Transcript Highlights:

• :00.560> that<00:14:00.880> mean<00:14:01.760> from<00:14:01.920> a<00:14
• that um<00:14:06.560> you<00:14:06.720> know<00:14:06.800> I<00:14:06.959> I
• > uh<00:14:09.360> this<00:14:09.600> venue<00:14:10.000> is<00:14:10.240>
• > think<00:14:14.800> Moab<00:14:15.440> is<00:14:15.600> a<00:14:15.839>
• > policy<00:14:19.680> that<00:14:20.000> goes<00:14:20.320> around<00:14

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:

• <00:14:01.519> But<00:14:01.680> that<00:14:01.839> website<00:14:02.160>
• > plan<00:14:09.040> as<00:14:09.279> you<00:14:09.440> go<00:14:09.600>
• currently.<00:14:22.000> And<00:14:22.160> as<00:14:22.399> we<00:14:22.560>
• Uh we will<00:14:29.040> update<00:14:29.360> here<00:14:29.680> hopefully<00:14
• c><00:14:34.720> up<00:14:34.880> for<00:14:35.040> updates<00:14:35.440> or<

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• our charter, set a clear framework and timeline to deliver recommendations to the legislature by October
• The full report will be submitted by October 28, 2025, with support from the Washington State Broadband
• And I would imagine—I have four kids ranging from 3 to 14—I mean, you know, in their lifetime, we're
• And I would imagine, I have four kids ranging from 3 to 14, I mean. you know, and I would imagine, I
• have four kids ranging from three to 14, and I would imagine in their lifetime, we're going to figure

Summary: The committee held a work session focused on technology in government, AI, broadband, and digital equity. Seattle CTO Rob Lloyd described the city’s AI strategy, emphasizing responsible use, privacy, security, community input, and data strategy. He said Seattle is using small pilots and partnerships to test AI for tasks such as public records processing, infrastructure inspection, and permitting, while keeping humans as the final decision-makers. Members asked about bias, liability, training on best practices, labor involvement, and public records; Lloyd said AI should remain an assistant tool, not a replacement for human judgment, and that Seattle is still testing solutions for records requests and permitting. WATech CTO Nick Stow and Deputy Director Mark Quimby discussed the state’s broader AI policy, the generative AI executive order, a sandbox with more than 15 agencies, and use cases including a resident portal, cybersecurity, and wildfire detection. They stressed consent, closed systems, human-centered design, and the need to govern all forms of AI, not just generative AI. Committee members raised concerns about federal data access, labor issues, and wildfire detection effectiveness. Spokane County IT staff described a more restrictive approach to AI, citing privacy, bias, and cyber risks. The county standardized on Microsoft Copilot as its only approved chat-style AI tool, blocked other AI chat platforms, and requires human review of all AI-generated content. They said AI is also being used by criminals for phishing and deepfakes, underscoring the need for strong policy and security controls. The committee also received an update from the Attorney General’s AI Task Force. Yuki Ishizuka said the task force has 19 members and eight subcommittees covering ethics, consumer protection, labor, health care, public safety, education, government efficiency, cybersecurity, and industry/energy. The task force is working toward an interim report due December 1, 2025 and a final report due July 1, 2026, and is reviewing recommendations through public forums and advisory committees. Ishizuka warned that a federal budget reconciliation provision could bar states from enforcing AI regulations for 10 years, and several members voiced support for state authority and asked about possible 2026 legislation. The committee then heard updates on broadband and digital equity. Commerce’s Dave Pringle said the BEAD broadband program is being reshaped by new NTIA guidance, which removed or reduced emphasis on several prior priorities, and Washington is now working under an expedited process to submit its state application by September 4. He noted that no projects have been built yet, that four counties did not receive applications in round two, and that the state is trying to keep applicants engaged through office hours and a shortened review window. The Office of Equity and the Digital Equity Forum reported increased participation, new members, and ongoing outreach to tribal, rural, and underserved communities, while previewing recommendations such as creating an interdepartmental digital equity team and improving data use. Finally, Lumen’s Robert Thoms described private-sector broadband deployment challenges, including permitting, regulation, and the economics of extending fiber, while noting continued investment in overbuild projects, a $30 low-cost service option tied to the former ACP, and work with the state, tribes, and libraries. No votes were taken; the meeting consisted of presentations and member questions.

