Transcript Highlights:

• Would our board please and royalty please stand?
• We also have our board here today: Trey Kossin, Neil Barbiero, and Clint Gagliano. Thank you.
• House bill by Representative Stagney, Title 40, rural health clinics, Medicaid reimbursement rates of
• House Bill 207 by Representative Henry, Title 37, Louisiana Auctioneers Licensing Board, board membership
• , board qualifications, domicile of the board, reported from Commerce with amendments.

Bills: HR19, HR20, HR21, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR34, HR35, HR36, HR37, HR38, HCR15, HCR16, HCR17, HCR18, HB115, HB208, HB465, HB832, HB964, HB965, HB966, HB967, HB968, HB969, HB970, HB971, HB972, HB973, HB974, HB975, HR14, HR15, HR16, HR17, HR18, HCR14, SCR4, SCR7, SCR8, HB362, HB963, HB207, HB300, HB331, HB428, HB464, HB587, HB618, HB629, HB801, HB853, HB891, HB78, HB112, HB148, HB149, HB190, HB221, HB346, HB354, HB355, HB356, HB358, HB384, HB427, HB657, HB675, HB716, HB901

Keywords: HR19, House Resolution 19, Louisiana Nursery and Landscape Association Day, LNLA, nursery industry, landscape industry, horticulture, green industry, environmental stewardship, beautification, sustainability, state capitol, special day resolution, commemoration, trade association, wholesale growers, landscape architects, grounds maintenance, interiorscapers, Louisiana agriculture

Summary: The House convened with 97 members present, heard an invocation by Pastor Morris St. Angelo, and recited the Pledge of Allegiance. The chamber then received Senate messages noting concurrence in HCR 8, HCR 9, and HCR 12, and the adoption of SCR 10, which expressed condolences on the death of Dr. Norman Christopher Francis. The House also received an enrollment report confirming several resolutions as properly enrolled. A series of personal privilege recognitions highlighted local and civic observances, including Amite Oyster Festival Day, Opportunity in Action Day at the Capitol, and a visit from international policy fellows. The House introduced numerous resolutions and bills, including measures to designate special days and highways, express condolences, commend individuals and organizations, create or modify local districts, address bail, parole, rural health clinic Medicaid reimbursement, and establish a Department of Public Service. Several committee reports were also received, including transportation and ways and means reports on multiple bills. The House adopted, without objection, several resolutions already lying over, including HR 14, HR 16, HR 18, SCR 4, SCR 7, and SCR 8, while other resolutions and bills were referred or left to lie over. Members also moved to discharge and withdraw certain bills from committee files without objection. The chamber was reminded of upcoming committee meetings, an interim emergency board ballot deadline, and adjourned until 1:00 p.m. the following day.

Transcript Highlights:

• Also present were board members Trey Kossin, Neil Barbiero, and Clint Gagliano.
• Also present were board members Trey Kossin, Neil Barbiero, and Clint Gagliano. Thank you.
• of rural health clinics, becomes House Bill 971.
• House Bill 207 by Representative Henry, Title 37, Louisiana Auctioneers Licensing Board, board membership
• , board qualifications, domicile of the board, reported from Commerce with amendments.

Bills: HR19, HR20, HR21, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR34, HR35, HR36, HR37, HR38, HCR15, HCR16, HCR17, HCR18, HB115, HB208, HB465, HB832, HB964, HB965, HB966, HB967, HB968, HB969, HB970, HB971, HB972, HB973, HB974, HB975, HR14, HR15, HR16, HR17, HR18, HCR14, SCR4, SCR7, SCR8, HB362, HB963, HB207, HB300, HB331, HB428, HB464, HB587, HB618, HB629, HB801, HB853, HB891, HB78, HB112, HB148, HB149, HB190, HB221, HB346, HB354, HB355, HB356, HB358, HB384, HB427, HB657, HB675, HB716, HB901

Keywords: HR19, House Resolution 19, Louisiana Nursery and Landscape Association Day, LNLA, nursery industry, landscape industry, horticulture, green industry, environmental stewardship, beautification, sustainability, state capitol, special day resolution, commemoration, trade association, wholesale growers, landscape architects, grounds maintenance, interiorscapers, Louisiana agriculture

