Transcript Highlights:

• Thank you so much, Madam Chair, and and Thank you so much, Madam Chair, and and and<00:01:20.880><c>
• And so I older care and learning.
• </c> and Families. and Families.
• and Human Services, and I County Health and Human Services, and I have<00:53:17.280><c> with</c><00:
• And I deep and serious work and I think your deep and serious work and I think your amendment<01:38:09.600

Bills: HF3665 , HF3002 , HF4217 , HF4125 , HF4174

Committee: House Children and Families Finance and Policy

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Associated with it and for efficiency's sake we'd like to be able to dissolve the PUA and and bring those
• And ah this is a health and safety valve.
• And, and so. Just a thought.
• Go back, and replace that line, and then flush thousands and thousands and thousands of gallons.
• Uh, and we have this high growth rate and, and, and God was not generous to the Hayes County folks when

Bills: HB 5208 , SB 863 , SB 1243 , SB 1624 , SB 1965 , SB 2660 , SB 2702 , SB 2885

Committee: House Natural Resources

Keywords: water filtration, public drinking water, health and safety, well maintenance, water quality, Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, public utility agency, dissolution, local government, regulatory framework, municipal authority, Texas Water Bank, Texas Water Trust, water rights, water banking, instream flow

Transcript Highlights:

• Chair and members.
• And we have worked with staff and submitted suggested language.
• Chairman and members.
• This is a health and safety matter, and TCEQ, through that licensing and issuing a license,... ...basically
• Thousands and thousands and thousands of gallons.

Bills: HB5208 , SB863 , SB1243 , SB1624 , SB1965 , SB2660 , SB2702 , SB2885

Committee: House Natural Resources

Keywords: water filtration, public drinking water, health and safety, well maintenance, water quality, Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, public utility agency, dissolution, local government, regulatory framework, municipal authority, Texas Water Bank, Texas Water Trust, water rights, water banking, instream flow

Transcript Highlights:

• You are with Addie's Hope Social Services and Self, and you're for the bill. Is that correct?
• and redact.
• And they can be updated.
• Uh, thank you, Madam Chair and members, and I reserve the right to close.
• Uh, thank you, Madam Chair and members, and I reserve the right to close.

Bills: SB500 , SB1522 , SB1137 , SB1266

Committee: House Human Services

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• </c> slums and blight. slums and blight.
• us and and need that projects do come to us and and need that last<00:08:00.640><c> piece</c><00:08:
• </c> and help that. and help that.
• And, Mr.
• the</c><00:19:02.120><c> lack</c> approvals and the process and the lack approvals and the process and

Keywords: Upon adjournment of the concurrent meeting, the Senate State and Local Government committee will continue meeting, 958, all

Summary: The concurrent meeting began with roll calls for both the Senate Standing Committee on State and Local Government and the House Standing Committee on Local Government, establishing quorums. The committees then heard a Department for Local Government presentation on the Community Development Block Grant program, which serves smaller and more rural areas. Commissioner Matt Sawyers and Executive Director Mark Williams explained the 2026 HUD application as a public hearing, noting an estimated total of a little over $25 million, with proposed allocations for public facilities, community projects, economic development, public services/Recovery Kentucky, and housing. They also described proposed changes, including shifting some funding from economic development to housing, raising non-traditional application ceilings, extending the economic development application window, and giving the commissioner flexibility to reallocate funds if requests exceed the allotment. No legislators or members of the public asked questions, and both chambers approved the presentation and then adjourned the House portion. The Senate committee then took up Senate Bill 149 by Senator Elkins, which updates county treasurer statutes. The bill shortens the waiting period for appointing an acting treasurer from 30 days to 5 days and allows fiscal courts to appoint a temporary treasurer for up to 60 days during vacancies, illness, incapacity, or termination. Members discussed the need for continuity in county finances, and the bill received favorable expression 9-0. Next, the committee considered several housing-related bills from the housing task force. Senate Bill 224, by Senator Mills, creates vested property rights for development applications and narrows who may appeal certain local land-use decisions; the committee adopted a substitute, then approved the bill 8-1 after members raised concerns about standing language and possible impacts on local participation. Senate Bill 225 requires the housing and construction department to analyze the cost and housing-supply effects of proposed housing regulations; it passed 9-0 after a committee substitute. Senate Bill 233, by Senator Neal, removes annual financial reporting requirements for homeowners associations with 14 lots or fewer to reduce burdens on small developments; it passed 9-0. Finally, Senate Joint Resolution 75, as amended, directs the Public Service Commission to study affordability and water/wastewater utility regionalization, including possible consolidation of small districts; the amendment and the resolution both passed 9-0, with one member noting concerns about whether the matter should proceed as an administrative case rather than a study.

