Video & Transcript Research : 'waiver programs'

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TX

Texas 89th Regular

Senate Session Mar 12th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • , undergraduate programs, especially in nursing, business, and sciences.
  • This bill has to do with the school lunch program about healthy.
  • Do not apply to school districts that receive one of these waivers.
  • and limits one automatic waiver per five-year contract period.
  • The Local Food for Schools program.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/27/26

Human Services

Transcript Highlights:
  • But two, we also applaud the Senate folks on the elderly waiver. folks on the elderly waiver.
  • fraud in Minnesota's EIDBI program. fraud in Minnesota's EIDBI program.
  • uh this disproportionate share program uh this disproportionate share program is<00:57:54.560>
  • <00:58:21.359> when and they could join on the waiver when and they could join on the waiver
  • I department does not like this program.
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • Miss Low is a first-year law student at UL, and she's participating in the 1L mentoring program and wanted
  • This simply puts in place a framework to allow insurers, uh, to put a framework for um a waiver program
  • framework<00:03:58.239> for<00:03:59.200> um<00:04:00.080> a<00:04:00.319> waiver
  • <00:04:00.799> program put a framework for um a waiver program put a framework for um a waiver
  • program uh<00:04:02.560> removing<00:04:03.200> prior<00:04:03.599> authorization.
Summary: The committee met with a quorum and heard four House bills, adjusting the order to accommodate members’ schedules. House Bill 510, on organ donation procedures, would require health care providers involved in organ procurement to pause the process if any signs of life are observed and restart the process if needed. The bill was presented as a consensus measure, received no opposition, and passed with favorable expression by unanimous vote and consent. House Bill 176 would create a framework for insurers to implement a waiver program reducing prior authorization requirements before care is provided. The sponsor said the language had been worked out with insurers to cut red tape and improve transparency. The committee approved the bill unanimously with favorable expression and then consent. House Bill 266 would add audiology and speech-language pathology to the Kentucky Healthcare Workforce Investment Fund eligibility list. Testimony emphasized that these professions are essential to patient care across the lifespan and meet the fund’s training and licensure standards. The bill passed unanimously with favorable expression and consent. House Bill 393 concerned Alzheimer’s-related statutory cleanup, adding a caregiver council seat and requiring the council to develop and distribute an early detection and diagnosis toolkit for health care providers. The bill was supported as a way to improve Alzheimer’s awareness and care, with one senator explaining a yes vote in memory of a parent who had Alzheimer’s. It also passed unanimously with favorable expression and consent. The chair announced the next committee meeting would be Wednesday, March 25 at 8:00 a.m.
TX

Texas 89th Regular

Senate Session (Part II) Apr 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Senate Bill 1490, relating to adult high school charter program funding.
  • Senate Bill 1490, relating to adult high school charter program funding.
  • The waiver is not just—” “The waiver is not just from a doctor or a nurse's desire not to vaccinate others
  • That's not what the major events reimbursement program looks like.
  • actually benefit from the reimbursement program.
Summary: The Senate first adopted a motion to move the intent calendar deadline to 4 p.m. and then took up several bills by suspending the regular order of business. Senate Bill 2031, concerning removal of high fences around breeder deer release sites, passed after an amendment shortened the testing period from five years to three, tied visible identification requirements to the date Parks and Wildlife began requiring them, and made the bill effective immediately. Senate Bill 1490, a cleanup to adult charter high school funding, and Committee Substitute Senate Bill 2227, creating a process for delayed birth certificates and renamed the Charles E. Barton Act, both passed unanimously after floor amendments. Committee Substitute Senate Bill 1964, regulating artificial intelligence systems used by state agencies, also passed unanimously after the author described guardrails for high-risk AI and disclosure requirements. The Senate then considered Senate Bill 2877, which increases penalties for election fraud and related attempts; after debate over whether existing law already covers some conduct and whether the bill was necessary given the small number of convictions, it passed to engrossment and later final passage on a 21-10 vote. Committee Substitute Senate Bill 2658, on brackish groundwater production and study, passed after four amendments, including one giving water districts authority to stop production if monitoring shows harm to freshwater supplies or subsidence and another returning a portion of transported water revenue to districts. Committee Substitute Senate Bill 648, strengthening recording requirements for real property instruments to help prevent deed theft, also passed on a 26-4 vote. Other measures approved included Committee Substitute Senate Bill 401, making it easier for homeschool students to participate in UIL activities through local district opt-in/nearest-district participation rules; Committee Substitute Senate Bill 407, requiring health care facilities to honor conscience or religious vaccine exemptions for employees, despite extensive questioning about patient safety and immunocompromised patients; Committee Substitute Senate Bill 2117, creating a Texas Committee on Foreign Investment to review risky foreign acquisitions; Senate Bill 1718, adding the NRA annual meeting to the major events reimbursement program after a failed amendment seeking equal space for gun-control advocacy; Committee Substitute Senate Bill 1626, clarifying limits on censorship and interference with digital expression by social media platforms; and Senate Bill 2206, updating the state R&D franchise tax credit and related sales tax treatment, which passed 31-0. The chamber also debated Senate Bill 1395 on school health advisory councils. An initial amendment to restore voting seats for teachers and school employees failed, but a later amendment by Senator West added students back in an advisory, non-voting capacity. The Senate then handled routine motions, committee scheduling, first-reading referrals, and adjourned until April 29, with the session ending in memory of two constituents.
AZ

