Video & Transcript Research : 'May primary'
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CA
California 2025-2026 Regular Session
Senate Business, Professions and Economic Development Committee Jun 22nd, 2026
Business, Professions and Economic Development
Transcript Highlights:
- It may be that it can be done in an expedited fashion.
- It's not primary sale and it's not secondary sale.
- They may or they may not. That is true.
- They may want to stay, that is correct, but they may choose not to.
- In other words, we may be attracting physicians from other areas where the...
AZ
Transcript Highlights:
- We pray that all the world may know of St.
- We have Gino Talas, if y'all can stand, Bobby Ann Baldwin, and Kelly May Douglas.
- Gino Talas is the director of Hopi Veterans Services, and our special guest from California, Kelly May
- May we continue with her legacy. Auntie Jennifer brought to her work.
- HCR 2017, property tax isn't from primary residence; Ways and Means.
AL
Alabama 2026 Regular Session
Alabama House Special Session 2026 May 4th, 2026
Alabama House Floor Meeting
Transcript Highlights:
- the 4th, 2026, to take up the following specifically described subject or matter: primary elections.
- May we bow our heads, please.
- described subject or matter, primary described subject or matter, primary elections. elections.
- May we bow our heads, please. May we bow our heads, please.
- And may your peace rest upon this house today.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 6 (1-13-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- With permission of the primary sponsor, I move to be added as co-sponsor of SB 10 and SP 101.
- With permission of the primary co-sponsor, the primary sponsor, I move to be added as co-sponsor of Senate
- With permission of the primary >> Yes.
- the<00:15:55.360>
primary the primary co-sponsor, the primary the primary co-sponsor, the - President, the transportation committee may meet tomorrow morning at 9:00 a.m. in Annex Room 131.
Summary:
The Kentucky Senate convened with an invocation, pledge, and roll call establishing a quorum of 37 members. The chamber approved the journal from Monday, January 12, 2026, and then moved through routine business including recessing briefly for the Rules Committee and Committee on Committees. The Committee on Committees reported referrals of Senate Bill 7, Senate Joint Resolution 11, and Senate Joint Resolution 27 to Transportation, and Senate Resolutions 25, 28, 29, 30, and 31 to the Senate floor.
Several new bills and resolutions were introduced, including measures on identity documents, youth vaping prevention, local occupational license fees and taxes, healthcare provider credentialing, constitutional amendments on voting and restoration of rights, substance use disorder medication regulations, forcible entry and detainer, coroner response times, special needs trusts, immigration enforcement collaboration, and a resolution recognizing Physician Anesthesiologist Week. The Senate also adopted Senate Citation 001 honoring Shelby County Sheriff Mark Moore as the Kentucky Sheriffs’ Association’s 2025 Sheriff of the Year, and adopted Senate Resolution 14 honoring David Delvin Drake.
A major floor discussion centered on Senate Resolution 10, which honored the victims of the UPS Flight 2976 crash and commended first responders. Senator Herron described the crash, named the victims, and thanked emergency responders and government partners; the resolution was adopted unanimously, followed by a moment of silence. Another extended discussion came from the Senator from Marion regarding the I-69 bridge project, explaining the bipartisan effort behind the project, the push for a federal grant, and the state’s tolling requirements if no grant is secured. The Senate also heard announcements about committee meetings, upcoming receptions, and a film release, and several members requested co-sponsorships on various bills before the chamber adjourned until 2 p.m. on Wednesday, January 14, 2026.
MN
Minnesota 2025-2026 Regular Session
Ticket resale disclosures and pricing restrictions 3/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- They may not be able to attend indie shows in smaller markets.
- inventory was available on our primary inventory was available on our primary platform.<00:15:16.800
- >
not <00:24:04.480>share Primary ticketing systems do not share Primary ticketing systems - Um and um is to get that primary ticket.
- Um we provide the primary for so long.
KY
Kentucky 2026 Regular Session
Budget Review Subcommittee on Economic Development, Tourism, and Environment Protection.(7-1-26)
Transcript Highlights:
- <00:02:34.319>
begin <00:02:34.640>your and then you may begin your and then you may - Parks replace all guest room primary lodge entrance access controls.
- Parks replace all guest room primary lodge entrance access controls.
- Parks replace all guest room primary lodge entrance access controls.
- May, Mr. Chairman.
