Transcript Highlights:

• My name is Aurora, Executive Officer of the Hawaii Medical Board, and the board selected me to testify
• Medical Board and the board<01:16:59.800><c> selected</c><01:17:00.160><c> me</c><01:17:00.240><c> to
• Or the Board of Medicine or Medical Board, please.
• Or the the the Board<01:35:27.760><c> of</c><01:35:27.800><c> Medicine</c> Board of Medicine Board of
• <c> offering</c> DCCA, Board of Pharmacy, offering DCCA, Board of Pharmacy, offering comments.

Bills: HB2323 , HB2324 , HB1509 , HB2164 , HB2165 , HB2367 , HB2619 , HB1765 , HB2187 , HB1864 , HB1452 , HB2314 , HB1898 , HB2558 , HB2319 , HB1643 , HB2121

Committee: House Consumer Protection & Commerce

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• These professions are regulated by their own respective boards.
• These professions are regulated by their own respective boards.
• HB 2195 aligns Arizona's state licensure timeline with the existing federal 10-day standard.
• HB 2195 aligns Arizona's state licensure timeline with the existing federal 10-day standard.
• Not the county board of supervisors.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved minutes from February 18, February 19, and March 4, then took up several health-related bills. HB 2050, which updates radiologic technologist and radiologic assistant standards, school accreditation, clinical hours, supervision rules, fees, and telehealth definitions, received support from a radiologic technologist and a nurse practitioner and passed 7-0 with a do-pass recommendation. HB 2082, creating a Childhood Cancer and Rare Childhood Disease Research Commission and expanding the research fund, was amended to require at least $5 million in funding before commission allocations and to shift grant-awarding authority to the DHS director; it passed 7-0 as amended, though members raised concerns about oversight. HB 2176, which changes DHS licensing denial criteria and complaint-investigation procedures for health care institutions, also passed 7-0 after testimony from hospital and public health representatives supporting clearer timelines and transparency, with one member noting concerns about possible subjectivity in ownership-related denials. HB 2195, addressing DHS oversight of nursing care institutions, including personnel record access, deficiency timelines, and complaint-investigation deadlines, was amended to delay implementation until July 1, 2027 and allow off-site preliminary reviews; it passed 7-0 as amended, though one member said DHS should have been present to answer questions. HB 2202, appropriating $300,000 annually for a dementia care tele-mentoring program, drew support from the Alzheimer’s Association and a patient with younger-onset Alzheimer’s; it passed 6-1, with one no vote arguing medical schools should teach the material instead of the state funding it. HB 2307, an emergency measure to address placement of dangerous, incompetent, non-restorable defendants, was heavily debated and amended to use up to three beds at the Arizona State Hospital forensic campus temporarily, create a study committee, and sunset after five years; counties and DHS disagreed over whether counties should bear any costs, and the bill passed 4-3 as amended. Finally, HB 2584, which prohibits public funds from being used for genetic sequencing equipment or services tied to foreign adversaries, passed 4-3 after a sponsor and a national security witness argued it would protect genomic data from hostile foreign control. The committee then adjourned.

Transcript Highlights:

• Tammany Memorial Board of Commissioners meeting for our community hospital.
• , to provide for the examination for licensure, to provide for waiver requirements for licensure, to
• I'm the current board president of the Louisiana Alliance of Children's Advocacy Centers.
• And I'm also a current board member and past president of the Children's Advocacy Network.
• I'm a governing board member. I'm not front lines like so many who are here.

Bills: HB414 , HB786 , HB1041 , HB1052 , HB1118 , HB1139 , HB1182 , HB1185 , HB1214 , HB1217 , HB1231 , SR63 , SCR27 , SB5 , SB194 , SB415 , SB433 , SB451 , SB462 , SB516

Committee: House Health and Welfare

Transcript Highlights:

• our system are mandated for mental health treatment by either a criminal or civil court judge or the Board
• These rates both support the program's licensure. The rates both support the program's licensure.
• We have to get approval through the Department of Finance and the State Public Works Board each fiscal
• And in the TBL, we propose to update our facility licensure and certification guidance to align with
• An additional— is it going to be ...retire this licensure type. Thank you.

