Transcript Highlights:

• I don't know what happened, but it was only $106,000 spent, and the money is there and was there and
• Protecting Texans from fraud, waste, and abuse, and finally...
• and timely.
• And we've got two years after we run out of money for this program to run and exist, and I assume that
• And I just think all of us are very concerned about, we talk about TikTok and who owns it and what's

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• And then the other report, which I have the summary of in my hand, which was from the University of Texas
• A lot of them come out of the military, and about half are college-educated.
• And I just want to encourage you that I'm grateful to Blinn College, who stepped up, Madam Chair, and
• work and coordinate the college programs that we do.
• We worked with the universities; you helped us with funding on things like mobile MRIs and lots of other

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Sit in these hearings and learn and listen to the people that come and testify and tell you what their
• There's also an additional $1.3 billion contingent funds for the Texas University Fund, and the bill
• And I'm saying it now and I'll say it again.
• . and 1, 2, and 3.
• And, you know, as your partner and...

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Representing the Southwest Association of College and University Housing Officers.
• and University Housing Officers.
• . ...find food pretty much anywhere, but smaller universities and community colleges may not run a full
• This bill is... ...and appallingly destructive in its breadth, affecting public colleges and universities
• I was a regular student at Texas State University and also at Austin Community College.

Bills: HB2476 , HB2893 , HB4848 , HB5062 , SB37 , SB60 , HB2860 , HB4930 , SB646 , SB 37

Committee: House Higher Education

Keywords: living expenses, higher education, student support, homeless students, financial aid, grant program, baccalaureate degrees, junior colleges, workforce development, Texas Higher Education Coordinating Board, competency-based education, baccalaureate degree, cost of attendance, dual credit, computer science, course credit, foreign language requirement, curriculum review, governing board, faculty council

Transcript Highlights:

• Thank you so much, Madam Chair, and and Thank you so much, Madam Chair, and and and<00:01:20.880><c>
• And so I older care and learning.
• And then you let this work go out into the world, into the universe, into counties and cities across
• </c> and Families. and Families.
• And I deep and serious work and I think your deep and serious work and I think your amendment<01:38:09.600

Bills: HF3665 , HF3002 , HF4217 , HF4125 , HF4174

Committee: House Children and Families Finance and Policy

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Associated with it and for efficiency's sake we'd like to be able to dissolve the PUA and and bring those
• And ah this is a health and safety valve.
• And, and so. Just a thought.
• Go back, and replace that line, and then flush thousands and thousands and thousands of gallons.
• Uh, and we have this high growth rate and, and, and God was not generous to the Hayes County folks when

Bills: HB 5208 , SB 863 , SB 1243 , SB 1624 , SB 1965 , SB 2660 , SB 2702 , SB 2885

Committee: House Natural Resources

Keywords: water filtration, public drinking water, health and safety, well maintenance, water quality, Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, public utility agency, dissolution, local government, regulatory framework, municipal authority, Texas Water Bank, Texas Water Trust, water rights, water banking, instream flow

Transcript Highlights:

• Chair and members.
• And we have worked with staff and submitted suggested language.
• Chairman and members.
• This is a health and safety matter, and TCEQ, through that licensing and issuing a license,... ...basically
• Thousands and thousands and thousands of gallons.

Bills: HB5208 , SB863 , SB1243 , SB1624 , SB1965 , SB2660 , SB2702 , SB2885

Committee: House Natural Resources

Keywords: water filtration, public drinking water, health and safety, well maintenance, water quality, Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, public utility agency, dissolution, local government, regulatory framework, municipal authority, Texas Water Bank, Texas Water Trust, water rights, water banking, instream flow

Transcript Highlights:

• You are with Addie's Hope Social Services and Self, and you're for the bill. Is that correct?
• and redact.
• And they can be updated.
• Uh, thank you, Madam Chair and members, and I reserve the right to close.
• Uh, thank you, Madam Chair and members, and I reserve the right to close.

Bills: SB500 , SB1522 , SB1137 , SB1266

Committee: House Human Services

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• </c> going and then move from there. going and then move from there.
• </c> and and uh voicing his uh his thoughts. and and uh voicing his uh his thoughts.
• and I think he I think he and uh and I think he I think he recognizes<00:10:44.760><c> like</c><00:10
• paying them, and so forth.
• Motion<00:15:34.360><c> and</c><00:15:34.440><c> second.</c> Motion and second. Motion and second.

