Transcript Highlights:

• These programs are the before- and after-school program at schools and the state preschool program, which
• through the Expanded Learning Opportunities Program, which effectively provides after-school programming
• more children eligible for the program.
• The transitional kindergarten program and the California State Preschool Program are underneath the same
• So it provides state preschool program, and it also blends it with that transitional kindergarten program

Summary: The Assembly Select Committee on Child Care Costs held its third hearing, focused on how transitional kindergarten (TK) fits into California’s mixed-delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and child care should complement each other, not compete, and that families need both part-day school-based options and full-day, year-round care. Committee members outlined hearing goals around aligning TK with existing programs, understanding family needs, and examining the economic impact of early learning on workforce participation and local economies. Panelists from the Legislative Analyst’s Office, Every Child California, Early Edge, Children Now, and others described TK’s rapid expansion to all four-year-olds, the growth in enrollment, and related changes to state preschool and after-school programs. Witnesses generally supported TK but warned that its expansion has shifted enrollment away from community-based providers, especially centers and family child care homes, creating financial strain, vacant classrooms, and staffing challenges. They urged stronger partnerships between school districts and community providers, more flexible licensing and facilities support, higher and more uniform reimbursement rates, permanent authority for state preschool to serve two-year-olds, and better compensation and training for educators across settings. Parents and providers testified about the importance of trusted, culturally and linguistically responsive care, the need for infant-toddler and home-based options, and the difficulty of affording child care when TK is not full-day or does not fit family schedules. Several speakers emphasized that many families still face long waits for subsidies and that reimbursement and payment delays threaten provider stability. Public comment echoed these concerns, with providers calling for true cost-of-care rates, more vouchers, support for transportation and nontraditional hours, and protection from insurance and facility costs that can force programs to close. State education officials said California’s UPK system works best when TK, state preschool, Head Start, and community-based providers are treated as a shared system, and noted that planning and implementation grants and local coordination efforts have helped build mixed-delivery partnerships. The hearing ended without formal votes or actions, but committee members indicated they would continue gathering input to inform future policy and budget decisions.

Transcript Highlights:

• Each program division submitted pages of winds from the past year.
• That's an amazing program. But we've got to do a better job.
• That's just how we administer The program year over year.
• When I look at the subsidy program, the providers are no doubt an important piece of the Subsidy program
• Do you support changes in regulation that truly revert the stars program back to the old three-star program

Committee: House Appropriations and Budget

Keywords: 914, all

Transcript Highlights:

• program.
• program.
• This is not a new program.
• We do fund domestic violence programs here. We do fund CAC programs.
• We do fund domestic violence programs here. We do fund CAC programs.

Committee: House Appropriations

Summary: The committee heard public testimony on several budget requests tied to health and human services. Louisiana Children’s Advocacy Centers asked for continued support and a supplemental appropriation of $1.173 million for infrastructure and standardization, explaining that the money would expand use of the Guardify digital evidence system, improve chain of custody, and reduce reliance on DVDs. Baton Rouge and statewide CAC leaders said prior funding helped eliminate a therapy wait list and speed services for abused children. Members asked detailed questions about the digital system, MDT coordination, and how the request related to SB 237, which would strengthen multidisciplinary review of child abuse cases. The Alzheimer’s Association sought $824,000 to sustain the dementia care specialist program, saying it helps families navigate services, keep loved ones at home longer, and reduce Medicaid costs. AARP and the Live at Home Coalition also testified for 750 additional Community Choice waiver slots at a state cost of $3.3 million, arguing that home- and community-based care is cheaper than nursing homes and that the current wait list is more than 11,000 people. Legislators discussed the size of the need, the state’s long-term care spending mix, and whether more support should go to family caregivers and community-based options. Testimony also focused on disability support services, substance use treatment, and developmental disability provider rates. A parent and direct support worker described the Children’s Choice waiver’s 20-hour cap and low pay, saying it makes it hard to retain caregivers and meet the needs of medically fragile children. Odyssey House and O’Brien House asked for higher Medicaid reimbursement rates under ASAM 4, warned that removal of room-and-board payments and weak Medicaid eligibility pathways are reducing access, and called for more oversight of sober living homes; members questioned outcomes data, length of stay, and links to homelessness. Finally, the Arc of Louisiana said the LDH rate study confirmed underfunding and supported a $53.6 million increase in state general funds, with local ARC leaders describing the services they provide and the need for higher direct support professional wages.

