide some of that
• He noted that there are some vendors out there, including large cybersecurity vendors, that can provide
• c> that</c><01:08:21.199><c> can</c> vendors cyber security vendors that can vendors cyber security vendors

Keywords: 1183, house

Transcript Highlights:

• </c> rate program of maximizing the discount. rate program of maximizing the discount.
• The current contract is E-rate eligible, and the vendor that we have, Education Networks of America,
• This is past rated it in December.
• </c><00:19:10.640><c> as</c> success that we had that they rated as success that we had that they rated
• </c> 2015, broadband except, you know, rates 2015, broadband except, you know, rates were<00:40:02.800

Keywords: Meeting Start 00:00:00 Roll Call 00:00:15 Kentucky Department of Education 00:01:20 Kentucky Communications Network Authority 00:36:45 Accelecom 01:01:22 Auditor of Public Accounts 01:29:50, 958, all

Summary: The Information Technology Oversight Committee met to hear a presentation from Kentucky Department of Education officials David Couch and Mike Lingham on the history and current status of Kentucky’s K-12 internet network, including its relationship to KentuckyWired. They described the original KETS design from 1995, when KDE established district internet hubs and left local districts to connect to them, and said that model helped Kentucky become a national leader in school connectivity and cloud-based services. They also emphasized the importance of E-rate eligibility, saying it has saved the state substantial money and remains central to KDE’s network contracting. Couch and Lingham said the current “next generation Kentucky K-12 internet” contract with Education Networks of America is more reliable, offers more functionality, and costs less than the prior system, including lower bandwidth and firewall costs. They explained that the transition was complicated by build-out and provisioning issues, especially the need for more “type two” connections through local providers, which pushed some implementation past the June 30, 2024 E-rate deadline. As a result, 39 sites remain on type two connections, and KDE absorbed the loss of federal discount dollars for the portion of the transition that extended into July. The witnesses also discussed home internet access for students. They said KDE has tracked home access for about 20 years and estimates about 4.5% of students still lack adequate internet at home, with roughly 3% able to reach access nearby and 1.5% having no access. They said the biggest barrier is usually cost rather than lack of available lines, and noted that temporary hotspot support during COVID helped students continue schoolwork. Senator Williams asked about the costs of the transition, the current type two sites, and the potential cost of any future transition, but the transcript cuts off before a full answer was given.

Transcript Highlights:

• They would put out an RFP, select a vendor, and we have a variety...
• And then that vendor has now partnered with another vendor that offers installment options.
• They're short-term and high-interest-rate loans.
• The chapter that governs entities like Affirm caps any interest rate at 40%.
• So if a third-party vendor... ...if a third-party vendor comes on, we can cap it, but they can still

Bills: AB49, AB169, AB188, AB284, AB296, AB306, AB356, AB366, AB467, AB499, AB515, AB540, AB542, AB595

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, health insurance, speech-language pathology, stuttering, rehabilitative services, habilitative services, coverage requirements, health plans, retired public employees, subsidy, Medicare, health reimbursement arrangement, Public Employees' Benefits Program

Transcript Highlights:

• The 70-70 rules, as they're calling it, at least 70% of completion rate as well as job placement rate
• And I stress concurrent because the success rate in Arkansas for concurrent, success rate being an A,
• We know we need to increase the utilization rate.
• They have to sign up as a vendor.
• They have to register as a vendor with the state.