Committee: House Primary and Secondary Education

Keywords: This meeting failed to stream and a back up recording was uploaded in it's place., 958, all

Keywords: Committee on Certain Unmerchantable and Uninsurable Titles - Room 216, Oct. 16, 2025; 1:00 PM, 925, all

Transcript Highlights:

• our custodial staff and our systems mechanics and all those operational expenses with a combination
• And then... Elected officials, but not judicial and not legislative, as you said.
• it and each line and say, yep, we approve the top when we approve this one.
• in the '60s and '70s and early '80s.
• quarter, and $4,500 of the... ...quarter, and $4,500 of that—$4,500—went to police officers and kids

Bills: SB2014

Committee: Senate Appropriations - Government Operations Division

Keywords: industrial commission, economic development, housing finance, oil and gas, rail infrastructure, financial assistance, emergency funding, 908, all

Summary: The Government Operations Division met to continue work on the remaining bill and related amendments. Joe Morse asked the committee to include a $219,000 general fund replacement for rent that would no longer be collected from Career and Technical Education after the 15th floor of the tower becomes legislative space under the Legislative Council’s jurisdiction. Members discussed that state law currently requires rent only from executive branch office space, not legislative or judicial space, and there was no objection to adding the request to the amendment package. The committee then revisited a set of amendments it had previously discussed, including whether to include funding for Prairie Public. Senator Dwyer argued against any Prairie Public funding, citing its reserves, endowment, and charitable gaming revenue, and said the state should prioritize other needs. Senator Irby supported a one-time infrastructure contribution as the state shares in related infrastructure costs. Senator Sickler said Prairie Public still provides unique local programming, but that a one-time infrastructure item would be a reasonable compromise rather than ongoing operating support. A motion was made and seconded to provide Prairie Public $850,000 from the Strategic Investment and Improvement Fund for infrastructure needs. The roll call vote failed 3-2, with Senators Sickler and Irby voting aye, Senators Dwyer and Burkhard voting no, and Chairman Wanzek voting yes. After that vote, the committee indicated the amendment package was otherwise complete, though leadership had asked that final action on the bill be held for a little longer. The meeting adjourned with the understanding that more amendments could still be brought forward before the next meeting.

Transcript Highlights:

• college and career readiness.
• be accepted for university admission while delivering instruction through... ...and be accepted for
• It's getting them across the finish line and getting them to graduate and go on to college or whatever
• In reviewing the exemption, House and Senate staff jointly surveyed school districts, state colleges,
• and state universities.

Bills: S7022 , S0178 , S0430 , S0464 , S0538 , S0920 , S1036 , S1136 , S1216

Committee: Senate Education Pre-K - 12

Keywords: public records, open government, sunshine law, education assessments, testing materials, exam security, assessment instruments, test items, answer keys, scoring rubrics, item banks, developmental materials, workpapers, student testing, academic dishonesty, cheating, Florida Department of Education, State Board of Education, Board of Governors, Florida College System

Summary: The Education Pre-K through 12 Committee considered and reported favorably several bills. SB 1036 on school counselors was amended to clarify certification exemptions and passed, with support focused on addressing counselor shortages and student mental health needs. SB 1136 on dental screenings for K-12 students was converted by delete-all amendment to place the screening definition in the School Health Services Act and to require written parent notice and exemption procedures; it passed with support from PTA and other advocates. SB 920 on mathematics education passed after discussion of applied algebra courses tied to career pathways, while preserving Algebra I standards, end-of-course testing, graduation requirements, and university admission eligibility. SB 178 on athletics and public K-12 schools also passed after amendment adding a $15,000 annual cap on coach-provided personal support per team and discussion of guardrails to prevent recruiting abuses; members emphasized the role coaches play in supporting students. SB 1216 on public school personnel compensation passed with broad support for giving districts more flexibility on pay, cost-of-living adjustments, and advanced degree compensation. The committee also approved SPB 7022, a public records exemption bill extending protections for examination and assessment instruments to 2031 and clarifying coverage for district and school materials. SB 464 on observance of Veterans Day in K-12 schools passed after debate over whether schools should be closed or use the day for programs, with supporters arguing for statewide consistency and honoring veterans. Finally, SB 538 on physical education passed after a delete-all amendment establishing standardized extracurricular participation rules for public, private, virtual, and home education students, addressing coach compensation at the district level, and clarifying participation limits across schools. The committee recessed briefly for Senator Avila’s arrival, postponed SB 430, and adjourned after recording one additional favorable vote on SB 1036.

Transcript Highlights:

• ><00:02:34.920><c> say,</c> wake up and look in the mirror and say, wake up and look in the mirror and
• </c> and go for it. and go for it.
• I'm a professor of pediatrics and co-director of the Center for Pediatric Obesity Medicine at the University
• </c> all really helpful and I and reassuring. all really helpful and I and reassuring.
• </c> does and and the council. does and and the council.