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.

Transcript Highlights:

• This bill has been refined based on feedback from the Delaware Board of Nursing and is supported by the
• Because of our unique regional position and multi-state licensure compacts around the state, we have
• HB 475 helps solve the structural problem by directing licensure fees and disciplinary fines into a dedicated
• It also requires the Board of Medical Licensure and Discipline to establish training and practice standards

Bills: HB359 , HB385 , HB165

Committee: Senate Health & Social Services

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• Catherine Bryce, Briceley, board members Terry Hammett, Matt Diaz, Michelle Bro, Michael Vincent, and
• Catherine Bryce, Briceley, board members Terry Hammett, Matt Diaz, Briceley, board members Terry Hammett
• , powers of local school boards to authorize school boards to enter into certain cooperative endeavor
• the name of the organizations that are members of the service board.
• the name of the organizations that are members of the service board.

Bills: HR46 , HR47 , HR48 , HR49 , HR50 , HR51 , HR52 , HR53 , HR54 , HR55 , HR56 , HR57 , HCR31 , HB20 , HB21 , HB166 , HB494 , HB710 , HB795 , HB985 , HB986 , HB987 , HB988 , HB989 , HB990 , HB991 , HB992 , HB993 , HB994 , HB995 , HB996 , HB997 , HB998 , HR42 , HR43 , HR44 , HR45 , HCR22 , HCR23 , HCR24 , HCR25 , HCR26 , HCR27 , HCR28 , HCR29 , HCR30 , SCR13 , HB894 , HB983 , HB984 , SB19 , SB23 , SB26 , SB30 , SB39 , SB45 , SB46 , SB50 , SB51 , SB55 , SB69 , SB71 , SB73 , SB84 , SB85 , SB89 , SB96 , SB98 , SB101 , SB110 , SB148 , SB150 , SB160 , SB164 , SB303 , SB340 , HB28 , HB36 , HB50 , HB52 , HB56 , HB62 , HB68 , HB92 , HB110 , HB117 , HB119 , HB124 , HB140 , HB147 , HB160 , HB171 , HB174 , HB182 , HB193 , HB196 , HB198 , HB203 , HB228 , HB234 , HB237 , HB260 , HB268 , HB271 , HB285 , HB289 , HB316 , HB351 , HB393 , HB400 , HB413 , HB446 , HB469 , HB486 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB807 , HB842 , HB850 , HB919 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB129 , HB130 , HB287 , HB489 , HB545 , HB553 , HB555 , HB570 , HB854 , HB952 , HB221 , HB148 , HB331 , HB149 , HB901

Transcript Highlights:

• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• House Bill 4247, an act authorizing the select board of the town of Hull to establish a schedule of fines

Summary: The House convened, recited the Pledge of Allegiance, and first took up procedural matters. It suspended Joint Rule 12 to allow consideration of two petitions: one concerning the sale of nitrous oxides and another establishing a sick leave bank for a Suffolk County Sheriff's Office employee. The House also suspended Rule 7A to advance several bills reported by the Steering, Policy and Scheduling Committee. The bills ordered to a third reading included legislation protecting employees’ right to rebuttal of personnel records, and local bills waiving the maximum age requirement for two Boston police officer applicants and establishing Lobular Breast Cancer Awareness Day. The House then passed two bills to enactment: one authorizing Scituate to issue four additional on-premises liquor licenses and another amending the charter of Aquinnah. Later, the House engrossed a Hull parking fines bill and considered a Randolph charter bill. On motion, the Randolph bill was amended by substitution with a related bill addressing compensation for town council and school committee members and meetings of multiple-member bodies, and then passed to engrossment as amended. The session concluded with adjournment, with notice that the House would meet in informal session on Wednesday.

