Transcript Highlights:

• So hopefully you got a pretty good flavor of the board and what our capabilities are in terms of drawing
• <00:12:59.200> the<00:12:59.440> board pretty pretty good flavor of the board pretty
• If you members of the uh on this board.
• But there’s many other things outside of this board that are in House Bill 695.
• So, um, I do appreciate being a part of this and being able to kind of help this board set the stage

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• House Bill 3000 is an extension of the Board of Cosmetology and Barbering.
• The Board of Chiropractic Examiners and extension to 2031. Move for adoption. Any questions?
• Board of Examiners of Optometry, this is an extension of their sunset. Move for adoption.
• This is an extension of the Board of Tests for Alcohol and Drug Influence. Move for adoption.
• Some of those are a little more complicated. I think both of these had about 20 packets of rules.

Bills: HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, HB4319

Keywords: cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics, manicurist, eyelash extension, blow-dry styling, makeup artist, occupational licensing

Transcript Highlights:

• Society of Texas, where I serve as the board president.
• the Board of Trustees of an independent school district.
• trustees play a crucial role in shaping the policies. and direction of our schools, and it's essential
• Ineligible to run or to serve as a trustee of a school board. Y'all I didn't go look for this bill.
• Legislative Budget Board, the Texas Legislative Council, has removed Section 5 of the Introduce version

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• boards of trustees the authority to adopt a resolution to change the length of the election terms until
• Representative Tepper, relating to the employment of persons by the State Board of Education.
• Committee substitute house bill 3627 house bill 3627 would allow the chair of the state board of education
• Zarin Kinsey, testifying on behalf of the State Board of Education and yourself, and you'll be testifying
• HB 3627 in my official capacity as Chairman of the State Board of Education.

Bills: HB367, HB497, HB549, HB983, HB 1188, HB 1290, HB1368, HB2243, HB2310, HB2849, HB3099, HB3546, HB3629, HB3627

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• Board of Dental Examiners to be an oral and maxillofacial surgeon in active practice at the time of
• Good morning, Madam Chair and members of the board of committee. My name is Eddie Christensen.
• Madam Chair, Senator Shamp, and members of the board.
• state board of nursing and i appreciate this committee's ongoing efforts to the Arizona State Board of
• The primary mandate of the Board of Nursing is to protect the public.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• As a tenure member of a royal hospitals board, I know that the debt load that we carried and the amount
• So, how does shifting the spending authority from the independent boards of the T set to the legislature
• education, and we've talked about different ways to make up that state board of education.
• But just in March, the Court of Civil Appeals said the board violated its very own enabling statute,
• And that's why I'm asking for July 2027 sunset so that we can revisit the activities of this board and

Bills: HB3327, HB3711, HB4104, HJR1077, HB3329, SB2184, SB171

Keywords: State Board of Education, Oklahoma education board, board appointments, school governance, education reform, governor appointments, legislative appointments, speaker of the house, president pro tempore, senate confirmation, board vacancies, removal for cause, public education, state superintendent, school board training, board member qualifications, emergency clause, Oklahoma statutes 70 O.S. 3-101, school funding, transparency

Transcript Highlights:

• This resolution pertains to the House rules of procedure to authorize additional constitutionally compliant
• proportional penalties for members absent without leave for the purpose of impeding the action of the
• Resolutions by Perez of El Paso are being referred, including HR108 and HR110 through HR113.

Bills: SB 8, HB 7, HB 15, HB 265, HCR 13

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, parental rights, public education, Texas Education Agency, TEA inspector general, school grievance process, student records, teacher certification, human sexuality instruction, parental consent, library materials, school transparency, educator misconduct, child abuse reporting, neglect reporting

Transcript Highlights:

• the drivers to give the driver's test, not the State Board of Education.
• the drivers to give the driver's test, not the State Board of Education.
• Pettus, just real quick, as I heard some of the objection kind of lie into a spot of not being able to
• Now, could you kind of give us a little bit of what? >> Yes, sir.
• bit of what? bit of what? >> Yes,<00:47:24.720> sir.

