Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• I'm kind of involved in residential treatment.
• go for treatment?
• are paid using the schedule and not be for service schedule. service schedule.
• The rate study focused on the fee-for-service rates.

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• Treatment is a central mechanism for reducing risk, and therefore treatment completion is all the more
• It's about the treatment component.
• It's about the treatment component.
• I oversee our Juvenile Hall and Juvenile Services. After 37 years of service, I will...
• Public service is built on trust.

Summary: The committee began without a quorum and heard several bills in subcommittee format. AB 1546, which would increase penalties for repeat DUI offenders by allowing a third DUI within 10 years to be charged as a wobbler, requiring a fifth DUI to be a felony, and lengthening ignition interlock and license revocation periods, drew strong support from law enforcement and district attorney groups and opposition from public defenders and reform advocates who argued the bill would further criminalize substance use and mental health issues. No vote was taken because there was no quorum at the time. AB 1595, aimed at standardizing post-conviction procedures for wrongful conviction claims and clarifying courts’ authority to consider new evidence, was supported by innocence and public defender organizations and opposed by district attorneys, who said existing habeas law is already clear and that the bill would add complexity and burden courts. AB 292, which would impose mandatory jail time for repeat felony domestic violence offenders within seven years, was supported by sheriffs, prosecutors, probation officers, and local governments, but opposed by domestic violence survivor advocates and public defender groups who warned it would not deter abuse and could criminalize survivors and divert resources from services. AB 1816, allowing courts to extend probation up to one additional year for sex offenders who have not completed required treatment, drew support from probation and law enforcement groups and opposition from public defenders and civil liberties advocates concerned about longer supervision, technical violations, and barriers such as poverty and treatment access; the committee later took a roll call and passed the bill 3-1, with one member not voting, sending it to Appropriations. After quorum was established, the committee also passed AB 1627, which would bar people with misconduct in immigration enforcement from becoming California peace officers, and AB 1927, which would create a misdemeanor for falsely impersonating a bail agent to solicit bail, both on due pass motions to Judiciary/Appropriations as amended. AB 1854, a shield-law measure expanding protections for reproductive and gender-affirming health care providers, patients, and related businesses from out-of-state legal process, was supported by the Attorney General’s office and reproductive rights groups and opposed by anti-abortion and family policy organizations; it was moved on a due pass motion to Judiciary. The committee then heard AB 1872, which would make repeat adult swatting offenses a felony/wobbler and require restitution for property damage, with support from law enforcement, prosecutors, and civil liberties advocates and opposition from public defenders and justice reform groups who argued the bill would not deter conduct and could disproportionately affect people with mental illness or undocumented status. A motion to advance AB 1872 was made, but the transcript cuts off before any final vote on that bill.

Transcript Highlights:

• They're full because they're not getting paid by Access for the services and treatment that they are
• Services.
• That stabilizes and maintains the crisis services and outpatient treatment.
• Number one, an increase in services for those needing treatment.
• Number one, an increase in services for those needing treatment.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the February 4 minutes, then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain lab services when a member was referred by a contracting provider and would bar prior authorization for diagnostic services. The sponsor said the bill was intended to address unpaid claims and improve access, while Access testified neutral but warned the prior-authorization ban could increase utilization and create a fiscal impact. The committee adopted the Warner amendment limiting non-contracting reimbursement rates to no more than contracting rates, then passed SB 1086 as amended on a 4-2 vote. The committee then took up Senate Bill 1611, an emergency measure to require Access to contract with an administrative services organization for the American Indian Health Plan, while keeping Access ultimately responsible for administration. The chair’s amendment expanded ASO duties to include provider support, quality improvement, and data analytics, removed Access claims-payment authority, added tribal observers to the selection committee, and exempted IHS and tribal-facility services. The sponsor and tribal witnesses described the bill as a response to fraud, provider nonpayment, and harm to Native communities, while Access raised concerns about the fast timeline, tribal consultation requirements, possible duplication of program-integrity functions, and fiscal uncertainty. After debate over the emergency clause and tribal consultation, the committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. The committee also heard Senate Bill 1630, which would direct Access to seek federal approval for a Medicaid home- and community-based services program for adults with serious mental illness. Supporters said the bill would create a long-term community-care option for the sickest SMI members, reduce cycling through hospitals, jails, and homelessness, and potentially save state general fund dollars; family members and advocates testified in support. Access was neutral and said it was finalizing a fiscal estimate. The Angus amendment narrowed eligibility to long-term SMI, reduced the enrollment cap from 500 to 250, changed reporting to semiannual, and removed priority-order language; the committee adopted the amendment and passed SB 1630 as amended unanimously. Later, the committee passed Senate Bill 1193, which protects emergency medical care technicians’ personal identifying information from sale or disclosure by the Department of Health Services, after adopting a clarifying amendment expanding the protected information and addressing commercial requests. It then heard Senate Bill 1318, which repeals the state’s separate dense-breast notification requirement so Arizona law aligns with the FDA’s newer mammography notice standard; the sponsor and DHS said the change would reduce confusion from duplicate, slightly different notices, and the bill was moving forward with discussion of possible future amendment language.

