Transcript Highlights:

• to the exceptions to otherwise prohibited abortions based on on a physician's reasonable medical judgment

Keywords: 1185, senate, all

Transcript Highlights:

• but the humanity behind it and the lives that can be restored through compassion guided by careful judgment
• but the humanity behind it and the lives that can be restored through compassion guided by careful judgment
• but the humanity behind it and the lives that can be restored through compassion guided by careful judgment
• ><02:35:59.920> careful the compassion guided by careful the compassion guided by careful judgment
• Mahalo for your time service judgment.

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard testimony on two immigration-enforcement bills: HB 1886 HD1 and HB 2540 HD1. HB 1886 would limit state and federal collaboration in immigration enforcement, require visible identification and restrictions on facial coverings for law enforcement officers, and create offenses for improper masking, lack of identification, and unauthorized civil immigration interrogation, arrest, or detention. HB 2540 would also limit state and federal collaboration, require law enforcement agencies to adopt and publicly post written civil immigration enforcement policies, prohibit stops or arrests based solely on immigration status, and restrict state and county participation in civil immigration enforcement in certain places. Most testimony supported both measures. The Office of Hawaiian Affairs, the Office of the Public Defender, the ACLU of Hawaii, the Hawaii Coalition for Immigrant Rights, the Legal Clinic, and several private individuals said the bills would increase transparency, accountability, and community trust, and would help protect constitutional rights and reduce fear among immigrants and other community members. Several testifiers emphasized Hawaii’s history and the need to keep local law enforcement separate from federal immigration enforcement, while others said the bills would help people feel safer going to court, school, work, or public protests. A retired police officer also supported visible identification and uniform standards for officers, including federal agents operating in Hawaii. A few testifiers opposed the use of masked or unidentified officers and argued that local police should not be diverted from ordinary public safety duties to immigration enforcement. One ACLU witness noted that the federal government has increasingly used local and state agencies to expand immigration enforcement, and said the task-force provisions in the bills are important to prevent blurred lines between agencies. The committee did not take a final vote in the portion of the meeting provided, but it recorded very large numbers of supportive testimonies for both bills, with only a small number in opposition.

Transcript Highlights:

• Senate Bill 1404 by Senator West addresses certain orders and judgments in a suit affecting the parent-child

Keywords: 1185, senate, all

Transcript Highlights:

• program with somebody that they're meeting with, in a sense, a health care provider that's non-judgmental
• So I’m speaking today not from judgment, but from lived experience and professional experience.
• So I’m speaking today not from judgment, but from lived experience and professional experience.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• I'm also eliminating, Madam Chair, on page 15, the suggestion or the language that says a judgment is
• And so not only is the physician facing a malpractice trial in which their talent or their judgment or
• And on page 16, between lines one and two, insert, a judgment of punitive damages against the health

Keywords: 996, all

Transcript Highlights:

• models that I've seen that are effective and why I think dispatch is so important is, like, that judgment
• There is always going to be a judgment call, right, at the point of dispatch.
• It's a risk appraisal and a risk judgment.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• And that generative AI could also undermine nurses' clinical judgment and some of the other skills that
• And that generative AI could also undermine nurses' clinical judgment and some of the other skills that
• human health care providers review AI data and make final decisions based on their trained medical judgment

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• They've learned only discarded versions from people who rely on pre-formed judgments, not critical thought
• SB 37 contains these kinds of judgments.
• The salaries that they are getting, if that's impacting the judgment of whether they're valuable, but

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction

Transcript Highlights:

• They've learned only discarded versions from people who rely on preformed judgments, not critical thought
• SB37 contains these kinds of judgments.
• If that's impacting the judgment of whether they're valuable, but they're not getting what they really

Bills: SB 37

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction, 1184, house, all

Transcript Highlights:

• Slater has the experience, intelligence, judgment, and leadership skills necessary to serve as an excellent
• He is both deeply intelligent and has excellent judgment.
• In every case, it was allowed to go to judgment, as best I can keep track.

