Transcript Highlights:

• So Dan, when you are ready, if you'd like to come on screen and present.
• So Dan, when you are ready, if you'd like to come on screen and present.
• So Dan, when you are ready, if you'd like to come on screen and present.
• So Dan, when you are ready, if you'd like to come on screen and present.
• If Dan would like to come on screen, unmute yourself.

Keywords: 1187, senate, all

Transcript Highlights:

• provider, doctor, or other providers physically examining the patient and performing services like screening
• provider, doctor, or other providers physically examining the patient and performing services like screening
• provider, doctor, or other providers physically examining the patient and performing services like screening
• provider, doctor, or other providers physically examining the patient and performing services like screening
• Like lead screening, it has to be done in person.

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• children or children in continuing care who have not yet reached 21 years of age from background screening
• requirements to reduce duplicative screening.

Transcript Highlights:

• . >> Yeah, CERS is, you know, on the screen it's relatively de minimis.
• So I'm just trying to think through all of the inputs to this. >> Yeah, CERS is, you know, on the screen
• Yeah, CERS is, you know, on the screen it's relatively de minimis.
• It's not even on my radar screen.
• We don't have even on my radar screen.

Keywords: Meeting Start: 00:00:00 Attendance Roll Call: 00:00:12 Approval of Minutes: 00:01:34 Actuarial Valuation Update – KPPA: 00:02:10 Actuarial Valuation Update – TRS: 00:25:32, 958, all

Summary: The meeting began with roll call, confirmation of a quorum, and approval of the prior minutes. The main presentation was from KPPA officials Ryan Barrow and Erin Saratt on the annual actuarial valuations for the retirement and insurance systems. They said the systems’ funding status improved overall, with three of five insurance funds fully funded, CERS hazardous dropping from over 100% funded to 90.9% because of premium changes, and KRS receiving $650 million in supplemental funding over the biennium. They also reported strong investment returns above assumed rates, higher payroll and membership counts, and resulting actuarial losses tied to higher salaries and premiums, especially on the insurance side. Members asked several questions about what drove the actuarial losses and whether legislation affected them. KPPA said the CERS insurance loss was driven by premium increases and Senate Bill 10, while the pension-side losses were largely due to higher payroll and benefits for Tier 1 and Tier 2 members. They explained that new Tier 3 employees are designed to add no additional unfunded liability, and that the state administers the systems but does not directly control all hiring. Questions also focused on retiree health premiums, which KPPA said rose about 15% for non-Medicare retirees and 38% for Medicare retirees, with the increase attributed to utilization, prescription costs, and the Inflation Reduction Act. The committee then heard from TRS Deputy Executive Secretary and General Counsel Beau Barnes on the 2025 TRS actuarial valuation. He reported that the Retirement Annuity Trust and Health Insurance Trust both received full funding, the retirement trust’s funded ratio improved to 61%, TRS 4 remains well funded with no liability, and the health insurance trust improved to 89.1%. Barnes said TRS is on track to fully fund legacy liabilities within the amortization period, with 2044 as the point when the system reflects 100% funding and 2046 as the last year needing additional dollars for the legacy liability. He also explained that lower assumed investment returns and updated mortality assumptions increased liabilities, but that TRS uses direct rate smoothing for budgeting purposes. At the end of the meeting, the chair circulated a proposed set of “do’s and don’ts of pensions,” emphasizing that future legislation should not create unfunded liabilities. Barnes also noted he would later discuss several legislative proposals for the 2026 session, but the transcript provided ends before that discussion or any votes on those proposals.

