Transcript Highlights:

• An act to amend the Cannabis Law in relation to expanding who can hold membership in an adult-use cooperative
• , Senator Bailey, title and act to amend the cannabis law in relation to expanding who can hold membership
• , Senator Bailey, title and act to amend the cannabis law in relation to expanding who can hold membership

Keywords: 993, senate, all

Summary: The committee met with a light attendance and acknowledged committee members, clerk Joyce Andrea, and central staff from IGO and finance. The chair noted an 18-bill agenda, with 17 repasses and one new bill, S.8555, described as a local tax extender for Suffolk County that had been overlooked the prior year. Once three members were present, the committee proceeded with normal motions and seconds. The agenda included a range of measures on alcohol and cannabis regulation, public officers law, executive law, tax law, state law, and highway naming. Bills reported included S.315 on a temporary New York craft beverage permit, S.349 on expanding the definition of agency, S.566 on Address Confidentiality Program eligibility for election officials, S.1130 on renter protections tied to housing subsidies or public assistance, S.1787 on a veteran suicide awareness flag, S.2640 on including veterans in the definition of military status for discrimination purposes, and several cannabis-related bills including S.3261, S.5277, S.6181, and S.6283. S.1418A, concerning attorney’s fees in certain proceedings, was referred to finance. Most bills were reported unanimously, though several had one nay or one without recommendation, including S.2271, S.234, S.2447, S.3261, S.5277, S.6181, and S.8555. The committee also reported S.2364 designating the Honor and Remember flag as an official state flag, S.55 renaming a highway in New York City, and S.8276 regarding qualifications for an assistant county attorney in Rockland County. The chair closed by thanking members and staff and noting the committee would meet again in a few weeks.

Transcript Highlights:

• If we have it, then nothing changes.
• There's been a sea change in Belmont.
• Is it a policy change or an interpretation change, or has there been something else?
• Does this statutory change look to address a change that has happened statutorily before this, or has
• it been a policy and interpretation change that you...

Keywords: 995, all

Summary: The hearing opened with remarks from the co-chairs explaining committee procedures, testimony limits, submission instructions, and the new deadlines for acting on House and Senate bills. The committee then heard testimony on several bills related to agriculture, land use, environment, housing, transportation, and taxation, with legislators often taken out of turn. No votes were taken during the hearing. The first major topic was H. 3206, a bill to allow fossil fuel-free 529 college savings plans to qualify for the state tax deduction if MEFA does not offer a comparable option. Representative Steve Owens said the bill would not force MEFA or Fidelity to change existing plans, but would create a definition for fossil fuel-free funds and extend the deduction to qualifying out-of-state plans. The committee also heard strong local testimony on a Belmont home-rule petition, H. 3970, to change tax treatment for the Belmont Country Club under Chapter 61B. Belmont residents and officials argued the private golf course receives an unfair tax break that shifts costs to other taxpayers, while Senator Brownsberger and Representative Rogers supported the measure as a way to help the town recover revenue. Committee members asked about town meeting support, the club’s lack of payment in lieu of taxes, and the size of the tax savings. The committee next heard testimony on a vehicle miles traveled tax proposal, S. 1925, from Senator Barrett and economists Gilbert Metcalf and Christopher Knittel. They argued that declining gas-tax revenue and rising fuel efficiency, especially with electric vehicles, require a more stable transportation funding source; they also said a VMT tax could be designed to be revenue-neutral and mildly progressive, though members raised concerns about administration, fairness, EV disincentives, and the possibility of annual tax shocks. The largest block of testimony focused on the Ahead Act, H. 3194/S. 1973, which would double the deed excise fee and dedicate the new revenue to affordable housing and climate adaptation. Supporters from MACDC, MAPC, FICC, Boston Climate Action Network, CLF, 350 Mass, CHAPA, and a tenant advocate said the bill could generate about $300 million annually for housing production, vouchers, weatherization, resilience, and environmental justice communities, and that it links two urgent crises with a stable funding stream. The committee also heard testimony on the Conservation Land Tax Credit bills, H. 3147/S. 2083, which would raise the annual cap on the credit from $2 million to $5 million for three years and then sunset back down. Conservation groups and a landowner said the program has conserved thousands of acres and that the higher cap would reduce delays and help meet state conservation goals. Finally, the committee took testimony on the Fairness for Farm Workers bills, S. 2011/H. 3107 and S. 2012, which would extend overtime, minimum wage, breaks, and paid time off protections to farm workers and include a refundable tax credit to help farmers offset overtime costs. Senator Gomez and advocates described the bills as overdue civil rights and public health measures, citing low wages, long hours, dangerous conditions, and the racial history behind farm labor exclusions. The hearing also included testimony on H. 3240, a bill to give municipalities a local option vacancy tax on chronically vacant shopping malls, with the sponsor arguing it would help towns address blight, encourage redevelopment, and potentially create housing and tax revenue.

