Transcript Highlights:

• For day-to-day operations of the program.
• To the Agency for Health Care Administration.
• It could be operated by, you know, a shopping center. It could be operated by a university.
• , including power plants and port operations.
• Under tab 21, we have HB 5301 by Health Care.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• So our Health and Wellness Unit operates on the holistic well-being philosophy that embraces nine dimensions
• Related to mental health.
• Our peer health educators are the health promotion engine behind LiveWell.
• and public health tracks.
• In operations and administration, we want to use AI to improve operational workflow and accessibility

Summary: The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields. Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.

Transcript Highlights:

• Veterans health care has been included as a part of our operations over the last, I think, 12 to 15 years
• We have significant social services, along with mental health and behavioral health services.
• health and Behavioral Health with mental health and Behavioral Health Services<00:34:20.440><c> we're
• </c> State min OTA areas the community health State min OTA areas the community health Navigators<00:
• </c> operating and then a small operating operating and then a small operating adjustment<01:08:45.040

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans

Keywords: 1187, senate, all

Transcript Highlights:

• with the Health Care Authority, and at least once a year our in-house data analysts receive Apple Health
• the State Department of Health and local health jurisdictions, OSPI and local schools, dental providers
• Community Health Aide Program.
• And then the most advanced roles of dental health aides in this system are the Dental Health Aide Hygienist
• There's also a strong correlation between oral health and overall health, including early identification

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• We've got eight facilities that we operate in roughly 66 public health offices and individual WIC sites
• The Department of Health...
• to the Health Care Authority.
• Health Care Authority.
• Health Care Authority.

Summary: The committee first recognized Mark Roper of the Economic Development Department for his long service and retirement, with members and the secretary praising his work on economic development across the state. Secretary Rob Black then presented EDD’s budget and special appropriation requests, describing strong recent job and income growth and outlining the department’s strategy around science and technology, site readiness, workforce development, foreign direct investment, and rural/community programs. He highlighted wins in advanced energy, quantum, space and defense, and biosciences, and asked for funding for quantum/DARPA matching funds, additional site readiness work, LIDA closing funds, JTIP training support, New Mexico Partnership, and healthy foods and other community programs. Members asked detailed questions about the quantum proposal, site readiness, the new mapping tool for industrial sites, workforce participation, trade missions, foreign investment, tariffs, water and produced water, tribal site evaluation, and public engagement on major projects. Black said the quantum request was intended to match federal dollars and build a workforce pipeline, that the site-readiness software would be a set enterprise license, and that the department was working with tribes and local partners on future site evaluations. He also said tariffs have created uncertainty but New Mexico’s infrastructure and foreign trade zones could help attract manufacturing, and he acknowledged concerns about transparency and community input while noting that some projects, such as Pacific Fusion, had gone through extensive public processes. The committee also discussed specific projects and funding balances, including Mantis Space’s move to Albuquerque, the status of Virgin Galactic’s spaceport lease, and the current LIDA fund balance and encumbrances. Black and Deputy Secretary Isaac Romero said the department was trying to use State Investment Council-backed venture funds to attract companies and that the new investments were already producing deals and jobs. Members generally supported the department’s direction but pressed for more targeted expertise, faster deployment, and stronger community involvement in future economic development decisions. Later, Secretary de Blassie of the Department of Health presented the department’s budget request and progress report. He said DOH had improved revenue cycle management, reduced old Medicaid-pending cases, increased census at facilities, improved budget and contract timeliness, and responded effectively to the measles outbreak. The department requested additional base funding for epidemiology and response, the DOH helpline, the Vital Records Virtual Vault, state labs, and the veterans home, along with special requests for respiratory vaccinations and marketing and lab equipment replacement. He also noted progress on MOUD and the medical psilocybin program, and said the department was not seeking to launch new programs given the limited time left in the administration.

Transcript Highlights:

• And all the decision-making that will lead to an approved operating plan or disapproval of an operating
• And then they oversee the mine operations as they're ongoing.
• This needs to be the operator that does it.
• They will receive health care coverage; downwinders will not.
• and safety and the ecosystem's health.