Transcript Highlights:

• <00:14:15.440> um<00:14:16.000> by<00:14:16.480> June<00:14:16.880> July<
• > of<00:14:17.920> each<00:14:18.079> year,<00:14:18.399> districts<00:14
• <00:14:20.639> to<00:14:20.959> us<00:14:21.519> uh<00:14:21.600> on<
• > July<00:14:27.120> 1st<00:14:27.360> to<00:14:27.519> June<00:14:27.760>
• :14:57.600> the<00:14:57.839> 2425<00:14:58.959> school<00:14:59.279> year.

Keywords: 1187, senate, all

Transcript Highlights:

• > and<00:14:15.440> then<00:14:15.600> you<00:14:15.720> can<00:14:15.880>
• <00:14:23.920> to<00:14:24.120> go<00:14:24.320> off<00:14:24.519> of
• it no eligible uh grantees and submit it no later<00:14:41.120> than<00:14:41.360> October
• c><00:14:43.079> their later than October 3rd to Nia for their later than October 3rd to Nia for
• 14:11.520> yes<01:14:11.719> we<01:14:11.840> can<01:14:12.600> uh<01:14:

Keywords: 1187, senate, all

Transcript Highlights:

• :48.880> after<00:14:49.199> we<00:14:49.440> have<00:14:49.600> let<00:14
• <00:14:51.360> And<00:14:51.600> so,<00:14:52.160> going<00:14:52.399> back
• And so, going back to that<00:14:52.880> early<00:14:53.199> contractor<00:14:53.760>
• engagement, we will<00:14:54.880> have<00:14:55.040> sought<00:14:55.760> uh<00:
• :58.240> have<00:14:58.399> looked<00:14:58.560> at<00:14:59.279> uh<00:14

Keywords: 00:05 Call to Order and Roll Call 01:20 Road Projects 46:30 Approval of Minutes 46:50 Railroads 57:26 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met without a quorum, so it could not approve the minutes. The chair announced an Eastern Kentucky University health forum later that day and then proceeded with testimony on alternative delivery methods for road projects. Jason Sawala of the Kentucky Transportation Cabinet and Chad Laroo of the Kentucky Association of Highway Contractors were sworn in and introduced themselves. Sawala explained KYTC’s use of alternative delivery tools, including design-build, construction manager/general contractor (CMGC), and public-private partnerships (P3s). He said the cabinet’s goal is to deliver the best value to taxpayers in terms of quality, cost, and time, and emphasized that alternative delivery is most useful on projects with special circumstances such as innovation needs, specialized technology, complex constructibility, schedule pressure, or early contractor input. He cited the cabinet’s wrong-way driving prevention project as an example where design-build helped evaluate technologies and coordinate with stakeholders such as EMS and first responders. He also outlined the main tradeoffs: alternative delivery can improve collaboration and sometimes accelerate schedules, but it also brings risks related to right-of-way acquisition, utility relocation, changing scope, and the need for dedicated staff and compressed decision-making. He stressed that these methods are not a cure-all and are not appropriate for every project, while noting that traditional design-bid-build remains effective for most of KYTC’s work. Representative Branscum responded favorably, saying early contractor involvement is valuable and consistent with his experience in the vertical construction world. No votes or formal actions were taken because the committee lacked a quorum.

Transcript Highlights:

• So in early November, actually late October, we'll be updating the national economic forecast.
• So there's a meeting this month, likely expectation that they'll reduce rates in October, then again
• Effective October 1, 2025, the law makes certain services a retail sale, and I list those here.
• entered into prior to October 1st.
• And we're dedicating staff and prioritizing those 58, 14.