Transcript Highlights:

• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• On Bills, third reading of the bill: An act authorizing the select board of the town of Hull to establish

Summary: The House opened with the Pledge of Allegiance and then suspended Joint Rule 12 to allow several petitions to be referred, including a petition on the sale of nitrous oxides and a petition to establish a sick leave bank for a Suffolk County Sheriff’s Office employee. The Committee on Steering, Policy and Scheduling reported several House bills for consideration, including a bill protecting employees’ right to rebuttal of personnel records, two Boston Police age-waiver bills, and a bill establishing Lobular Breast Cancer Awareness Day; the House also suspended Rule 7A and ordered these bills to a third reading. The House then took up final passage on several measures. House Bill 4657, authorizing Scituate to issue four additional liquor licenses, was enacted. House Bill 2341, amending the charter of the town of Aquinnah, was also passed to be enacted. On third reading, House Bill 4247, authorizing Hull to establish a schedule of fines for parking violations, was passed to be engrossed. The House next considered House Bill 4400, relating to the charter of the town of Randolph. Representative Walsh of Peabody offered an amendment substituting House Bill 4891, which would amend the Randolph charter regarding compensation for town council and school committee members and meetings of multiple-member bodies; the amendment was adopted, and the bill was then passed to be engrossed as amended. The House then adjourned, with notice that it would meet in informal session on Wednesday.

Transcript Highlights:

• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• relative to the sale of nitrous oxides, to the Committee on Consumer Protection and Professional Licensure
• House Bill 4247, an act authorizing the select board of the town of Hull to establish a schedule of fines

Transcript Highlights:

• Lock the board and announce the vote. Secretary: 37 yes, zero no.
• Lock the board and record the vote. Secretary: 37 yes, zero no.
• Lock the board and record the vote. Secretary: 37 yes, zero no.
• Lock the board and record the vote. Secretary: 37 yes. Zero no.
• The bill reduces regulations on school board operations to align school district board meetings requirements

Transcript Highlights:

• And I recently joined the boards of the Institute for Exceptional Care and the Disability Policy Consortium
• transition for community college students into bachelor's and graduate programs for mental health licensure
• States can also adopt licensure compacts or establish peer support certifications and also strengthen
• Graduate programs for mental health licensure.
• States can also adopt licensure compacts or establish peer support certifications and also strengthen

Summary: The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and shared an inspirational quote from Jane Goodall about the importance of every individual. Members then introduced themselves and their roles, including state disability advocates, providers, and commission members, before hearing a presentation from Katia Alpanis and Dina Klumkina of the State Exchange on Employment and Disability (SEED). SEED described its role as a technical assistance and policy resource for states, focused on sharing best practices and examples from other states to expand employment opportunities for people with disabilities. The presentation outlined SEED’s seven policy areas: career readiness and work-based learning, behavioral health and work, stay-at-work/return-to-work supports, employer recruitment and retention tools, entrepreneurship and disability-owned business development, interagency coordination, and state government as a model employer. Examples from other states included scholarship and transition supports in Kentucky and Virginia, stay-at-work programs in Alaska and Washington, accommodation funds in Minnesota, procurement and small business initiatives in New Jersey and Virginia, and model employer efforts in Colorado, New York, and Tennessee. Members also asked about digital accessibility and PEAT; SEED said PEAT has been refunded and that SEED can help with policy-level questions and peer examples, but not implementation of accessibility requirements. Discussion then shifted to possible Massachusetts projects. Members raised concerns about upcoming Medicaid work or civic engagement requirements and how people with disabilities might fall through the cracks, and they asked whether SEED could help Massachusetts use existing documentation, such as IEPs, to reduce barriers. The group identified two main areas for follow-up: a Massachusetts “state as a model employer” roadmap and a youth/young adult employment and volunteer pipeline, potentially linked to transition services and apprenticeship opportunities. SEED agreed to provide Massachusetts-specific analysis and two briefs, one on career readiness policies and one on state-as-model-employer strategies, and the subcommittee planned an offline follow-up meeting to narrow priorities and develop a scope of work.