Transcript Highlights:

• And as I showed you on the previous screen, in the vast majority of instances in the office, that means
• 39.039> the<00:08:39.200> vast<00:08:39.519> majority<00:08:40.000> of screen
• , in the vast majority of screen, in the vast majority of instances<00:08:40.640> in<00:08:40.880
• The next document that we submitted—apologies, it's not on the screen here—these are the provider types
• Uh, leadership indicated to us that there's a way to have tasks that come up on your computer screen

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Once you get on the screen, go ahead and state your name for the record and proceed.
• Once you get on the screen, go ahead and state your name for the record and proceed.
• Hello, I think I'm on the screen. Yes, you are. Okay.
• Hello, I think I'm on the screen. Yes, you are. Okay.
• so we can follow the screen so we can follow along<00:52:46.559> I'm<00:52:46.680> going

Bills: HF1966, HF54, HF2043, HF1171, HF2741

Keywords: HF1966, Minnesota Association of Alternative Programs, STARS program, alternative education, alternative programs, education finance, general fund appropriation, student support services, career readiness, employment skills, academic skills, social skills, student conferences, training grants, Minnesota Department of Education, specialized education, at-risk students, nontraditional education, HF54, Silver Lake

Transcript Highlights:

• Um, there's a green screen. I don't know if you've all seen the green screen.
• There's a green screen and there's a ton of paperwork, and there's a bunch of county staff that have
• Um, there's a green<01:16:24.239> screen.
• I don't know if you've all green screen.
• . there's a green seen the green screen. there's a green screen<01:16:28.000> and<01:16:28.239

Keywords: 1183, house

Transcript Highlights:

• for the men, I have a recovery case manager that does all the women's phone screens.
• I try to keep some distance, but when I do a phone screen, I always recommend a minimum of six months
• women's phone screens.
• I try to keep some distance, but when I do a phone screen, I always recommend a minimum of six months
• women's phone screens.

Keywords: 928, house, all

Summary: The House Municipal and County Government subcommittee met on February 19, 2025 to gather additional information on House Bill 432, which concerns recovery houses. The first witness, State Fire Marshal Sean Tumi, said his office had worked with stakeholders for more than a year on the bill’s definition changes and supported the revised definition. He explained that the bill removes vague language such as “safe, healthy, family” and instead relies on fire-code requirements and certification standards, including a primarily non-transient dwelling unit and living as a single household. He distinguished recovery houses from boarding or rooming houses and from other congregate settings such as group homes or transitional housing, saying those other uses do not currently have the same exemptions. Members questioned Tumi about fire safety, inspections, smoke alarms, egress, and whether sprinklers should be required. He said recovery houses are inspected by the fire marshal’s office and local fire departments, with annual inspections under state fire code provisions, and that operators must work with a certifying body. He described the inspection process as checking alarms, extinguishers, heating systems, cooking equipment, street numbers, and no-smoking rules, and said new houses are generally given time to obtain certification. He also said he would prefer sprinklers everywhere but believed mandating them for these existing structures would likely shut down many recovery houses and significantly harm the recovery community. Bill McKenny of the New Hampshire Building Officials Association then testified in support of HB 432. He said recovery housing is an important step after treatment and that the 2024 code changes and the bill help align state law with federal disability law. He emphasized that certification through a recognized organization gives code officials confidence that standards are being monitored, and warned that if a recovery home loses certification it would lose the waiver from sprinkler requirements and could be treated more like a boarding or rooming house. No vote or final action was taken at this meeting.

Transcript Highlights:

• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.
• So at my pharmacy we um do cholesterol screenings, we do A1C screenings.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• . >> Madam Chair, if I may, on the screen there, the road track, you can kind of see the uh it's not
• And then the flat track is over on the left part of the screen where it says Leech driving track.
• >> Madam Chair, if I may, on on the screen >> Madam Chair, if I may, on on the screen
• <00:26:17.919> where<00:26:18.159> it on the left part of the screen where it on the
• left part of the screen where it says<00:26:18.480> leech<00:26:18.799> driving<00:26:

Keywords: Opening and Roll Call 00:28 Public safety Cabinet 01:09 Juvenile justice MH Facility: 04:30 Department of Corrections Repair and Replacement: 10:29 Department of Criminal Justice Flat Track 19:05 KSP : 27:02 Department of Public Advocacy : 37:35, 958, all

