Transcript Highlights:

• To modernize our agency systems without increasing licensure fees, we humbly request an exemption from
• We could raise the money through fee increases for LVNs, RNs, and APRNs, but as stated in... testimony
• That would keep, I guess, the licensing fees low. as we struggle to continue to increase the number of
• We are concerned a little, however, by the significant increase in licensing fees that we've seen since
• TVMA was told... that multiple times during last session that a fee increase of this size would not be

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• We have Medicaid fee-for-service claims.
• A $4 million increase is about 104%.
• fee schedules so when we combined those fee schedules we<00:15:38.680> looked<00:15:38.920>
• That's pretty significant increase.
• <00:42:46.079> for claim data uh through the fee for claim data uh through the fee for service

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• increased readability and organization. increased readability and organization.
• increases. an increase in operating increases. an increase in operating funds<02:22:23.760> um
• to charge that fee.
• Um they're not junk fees. But costs. Um they're not junk fees.
• that this fee would be fluctuating. that this fee would be fluctuating.

Keywords: 1187, senate, all

Transcript Highlights:

• By 2020, they had increased to $37.7 billion, less than a $10 billion increase.
• Some of this is certainly increases in property tax values, which have increased significantly, but there
• of 3% or the increase in CPI each year...
• , applying fees.
• So potentially subsidizing those lost fees with adding a small fee to Airbnb’s, to hotels, to airlines

Summary: The Select Committee on Property Taxes held its first meeting with opening remarks from the co-chairs and ranking member framing the committee’s task as developing property tax legislation for next session. Staff then gave a high-level overview of Florida property taxes, explaining how ad valorem taxes work, the roles of property appraisers, tax collectors, taxing authorities, value adjustment boards, and the Department of Revenue, and reviewing key concepts such as just value, assessed value, exemptions, taxable value, millage rates, homestead exemptions, Save Our Homes, and portability. The presentation also emphasized that property tax law is largely rooted in the Florida Constitution and that local governments choose millage rates, which affects collections. No public comment was taken. The committee then discussed five Speaker-proposed concepts. Proposal 1 would require cities, counties, and special districts to hold a referendum on eliminating property taxes on homestead properties; members raised concerns about local funding, public safety, special districts, renters, and the need for extensive voter education, with some suggesting countywide elections or town halls instead. Proposal 2 would create a new $500,000 homestead exemption for non-school taxes and a $1 million exemption for seniors 65+ or long-term homesteaders; members split between seeing it as meaningful relief for seniors and warning it could devastate local tax bases, especially in lower-value or rural counties, while also potentially trapping older homeowners in place. Proposal 3 would authorize the Legislature to raise homestead exemptions by general law; some liked the flexibility, but others worried about statewide one-size-fits-all impacts, political difficulty in reversing changes, and the need for local revenue replacement. Proposal 4 would change assessment caps for homestead and non-homestead property; several members said it would not provide enough relief and could shift burdens to rental properties and non-homestead owners. Proposal 5, eliminating foreclosure on homestead property for tax liens, drew the strongest opposition, with members saying it would undermine lien priority, mortgage and title systems, and incentives to pay taxes. Throughout the meeting, members repeatedly stressed the need to understand local fiscal impacts, including police, fire, infrastructure, and other services funded by property taxes, and to consider alternative revenue sources or offsets if taxes are reduced. The co-chairs said the committee is still in the information-gathering stage, that all ideas remain on the table, and that members should do “homework” by meeting with local taxing authorities and learning how property taxes are set and spent in their districts. The meeting ended with no votes on the proposals and adjournment after a motion to rise.

Transcript Highlights:

• Fees, okay.” “The rules have got to be set. Safety first. Fees, okay.
• And are we increasing how much we have to generate? Are we increasing the transmission line?
• Rubio Canyon Land and Water Association has a proposed 11% rate increase and fire recovery fee of up
• why their bills are increasing.
• the basic understanding of how these rate increases and fees they're required to pay go towards their