Summary:
The Budget Review Subcommittee on Economic Development, Tourism, and Energy and Environmental Protection met at 9:00 a.m., approved the June 3 minutes, and heard a presentation from the Department of Parks and the Finance Cabinet on Kentucky State Parks capital projects. Commissioner Mark Keelin and Scott Baker described the scope of the state parks system, the ongoing coordination with DECA/Finance Cabinet, and the status of projects funded through House Joint Resolution 76, House Bill 553, House Joint Resolution 56, and House Bill 6. They said 36 of 44 state parks have received renovations or upgrades, with 66 projects completed and 17 under construction, and outlined work on campgrounds, utilities, wastewater systems, broadband, building systems, safety upgrades, ADA improvements, pools, golf courses, marinas, and lodge accommodations.
The presenters highlighted several completed or active projects, including campground upgrades at Carter Caves, Ken Lake, and My Old Kentucky Home; utility and grid-resilience work at parks such as Kentucky Dam Village and Kincaid Lake; wastewater projects at parks including E.P. Tom Sawyer, Carter Caves, Dale Hollow, and Blue Licks Battlefield; and building and hospitality renovations at parks such as Lake Barkley, Baron River, and Cumberland Falls. They also noted completed playground upgrades, lock system replacements, beach refurbishment, and golf course improvements, and said the parks system is managing additional internal projects beyond those discussed. The department emphasized that parks often serve as sheltering locations during disasters and that infrastructure replacement is a high priority.
Scott Baker then explained DECA’s role in managing the Commonwealth’s capital construction program, saying it oversees about 1,300 active projects across 28 cabinets and agencies, including 149 parks projects. He described DECA’s team-based approach, with dedicated project managers and field staff assigned to parks, and said monthly status meetings and more frequent check-ins are used to keep projects moving. In response to committee questions, Keelin and Baker said projects are assigned to DECA based mainly on the need for architectural or engineering services, while smaller or less complex work can be handled in-house by parks staff or the P11 construction crew. No votes were taken beyond approving the minutes.
HI
Hawaii 2026 Regular Session
ECD Public Hearing - Fri Apr 17, 2026 @ 8:30 AM HST
Economic Development & Technology
Transcript Highlights:
- Not all testifiers may have the opportunity to testify.
- If you're disconnected unexpectedly, you may attempt to rejoin the meeting.
- May May uh<00:13:57.000>
to <00:13:57.200>actually <00:13:57.680>do <00:13:57.920 - of Primary Industry about establishing an MOU.
- So I know what may happen in conference.
Keywords:
SCR184, Senate Concurrent Resolution 184, Hawaii Civil Rights Commission, HCRC, civil rights, anti-discrimination, algorithmic decision making, automated decision making, artificial intelligence, AI bias, machine learning, employment screening, tenant screening, housing discrimination, credit decisions, lending discrimination, public benefits eligibility, state services, equal opportunity, algorithmic discrimination
Summary:
The committee met in Room 430 on April 17 at 8:30 a.m. and heard several resolutions focused on Hawaii’s sister-state and international relationships. Measures discussed included SCR 184, SCR 169 SD1, SCR 47, SCR 57 SD1, SCR 170 SD1, and SCR 163 SD1. Testimony generally supported expanding or formalizing ties with Japanese prefectures and other partners, including Yamaguchi, Okayama, and Aotearoa/New Zealand, as well as maintaining the Hawaii-Taiwan relationship. DBED’s Dennis Ling explained that sister-state agreements provide a framework for broader government, nonprofit, and private-sector relationships, and cited existing exchanges in transportation, health, education, culinary rice development, biosecurity, and food innovation. Catherine Stanway of the Division of Forestry and Wildlife supported the Aotearoa measure for predator control, biosecurity, and conservation cooperation. Jerry Chang of the Taipei Economic and Cultural Office testified in support of the Taiwan resolution, noting 33 years of sister-state ties and ongoing cooperation in education, culture, economy, and disaster management.
One witness raised a concern about language in SCR 57 SD1 related to double taxation, saying that portion did not relate to the sister-state relationship, but the committee chose not to amend the measure to avoid possible delay or conference issues. A committee member also asked about how sister-state relationships work and whether other states have similar country-level arrangements; Ling said Hawaii has an MOU with Israel and mentioned Singapore as another possible partner, while noting that such arrangements often depend on the governor and are not standardized across states.