Summary: The committee first received a presentation from Dr. Reich on the Economic and Revenue Forecast Council (ERFC), including how the council’s joint executive-legislative forecasting process works, the main state revenue sources, and recent economic conditions. He said Washington’s economy is slowing, with weak employment growth, softer taxable sales, and uncertainty from tariffs, federal spending, and the federal shutdown. He also noted that the September forecast was reduced, mainly because of lower sales tax and real estate excise tax collections, and that the state still expects modest growth rather than a recession. Members asked about whether Washington tends to lag national downturns and how forecast information should affect budgeting; Dr. Reich said the forecast is a revenue tool, not a budgeting decision, and that spending choices remain with elected officials. The Department of Revenue then presented on Washington’s sales and use tax structure and the implementation of Senate Bill 5814, which expands retail sales tax to several services effective October 1, 2025. Steve Ewing explained how sales and use tax are sourced, how reseller permits and the multiple points of use exemption work, and how the new law applies to live presentations, temporary staffing, investigations and security services, IT services, custom website development, advertising services, and custom software. He said DOR held listening sessions, issued interim guidance, and set up a centralized landing page and outreach efforts to help taxpayers understand the changes. He also described a six-month grace period for certain pre-existing contracts through March 31, 2026, but said penalties and interest still apply under the statute. Committee members raised concerns about how businesses and individuals will know when a service is taxable, who is responsible for collecting and remitting tax, and how sourcing will work for services delivered across multiple locations or online. DOR staff walked through examples involving accounting services, live lectures, virtual events, advertising campaigns, and search engine marketing, including the use of reasonable allocation and pool codes when exact sourcing data is unavailable. Members also questioned the administrative burden on small businesses and professionals newly subject to tax, and whether additional legislative fixes or relief from penalties and interest may be needed. No votes or formal actions were taken in the work session.

Transcript Highlights:

• It<00:14:04.480> would<00:14:04.720> just<00:14:04.959> allow<00:14:05.360> them
• > pay<00:14:33.360> the<00:14:33.600> 9%<00:14:34.240> that<00:14:34.480>
• <00:14:36.320> So<00:14:36.560> if<00:14:36.800> we<00:14:36.959> return<
• <00:14:39.199> of<00:14:39.360> the<00:14:39.519> stated<00:14:40.000> salary
• > employer<00:14:45.839> rate<00:14:46.480> as<00:14:46.800> stated<00:14:47.199

Keywords: Finance - Room 216, 2 February, 2026; 3:00 PM, 925, all

Summary: The committee first heard a bill concerning tax increment financing (TIFs). The sponsor explained that the measure would not change the existing financing structure, but would add an optional arrangement cities could negotiate with developers: a revenue bond guaranteed by taxes generated from the development. The goal was to let developers guarantee the bond and access funds sooner on the front end of a project rather than waiting to see whether tax revenues meet projections. After no questions, the committee adopted a motion that the title was sufficient and reported the bill out do pass as a committee substitute. The next bill, Senate Bill 2873, came from the Department of Revenue and dealt with enforcement of the state’s vape registry law. The sponsor said the bill fills a gap left by prior legislation by creating a statutory forfeiture process for seized products valued at $20,000 or less, including notice, a right to contest, and rules for disposition of forfeited property. The committee then moved the bill title sufficient and do pass, and it was reported out. Senate Bill 2894 addressed local improvement projects funded in 2021 through 2024 that had not been executed or had unspent money remaining. The bill would require return of certain funds after a memorandum of understanding was not signed or after three years with unspent balances, require remittance of unspent interest, allow withholding of some city diversion or state aid road funds for noncompliance, and require periodic status reports to the Legislative Budget Office. The sponsor also offered an amendment giving entities 60 days from the bill’s effective date to request a one-time six-month extension; the amendment and the bill both received favorable votes and were reported out. Senate Bill 2910 would require employers in the PERS system to settle the books if a unit of government or other employer terminates participation. Senate Bill 2911 proposed a new return-to-work option for PERS retirees, shortening the separation period from 90 days to 30 days and allowing certain retirees to return to public employment at up to 80% of the stated salary, with employer-paid retirement contributions and possible health insurance support. The sponsor said the bill would exclude elected officials, K-12 superintendents, and IHL/community college administrators, and he discussed the bill’s expected effect on PERS funding with questions from members about actuarial impact and whether the proposal would affect existing retirement rules. Both bills were discussed but the transcript excerpt does not show final committee action on Senate Bill 2911.

Transcript Highlights:

• An act establishing Indigenous People's Day would redesignate the second Monday in October as Indigenous
• I'm only talking about this second Monday of October and the designation as Columbus Day.
• It just simply states that the second Monday in October would be called Indigenous Peoples' Day.
• Indigenous Peoples' Day must exist as a standalone holiday on the second Monday of October.
• The original people of this land seek Indigenous Peoples' Day on the second Monday in October.