Committee: House Radioactive & Hazardous Materials Committee

Transcript Highlights:

• This section does not preclude a health professional operating within their scope of practice from utilizing
• This section does not preclude a health professional operating within their scope of practice from utilizing
• This section does not preclude a health professional operating within their scope of practice from utilizing
• This section does not preclude a health professional operating within their scope of practice from utilizing
• , UVM Health Network Vermont Operations, Vermont Association of Justice, the House's bill sponsor, the

Keywords: 927, senate, all

Transcript Highlights:

• </c> the Vietnam War in 1967, Operation the Vietnam War in 1967, Operation Popeye<00:04:38.639><c> was
• Health as in animal health, domestic, wildlife, and human health.
• Health as in animal health, domestic, wildlife, and human health.
• </c><00:29:12.960><c> you</c> scientists in our state operating you scientists in our state operating
• </c> comprehensive mental health services. comprehensive mental health services.

Bills: HB60

Committee: Joint Judiciary

Keywords: geoengineering, weather modification, environmental safety, atmospheric pollutants, criminal pollution, Meeting Start: 00:00:02 Roll Call: 00:00:08 26 RS HB 60 - AN ACT relating to geoengineering: 00:01:35 Department of Corrections Update: 00:32:59 Kentucky Parole Board Update: 01:19:21, 958, all

Transcript Highlights:

• Behavioral health services for first responders depend on diverse state.
• mental health solutions within public safety agencies.
• during disaster response operations.
• And we've seen the evolution of the mental health crisis in the state of Florida.
• So that's that one as far as the >> age and and >> they were health. Look.

Keywords: 999, senate, all

Transcript Highlights:

• And for the health care provider and the entity providing that health care, whether it be a hospital,
• , shortages of physicians and health care providers are a huge problem.
• And, you know, as a health care provider, And, you know, as a health care provider, I feel this is really
• If you're operating a vehicle, you should be someone who's actually authorized to operate a vehicle,
• Speaker, this bill came through your Committee on Health and Mental Health. This is good policy.

Keywords: 959, house, all

Transcript Highlights:

• We have a medical health operational coordinator for disasters, and then the RDMHCs, RDMHS, which are
• health operational coordinator for disasters, and then the RDMHCs, RDMHS, which is regional disaster
• So from the health side, From the health side, EMS is not acting alone.
• and statewide progress through health and mental health equity?
• health areas as well.

Committee: Senate Rules

Summary: The Senate Committee on Rules established quorum and approved several routine items on the agenda, including governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee noted that some 2026 committee changes would take effect February 1, 2026, and that new committees would depend on adoption of a Senate resolution. The committee then heard from Dr. Hernando Garson, nominated as chief medical officer of the Emergency Medical Services Authority. He described his background in emergency medicine, disaster response, and EMS leadership, and members questioned him about EMSA’s strategic plan, data integration, statewide standards versus local flexibility, ambulance patient offload time regulations, stakeholder engagement, and emergency response coordination. Dr. Garson emphasized data-driven decision-making, technical assistance to local agencies, collaboration with hospitals and EMS stakeholders, and the need for safer alternatives to routine ambulance transport such as community paramedicine, telehealth, and nurse triage. He also discussed disaster preparedness for vulnerable and rural communities and the use of regional and state assets, including ambulance strike teams, during fires and floods. The committee approved his appointment 4-0. The final item was Stephanie Weldon’s nomination as Deputy Director of the Office of Health Equity at the Department of Public Health. Weldon, who identified as Yurok-Tolowa and Karuk, spoke about her tribal, county, nonprofit, and state experience, her role as the first Native American woman in the position, and her commitment to health equity, rural communities, and culturally responsive public health work. Senators asked about how the office sets priorities, measures outcomes, addresses behavioral health, tribal consultation, youth mental health, and how it responds to political pressure around DEI language; Weldon said the office focuses on community-driven, data-informed work and transparency. Public commenters strongly supported her confirmation, citing her leadership on the California Reducing Disparities Project and related equity efforts. The committee approved her appointment 4-0, sending it to the full Senate for confirmation.

Transcript Highlights:

• And that was for primarily—was that primarily for operations and...”
• All of our shelter operators have rules and operating protocols for protecting residents and for ensuring
• We're trying to discuss how they are operated.
• The challenge is operations.
• So most people are probably operating in good faith in this space.