Summary: The committee first heard SB 804, the Hydrogen Pipeline Safety Act, from Senator Arreguín. He said the bill would designate the State Fire Marshal as the safety regulator for intrastate hydrogen pipelines and require hydrogen-specific standards, while not mandating any pipeline construction or bypassing environmental review. Supporters included labor groups, utility employees, and the City of Burbank, while Air Products opposed unless amended, citing concerns about the bill’s specificity, fee structure, and the need for a hydrogen-specific rulemaking process. The committee discussed safety, fees, and regulatory certainty, and later passed SB 804 on a 9-0 vote to Emergency Management with commitment to take amendments. The committee then took up SB 905 by Senator Becker, aimed at reducing electricity rates by changing utility incentives. The bill would tie part of executive compensation to keeping rates below inflation, require more performance metrics, and allow the CPUC to consider lower returns on equity for certain lower-risk investments and alternative financing options. Support came from consumer, environmental, agricultural, and large energy user groups, while Southern California Edison, CalChamber, PG&E, and utility labor groups raised concerns that the bill could reduce investment, create regulatory uncertainty, and raise borrowing costs. After extensive discussion about utility affordability, wildfire costs, and capital markets, the committee passed SB 905 on a 7-1 vote to Appropriations. SB 913, also by Senator Becker, would create a clearer pathway for distributed energy resources such as batteries and smart thermostats to participate in the resource adequacy market and compete with utility-scale resources. Supporters said the bill would better use existing grid capacity, lower costs, and build on the state’s Demand Side Grid Support Program; PG&E opposed unless amended, saying the use case was not yet proven and was already being addressed in other rulemakings. After the committee accepted amendments, one opposition group moved to neutral and another said it might do so after reviewing the changes. The bill passed 8-0 to Appropriations and was placed on call. Several other measures were heard and advanced, including SB 1196 on faster utility hookups for small energization projects such as ADUs and EV chargers, SB 931 reauthorizing the Diablo Canyon Essential Services Mitigation Fund through 2028, SB 1158 reducing the frequency of joint reliability assessments from quarterly to twice yearly, and SB 1245 directing further study of California’s gasoline market and potential use of non-CARBOB fuel during supply disruptions. SB 1196 and SB 931 both passed with broad support and no opposition after amendments, SB 1158 passed without testimony, and SB 1245 drew strong support from consumer and environmental advocates but opposition from fuel industry and business groups concerned about costs, confidentiality, and fuel standards.

Transcript Highlights:

• setting and establishes that executive branch or state agency can't institute a fee or increase a fee
• setting and establishes that executive branch or state agency can't institute a fee or increase a fee
• setting and establishes that executive branch or state agency can't institute a fee or increase a fee
• setting and establishes that executive branch or state agency can't institute a fee or increase a fee
• institute a fee or increase a fee institute a fee or increase a fee without<00:59:41.200> approval

Bills: HF3919, HF1335, HF3864, HF3916, HF3728

Keywords: veterans benefits, Secret War, Laos veterans, eligibility process, burial fees, veteran designation, electronic license, driver's license, digital credential, transportation, data privacy, authentication, license plates, vehicle registration, validation stickers, Minnesota statutes, transportation policy, aeronautics, transponder, aircraft safety

Transcript Highlights:

• should be assessed on, how to calculate the fee amount, the process for collecting the fee, and where
• fee or increased user rates.
• The report outlines a range of options associated with the fee.
• And then we also plan that if there was a fee, any fee collected would be distributed as grants.
• It says that the fee may not have a direct nexus between the fee and the service received in each system

Keywords: 985, all

Transcript Highlights:

• that lensure fee. that lensure fee. 12280<00:05:03.600> is<00:05:03.759> being<00:
• >> We have received comments in favor of increasing to 25 and some concern about increasing it.
• We have received comments in favor of increasing to 25 and some concern about increasing it.
• fee to the<00:24:48.640> 66.
• registration fee. registration fee. >> Okay. >> Okay. >> Okay.

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.

Transcript Highlights:

• <00:20:29.960> several violations by both increasing several violations by both increasing
• Um, so, the main thing that the bill is doing is increasing these late filing fees and certain penalties
• these late filing doing is increasing these late filing fees<00:24:47.600> and<00:24:47.720><
• , executing some of those higher fees, executing some of those higher fees, even<00:28:31.600>
• the spending in Minnesota is increasing the spending in Minnesota is increasing just<00:30:17.320

Keywords: 1187, senate, all

Transcript Highlights:

• so we talk about basing fees on weight. so we talk about basing fees on weight.
• Uh it's now 31.8 increased.
• Those ranged from fuel tax increases or tab fee changes, as well as things around road user charges,
• > as increases or tab fee changes as well as increases or tab fee changes as well as things<00
• across the country right now is EV fees. across the country right now is EV fees.

