Transcript Highlights:

• They say they leave here, and they go in, they practice, but evidently...
• Every block, practically, we were so saturated.
• In the world of nursing education, simulation is an educational standard—it's a best practice.
• practice standards.
• The uniqueness of our program is to keep our teaching relevant and our practice.

Transcript Highlights:

• practice.
• I practice all over the country.
• I'm a practice of one doctor.
• Some practice in health care facilities; others practice as co-partners in private small family practices
• This practice, in particular, Dr.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• Peg Clifford and Lisa Fan are our pharmacy director and pharmacy specialist.
• Peg Clifford and Lisa Fan are our pharmacy director and pharmacy specialist.
• Managed care organizations used to have relationships with all pharmacies, but now, for example, they
• Representative Woods asked whether there are difficulties with PBMs in the pharmacy area.
• Managed care organizations used to have relationships with all pharmacies, but now, for example, they

Keywords: 1189, house, all

Transcript Highlights:

• This is Amendment Five to an existing contract, and it is for pharmacy consultant services at the Arkansas
• This is Amendment 5 to an existing contract and it is for pharmacy consultant services at the Arkansas
• This is Amendment 5 to an existing contract for pharmacy consultant services at the Arkansas Health Center

Summary: The committee first considered an $88,000 used tire program contract for District 4 with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could worsen cash flow before funding was confirmed. Questions were also raised about procurement language in the RFP that excluded bidders under corrective action plans. After discussion, a motion was made and approved to hold the contract until next month so the tire board could appear and answer questions. Members then reviewed a large slate of methods of finance, alternative delivery projects, and discretionary grants. These included capital projects at ASU Mid-South, Arkansas Tech, Ozarka, UA Fayetteville, UA Little Rock, UAMS, and UCA; a new UCA multi-purpose arena project estimated at $75.5 million; and DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition, hearing-loss follow-up, HIV services, and rural hospital quality improvement. All of these items were reviewed without objection. The committee also heard a ratification request from UAMS for a Family and Medical Leave Act outsourcing contract with FMLA Source. UAMS said an amendment had been prepared but never submitted for review, and payments continued after expiration; members expressed frustration and asked UAMS to review whether other contracts had similarly lapsed. The committee then reviewed numerous construction-related, intergovernmental, out-of-state, and in-state contracts, including airport economic impact study work, parking guidance technology at the University of Arkansas, veteran nursing services, and multiple DHS service contracts. Most items were reviewed without objection, and the meeting adjourned after reports of routine contract amendments and minor contracts were presented for information.

Transcript Highlights:

• Another success is the pharmacy module.
• Another success is the pharmacy module.
• and providers from the existing eight hours per weekday to a 24/7 operation aligned with typical pharmacy
• and providers from the existing eight hours per weekday to a 24/7 operation aligned with typical pharmacy
• members and providers from the existing 8 hours per week day to a 24 7 operation aligned with typical pharmacy

Keywords: 1183, house

Transcript Highlights:

• He practiced gastroenterology for more than 35 years in Sun City and Sun City West with Banner Health
• She was ordained in 2004 and has been studying and practicing Kadam Dharma for over 25 years.
• She has been studying and practicing Kadam Dharma for over 25 years.
• Her teaching style is down to earth and practical and shows us how to apply these teachings in our daily
• 4121, property tax appeals; HB 4122, tenants notice fees disclosures; HB 4124, health insurance pharmacy

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and introductions of the doctor of the day and numerous guests, including visitors for Lunar New Year, Arizona Statehood Day, school groups, local officials, and community leaders. A proclamation was read honoring Phoenix Ballet and National Ballet Day, and Representative Gress spoke in support of the recognition. The chamber also received committee and membership announcements, including temporary committee substitutions and several bills being re-referred or withdrawn to other committees. On third reading, HB 2190, which would have added Article 5 to Title 32 relating to the Arizona Regulatory Board of Physician Assistants, failed after debate over whether it improperly authorized rulemaking; it was defeated 20-38 with two not voting. The House then took up HB 2206, relating to Supplemental Nutrition Assistance Program administration, and HB 2396, another SNAP-related bill focused on restricting certain purchases. Members debated the bills at length, with opponents arguing they would burden low-income families, worsen food access in desert areas, and limit personal choice, while supporters said the state should encourage healthier purchases and that existing public benefit programs already include restrictions. HB 2396 passed 34-25 with one not voting and was sent to the Senate. After announcements, including committee meetings, an African-American Legislative Day program, and a birthday acknowledgment for the Majority Leader, the House briefly recessed and then reconvened. Additional desk business was handled, including a first reading of HB 2999, a municipal approval district technical correction bill, and the referral of first-read measures for printing. The House then adjourned until Tuesday, February 17, 2026.

