Transcript Highlights:

• Tobacco is the leading preventable cause of disability and death in our state, so we're spending over
• over a half million we're we're spending over a half million dollars<01:00:12.400> we're<01:00
• We also want to require yearly benchmarks so that the Legislature is kept up to date on how progress
• <01:39:13.719> just<01:39:13.840> so to uh require yearly benchmarks just so to uh
• require yearly benchmarks just so that<01:39:14.320> uh<01:39:14.440> the<01:39:14.560>

Keywords: 910, house, all

Summary: The committee heard testimony on several bills. HB 655 would limit collection of unpaid motor vehicle taxes, fees, and penalties to the most recent five consecutive years of delinquency. The Department of Transportation opposed the bill, saying it could significantly affect state and county revenues and that the fiscal impact was hard to estimate. The Tax Foundation noted the bill would shorten the existing collection period, while an individual testifier supported it as a narrow measure that would help owners of old or inherited vehicles. In questioning, the department said it could not quantify the cost but suggested it would prefer case-by-case flexibility rather than a fixed five-year limit. HB 697 would authorize Department of Transportation and Department of Law Enforcement personnel to inspect and certify evidence from automated speed enforcement systems and would appropriate funds for the program. The Department of Transportation supported the measure, citing the workload created by the red-light camera pilot and the need to assist police and prosecutors. The Department of the Attorney General supported the concept but recommended technical amendments so the verification language would apply consistently across the chapter and allow the appropriate reviewing entity to act. The committee also heard support from the AAHU Metropolitan Planning Organization and opposition from three individuals. HB 711 would require defendants convicted of causing the death of a parent or legal guardian of a minor child while driving under the influence to provide financial support to the surviving child. The Office of the Public Defender opposed the bill, arguing that criminal restitution must be tied to verified losses and that this type of long-term support is better handled in civil court, where trusts, conservatorships, and insurance claims can be addressed. The Department of Transportation supported the bill as a deterrent to impaired driving, and police, prosecutors, and an injury prevention group also submitted support. Members questioned whether the measure was better suited to civil litigation, and the public defender agreed that the civil system was the proper venue. HB 108 would allow direct shipment of beer and distilled spirits by certain licensees and require county liquor commissions to adopt rules. The Attorney General raised constitutional concerns, saying the bill’s different treatment of out-of-state manufacturers could violate the dormant Commerce Clause and recommended revisions. Brewers and distillers testified in support, saying the bill would put beer and spirits on a similar footing with wine direct shipment, help small producers reach consumers, and support the local economy without increasing underage access. They also said the bill should be amended to address grandfathering language. No final votes or committee actions were taken in the portion of the hearing provided.

Transcript Highlights:

• We've been spending a lot of time talking about achievement and APE scores and everything else.
• We've been spending a lot of time talking about achievement and APE scores and everything else.
• We've been spending a lot of time talking about achievement and APE scores and everything else.
• We've been spending a lot of time talking about achievement and APE scores and everything else.
• We've been spending a lot the classroom.

Keywords: 916, all

Transcript Highlights:

• Delayed obligations of federal funds and no guarantee of award due to the DHS Defend the Spend memo that's
• One key lesson we've learned from the Guardian implementation is that governance and benchmarks matter
• This slide lets you know, just so you're aware, of what we did spend on the Guardian replacement.
• We don't collect Taxes, and we don't spend the money.
• We're actually having to spend fees from the Department of Transportation Turnpike Authority.

