Transcript Highlights:

• transformation plan. transformation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.
• I'll go over the plan, our activation, I mean the program overview and the activation plan.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• official would have in place through their normal process to have inspectors at each election and allocate

Bills: HB91, HB95, HB255, HB318, HB91, HB95, HB255, HB318

Keywords: county housing authority, public housing, housing authority, affordable housing, low-income housing, mixed-use development, community facilities, subsidiary, affiliate, public corporation, municipal tax exemption, deed tax, mortgage tax, probate fee, bond financing, housing project, urban redevelopment, rural housing, public-private partnership, eminent domain

Transcript Highlights:

• <00:33:47.800> on revenues that we'd be able to plan on revenues that we'd be able to plan
• <01:16:48.760> your you know, much like as you plan your you know, much like as you plan your
• Is there any plan?
• Um, the disagreement was not on the plan; the disagreement is the timing of the plan.
• timing of the plan. timing of the plan.

Bills: HF4841, HF4234, HF3697

Keywords: Hennepin County, sales tax, health care facilities, ballpark improvements, tax revenue, HF4234, Minnesota private activity bonds, tax-exempt bonds, bond cap, aggregate bond limitation, residential rental projects, multifamily housing, affordable housing finance, housing bonds, public finance, bond allocation, private activity bond cap, Minnesota Statutes 474A.02, tax committee, tax refund

Transcript Highlights:

• So they would qualify for that tuition-free college assistance for the medical school.
• So they would qualify for that tuition-free college assistance for the medical school.
• They actually did a business plan for the medical school that dives into a lot of this information and
• Chair, it would start paying for existing students that qualify under that existing, or qualify under
• They've looked at the language and have said that we couldn't qualify for a lot of the funding available

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• And then Secretary Armejo, you mentioned the GLP-1, and I know some health insurance plans are...
• Does such a planning tool exist? So, Mr.
• I go to my insurance stuff and I say, give me the best plan I can and I want to be able to get access
• The one thing to remember is Senate Bill 42 has mandatory participation in the plan of safe care.
• So again, there's mandatory participation in the plan of safe care starting 7-1-2026.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• Parent notification and read-at-home plans recognize that families are essential partners in literacy
• And it sounds like that's the plan. Much more quickly than that.
• And it sounds like that's the plan. There's also been discussion, Mr.
• I believe the plan is we'll hear the math bill. I believe the special ed bill will be on for that.
• I believe the plan is we'll hear the math bill. I believe the special ed bill will be on for that.

Bills: SB29, SB37

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• So she's had that planned for a while, but she does hope to be with you for future meetings.
• road plan. road plan.
• with a game plan with a game plan that<00:31:37.240> we<00:31:37.360> can<00:31:37.520
• I was going to give just a brief plans.
• , the General Assembly provided an plan, the General Assembly provided an additional<00:48:43.920>

Keywords: 00:01 Call to Order and Roll Call 01:22 Overview/Impact of Executive Order 47:02 General Funds in Road Plan 50:37 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met for its first meeting and received an overview from Transportation Cabinet officials on the governor’s executive order responding to high gas prices. Deputy Secretary Mike Hancock and budget director Shawn McKiernan explained that the order declared a state of emergency, reduced the state motor fuels tax by 10 cents per gallon, froze the tax rate for FY27, and urged Congress to suspend the federal gas tax. They said the emergency regulation would remain in effect until the war in Iran ends or Kentucky gas prices fall below $3 per gallon, and that any transportation budget shortfalls could be covered by the state budget reserve trust fund if requested later by the governor. McKiernan estimated the 10-cent reduction would reduce the road fund by about $26.8 million per month, with roughly 44% flowing to county road aid, rural secondary, and municipal road aid. He said the immediate impact to counties and cities would be about $11.8 million for one month, while the cabinet would see about $15 million per month less available for its own use. He also said the freeze on the FY27 motor fuels tax rate would prevent a scheduled increase and, compared with the budget assumption, would produce about $42 million in net additional revenue, split between local governments and the cabinet. He added that if the reduction lasted through December, the major transportation programs could be down about 16.9% from budgeted levels. Members focused on the effect on local governments, the road fund, and the cabinet’s cash management process. Several senators and representatives criticized the executive order as short-sighted or political, while others emphasized the need for a long-term solution to transportation funding. Questions were raised about how make-whole payments to counties and cities would be handled, how the cabinet manages cash flow, and whether the state should continue relying on general fund transfers to support the road plan. Cabinet officials said they would work with lawmakers, explained that project authorizations are managed based on cash flow and seasonal spending patterns, and noted that construction and maintenance costs have risen sharply, making revenue adequacy a continuing concern.