Bills: HB274, HB287, HB301, HB157, HB254, HB88, HB274, HB287, HB301, HB157, HB254, HB88

Keywords: Crenshaw County, county board of education, school board, board of education, term limits, term length, elected officials, local constitutional amendment, Alabama Constitution, education governance, local legislation, November 2026 election, ballot measure, constitutional amendment, school board elections, law enforcement, transparency, reporting, public safety, regulation

Transcript Highlights:

• This is a bill that works with the Alabama State Board of Public Accountancy.
• this board.
• Through our work in Sunset Committee, it is a very well-run board, as evidenced by our first year of
• can carry the title of CPA.
• Any further business for the committee to consider for the good of the people of the state of Alabama

Bills: HB59, HB128, HB59, HB128

Keywords: early voting, electoral participation, voting centers, Alabama elections, absentee ballot, HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments

Transcript Highlights:

• Also give them back the control and take it out from under the Board of Nursing.
• But right now, I mean, this board is one of them that is difficult.
• The board is one of them that has gone through a difficult transition.
• The nursing board has done an outstanding job of trying to bring some order to this.
• This board has a lot of human trafficking issues, and so this is not a board for us to take lightly.

Bills: SB253, SB317

Keywords: massage therapy, licensing board, public safety, criminal background check, temporary permit, emergency order, Alabama Innovation Corporation, board of directors, staggered terms, economic development, entrepreneurship, 1136, house, all

Transcript Highlights:

• of the Arizona State Board of Nursing.
• So we could do all of this board reform.
• Well, this is one of two board reform bills I sponsored for the Pharmacy Board as a result of the Auditor
• Cam Gandhi, Executive Director of the Board of Pharmacy.
• Ajene, we're ready to go on to the second of the two Board of Pharmacy bills.

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Summary: The committee first took up several continuation bills to extend state boards and agencies, including HB 2728 for the Department of Economic Security, HB 2729 for the State Board of Nursing, HB 2730 for the Board of Occupational Therapy Examiners, HB 2731 for the Physician Assistants Board, and HB 2732 for the Board of Pharmacy. Each was moved for a due pass recommendation, with HB 2731 amended to continue the physician assistant board for four years instead of two. All of these continuation bills passed the committee with strong support. The committee then heard HB 2408, a nursing board reform bill dealing with complaint investigation procedures, timelines, confidentiality, complaint prioritization, access to investigative files, expungement of certain disciplinary actions, and a revised definition of unprofessional conduct. The sponsor and supporters argued it would improve fairness, allow limited expungement for older non-patient-safety issues, and address long investigation delays. The nursing board president and other opponents warned it would raise the evidentiary standard, weaken patient safety protections, and erase useful disciplinary history. After extensive testimony, the committee adopted an amendment and passed the bill 7-4-1. Next, the committee considered pharmacy-related reforms. HB 2434 updated the controlled substances prescription monitoring program, including registration, reporting, confidentiality, and a compliance work group; it passed unanimously after amendment. HB 2733 allowed pharmacists and technicians to complete continuing education after renewal submission if finished before expiration, clarified prescription delivery locations, and addressed temporary operation during ownership changes; it also passed unanimously after amendment. Finally, HB 2725, which would have restricted access contractors from substituting non-opioid drugs and limiting non-opioid utilization controls, drew concerns that it was too broad and could affect many drug classes and costs. After amendment and debate, the committee failed to give HB 2725 a due pass recommendation by a 6-6 vote, and the meeting adjourned.

Transcript Highlights:

• I’m happy to talk about how some things were a flip, literally a flip of a coin of a piece of silver
• local context, instructional goals, or the professional judgment of teachers and school boards.
• So because of his timing of the Emancipation Proclamation, England stayed out of the war.
• So because of his timing of the Emancipation Proclamation, England stayed out of the war.
• And it's for all of us, regardless of what we look like. This country is a heritage of ideas.