Transcript Highlights:

• Alon Decker on board, and he's a new appointee to the Board of Trustees of the State College of Florida
• I want to ensure that we don't sit on a board to simply sit and watch, but to sit on the board and act
• We cleaned the board.
• Board of Trustees.
• Board of Trustees.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to consider a large slate of confirmations and reappointments to boards of trustees for Florida’s colleges, universities, and the Florida Prepaid College Board. Chair Harrell opened by emphasizing the importance of trustee appointments to maintaining Florida’s higher education system, and the committee heard brief testimony from each nominee about their background, ties to the institution, and priorities such as student success, workforce alignment, fiscal stewardship, and community partnerships. Several nominees highlighted personal connections to their schools, including alumni status, family legacy, or prior service on the board, while others emphasized experience in business, law, education, health care, or public service. Testimony focused heavily on workforce development and institutional growth. Speakers cited nursing, dual enrollment, applied programs, military and veteran support, broadband access, agriculture, law enforcement, and technical training as key areas for colleges to meet regional labor needs. University nominees discussed research expansion, affordability, strategic planning, and partnerships with industry and government, with Florida Atlantic, Florida Polytechnic, the University of West Florida, and the University of South Florida each described as being in periods of growth or transition. Miami-Dade College, Tallahassee State College, Polk State College, and other state colleges were praised for enrollment, economic impact, and job placement outcomes. The committee also heard from the Florida Prepaid College Board reappointee, who described the program as a long-term promise backed by public trust and reported recent technology and customer-service improvements. After testimony, the committee took up the nominations as a group. One nominee, Drew Weatherford, had withdrawn and was not voted on. The remaining trustees were approved unanimously by roll call and reported favorably to the Ethics and Elections Committee. The meeting then adjourned.

Transcript Highlights:

• HB 909, Occupational Therapy Licensure Compact, by Representative Anderson.
• These are the numbers that came directly from the presentation from the Florida Board of Nursing.
• These are the numbers that came directly from the presentation from the Florida Board of Nursing.
• Private school accreditation should be done by the Florida Board of Nursing.
• They have their boards.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• And Chair Carroll is on the fatality and near-fatality board, and the occurrences of ingestion cases—meaning
• of Medical Licensure, basically anyone we think needs to be aware of this situation.
• of Medical Licensure, basically anyone we think needs to be aware of this situation.
• of Medical Licensure, basically anyone we think needs to be aware of this situation.
• of Medical Licensure—basically anyone we think needs to be aware of this situation.

Committee: Senate Families & Children

Transcript Highlights:

• seeing about oversight, This is not a criticism of this particular department, but more across the board
• And I really just want to highlight this for the rest of this board.
• So a lot of communication with the other licensing boards has been extremely helpful in prevention.
• Why does Oregon charge $5,700 for a non-SARA licensure and we're proposing to charge $10,000?
• So it's more than the institution is paying for full licensure in their home state.

Transcript Highlights:

• Joe San Batero continued: "Passing Senate Bill 6097 is a legislative priority for the Tulalip Tribes Board
• I'm John Fleckenstein, board member of Student Orchestras of Greater Olympia.
• amendment to exempt nonprofit organizations from sales tax on classes offered as a requirement for licensure
• Increased costs for delivery of these services will ultimately fall on those seeking licensure at a time
• workforce shortages in these sectors, we would ask that that exemption for the workforce training board

Summary: House Finance met in executive session on Gross Substitute Senate Bill 6346, the proposed “millionaires’ income tax” package. Staff reviewed the bill and a long list of amendments affecting the new income tax, related business tax changes, and several exemptions and implementation provisions. The committee adopted amendments to exempt diapers from sales tax, allow certain tribal income treatment clarifications, create an advisory group to help implement the tax, move up the repeal date for some business tax changes, and require the measure to go to the voters; several other amendments on federal conformity, agricultural income, pass-through entities, and the marriage threshold were rejected or withdrawn. The committee then adopted the striking amendment as amended and advanced the bill on a 9-6 do pass vote, with supporters arguing it would fund education, health care, child care, and tax relief, and opponents warning about competitiveness, capital flight, and the state’s spending growth. The committee then held a public hearing on Senate Bill 6097, which would add federally recognized Indian tribes as eligible entities for county Conservation Futures Program funding. Staff said the bill would not change the tax levy structure and would have no state revenue impact, while tribal witnesses said it would improve voluntary conservation partnerships for habitat, farmland, and open space. Members asked about the bill’s scope, and staff confirmed it applies only to federally recognized tribes. House Finance also heard Senate Bill 6162, a property tax reform measure that would consolidate the state school levy, expand senior and disability property tax exemptions, raise income thresholds, and simplify the application process with a standard deduction. The prime sponsor and county assessors supported the bill as a way to help seniors, disabled persons, and disabled veterans stay in their homes and reduce administrative burden, while several testifiers opposed it as a tax shift that would raise costs for others and potentially strain local revenues. Finally, the committee heard Senate Bill 6113, an administrative and technical tax cleanup bill related to last year’s tax changes; the Department of Revenue supported it and noted a possible clarifying amendment, while nonprofits, schools, libraries, health care groups, workforce training providers, and trade associations asked for additional exemptions for live presentations and related educational activities. The chair announced that Senate Bill 6097 would be added to Monday’s executive session, Senate Bill 6114 was removed, and amendments for Monday’s bills were due by 5 p.m. that day.