Arizona 2026 Regular Session

03/23/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • 1986, the Hispanic Leadership Institute, HLI, is Arizona's premier Latino leadership development program
  • And whereas the Hispanic Leadership Institute, the flagship program of Valle del Sol, celebrating its
  • And rather than going full stop, you know, so let's say year three, they get a waiver year one, waiver
  • And then it stipulates that if the SPI, the superintendent of public instruction, issues a second waiver
  • or any other program.
Keywords: 1182, all
ND

North Dakota 2026 1st Special Session

Higher Education Institutions Committee Jun 18th, 2026

Higher Education Institutions Committee

Transcript Highlights:
  • programs: sonography.
  • low completion programs.
  • But collapsing programs in like CIP codes, we've also identified new programs.
  • programs are viable.
  • , and then increasing our professional exchange program, or PSEP, program by $300,000.
Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • DDS has two intensive youth service models: our Children's Autism Waiver Program and the DDS DESE Residential
  • Prevention Program.
  • The Children's Autism Waiver is a self-directed program that provides eligible children from birth through
  • But DDS does generate over $1 billion annually in Medicaid revenue through our waiver programs.
  • Because it is a federal program, it's not our program.
Keywords: 995, all
Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.
TX

Texas 89th Regular

Appropriations - S/C on Article II Feb 25th, 2025

Appropriations - S/C on Article II

Transcript Highlights:
  • All funds to sustain intensive psychiatric stabilization program. This funded a pilot program.
  • We administer many programs.
  • slots into a number of our waiver programs to be able to serve additional clients.
  • They administer the SNAP program, the WIP program, TANF, CHIP, etc.
  • program is at risk.
Keywords: 1184, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/21/2025)

Transcript Highlights:
  • and with the into the Medicare program and with the 1332<00:50:12.920> waiver<00:50:13.200>
  • For example, people in waiver, people in nursing home, have access to dentures as part of this program
  • > going CARE program the dish program is going CARE program the dish program is going to<02:16
  • This 7948 is standard Medicaid program, and 7051 is the Children's Program.
  • It's the 1115 waiver re-entry program.
Keywords: 928, house, all
Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.
MN

Minnesota 2025-2026 Regular Session

Health Committee Meeting - 2025-04-02

Health Finance and Policy

Transcript Highlights:
  • It describes the goals of the program.
  • for this program?
  • what the likelihood of getting a waiver is.
  • And that's a lifeline program that's targeted to pharmacies in Minnesota.
  • This targeted pharmacy lifeline program is similar to programs that have been done in other states across
KY