Transcript Highlights:

• AB 1582 makes it an unfair labor practice for a higher education employer to circumvent or disregard
• I'm Veronica Rendon, a pharmacy technician, also a member of AFSCME Local 3299, and I support this bill
• From a practical labor relations perspective, UCS successfully closed six contracts over the last nine
• From a practical labor relations perspective, UCS successfully closed six contracts over the last nine
• AB 1838 would help ensure taxpayer dollars are well spent, promote fair labor practices, and increase

Keywords: 987, senate, all

Transcript Highlights:

• We changed the pharmacy rate at NDSU from 9 to 14, putting them more in line with some of the other professions
• version provided 96% hold harmless to be calculated prior to the adjustments, and we increased the pharmacy
• What is the dollar amount resulting from increasing the pharmacy program professional credit weight from
• It's going to be health care type programs and then like nursing, pharmacy, those sorts of things, allied

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee met to work through the higher education budget, beginning with a conflict-of-interest request from Representative Martinson, who was excused from voting because of a partnership that leases office space to Bismarck State College. Members then reviewed the higher education institution budget sheets, covering ongoing and one-time funding items for campuses and system projects such as BSC housing, Lake Region roof repairs, UND’s STEM and National Security Crossroads projects, the UND allied health facility, NDSU projects including New Horizons, DSU deferred maintenance and campus security, Mayville’s Old Main, Minot projects, and the regional health institutes. Members also discussed student financial assistance, the professional student exchange program, IT security funding, and workforce/education innovation grants. Several amendments and policy questions were debated. The committee adopted an amendment to make workforce education innovation grants competitive rather than automatically distributed, and then voted to remove language prohibiting those funds from being used to duplicate academic programs. Members also removed similar anti-duplication language from the New Horizons section. They agreed to extend the UND hyperbaric chamber transfer authority to 2027 and clarified language around UND land-sale proceeds. A proposed amendment to add $5.6 million for the Wahpeton State School of Science building purchase failed for lack of a second, and a proposal to restore fetal alcohol spectrum disorder funding to UND was left for conference. The committee also discussed, but did not add, a tuition cap change, a study on the Praxis exam, and several governance-related provisions. The committee spent significant time on broader higher education policy items, including a $3 million enterprise resource planning request for the university system, a $2 million grant program for students who are pregnant, recently gave birth, or are caring for young children, and a $1.1 million request for library age-verification software tied to the Odin system. Members also discussed dual-credit authority for UND and NDSU, a goal for the UND medical school to increase North Dakota resident enrollment, and intent language regarding the commissioner/chancellor model and presidential search authority. At the end of the meeting, the committee approved the amendments and then gave the higher education budget a do-pass recommendation as amended, with Representative Sanford designated as the carrier. The Forest Service budget was also approved, including two additional FTEs, and the committee adjourned after noting it would continue with other budgets the next day.

Transcript Highlights:

• great honor of introducing our pharmarmacology students from Hilo from the Daniel Kinoi School of Pharmacy
• School<00:31:55.840> of from the Daniel Kinoi School of from the Daniel Kinoi School of Pharmacy
• 58.559> with<00:31:59.039> my<00:31:59.360> health<00:31:59.840> chair Pharmacy
• Uh along with my health chair Pharmacy.

Keywords: 910, house, all

Transcript Highlights:

• The flu swept through the team, keeping them away from practice.
• And on the day of the practice.
• Pharmacy benefit managers, or PBMs, raising the cost of medicine, killing local pharmacies.
• Pharmacy benefit managers they can get.
• Pharmacy benefit managers or<06:12:31.360> PBMs<06:12:32.320> raising<06:12:32.638>

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 25, 2025, 1012, house, all

Transcript Highlights:

• So on a practical sense, tell me why this bill—I mean, I was reading it.
• What, in a practical sense, what is that exactly? I mean, it's not a trick question.