Transcript Highlights:

• administrators on behalf of the plan administrators on behalf of the plan both<00:46:59.760>
• rebates are helpful to plan financials. rebates are helpful to plan financials.
• Uh but we uh we're plan would have.
• So, the plan is of that savings.
• We are a data-driven organization. plan value but also keep premiums as low plan value but also keep

Keywords: Voter List Maintenance - State Board of Elections -- 05:38 State Employee Health Insurance Plan – 44:18 Discussion of HB 622 (2025 RS) – 01:01:43, 958, all

Summary: The Interim Committee on State Government met on July 29, established a quorum, approved the June 24 minutes unanimously, and heard an update from the State Board of Elections on voter list maintenance. Taylor Brown, the board’s general counsel, explained the federal NVRA requirements and Kentucky’s statutory process for maintaining voter rolls, including use of USPS change-of-address data, ERIC reports, and agreements with non-ERIC states. He said Kentucky has entered or discussed agreements with several states, and that the board sends postcards to voters believed to have moved; if a voter does not respond to an 8D2 postcard and does not vote over two federal election cycles, the registration may be removed. He also described other removal categories such as death, felony conviction, incompetency, duplicate registrations, and self-requested cancellations. Brown reported that between July 1, 2024, and June 30, 2025, the board removed 284,381 registrations from the rolls, including 42,675 for death, 5,940 for felony conviction, 5,527 for registration in another state, 578 for incompetency, 223 based on jury questionnaires indicating non-citizenship, 746 self-removals, and 3,381 duplicates, along with 225,311 removals through the address-maintenance program. He said Kentucky’s total registrations decreased by roughly 169,000 over the year and are now below the Census Bureau’s estimate of the state’s voting-age population. Brown emphasized that receiving a postcard does not mean a voter has been purged and that failure to vote alone does not trigger removal. Members asked about the 223 non-citizen-related removals, the availability and effectiveness of alternatives to ERIC, the partisan criticism of ERIC, and how duplicate registrations are identified. Brown said the non-citizen jury questionnaire cases had been referred to the Attorney General for further review, that Kentucky currently has no organized alternative to ERIC but is pursuing reciprocal agreements with states such as Florida, and that ERIC recently changed bylaws to remove a postcard requirement that had been costly for member states. On duplicates, he said the board uses multiple data points, not just name and address, and noted that fuller Social Security data could improve accuracy. Committee leaders praised the board’s work and said they wanted to meet before session to discuss possible statutory changes to improve voter list maintenance.

Transcript Highlights:

• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• <00:54:32.559> their that's what they use to plan their that's what they use to plan their

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• The 2026-32 statewide capital improvement plan.
• The two documents before the board plan.
• . plan. plan.
• Uh this is the last improvements plan.
• <00:08:53.680> process in the state's capital planning process in the state's capital planning

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Approval of Minutes 00:01:40 2026-2032 Statewide Capital Improvements Plan 00:02:15, 958, all

Summary: The meeting opened with a quorum, prayer, and the Pledge of Allegiance, followed by approval of the prior meeting minutes. The board then reviewed the 2026–2032 statewide capital improvement plan, including project recommendations across maintenance, renovation, IT, and new construction categories. Staff explained that 15 projects were selected in each category and described how the board’s tiebreaker process was used to finalize the recommendations. Members asked about the asset preservation pool, specifically whether institutions receive a blanket appropriation or must identify projects. Staff explained that the Council on Postsecondary Education serves as the gatekeeper after appropriation, reviewing institution-submitted uses to ensure they meet criteria for maintaining and improving existing facilities rather than new construction. Staff also outlined revisions to the draft plan, including updated summary data, revised wording for clarity, an updated maintenance pool policy recommendation based on Pew research, and a change to cross-reference major state-funded construction project status information rather than listing it directly. During discussion, one member praised the work on the plan and commented on the budget reserve trust fund, noting disagreement with Pew’s suggestion that the process should be in statute because Kentucky has long used the budget bill to govern deposits and uses. The board then moved to final action and unanimously adopted the draft 2026–2032 statewide capital improvement plan, with authority for staff to make final technical and editorial revisions and insert the comprehensive project list before publication. The chair thanked members for their work, noting it was the final meeting of the year, and the meeting adjourned.

Transcript Highlights:

• So what we're asking is for the Oklahoma Broadband Office to develop a plan, kind of their window plan
• Is we want to see their plan to shut down the office eventually as they've met their mission.
• And who is voting on this plan as far as the legislature is concerned?
• The office shall develop a comprehensive plan, bring it to the board.
• Requiring a wind-down plan.

Bills: HB1782, HB2293, HB3176, HB3544, HB3546, HB3619, HB4358

Keywords: artificial intelligence, education reform, innovation, funding, advisory council, broadband, Oklahoma Broadband Office, broadband access, statewide broadband plan, internet connectivity, grant programs, expansion council, termination plan, Oklahoma, Gas Hub, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development

Transcript Highlights:

• The committee substitute for House Bill 4028 will extend The sunset date of the qualified equity investment
• This deduction allows accredited investors to deduct qualified equity investments in eligible Oklahoma
• And this is just an allocates those leftover funds to be administered those that were appropriately used
• battles as they were growing up at the state level with no recourse, so for people to think, with no plan
• I don't think it serves the students in this state for this akamamie plan and idea to be put forth like