Keywords: nominations, Deputy Attorney General, Assistant Attorney General, Department of Justice, Todd Blanch, Gail Slater, confirmation hearing

Summary: The meeting focused on the nominations of Todd Blanch and Gail Slater for the positions of Deputy Attorney General and Assistant Attorney General for Antitrust, respectively. The committee considered the qualifications of both nominees, with opening statements provided by the nominees themselves. There was an evident emphasis on the rigorous vetting process that nominees undergo before their selection, highlighting the importance of the roles within the Department of Justice. Members of the committee engaged in a structured question-and-answer session to further evaluate the nominees' capabilities and fit for the positions they were nominated for, with each member allotted seven minutes to pose questions.

Transcript Highlights:

• :15:04.759> broader that voice but also making broader that voice but also making broader judgments
• judgments judgments about<00:15:07.959> whether<00:15:08.160> or<00:15:08.320> not<

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee approved the January 21 minutes and then reviewed committee rules, emphasizing deadlines for handouts, testimony notices, and substantive amendments, along with a warning that disruptive signs, noise, or demonstrations could lead to removal from the hearing room. The chair said the rules would be shared with the full House and noted the committee would operate with quorum and not tolerate chaos. The committee then heard a presentation from Tammy Baker Olson, the state program administrator for the Guardian ad Litem Board, on the program’s structure and budget request. She explained that guardians ad litem are independent voices for children’s best interests in child protection and family court cases, not attorneys or direct service providers. She said the program operates statewide, with 243 employees, and in 2024 advocated for more than 12,000 children, attended over 30,000 court proceedings, and filed reports in over 16,000 hearings. She also described specialized Family Court and Indian Child Welfare divisions, efforts to address racial disparities, and training requirements for guardians. Members asked about mileage and travel demands, the distinction between a child’s attorney and a guardian ad litem, caseloads, re-entry outcomes, the move from contractor/volunteer models to employee-based staffing, and the role of volunteers. Olson said most guardians use personal vehicles and mileage reimbursement, average caseloads are about 24, and the program has not seen a statewide increase in cases but does face staffing vacancies and turnover in some areas. She said the board believes the employee model improved advocacy and supervision, while the program is rebuilding a modest volunteer pool. She also said the program supports Indian Family Preservation Act-related work and has a formal process for handling conflicts of interest, which should be raised immediately to a supervisor rather than waiting for a complaint process.

Transcript Highlights:

• relating to the exceptions to otherwise prohibited Abortions based on a physician's reasonable medical judgment

Summary: The Senate Committee on State Affairs met to consider pending business on three bills. Senator Hughes explained a committee substitute for Senate Bill 2035, which concerns foreign funding of elections. The substitute clarified that income to a U.S. citizen living overseas would not trigger notification, removed new reporting requirements, aligned the bill with existing reporting rules, and shifted civil enforcement to the Attorney General rather than the Ethics Commission. The substitute was adopted and SB 2035 was reported favorably to the full Senate by a 10-0 vote, then recommended for placement on the local and uncontested calendar. The committee then took up Senate Bill 31, the “Life of the Mother Act,” dealing with exceptions to otherwise prohibited abortions based on a physician’s reasonable medical judgment. Senator Hughes said the substitute reflected stakeholder feedback and was intended to further clarify that pregnant women would not be prosecuted, with support from pro-life groups and the medical community. The substitute was adopted and SB 31 was reported favorably to the full Senate by an 11-0 vote, then recommended for the local and uncontested calendar. Finally, the committee considered Senate Bill 2880, relating to abortion pills. Senator Hughes said the substitute focused liability on manufacturers and distributors of abortion pills and imposed civil liability to the fullest extent allowed by law. The substitute was adopted and SB 2880 was reported favorably to the full Senate by a 10-1 vote. After completing the three items, the committee recessed at the call of the chair.

Transcript Highlights:

• So, rush judgment without public scrutiny is something that we should always be cautious of, and it should
• So, So, So, rush<01:21:36.120> judgment<01:21:37.200> without<01:21:37.600> public
• c><01:21:38.480> scrutiny rush judgment without public scrutiny rush judgment without public scrutiny
• along with design standards and best practices grounded in public health expertise and engineering judgment
• expertise and engineering judgment. expertise and engineering judgment.