Keywords: 995, all

Summary: The hearing covered a wide range of bills, with substantial testimony on commemorative days and several local development measures. Early testimony focused on competing proposals about Indigenous Peoples’ Day: Senator Comerford and others supported redesignating the second Monday in October as Indigenous Peoples’ Day, while several Italian American legislators and advocates opposed changing Columbus Day and instead urged a separate Indigenous Peoples’ Day on August 9 or another date. Committee members noted the long-running debate, discussed the state flag and motto review process, and emphasized that any changes would require legislation. No votes were taken during the hearing. The committee also heard strong support for a Fred Korematsu Day bill, with testimony from advocates, legal organizations, community leaders, and Korematsu’s daughter. Witnesses described Korematsu’s resistance to Japanese American incarceration during World War II, argued that his story remains relevant amid current immigration and civil liberties concerns, and said the designation would help educate students and the public. A separate bill to designate September as PCOS Awareness Month drew testimony from Senator Miranda and health advocates, who described the disorder’s prevalence, frequent misdiagnosis, fertility and pregnancy risks, and the value of public awareness and education. Other bills discussed included a Domestic Workers’ Rights Day proposal, supported by Representative Garcia and Representative Sousa, who spoke about the invisibility and vulnerability of domestic workers and the importance of recognizing their labor. The committee also heard support for a veteran suicide awareness and remembrance day, a Boston branch library and affordable housing project in Dorchester, and a Fall River waterfront redevelopment bill transferring land to the local redevelopment authority for a major mixed-use project. In addition, Senator Miranda testified in favor of a memorial portrait for former Representative Doris Bunty, highlighting her pioneering role in the legislature and Boston public housing. The hearing was hybrid and lengthy, with the chair repeatedly asking witnesses to be concise and noting that testimony would be public record.

Transcript Highlights:

• /c><00:14:05.160> Educators<00:14:06.160> we<00:14:06.279> don't<00:14:06.440>
• :14:10.800> I<00:14:10.920> don't<00:14:11.079> feel<00:14:11.360> I'm<00
• :14:12.839> like<00:14:13.000> I'm<00:14:13.120> failing<00:14:13.519> my
• c><00:14:19.920> about<00:14:20.560> um<00:14:21.560> uh<00:14:21.800> the
• the<00:14:23.639> pieces<00:14:23.959> I<00:14:24.120> know<00:14:24.480

Keywords: 1183, house

Summary: The Education Policy Committee approved the minutes from January 21, 2025, and then heard testimony from several school superintendents about the financial and operational impact of recent education-related mandates. Chair Bennett framed the hearing as an opportunity to hear from districts about the effects of more than 65 new mandates and restrictions adopted in recent years. The first witnesses were Corey McIntyre of Anoka-Hennepin, Michael Thomas of Prior Lake-Savage Area Schools, and David Law of Minnetonka Public Schools. The superintendents said districts are facing rising costs, flat or declining enrollment, the end of federal pandemic aid, and mandates they described as unfunded or underfunded. McIntyre cited major budget cuts in Anoka-Hennepin, including reductions in central office staff, and said the district faces continuing shortfalls tied to special education, multilingual learner costs, unemployment claims, paid leave, transportation, literacy materials, and the K-3 discipline statute. Thomas said Prior Lake-Savage is balancing growing student needs against limited revenue, and argued that mandates such as REACT and other requirements should be delayed or better funded so districts can implement them with fidelity. Law said the concerns are statewide, not just metro-based, and criticized the accumulation of expectations around food service, mental health, sick and safe time, unemployment, and family leave without corresponding resources. Several witnesses emphasized that school budgets are heavily committed to staff costs and that new obligations create administrative burdens as well as direct expenses. They urged lawmakers to reduce, delay, or better fund mandates, adjust timelines, and provide more flexibility in local revenue tools and equalization aid. No votes were taken on legislation during this portion of the meeting beyond approval of the prior day’s minutes.