Transcript Highlights:

• </c> board of Kentucky veterary examiners. board of Kentucky veterary examiners.
• Number one, are popup clinics being prohibited? And no, that is not the intention of the board.
• The board does not want to board.
• </c> the board and and people in favors? the board and and people in favors?
• </c> single clinic, but they are contracted. single clinic, but they are contracted.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• </c> city boards line 2728. city boards line 2728.
• </c> be one board. be one board.
• </c> board seats and all that kind of stuff. board seats and all that kind of stuff.
• </c> be one governing board. Yeah. be one governing board. Yeah.
• </c> shall not operate to relieve any board. shall not operate to relieve any board.

Bills: HB3, HB116, HB165, HB178, HB3, HB116, HB165, HB178

Keywords: illegal alien, enhanced sentencing, criminal offenses, minor victims, felonies, Alabama legislature, HB116, Alabama Sunset Law, sunset bill, sunset review, Alabama Professional Bail Bonding Board, bail bonding, bail bonds, bail bond industry, professional bail bondsman, licensing board, state agency continuation, agency reauthorization, regulatory board, criminal justice

Transcript Highlights:

• I provide a recommendation to the board, and the board gets to make the decision in a public meeting.
• There is no clinical test involved.
• board.
• There's no clinical testing.
• The Board of Pharmacy is unlike a lot of the other boards.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• Adds another respiratory therapist to the board, and the new wellness program to manage impaired practitioners
• with prescribing authority, and that was agreed to by all parties, including the respiratory therapy board
• :00.639><c> the</c><00:08:00.800><c> respiratory</c><00:08:01.280><c> therapy</c><00:08:01.759><c> board
• </c> including the respiratory therapy board. including the respiratory therapy board.

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Transcript Highlights:

• But Senate Bill 1287 is to close a loophole in the authority of the abstractor's board to deny a license

Bills: SB1287

Keywords: abstraction, licensing, Oklahoma Abstractors Board, criminal background, good moral character, 914, all

Transcript Highlights:

• We improve transparency and accountability by requiring the board to make public certain information
• Members, any questions for the Water Development Board? All right, none. Thank you guys very much.
• Our board had requested. Uh, through our LAR, an exceptional item to replenish that fund.
• And so again, uh, I think our board looks forward to continuing to address water loss.
• Is there some sort of a mechanism contemplated by the Water development board to.

Bills: SB 7

Keywords: water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability

Transcript Highlights:

• think there's been a lot of testimony to that effect at, for example, the North Shore Neighborhood Board
• 46.280><c> North</c><01:43:46.480><c> Shore</c><01:43:46.600><c> Neighborhood</c><01:43:47.000><c> Board
• </c><01:43:47.680><c> If</c> the North Shore Neighborhood Board.
• If the North Shore Neighborhood Board.

Bills: SCR21, SCR75, SCR50, SCR149, SCR47, SCR163, SCR169, SCR170

Keywords: healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Fetal Alcohol Spectrum Disorders, health care, interdepartmental collaboration, public awareness, support services, education, health insurance, affordable healthcare, working group, Hawaii Health Plan, Medicaid expansion

Bills: SCR21, SCR75, SCR50, SCR149, SCR47, SCR163, SCR169, SCR170

Keywords: healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Fetal Alcohol Spectrum Disorders, health care, interdepartmental collaboration, public awareness, support services, education, health insurance, affordable healthcare, working group, Hawaii Health Plan, Medicaid expansion

Transcript Highlights:

• reports, Texas Medical Board, just patients, pharmacies, whatever, Texas Medical Board coming after
• The boards came after me. It was a lot.
• primary care clinic.
• current board certification.
• The reason that ultimately our board decided not to make that change is all of the boards that we look

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• Because they... ...both have clinics that they can't staff.
• Karen Carson, Chair of the New Mexico Medical Board. Mr.
• No, I'm sorry, the EMT is like the nursing board.
• So it's a good, you know, members of the board.
• We have two vacancies on the board right now. Yeah.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Keywords: Cannabis Advisory Board - Room 216, 28 August, 2025; 1:30 PM, 925, all

Transcript Highlights:

• Board of Directors, subsection 1B line 9. We ask for your support.
• I think it's just a matter of getting West Fargo on that board and adding one more.
• Board of Directors, subsection 1B line 9. We ask for your support.
• And then just looking at the total count, and, you know, a board of 13 people, you know, the more boards
• And then just looking at the total count, and, you know, a board of 13 people, you know, the more boards

Bills: HB1162

Keywords: Lake Agassiz, water authority, board of directors, state highways, water management, 908, all

Summary: The committee heard House Bill 1162, which would add the West Fargo mayor as a voting member of the Lake Agassiz Water Authority board. The sponsor and Fargo’s mayor argued West Fargo has grown into a major regional water stakeholder and should have a formal vote, while members questioned the board structure and why the change was not framed more specifically. The bill was supported in testimony, closed without opposition, and received a 6-0 do pass recommendation. The committee then took up House Bill 1259 on annual legislative sessions and session structure. Members adopted an amendment that left the structure and logistics of sessions to legislative management rather than prescribing details in statute, after discussion about flexibility, committee workload, annual versus biennial sessions, and concerns about preserving debate and committee process. The amended bill received a 4-2 do pass recommendation, with some members voting no because they preferred a different committee recommendation or had concerns about the broader change. House Bill 1254, which would allow any North Dakota resident to obtain a State Library card, drew supportive testimony from the bill sponsor and State Library staff. They said the change would align law with current practice and expand access to books, e-materials, and other resources statewide, including for military families and out-of-state state employees. The committee closed the hearing and approved the bill 6-0. The committee also considered House Bill 1469, which narrows financial disclosure requirements so only business or trust interests directly related to the office sought or held must be disclosed. After brief discussion that the change would reduce unnecessary disclosure burdens, the committee adopted the amendment and then gave the bill a 6-0 do pass recommendation. House Bill 1368, dealing with administrative rules and the standard for challenging them, was opposed by committee counsel as too broad and legally problematic; the committee rejected it on a 4-2 do not pass vote. Finally, House Bill 1219, which would reduce the required perpetual care fund set-aside for certain cemeteries from 20% to 10%, received supportive testimony from the sponsor, cemetery representatives, and local users, but also concern about long-term fund health. The committee ultimately recommended do pass on a 5-1 vote.

Transcript Highlights:

• right now under ACDA six if this boards right now under ACDA six if this board<01:07:42.480><c> is</
• forms say that the board has newer lease forms say that the board has to<01:35:53.199><c> approve</c>
• So the way HCDA has it, they have several boards, right? A few. Yeah, they have five boards.
• He wants to structure it, and I agree, structure the board the same way, not the board, but structure
• </c><01:50:59.760><c> the</c> it and I agree structure the board the it and I agree structure the board

Bills: HB1817, HB2056, HB2616, HB1718, HB1842, HB1740, HB1919, HB1616, HB1774, HB1984, HB1603, HB2171

Keywords: fishing regulation, ʻamaʻama, striped mullet, bag limit, overfishing, Hawaii fisheries, funding, appropriations, Honolulu, housing, construction, grant-in-aid, community development, Banyan Drive, Hawaii community development authority, cultural revitalization, special fund, public safety, economic development, affordable housing

Summary: The committee heard HB 1817, which would create a daily bag limit for amaa/ama fish to protect Hawaii’s fisheries. DLNR said the biggest stressor on amaa populations is diversion of freshwater flows that cut off food sources for juvenile fish, and suggested that place-by-place rulemaking with fishers and stakeholders would be the most effective approach. A teacher and several Waialua Elementary students testified in strong support, describing research on declining catch data, cultural importance, and the need to preserve the fish for future generations. Other supporters said the fish is being outcompeted by invasive species and cited historical declines, including testimony that bag limits in Hilo Bay have helped increase populations. Committee members asked DLNR about traditional and cultural gathering rights, whether the bill’s bag limit would apply to native Hawaiian practices, and whether the limit was 10 per day or per season. DLNR said constitutional Hawaiian practices are protected, but also noted that if the bag limit is set in statute it would limit the department’s flexibility to tailor rules by area. Members also asked about other conservation efforts, and DLNR said fish pond revitalization and amaa production are underway statewide. One member raised concern that a statewide statutory limit might not fit conditions on every island, and DLNR said it has authority to adopt area-specific rules through rulemaking, though that process can take months to more than a year. The committee then moved to HP 206, an appropriations measure for the City and County of Honolulu involving school land transfers, and HP 266B relating to Banyan Drive. On HP 206, the county said the request is a one-time item and estimated costs were about $3.25 million, with the city and county already spending more than $350,000 on the transfers. On HP 266B, HCDA said it is conducting a master planning effort for Banyan Drive and plans a community visioning exercise this summer. Testimony from the Banyan Drive redevelopment agency emphasized the need for more flexible land-tenure rules, while OHA supported the bill with amendments to include cultural specialists and lineal descendants in the redevelopment process and to protect ceded lands. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• need to reduce the number of NTDs as Chairwoman Roe referenced and how other states are jumping on board