Transcript Highlights:

• important program that we'll be launching here in Arkansas, the Rural Health Transformation Program.
• is and what this program isn't.
• But a program to connect ASU to another university in southern Arkansas as an extension of their program
• or train them in a program, is that something that could... ...extension of their program or train them
• in a program.

Keywords: 1204, all

Summary: The committee heard extensive public testimony from youth advocates and others urging stronger action on vaping in Arkansas. Speakers described high rates of youth vaping, the appeal of flavored products and social media marketing, health risks from nicotine and aerosol exposure, and school disruptions. They recommended prohibiting vaping in public indoor spaces, aligning vape rules with smoke-free laws, and expanding prevention and cessation efforts. Committee members praised the students for testifying and encouraged them to continue building support for future legislation. The main presentation was an overview of Arkansas’s Rural Health Transformation Program, a five-year federal initiative funded through the One Big Beautiful Bill Act. DFA officials said Arkansas received about $209 million for the first year and could receive roughly $1 billion over five years if performance remains strong. They emphasized that the program must be transparent, locally driven, and focused on transformation rather than operating support, debt relief, or new construction. They outlined four initiatives—Heart, PACT, Rise, and Thrive—covering prevention and community health, provider collaboration and access, workforce development, and technology/telehealth. Officials said applications would open in early May, with all four initiatives expected to launch by June, and that funds would be awarded through a reimbursement-based process with a quick turnaround. Committee members asked detailed questions about eligibility, allowable uses, timelines, and how the program would affect existing providers. Officials said rural eligibility could include providers in urban areas if they serve rural patients, and that existing programs could expand if they did not supplant current funding. They also said the program could support targeted renovations, mobile units, new residency slots, EMS equipment, and clinically integrated networks, but not working capital, permanent new buildings, or food purchases. Members raised concerns about protecting current rural providers, supporting school gardens and farmers markets, and ensuring nonprofits and faith-based groups could participate. Officials said the state would continue technical assistance and that the application review team would include DFA and health leadership. Later in the meeting, DHS presented a Medicaid and CHIP rule implementing federal requirements for incarcerated youth, including 30-day pre-release and post-release coverage, targeted case management, and screening services. The Department of Health also presented a rule updating audiology licensing to reflect recent acts and changing the renewal deadline from June 30 to October 31. Both rules were reviewed without objection, and the committee adjourned after no further business.

Transcript Highlights:

• the Here program.
• The Forest Riparian Easement Program, or FREP, The Forest Riparian Easement Program, or FREP, is a compensation
• $9 million needed to support our program and other community forest programs throughout the state.
• This program is effective.
• The second program is Washington State's food assistance program, also known as FAP, which provides the

Bills: SB6003 , HB2353 , HB2431 , HB1983

Committee: Senate Ways & Means

Keywords: capital budget, funding, infrastructure, state projects, budget allocation, HB 2353, predesign thresholds, capital construction, major capital projects, Office of Financial Management, OFM, Washington state, state agencies, infrastructure planning, construction costs, inflation adjustment, capital facilities, project review, allotments, lease approval

Transcript Highlights:

• , which is the job certificate program at Lively Technical College. ...which is a job certificate program
• The Department of Education has a program that you appropriate every year; that’s the PECO program that
• We see those programs work.
• And so what programs or incentives are there out there that we could potentially... ...programs or incentives
• That program, the average applicant is 30 years old, high school diploma, 22-week program.