Bills: HF4493 , HF3133 , HF4595 , HF4143 , HF4142 , HF3756 , HF4289 , HF1724 , HF2291 , HF4568 , HF4547

Committee: House Health Finance and Policy

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• She is deputy general counsel for the university. And Mr. Collins got stuck in traffic.
• It is critical for the Commonwealth and it is critical for the university. requesting approval for 600
• We have consulted with other universities and entities who have private partners for their utilities.
• </c><00:07:27.800><c> and</c> consulted with other universities and consulted with other universities
• The benefits to the university and to the Commonwealth.

Keywords: 0:00:01 Call to Order and Roll Call 0:00:54 Approval of Minutes 0:01:08 Information Items 0:03:18 Postsecondary Institutions - UK 0:18:10 Finance and Administration Cabinet 0:30:13 KY Infrastructure Authority 0:37:30 Cabinet for Economic Development 0:52:11 Office of Financial Management 0:59:20 Remaining 2026 Mtg Dates 1:00:49 Adjournment, 958, all

Summary: The committee first approved the April 27 minutes and then received several informational reports, including University of Kentucky medical equipment purchases, UK’s use of $200 million in Ever funds for a public-private partnership, school district debt issuances, UK’s planned use of construction manager-at-risk delivery on five projects, Kentucky Communications Network Authority capital projects under House Bill 6, and 14 UK lease improvements. Members were told the House Bill 6 item was also being discussed in the Information Technology Oversight Committee and could return later if needed. The main action item was University of Kentucky’s request to approve a $600 million public-private partnership for central plants and utility infrastructure tied to the Chandler expansion. UK said it would shift $200 million from previously authorized restricted funds into the P3, leaving the project financed through private equity and nonprofit debt with no UK or Commonwealth debt. UK representatives said the project is necessary to support 24/7 hospital operations, expand and modernize utility systems, improve redundancy and efficiency, and reduce long-term operating risk. Members asked about the source of the availability payments, which UK said would come from UK Healthcare revenues, and the committee approved the P3 agreement unanimously. The committee also approved a UK lease renewal for a 20,000-square-foot College of Medicine annex near the Bowling Green Medical Center. UK said the lease costs $38 per square foot, or $912,000 annually, and supports medical education expansion in the region, including growth from 120 to 160 students over four years. Members voiced support for the local impact, and the lease passed unanimously. Later, the committee approved a Transportation Cabinet aviation project for two medium box hangars at Capital City Airport, funded by $1,153,000 in federal money and $950,000 from the Aviation Economic Development Fund, which is supported by a 6% jet fuel tax with a $1 million annual cap per company. Members asked about the fund balance, the cap, and airport revenue sources, and staff said the airport also receives entitlement and federal infrastructure funds and earns revenue from hangar rent and fuel sales. The committee then approved two Finance and Administration Cabinet pool projects: a roof and skylight replacement at the Libraries and Archives building and exterior repairs at several state buildings. Finally, the committee approved six Kentucky Infrastructure Authority action items after hearing about one loan increase for the Springfield Wastewater Treatment Plant and five grant reallocations tied to Cleaner Water Program and county allocation pool funds. Members asked why one project approved in 2024 was only now increasing, and KIA explained that design, water division review, environmental review, and bidding can take one to two years. KIA also reported additional no-action items, including a Brandenburg water grant split among two projects and 17 Kentucky Waters projects provided for information. The meeting ended with approval of the action items and no further action on the informational grants.

Transcript Highlights:

• We believe and trust in your goodness and your love.
• placed</c> by title and sponsor only and placed by title and sponsor only and placed upon<00:06:58.960
• So, cigar and uh and accountability.
• </c><00:25:24.960><c> and</c><00:25:25.279><c> also</c> today and their entire team. and also today and
• </c> educated educated standards and educated educated standards and universities<00:33:50.240><c> throughout

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Transcript Highlights:

• They shall run and not be weary. They shall walk and not faint."
• </c> Senate Bill 20 and Senate Bill 68 and Senate Bill 20 and Senate Bill 68 and respectfully<00:05:28.800
• placed</c> by title and sponsor only and placed by title and sponsor only and placed upon<00:06:22.880
• </c> and motion there on. and motion there on.
• </c> and accuracy as well as transparency and and accuracy as well as transparency and accountability

Keywords: Convene 00:00 Senate Message 05:04 Orders of the Day 06:01 HB 143 06:11 HB 164 08:07 HB 314 11:07 HB 398 21:17 Motions, Petitions, and Communications 29:02 Introduction of New Bills and Resolutions 34:01 Recess for ConC/Rules Meeting 35:40 ConC/Rules Report 40:15 Floor Amendments 41:15 Adjournment 41:26, 958, all

Transcript Highlights:

• and of the Holy Spirit.
• And for that, I move passage of House Bill 84. And Mr.
• And for that, I move passage of House Bill 84. And Mr.
• to</c> arguably is short and simple and easy to arguably is short and simple and easy to understand,<
• Um, and and I by the federal government.

