Transcript Highlights:

• , we uh allowed for a million dollars in each fiscal year to support additional contracted services to
• services to conduct uh contracted services to conduct uh certification<00:02:33.120><c> surveys</c><
• So we do were no uh contract surveyors.
• :31.360><c> outside</c><00:30:31.679><c> agency</c> uh contract agency, an outside agency uh contract
• </c><00:45:01.680><c> for</c> go to market, bid for contracts for go to market, bid for contracts for

Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.

Transcript Highlights:

• In 2020, AFSC signed a contract establishing a general prohibition on contracting out of workers at UC
• This was for cafeteria workers who were contracted out by UC and shouldn't have been.
• department could trigger a blanket prohibition on same or similar contracted services at the entire
• And we know that contraction is going to continue to take place with oil refining.
• And we know that contraction is going to continue to take place with oil refining.

Committee: Senate Labor, Public Employment and Retirement

Transcript Highlights:

• contract, and we have regional center performance measures.
• The costs of these contracts go up.
• And Amy, are these contract reviews by the board slowing down the process to contract with these vendors
• And Amy, are these contract reviews by the board slowing down the process to contract with these vendors
• No, contract with the consultant. Oh, the actual contract with them?

Transcript Highlights:

• </c><00:19:27.200><c> are</c> collect and most of those contracts are collect and most of those contracts
• </c><00:31:45.279><c> with</c> state level and in our contracts with state level and in our contracts
• In terms of contract with the... Sure.
• Uh, the other provider types are the... contract around $34 million of a buy or contract around $34 million
• And so we actually reviewed 11 contracts.

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

Transcript Highlights:

• </c> sometimes at the state, uh, contracting sometimes at the state, uh, contracting for<00:30:12.480
• </c><00:30:34.640><c> with</c> bit more nimble and contract with bit more nimble and contract with individuals
• authorities that be to make those contracts work.
• Uh, this only allows us to more quickly contract with small dollar amount contracts.
• Uh, this only allows us to more quickly contract with small dollar amount contracts.

Bills: HF1007 , HF1152 , HF1671 , HF2258

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: tourism, World Junior Hockey Championships, funding, economic impact, sports events, Minnesota, economic development, livability, marketing, partnerships, labor and industry, electrical licensing, electrical inspection, continuing education, online course approval, Internet continuing education, power limited technician, maintenance electrician, master electrician, technology circuits

Transcript Highlights:

• We do know through our contracts, because they have to to have a contract to receive the funding.
• So our Medicaid contracting team can tell you who's contracted, but they can kind of take homes online
• What we did do when we negotiated this contract originally in 2019 is we put in the contract that the
• Your agency so I were they contracted to a contract I most them are FTEs.
• Second contract is met.

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• . to work with stakeholders, establish network adequacy standards, and make IT and contract updates.
• If the insurer does not have a contract with the accepting facility, a single-case agreement must be
• These interpreters are contracted and not traditional state employees, so we have that reduced scope
• of bargaining compared to most of our contracts.
• This left us with a contract where only our L&I interpreters were not eligible to discuss this issue.

Bills: HB2689 , SB5832 , SB5922 , SB5944 , SB5988 , SB6151

Committee: House Appropriations

Keywords: Working Connections Child Care, child care subsidy, subsidized child care, Washington DCYF, Department of Children, Youth, and Families, low-income families, child care providers, licensed child care centers, family child care, market rate survey, subsidy rates, income eligibility, state median income, SNAP, Basic Food, collective bargaining, provider reimbursement, daily payment, half-day care, partial-day care

Transcript Highlights:

• The state contracts this out.
• These services are provided in contract with the state of Missouri.
• And so while the contract does provide rates, there are not increases in those contracts when these costs
• And so while the contract does provide rates, there are not increases in those contracts when these costs
• The contract requires that.