Summary: The Careers and Workforce Subcommittee met for its first meeting of the year, took roll, and heard member introductions centered on the importance of workforce pathways beyond the traditional four-year college route. Members repeatedly emphasized manufacturing, trades, rural workforce needs, apprenticeships, and helping students and adults find multiple paths to good jobs. The chair outlined the subcommittee’s focus on policies that build a skilled workforce and announced the day’s theme would be manufacturing, with presentations from the Florida Department of Commerce, the Florida Semiconductor Institute, and Fleet Force CDL training. Secretary Alex Kelly presented Florida’s manufacturing report, saying manufacturing is a major economic driver and that Florida has become the 10th largest state in manufacturing employment. He highlighted strong job multipliers, rapid growth in manufacturing GDP and establishments, the importance of logistics and ports, and the state’s small-business-heavy manufacturing base. He also stressed the aging manufacturing workforce, the need for modern skills such as robotics, cybersecurity, and data analytics, and the role of public-private partnerships, apprenticeships, and workforce education investments in supporting reshoring and industry growth. Dr. David Arnold described Florida’s semiconductor sector and the Florida Semiconductor Institute’s mission to grow research, workforce, and ecosystem development. He said semiconductors are strategically important, Florida ranks fifth nationally in semiconductor workforce, and the main bottleneck is mid-level technician talent rather than engineers or entry-level workers. He pointed to NeoCity, Valencia College, and other regional partnerships as models, and said the state needs more proactive planning, better instructor capacity, and stronger pathways from K-12 through postsecondary. Evan Agiloff of Fleet Force discussed Florida’s CDL shortage, saying trucking is essential to the supply chain, Florida has about 18,000 open CDL positions, and Fleet Force’s college-based model can quickly move students into middle-class jobs. Members asked about apprenticeships, CTE pathways, semiconductor training, infrastructure needs, and how to expand and better fund workforce programs; no votes were taken.

Transcript Highlights:

• . programs. programs.
• , a two-year program, or a four-year program.
• , a two-year program, or a four-year program.
• , a two-year program, or a four-year program.
• One-year program, a two-year program, or a four-year program.

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• action programs and our partners in this work.
• This program, as you heard, is unique.
• The future hub will be public health programs with partnerships, community programs, food, and cultural
• The Forest Riparian Easement Program, or FREP, is a compensation program developed under the Forest and
• program, both of which have proven demand.

Summary: The Capital Budget Committee held a hearing on Proposed Substitute House Bill 2295, the supplemental capital budget. Staff said the proposal totals nearly $911 million, including about $400 million in bonds and $511 million from other state and federal sources, with much of the increase over the governor’s proposal coming from Climate Commitment Act (CCA) funding. Major spending areas include housing and homelessness, K-12 construction, human services facilities, and CCA-funded clean energy, decarbonization, and habitat restoration projects. The chair said the committee would not take amendments at the hearing and planned to vote out the budget on Thursday, with a technical fix striker expected. Testimony was largely supportive of the House proposal, with many witnesses asking the committee to preserve or increase specific items in final negotiations. Housing advocates urged support for the Housing Trust Fund, manufactured housing preservation, and projects such as Alliance Place, Cloverdale Cottages, Cherry Street Village, Somos, and the Thrive Center. Education and public facility witnesses backed investments in school seismic safety, small district modernization, Healthy Kids Healthy Schools, community college and university maintenance, and projects at Cascadia College, WSU, CWU, and UW. Health and human services testimony supported behavioral health, Tubman Center, HealthPoint, pregnant parenting treatment, and the Yakima Behavioral Health Hub. Natural resources, climate, and infrastructure witnesses praised funding for Flood Plains by Design, community forests, trust land transfer, salmon recovery, the Skokomish land purchase, and the Lower Columbia River dredging project. Several local governments and organizations requested additional support or Senate-level funding for specific projects, while Climate Solutions cautioned against using CCA dollars to backfill existing obligations. The committee heard no votes during the hearing, and the chair closed by saying the budget would be executed on Thursday.