Transcript Highlights:

• :14:21.680> of<00:14:21.839> the<00:14:22.000> table<00:14:22.800> show<00
• February<00:14:23.839> forecast<00:14:24.399> for<00:14:24.639> the<00:14:24.800
• > and<00:14:26.000> the<00:14:26.240> change<00:14:26.560> compared<00:14
• <00:14:32.639> Total<00:14:33.040> revenues<00:14:33.519> for<00:14:33.680><
• > billion<00:14:38.560> 1.8%<00:14:40.000> more<00:14:40.399> than<00:14:

Keywords: 1187, senate, all

Transcript Highlights:

• An update just on rulemaking here: the rulemaking process will be finalized this October.
• The rules adopted will be effective October 26th. The rules adopted will be effective October 26th.
• They gave us an extension until January 14, the last two days of the Biden administration.
• The council orientation was held in October 2024, and two full council meetings have taken place, one
• It was submitted on October 1, so we'll be able to show more of a breakdown there.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• It ranged from almost $700,000 for Tampa Family Health Centers, which had 14 different facilities.
• An update just on rulemaking here: the rulemaking processes will be finalized this October.
• The rules that are adopted will be effective October 26.
• The rules that are adopted will be effective October 26th.
• It was submitted on October 1, so we'll be able to show more of a breakdown there.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• Okay,<00:14:02.639> let's<00:14:03.199> go<00:14:03.360> ahead<00:14:03.600
• :08.639> at<00:14:08.880> the<00:14:09.040> table<00:14:09.360> here<00:14
• >> So<00:14:16.079> we<00:14:16.320> will<00:14:16.560> be<00:14:17.120>
• >> Any<00:14:24.399> further<00:14:24.720> all<00:14:24.880> those<00:14:25.120
• <01:14:03.840> I<01:14:04.159> SERS<01:14:04.640> was<01:14:04.800> on

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• Um<00:14:18.800> this<00:14:19.040> continues<00:14:19.440> on<00:14:19.760>
• um in<00:14:25.600> disrepair<00:14:26.720> um<00:14:26.880> in<00:14:27.040>
• <00:14:29.440> Uh<00:14:29.839> secondly,<00:14:30.880> um<00:14:31.360>
• <00:14:52.480> Um,<00:14:52.880> and<00:14:53.040> then<00:14:53.199> we<
• Um, and then we also<00:14:53.760> seek<00:14:54.079> to<00:14:54.639> uh<00:14:

Keywords: 1189, house, all

Summary: The Capital Project Overview Committee met at 9:00 a.m. and first approved the September 29 minutes. The committee then considered University System of New Hampshire Capital Project 260001, a $70 million request involving two residence hall renovation projects at UNH. UNH officials said the work is needed to address aging 1970-era buildings, including heating, plumbing, and other deferred maintenance, and to improve student recruitment, retention, and living conditions. Members asked about the construction timeline, which was estimated at about four years, and about enrollment decline, which was estimated at roughly 15% over 10 years. The committee approved the project after discussion, with members noting the buildings’ age and need for repair. The committee next heard Capital Project 26003 from the Department of Natural and Cultural Resources for Cannon Mountain. Commissioner Sarah Stewart and staff described an $893,000 tranche, part of a larger effort to address deferred maintenance at the mountain, including guest facilities, lift infrastructure, a passenger ramp for scenic chairlift use, snowmaking improvements, a line replacement, a pump rebuild, and operations equipment. Members asked about the $6 million bonding limit established in 1999, and the department said it appears insufficient and may need updating in the future. The committee approved the Cannon Mountain request. The department also provided an informational update on the Cannon Mountain aerial tramway. Officials said a structural engineering firm is analyzing towers, terminals, and footings, with the goal of confirming the existing infrastructure can support a new tram system and refining bid specifications. They said the work is on track, with an updated cost estimate expected in January and a bid targeted for May. Members asked about the limited number of manufacturers capable of doing the work and whether the project could be delayed; the department said it is in active discussions with the likely bidders and pre-qualifying them. The meeting ended with brief discussion of informational reports, including a question about apparent delays in some New Hampshire Veterans Home projects, which staff said they would follow up on, and the committee adjourned with the next meeting set for March 16 at 9:00 a.m.

Transcript Highlights:

• , first slide, Ryan, um, was<01:14:47.600> yes,<01:14:48.000> the<01:14:48.400> $1,15
• So,<01:14:50.800> that's<01:14:51.120> the<01:14:51.360> monthly<01:14:51.840>
• :53.199> The<01:14:53.840> um,<01:14:54.159> Living<01:14:54.480> Well<01
• :14:54.800> CDHP<01:14:55.840> is amount.
• The um, Living Well CDHP is slightly<01:14:57.600> cheaper<01:14:58.000> than<01:14:58.239

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• recap of the new awards that were granted in fiscal year 25 to include 4 standards-based projects, 14
• A major district realignment will follow the full occupancy expected in October of 2025.
• We also have our dashboard on page 14 which has a lot of great information on our uh New Mexico schools
• We have two dates, one in October 1 in November. So whichever has that, that would be great.
• And so certainly by October or November.