Keywords: 914, all

Transcript Highlights:

• It's right in the high 50s, closer to 60 million, and we're spending, um, what you all allow us to spend
• in a way of what we get in in spending in a way of what we get in in revenue.
• to how much we spend. We are receiving. to how much we spend. We are receiving.
• Um so you all allow us to spend, right?
• Uh, they do a really extraordinary job, and they do have benchmarks.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:09 Approval of Minutes 00:01:10 Welcome New Members 00:01:26 Information Items 00:01:49 COT Special Report 00:02:38 Review of Executive Branch Agency Plans 00:07:41 A. Department of Military Affairs 00:08:07 B. Department of Veterans’ Affairs 00:20:34 C. Kentucky Infrastructure Authority 00:25:54 D. Tourism, Arts, and Heritage Cabinet 00:35:05 E. Transportation Cabinet 00:55:53, 958, all

Summary: The Capital Planning Advisory Board met with a quorum, approved the May 21 minutes, and welcomed a new executive branch member, Secretary Keith Jackson of the Justice and Public Safety Cabinet. The board also received two informational items: agency responses to prior questions and amendments made to capital plans after the last meeting. It then heard the Commonwealth Office of Technology’s report on executive branch IT capital project scoring, which reviewed 16 IT requests totaling about $330.5 million. COOT said projects were ranked through an independent panel using standardized criteria focused on feasibility, statewide alignment, readiness, impact, and risk; the CIO recommended moving an enterprise application and artificial intelligence inventory system from rank 11 to rank 4 because of its enterprise-wide impact and connection to Senate Bill 4. The Department of Military Affairs presented its capital plan, describing 43 million in projects for the current period and 13 projects totaling $65 million for 2026–2028, with most funding coming from federal sources and restricted agency funds and no general fund request in the latter period. Its projects included maintenance pool adjustments, a statewide Army master plan, the Somerset readiness center, Shelbyville and Ashland armories, a future home for the Kentucky Army National Guard band, and other facility upgrades. Members asked about the Somerset project’s cost growth and federal delay; the department said the project remains in conceptual design, is awaiting federal MILCON action, and would require a state match of about $9.8 million against $29.6 million federal funding if it is approved. Members also asked about staffing levels, and the department said state employee and Title 32 numbers have been relatively steady, while technician positions have declined. The Department of Veterans Affairs outlined seven projects for 2026–2028, led by a Radcliff Veterans Center HVAC replacement that needs an estimated additional $16 million to finish phase two after phase one was already funded. Other requests included a maintenance pool increase, renovations and exterior upgrades at Eastern and Western Kentucky veterans facilities, a cooling tower replacement at Thompson Hood, and parking lot and lighting improvements. The department said some projects were already in the six-year plan and that the Radcliff phase two could be bid in June 2026 if funded. Members confirmed that a columbarium wall project at Grayson is federally funded. The Kentucky Infrastructure Authority presented its six-year capital plan, citing more than $3 billion in loan commitments since 1988 and over $5 billion in supported infrastructure projects. KIA requested $298.439 million in the first biennium, including $27.742 million in state match for federal clean water and drinking water revolving funds, $25 million for its state Infrastructure Revolving Fund, $185.697 million in federal capitalization grants, and $30 million in leverage bond authorization for each year of the two federally assisted loan programs. Members asked about drinking-water quality, and KIA said that function is handled by the Energy and Environment Cabinet’s Division of Water, not KIA. KIA also said its loan rates currently range from 0.5% to 2.25%, averaging just under 1%, and that its revolving loan programs have had no defaults. The Tourism, Arts, and Heritage Cabinet began its presentation at the end of the transcript, with staff identifying themselves, but no project details or board action from that presentation were included in the excerpt.

Transcript Highlights:

• The office has used like 1.5 million to 2 million square feet of canopy as kind of the benchmark for
• The office has used like 1.5 million to 2 million square feet of canopy as kind of the benchmark for
• The of the benchmark for what we need.
• More than half of the participants never spend money to play these games.
• spend money to play these games. spend money to play these games.

Keywords: 1187, senate, all

Transcript Highlights:

• And so ultimately, what I'd love to see, passing this law, but having benchmarks every six months or
• a workforce development measure, housing, accessing everything it is needed, and let's set some benchmark
• And so ultimately, what I'd love to see, passing this law, but having benchmarks every six months or
• And so ultimately, what I'd love to see, passing this law, but having benchmarks every six months or
• And so ultimately, what I'd love to see, passing this law, but having benchmarks every six months or

Keywords: 910, house, all

Summary: The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken. The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure. House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt. The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.