Bills: SCR53, HB259, HB267, HB478, HB548, HB555, HB617, HB670, HB672, HB797, HB848, HB917, HB921, HB1096, HB1103, HB1166, HB1195, HB1230

Keywords: payable-on-death accounts, transfer-on-death accounts, estate planning, beneficiary designations, Louisiana law, task force, inheritance, nonprobate transfers, excavation, demolition, infrastructure repair, BEAD Program, utility damage, construction coordination, contact point, home inspectors, board membership, licensing, term limits, Louisiana State Board

Transcript Highlights:

• And the following, that is the current practice of indicating where that of previous registration was
• That's actually current practice.
• What we're doing is codifying the current practice that they are conducting. However, in addition.
• Current practice. Thank you.
• This is a relatively simple bill clarifying some things, codifying some things that are current practice

Bills: SB1450, SB1458, SB1232, SB1238, SB1325, SB1209, SB1362, SB2072, SB1451, SB1540, SB1581, SB1535, SB1266, SB1927, SB1460, SB2084, SB2182

Keywords: criminal court costs, court fees, fines, assessments, waiver, ability to pay, indigent defendants, post-release relief, probation compliance, parole, deferred sentence, suspended sentence, restitution, child support, municipal court, district court, criminal justice reform, court debt, legal financial obligations, fee waiver

Transcript Highlights:

• Members, this is the Pharmacy Gag Clause. Last week, during testimony, we received feedback.
• I don't know, I started practicing in 2002.
• As Senator Schwartner said, these practices really do restrict the...
• But I said no and just set up my own practice eventually.
• Approximately how many homes tend to actually follow safe storage laws or practice best practices?

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• I've been practicing for more than 13 years.
• I'm grateful that you've waited all day and probably given up a day of practicing.
• Who are employers and owners of physician practices, as well as physicians who are employees of practices
• . practice rather than all practice sites of the practice or business, and this is particularly important
• in their field. prevented from practicing outside of their county.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• I just wanted to ask, you know, what is standard practice in...
• I just wanted to ask, you know, what is standard practice in MISO and, without the Texas framework being
• Senate Bill 522 ensures that out-of-state CPAs that want to practice in Texas must meet certain education
• necessarily requires the hiring of qualified attorneys experienced in the nuance of this niche legal practice

Bills: SB483, SB522, SB783, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1762, SB1856, SB1877, SB1977

Keywords: utility, proprietary information, customer data, data protection, electric service, customer information, emergency communication, electric utility, privacy, certification, public accountants, interstate licensing, accounting, regulatory amendment, energy efficiency, construction regulations, building codes, Texas, sustainability, cost-effectiveness

Summary: The Senate Business and Commerce Committee met with a quorum and first took up pending business, voting out several bills. Senate Bills 1697, 1569, 1202 as substituted, 1029, 1364, 1185, 924, 1008 as substituted, 264, 1376, and 1358 as substituted were reported favorably, with some sent to the local and uncontested calendar. The committee also adopted a substitute for SB 1202 and later corrected votes on several measures. SB 924 and SB 1376 drew some opposition, while the rest of the pending bills were reported without dissent or with limited nays. The committee then heard testimony on SB 1856, which would create an annual capacity-cost recovery rider for Entergy Texas customers in the MISO region. The author and Entergy argued the bill would better match rates to actual capacity costs and improve transparency, while the Texas Association of Manufacturers and the Public Utility Commission raised concerns about the short 10-day review period, rider proliferation, and the preference for full rate cases over piecemeal adjustments. The bill was left pending. The committee also heard and left pending SB 522 on CPA reciprocity, SB 1664 requiring TDUs to provide clearer, standalone rate-change disclosures, SB 1877 expanding OPUC’s access to market data, SB 1254 and SB 1255 as TDLR cleanup bills on professional employer organizations and mold assessors, SB 1341 updating manufactured housing rules, SB 1239 on sovereign debt and Texas governing law, and SB 1259 streamlining the surveyor-in-training licensing process. Additional bills discussed included SB 1977, which would cap recoverable legal expenses in electric, water, and sewer rate cases; OPUC and some consumer advocates supported the idea as a way to reduce ratepayer costs, while utility representatives warned it could discourage participation and increase rate shock. The committee also heard SB 1762 clarifying that geothermal energy conservation wells are not battery resources, and SB 783 allowing SECO to proceed with future energy-code rulemaking for state-funded buildings. Both drew supportive testimony from industry and environmental groups. All remaining bills heard during the meeting were left pending, and the committee recessed subject to the call of the chair.