Transcript Highlights:

• And then finally there is a Representative Hwitt bill on modifying reciprocal licensure.
• And then finally there is a Representative Hwitt bill on modifying reciprocal licensure.
• And then finally there is a Representative Hwitt bill on modifying reciprocal licensure.
• And then finally there is a Representative Hwitt bill on modifying reciprocal licensure.
• And then finally there is a Representative Hwitt bill on modifying reciprocal licensure.

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• As you know, CRNAs are nationally board-certified independent anesthesia providers and have been providing
• Our nationally board-certified independent anesthesia providers have been providing anesthesia care to
• SB 1199, Veterinary Medical Examining Board continuation.
• SB 1238, physicians physician assistance licensure and compact; Judiciary and Elections.
• SB 1238, physicians physician assistance licensure and compact; Judiciary and Elections.

Transcript Highlights:

• </c> &gt;&gt; All board members. &gt;&gt; All board members.
• Reagan is on the board.
• I'm the executive director for the Mississippi Board of Licensure for Engineers and Surveyors, more commonly
• board.
• </c> for the board of Mississippi State Board for the board of Mississippi State Board of<01:19:06.560

Committee: Joint Appropriations

Transcript Highlights:

• and</c><00:22:46.320><c> is</c><00:22:46.559><c> number</c> board of medical licensure and is number
• board of medical licensure and is number six<00:22:46.960><c> on</c><00:22:47.120><c> the</c><00:22:
• I've been with the Medical Licensure Board for 15 years, and so we took it before the board and, you
• I've been with the Medical Licensure Board for 15 years, and so we took it before the board and, you
• Maybe put this in context: what's the total revenue for the Kentucky Board of Medical Licensure?

Summary: The committee first approved the October 13 minutes and then moved through a large agenda of contracts and agreements, including a deferred list from the September 2025 agenda. Members questioned several agencies about the purpose, cost, and duration of the items before them, with repeated motions to consider the contracts reviewed without objection passing by roll call. The Office of Energy Policy and Energy and Environment Cabinet presented a solar-and-battery program. Members asked about panel and battery lifespan, warranty coverage, who would pay for replacement or disposal, and whether the program made sense in Kentucky. The agency said panels and batteries generally last 25 to 30 years, warranties would cover replacement during the warranty period, EPA guidance would govern disposal, and federal funds would cover program expenses. Officials estimated the program could reduce participating homeowners’ utility bills by about 70%, with a minimum required savings of 20%. The Department for Community Based Services explained a new vendor contract for SSI initial and redetermination work for children in out-of-home care, saying the work is federally required, the department lacks in-house capacity, and the contract replaced a prior vendor after an RFP protest and rebid. The Department of Highways described umbrella traffic engineering contracts for smaller highway safety projects, noting they are used for spot improvements and are nearing full utilization. The Kentucky Historical Society said its contract funded a temporary exhibit tied to 250th anniversary programming, and the Board of Medical Licensure discussed an amended audit contract, explaining that annual audits were adopted after an auditor’s recommendation and that the board is funded by state allocation plus fees and fines. The Department for Natural Resources/Abandoned Mine Lands gave the most extensive presentation, describing a $5 million engineering services contract as part of a much larger workload increase driven by Bipartisan Infrastructure Law funding, with projects prioritized by citizen complaints and safety impacts; the agency said the contract supports design and oversight for community-scale mine reclamation projects that exceed in-house capacity.