Keywords: 918, senate, all

Summary: The Senate convened under a call, established a quorum, received a chaplain’s prayer and the pledge, and then proceeded through routine business. Members adopted the committee reports except those relating to Senate Concurrent Resolution 6, gave second reading to Senate File 203 and several House files, and referred Senate File 5200 to Rules and Administration. The chamber also adopted a motion to return Senate File 4390 from the general orders calendar to the Finance Committee. The main floor activity centered on a series of motions to send withdrawn executive appointments back to their originating committees under Senate Rule 8.2. Senator Putnam moved to return appointments from the Agriculture, Veterans, Broadband, and Rural Development Committee, including the Board of Animal Health, the Veterans Affairs commissioner, and the Rural Finance Authority. Senator Swadzinski moved a similar action for Education Policy appointments, and Senator Her did so for Environment, Climate, and Legacy appointments, including the DNR commissioner, the PCA commissioner, the Clean Water Council, and related boards. Senator Wicklund later moved to return Health and Human Services appointments, including the Children, Youth and Families commissioner, Health commissioner, VNSHUR Board, and EMS director. These motions prompted extended debate. Supporters of returning the appointments argued that the Senate has a constitutional advice-and-consent duty and that committee hearings should occur before floor consideration. Opponents, mainly Republicans, argued that sending the appointments back without floor action avoided accountability and transparency, especially in light of fraud concerns in state programs and agencies. Some authors said hearings had not yet been scheduled or that the committee process should come first; others noted at least one hearing had already occurred on a health nomination. The debate repeatedly focused on whether the Senate was fulfilling its constitutional role or delaying confirmation review. Roll-call votes were requested on the appointment motions. The Putnam, Swadzinski, Her, and Wicklund motions were each adopted by narrow 34-33 margins, returning the appointments to committee rather than leaving them on the confirmation calendar for floor action.

Transcript Highlights:

• company that I was leading that they were not allowed to ask me certain questions because, in my judgment
• ,<00:23:36.880> I<00:23:37.120> had questions because in my judgment, I had questions
• because in my judgment, I had determined<00:23:37.520> that<00:23:37.679> their<00:23:
• that should be guided by sound decisions that should be guided by sound financial<00:30:58.159> judgment
• financial judgment. Let me be clear. financial judgment. Let me be clear.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, January 15, 2026, 1012, house, all

Transcript Highlights:

• schools on whether or not you can suspend, and it trusts local schools to use their professional judgment
• professional leave this decision to the professional leave this decision to the professional judgment
• judgment of those at the local level. judgment of those at the local level.
• Over half, 55% of these disciplinary actions were based on subjective judgment. That's a problem.
• the premise that there's this inappropriate discriminatory bias that's influencing the subjective judgments

Keywords: 1183, house

Transcript Highlights:

• Medicaid Services, where that guidance comes from, would tell us that we now need to go to a civil judgment
• So we are now having to, you know, charge cases, look at going after judgments, and getting them on individual
• Medicaid Services, where that guidance comes from, would tell us that we now need to go to a civil judgment
• Medicaid Services, where that guidance comes from, would tell us that we now need to go to a civil judgment
• Medical Services, where that guidance comes from, would tell us that we now need to go to a civil judgment

Keywords: 1187, senate, all

Summary: The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings. OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff. The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• It does not replace relationships or human judgment.
• House Amendment 1 simply changes the judgment frequency from 3 to 2 over a span of 18 months.
• House Amendment 1 to Senate Substitute 1 for Senate Bill 116 changes the judgment frequency from three
• This right is limited to tenants with no more than two judgments within an 18-month period of time.
• This bill overrides those local judgments through broad preemption, significantly curbing the authority