After testimony, the committee voted to recommend passage of all measures as is. SCR 184, SCR 169 SD1, SCR 47, SCR 57 SD1, SCR 170 SD1, and SCR 163 SD1 were all adopted by the committee without amendments. Some members were excused during the hearing, and the meeting adjourned after the final vote.
DE
Delaware 2025-2026 Regular Session
House Health & Human Development Committee Meeting Jun 17th, 2026
Health & Human Development
Transcript Highlights:
- May I now have staff collect the online comments?
- May I have a question for the sponsor? You may. Thank you.
- So, for example, like an apartment complex, depending on the number of units, may or may not use a backflow
- If I may be allowed to answer, no, it’s not.
- This may be for the witness, if that's all right.
Keywords:
healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe
Summary:
The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks.
The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released.
Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.
FL
Florida 2025 Regular Session
December 10, 2025 - 03:30 PM
Transcript Highlights:
- IT MAY NOT SUPPORT AFFORDABLE HOUSING. >> Chair Salzman: YOU ARE RECOGNIZED TO ANSWER THE QUESTION. >
- Nix: THIS BILL DOES EVEN IN HIS AMENDMENT REQUIRED PURCHASERS OF A HOME RESIDE IN THE PRIMARY DWELLING
- SO IT IS IN THERE THE OWNER HAS TO RESIDE IN THE PRIMARY DWELLING UNIT AND WITH THAT I CLOSED. >> Chair
- SECOND AMENDMENT WE WENT THROUGH WHERE IT SAYS THE GOVERNMENT CANNOT REQUIRE THE OWNER LIVE IN THE PRIMARY
- IT SAYS IT MAY NOT INCREASE PARKING REQUIREMENTS, IT MAY NOT REQUIRE REPLACEMENT GARAGE, MAY NOT REQUIRE
HI
Hawaii 2025 Regular Session
House Chamber - Thu Apr 3, 2025, 12:00PM HST - Day 45
Hawaii House Floor Meeting
Transcript Highlights:
- Representative Moria, Madam Speaker, may this matter be deferred. So ordered.
- forward full blast on vaccinations may forward full blast on vaccinations may not<01:17:08.080><
- Um, I do believe that it is very important, but I just feel that language may be slightly beyond what
- Um, I do believe that it is very important, but I just feel that language may be slightly beyond what
- I have an extremely fortunate primary.
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Apr 29th, 2025
Transcript Highlights:
- May I ask your age, please?
- Some customers may be abused. Others may be very annoyed and choose to shop elsewhere.
- They may be vapes. They may be smoke detectors.
- They may be other things like the flexible... ...indoor facilities. They may be vapes.
- They may be smoke detectors.
Summary:
The committee heard a series of environmental safety and toxic materials measures, with several bills moving forward on unanimous or near-unanimous votes to Appropriations. Early in the meeting, the consent calendar was approved, including AB 372, AB 455, AB 1096, AB 1102, and AB 754. AB 362 by Assembly Member Ramos, which would recognize tribal beneficial uses of water and strengthen consultation and protection for tribal water uses, drew strong support from tribes and environmental groups. Water agencies and local government representatives opposed unless amended, raising concerns about CEQA requirements, co-management language, and conflicts with existing water law. The bill advanced to Appropriations, with some members voting aye and others not voting or absent.
AB 728 by Assembly Member Lee would require age verification for the sale of certain anti-aging skin care products to minors. The author and a youth witness described social media-driven use of adult skin products by children and alleged skin damage, while supporters argued age checks are a reasonable consumer protection. Dermatologists and retailers opposed the bill, saying it could restrict legitimate acne and other medical uses of over-the-counter products, create compliance problems, and lacked a clear scientific basis. The committee discussed possible ambiguity in the bill’s definition of anti-aging products, but the measure still passed to Appropriations.
AB 532 on low-income water rate assistance, AB 773 on copper-based anti-fouling paint, AB 998 on household hazardous waste disposal of vape pens, AB 1031 on geothermal hazardous waste fees, and AB 864 on solar panel hazardous waste and recycling all received strong support and advanced to Appropriations. Supporters for AB 532 emphasized water affordability and local program authority; AB 773 supporters said conflicting state water and pesticide rules are creating confusion for harbors and cities; AB 998 was presented as a practical way to let schools and local facilities dispose of confiscated vape devices safely; AB 1031 was framed as reducing DTSC fee burdens on geothermal development in Imperial County; and AB 864 would ease recycling and reuse of end-of-life solar panels. The committee also began hearing AB 1264 on ultra-processed foods in school meals, with the author and supporters arguing it would phase out the most harmful ultra-processed foods from school meals by 2032, but the transcript cuts off before the full discussion and any action on that bill.