Transcript Highlights:

• WE SHOULD BECOME A R-1 INSTITUTION IN 2025 BASED ON THE BENCHMARKS ESTABLISHED BY THE CARNEGIE FOUNDATION
• WE HAVE SEEN PORTS OF CHILDREN ENGAGING IN GREATER READING FREQUENCY AT HOME AND CAREGIVERS SPENDING

Keywords: 999, senate, all

Transcript Highlights:

• The goal is to reduce the amount of oversight if an enterprise is performing above certain benchmarks
• And obviously conversely if the CCRC fails to meet those benchmarks, they'll have to do that escrowing
• And obviously conversely if the CCRC fails to meet those benchmarks, they'll have to do that escrowing
• For anyone to spend a career running toward danger to protect his or her community in this state, have
• For anyone to spend a career running toward danger to protect his or her community in this state, have

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• What you spend years building, someone could destroy overnight. Build anyway.
• Speaker, we're still at that 6% recurring spending.
• The increase in recurring spending for the secondary factor for our 7th graders here in the state was
• Because I would hate to spend money in one agency where they create a policy that's pretty much very
• It just appears it's an excuse for us to spend money wherever you want to. And Mr.

Transcript Highlights:

• So I don't want to spend<00:25:44.640> a<00:25:44.799> ton<00:25:44.880> of<00:25
• :45.039> time<00:25:45.200> on<00:25:45.440> things<00:25:45.679> you spend
• a ton of time on things you spend a ton of time on things you already<00:25:46.240> know<00:25
• time in their offices filling spending time in their offices filling out<01:24:31.600> paperwork.
• Um I think you're you're benchmark.

Keywords: 958, all

Summary: The Intelligence Task Force met with a quorum present and approved the minutes from the August 14 meeting. The first presentation was from the National Retail Federation on artificial intelligence in the retail sector. NRF described AI use cases in three areas: consumer-facing tools such as chatbots, product descriptions, and marketing; employee-facing tools such as company-specific apps trained on employee manuals; and internal uses such as supply chain forecasting, inventory planning, fraud detection, cybersecurity, and coding support. The presenters said retail has been among the top deployers of AI and emphasized that the goal is to improve both customer and employee experience. NRF also outlined its principles for responsible AI use, organized around governance and risk management, customer engagement and trust, workforce applications, and business partner accountability. The group said retailers should maintain strong internal oversight, be transparent with customers, ensure compliance with existing laws, closely review workforce-related uses because they can be high-risk, and clearly define responsibilities between retailers and third-party developers. In policy discussion, NRF urged a tiered approach focused first on high-risk uses such as hiring, health care, financial, mortgage, and rental decisions, warned against fragmented rules that could favor only the largest firms, and encouraged voluntary standards and worker upskilling incentives. In response to a question about dynamic pricing, NRF said its members do not target consumers based on pricing and offered to follow up with more information. The committee then moved to a follow-up discussion on energy policy and data centers, hearing from Bartley Cleland of NetChoice. He explained that AI runs largely in data centers and that cloud computing shifts processing and storage away from individual devices, which he argued improves efficiency and can reduce costs. He said electricity demand has been rising over time and that AI will increase compute-related electricity use, but framed electricity as a normal input to economic growth. No votes or formal actions were taken after these presentations.

