Transcript Highlights:

• Services, 702 KAR 5130. Services, 702 KAR 5130.
• Allow an ambulance service to be located in a contiguous county.
• > service<00:20:17.960> to Allow [snorts] an ambulance service to Allow [snorts] an ambulance
• <00:20:27.240> service<00:20:27.600> agreement hospital or ambulance service agreement
• hospital or ambulance service agreement by<00:20:28.240> the<00:20:28.480> end<00:20:28.800

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• uniform service standards. uniform service standards.
• . services. services.
• support services. support services.
• services, services and other services, and<00:59:12.640> disrupt<00:59:13.040> care<00
• <01:03:27.160> servicing Western Prairie Human Services servicing Western Prairie Human Services

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Bills: HB2115, HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• <00:03:29.440> agency the responsible social services agency the responsible social services
• <00:09:33.640> agencies, recognize that social service agencies, recognize that social service
• Western Prairie Human Services Western Prairie Human Services consisting<01:03:34.000> of
• that the legislature invest in services that the legislature invest in services and<01:09:17.359
• <01:43:10.600> We protection services, all of that. We protection services, all of that.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

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:

• Human Services will come to order. The clerk will call the roll. Chair hole here.
• I worked at San Antonio Independent Living Services.
• so we have no one doing this for these children's services.
• And improve services for children.
• But so they, those people then get their service there.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• And it does that just because those dates of disposition add delays to people that are needing services
• of Does that just because those dates of dispositions add delays to people that are needing services

Bills: HB161, HB146, HB289, HB290, HB31, HB146, HB289, HB290, HB31

Keywords: consumer protection, app store, age verification, parental consent, data protection, minors, HB146, ivermectin, pharmacist, standing order, prescription drug, non-patient-specific order, dispensing, physician assistant, nurse practitioner, licensed health care provider, pharmacy board, medical licensure, disciplinary action, drug access

Transcript Highlights:

• One is called prevocational services, and then we have three employment services.
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• those who use the service.
• And also housing stabilization services, while not a framework service, allow up to 49% of the service
• And also housing stabilization services, while not a framework service, allow up to 49% of the service

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• of order today and let all the other bills pass through the committee first, and then I'll do the ambulance
• The other bills will pass through the committee first, and then I'll do the ambulance assessment bill
• service moving forward. service moving forward.
• sunset on our our ambulance providers. sunset on our our ambulance providers.
• <00:20:45.600> to ambulance services and so continues to ambulance services and so continues

Bills: SB146, SB143, SB144, SB145, HB224, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, HB224, SB152, SB153, SB154, SB162, SB226

Keywords: supplemental appropriation, FY2025 budget, general fund, Alabama State Board of Public Accountancy, Unified Judicial System, court automation, advanced technology and data exchange, judiciary funding, transportation debt service, highway bonds, bridge bonds, Alabama Department of Transportation, ALDOT, public highways, federal matching funds, state appropriations, bond principal and interest, special funds, budget amendment, SB143

Transcript Highlights:

• are paying high prices for services are paying high prices for services without<00:03:36.799>
• the rent or services that are provided? the rent or services that are provided?
• <01:09:28.159> Our services does come at a cost. Our services does come at a cost.
• their services.
• as well as life residential services as well as life sharing<01:29:54.000> services.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• <00:03:41.200> Um Services." Well, not completely. Um Services." Well, not completely.
• facility providing a similar service? facility providing a similar service?
• for the services that they provide. for the services that they provide.
• Do you have lab services?
• Do you have lab services? services? services?

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• Nathan Go, Office of Legal Services staff attorney. Thank you so much.
• Department for Employment Services, 787 KAR 1:370.
• Switching to Department for Medicaid Services. 907 KAR 1:28.
• Cabinet for Health and Family Services, Office of Aging Services. 910 KAR 1:210 and 1:241 repealer. no
• <01:19:13.920> 910<01:19:14.920> K Services Office of Aging Services 910 K Services

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• services, as well as early intensive developmental and behavioral health services, or EIDBI services
• <00:03:52.280> for Services or eidbi Services just for Services or eidbi Services just for
• <00:13:09.079> is service so a residential service is service so a residential service is
• crisis services, and behavioral health home services.
• health services.