Kentucky 2026 Regular Session

House Legislative Session Day 35 (2-26-26) - Reupload

Kentucky House Floor Meeting

Transcript Highlights:
  • for high performing academic programs. for high performing academic programs. we<00:28:38.320>
  • > slots<00:31:48.000> funded community living waiver slots funded community living waiver
  • the rural health transformation program. the rural health transformation program.
  • I'm proposing an additional 125 Michelle P. waiver slots, for a total of 250 new Michelle P. waivers
  • through his radio program, I have hope. through his radio program, I have hope.
Summary: The House convened with 97 members present, declared a quorum, approved excusing absent members, and suspended the rules to allow co-sponsorships and vote modifications. The journal for February 25, 2026 was approved. The clerk also reported that the Senate had passed Senate Bills 98 and 122 and requested concurrence. The House then received second-reading reports on a range of bills, including measures on prison educational programs, respiratory care, dietitians, wildlife depredation, temporary structures, military families, civil rights, local boards of education, light pollution, controlled-substance prescribing licenses, youth health services, class sizes for exceptional children, the athletic trainer compact, limited commercial driver’s licenses, and Senate Bill 145 relating to the Department of Agriculture and Alcohol Beverage Control. Committee reports moved several bills forward, including the main budget bills House Bill 500 and House Bill 504, along with measures on workforce investment, data centers, domestic violence, guardians ad litem, domestic relations, health delivery and “food is medicine” initiatives, state personnel, open records, and fish and wildlife resources. House Bill 500 and House Bill 504 were taken from the Rules Committee and placed on the orders of the day. House Bill 500, the executive branch budget bill, was then taken up for third reading and explanation. Members presented extensive floor explanations of House Bill 500 and House Committee Substitute 1, describing it as a “good first draft” of the executive budget. Supporters said the proposal emphasizes restrained spending growth, base reductions with exemptions for key areas, employee salary increments, and deposits to the Budget Reserve Trust Fund for future one-time investments. They highlighted funding for K-12 education, postsecondary aid and workforce training, Medicaid and behavioral health, public health infrastructure, pensions, veterans, public safety, economic development, tourism, and state technology and facility maintenance. The budget substitute was adopted by voice vote, and the discussion continued with detailed descriptions of the bill’s provisions; no final passage vote was shown in the excerpt.
OK
Transcript Highlights:
  • Speaker, can you talk a little bit about the rollout of this program? How many years will it take?
  • Do you think it's also important that we continue and extend programs like Inspired to Teach to make
  • Yes, the Inspired to Teach program Has been a resounding success. And I think you look at the data.
  • you madam speaker well then since you're open to suggestions, wouldn't it be possible to expand a program
  • And so I think it is critical and essential to the long-term success of this program For a follow-up,
HI

Hawaii 2026 Regular Session

PSM-HWN Informational Briefing 04-15-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • there's program space on every module. there's program space on every module.
  • program space on the modules themselves. program space on the modules themselves.
  • will have the program space there. will have the program space there.
  • inmates from programs. inmates from programs.
  • also to to provide cultural programs. also to to provide cultural programs.
KY
Transcript Highlights:
  • And then lastly, House Bill 441 would repeal what we call the waiver program.
  • In the waiver program, it's not used by very many people.
  • waiver program.
  • Uh in the waiver waiver program.
  • And then lastly, the waiver program.
Summary: The meeting opened with the Pledge of Allegiance and prayer, followed by a roll call confirming a quorum and approval of the prior minutes. A special guest, Dave Eager, was welcomed before the committee moved to presentations from retirement system officials. Bo Craycraft, executive director of the Judicial Form Retirement System, gave a quarterly update on investment performance, asset allocation, and cash flow. He said the plans had held up well amid market volatility, with fiscal year-to-date returns above benchmark and long-term returns remaining strong. He explained that the plans are targeted to a 70% equity/30% fixed-income allocation, that some cash is being held for cash-flow management, and that negative cash flow is expected because of funding and contribution levels. He also said Senate Bill 183, dealing with proxy voting and economic analysis for certain votes, was not expected to materially affect the plans because of their small number of holdings and Bear Trust’s long-term investment approach. Ryan Barrow and Erin Surrod then presented for the Kentucky Pension Authority. They reported positive quarterly performance across the retirement and insurance funds, though results varied by period and remained tied to broader market conditions. They said recent asset-allocation changes had been completed and the funds were now within target ranges. On cash flow, they noted some plans remained negative or near zero, with one plan benefiting from a large appropriation. In the legislative update, they described House Bill 30 as codifying an exclusion from pension-spiking calculations for across-the-board raises, and Senate Bill 10 as increasing retiree health insurance subsidies and changing employee health insurance contribution rules for certain CERS members beginning in 2026. They also said Senate Bill 183 would likely have limited impact, though the agency would review voting policies and incorporate any required economic-analysis procedures.
HI