Keywords: 919, house, all

Summary: The meeting was the first session of the Minnesota Department of Transportation’s Electricity as a Vehicle Fuel Working Group. Commissioner Nancy Doenberger opened with introductions from members representing state agencies, legislators, utilities, local governments, industry groups, advocacy organizations, and others. The group then elected its leadership: Senator Anne Johnson Stewart was nominated and unanimously elected chair, and Representative Steve Elkins was nominated and unanimously elected vice chair. Senator Johnson Stewart said she would ensure all viewpoints are heard and asked MnDOT to continue running the meeting for practical reasons. Austin Turman of the Legislative Coordinating Commission reviewed the authorizing legislation. He explained that the working group must analyze electricity used as vehicle fuel infrastructure opportunities and barriers, develop a roadmap with policy and funding recommendations for sustainable transportation funding consistent with the Minnesota Constitution, and study other states’ approaches to equitable fuel assessment methods for electric vehicles. The group’s report is due February 13 and will go to the governor and legislative transportation leaders. Turman also briefly reviewed open meeting law requirements, noting the group must operate publicly when a quorum discusses official business, though public comment is not required. Members then discussed the purpose of the group and the need to find a fair replacement or supplement for declining gas tax revenue as EVs increase. Senator Johnson Stewart emphasized balancing system funding needs with user-based fairness, including differences in vehicle weight and road use. Representative Murphy stressed the need to consider rural Minnesota, taxpayer impacts, and current science, including climate and CO2 issues. Drive Electric Minnesota said EV drivers should pay their fair share and not be overburdened, while the Department of Revenue said it wants to administer the new EV charging-station tax fairly. A trucking representative highlighted that passenger vehicles and freight vehicles have very different operating and charging needs, suggesting the group consider those differences in any fee structure.

Transcript Highlights:

• So, by increasing the cost to register a car, that's user fee.
• It's a tax because if you're taking money for a user fee by increasing some of these fees are increasing
• Were the fees going into the regulatory services fund also increased?
• Um, we ended up increasing, I think, five different fees, and we in fact added one fee for pet transfers
• Um, they collect a large number of different fees. We increased a number of those fees.

Keywords: 928, house, all

Summary: The meeting was a House budget briefing focused on the overall state budget and the first of three divisions. The presenter reviewed the size and structure of the budget, noting that the state had eliminated the interest and dividends tax and still balanced the budget. He explained the major spending categories in the general fund and total budget, emphasizing that health and human services and education remain the largest areas, while transportation is largely self-funded. He also walked through the revenue picture, including business taxes, insurance taxes, court fees, communications taxes, and Medicaid recoveries, and said the remaining interest and dividends tax revenue reflected late payments from prior assessments. Members asked about the size of the tax cut from eliminating the interest and dividends tax, federal funding stability, and why Medicaid was being reduced if federal support was expected to remain steady. The response was that the lost revenue would have been about $200 million absent repeal, and that the budget gap was addressed through many small cuts across departments. On federal funds, the presenter said most aid is tied to multi-year grants and that core programs such as Medicare and Medicaid were expected to remain relatively stable, though some federal reductions could occur. He also said some agency reductions came from eliminating long-vacant, funded positions and from expected lapses. The discussion then moved into Division One, which covers smaller and miscellaneous agencies. The division made cuts to the governor’s office, eliminated a temporary position at the Governor’s Commission on Disability, reduced Department of Information Technology spending through a back-of-budget cut, and found savings in Administrative Services. It also delayed maintenance at the Sununu Youth Services Center, stopped advertising for paid family medical leave, changed retiree health insurance funding, and consolidated several personnel-related boards into one. The division eliminated the Commission on Aging and the Office of the Child Advocate, made a temporary special education advocate position permanent, reduced the Secretary of State’s budget, kept municipal rooms-and-meals distributions flat, and made changes to the retirement system, including $55 million to improve Group 2 retirement benefits and a new retirement structure for future state hires. The judicial branch was also asked to find savings and received two additional judges because of expected caseload increases from other eliminations.

Transcript Highlights:

• <00:09:01.200> water cost unfortunately in increased water cost unfortunately in increased
• are<00:18:27.760> already several environmental fees are already several environmental fees
• figure out the universe of uh or fee figure out the universe of uh or fee payers.<00:19:26.799><
• level, proposed tariffs could increase level, proposed tariffs could increase the<00:28:33.200><
• increases don't just affect companies. increases don't just affect companies.