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• However, we're uh, testing service.
• Cabinet for Health and Family Services, Department for Medicaid Services, 907 KAR 1595, 1835, Emergency
• services they would receive? services they would receive?
• Also, this would include services.
• Staying with Cabinet for Health and Family Services, Department for Community Based Services, 922 KAR

Keywords: 0:22 – Roll Call 0:30 – Approval of minutes 1:04 – Department of Veterans Affairs 2:06 – Board of Pharmacy 3:20 – Board of Optometric Examiners 39:26 – Board of Nursing 40:07 – Board of Emergency Medical Services 41:52 – Department of Fish & Wildlife Resources 44:36 – Transportation Cabinet: Department of Vehicle Registration 45:36 – Department of Alcoholic Beverage Control 47:00 – Cabinet for Health & Family Services: Department for Medicaid Services 49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• That article relates to aging and disability services.
• Section 12 from the DHS policy bill adds financial management services, community-first services and
• These services include education and enrichment for kids, employment services, life skills like budgeting
• I serve as a Social Services Deputy Director at Ramsey County, leading the Aging and Disability Services
• With the organization they received services from, and 80% of those were satisfied with the services

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• <00:03:48.319> and long-term services and long-term services and supports.<00:03:50.319>
• c><00:03:59.360> to<00:03:59.799> provide services parents are allowed to provide services
• community support services. community support services.
• <00:12:18.399> coordination add um treatment service coordination add um treatment service
• victims with services and housing. victims with services and housing.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• Chair and members, this is the human service focus adjustment.
• Chair and members, this is the human service focus adjustment.
• And I'm Department of Human Services.
• disability and and require um services disability and and require um services under<00:04:34.160
• Um however, the provide MAT services.

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Services are being provided on the federal level, and we needed to codify them for state active duty
• status for service members.
• Service members, so that's what this bill does.
• It lays out the authority and structure of the Alabama National Guard Legal Services for legal compliance
• Service, and this is a bill of national guard. Are there any questions? That was my question.

Bills: HB328, HB377

Keywords: legal services, military law, Alabama National Guard, legal assistance, notary services, military, immunization, school admittance, medical records, dependents, 1136, house, all

Transcript Highlights:

• c> become Focus Services Will services will become Focus Services Will services will become increasingly
• preventative Mental Health Services preventative Mental Health Services without<00:42:57.839>
• extensive services.
• extensive services.
• , cleaning services, home care, maybe some transportation services.

Bills: HF1380, HF1166, HF487, HF1553, HF1472, HF258, HF1911

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• And then, obviously, if it comported with the terms of service of the platform and was verified that
• House Bill 2310 specifies that the contract and association created by the contract governing services
• professions statute to include the administering appraisal panel who performs property appraisal services

Bills: HB2010, HB2192, HB2310, HB2501

Keywords: digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, independent contractor, marketplace, digital services, contractual agreements

Summary: The committee heard House Bill 2010, which would prohibit sellers of digital goods from using terms like “buy” or “purchase” in a way that implies unrestricted ownership when the consumer is actually receiving a license, and would require clearer disclosures, post-transaction notices, prorated refunds or alternative access if license terms change, and enforcement under the Arizona Consumer Fraud Act. The sponsor said the bill responds to consumers being misled about digital purchases and to concerns that licensed content can be altered or removed after sale. The bill was approved on a 7-0 do pass vote. The committee also heard House Bill 2192, which would require compensation protections for minors featured in monetized online content, including trust-account requirements similar to child actor protections, recordkeeping, and a process for adults who were featured as minors to request removal or editing of content that identifies them. Google testified in support, saying the bill mirrors existing protections for child actors and provides a uniform standard; the sponsor said it addresses the growing child influencer industry. An amendment was adopted to clarify that platforms may rely on existing trust-and-safety systems and are not required to proactively monitor user content or be liable for third-party content if they comply with mitigation requirements. The bill then passed 7-0 as amended. House Bill 2310 was described as a technical fix to Arizona’s qualified marketplace contractor law for gig-economy platforms, clarifying that contracts may be terminated without cause on reasonable notice and that the contractor may terminate unilaterally. Lyft supported the measure, saying it removes ambiguity without changing the independent contractor framework; one senator questioned the wording, but the sponsor and witness said the intent was to preserve driver independence. The bill passed 7-0. The committee then heard House Bill 2501, an agency-requested measure from the Department of Insurance and Financial Institutions that conforms Arizona’s appraisal management company definition to federal law by updating the definition to include administering appraisal panels and defining a 12-month period. It also passed 7-0.