Transcript Highlights:

• > and<00:14:03.199> so<00:14:04.079> um<00:14:04.320> that's<00:14:04.639
• <00:14:06.399> And<00:14:06.800> uh<00:14:07.199> I<00:14:07.440> did
• Uh and<00:14:13.199> so<00:14:13.519> now<00:14:13.760> we'll<00:14:14.079> be
• Any<00:14:36.480> further<00:14:36.880> discussion<00:14:37.600> on<00:14:38.160
• >> I'd<02:14:07.040> like<02:14:07.119> to<02:14:07.280> work<02:14:07.360

Keywords: 1187, senate, all

Transcript Highlights:

• If not,<00:14:45.600> the<00:14:45.920> clerk<00:14:47.199> can<00:14:47.360>
• we<00:14:47.519> ring<00:14:47.680> the<00:14:47.760> bell, not, the clerk
• can we ring the bell, not, the clerk can we ring the bell, Madam<00:14:48.240> Secretary,<00:14
• Amendment one alters the effective date from October 1 to July 1. There's no fiscal impact.
• Amendment one alters the effective date from October 1 to July 1. There's no fiscal impact.

Keywords: Senate streaming session for Tuesday, February 17, 2026, 960, senate, all

Summary: The Senate convened with an invocation, quorum call, and several introductions recognizing guests, including Reverend Jennifer Carsner and her daughter, President Kirk Schmoke, representatives from Maryland independent colleges and universities, students from Stevenson University, Howard and Anne Arundel counties, Washington College, a constituent, and the Greater Washington, D.C.-Maryland chapter of the National Multiple Sclerosis Society. The chamber also adopted a resolution honoring Damatha Catholic High School for winning the 2025 WCAC football championship and another recognizing the Greater Bethesda Chamber of Commerce on its 100th anniversary. Both resolutions were adopted unanimously after brief remarks and roll calls. The Senate then took up executive nominations, separating nominee 16 from the main report. The chamber voted 42 in favor on the remaining nominations and then 42 in favor on nominee 16, giving all nominees the Senate’s advice and consent. On third reading, the Senate passed several bills, including SB 46, SB 25, SB 58, SB 163, SB 170, SB 188, SB 247, SB 356, and SB 379, with recorded affirmative votes ranging from 36 to 42. These measures covered topics such as veterans cemeteries, tax credits and tax modifications, education funding, transportation revenue bonds, biotechnology incentives, a stillborn child tax credit, and recovery residence grant funding. The chamber also advanced numerous second-reading bills, generally adopting committee reports and amendments without objection. Among the measures discussed were collective bargaining for Alcohol, Tobacco, and Cannabis Commission police officers; adoption of the 2022 Uniform Commercial Code amendments for controllable electronic records; cemetery sale and transfer oversight; an additional license for electronic smoking devices; collective bargaining for Baltimore County Public Library supervisory employees; payroll processor exemptions under the Money Transmission Act; scalp cooling coverage for chemotherapy patients; orthoses and prostheses coverage under health and Medicaid plans; an online database of elevator inspection certificates; service animal program disqualification standards; extension of the State Board of Environmental Health Specialists; disclosure of lapsed professional liability insurance for nursing homes, assisted living facilities, and nurse midwives; and revisions to massage therapy licensure rules. Most reports were favorable, with several technical or substantive amendments adopted and bills ordered printed for third reading. A notable policy discussion occurred on SB 56, which would allow the Maryland Longitudinal Data System Center to share individual-level student and workforce data with a third-party data center for multi-state reporting. The sponsor explained the bill as a way to compare Maryland outcomes with other states while using data-sharing agreements and oversight to protect privacy; a minority whip raised concerns about the type of third-party data center and whether the practice was new. The sponsor said the bill was intended to formalize and safeguard data sharing, and noted a technical amendment would be offered to correct the amendment language.

Transcript Highlights:

• But as we're talking about here for ReConnect, the federal fiscal year begins every year on October 1
• If we were to not be able to cover that gap, essentially October 1, we would run into a situation where
• We would shift that additional 14 million, and that would be the total operations and maintenance of
• So, on October 1, 2026, that system will have full integration.
• It will be fully functional by October 1. Thank you.