Summary: The subcommittee heard capital project requests from the Justice and Public Safety Cabinet for fiscal years 2026-28. The cabinet described its large statewide footprint and said its facilities face significant deferred maintenance, with the governor’s budget proposing full funding for maintenance pool requests, including an additional $60 million for the Department of Corrections’ maintenance pool and cash funding through investment income. Officials said the projects were based on facility assessments and were presented as necessary public safety investments rather than wish-list items. For the Department of Juvenile Justice, the main requests were $35 million for a high-acuity mental health treatment facility and $45 million each for two new female detention facilities. Officials said the mental health facility would fill a gap for youth needing psychiatric care, while the female facilities were needed to support a regional detention model and address overcrowding; they noted the current female population has grown by 50% since July 2024. Members asked about locations, and staff said they were considering western Kentucky abandoned mine land and available land in Fayette and Jefferson counties, with current female placements in Boyd County and Warren County. For the Department of Corrections, officials requested funding for critical mechanical, electrical, plumbing, roof, and structural repairs, including $15.78 million for Kentucky State Penitentiary utilities infrastructure and additional funding for North Point Training Center projects. They also highlighted two re-entry initiatives: a KCTCS partnership for a re-entry campus at North Point and the East Kentucky Applied Manufacturing Institute at Eastern Kentucky Correctional Complex, both aimed at reducing recidivism through intensive training and job preparation. Members asked about the KCTCS re-entry model, and DOC explained it would be a more immersive, campus-style program than current prison-based vocational classes. The Department of Criminal Justice Training discussed projects at its Richmond campus and the planned Western Kentucky Training Center, including a replacement flat track and campus access road at Richmond and added training features in Madisonville. Officials said the Richmond changes were needed because EKU construction had removed the existing flat track and would affect access, while the Western Kentucky project would expand training capacity and reduce travel for law enforcement agencies. The Kentucky State Police then outlined the final phase of the statewide emergency radio system replacement, estimated at about $17.5 million, and said the system is being built in geographic phases; members asked how long completion would take, and staff estimated roughly four years after funding, assuming no major inflation spikes. No votes were taken, and the meeting remained informational with member questions and staff responses.

Transcript Highlights:

• I'm going to go ahead and stop sharing my screen. I'll start with you.
• We're cutting the health and environmental checklist from. 28 to 16 items, reducing the home screening
• How did a plan do on a certain measure, like diabetes control, cervical cancer screening, well child
• We are creating flags that pop up on a screen where something. in that screen is often either reported
• So you were talking about kinship care and reducing the crisis. home screening criteria.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• Before issuing a loan, the SBA will screen applicants on the government's do-not-pay list and then check
• WILL SCREEN APPLICANTS ON THE GOVERNMENT'S DO-NO-PAY LIST AND THEN CHECKS ITS INTERNAL DATABASE FOR FRAUDULENT
• businesses stay open and thrive, but instead these fraudsters took advantage of the lax application screenings
• businesses stay open and thrive, but instead these fraudsters took advantage of the lax application screenings
• businesses stay open and thrive, but instead these fraudsters took advantage of the lax application screenings

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 24, 2025, 1012, house, all

Transcript Highlights:

• sound processors for a cochlear implant or an osseointegrated hearing device; and conducting health screenings
• device, hearing device, hearing device, conducting<00:03:18.440> health<00:03:18.680> screenings
• conducting health screenings. conducting health screenings.
• non-radiographic imaging, using a video otoscope or digital ear scanner, conducting basic health screenings
• non-radiographic imaging, using a video otoscope or digital ear scanner, conducting basic health screenings

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• One, I just want to get on your radar screen, something that I think reflects in the Assembly's point
• And so I just want to get on the radar screen.
• And I just wanted to get that on the radar screen.
• I have one thing I want to get on the radar screen for the secretaries. if I could and that is a request
• I want to get on your radar screen. We are very interested in.