Summary: The House convened with quorum, offered prayers and moments of silence for community members who had recently died, and recognized several guests and family members in the chamber. After routine communications and passage of consent calendar 29, the chamber took up a series of measures on the main and colored agendas, with several bills and resolutions passing by voice vote or roll call. Among the measures approved were House Concurrent Resolution 157, which as amended requested a State Lottery report on options to support traditional lottery retailers; Senate Bill 53 on the Delaware Farm to Community Program; Senate Bill 307 on PSC authority for Lifeline telecommunications carriers; Senate Bill 339 clarifying health directive forms in mental health facilities; Senate Bill 235 on manufactured home community rent increases; Senate Bill 325, as amended, updating fire prevention and volunteer fire/EMS background check rules; Senate Bill 309 on inmate work and discharge of incarceration-related balances; Senate Bill 324 on deadly weapons and constable agency representatives; Senate Bill 293 on youth camp child care licensing; Senate Bill 94 on respiratory care practitioners and ECMO medication delivery; and Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment protecting the right to marry regardless of race or gender while preserving religious freedom. House Bill 188, changing Delaware primary elections to allow unaffiliated voters to choose a party primary, also passed after debate. Two measures drew extended discussion and amendments. Senate Bill 233, requiring snow and ice to be removed from vehicles, was tabled once, then later amended and passed after debate over whether the law was workable for truck drivers and other vehicle operators; a proposed truck-related exemption amendment failed. House Substitute 1 for House Bill 404, creating a pilot program for artificial intelligence and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, privacy, and educator oversight, alongside concerns from members about data, bias, and long-term effects. Several items were tabled or reconsidered during the session, and the House adjourned after completing the day’s business.

Transcript Highlights:

• It does not replace relationships or human judgment.
• House Amendment 1 simply changes the judgment frequency from three to two over a span of 18 months.
• This right is limited to tenants with no more than two judgments within an 18-month period of time.
• Judgments within an 18-month period of time. Seeing no questions. Roll call, please.
• This bill overrides those local judgments through broad preemption, significantly curbing the authority

Summary: The House convened on June 30, 2026, with opening ceremonies, guest introductions, and moments of silence for Gerlindy Lancelotti and Iva Durham. Members then took up a long agenda of bills and resolutions, including consent calendar items and several measures related to agriculture, lottery reporting, health care, fire service membership standards, inmate work, telecommunications, rent increases, youth camp licensing, primary elections, respiratory care practice, and marriage equality. The chamber also heard extended debate on Senate Bill 233, concerning removal of snow and ice from vehicles, and on House Bill 188, which would allow unaffiliated voters to choose a party primary while barring participation in both parties’ primaries. Among the notable actions, House Concurrent Resolution 157 passed as amended, directing the State Lottery to report on options to support traditional lottery retailers. Senate Bill 53, preserving the Delaware Farm to Community Program if federal support declines, passed unanimously. Senate Bill 307, giving the Public Service Commission authority to designate eligible Lifeline carriers, and Senate Bill 339, clarifying advance health care directives, also passed. Senate Bill 235, removing a sunset on manufactured home rent increase calculations, passed, as did Senate Bill 325 after House Amendment 1 narrowed disqualifying offenses for fire service membership and adjusted related background-check rules. Senate Bill 309, discharging remaining incarceration-cost balances, and Senate Bill 324, addressing constable-related firearm permit provisions, both passed. The chamber tabled Senate Bill 233 once to consider a proposed amendment for trucks and other hard-to-clear vehicles, but the amendment failed and the bill later passed as amended by the Senate. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was tabled pending legal review. Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry, passed after extensive floor debate and personal statements from members on both sides. Senate Bill 293, creating a licensure pathway for summer camps to participate in purchase-of-care, passed after House Amendment 1. House Bill 188 on open primary access for unaffiliated voters passed 22-17, and Senate Bill 94, concerning respiratory care practitioners and ECMO medication delivery, passed after House Amendment 2. The transcript ends as the House begins consideration of House Substitute 1 for House Bill 404.

Transcript Highlights:

• >> If an officer basically makes the wrong judgment and they say, you know what, I think I have exigent
• >> If an officer basically makes the wrong judgment and they say, you know what, I think I have exigent
• makes<01:26:06.880> the<01:26:07.040> the<01:26:07.360> wrong<01:26:07.679> judgment
• <01:26:08.480> and<01:26:08.639> they makes the the wrong judgment and they makes the
• the wrong judgment and they say,<01:26:09.120> you<01:26:09.199> know<01:26:09.199>

Keywords: 1191, senate, all

Transcript Highlights:

• Um, I'm not being judgmental.
• Um, I'm not being judgmental.
• Um I I'm not<00:21:29.600> being<00:21:29.840> judgmental.
• <00:21:30.240> I'm<00:21:30.400> just<00:21:30.640> letting not being judgmental
• I'm just letting not being judgmental.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.