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• there's a placenta issue, which can lead to severe bleeding and complications, is someone in that clinic
• So the Board of Chiropractors are in agreement. There's two associations.
• We also had the Board of Chiropractors there. During that meeting, Mr.
• And that was a meeting that we had last week with the Board of Chiropractors and actually worked for
• Where's the Board of Nursing on this bill? Thank you for that question.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• I think this is just the anticipation of current bonds or current projects that are on the board.
• But it, I mean, as future bonds may come on board, then there may be the need to increase that or increase

Bills: HCR1006, SB1226, SB1239, SB1309, SB2132, SB1189, SB1344, SB1295, SB1355, SB1998, SB1330, SB1297, SB1338, SB1546, SB1378, SB1859, SB1333, SB1341, SB1377, SB1990

Keywords: campaign finance, election spending, political spending, money in politics, constitutional amendment, Citizens United, free speech, ballot measures, elections, corruption, dark money, outside spending, foreign influence, special interests, corporations, unions, federalism, self-government, political equality, term limits

Transcript Highlights:

• I think this is just the anticipation of current bonds or current projects that are on the board, but
• future bonds may come on board, and then there may be... ...the need to increase that or increase the

Bills: HCR1006, SB1226, SB1239, SB1309, SB2132, SB1189, SB1344, SB1295, SB1355, SB1998, SB1330, SB1297, SB1338, SB1546, SB1378, SB1859, SB1333, SB1341, SB1377, SB1990

Keywords: campaign finance, election spending, political spending, money in politics, constitutional amendment, Citizens United, free speech, ballot measures, elections, corruption, dark money, outside spending, foreign influence, special interests, corporations, unions, federalism, self-government, political equality, term limits

Summary: The Senate convened with a quorum, opened with prayer, and handled several floor introductions, including recognition of an intern, visiting FFA members, and later a Sand Springs state championship football team and Murray County visitors. The chamber also laid over Senate Bill 2067 and adopted a unanimous-consent request to bring HCR 1006 directly to calendar. HCR 1006, which calls on Congress to propose a constitutional amendment giving states more control over campaign and ballot-initiative money, passed by voice vote. Senate Bill 1226, expanding hit-and-run scene-retention requirements to include property damage, passed 47-0. Senate Bill 1239, dealing with transportation-related statutory cleanup and extending a sunset date for structurally deficient bridge funding from 2026 to 2031, was amended twice, advanced, and passed 44-2, then was approved as an emergency measure. Senate Bill 1309, adjusting the amount that may be reserved from the Roads Fund for debt service, advanced and passed 46-0 as an emergency measure. Later, Senate Bill 2132, increasing a justice surcharge on credit-card point-of-sale transactions from 2% to 3%, passed 28-17; Senator Hall recorded a personal-interest abstention. The Senate then confirmed Daniel LaFortune to the Oklahoma Tax Commission by a 44-1 roll call vote. The body concluded by moving to adjourn until Thursday, February 19, 2026, at 9:30 a.m. when the clerk’s desk is clear.

Transcript Highlights:

• </c> from the Board of Dentistry? from the Board of Dentistry?
• </c> Dispenser Board. Dispenser Board.
• </c> Board of Nursing. Good afternoon. Board of Nursing. Good afternoon.
• for the Board of EMS.
• </c> non-clinical and non-medical in nature. non-clinical and non-medical in nature.

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.