Transcript Highlights:

• in that membership and that's included in that membership and that's why<00:30:03.840> we<00:
• would actually require a union change. would actually require a union change.
• That has changed.
• That has changed.
• That has changed.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 2485, which would require cardiovascular screening for student athletes. The Department of Education and Department of Health said they support the bill’s intent but noted that many screenings are already part of existing school-entry and well-child exams. The Attorney General’s office asked for clarifying language on who performs the screenings, where results go, how “positive findings” are defined, how referrals would work, and whether funding would be appropriated if DOE must hire health professionals. The American Heart Association strongly supported the bill, citing the risk of sudden cardiac arrest in young athletes and arguing that sports physicals are an effective opportunity for early detection. No vote was taken, and the committee moved on after testimony. The committee then heard HB 89, concerning a school psychologist working group and possible licensing or credentialing of school psychologists. The Department of Education and Board of Psychology supported the measure. The Hawaii Psychological Association said it supports licensing school psychologists but asked to be included in the working group, arguing it is an important stakeholder. The Hawaii Association of School Psychologists opposed including HPA, saying the issue is between school psychologists and DCCA and that HPA is not part of their organization. Testimony and discussion focused on the long-running disagreement over whether school psychologists should be regulated under the Board of Psychology or another mechanism, and on title protection and scope of practice. No action was reported during this portion. The committee also took up HB 2445, relating to standardized emergency responses for immigration enforcement at or near schools. The Department of Education said it already issued internal law-enforcement guidance and questioned whether the bill was necessary, while also raising concerns about the bill’s 1,000-foot buffer language and the limits of school authority over activity off campus. The Board of Education echoed those concerns and suggested the bill may need clearer definitions. Supporters, including the White Coalition for Immigrant Rights, the Legal Clinic, and an attorney testifying on Know Your Rights training, argued that recent federal changes have increased ICE activity near schools and that a law is needed to ensure clear, public protocols, staff training, and family protections. A student testifier said the measure was a top priority of the state student council. The transcript ends during testimony, with no vote or final committee action shown.

Transcript Highlights:

• There were some formatting changes made, but the substantive change to the rule made by this amendment
• So we're just changing our rules to be in compliance with Act 938.
• and then the cap change.
• And if it's something we've got to modify and change, then we can modify and change based on what an
• and the cap change, together.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. The Insurance Department’s amendment to its holding company system rule was reviewed and approved, as were two State Board of Election Commissioners rules: one clarifying poll watcher conduct, vote challenges, and provisional voting, and another increasing pay for certified election monitors and defining training, observation, and report-writing compensation. The Arkansas Financial Education Commission also had its rule reviewed and approved after removing membership requirements tied to DEI language to comply with Act 938. The committee held over the Department of Education’s request to be excluded from reporting requirements for one month to allow further discussion about who should write or implement the rules. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from reporting requirements for Acts 567, 568, 967, and 1025. DHS said CMS had raised comparability and other federal approval concerns, especially for the dental and diagnostic lab provisions, and that it might not be able to meet the acts’ effective dates. DHS described several possible paths forward, including broader benefit changes, waivers, or splitting the dental provisions so the pediatric rate increase could move separately from the special-needs adult cap increase. The Arkansas State Dental Association disputed DHS’s conclusion that the acts could not be implemented as written, argued that Act 1025 is workable, and urged DHS to continue pursuing implementation and preserve the September 1 effective date where possible. Public testimony also supported expanded dental access for adults with disabilities and special needs. After discussion, the committee voted not to exclude DHS from reporting requirements for those acts. The committee then reviewed the Division of Higher Education’s Act 781 report. The division said it has 32 rules in effect, asked to repeal three rules—two replaced by new rules and one no longer supported by authority or current law—and to continue the remaining 29 rules. The committee approved that request, with the repeals effective upon adjournment of the Legislative Council meeting on January 16, 2026. The meeting concluded with no questions on the remaining written rulemaking updates from prior and current sessions, which were filed without further action.