Hawaii 2025 Regular Session

WAM-HRE Informational Briefing 01-17-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • deficits are in any of the any programs deficits are in any of the any programs including<00:08:
  • and special talent waivers.
  • No. about the evolution of that uh the about the evolution of that uh the program program program expansion
  • derail this program?
  • I mean, that one program probably could be a four-year degree program.
Keywords: 912, senate, all
MA
Transcript Highlights:
  • And reduced state funding for HCBS Medicaid waiver programs will likely result...
  • And reduced state funding for HCBS Medicaid waiver programs will likely result in large increases in
  • program.
  • This is a two-year program.
  • So it's a very good program.
Keywords: 995, all
Summary: The Massachusetts Commission on the Status of Persons with Disabilities held its quarterly meeting on September 10, with roll call, approval of the June minutes as amended, and welcoming remarks for newly appointed commissioner Rachel Caprilyan and reappointed commissioners. Chair Denise Garlick outlined plans for a statewide community hearing series, beginning with a November 4 hybrid hearing at Needham Town Hall focused on the Boston/Metro West region, and described the creation of a nonvoting advisory council to broaden the commission’s expertise across health care, transportation, housing, education, employment, business, and local disability commissions. Commissioners discussed the nomination process, the need for geographic diversity, and the goal of having the council in place by the December quarterly meeting. The main presentation addressed proposed federal Medicaid and SNAP changes in H.R. 1, with Jennifer Bertrand of the Massachusetts Developmental Disabilities Council warning that the law could cut federal Medicaid spending by $1 trillion over 10 years, impose work requirements, require redeterminations every six months, restrict provider taxes, and reduce SNAP benefits. She said these changes could increase uninsurance, create administrative barriers, and threaten home- and community-based services, with a Massachusetts analysis projecting 141,000 to 203,000 MassHealth members could lose coverage over six months. Commissioners and attendees responded that the changes could harm people with disabilities, caregivers, and provider organizations, increase institutionalization risk, and intensify competition for limited state resources; several emphasized the need for disability groups and broader health care stakeholders to coordinate advocacy. Subcommittee reports highlighted recent and upcoming work. The Disability Employment Subcommittee reported on a June “Strength and Support” event, an August presentation by Run the Gamut, and an upcoming MAPC/Employment First workshop in Worcester, while the Long-Term Services and Supports and Health Equity Subcommittee discussed a presentation from the Lurie Institute for Policy Research on community living dashboards and disparities in Medicaid and LTSS. Commissioners also shared announcements about upcoming events, including the Paul Spooner Generational Leisure Summit, the Disability Policy Consortium’s John Winsky Memorial Award ceremony, the Massachusetts Health Council’s annual celebration, and a September 17 hearing on insurance coverage for hearing aids. The meeting ended with congratulations to commissioner Carl Richardson for an accessibility award and a motion to adjourn, which passed.
WA

Washington 2025-2026 Regular Session

Senate Law & Justice Jun 4th, 2025

Transcript Highlights:
  • Well, as our own Supreme Court has noted, we have one of the broadest waivers of sovereign immunity in
  • The first has already been mentioned: it's the waiver of sovereign immunity.
  • So when we think about the landscape of liability, we look at waivers of sovereign immunity.
  • We've got a very broad waiver. We look at specific statutes dealing with child sexual abuse.
  • That early resolution program has disintegrated from my perspective.
Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.
KY
Transcript Highlights:
  • of those extra waiver add-ons.
  • Um there are educational supports through that birth to three program, First Steps in Kentucky.
  • Um, there are educational supports through that birth-to-three program, First Steps in Kentucky.
  • brought in significant revenue for us and it carried other programs with the EPSDT rate.
  • Well, it's really the school programs, the education side.
Keywords: 958, all
Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.