Keywords: 988, house, all

Transcript Highlights:

• systems and networks, which support all of the criminal justice agencies and provide the background screening
• But it's also comprehensive in being able to help us collect information about the screenings and the
• When a kid goes to detention, I talked about the screening.
• You know, at a bare minimum, our assessment centers are really intended to do the screening to determine
• At a bare minimum, our assessment centers are really intended to do the screening to determine detention

Summary: The committee met to hear an overview of the Appropriations Committee on Criminal and Civil Justice budget area and then received performance-measure presentations from the Department of Corrections, the Commission on Offender Review, and the Department of Juvenile Justice. Staff reviewed the roughly $7.4 billion criminal justice and judiciary budget, noting major funding areas such as corrections, law enforcement, victim services, courts, and due process, along with recent investments in prison health care, security equipment, fentanyl enforcement, court staffing, and juvenile justice salaries and education programs. Secretary Dixon of the Department of Corrections described staffing and population pressures, including growth in inmate population, overtime-driven deficits, and the opening of additional housing units. He emphasized the department’s use of performance measures and highlighted reforms such as incentivized prisons, administrative management units, reentry planning, faith-based programs, and expanded education and vocational training. Members asked about teacher hiring, public defender pay parity, fentanyl funding, staffing capacity, and the role of the National Guard; Dixon said teacher vacancies had improved, public defenders had received comparable pay increases, fentanyl funding would be addressed further by FDLE, and the Guard had helped stabilize staffing. The Commission on Offender Review reported on parole, conditional release, addiction recovery supervision, and revocations, saying its recidivism/success rates had improved over a three-year measurement period. Senator Rouson pressed the commission on clemency and pardons, saying that work was omitted from the presentation and asking for backlog and case data; the commission said it did not have those figures on hand and would follow up. The committee also discussed a conditional medical release pilot study, and members questioned the report’s conclusion that no suitable elderly inmate population could be identified, asking what criteria were used and whether stakeholders were consulted. Secretary Hall of the Department of Juvenile Justice outlined the agency’s prevention-to-residential continuum and its emphasis on education, data-driven decision-making, and evidence-based programming. He said salary increases had reduced vacancies, juvenile arrests and residential commitments had fallen sharply over time, and tools such as civil citations, risk assessments, and quality-improvement reviews were being used to guide placements and services. Hall also described the department’s use of dashboards, monthly data check-ins, and the dispositional matrix to improve outcomes and reduce recidivism.

Transcript Highlights:

• I'd like to announce that a screening of Missouri's first feature film, Soul on Fire, will be tonight
• It's a particularly special scheduled screening for us. This was Missouri's first feature film.

Keywords: 959, house, all

Transcript Highlights:

• IT INCLUDES THE SUNSHINE GENETICS PROGRAM WHICH WOULD BE PROGRAM THAT WOULD PROVIDE NEWBORN SCREENING
• SELECT LOCATIONS ACROSS OUR STATE THE INSTITUTIONS ARE PREPARED FOR THE LEVEL OF SCREENING THAT WOULD

Keywords: 999, senate, all

Transcript Highlights:

• Um, the initial referral at the time of the fatality was screened out, and multiple prior cases on this
• family were screened out as well, and there was a lack of a thorough investigation at the time of the
• inadequate documentation, or drug screen inadequate documentation, or drug screen was<00:13:37.600
• Okay, can everybody see my screen? >> Yes. >> Okay, so like I said, my name is Brooke.
• Okay, can everybody see my screen? Okay, can everybody see my screen? >> Yes.

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• 00:02:22.080> the these various diseases to be on the these various diseases to be on the screening
• :23.640> know<00:02:23.959> that<00:02:24.120> work<00:02:24.280> is screening
• panel I know that work is screening panel I know that work is being<00:02:24.680> done<00:02:
• Please pass this bill and add MLD to the newborn screening panel. Thank you. Thank you so much.
• I just hope that all members can be strong supporters of the newborn screening program.

Keywords: 1183, house

Transcript Highlights:

• If you look at the screen, you'll see in the center the model molecule.
• If you look at the screen, you'll see in the center the model molecule.
• If you look at the screen, you'll see in the center the model molecule.
• If you look at the screen, you'll see in the center the model molecule.
• If you look at the screen, you'll see in the center the model molecule.

Keywords: 1187, senate, all