Keywords: Convene 00:00 Calendar/2nd Readings 04:07 Orders of the Day 05:07 HB 144 05:15 HB 3 08:27 HB 290 12:34 HB 84 14:53 Motions, Petitions, and Communications 40:12 Introduction of New Bills and Resolutions 45:19 Recess for ConC/Rules Meeting 46:20 ConC/Rules Report 48:12 Floor Amendments 49:42 Adjournment 50:05, 958, all

Transcript Highlights:

• :29.040><c> and</c><00:04:29.280><c> federal</c><00:04:29.600><c> forms</c> new and updated state and
• federal forms new and updated state and federal forms and<00:04:30.639><c> make</c><00:04:30.800><c>
• pre-need cemetery merchandise and pre-need funeral and burial contract sellers, and crematory contract
• sellers, and crematory provisions to add specificity and revise and streamline forms and reporting requirements
• and and hopefully then the reserve money and and hopefully then be<00:13:46.320><c> able</c><00:13:46.560

Keywords: 0:00– Meeting start/roll call 0:39 – Approval of minutes 1:11 – Council on Postsecondary Education 3:06 - State Board of Elections 5:33 - Office of the Attorney General; Office of Regulatory Relief 7:02 - Board of Examiners of Psychology 16:38 - Energy and Environment Cabinet; Department for Environmental Protection 17:37 - Education and Labor Cabinet - Department of Education 19:14 - Adjournment, 958, all

Summary: The Administrative Regulation Review Subcommittee met for its January meeting, approved the minutes from the prior meeting, and welcomed the new regulations compiler. The first item was a repealer from the Council on Postsecondary Education, 13 KAR 2:111, which was explained as necessary because Senate Bill 77 from the 2025 session removed the regulatory authority for advanced practice doctoral degree programs at comprehensive universities. No questions were raised, and the repealer moved forward without objection. The subcommittee then reviewed a large package of State Board of Elections regulations with staff-suggested amendments. The package would update definitions and election procedures, require e-poll books to be ready before polls open, change the standard and timeline for removing an election officer, add oversight by a State Board appointee on election days, recognize the Kentucky party, require voter registration records to be added to electronic voter records, require ballots to fit all races and questions on a single sheet, adjust precinct consolidation petition deadlines, and update incorporated forms and identification references. The package was approved without objection. The Office of the Attorney General’s Office of Regulatory Relief also presented multiple regulations with staff amendments, covering funeral planning declarations, cemetery companies, pre-need cemetery merchandise and funeral/burial contract sellers, and crematory contract sellers. These changes were described as adding specificity, streamlining forms and reporting, and bringing the regulations into compliance with KRS Chapter 13A; they were approved without objection. The Board of Examiners of Psychology presented several regulations, including compact rules, grace-period extensions, and significant fee increases for applications, renewals, reinstatements, exam retakes, and reciprocity. Board representatives said the increases were needed because many fees had not been raised since 2002, the board was operating at a deficit, and legal and administrative costs had risen sharply after the termination of state legal services. Members expressed concern about the size of the increases, but the chair said he would not hold the matter up and would raise the issue with the committee of jurisdiction. The subcommittee also approved staff amendments for the Energy and Environment Cabinet’s air quality regulations and the Education and Labor Cabinet’s education regulations, which updated nontraditional instruction procedures, waiver requests, instruction topics, superintendent assessment requirements, and academic standards. The meeting ended with the next meeting scheduled for February 9 at 1 p.m., and the agenda was adjourned without further objection.

Transcript Highlights:

• I'm a child and adolescent psychiatrist with the University of Kentucky and work as DJJ's chief of mental
• I'm a child and adolescent psychiatrist with the University of Kentucky and work as DJJ's chief of mental
• University of Kentucky<00:25:00.960><c> and</c><00:25:01.200><c> work</c><00:25:01.360><c> as</c><00
• I'm faculty in the College of Public Health at the University of Kentucky.
• are not based on my own expertise and are not necessarily the views of the University of Kentucky.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:05 25 RS HB 534 - AN ACT relating to actions for forcible entry and detainer: 00:01:45 25 RS SB 111 - AN ACT relating to juvenile justice: 00:23:46 Children's Advocacy Centers of Kentucky: 01:13:26 Opioid Use Disorder (OUD) Treatment in State and County Correctional Facilities: 01:25:28, 958, all

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• </c> and see me? and see me?
• and we are very excited and improvements and we are very excited and and<01:10:01.679><c> we</c><01:
• I was working full-time as a college student when I became pregnant and in an abusive relationship. and
• After moving to Kentucky and taking a sociology class at West Kentucky Community and Technical College
• Kentucky Community and Technical College and working as a CNA in a local hospital, I realized...

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.