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee Jul 9th, 2025
Transcript Highlights:
- Any individual who is disruptive may be removed from the room.
- As you may, as committee members may recall, I am the author of AB 881, which this committee previously
- do you have—this may not be a part of the bill—but do you have processes in place that— ...this may
- And if we have a primary opposition witness, you may come on up. We're kind of tweeners. All right.
- And if we have a primary opposition witness, you may come on up. We're kind of tweeners. All right.
Summary:
The Assembly Committee on Utilities and Energy heard several bills focused on utility rates, wildfire safety, carbon capture, methane reduction, large energy users, low-income energy programs, and clean energy supply chains. Early items included SB 613, which would direct state agencies to prioritize reducing methane emissions from imported fossil fuels, and SB 614, which would allow California to move forward with carbon dioxide pipeline safety rules and potentially lift the state’s moratorium on new CO2 pipelines. Both bills drew support from advocates and industry-related witnesses, with no opposition registered at the time they were presented, and the committee indicated it would vote once quorum was established.
After quorum was called, the committee took up SB 57, which would require the Public Utilities Commission to establish tariffs for large energy users such as data centers to prevent cost shifts to other ratepayers and address stranded infrastructure costs. Supporters argued the bill would protect affordability and encourage clean energy use, while opponents, including utilities and business groups, warned it could create uncertainty and interfere with existing regulatory processes. The committee also heard SB 256 on wildfire mitigation and emergency response, including undergrounding, PSPS communication, and removal of abandoned lines; supporters emphasized the need for stronger action after recent fires, while utilities raised concerns about duplicative requirements and public disclosure of sensitive infrastructure information. Both SB 57 and SB 256 were approved on roll calls.
The committee then heard SB 647, which would expand and standardize oversight of low-income energy savings programs and performance metrics, with strong support from community advocates and some neutral or “tweener” positions from utilities that sought further work on data collection and implementation. SB 787 followed, proposing a state strategy to coordinate supply chains and workforce development for clean energy industries including EVs, building decarbonization, and offshore wind; it received broad support and no opposition. The committee also considered SB 332, a study bill on utility ownership models and affordability reforms, which drew strong support from consumer and climate advocates but opposition from utilities and business groups concerned about bias, investor signals, and executive compensation provisions. The consent calendar was later approved, and several bills were reported out with votes or held open for absent members to add on.
TX
Transcript Highlights:
- may have serious ramifications with this decision.
- I may have some follow-up with you. Yes, ma'am. Later. Thank you.
- May I ask a closing question? Absolutely.
- And may God continue to bless you. ...your family. Very good.
- And may God continue to bless this great state of Texas. Okay, now...
FL
Florida 2025 Regular Session
November 18, 2025 - 10:30 AM
Transcript Highlights:
- Our primary focus is on safe delivery and in use of natural gas.
- It's not our primary Focus Association.
- You do also have where you may have a riser on the system and a tree may hit a riser, but that's a very
- And we do that through 3 primary. Sorry about that.
- Do that through 3 primary generating sources today.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (03/11/2026)
Health and Human Services
Transcript Highlights:
- reality in today's world is that you may reality in today's world is that you may have<00:07:40.479
- actually using pharmacists as primary actually using pharmacists as primary care<00:18:36.160>
you may have. you may have. >> Great.<01:27:46.000>Thank <01:27:46.080>you. - >> if I may. Yes, [clears throat] go ahead. >> if I may.
- But there may be cases where there might be an orthopedic, postural, etc., issue where a surgery may
WY
Transcript Highlights:
- who armed Sergeant Cranky's killer may who armed Sergeant Cranky's killer may never<00:24:48.240
- I think the bringer of the bill may correct me, or there may be another amendment to maybe help with
- bringer of the bill may correct me or<00:37:31.280>
there <00:37:31.520>may <00:37:31.680 - >
civil <01:31:02.880>action interested party may bring civil action interested party may - > injunctive<01:31:10.480>
or jurisdiction may order injunctive or jurisdiction may order
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (1-21-26)
Transcript Highlights:
- I have three quick questions, if I may. Three quick questions, if I may.