Transcript Highlights:

• </c><00:54:40.960><c> More</c> years after a single treatment. More years after a single treatment.
• </c> that enter into substance use treatment that enter into substance use treatment which<01:00:36.960
• So a person who would undergo ibogaine treatment would need to get a pre-treatment EKG to make sure they
• A person who would undergo ibogaine treatment would need to get a pre-treatment EKG to make sure they
• required followup treatment or is there required followup treatment or is it<01:04:02.960><c> how</c

Committee: Joint Public Health and Welfare

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• , and housing services for children in these areas.
• Treatment delayed. Dignity denied. This is not an isolated experience.
• Treatment delayed. Dignity denied. Dignity denied. labeled a drug-seeking. Treatment delayed.
• The bill addresses these inefficiencies to ensure timely treatment and clearer standards.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• </c> already started on medical treatment already started on medical treatment whether<00:05:12.080><
• We have a shared ambulance service with another town.
• </c> provided psychiatric emergency services provided psychiatric emergency services uh<01:17:09.639>
• Life-threatening is not the same as... investigative treatment description investigative treatment description
• </c><02:21:34.280><c> Beyond</c> related or Supportive Services Beyond related or Supportive Services

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• The response was that the title does say substance use disorder treatment and other support services.
• </c><02:52:08.720><c> So</c> treatment and other support services.
• So treatment and other support services.
• services and and expense of of treatment services and and providing<02:58:24.640><c> other</c><02:58
• or service costs some or all treatments or service costs in<03:02:46.240><c> other</c><03:02:46.479>

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• Public contracts, purchase of goods and services for certain providers.
• treatment versus a revocation.
• , psychological treatment, or physical rehabilitation.
• , psychological treatment, or physical rehabilitation.
• , psychological treatment of physical rehabilitation.

Bills: HR112 , HR113 , HR114 , HCR51 , HCR52 , HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , SCR25 , SB17 , SB300 , HCR35 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB647 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB839 , HB860 , HB873 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1157 , HB1179 , HB1200 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR45 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB827 , HB953 , HB796 , HB352 , HB463 , HB735 , HB780 , HB882 , HB81 , HB400 , HB140 , HB750 , HB911 , HB961 , HB401 , HB901 , HB9 , HB52 , HB58 , HB154 , HB193 , HB284 , HB410 , HB570 , HB577 , HB582 , HB605 , HB733 , HB868 , HB952

Transcript Highlights:

• So on the fee for service side, you have an up or payment limit.
• and other long-term care services.
• Predicting a response to treatment.
• and are also receiving inpatient treatment in a hospital.
• And with that representative treatment moves that we adjourn

Transcript Highlights:

• </c><00:03:11.480><c> you</c><00:03:11.599><c> know</c> Services in human services as you know Services
• Counties are very supportive of people getting the treatment services that they need, especially when
• Counties are very supportive of people getting the treatment services that they need, especially when
• First services and supports.
• First services and supports.

Committee: House Human Services Finance and Policy

Transcript Highlights:

• </c><01:59:25.920><c> services</c> changing the covered service services changing the covered service
• or we provide services now, now services or we provide services now, now we<02:23:12.880><c> don't</
• services.
• </c> service, services, level of services. service, services, level of services.
• Functional support services are community-based services.

Committee: Senate Health and Human Services

Transcript Highlights:

• to provide those treatment services as part of that deflection program as well.
• You're asking for $750,000, but that will go to DHS for the actual treatment services. Mr.
• services.
• Connect them to behavioral health and treatment services.
• With treatment and other services, rather than putting them in jail.

Committee: Senate Appropriations - Education and Environment Division

Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.