Transcript Highlights:

• The changes that are being proposed by -- you know, in terms of the TAP program, I think go a long way
• The changes that are being proposed by, you know, in terms of the TAP program, I think, go a long way
• I am a new member on the Higher Education Committee, and I'm very happy to see that our membership is
• I would also like to point out that there is one threat that I do see that we're having, at MEMBERSHIP

Keywords: 993, senate, all

Summary: The Higher Education Conference Committee met to discuss budget priorities for SUNY, CUNY, community colleges, TAP, student aid, and capital funding. Chair Toby Ann Stavisky emphasized the need for increased operating and capital support, protection against enrollment-based funding losses, no tuition increases, a review of TAP because it has not kept pace with living costs, and action on student loan access and research funding cuts. Assembly Chair Alicia Hyndman outlined the Assembly’s higher education proposal, including $475.7 million to expand TAP eligibility, raising income thresholds for TAP and the Excelsior Scholarship, creating a graduate tuition assistance program, adding community college operating aid, expanding the Opportunity Promise Scholarship, forgiving SUNY hospital debt service, increasing CUNY operating support, restoring opportunity program funding, creating a $110 million student loan support program called New York Rises, and funding five-year capital plans for SUNY and CUNY plus additional ECAP grants. Members broadly supported making higher education more affordable and accessible, while highlighting district-specific needs. Senator May praised SUNY Reconnect, community college workforce programs, hospital debt service relief, and a five-year SUNY capital plan. Senator Gonzalez framed the budget as an investment in economic mobility. Senator Griffo supported affordability, operating and capital aid, and additional support for medical schools and hospitals. Assembly Members Walker, Colton, and Fall backed TAP expansion, opportunity programs, disability supports, SUNY Downstate’s transformation, and capital needs at CUNY and SUNY campuses. Assembly Member Smullen, speaking for the minority conference, urged a five-way budget process, said TAP has not kept pace with inflation, and called for a more stable long-term funding model for community colleges. He also stressed aligning higher education with workforce needs. Assembly Member Pirozzolo pointed to the College of Staten Island as an example of the benefits of investment and warned that employers recruiting students directly from high school could weaken higher education unless colleges continue strengthening trade and career training. The meeting ended with no vote on the budget items, and the chairs adjourned the conference committee after concluding remarks.

Transcript Highlights:

• Yes, ma'am, would you like us to change the record? No, no.
• T is focused on carbon capture to combat climate change.
• They controlled their curriculum and their membership, that is, hiring.
• Well, may I ask why these changes weren't...
• Texas is not the first state to propose these types of changes, correct?

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction, 1184, house, all

Transcript Highlights:

• , include a commitment to address gendered impacts of climate change.
• Despite California's commitment to climate equity, gender... ...of climate change.
• This bill is two simple changes, but very important changes.
• This bill is two simple changes, but very important changes.
• We appreciate that change, but the moratorium's original inclusion remains concerning.