Transcript Highlights:

• This starts with our leadership, including me, spending more time listening and learning from our employees
• Senator, we spend a lot of activity in early STEM education supporting STEM related activities to try
• We're spending a significant amount of our capital to acquire that company, and we're not going to do
• And so, we view having a diverse set of inputs into that helps us think through and benchmark what are
• We've added a human factors chief engineer, which is a pilot, who spends time understanding the interaction

Keywords: Boeing, aviation safety, safety management system, military aviation, air traffic control, transparency, oversight, accountability

Summary: The meeting primarily focused on significant safety concerns surrounding Boeing and its compliance with federal aviation standards. Lawmakers expressed frustration over the Army's failure to provide requested operational transparency regarding helicopter operations near Washington, D.C., amid recent incidents indicating a strained air traffic control situation. Several members called for reform in Boeing's oversight, emphasizing the need for a robust safety culture and mandatory safety management systems to prevent future disasters like the 737 MAX crashes. The discussions were passionate, with survivors and families impacted by past accidents present, highlighting the urgency and seriousness of the issues at hand.

Transcript Highlights:

• Looking at it today, you know in 2425, according to the judicial branch they are track to spend more
• These increases do not appear to meet our office's high bar for proposed new spending in light of the
• We put in what we think is achievable and the contract would have benchmarks and steps along the way
• Recommendations like reducing prison infrastructure spending, creating... creating a long-term prison
• Why would we spend money to save money at a time like this?

Keywords: 988, house, all

Transcript Highlights:

• By lowering the charter net school spending cap, the state would be forced to eliminate thousands of
• By lowering the charter-necked school spending cap, the state would be forced to eliminate thousands
• There are no benchmarks or clear path forward to exit receivership, only vague assurances.
• It will save millions of dollars that schools are spending on... It is free.
• It will save millions of dollars that schools are spending on conflict and litigation.

Keywords: 995, all

Summary: The Joint Committee on Education heard testimony on several bills centered on school accountability, receivership, graduation requirements, charter school access, community schools, school libraries, and student voting rights. Much of the discussion focused on the Thrive Act, S. 374, which would end state receivership and change the state’s accountability approach. Supporters, including educators, parents, advocacy groups, and students, argued that receivership has not improved outcomes in districts such as Lawrence, Holyoke, Southbridge, Boston, and the Dever, and that local communities should have more control, with greater emphasis on community schools, wraparound services, and broader measures of school quality. They also supported related bills on community schools and school library standards, and several witnesses backed a bill to expand student representative voting rights on school committees. Opponents of S. 374, especially charter school leaders, parents, students, and some education advocates, focused on Section 4 of the bill, which would change the charter school net school spending cap in the lowest-performing districts. They argued that the provision would reduce access to charter seats in communities where families are seeking more options, and that schools such as Roxbury Prep, Excel Academy, Brook, Veritas Prep, and Libertas Academy have produced strong results for students, including students of color, low-income students, and students with special needs. Several witnesses said the section would force schools to shrink or close and would remove opportunities for families in districts with long waitlists. Committee members questioned witnesses on both the effectiveness of receivership and the charter school cap language. Chair Lewis and Chair Gordon emphasized the need for a better accountability system and noted concerns about whether current measures, including MCAS-based designations, accurately reflect school quality. Some witnesses said they had discussed the possibility of removing Section 4 from the Thrive Act and suggested it might be addressed in separate charter reform legislation. No votes were taken during the hearing; testimony was received and the committee later closed testimony on S. 374 and several related bills before moving on to the student voting rights bill, S. 367.

Transcript Highlights:

• He loves music and spending time outdoors.
• He spends his academic portion of his day in a sub-separate classroom, but he attends specials like PE
• We should be at least setting a benchmark of the minimum pay that's acceptable for educators.'
• Maybe they cut back on public safety in order to spend more on education, right? That's the...
• In order to spend more on education, right?