Summary: The committee first approved the November 3 minutes, then received an extensive update from Arkansas Division of Higher Education and Division of Career and Technical Education officials on LEARNS and ACCESS implementation. Witnesses said the state’s goal is for students to graduate employed, enrolled, or enlisted, and described expanded career pathways, student success plans, merit and distinction diplomas, and school accountability measures tied to pathway completion and tangible credentials. They reported increases in K-12 CTE enrollment and concurrent enrollment, and explained that some secondary career center programs were reduced or eliminated because they no longer aligned with state workforce demand. Members asked detailed questions about how merit/distinction affects school letter grades, how AP, concurrent credit, CTE completers, apprenticeships, and work-based learning fit into the system, and whether homeschool and private school students can access the same opportunities. Officials said multiple pathways can satisfy the requirements, including AP Scholar, concurrent credit, technical certificates, and apprenticeships, and that counselors are being trained to advise students. They also discussed scholarship changes: ACCESS broadened eligibility for the Arkansas Academic Challenge and Governor’s Scholar awards, with diploma of merit or distinction now qualifying students for additional aid, while the Governor’s Distinguished Scholarship itself remained unchanged. Questions were raised about whether homeschool and private school students can meet the new diploma-of-distinction criteria; officials said the intent is to make them eligible if they meet the same standards, and that guidance is being finalized. The discussion also covered workforce scholarships and grants. Officials said the Workforce Challenge was expanded to include vocational-technical schools and increased funding, and that the Division is reworking policy around “professional skills training” to support shorter-term, stackable programs. They reviewed the new federal Workforce Pell Grant, noting its narrow hour and duration limits and the need for programs to meet completion, placement, and earnings thresholds. Members also asked about the state lottery scholarship fund balance and whether more aid should be directed to students; officials said the fund remains healthy and that ACCESS has already increased awards and expanded eligibility, with more implementation data still to come. The final presentation came from the Director of Workforce Connections on a $35.8 million U.S. Department of Labor cooperative agreement for the American Manufacturing Apprenticeship Incentive Fund. Arkansas will administer the national fund, which is aimed at expanding advanced manufacturing registered apprenticeships across the country through a pay-for-performance model. Officials said the program will support occupations in aerospace, automotive, biotech, maritime, nuclear, semiconductors, supply chain, and automation, and that applications will open soon. Members asked who can apply and how the money will be distributed; the answer was that registered apprenticeship sponsors—sometimes companies, sometimes colleges, sometimes intermediaries—will apply, with Arkansas setting eligibility criteria, vendor requirements, and outreach efforts.

Transcript Highlights:

• How will you approach your role as a PSC commissioner now that you're no longer on staff to set rates
• In some of these rate settlement cases, do you view them as an indispensable party in these rate cases
• I will note the prior vendor did not submit a bid to that.
• There were no bids during that period of time, including from the prior vendor.
• for a term of three years, I think they were going off of the same prior term from the prior vendor.

Bills: S0468, S0822, S1234, S1260, S1580, S1706

Keywords: animal cruelty, reporting, veterinary, protection, liability, regulation, community association, management certification, Florida Statutes, certified manager, association governance, building permits, inspections, offsite construction, local government, housing, property regulation, construction standards, state of emergency, emergency response

Summary: The Committee on Regulated Industries heard and approved several bills, beginning with SB 468 on animal cruelty, which would require veterinarians and veterinary technicians to report suspected past or ongoing cruelty to law enforcement or animal control and allow release of relevant medical records in good faith; it was reported favorably after supportive testimony from animal welfare advocates. The committee also approved SB 1706, narrowing eligibility for the My Safe Florida Condominium Pilot Program to buildings with at least 80% owner-occupied units and residents at or below 80% of area median income, with members noting the need to better target limited funding. Members then considered SB 1234 on building permits and inspections, which was amended to clarify permit extensions, narrow the hurricane/flood barrier exemption, preserve mechanical and gas permitting requirements, and refine private-provider and local-government procedures; the bill passed as amended. SB 1260 on building inspections during emergencies was also amended to require DMS state-term contracts for post-emergency inspection vendors and then reported favorably. SB 822 on community association management was amended to raise the threshold to associations with at least $750,000 in annual revenue and 100 or more parcels, while allowing direct-hire credentialed managers; supporters said it would improve professionalism and accountability, and the bill was reported favorably. The committee next approved SB 1580 on illegal gaming, after removing a fantasy sports provision by amendment. The bill increases penalties for illegal gambling houses and related offenses, adds enforcement tools, and drew support from law enforcement and gaming officials, while some witnesses urged clearer definitions and procedures for machine approvals and declaratory rulings. The committee also took up appointments to the Public Service Commission and Florida Gaming Control Commission, hearing testimony from appointees and asking questions about utility hardening oversight, gaming enforcement, and a contract for compulsive gambling services; all appointees on the agenda were recommended favorably in one block. At the end of the meeting, members recorded individual votes on selected bills, and the committee adjourned.

Transcript Highlights:

• </c> portion of that savings to the vendor. portion of that savings to the vendor.
• We're getting good rates.
• We're getting good rates.
• We're getting good rates.
• We're getting good rates.