Committee: House Children and Families

Summary: The Committee on Children and Families heard public testimony on House Bills 1839, 2921, and 3015, all aimed at requiring age verification for access to online pornography. The sponsors argued the bills are needed to protect children from early exposure, exploitation, sextortion, and related harms, and said the measures mirror laws in other states and recent Texas litigation. Supporters, including the Missouri Children’s Trust Fund, pediatric sexual assault nurse examiners, child advocacy groups, the Missouri Catholic Conference, and the Attorney General’s office, testified that pornography contributes to child sexual abuse risk, addiction, and unhealthy sexual development. Committee members asked about privacy protections, enforcement, penalties, and whether third-party verification or website-based verification would be used; the Attorney General’s office said identifying information should not be retained and that enforcement would occur through court action. No one testified in opposition, and the hearing concluded with the bills remaining under consideration, with a committee substitute to follow for one portion of the legislation. The committee then heard House Bill 2610, which would use the state legal expense fund to cover claims and judgments involving foster care, case management, and residential service providers under contract with the state. Representative Murphy and supporters said the private insurance market for these providers has become unstable and unaffordable, with some agencies facing large premium increases, repeated denials, or inability to find coverage at all. Testimony from the Missouri Coalition for Children, Missouri Alliance for Children and Families, Family Forward, and the Attorney General’s office described the issue as a market failure that could force providers to close and disrupt services for foster children. The Attorney General’s office explained how legal expense fund coverage would work, noted that it can cover negligence and intentional acts for covered entities, and said the bill would shift risk to the state in the absence of adequate private insurance. No opposition was offered. Finally, Representative Terry briefly presented House Bill 24, describing it as the same as Representative Dolan’s grandparents’ bill and emphasizing that grandparents should have first consideration for custody if a child’s parents are unable to care for them. No testimony was offered on the bill. The committee then moved into executive session and voted do pass on House Committee Substitute for House Bill 1696, House Committee Substitute for House Bills 2505 and 24, and House Bill 1772, each by unanimous 14-0 votes. The meeting then adjourned.

Transcript Highlights:

• Hayes, could you please, one, talk about grants management and grants as contracts.
• And then a contracts. That's one piece.
• Procurement contracts, by contrast, are more inward-facing.
• procurement contracts, by contrast, procurement contracts, by contrast, uh<00:06:40.800><c> are</c><
• :06:44.800><c> agencies</c><00:06:45.320><c> enter</c> contracts that the state agencies enter contracts

Transcript Highlights:

• </c> Integrity contract Integrity contract ctor<00:30:29.600><c> um</c><00:30:29.720><c> third</c><00
• So what kind of oversight or contract monitoring activities are taking place with the single PBM contract
• and also the FFS PBM contract.
• They can pay more, but they typically contract with providers for an agreed-upon rate.
• The Medicaid agency is not part of those contracts.

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• So here's a slide that just shows the contracts that are completed and the contracts that are ongoing
• Contract 5C, Oscar Renda, has 7.5 miles in the ground of an 8.1-mile contract.
• of those contracts were.
• So this is just a look at the contracts, Contract 5C, Oscar Renda.
• of those contracts were.

Committee: Joint Water Topics Overview Committee

Transcript Highlights:

• Grants and contracts are also important.
• We refurb them with a contract we have in Bismarck.
• The last page is also grants and contracts.
• The last page is also grants and contracts as well.
• We have executed our contract as of October 1st.

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• When you turn 18, you can sign contracts, vote, join the military.
• When you turn 18, you can sign contracts, vote, join the military.
• The base contract for this service has not increased since 2009.
• DCYI. welfare system to contract for the operation of the program.
• and to assess the measures included in each contract.

Bills: SB5911 , SB5940 , SB5942 , SB5957

Committee: Senate Human Services

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• First, the facility did not operate under a placement contract, and so as a result, it did not have a
• contract monitor.
• Contract monitors are department employees responsible for ensuring that facilities meet contract requirements
• Like I mentioned earlier, the department assigns contract monitors to oversee placement contracts for
• At the time of our evaluation, we found that the role of contract monitoring was unclear.

Committee: Senate Health and Welfare

Transcript Highlights:

• So all of our contract and conflict employees use LegalServer for free.
• We abolished flat fee contracts.
• We also had a group of attorneys that had flat fee contracts.
• Throughout the state of Idaho, contracts were anywhere from $65 an hour up to $150.
• We increased to $125 for all of our contract attorneys.

Committee: Senate Judiciary and Rules

Transcript Highlights:

• And things like create contract line items, or CLINs, that develop search capacity.
• I'm not referring to acquisition reform here, such as different ways of doing contracting, but to the
• And I think that partnership has to include long-term contracts.
• You know, contracting officers are personally liable for, you know, something goes wrong with the contracting
• Many of those contracts have not been adjusted.