Keywords: 1187, senate, all

Transcript Highlights:

• It's not a fee assessed by the department.
• So it really is a bill that's going to increase...
• That's all taken care of by the professional dispensing fee.
• to the Louisiana Medicaid dispensing fee.
• And this will definitely increase the cost to patients.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• So they clamped down on counties increasing any fees, and it was the same for the cities.
• As you can tell by this year, we are all in on fees. Let's increase fees all across the board.
• Every single department has increases in fees that impact people disproportionately of modest incomes
• on counties increasing any fees.
• As you can tell by this year, we are all in on fees. Let's increase fees all across the board.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• It increases peer connectedness. It increases help-seeking behaviors.
• So, we had an increase in March and we're increasing above and beyond.
• So, we had an increase in March and we're increasing above and beyond.
• in your fee?
• increase in your fee? increase in your fee?

Keywords: 958, all

Summary: The committee met with a quorum and first approved the minutes from its May 13 meeting. Members then reviewed a deferred contract with the Kentucky Board of Pharmacy for the Kentucky Pharmacist Recovery Network (KYPRN), a program that provides monitoring and support for pharmacists and pharmacy interns with substance abuse or mental health issues. Board representatives explained that the contract is a long-running arrangement, renewed periodically, with an option for two additional two-year renewals. Senators asked about the program’s structure, participation trends, follow-up, and consequences for noncompliance. The board said enrollment has remained fairly consistent at about 52 participants, with roughly 500 participants over the life of the program, weekly and monthly check-ins during the five-year typical enrollment period, and possible additional sanctions if participants fail to meet obligations. The committee then approved the contract. The committee next considered a group of economic development contracts, including items from the Cabinet for Economic Development. Secretary Jeff Null and general counsel Matt Wingate testified about contracts tied to regional innovation and entrepreneurship hubs. Members focused on the large differences in funding between regions and pressed for more support for rural and eastern Kentucky. Null said the cabinet is working on a more tailored, non-one-size-fits-all approach, including possible changes to capital support, build-to-suit options, and additional resources for rural areas. He said the hubs have helped 193 startups over the last two years and helped attract nearly $350 million in private capital, and he agreed to provide a written report by hub district on startup viability. The committee approved the economic development contracts. The Kentucky Lottery Corporation then presented its contracts with vendor IGT for retail and internet sales systems. Lottery officials said the contracts are mission-critical, cover both the traditional retail system and iLottery, and are structured as a percentage of sales so no payment is made until revenue is earned. They described planned equipment upgrades, including refreshed terminals, new ticket checkers, cashless vending and bill acceptors, and connected-play features that would link retail and online wallets. Officials said keeping the same vendor reduces the risk of business disruption and that the arrangement has already produced cost savings. They also said the lottery continues to see year-over-year growth and expects to meet its annual contribution target of $360 million for scholarships and grants. The committee approved the lottery contract after discussion.

Transcript Highlights:

• would, that fee would be. have a license with a fee that would be self-sustaining.
• Fees from time to time really make a lot of sense.
• If new or increased fee ordinances are implemented with no subsequent changes to approved plans or subdivision
• Um, so the impact fees, I just first want to be clear that the impact fees are not the big bad city charging
• Just to give you an example of some of these fees.

Bills: HB2072, HB2251, HB2279, HB2308, HB2323, HB2342, HB2400, HB2408, HB2456, HB2660, HB2697, HB2868, HB2873, HB2877, HB2910, HB2946, HB2955, HB2991, HB4001, HB4010