Summary: The Housing Committee held work sessions on federal Continuum of Care homelessness funding and on state step-housing siting rules before moving into public hearings on House Bill 2266 and House Bill 2489. Commerce staff said HUD’s late and restrictive Continuum of Care funding notice put about $120 million a year in Washington operating support for existing homeless housing projects at risk, but a lawsuit led by the Attorney General forced HUD to restart renewal funding. Commerce also reviewed how local governments are implementing step-housing requirements, including model ordinances, planning updates, and ongoing compliance reviews under recent state law. House Bill 2266 would require cities and counties to allow step housing in all nonindustrial zones, apply the same permitting and environmental review as other residential uses, limit design review to administrative processes, and remove certain local standards and conditions on existing buildings and affordable housing. Supporters, including Plymouth Housing, Disability Rights Washington, King County, the Attorney General’s Office, and Catholic Community Services, argued the bill would reduce discriminatory barriers, protect people with disabilities, and make it easier to site shelters, transitional housing, and permanent supportive housing. Several city representatives and the Association of Washington Cities opposed or sought amendments, saying the bill was too broad and could limit local authority over operational agreements, safety plans, spacing, community engagement, and funding conditions; some asked for clearer carveouts for emergency shelters and related uses. House Bill 2489 would bar local governments from enforcing public-space anti-camping or similar laws unless adequate alternative shelter space is available, with “life-sustaining activities” and “adequate alternative shelter space” defined in detail. Rep. Gregerson said the bill would create a statewide floor and prevent punishment for survival conduct when no real shelter option exists. The ACLU, service providers, and shelter operators supported the bill, citing displacement from fragmented local ordinances, enforcement costs, and the need to align enforcement with actual shelter availability. Testimony also described low-barrier shelter operations and examples of people stabilizing once housed. The hearing on HB 2489 began with staff explanation and initial testimony; no votes were taken on either bill in the transcript.

Transcript Highlights:

• Aren't they housed there and operating now that building?
• That we needed to fund our operating budget.
• A small amount from the general fund funds the operations.
• We have a soil health project where we work with farmers on a voluntary basis to improve their soil health
• They're requesting to put them in their operating budget.

Transcript Highlights:

• I'm general counsel at Health Trust. Scott D. Roach, executive director at Health Trust.
• </c> those requirements and operations. those requirements and operations.
• You guys coming up Health Trust.
• </c> general counsel at Health Trust. general counsel at Health Trust.
• Both models can operate Hampshire.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• , the Department of Public Health.
• , the Department of Public Health.
• Prior to this position, she served as Chief Operations Officer for the United Indian Health Services.
• It may happen to other local health jurisdictions.
• Senate Bill 490 by Senator Umberg and act relating to public health. Senator.

Summary: The Senate convened with a quorum, observed a moment of silence for Alex Prettie, offered prayer and the Pledge of Allegiance, and recognized several visiting groups in the gallery, including UCLA Latino Policy and Politics Institute fellows and community college representatives. The body approved the Senate journals and then confirmed two gubernatorial appointments: Dr. Hernando Garsohn as Chief Medical Officer at the Emergency Medical Services Authority and Stephanie Weldon as Deputy Director of the Office of Health Equity at the Department of Public Health, both by 39-0 votes. The chamber then took up a series of third-reading bills. Measures that passed included SB 799 on the South Bay Regional Housing Trust, SB 33 on public contracts and contractor payment claims, SB 222 to streamline permitting for heat pump installations, SB 300 to strengthen protections for minors in AI chatbot interactions, SB 457 on community land trusts and affordable housing, SB 479 allowing certain cities to share information in homeless response teams, SB 719 extending a reporting sunset on automated decision systems, SB 722 protecting mobile home park residents from demolition-related displacement, SB 832 updating the Upper Los Angeles River working group, SB 342 on contractor license lapse rules, SB 490 on inspections of unlicensed treatment facilities, SB 828 requiring better state-local permit verification after the Esparto fireworks tragedy, SB 849 barring physician license renewal after specified sexual misconduct, SB 742 addressing decommissioned electrical lines and wildfire risk, SB 96 on over-amplified streaming and digital ads, SB 677 as a technical cleanup to last year’s housing law, and SB 58 on hydrogen sulfide monitoring and public health. Most of these bills passed unanimously or with overwhelming support; SB 222 and SB 677 drew some no votes but still passed. The most extended debate centered on SB 694, which would align California law with federal VA accreditation rules for those assisting veterans with benefits claims and impose penalties for unauthorized claims assistance and data access. Supporters argued it would protect veterans from predatory “claim shark” practices and ensure only accredited providers charge fees; opponents said it would reduce veterans’ choice and could limit access to needed help. After a motion to pull the bill from Rules and take it up immediately passed 29-9, the Senate approved SB 694 on a 29-10 vote. The session concluded with unanimous approval of the consent calendar and adjournment until January 27, 2026.