Bills: S0124, S0206, S0420

Keywords: Florida Virtual School, FLVS, virtual school, online education, distance learning, K-12 education, public school choice, charter-like franchise, student enrollment priorities, home education, homeschool, military families, active duty military, rural schools, inner-city schools, accelerated graduation, education technology, supplemental funding, direct-support organization, foundation

Summary: The committee first heard SB 124, which updates Florida Virtual School’s statute to remove outdated language and clarify its service, funding, governance, reporting, and district coordination provisions without changing day-to-day operations. Florida Virtual School testified in support, members praised the bill, and it passed unanimously on a roll call vote. The committee then took up CS for SB 206 on students with autism spectrum disorder. Senator Harrell explained that the bill would require autism and neurodevelopmental training in educator preparation programs, require ESE-certified teachers to complete an autism microcredential, create an Autism Educator Loan Forgiveness Program, provide salary supplements for teachers with the autism endorsement, and require district professional development to include autism-specific training with local CARD centers. A large number of speakers—teachers, parents, students, and advocacy groups—supported the bill while urging that implementation be fully funded, high quality, and not become an unfunded mandate. Several members spoke in favor, emphasizing the growing number of students with autism and the need to recruit and retain special education teachers. The bill was reported favorably by committee vote. Finally, the committee considered SB 420 on patriotic displays in classrooms. Chair Burgess explained the bill as a way to place portraits of George Washington and Abraham Lincoln in schools to encourage civic and patriotic reflection, and he offered an amendment narrowing the requirement from every classroom to one prominent display in each school and adding language making it subject to state appropriation. The amendment was adopted. Testimony on the bill was mixed: some speakers supported the idea as a spark for civic discussion, while many others opposed it as symbolic, unnecessary, or better addressed through curriculum and teacher training rather than mandated displays. In debate, some senators argued the portraits could prompt broader historical conversations, while others raised concerns about representation, classroom autonomy, and funding. The transcript ends during debate on the amended bill, before a final vote is shown.

Transcript Highlights:

• Chairman Reagan Ingram from Wendam, on behalf of the Board of Medical Examiners, this—I love saying this
• Examiners, the Board of Nursing, the State Nurses Association, and the Nurse Practitioner Alliance of
• They have met with the Board of Midwifery and the Medical Association, and they...
• board of governance. ...same kind of board of governance.
• About this bill, is the ABC Board regulating this when the Department of Agriculture has a lot of expertise

Bills: HB194, SB87, SB237

Keywords: healthcare, advanced practice nursing, nurse collaboration, medical board, nursing board, committee structure, midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, hemp, hemp beverages, psychoactive cannabinoids, psychoactive hemp products, delta-8 THC, delta-9 THC

Transcript Highlights:

• And of course, I don't think any of us believe that the Alabama Department of Public Health is going
• /c> And of course, I don't think any of us And of course, I don't think any of us believe<00:02:57.120
• Department of Public Health. And they to Department of Public Health.
• > transparency<00:19:42.160> of again, the lack of transparency of again, the lack of transparency
• I think several of us received on that. I think several of us received on that.

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Transcript Highlights:

• large businesses, some of While a lot of large businesses, some of this<00:08:11.840> economic
• Some of you already know me, and you know that I'm the mother of seven children.
• Eighty-nine percent of Republicans and 75% of Democrats and independent voters.
• Chairman, members of the committee. Mr. Chairman, members of the committee.
• He said he is also a member of the Tuscaloosa City School Board and the father of a 7-year-old who is

Bills: HB69, HB114, HB161

Keywords: firearms, possession, Class 1 municipalities, criminal penalties, federal law, stolen firearms, prohibited persons, HB114, Alabama Sunset Law, sunset bill, Board of Dental Examiners of Alabama, dental board, dental licensing, dentist regulation, professional licensing, occupational licensing, healthcare regulation, licensure board, state agency continuation, agency sunset review

Transcript Highlights:

• Pledge of allegiance to. Introduction of veteran of the. Week.
• Introduction of doctor and or nurse of the day. Correction of previous day's journal. How. And.
• But Aaron's story of service is not only one of military leadership; it is also one of a deeply personal
• She plays varsity softball and is on the center of family love teen board.
• He is FCLA and class president and on the Oklahoma Fall Hall of Fame teen board.