Bills: HB4028, HB4075, HB4077, HB4074, HB4076, SB1221, SB1921, SB2118, SB1932, SB2134, HCR1025, SB1432, HCR1024, HCR1022, SB1122, HB4029, HB4063, HB4073, HB4078, SB1936, SB44, SB237, SB248, SB1360, SB985, SB1204, SB1239, SB1307, SB2143, SB1428, SB1390, SB1400, SB1405, SB1732, SB1832, SB1859, SB1989, SB2018, SB1427

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, water resources, appropriations, funding, state treasury, infrastructure projects, emergency act, emergency management, disaster relief, pandemic response, state appropriations, HB4074, Health Care Workforce Training Commission, Health Care Workforce Revolving Fund, health workforce, health care workforce

Bills: HB4028, HB4075, HB4077, HB4074, HB4076, SB1221, SB1921, SB2118, SB1932, SB2134, HCR1025, SB1432, HCR1024, HCR1022, SB1122, HB4029, HB4063, HB4073, HB4078, SB1936, SB44, SB237, SB248, SB1360, SB985, SB1204, SB1239, SB1307, SB2143, SB1428, SB1390, SB1400, SB1405, SB1732, SB1832, SB1859, SB1989, SB2018, SB1427

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, water resources, appropriations, funding, state treasury, infrastructure projects, emergency act, emergency management, disaster relief, pandemic response, state appropriations, HB4074, Health Care Workforce Training Commission, Health Care Workforce Revolving Fund, health workforce, health care workforce

Transcript Highlights:

• Members, as you know, the Qualified Hotel Project...
• Amazing hotels planned within the PFC.
• Visitor engagement is a critical part of that planning effort.
• As the qualified hotel project, as the term is defined in the statute.
• By a qualified hotel project.

Bills: HB 1039, HB2289, HB2370, HB2404, HB3066, HB3076, HB3117, HB3118, HB3169, HB3178, HB3179, HB3182, HB3196, HB3241, HB3377, HB3500, HB3567, HB3715, HB3954, HB4098, HB4109, HB4222, HB4226, HB4412, HB4659, HB4682, HB4683, HB4755, HB4926, HB5165, HB5562, HB5596

Keywords: hotel occupancy tax, municipal revenue, tax authority, border counties, tax legislation, municipalities, hotel tax revenue, convention centers, economic development, local government authority, HB 2370, HOT tax, venue projects, convention center, municipal finance, local government code, Section 334.0082, tourism tax, debt financing, bond repayment

Transcript Highlights:

• . and other health MCOs are not allowed to inform enrollees about other health plan options because of
• Bill ensures that MCOs can inform enrollees. is about the availability of qualified health plans offered
• Supported by the health plans, primary care consortium and Texas 24.
• I'm the CEO of the Texas Association of Health Plans and we are testifying in support of Senate Bill
• They're U.S. citizens that don't qualify, for the most part.

Bills: SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461

Keywords: voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery

Transcript Highlights:

• The Chair calls Blake Hudson, Director. ...for public affairs, Texas Association of Health Plans, and
• The max number in the benchmark plan actually went down too.
• These programs only alert health plans which lab claims filed are within policy coverage or not.
• and thus lower costs for health plans.
• My company provides lab integrity programs for over 30... ...health plans across the U.S.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• their practice, the new doctor must go through a lengthy credentialing process with health insurance plans

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Bills: SB207, SB72

Keywords: cotton, agriculture, levy, assessment, referendum, Alabama law, medical cannabis, cannabis license, integrated facility license, Alabama Medical Cannabis Commission, AMCC, medical marijuana, dispensary, cultivation, processing, license appeal, administrative hearing, judicial review, consultant selection, license denial

Transcript Highlights:

• Moving over to the education part of that, there was no allocation for the St. Paul teachers.
• We oftentimes do want to give allocations, but there was an agreement that Education Minnesota and that
• the rest of the teachers that would be in that plan would be given the other $40 million and through
• We oftentimes do want to<00:05:29.919> give<00:05:30.160> allocations,<00:05:30.720>
• but<00:05:30.880> there<00:05:31.120> was<00:05:31.280> an to give allocations

Bills: SF2884, HF1889

Keywords: pension, retirement, omnibus pension, MSRS, PERA, TRA, public employees retirement, state employees retirement, correctional employees, police and fire retirement, State Patrol retirement, teachers retirement, firefighter relief association, volunteer firefighter, state aid, postretirement adjustment, COLA, annuity, disability benefit, duty disability

Transcript Highlights:

• and we are in strong support of House File 4106 to ensure Minnesota continues the Premium Security Plan
• The Premium Security Plan has been one of the few proven tools to stabilize the individual market.
• So I just think that that's something that is maybe worth exploring, to allow the health plans to give
• I've always appreciated this part of the ACA, of the essential benefit plan, because I dealt with this
• Um, I've always appreciated this part of the ACA, of the essential benefit plan, because I dealt with

Bills: HF4502, HF3388, HF4106, HF400, HF4138, HF4118, HF4203

Keywords: trusted contact, financial exploitation, elder abuse, elder financial abuse, fraud prevention, financial institution, banking, credit union, broker-dealer, account security, dormant account, consumer protection, scam, suspicious activity, protective services, law enforcement reporting, Minnesota Statutes chapter 45A, HF3388, Minnesota premium security plan, reinsurance