Transcript Highlights:

• Operating expenditures, $140.5 million in 2025.
• Moving on to the Division of Public Health Services.
• to a different division within Health and Welfare.
• Mental Health Services has a couple of line item requests.
• Mental health services has a couple of line item requests.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• Inmate health care, we're asking for $105.5 million. $60.2 million of that is for contracted inmate health
• Is that in the health care where it says inmate health care? It's in the health care category.
• Is that in the health care where it says inmate health care, it's in there?
• So when I asked you earlier about the mental health dollars, the money you receive for mental health,
• When I see inmate health care, is that money used to— Inmate health care, is that money used to also

Summary: The committee received a presentation on the Governor’s fiscal year 2026-2027 public safety budget, which totals $8.2 billion for the public safety silo and includes funding for the Departments of Law Enforcement, Juvenile Justice, and Corrections, along with courts and legal affairs. The Governor’s Office highlighted recurring reductions and vacancy eliminations, while agency heads outlined their major requests: FDLE sought funding for fentanyl enforcement, career offender registry staffing, alert-system upgrades, alcohol testing modernization, officer wellness, criminal intelligence, and immigration-related intelligence work; DJJ requested money for the Florida Scholars Academy, uniforms, residential services, a new Broward detention center, and facility maintenance; and DOC requested major increases for officer pay, additional staff, facility construction and maintenance, communications upgrades, inmate health care, pharmaceuticals, and food service. Members questioned FDLE about immigration enforcement and public records burdens, and DOC about staffing, capacity, mental health services, contraband, housing, and whether prison beds were being used for immigration detainees. Public testimony also urged better prison conditions and basic necessities for incarcerated people. The committee then took up and reported favorably CS/SB 156, the Jason Rayner Act, which would strengthen penalties and clarify that a person may not resist an officer with violence when the officer is performing official duties. An amendment conforming the bill to House language was adopted, and the bill passed with Senator Smith voting no. The committee also adopted an amendment and reported favorably CS/SB 54, which concerns use of substances affecting cognitive function and limits certain medical-record disclosures to information relevant to investigations of violent offenders; Senator Smith voted no on that measure as well. Next, the committee considered Senator Berman’s bills on domestic and dating violence. CS/SB 296 would direct a study of a secure web-based alert platform for victims, including a discreet phone-number/code system and geolocation support, and would expand the Address Confidentiality Program to dating-violence victims. The bill drew emotional support testimony from survivors and advocates describing the dangers victims face when trying to leave abusive situations, and it was reported favorably. Its companion, CS/SB 298, would extend public-records protections in the Address Confidentiality Program to dating-violence victims; it was also reported favorably. The committee then adjourned.

Transcript Highlights:

• </c><00:09:25.279><c> viiew</c> at the M Health voy M health fair viiew at the M Health voy M health
• </c> our health insurance and M Health our health insurance and M Health Fairview<00:10:28.800><c> we
• It effectively allows health care providers to operate above the law.
• Are we truly prepared to grant this level of immunity to every person operating in health care, regardless
• </c><01:08:27.319><c> of</c> operating and Health Care regardless of operating and Health Care regardless

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• and behavioral health outreach.
• with the full range of mental health and behavioral health.
• These are the health rankings.
• Access to behavioral health services and behavioral health.
• And I forget where the other facility is, but Initium Health has sort of brought that operational, and

Committee: Senate Senate Finance

Transcript Highlights:

• We're not asking for any additional operations funding for office use.
• </c> we've since the rural health we've since the rural health transformation<00:02:40.319><c> funding
• So, when increase of office operations.
• </c> went from a single person operational went from a single person operational unit,<00:09:25.519><
• No one wants poor for their health.

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

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