Transcript Highlights:

• </c><00:18:14.640><c> um</c> Kentucky families and and students um Kentucky families and and students
• and let me And and I my understanding and let me know<00:19:10.400><c> is</c><00:19:10.640><c> that<
• </c> DC and direct it. and those that are DC and direct it. and those that are very<00:19:27.120><c>
• </c> &gt;&gt; and my public school students and &gt;&gt; and my public school students and families<00
• and and it the Given spoke about this and and it the thought<00:36:54.079><c> came</c><00:36:54.400>

Committee: Senate Education

Keywords: Call to Order and Roll Call: 0:03 Bills for Consideration: 3:10 Adjournment: 56:19, 958, all

Transcript Highlights:

• us and get us back to be excellent and healthy and well and thriving in Kentucky?
• </c><00:03:35.280><c> and</c> and get us back to be excellent and and and get us back to be excellent
• > and</c> problems and the processes and and problems and the processes and and really<00:41:42.880><
• I and and his wife had dinner one and I and and his wife had dinner one night<00:53:29.520><c> and</
• </c><00:59:09.520><c> know,</c> produce and and fruits and you know, produce and and fruits and you know

Keywords: This meeting was pulled from back ups and uploaded in it's entirety due to technical issues., 958, all

Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed. The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity. They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.

Transcript Highlights:

• And as the chief and sheriff is sheriff.
• She just had this way about her, that smile, that giggle, that just got you and captured your heart.
• Those operators should be jailed and fined, and so on and so forth.
• here, and my two cats and my dog.
• We’ve only captured 15 percent of the market, and it’s 10 billion dollars.

Bills: HB5

Committee: House Public Health

Keywords: hemp, cannabinoids, regulation, occupational licenses, consumable products, marketing, criminal offenses, labeling requirements, health and safety, 997, house, all

Transcript Highlights:

• And you and your staff coming to our meetings and giving us...
• </c><00:01:15.560><c> been</c> questions and answers and uh I've been questions and answers and uh I've
• and answers and again I'm questions and answers and again I'm going<00:02:09.080><c> to</c><00:02:09.479
• </c> and we did 1,46 specific referrals and and we did 1,46 specific referrals and we<00:09:26.560><c
• </c> actually come in and do site visits and actually come in and do site visits and look<00:09:34.760

Keywords: 00:01 Call to Order and Roll Call 00:34 Economic Development Cabinet 27:51 Adjournment, 958, all