Transcript Highlights:

• And finally, the American programs.
• The first I'd highlight is programs.
• </c> will that will run these programs. will that will run these programs.
• </c> programs using things like Google Forms. programs using things like Google Forms.
• </c> entirely a federally funded program. entirely a federally funded program.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• If you’re going to implement this program and be able to do this program, every single school district
• And so this is a pilot program.
• or credential programs.
• This would have just offered the teacher credential programs for up to 40 programs, but programs that
• program to match that field.

Committee: Senate Education

Keywords: 987, senate, all

Transcript Highlights:

• better cancer treatment programs.
• And, you know, with the assault on DEI, a lot of the programs that are these pre-college programs that
• So the MSP program that I was part of was not a scholarship program per se.
• CLEO and AccessLex are continuing their programming, entry-level programming, so assisting college students
• CLEO and AccessLex are continuing their programming, entry-level programming, so assisting college students

Committee: Joint Joint Committee on Racial Equity, Civil Rights, and Inclusion

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, with no bills heard. Chairs Bud Williams and Miranda opened by framing the issue as a structural, long-standing disparity affecting Black and brown communities, citing major gaps in wealth, income, housing, and opportunity. Members noted this was the fourth hearing in a series on federal impacts on racial equity, and public written testimony was invited by the posted deadline. Administration witnesses Secretary Lauren Jones, Secretary Kiami Mahania, and Assistant Secretary Juan Vega described how labor, health, and economic development policy intersect with wealth-building. Jones pointed to higher unemployment, wage gaps, and underemployment among Black and Latino workers, and highlighted ESOL, workforce training, MassHire, and skills-based hiring efforts. Mahania argued poverty drives poor health, linking medical debt, Medicaid instability, maternal health, and chronic disease to wealth loss, and said federal changes could worsen both health and wealth gaps. Vega focused on entrepreneurship and procurement, citing disparities in business ownership and revenue, and described state efforts such as small business technical assistance, founder pipelines, place-based grants, and the Business Front Door; members also pressed him on microbusiness definitions, supplier diversity, and whether state programs were reaching firms that had received prior grants. Nicole O’Bean of the Black Economic Council of Massachusetts testified that Black-owned businesses face a hostile environment due to tariffs, DEI rollbacks, immigration enforcement, capital barriers, and federal funding cuts that reduce contracts from education, health care, and nonprofit sectors. She emphasized that certification alone is not enough and called for stronger inclusive procurement outcomes, better data, and more support for microbusinesses. Dr. Melissa Colon and Dr. Fabian Torres-Dal of the Mauricio Gaston Institute testified on Latino wealth gaps, especially low homeownership, high rent burden, limited access to credit, and occupational segregation; they said structural racism, wage gaps, and education inequities are central drivers and urged housing, labor, and education reforms. Committee members repeatedly linked the hearing’s themes to redlining, medical debt, single-parent households, financial literacy, and the need for legislation and state programs to close the gap, but no votes or formal actions were taken.

Transcript Highlights:

• trade or a two-year program or a four-year program.
• This is one of those types of programs.
• So the approved supplier program, which is the program that I am privileged to steward.
• to also impact senior centers, senior nutrition programs, including Office of Indian Elder Affairs programs
• So the New Mexico Grown Program Again, I spoke to the fact that this is an incentive program.

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• . program. program.
• . programs. programs.
• . program. program.
• </c> grant program. grant program.
• . program. program.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• I did the dual enrollment program, and I did the dual enrollment program, and when<00:06:48.800><c> I
• </c><00:07:34.200><c> So,</c> grant program. So, grant program.
• or not go into the program.
• </c> not go into the program. not go into the program.
• Um, I don't understand why we're putting money into new programs when the program that already exists

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• Earning a bachelor's degree in our CSU and UC programs, or outside of those programs here in this state
• The Transfer and Mission Guarantee TAG program...
• We didn't have any sort of housing grant programs.
• The program is still young, but it is growing.
• Degree programs. Individual degree programs.