Transcript Highlights:

• I'm the Chief Operating Officer for Direct Care and Treatment under the Department of Human Services.
• under the Department of Human treatment under the Department of Human Services<00:16:02.480><c> with
• treatment plant.
• treatment plant.
• treatment plant.

Bills: HF919 , HF1192 , HF212 , HF214

Committee: House Capital Investment

Transcript Highlights:

• </c><00:03:05.519><c> to</c> So there are a range of services to So there are a range of services to
• Some of these services are schools.
• The last service and support within schools is the School Link Behavioral Health Services.
• </c><00:35:27.280><c> Um,</c> outpatient service benefits. Um, outpatient service benefits.
• We need more of the services. We it. We need more of the services.

Transcript Highlights:

• In terms of behavioral health services and increased awareness of what services are available, I just
• And there are services available.
• Also, there are support services that you can access. Go online and look.
• It does not force hospitals to provide services.
• They have to sign off that a patient has tried every other treatment.

Bills: SB41 , SB33 , SB32 , SB30

Committee: Senate Senate Health & Public Affairs

Transcript Highlights:

• . services. services.
• , as well as the Cenouna Youth Services Center, which is the secure treatment center for youth.
• Episodes of treatment will always be an important and necessary component as part of our service array
• Episodes of treatment will always be an important and necessary component as part of our service array
• service services for adolescent service expansion?

Committee: Senate Finance

Transcript Highlights:

• Director Collier, 40 years of service to the state. Congratulations to you.
• Director Collier, 40 years of service to the state. Congratulations to you.
• I've been in constable service for 24 years.
• Thank you all for your service. Thank you. Thank you.
• Harris County is the hub for mental health services.

Bills: HB47 , HB171 , HB285 , HB305 , HB449 , HB908 , HB 1024 , HB 1306 , HB1443 , HB1445 , HB1741 , HB1866 , HB1902 , HB2001 , HB2282 , HB2355 , HB2492 , HB2637 , HB2697 , HB3464 , HB4263 , HB4996 , HB5667 , HB47 , HB171 , HB285 , HB305

Committee: Senate Criminal Justice

Summary: The Senate Committee on Criminal Justice met with a quorum and heard a long agenda of bills on criminal justice, public safety, mental health, victims’ rights, and related administrative issues. Early bills included HB 47, the omnibus sexual assault survivors bill, which would expand post-assault care, require courts to consider delays for adult survivors, bar sex offenders from rideshare driving, allow lease termination regardless of where an assault occurred, and require more reporting from sexual assault response teams. Testimony was generally supportive, though one witness raised concern that the bill’s reporting requirements could jeopardize county grant funding. HB 171, the Annel Borrego Act, would set a minimum period for court-ordered chemical dependency treatment; NAMI Texas supported it. HB 908 would require missing children reports to be sent to the National Center for Missing and Exploited Children within two hours, and HB 1443 would criminalize possession and promotion of childlike sex dolls; both drew supportive testimony and were left pending. HB 567, changing juvenile board chair selection in Parker County, and HB 4263, a TJJD workforce retention bill, were also heard and left pending after brief discussion and adoption of committee substitutes where applicable. The committee also heard several bills focused on jail and prison safety, court process, and victim protection. HB 2282 would raise the arrest warrant fee from $50 to $75; constables supported it as a cost-recovery measure, while the Texas Fair Defense Project opposed it as a regressive fee that burdens low-income defendants. HB 3464 would increase penalties for correctional employees who bring drugs or alcohol into prisons, with support from Harris County jail officials and a formerly incarcerated advocate who described the dangers of contraband and retaliation. HB 285, “Poncho’s Law,” would add criminal negligence to non-livestock animal cruelty offenses; animal welfare advocates said it would close a loophole that lets pet service businesses avoid accountability, and the bill was left pending. HB 2355 would keep certain Crime Victims Compensation records confidential when held by the Attorney General, and HB 2637 would standardize jury exemption ages and clean up jury disqualification reporting; both were left pending after limited testimony. Mental health and competency-related bills received significant attention. HB 305 would require a pretrial hearing within 14 days after a defendant is restored to competency, aimed at reducing repeated decompensation and the forensic waitlist; NAMI Texas supported it. HB 1741 would tighten procedures for not-guilty-by-reason-of-insanity outpatient commitments by requiring a stronger nexus to the receiving county and clearer supervision authority; law enforcement and mental health witnesses said it would improve public safety and treatment success. HB 2492 would make the four-hour family-violence post-bond cooling-off period mandatory rather than discretionary, and HB 1445 would allow a managed assigned counsel director to designate someone to approve certain payments for indigent defense attorneys; both were left pending. HB 1024 would require prompt execution of warrants for parole violators on superintensive supervision, and HB 1306 would extend first-responder-style benefits to death investigation professionals; neither drew opposition in the hearing. The committee also heard a series of public integrity and technology bills. HB 449 would expand the deepfake sexual content statute to include sexually explicit images, with Public Citizen supporting the change as necessary to address a rapidly growing problem. HB 1902 would create a new offense for “jugging,” or following bank or ATM customers to rob them; the Texas Bankers Association supported it. HB 2697 would require sureties to notify prosecutors before surrendering a felony defendant’s bond, and HB 2001 would sharply increase penalties for misuse of public information for financial gain and related coercion, with prosecutors and Texas Rangers describing bid-rigging and public corruption investigations as difficult to prove under current law because of short limitations periods and limited penalties. HB 1866 would grant Texas peace officer authority to National Park Service rangers within Texas park boundaries, and HB 4996 would increase penalties for fraudulent liens filed against public servants. Throughout the hearing, most bills were left pending after testimony, and several committee substitutes were adopted without objection.