Transcript Highlights:

• time, there are times where we do need some evidentiary support that has evidence-based medical practices
• it's evidentary based medical practices. it's evidentary based medical practices.
• Includes cancer center, former housing projects, College of Pharmacy and Hilo projects, as well as law
• <00:52:49.359> and<00:52:49.520> Hilo projects um college of pharmacy and Hilo projects
• um college of pharmacy and Hilo um<00:52:51.119> as<00:52:51.359> well<00:52:51.440>

Keywords: 912, senate, all

Summary: The committee heard three University of Hawaiʻi-related measures. HB 718 HD1 would appropriate funds for faculty and staff positions at the John A. Burns School of Medicine in cardiovascular, law, biology, tropical medicine, quantitative health/biostatistics, and environmental health and safety. Testimony was in support, including from university representatives and others who submitted written testimony. Members asked whether the positions were additional and how they would affect enrollment; the university said the hires would teach medical students and conduct biomedical research, helping increase the class size to about 77 and eventually 80, and noted a workforce paper requested by the committee would be provided soon. The committee then discussed SB 1170 HD1, which would grant resident tuition at any UH campus to certain graduates of Hawaiʻi high schools enrolling in undergraduate programs. UH supported the bill and said it had adjusted its testimony in response to prior committee concerns. Members focused on the proposed four-year window, asking why that timeframe was chosen and whether the change was needed at all. UH explained that four years would allow students who left the state to return and still complete an undergraduate degree or prepare for graduate school, and said the bill would help students who come back after one or two years but otherwise would have to wait a year to reestablish residency under current rules. UH also said it was discussing possible administrative rule changes as an alternative if the bill did not pass. Finally, the committee heard HB 1300 HD1, which would fund a University of Hawaiʻi Cancer Center pilot study on cancer disparities among Native Hawaiians, Pacific Islanders, Filipinos, and people living near landfills in Nanakuli, focusing on social determinants of health, lifestyle, environmental exposures, and resilience factors. Testimony from researchers and advocates strongly supported the measure, saying the study could help explain cancer disparities and support future research funding. Members questioned the cost, the reliance on future federal or foundation funding, and the practical outcome of the study. The Cancer Center said the pilot would cost about $500,000 per year for two years, with later funding sought from federal, nonprofit, or private sources; it said the study would produce longitudinal data that could help identify at-risk groups and provide evidence for policy decisions, though members expressed concern that the project needed a clearer end goal and stronger case for public investment.

Transcript Highlights:

• The bill analyzes business practices in the appropriate use of state funds.
• in other states—up to 30 of them—but are not permitted to practice such procedures here in their home
• HB 449 provides consistency with other practice acts to prescribe oral medications and reduce costs for
• That practice, acupuncture, consistent with the Florida mandatory training requirement.
• It's about misleading advertising and unauthorized legal practices.

Bills: HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29, SB 5, SB 262, HB 11, HJR 72, HB 106, HB 18, HB 48, HB 27, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 503, HB 1089, HB 2986, HB 972, HB 502, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 796, HB 363, HB 116, HB 491, HB 589, HB 1495, HB 368, HB 1285, HB 1905, HB 1360, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 2337, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2391, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 1749, HB 3109, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2001, HB 2798, HB 107, HCR 29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Summary: The Florida House of Representatives conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included HB 1105 expanding Florida Bright Futures Scholarship eligibility, HB 443 on charter school regulations (passed 83-23), and HB 1539 on materials harmful to minors (passed 81-29) after extensive debate about book challenges in schools. Other bills addressed education funding, law enforcement benefits, parole guidelines, and various local issues. The Speaker announced budget negotiations with the Senate have stalled, with disagreements over spending levels and tax cuts. The House will not meet this weekend as originally planned. Session adjourned until tomorrow at 10 AM.

Transcript Highlights:

• :19:00.559> Olsson practice that uh Representative Olsson practice that uh Representative Olsson
• <02:05:16.639> that<02:05:16.880> are there are practices that are there are practices
• Uh going into conference, I practices.
• /c><02:48:12.720> that have some modernization practices that have some modernization practices
• grants management practices. grants management practices.

Keywords: 1183, house

Transcript Highlights:

• There may be variation in practice.
• Pharmacy, obviously, is an optional service, but it's so linked.
• Ballad was still laid out to you, that's just the pharmacy area.
• Ballad was still laid out to you, that's just the pharmacy area.
• that those that's just the the pharmacy that those that's just the the pharmacy area<02:07:12.960

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• If we were talking about only active health and pharmacy benefit enrollment, that number is about 265,000
• These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
• These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
• On the pharmacy side, it's a bit more complex. Um, we are certainly seeing increases in unit costs.
• spend combined um medical and pharmacy spend combined um for<00:19:40.400> that<00:19:40.640>

Keywords: Meeting Start 00:00:00 State Health Insurance Plans 00:00:03 Executive Branch Salary Schedule Adjustments 00:29:15 Nutrition Program for the Elderly 00:34:52 Update on DORIS 01:05:38, 958, all

Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.