Summary: The committee held an oversight hearing on a state audit examining California’s community college transfer process and whether streamlining it could improve access to bachelor’s degrees. Opening remarks from legislators emphasized that California’s transfer system is central to equity and workforce development, but that only about one in five transfer-intending community college students complete a transfer within four years. Members highlighted disparities by race, region, campus, and major, and pointed to confusion created by differing requirements across the UC, CSU, and community college systems, including limits and inconsistencies in the Associate Degree for Transfer (ADT), TAG, and major-specific prerequisites. State Auditor’s staff said the audit found that while UC and CSU systemwide enroll more transfer students than the Master Plan target, individual campuses and high-demand STEM programs often do not. The audit identified barriers including unclear and varying course requirements, limited counseling and education plans, insufficient counselor staffing at some campuses, and weak equity plans. It also found that many students never even apply because they do not accumulate enough units or cannot navigate the process. The auditor described examples where transfer students with strong preparation were denied at selective campuses and noted that articulation alignment across systems remains limited. Representatives from UC, CSU, and the Community Colleges responded that transfer remains a top priority and described ongoing reforms. UC cited a new public dashboard, data-sharing agreements, new transfer pathways, and an ADT pilot at UCLA, while saying campus-level capacity and program differences limit how much can be standardized from the system office. CSU said it admits more than 90% of eligible transfer applicants, is expanding transfer planning tools and direct outreach, and is implementing SB 640’s Transfer Success Pathway Program. Community Colleges said transfer reform must focus on clearer credit mobility, more consistent articulation, and broader ADT adoption. Members pressed the systems on inconsistent major requirements, the need for better coordination, and whether campuses are fully prioritizing transfer students; no votes were taken during the hearing.

Transcript Highlights:

• So both in our disability services programs for youth and adults and then in our long-term care program
• And lastly, it helps us contain costs in the program.
• So this first one is for the Idaho Child Care Program.
• This next one, the Idaho Home Visiting Program.
• So two programs that already have work requirements.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• an application for the full program cost.
• But that's the requirements of the program. So, Mr.
• I used to manage the programs at PNM, and the more programs in there, the more we can save.
• , the energy efficiency programs that currently exist.
• , the energy efficiency programs that currently exist.

Summary: The House Energy, Environment and Natural Resources Committee met on February 5 and heard three measures. House Bill 246 would provide state matching funds for local governments already approved for federal flood mitigation assistance to buy out and rehabilitate floodplain properties, especially in Lincoln County, to reduce repetitive flood damage and restore land to a more natural floodplain. Supporters included county officials, emergency management, and a racetrack lobbyist, all emphasizing public safety, reduced disaster costs, and community recovery. Some members raised concerns about pre-flood property valuation and anti-donation issues, but the bill passed on a do-pass motion. House Bill 271 would appropriate funds through the Office of Natural Resources Trustee for natural resource recovery and public land access, including disaster recovery projects and expansion of recreational opportunities. Supporters argued it would help restore watersheds, improve access to public lands, and support hunting, fishing, and local outdoor economies. Several members questioned whether the bill was too open-ended, whether it could affect grazing or other existing rights, and why the trustee’s office was the right vehicle; the sponsor and trustee said the office has a transparent public process and that the bill would not create new eminent domain authority or adverse changes to existing rights. The committee approved the bill 9-1, with one member explaining support but noting lingering concerns. House Bill 254 would allow investor-owned electric utilities to count avoided greenhouse gas emissions when evaluating the cost-effectiveness of energy efficiency programs under the utility cost test. The sponsor and utility witnesses said this would help expand programs such as heat pumps, HVAC upgrades, and all-electric development, while opponents worried it could function as a rate increase or “double dipping” because customers already pay fees supporting efficiency programs. The committee passed the bill 7-3. Finally, House Joint Memorial 3 would ask the Environment Department to study PFAS exemptions and report back during the interim as rulemaking on the PFAS Protection Act proceeds. The memorial drew both support and opposition, with critics saying it conflicted with existing statute and was unnecessary, while supporters said it would ensure a thorough review of federal changes and consumer-product exemptions. The memorial passed 8-2, and the committee then adjourned.