- Only 17% of our primary care physicians are there.
- rural Kentucky. only 17% of our primary rural Kentucky. only 17% of our primary care<00:26:43.600
- <00:26:55.279>
care coverage is provided by primary care coverage is provided by primary care - <01:03:30.480>
be or NP by an emergency physician may be or NP by an emergency physician may
Summary:
The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action.
Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition.
The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather.
Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.
CA
Transcript Highlights:
- Cabaldon, you may open. Thank you so much, Mr. Chair.
- You may open when you're ready.
- As you may know, California is a donor state.
- With the words primarily and primary, their primary mode of transportation.
- If your witnesses are here, you may approach and present.
Summary:
The Senate Transportation Committee heard several transportation, climate, and vehicle-related bills. SB 1087 by Senator Cabaldon proposed modernizing SB 375 regional planning by moving plans from a four-year to an eight-year cycle, clarifying agency roles, aligning funding programs with regional climate plans, and reducing duplicative process costs. Supporters from MPOs and environmental groups said it would improve efficiency and implementation; opponents warned it could weaken climate accountability, expand vehicle miles traveled concerns, and reduce public participation. SB 1315, also by Senator Cabaldon, would require manufacturers to report software updates for semi-autonomous vehicle features to the Insurance Commissioner to build data for future policy; it drew no opposition. SB 1275 by Senator McNerney would replace the state sales tax on motor vehicles with a higher vehicle license fee to preserve a federal tax deduction and reduce money sent to Washington, with LAO providing technical testimony on the tax structure.
The committee also heard SB 1287 by Senator Hurtado, which would create a tax credit to spur private investment in short-line railroad infrastructure. Supporters said it would improve freight efficiency, safety, emissions, and rural economic development; there was no opposition. SB 1064 by Senator Daly would reduce the frequency of clean truck checks for very low-mileage heavy-duty and off-road diesel vehicles, with supporters saying it would save time and costs and opponents asking for CARB analysis before taking a position. SB 1375 by Senator Cortese would streamline environmental review for certain transit and rail projects that have already undergone extensive prior review, while preserving other environmental laws; it received broad support and no opposition. SB 1392, also by Senator Cortese, would expand the smog exemption for certain collector vehicles used mainly for shows, parades, and historic display; classic car and lowrider supporters backed it, while air quality groups opposed it as likely to increase emissions and weaken smog-check accountability.
After testimony, the committee took up motions and later completed roll calls once a quorum was established. SB 1213 was placed on the consent calendar and approved. SB 1087, SB 1315, SB 1275, SB 1287, SB 1423, SB 1064, SB 1375, and SB 1392 were all reported out of committee, generally to the Senate Appropriations Committee, with SB 1392 receiving the closest vote and some opposition from members. The committee also briefly discussed another bill on active transportation funding tied to SB 79 areas, and that measure was approved after amendments and a roll call vote.
AL
Transcript Highlights:
- Uh, it just says they may do it. They may not do anything.
- Uh, it just says they may do it. They may not do anything.
- Yeah, it just says they may do it. They may not do anything.
- It's their primary responsibility would be the emergency room.
- But your primary responsibility would still be the emergency room.
Keywords:
HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact
KY
Kentucky 2025 Regular Session
House Standing Committee on Health Services (3-6-25)
Transcript Highlights:
- work with that do a great job they may work with that do a great job they may say<00:10:50.160><
- So I would submit that while this may not be complete and there may be some things that we need to take
- this may not be complete<00:30:03.159>
and <00:30:03.320>there <00:30:03.519>may - <00:48:11.880>
care that's is to get our our primary care that's is to get our our primary - ><01:37:59.040>
involved <01:37:59.679>but <01:37:59.840>we that may or may not
Keywords:
00:00:00 Call to Order/Roll Call
00:01:19 Discussion of 25RS HB 785
00:30:25 Roll Call Vote on 25RS HB 785
00:32:15 Discussion of 25RS HB 61
00:36:42 Roll Call Vote on 25RS HB 61
00:38:07 Discussion of 25RS HB 788
00:51:01 Discussion of 25RS SB 14
01:11:09 Discussion of 25RS HB 685
01:44:57 Adjournment, 958, all
Summary:
The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language.
Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions.
Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.