Keywords: 958, all

Summary: The committee met with a quorum, approved the June 10 minutes, and then handled a routine agenda of contracts and agreements. It deferred one Kentucky Educational Television contract to the August 2025 meeting because the vendor was not registered with the Secretary of State, and then approved the remaining routine items on the PSC green list and related contract lists without objection. The most detailed discussion involved two personal service contracts for the Kentucky Employees Health Plan. Officials from the Personnel Cabinet and Department of Employee Insurance explained that the contracts were designed to identify claims errors and overspending, with vendors paid a percentage of validated savings recovered for the plan. Senators asked how the savings were calculated and whether the contracts had changed plan processes; staff said the contracts had produced realized savings, some errors had been corrected going forward, and the vendors report quarterly. The committee approved those contracts. The committee then took up a retroactive Kentucky Higher Education Assistance Authority contract for a customized College Info Road Show bus. Members questioned why the contract was being presented months after execution, why it involved an out-of-state vendor, and whether the purchase was reasonable and timely. KHEAA staff said the delay stemmed from the need to finalize sustainability and safety details after the RFP, and acknowledged internal process and staffing issues. Several members criticized the retroactive approval process and said they could not validate the purchase from the information provided, but the committee ultimately approved the contract after debate. A final KHEAA discussion focused on the purpose and value of the mobile outreach bus. Staff said the bus supports college and financial aid outreach, especially in rural areas, and has been used for 26 years. Some members questioned the return on investment and whether the state should rely more on broadband and remote outreach, while others supported the program as a way to reach students and families. The committee approved the KHEAA contract, with Senator Douglas voting no and explaining concerns about whether such outreach programs are the proper role of government and whether they are the best use of public funds.

Transcript Highlights:

• , 90% live discharge rates.
• , 90% live discharge rates.
• Are you aware of the turnover rate in Texas for home caregiver rates right now?
• rates.
• And for our eligibility error rate, they found an error rate of 1.1%.

Keywords: 1185, senate, all

Transcript Highlights:

• Like, especially for, like, a vendor who's trying to be a geofence something.
• And when a vendor receives, say, a request to geofence a building, that vendor can obviously see what
• to set rates for what actually those reimbursement rates should be.
• This would be a task force to look at the graduation rates and the retention of our nurses.
• It is to look at our graduation rates and how do we increase our graduation rates and our engagement

Summary: The committee first took up House Bill 279, on a committee substitute that narrowed the bill to privacy and safety protections for reproductive and gender-affirming health care. The substitute would strengthen limits on disclosure of protected health information, restrict geofencing around care facilities with exceptions for security and research, clarify emergency stabilization obligations under state licensing law, and allow abortion-medication labels to omit a prescriber’s personal name and address. Supporters including ACOG, the ACLU, the League of Women Voters, the Health Care Authority, and advocacy groups said the bill protects patients and providers from surveillance, harassment, and out-of-state investigations. Some members raised concerns about HIPAA, research data, and whether the bill could go too far, but the substitute passed 6-2. The committee then approved House Memorial 1, which asks the Legislative Finance Committee to study whether a constitutional amendment should create an independent commission to manage CYFD. Supporters said the department needs a comprehensive structural review, while opponents argued New Mexico already has enough reports and should act on existing recommendations instead of commissioning another study. House Memorial 31 also passed; it directs the Health Care Authority to re-evaluate a rule limiting home health agencies to serving patients within 100 miles of their licensed locations, in light of access needs in remote areas such as the Navajo Nation and anticipated demand from uranium workers. House Bill 306, dealing with facility fees, was amended by substitute to prohibit such fees for certain preventive services, vaccinations, telehealth, and some services provided in vehicles, while exempting rural hospitals and requiring notice to patients. Hospital representatives opposed the bill, warning it would add financial pressure and could still be passed through to patients or premiums, while insurers, retiree advocates, and consumer groups supported it as a way to curb confusing and costly add-on charges. The committee also advanced House Memorial 36 to create an unfunded nursing shortage task force focused on graduation rates, retention, and barriers to training, and House Memorial 35, which would ask HCA to seek a Medicaid state plan amendment for pediatric palliative care. Supporters of the palliative care memorial described major access gaps for children with complex conditions, especially in rural areas, and the memorial passed after testimony from a rural pediatric hospice nurse and committee discussion about the small number of eligible children and the burden on families.