Summary: The committee met without a quorum, so the minutes from the last two meetings were not approved. Secretary Noel of the Cabinet for Economic Development then gave a broad overview of the cabinet’s work and an update on the Kentucky Product Development Initiative (KPD), with Deputy Secretary Katie Smith and General Counsel Matt also present. He said the cabinet’s strategy is to focus on high-wage job creation, especially in automotive transformation, business and financial professional services, tourism, logistics, agri-tech, aerospace, and other high-tech sectors, while also supporting small and medium-sized businesses and existing employers. Noel highlighted several program results and examples, including average incentivized wages approaching $27 per hour, 877 jobs and $346 million in investment through hub operations, $90 million through Commonwealth Ventures, help for hundreds of companies through the Kentucky Intellectual Property Alliance, work with 220 companies through the Kentucky Science and Technology Council, nearly 3,000 students in Advanced Kentucky, and more than 1,100 participants in Kentucky Valor. He also cited 35,000 workers trained through Bluegrass State Skills, 177 businesses helped by the small business tax credit, and 77 entertainment incentive transactions totaling about $200 million and 7,400 jobs. On the grant side, he said the cabinet had approved 155 projects under a federal grant program, committing $99 million, with outreach aimed at smaller communities and all 120 counties. The main focus of the second half was KPD. Noel described it as a program that requires more than basic due diligence, emphasizing community readiness, local vision, title and mineral-rights review, sewer validation, and consultant review. He said 109 projects had been awarded in the earlier rounds, and in 2024 there were 45 requests for information seeking $81 million against $35 million in available funding, showing strong demand. He also said the cabinet has worked with local economic developers through five regions aligned with area development districts, and that the secretary, deputy secretary, or commissioner of business development must attend the regional meetings, with 100% attendance reported for the key three last year. In response to questions, he said Jefferson County’s lack of KPD projects so far likely reflects where local land and development strategies are in the process rather than a lack of interest, and he said the cabinet has not heard that Kentucky’s occupational safety and health rules are clearly helping or hurting competitiveness, though he offered to look into it further.

Transcript Highlights:

• </c> land, all project assets, and land, all project assets, and improvements,<00:09:11.640><c> and</
• </c> and operation space. and operation space.
• &gt;&gt; Oh,<00:21:15.840><c> and</c><00:21:16.240><c> um</c> &gt;&gt; Oh, and um &gt;&gt; Oh, and um
• Okay,<00:34:29.760><c> and</c><00:34:30.240><c> uh</c> Okay, and uh Okay, and uh Sandy,<00:34:31.639>
• </c><00:50:18.840><c> outlined</c> and then you've specified and outlined and then you've specified and

Keywords: 0:00:01 Call to Order and Roll Call 0:00:54 Approval of Minutes 0:01:08 Information Items 0:03:18 Postsecondary Institutions - UK 0:18:10 Finance and Administration Cabinet 0:30:13 KY Infrastructure Authority 0:37:30 Cabinet for Economic Development 0:52:11 Office of Financial Management 0:59:20 Remaining 2026 Mtg Dates 1:00:49 Adjournment, 958, all

Summary: The committee first approved the April 27 minutes and then received several informational reports, including University of Kentucky medical equipment purchases, UK’s use of $200 million in Ever funds for a public-private partnership, school district debt issuances, UK’s planned use of construction manager-at-risk delivery on five projects, Kentucky Communications Network Authority capital projects under House Bill 6, and 14 UK lease improvements. Members were told the House Bill 6 item was also being discussed in the Information Technology Oversight Committee and could return later if needed. The main action item was University of Kentucky’s request to approve a $600 million public-private partnership for central plants and utility infrastructure tied to the Chandler expansion. UK said it would shift $200 million from previously authorized restricted funds into the P3, leaving the project financed through private equity and nonprofit debt with no UK or Commonwealth debt. UK representatives said the project is necessary to support 24/7 hospital operations, expand and modernize utility systems, improve redundancy and efficiency, and reduce long-term operating risk. Members asked about the source of the availability payments, which UK said would come from UK Healthcare revenues, and the committee approved the P3 agreement unanimously. The committee also approved a UK lease renewal for a 20,000-square-foot College of Medicine annex near the Bowling Green Medical Center. UK said the lease costs $38 per square foot, or $912,000 annually, and supports medical education expansion in the region, including growth from 120 to 160 students over four years. Members voiced support for the local impact, and the lease passed unanimously. Later, the committee approved a Transportation Cabinet aviation project for two medium box hangars at Capital City Airport, funded by $1,153,000 in federal money and $950,000 from the Aviation Economic Development Fund, which is supported by a 6% jet fuel tax with a $1 million annual cap per company. Members asked about the fund balance, the cap, and airport revenue sources, and staff said the airport also receives entitlement and federal infrastructure funds and earns revenue from hangar rent and fuel sales. The committee then approved two Finance and Administration Cabinet pool projects: a roof and skylight replacement at the Libraries and Archives building and exterior repairs at several state buildings. Finally, the committee approved six Kentucky Infrastructure Authority action items after hearing about one loan increase for the Springfield Wastewater Treatment Plant and five grant reallocations tied to Cleaner Water Program and county allocation pool funds. Members asked why one project approved in 2024 was only now increasing, and KIA explained that design, water division review, environmental review, and bidding can take one to two years. KIA also reported additional no-action items, including a Brandenburg water grant split among two projects and 17 Kentucky Waters projects provided for information. The meeting ended with approval of the action items and no further action on the informational grants.