Bills: HB3522, HB4300, HB4359, HB4363, HB3467, HB2987, HB3076, HB4427, HB3026, HB3288, HB3315, HB3711, HB3885

Keywords: alcoholic beverages, ABLE Commission, licensing, regulation, annual reporting, child care, criminal history, background checks, child safety, Oklahoma laws, advisory committees, statewide assessments, student testing, testing window, end-of-year testing, Oklahoma Academic Standards, Oklahoma School Testing Program, State Board of Education, grade 3-8, alternate assessment

Transcript Highlights:

• Eddie Sloan, Kentucky Board of EMS executive director.
• Wayne Brisco, Kentucky Board of EMS deputy executive director.
• John Holder, the current chair of the Kentucky Board of EMS. All right, guys.
• But just kind of first want to kind of go over who we are. Uh, Kentucky Board of EMS.
• Because I know this is just kind of spread across the board and it gets a little bit for everybody, but

Keywords: Meeting Start 00:00:00 Kentucky Board of Emergency Medical Services (KBEMS) 00:00:53 Approval of Minutes 00:23:37, 958, all

Summary: The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs. Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60. Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments. No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Transcript Highlights:

• The clerk will read the short title: Relating to the Board of Directors of the Lake Agassiz Water Authority
• HB 1162 calls for the mayor of West Fargo to become a member of the Lake Agassiz Water Authority Board
• Board of Directors, subsection 1B line 9. We ask for your support.
• Board of Directors, subsection 1B line 9. We ask for your support.
• And then just looking at the total count, and, you know, a board of 13 people, you know, the more boards

Bills: HB1162

Keywords: Lake Agassiz, water authority, board of directors, state highways, water management, 908, all

Summary: The committee heard House Bill 1162, which would add the West Fargo mayor as a voting member of the Lake Agassiz Water Authority board. The sponsor and Fargo’s mayor argued West Fargo has grown into a major regional water stakeholder and should have a formal vote, while members questioned the board structure and why the change was not framed more specifically. The bill was supported in testimony, closed without opposition, and received a 6-0 do pass recommendation. The committee then took up House Bill 1259 on annual legislative sessions and session structure. Members adopted an amendment that left the structure and logistics of sessions to legislative management rather than prescribing details in statute, after discussion about flexibility, committee workload, annual versus biennial sessions, and concerns about preserving debate and committee process. The amended bill received a 4-2 do pass recommendation, with some members voting no because they preferred a different committee recommendation or had concerns about the broader change. House Bill 1254, which would allow any North Dakota resident to obtain a State Library card, drew supportive testimony from the bill sponsor and State Library staff. They said the change would align law with current practice and expand access to books, e-materials, and other resources statewide, including for military families and out-of-state state employees. The committee closed the hearing and approved the bill 6-0. The committee also considered House Bill 1469, which narrows financial disclosure requirements so only business or trust interests directly related to the office sought or held must be disclosed. After brief discussion that the change would reduce unnecessary disclosure burdens, the committee adopted the amendment and then gave the bill a 6-0 do pass recommendation. House Bill 1368, dealing with administrative rules and the standard for challenging them, was opposed by committee counsel as too broad and legally problematic; the committee rejected it on a 4-2 do not pass vote. Finally, House Bill 1219, which would reduce the required perpetual care fund set-aside for certain cemeteries from 20% to 10%, received supportive testimony from the sponsor, cemetery representatives, and local users, but also concern about long-term fund health. The committee ultimately recommended do pass on a 5-1 vote.

Transcript Highlights:

• <00:04:44.880> of remove reference to local board of remove reference to local board of education
• State Board of Education. Thank you. State Board of Education. Thank you.
• procedures for the Board of Claims.
• procedures for the Board of Claims.
• boards<00:10:54.040> adjudicate both both of those boards adjudicate both both of those boards

Keywords: 0:16 – CALL TO ORDER 0:20 – ROLL CALL 0:56 – ELECTION OF CO-CHAIRS 1:54 – APPROVAL OF MINUTES 2:10 – OFFICE OF THE ATTORNEY GENERAL 3:28 – PERSONNEL BOARD 4:30 – EDUCATION AND LABOR CABINET, BOARD OF EDUCATION, DEPARTMENT OF EDUCATION 5:18 – PUBLIC PROTECTION CABINET, OFFICE OF CLAIMS & APPEALS 12:03 – PUBLIC PROTECTION CABINET, DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 12:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 14:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR COMMUNITY-BASED SERVICES 31:44 – NEXT MEETING ANNOUNCEMENT/ADJOURNMENT, 958, all

Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.