Committee: Senate Senate Armed Services Subcommittee on Personnel

Transcript Highlights:

• </c><00:33:52.880><c> cabinet</c> contract consists of the cabinet contract consists of the cabinet providing
• Once during the terms of this contract.
• Uh provide the education contract.
• that accumulate... teacher contracts are what 180 185 days teacher contracts are what 180 185 days &
• Um, usually it's those that have the 240-, 245-day contract, 225-day contract, receiving other people

Summary: The committee heard testimony from Rep. Ashley Tackett Laferty on a bill to extend minimum line-of-duty hazardous duty retirement benefits to certain CERS and KERS non-hazardous members who are injured in the line of duty and cannot return to that work. She used a video and examples from Eastern Kentucky first responders, including a deputy who lost a leg and an emergency management director who lost an eye, to argue that some injured officers and responders fall through the cracks because their employers did not elect hazardous-duty coverage. She said the proposal would provide 25% of pay to the disabled officer, plus 10% for dependent children and minimal health benefits, and noted estimated actuarial costs of about $2.9 million for CERS and $0.542 million for KERS, funded through small employer-rate increases. Members asked how far back the bill would reach, how many people might qualify, and whether the benefit would apply only to active employees or also to past injuries. Laferty said the bill would include a five-year window for recent situations and could potentially cover a total of 3,333 positions statewide that could be certified as hazardous, though benefits would only apply if the person was injured in the line of duty and disabled from returning to that work. Questions also focused on whether a non-hazardous employee could qualify if injured in a hazardous situation; Laferty said yes, if the position could be certified as hazardous, but only for the bill’s minimum benefits. Rep. Josh Calloway and others noted that local governments choose whether to pay the higher hazardous-duty contribution rates, which they said often drives the coverage decision. The committee then heard Rep. Daniel Gberg present a separate bill revising school leave rules so teachers and school employees may use accumulated sick leave to observe religious holidays not on the school calendar, with a required personal statement and advance notice. He said the change would address a longstanding inconsistency for teachers who observe non-Christian holidays and currently may have to choose between unpaid leave or improperly using sick days, and he said prior concerns about retirement service credit and maternity leave were reduced by other policy changes. The discussion ended without a vote, with members indicating they had the relevant materials and that the bill would be revisited later.

Transcript Highlights:

• I'm not exactly sure when that contract is up, but we will be negotiating the contract with them Thank
• I'm not exactly sure when that contract is up, but we will be negotiating the contract with them based
• That’s probably going to be the advertising contract.
• That’s probably going to be the advertising contract.
• That's probably going to be the advertising contract.

Committee: All ALC-PEER

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• And these data centers write long-term contracts to do refurbishment.
• So what this amendment does is it recognizes those long-term contracts and it continues the exemption
• to get through those contract periods.
• to any contracts that are written after July 1, 2026.
• It says even if you have contracts, even if you have contracts, even if you have contracts, even... because

Bills: HB2720 , HB2073 , SB5816 , SB5919 , SB5831 , SB6244 , SB6044 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, juice grapes, agriculture, commerce, state regulation, market access, fire safety, insurance incentives, best practices, community protection, voluntary measures, mortgage modification

Transcript Highlights:

• Because I learned in the contract that anything agreed to that is not in the contract never really happened
• It also was a non-disclosure contract.
• On one company, they signed contracts with Galehead.
• They sold their contracts to Treaty Oak, and I don't know whose hands those contracts are in now.
• They only study the people who signed the contract.

Summary: The House Utilities Committee resumed hearing on House Bills 2402 and 2816, which address utility-scale solar development. The chair asked witnesses to keep comments to informational purposes, and testimony focused on setbacks, taxation, land conversion caps, county authority, decommissioning, and impacts on neighboring landowners and rural communities. Several witnesses said they supported solar in limited settings such as rooftops or industrial sites, but opposed or wanted changes to the bills’ treatment of agricultural land, especially the proposed 4% cap on cropland conversion and the 500-foot setback from homes. Testimony from landowners and farm groups emphasized concerns about property rights, viewshed impacts, fire risk, drainage and floodplain issues, and the loss of agricultural tax base and local economic activity. They argued the proposed $2,500 per megawatt tax was too low and suggested higher rates, with some recommending $6,000 per megawatt or more, along with decommissioning requirements and stronger county-level protections. A Renew Missouri representative supported much of the bill but preferred a smaller setback and raised constitutional concerns about changing solar land from agricultural to commercial assessment. Other witnesses, including a county commissioner, described local regulations already in place in some counties and asked for clearer statewide standards. Industry and utility representatives said the legislation was generally workable but needed further discussion on setbacks and property tax treatment. Clean Grid Alliance and related witnesses argued that tax comparisons with other states should account for total tax burden, not just nameplate taxes, and said higher taxes would raise electricity costs for consumers. Ameren Missouri said it was acceptable with most provisions, but cautioned against overly aggressive real-property assessments and noted its current and planned solar buildout. The hearing ended without a vote; the committee adjourned after taking testimony on both bills.