Summary: The committee considered several coastal, climate, and air quality measures. Senator Laird presented SCR 136 marking the 50th anniversary of the Coastal Act and Coastal Conservancy Act, and SJR 12 opposing the federal offshore oil and gas leasing program; both drew broad support from environmental groups, local governments, and other advocates, with no opposition heard. Senator Padilla presented SB 10, requiring state climate plans to include gender impact assessments, with supporters arguing climate harms fall disproportionately on women and LGBTQ+ people; the bill also drew no opposition in the hearing. Senator Padilla also presented SB 675 to restructure the Imperial County Air Pollution Control District board and expand public transparency, while supporters cited severe air quality problems and opponents raised concerns about unfunded mandates, consultation, and impacts on local permitting and economic development. Senator Allen presented SB 1229 to limit disaster-rebuild coastal permit exemptions when replacement structures would newly impede coastal access or sensitive protections, with supporters saying it would prevent investor abuse of post-disaster rebuilding rules. After testimony, the committee took up the measures and recorded votes. SCR 136, SJR 12, SB 10, SB 675, and SB 1229 all advanced on party-line or near-party-line votes, with some members voting no on the more regulatory measures. The consent calendar was also approved, including ACR 157, SB 899, SB 949, SB 963, SB 1008, SB 1207, SB 1428, and SJR 5. All of the listed measures were sent onward, generally to Appropriations, and the committee concluded its hearing after the roll calls.

Transcript Highlights:

• , to authorize the mayor of the City of Haverhill to submit special legislation to increase the membership
• bill to authorize the mayor of the City of Haverhill to submit special legislation to increase the membership
• act to authorize the mayor of the City of Haverhill to submit special legislation to increase the membership

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and then took up several procedural matters. It adopted a Rules Committee report extending the reporting deadline for the Committee on Aging and Independence to December 3, 2025. The House also concurred in Senate referrals and suspended Joint Rule 12 on multiple petitions, including a proposal on education reporting for out-of-home placement students, a petition on applied behavioral analysis reimbursement rates, seasonal communities and housing-related petitions, and a witness intimidation petition. The Committee on Steering, Policy and Scheduling then reported a slate of local bills for consideration, including measures on South Boston park and field space, memorial markers for fallen officers in Milton and Canton, sustainable water resource funds, charter changes for Millis and Cambridge, a Hanson local licensing matter, a Haverhill Board of Health membership increase, and the Cambridge Employment and Job Training Trust. The House suspended Rule 7A, took second readings, and ordered these bills to a third reading. Later, the House considered and passed to be engrossed three bills on third reading: a Melrose senior citizen property tax exemption, a new charter for the City of Cambridge, and a Maynard alcohol license bill. The session concluded with adoption of an adjournment order setting the next meeting for Thursday at 11 a.m., and the House adjourned accordingly.

Transcript Highlights:

• While my role will change, I look forward to continuing our partnership.
• While my role will change, I look forward to continuing our partnership in our shared mission to serve
• That way, we'll be better able to absorb these changes in our revenue picture going forward.
• changes and prevent surprise fiscal catastrophes down the line.
• I ask the membership to join me in voting no on Amendment 43. Thank you. Thank you, Mr.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and received a resignation letter from Rep. Fana Howard of Lowell, effective March 17, 2026, as she transitioned to the Senate. The chamber then took up several procedural orders, including multiple unanimous or voice-vote suspensions of rules and concurrence with Senate petitions, such as referrals on housing and student transportation matters, and a suspension of Joint Rule 12 for a petition involving children served by DCF. The main substantive item was House No. 5264, a fiscal year 2026 supplemental appropriations bill totaling about $1.8 billion. Members discussed its use of Fair Share surtax surplus funds for transportation and education, including major support for the MBTA, special education circuit breaker costs, early education and child care, snow and ice costs, regional transit authorities, and other deficiencies such as GIC and sheriff costs. Members also explained the bill’s tax conformity provisions responding to recent federal tax changes, with debate over whether to delay conformity to limit state revenue exposure. The House adopted a consolidated amendment to the bill and then passed it to be engrossed by roll call vote, 150-3. The House also adopted a resolution commending the Admetek Foundation on Prostate Cancer Awareness Day. Several local bills were advanced, including a sick leave bank for a Department of Corrections employee, a bill waiving the minimum age requirement for a Boston police officer, a Nantucket charter bill, a Stoneham public safety bill, and a Malden special police officers bill, the last of which was amended before being engrossed. The chamber also considered Amendment 43 to redistribute $100 million of Fair Share revenue more evenly to municipalities for roads and education; supporters argued the current distribution favored statewide priorities over local aid, while opponents said the formula would not adequately address rural road needs. That amendment was rejected 128-25. The House then recessed several times, observed moments of silence for local public servants, welcomed visiting youth sports teams, and finally ordered adjournment to meet the next day at 11 a.m. in informal session.