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Summary: The committee first heard House Bill 2308, which would prohibit dental insurers and their holding companies from owning dental practices or other businesses regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and payer control over provider care, while Delta Dental of Arizona opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create regulatory burdens. After discussion about private equity ownership in dentistry and whether nonprofit insurers should be exempted, the committee voted 7-0 to give HB 2308 a do pass recommendation. The committee then took up House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, restricts youth-targeted marketing, and increases penalties for selling to minors or manufacturing/distributing without a license. Supporters, including the sponsor, Border Security Alliance, and industry representatives, said the bill would improve supply-chain transparency, curb illegal products, and strengthen youth access enforcement. Opponents, including the American Cancer Society Cancer Action Network, argued the bill should instead create a full tobacco retail licensing system and include broader nicotine definitions, while also warning that enforcement resources would be insufficient. The committee adopted the amendment and then approved the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The bill allows a person or organization that files a city or town referendum petition to withdraw it before it qualifies for the ballot, with retroactive application to withdrawals filed beginning January 1, 2026. The committee then heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality rules, investigation timelines, expungement authority, and board oversight of nursing education programs. The sponsor said the bill responds to long-standing audit findings and aims to improve fairness and timeliness, while nursing board officials opposed provisions affecting education oversight and warned about patient safety, costs, and liability. Nurses and other supporters described delayed investigations and the need for expungement relief. The committee adopted the amendment and passed HB 2408 on a 5-2 vote. Additional bills heard included House Bill 2342, which limits HOA restrictions on backyard shade structures and related installations; it passed 7-0 after supporters described a family hardship case and committee members criticized HOA overreach. House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, also passed unanimously after testimony from the sponsor, attorneys, and a consumer describing repeated repair failures on a leased vehicle. The committee also began hearing House Bill 4010, which would establish a Board of Genetic Counselors under the Arizona Board of Osteopathic Examiners and set licensure and disciplinary rules, but the transcript ends before any final action on that bill.

Transcript Highlights:

• This regulation has staff-suggested amendments. 2011 KR 3101 amends to increase fees for application
• fees for application from $150 increase fees for application from $150 to<00:04:53.919> $225.
• vote to increase fees up to established vote to increase fees up to established thresholds<00:05
• So we had increased fees two years ago, and we've had diminishing attendance or membership, as well as
• And so we have increased fees and, uh, increased fees of cost to the board, but then also we have decreasing

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Transcript Highlights:

• Fees, okay. At that point, the rules have got to be set. Safety first. Fees, okay.
• "With a mitigation fee. And the fee is important for two reasons.
• And are we increasing how much we have to generate? Are we increasing the transmission line?
• Rubio Canyon Land and Water Association has a proposed 11% rate increase in fire recovery fees of up
• the basic understanding of how these rate increases and fees they are required to pay go toward their

Keywords: 988, house, all

Transcript Highlights:

• And then we use assessment fees, which is what's on your screen.
• Does every hospital pay an assessment fee?
• So the fees are used as the state share.
• So the fees are used as the state share.
• It's a standard fee? Yes, sir. I don't know if I would use the word standard.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• We're increasing the building renewal fund.
• A so that the fees collected are at the emission fee level on June 30, 2025, and finally the bill limited
• A so that the fees collected are at the emission fee level on June 30, 2025, and finally the bill limits
• fees from the universities.
• And we're increasing the maximum eligible grant amount.

Summary: The meeting covered a series of fiscal year 2027 budget and budget-related bills, beginning with the general appropriations and tax package. Staff and the chair highlighted a budget built around about $1.4 billion in tax cuts, a one-time 2.5% agency reduction, major funding for state employee health insurance, corrections, flood and wildfire relief, and other supplemental appropriations. The chair repeatedly urged support for the package, emphasizing the size of the tax cut and noting that the committee’s joint vote had only three no votes out of 28 members. Members then reviewed several smaller budget implementation bills affecting racing and gambling, capital outlay, commerce and defense innovation, corrections, environment and water policy, higher education, human services, K-12 education, county finance, tax administration, state data governance, and state office rent rates. Key provisions included extending or modifying funds and fee structures, transferring surplus or unneeded monies, creating or revising oversight boards and pilot programs, increasing K-12 funding by 2% for inflation, adjusting university retention limits, expanding SNAP and housing-related requirements, and changing tax conformity and credits. Several members asked clarifying questions about specific items such as electric vehicle charging funds, mobile home relocation payments, university funding, and the new health insurance oversight board. The chair also explained the tax bill’s major changes, including conformity to federal tax law, a larger dependent tax credit, changes to deductions, repeal of certain tax credits, veteran property tax relief, limits on data center tax incentives, and provisions affecting manufacturing infrastructure and unemployment insurance administration. The committee discussed the Budget Stabilization Fund, debt repayment, and education rollover balances, with the chair arguing for using surpluses to pay down debt. The final item discussed was a behavioral health bill creating a home and community-based services program for adults determined to be seriously mentally ill, with a stated FY 2027 total fund appropriation of $7.8 million contingent on federal approval and matching funds. The meeting ended with a reminder that floor action would begin the next day at 10 a.m.