Transcript Highlights:

• So when they come in for services, by layering this treatment modality on top of the services they're
• And sometimes that means that we have to do multiple layers of service treatment because they are the
• And sometimes that means that we have to do multiple layers of service treatment because they are the
• And sometimes that means that we have to do multiple layers of service treatment because they are the
• </c><01:11:36.880><c> treatment</c> system beyond the service treatment system beyond the service treatment

Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.

Transcript Highlights:

• Uh since services from e-rescribing.
• The treatment itself is a single 8- to 12-hour treatment in an ICU setting. That's it.
• and social services.
• and social services.
• And he said, treatment."

Summary: The committee first reviewed preferred administrative regulations and, hearing no concerns, considered them reviewed. It then took up House Bill 388, described as a Casper cleanup bill. The sponsor said it would exempt charitable health care providers from e-prescribing requirements, allow Casper data sharing with certain federal entities, update references to hydrocodone’s schedule status, clean up drafting errors, and clarify practitioner registration with Casper. The bill passed 9-0 and was then approved for consent. Next, House Bill 134 was presented as a follow-up to a prior study on shortages of sexual assault nurse examiners and SANE-ready hospitals. The sponsor and a representative from the Kentucky Association of Sexual Assault Programs said the bill would create a statewide SANE coordinator. The committee adopted a substitute, then passed the bill unanimously and sent it to consent. Senate Bill 147 was then heard as an administrative update to vital records, modernizing certified-copy requests, adjusting fees, and requiring the Cabinet for Health and Family Services to send the annual death report to the State Board of Elections by July 1 each year. It passed unanimously and was also moved to consent. House Bill 280, a Kentucky Board of Nursing cleanup bill, would let the board investigate out-of-state nurses applying for Kentucky licenses, clarify licensing language, and update school rescue medication provisions, including inhalers, nebulizers, glucagon, Solu-Cortef, and nasal epinephrine. A committee substitute narrowed the bill to glucagon updates, and one senator asked whether the bill also covered child care centers; the sponsor said it addressed school medications only but was open to further discussion. The bill passed 10-0 and was reported favorably. Finally, Senate Bill 77 drew extended testimony. The sponsor and supporters argued that ibogaine research and treatment could help address addiction, PTSD, and depression, citing studies, personal recovery stories, and a proposed public-private partnership funded through opioid settlement money. The committee substitute removed the bill’s appropriation request and emergency clause, and members asked questions about whether PTSD is an addiction, whether smoking was included, whether the bill was authorizing research rather than funding, and how the treatment works. The sponsor said the substitute was only creating a structure for research, not appropriating money, and supporters described ibogaine as a one-time, medically supervised treatment. The transcript cuts off before a final vote on Senate Bill 77 is shown.

Transcript Highlights:

• Our statutory obligations require us to ensure statewide access to treatment services for a comprehensive
• system... ...access to treatment services for a comprehensive system of care.
• There will be 73 unique services like FIT Florida and family intensive treatment and CATS, community
• For purposes of department-funded services, for those treatment services that are also covered by Medicaid
• providers who provide services. ...administer those network service providers who provide services as

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.