Transcript Highlights:

• the transition to kindergarten program.
• reductions to the Wellness Arts and Military Grant Program.
• We have had the same program, which is a sexual assault forensic nurse program, which has received significant
• This is about a teleSANE program.
• So it's a good program in many ways.

Summary: The Senate Ways and Means Committee met in executive session on Senate Bill 5998, the proposed operating budget, and received a staff briefing on 39 proposed amendments. The amendments covered a wide range of issues, including technical corrections; truancy intervention funding; public defense and Blake-related vacatur work; family reading, shellfish program review, cultural resource protection, agritourism, transmission planning, paid leave, developmental disabilities services, nursing home rates, TANF workforce services, food bank language, oral health access, behavioral health partnership access, sexual assault nurse examiner training, Department of Corrections security measures, child welfare staffing, pediatric interim care centers, Working Connections Child Care, range rider funding, Chinese American history month materials, Running Start, retiree health subsidies, school bus contractor costs, local effort assistance, transition to kindergarten, charter school enrichment, arts grants, and a tribal liaison position. Several amendments were withdrawn before action, including the truancy increase, Blake funding, one DD-related amendment, and others. The committee adopted a number of amendments, including the technical corrections packet, reductions or savings-related corrections, the family reading program, shellfish review funding, the transmission-system implementation funding, the oral health foundation, the partnership access line, health technology assessment funding, the governor errata correction, the sexual assault nurse examiner training contract, the DOC canine scheduling language, the child welfare staffing correction, the people transportation language, the TTK-related amendment, and the tribal liaison funding. It rejected several others, including agritourism, paid leave study language, DD waiver expansion, nursing home add-ons, the PIC program, range rider funding, Chinese American history month materials, Running Start restoration, the LEA restoration amendment, and the arts grant restoration. Some amendments were withdrawn after discussion, including the DD waiver and LEA-related proposals. During debate, supporters of various amendments emphasized service needs for vulnerable populations, including people with developmental disabilities, survivors of sexual assault, Medicaid dental access, behavioral health callers, and students in Running Start and TTK. Opponents repeatedly cited budget constraints, the need for a sustainable operating budget, and the view that some issues were better addressed through collective bargaining or future negotiations. The committee then rolled the adopted amendments into a new substitute Senate Bill 5998 and voted to send it to the Rules Committee with a do-pass recommendation, subject to signatures. Several members stated they would vote no on the budget overall, while others supported it as a difficult but necessary compromise. The meeting adjourned after the final vote.

Transcript Highlights:

• </c> consumer-directed services program. consumer-directed services program.
• When<00:48:16.600><c> this</c><00:48:16.800><c> program</c> When this program When this program &gt;&
• Medicaid program that exists. So, so did Medicaid program that exists.
• </c> program that doesn't exist anymore. program that doesn't exist anymore.
• </c> &gt;&gt; There's no federal program. &gt;&gt; There's no federal program.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• and programs serving lower census levels than the maximum budget the program is projected to support
• program that we've lost here in Sacramento.
• If they land in a diversion program, that diversion program will be funded by the DSH program.
• It was a pilot program investment. I don't think it's a pilot program. It was investment.
• In statutes that govern our DHCS alcohol and drug program certification and our narcotic treatment program

Keywords: 987, senate, all