Transcript Highlights:

• The hard skills will change and probably become irrelevant.
• Well, would you like us to change the record? Dr. Gonzalez: No, no, I Dr.
• They controlled their curriculum and their membership, that is hiring.
• Things don't change, and that professors were too independent, ditto.
• We're not the first state to propose these types of changes, right?

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction

Transcript Highlights:

• S, 10, 23, independent, registered, commission, membership. Government.
• S, 10, 23, independent, registered, commission, membership. Government.
• My point of order is that he is not speaking to the rule change.
• It makes conforming changes. Excellent. Senator Hatathlie. No? Okay. Awesome. Senator Ortiz.
• Chair, Senator, I noticed that you changed it from a concurrent resolution, which would have meant the

Keywords: 1182, all

Transcript Highlights:

• > uh services so prior to this change uh services so prior to this change uh depending<00:49:04.880
• <00:53:39.760> their to specific questions can change their to specific questions can change
• so so with wavery imagine uh we change so so with wavery imagine uh we change how<00:54:00.040><
• Well, um, so, uh, there are changes that could be made to law to change the current implementation
• This would be primarily Waiver Reimagine changes.

Keywords: 1183, house

Transcript Highlights:

• Uh, we underwent a name change last year, so it's an easy mistake.
• Has there been any changes?
• Um, and has there been any changes in the type of materials that we use?
• First, we build consensus within our membership.
• But, but times have changed.

Transcript Highlights:

• We underwent a name change last year, so it's an easy mistake.
• For our industry and I think for many manufacturers across the state and that those those changes were
• Guys, if the TCEQ would change their rules on every time you fill up, you get a new yield.
• Our. and the resulting water demands are changing the economics of Texas water.
• But times have changed.

Keywords: 1184, house, all

Transcript Highlights:

• Seeing no one seeking recognition to cast change or explain their vote, there being 36 yeas, no nays,
• No one else seeking recognition to cast, change, or explain their vote.
• affection for him, as well as our respect for the professional work that he has done on behalf of our membership
• work that he has done on behalf<00:38:58.640> of<00:38:58.880> our<00:38:59.200> membership
• behalf of our membership. behalf of our membership.

Keywords: 958, all

Summary: The Senate convened with an invocation and Pledge of Allegiance, established a quorum, excused absent senators, and approved the journal from February 17, 2026. The House communicated passage of several bills and requested concurrence, and committee reports were received, including favorable reports on Senate Bills 70, 74, 80, 127, and 154. Senate Bill 191 was also reported and then recommitted to the Appropriations and Revenue Committee. Senate Bill 104 was passed over and retained its place on the calendar. The chamber then took up and passed Senate Bill 47, which provides line-of-duty death benefits for search and rescue volunteers, with supporters emphasizing the dangerous emergency work these teams perform and the need to treat them like other first responders. Senate Bill 159, concerning missing and unidentified persons and aligning Kentucky with federal “Billy’s Law” database requirements, also passed unanimously after testimony about its value in helping families and law enforcement. Senate Bill 85, allowing state retirement beneficiaries to establish special needs trusts, passed unanimously as well, with members describing it as a way to provide long-term security for dependents with special needs. The Senate also adopted Senate Resolution 78 honoring the CSX Santa Train and Senate Resolution 76 honoring Frank Ryard and the Ryard’s Scoreboard for its long-standing role in Kentucky high school athletics. Members spoke about the scoreboard’s importance to athletes, families, and sports coverage statewide. Later, new bills and a concurrent resolution were introduced, including measures on state government, duty-related disability benefits, arrest-related deaths, detainee fatality review, carbon dioxide sequestration, and a mental health alternative response task force. The Senate received notice that Senate Bill 172 had been delivered to the Governor, then recessed for committee meetings and adjourned until February 19, 2026.