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with most testimony focused on two main topics: improving access to augmentative and alternative communication (AAC) for students with disabilities, and raising educator pay statewide. On the AAC bills (House 514/Senate 418), parents, advocates, and attorneys described how AAC devices and communication books help nonverbal or minimally verbal children communicate, participate in class, and reduce frustration and behavioral issues. Testimony emphasized that while districts are generally required to provide devices, many teachers and school staff lack training to use them effectively; the bill would direct DESE to update licensure and training requirements so newly licensed teachers are prepared to support AAC users. Committee members asked about current teacher-prep practices, implementation, and whether DESE could act without legislation, and witnesses said the proposal was intended as a long-term solution and had previously received some support and compromise language. The committee also heard extensive testimony on House 733/Senate 370, which would set a statewide minimum salary of $70,000 for teachers and $55,000 for education support professionals (ESPs/paras), with inflation adjustments and a phase-in structure that would shift costs over time from the state to municipalities. Supporters, including the bill sponsor, MTA leaders, and school employees from several districts, argued that current pay is not a living wage, contributes to staffing shortages and turnover, and forces many educators to work multiple jobs or rely on public assistance. They said the bill would help recruit and retain staff and better reflect the importance of the work. Committee members raised questions about how the state would fund the mandate, how it would interact with Chapter 70 school aid and local budgets, whether other states have similar mechanisms, and whether the proposal could create disincentives for districts already paying above the floor. Witnesses pointed to the Student Opportunity Act, the Fair Share Amendment, and the need for a broader school funding formula review as possible parts of the solution. The committee also briefly heard and discussed Senate Bill 435/House Bill 736, which would require de-escalation training for school bus operators, with the training paid for by employers. The sponsor and a parent advocate said the bill was prompted by a school bus incident involving a child with cerebral palsy and epilepsy and would improve safety and reduce reliance on law enforcement. Members asked whether the bill should also cover bus monitors and other transportation staff, and whether private contractors and public operators currently provide similar training. At the end of the hearing, the chairs closed testimony on the full list of bills and adjourned the hearing without taking any votes.

Transcript Highlights:

• So we need the help of you and your advocates to get these organizations and state agencies to spend
• being among the top 25 most costly drugs and the top 25 drugs with the highest increase in total spending
• legislation that mandates the coverage, because this is not part of the essential health benefits benchmark

Transcript Highlights:

• I also want to thank so many members of the committee for spending time with me on this bill talking
• Also focuses state academic standards, documents on standards and benchmarks and requires the cost of
• prohibits public schools, charter schools, related organizations, direct service organizations from spending

Keywords: 999, senate, all

Transcript Highlights:

• <00:44:42.480> that so that becomes a frozen Benchmark that so that becomes a frozen Benchmark
• The benchmark we measure you up against is not going to be your portion of the SWP.
• So if you divide that, you can find out, here's the average cost we're spending.
• for an adequate education and spending for an adequate education and we<01:16:51.080> know<01
• <02:01:52.960> 23,000 they're saying we have to spend 23,000 they're saying we have to spend

Keywords: 928, house, all

Summary: The committee held a work session focused on school funding formulas, adequacy aid, and special education aid, with the chair outlining a schedule for the next several Tuesdays and noting that the committee would likely need multiple executive sessions to narrow down the bills. Members discussed the FY 26 formula, including base cost, differentiated aid, extraordinary needs grants, hold harmless provisions, and the roughly $28 million in excess statewide education property tax (SWP) funds that are not currently returned to the state under the existing formula. The first bill discussed was HB 137, which would allow excess SWP funds to remain with the local municipality for school and municipal purposes. Representative Spilsbury argued the issue is fundamental and suggested the state should require excess funds to be remitted back to the state, while Representative Damon said the bill appears to codify current practice and may be unnecessary, especially given possible court action. The discussion then shifted to a related bill from Representative Fellas that would redefine SWP as local money rather than state money and keep the current adequacy aid numbers revenue-neutral for now. Representative Fellas explained that SWP was created in 1999 after the Claremont lawsuit as part of the state’s effort to show increased school aid, but that it effectively labeled part of the local property tax as state money without changing property tax bills. She argued the state should not be tapping local property tax revenue and said her bill would preserve the current distribution while removing the SWP tax label, with future work possible on a different measure of local capacity such as income, home values, or poverty rate. Members also referenced prior discussions of fiscal capacity aid, relief aid, and other formula changes as part of the broader effort to restructure school funding.