Transcript Highlights:

• We believe and trust in your goodness and your love.
• placed</c> by title and sponsor only and placed by title and sponsor only and placed upon<00:06:58.960
• So, cigar and uh and accountability.
• </c><00:25:24.960><c> and</c><00:25:25.279><c> also</c> today and their entire team. and also today and
• </c> and 521. to licensing, occupations, and and 521. to licensing, occupations, and administrative<00

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Transcript Highlights:

• They shall run and not be weary. They shall walk and not faint."
• </c> Senate Bill 20 and Senate Bill 68 and Senate Bill 20 and Senate Bill 68 and respectfully<00:05:28.800
• placed</c> by title and sponsor only and placed by title and sponsor only and placed upon<00:06:22.880
• </c> and motion there on. and motion there on.
• </c> and accuracy as well as transparency and and accuracy as well as transparency and accountability

Keywords: Convene 00:00 Senate Message 05:04 Orders of the Day 06:01 HB 143 06:11 HB 164 08:07 HB 314 11:07 HB 398 21:17 Motions, Petitions, and Communications 29:02 Introduction of New Bills and Resolutions 34:01 Recess for ConC/Rules Meeting 35:40 ConC/Rules Report 40:15 Floor Amendments 41:15 Adjournment 41:26, 958, all

Transcript Highlights:

• and of the Holy Spirit.
• And for that, I move passage of House Bill 84. And Mr.
• And for that, I move passage of House Bill 84. And Mr.
• to</c> arguably is short and simple and easy to arguably is short and simple and easy to understand,<
• Um, and and I by the federal government.

Keywords: Convene 00:00 Calendar/2nd Readings 04:07 Orders of the Day 05:07 HB 144 05:15 HB 3 08:27 HB 290 12:34 HB 84 14:53 Motions, Petitions, and Communications 40:12 Introduction of New Bills and Resolutions 45:19 Recess for ConC/Rules Meeting 46:20 ConC/Rules Report 48:12 Floor Amendments 49:42 Adjournment 50:05, 958, all

Transcript Highlights:

• :29.040><c> and</c><00:04:29.280><c> federal</c><00:04:29.600><c> forms</c> new and updated state and
• federal forms new and updated state and federal forms and<00:04:30.639><c> make</c><00:04:30.800><c>
• pre-need cemetery merchandise and pre-need funeral and burial contract sellers, and crematory contract
• sellers, and crematory provisions to add specificity and revise and streamline forms and reporting requirements
• and and hopefully then the reserve money and and hopefully then be<00:13:46.320><c> able</c><00:13:46.560

Keywords: 0:00– Meeting start/roll call 0:39 – Approval of minutes 1:11 – Council on Postsecondary Education 3:06 - State Board of Elections 5:33 - Office of the Attorney General; Office of Regulatory Relief 7:02 - Board of Examiners of Psychology 16:38 - Energy and Environment Cabinet; Department for Environmental Protection 17:37 - Education and Labor Cabinet - Department of Education 19:14 - Adjournment, 958, all