Transcript Highlights:

• You don't have to change if you don't want to.
• Are you tying eligibility to tribal membership?
• And thirdly, the statutory changes, At each licensure level.
• And thirdly, the statutory changes allow for a shift to a tiered system.
• And lastly, it modifies community schools coalition membership requirements.

Summary: The committee began with a presentation on the 520 Native American Language and Culture certificate, created to let proficient tribal language and culture speakers teach in K-12 schools without a bachelor’s degree. LESC staff, PED, and HED described the certificate’s statutory basis, the role of tribes and pueblos in setting proficiency standards, and ongoing challenges such as uneven MOAs, limited professional development, rural access barriers, data gaps, and retention concerns. PED said oversight of 520 is moving from the licensure bureau to the Indian Education Division, and HED reported that the tribal education technical assistance centers authorized in 2023 are still in procurement but are expected to be awarded in early 2026. A student, Alonzo Hughes, testified about how learning Tewa from 520-certified teachers helped him understand his culture and speak with elders, and members praised the program’s role in language revitalization and asked about funding, teacher pathways, and whether similar models exist in other states. Committee members then discussed several PED rule updates. Staff reviewed an adopted rule implementing HB 54 on AEDs and cardiac emergency response plans, including staff training requirements and staggered compliance dates, and a proposed rule for school nurse licensure under HB 195 that would create a three-tier system and align nurse pay with teacher pay. They also reviewed proposed changes to the Community Schools Act rule, including a full-time community school coordinator requirement, updated grant language, and broader coalition membership criteria; PED said the broader language would not conflict with the Martinez-Yazzie work. A proposed bilingual teacher rule would standardize coursework requirements, add trans-languaging and culturally relevant curriculum competencies, and allow Native American language certification applicants to demonstrate proficiency using tribal standards. In questions, members raised concerns about AEDs being present at athletic events, the need for the amended school nurse bill to move experienced nurses directly into higher levels, and whether the community schools rule’s broader coalition language could affect current education litigation. Members also asked about funding for 520 programs, teacher residency or cohort models, and how to support advanced language instruction and sustainability. PED said the Indian Education Fund and school budgets can support some of the work, but additional strategic funding and cross-training are needed. The committee also heard that New Mexico’s 520 system is unusually robust compared with other states, and members encouraged staff to present the model at national conferences. The meeting ended with the director’s report, which noted a flat budget request of $2,024,300, staff turnover including Natasha Davalos’s departure, and appreciation for the committee’s work before adjournment for the holidays.

Transcript Highlights:

• the reality on the ground has changed. the reality on the ground has changed.
• > in<04:06:45.520> international membership in international membership in international
• And this membership is not possible.
• This change is long overdue.
• It will This change is long overdue.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 23, 2025, 1012, house, all

Transcript Highlights:

• help people make life-changing help people make life-changing decisions,<00:24:42.520> and
• Um, looking at the membership of the working group, the membership is extremely diverse.
• working group, the membership is of the working group, the membership is extremely<00:49:19.720>
• change that at all. change that at all.
• So, I appreciate that change.

Keywords: 927, senate, all

Transcript Highlights:

• However, 90% of the Medicaid membership is served by Medicaid managed care organizations, or MCOs.
• , they have pretty large membership.
• of the manage care largest membership of the manage care enrol<00:10:29.120> Le enrol Le enrol
• this is a a spin by provider membership this is a a spin by provider type<00:10:39.240> and<00
• So their membership was divided out between two of the other MCOs.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• One is here and one is Judiciary, where the changes will go through Judiciary, but those changes are
• So the changes in here will reflect what we need to change.
• Chair, if you don't mind. does is incorporates the changes that we does is incorporates the changes that
• ><00:13:27.680> Judiciary need to change That'll be in Judiciary need to change That'll be in
• <01:53:41.360> that concerns certain wording changes that concerns certain wording changes

Keywords: 1187, senate, all