Transcript Highlights:

• Uh, so currently the data that we have shows that we're spending about $9 million a year on ER visits
• That we're spending about $9 million a year on ER visits for things that should be treated in dental
• So, we'd really like to see us adopt a benchmark alignment, prioritize prevention, incentivize preventive
• 15:54.240> a So, we'd really like to see us adopt a So, we'd really like to see us adopt a benchmark
• <00:15:54.880> alignment,<00:15:55.839> prioritize benchmark alignment, prioritize benchmark

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Second, it ensures that local-level measures that increase government spending indicate such in the description
• It protects the taxpayers, maintaining discipline in our spending and the federal standards.
• So ...will likely unintentionally increase overall spending.
• And so whenever there's alignment across those health plans, I also spend a lot of time just talking
• And so you could have upward pressure, I think, on total spend as a result.

Bills: HB2775, HB2874, HB2940, HB4014, HB4067, HB4115, HCM2010, HCR2051

Keywords: international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land

Summary: The Committee on Federalism, Military Affairs, and Elections heard several election, health care, and sovereignty-related measures. HB 4115 and mirror resolution HCR 2051 would extend existing statewide rules for paid petition circulators and initiative/referendum disclosures to municipal and county measures, including badge/display requirements for paid circulators and disclosure of expenditures and revenue sources. Speaker Montenegro and supporters framed the bills as transparency and anti-out-of-state influence reforms; the committee recommended HB 4115 do pass by 5-2 and HCR 2051 by 4-3. The committee also considered HCM 2010, urging Congress to repeal the Seventeenth Amendment and return selection of U.S. senators to state legislatures. Sponsor Rep. Powell argued it would restore state sovereignty and accountability, while other members raised concerns about direct democracy, deadlock, and the need for broader public support. The memorial failed on a 3-3-1 vote after a present vote was recorded, despite some members expressing sympathy for the concept. HB 2940 proposed major changes to AHCCCS and DES eligibility verification and procurement, including expanded data checks, a unified eligibility rules engine, new contracting concepts, and a fixed benefit price list. The sponsor said the bill was intended to increase competition, transparency, and fiscal discipline; AHCCCS testified neutrally, noting it already uses many data matches but would need additional work and costs for some provisions, while health plan representatives opposed the bill as a major operational shift that could limit negotiated rates. The committee recommended the bill do pass 4-3. HB 2874, which would ease termination-statement requirements and penalties for committees that never raised money, passed unanimously 7-0. HB 467, requiring inactive-voter status information to appear in precinct registers, signature rosters, or e-poll books, was amended to change a mandatory “shall” to permissive “may” and then passed 5-2. Finally, HB 2775, as amended, would bar state and higher-education participation in implementing international-organization rules or agreements; after removing rulemaking authority for ABOR and adding a higher-education review process, it passed 4-3. The committee then adjourned.

Transcript Highlights:

• But they're spending plenty of time on the agenda of the billionaires and multinational corporations.
• act, preventing that tax hike is counted as a cost in collected future revenue, even though many spending
• Do you support incorporating pollution intensity or carbon benchmarking into a trade enforcement as a
• That is nearly as much as the federal government... spends in an entire year on child care for all of
• They wanted to hire 86,000 new IRS agents and they say they're going to make money by spending all of

Keywords: Commerce, International Trade, Tax Policy, Nominees, Inflation, Middle-class, Trade Practices, Economic Concerns

Summary: The committee convened to discuss various bills and nominees, including the critical nominations of William Kimmett for Undersecretary of Commerce for International Trade and Ken Keyes for Assistant Secretary for Tax Policy at the Treasury Department. Discussions highlighted the nominees' roles in managing critical trade and tax policies amidst rising economic concerns, particularly focusing on inflation and its impact on American families. Members expressed both support and skepticism, emphasizing the significance of fostering fair trade practices and ensuring tax policies that benefit the middle-class amidst claims of an agenda favoring affluent individuals and corporations.