Summary: The Administrative Regulation Review Subcommittee met for its January meeting, approved the minutes from the prior meeting, and welcomed the new regulations compiler. The first item was a repealer from the Council on Postsecondary Education, 13 KAR 2:111, which was explained as necessary because Senate Bill 77 from the 2025 session removed the regulatory authority for advanced practice doctoral degree programs at comprehensive universities. No questions were raised, and the repealer moved forward without objection. The subcommittee then reviewed a large package of State Board of Elections regulations with staff-suggested amendments. The package would update definitions and election procedures, require e-poll books to be ready before polls open, change the standard and timeline for removing an election officer, add oversight by a State Board appointee on election days, recognize the Kentucky party, require voter registration records to be added to electronic voter records, require ballots to fit all races and questions on a single sheet, adjust precinct consolidation petition deadlines, and update incorporated forms and identification references. The package was approved without objection. The Office of the Attorney General’s Office of Regulatory Relief also presented multiple regulations with staff amendments, covering funeral planning declarations, cemetery companies, pre-need cemetery merchandise and funeral/burial contract sellers, and crematory contract sellers. These changes were described as adding specificity, streamlining forms and reporting, and bringing the regulations into compliance with KRS Chapter 13A; they were approved without objection. The Board of Examiners of Psychology presented several regulations, including compact rules, grace-period extensions, and significant fee increases for applications, renewals, reinstatements, exam retakes, and reciprocity. Board representatives said the increases were needed because many fees had not been raised since 2002, the board was operating at a deficit, and legal and administrative costs had risen sharply after the termination of state legal services. Members expressed concern about the size of the increases, but the chair said he would not hold the matter up and would raise the issue with the committee of jurisdiction. The subcommittee also approved staff amendments for the Energy and Environment Cabinet’s air quality regulations and the Education and Labor Cabinet’s education regulations, which updated nontraditional instruction procedures, waiver requests, instruction topics, superintendent assessment requirements, and academic standards. The meeting ended with the next meeting scheduled for February 9 at 1 p.m., and the agenda was adjourned without further objection.

Transcript Highlights:

• And just last year, Idaho, and Texas.
• /c> And what we've done in the 60s and 70s And what we've done in the 60s and 70s is<01:02:37.440><c>
• </c><01:03:37.760><c> and</c> they go to the same location and and they go to the same location and and
• > of</c> and and treat.
• And the establish of and and treat.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:05 25 RS HB 534 - AN ACT relating to actions for forcible entry and detainer: 00:01:45 25 RS SB 111 - AN ACT relating to juvenile justice: 00:23:46 Children's Advocacy Centers of Kentucky: 01:13:26 Opioid Use Disorder (OUD) Treatment in State and County Correctional Facilities: 01:25:28, 958, all

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• </c> and see me? and see me?
• </c> and then proceed. and then proceed.
• </c><00:56:43.280><c> and</c><00:56:43.359><c> and</c> health, hospitals, teleaalth and and and health
• and we are very excited and improvements and we are very excited and and<01:10:01.679><c> we</c><01:
• </c><01:42:01.360><c> And</c> Angeles, and Cincinnati a lot. And Angeles, and Cincinnati a lot.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=KVpELW5kJzI, 2026-06-21T07:17:05+00:00, 2.2.24, Data collected via generic collector engine, Attendance roll call: 00:10 Recognition of guests and new members of the committee: 00:55 Presentation by the Secretary of State: 02:58 Discussion of HB 53: 24:52 Discussion and passage of HR 35: 49:00, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=ZP7ul0jzZpQ, 2026-06-21T07:17:04+00:00, 2.2.24, Data collected via generic collector engine, 00:00:10 Roll call 00:00:43 Introduction of Special Guests 00:01:03 Approval of Minutes 00:01:24 Owensboro Riverport and Issues Specific to Larger Riverports 01:00:45 Riverport Operations and Issues Specific to Smaller Riverports, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=no_Pip3fET8, 2026-06-21T07:17:00+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:00 Roll Call: 00:00:37 Medicaid Budget Recommendation Presentation: 00:02:29 Aging and Independent Living Budget Recommendation Presentation: 00:28:30 Office for Children and Special Healthcare Needs Budget Recommendation Presentation: 00:56:54, 958, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=pjxdCva-PHU, 2026-07-02T01:22:28+00:00, 2.2.24, Data collected via generic collector engine, https://www.capitol.hawaii.gov/session2021/hearingnotices/HEARING_HET_12-17-20_INFO_.HTM The purpose of this informational briefing is to inform the public and the Committee of the University of Hawaii's response to the ongoing COVID-19 pandemic and proposed budget cuts., 910, house, all, 2.2.42, 2.1.47