Transcript Highlights:

• addresses a scope of practice concern which prohibits counselors from performing any mental health testing
• It might be that your Aunt Sally, who you've cared for your whole life, is not actually a blood relation
• , but she has stood in as a blood relation.

Keywords: 909, all

Transcript Highlights:

• Now, this parasitic entity known as inspector has latched upon us, a blood-sucking insect, to extract
• time they're hitting, if you consider paint, markings, rubber removal, all these things, friction testing
• time they're hitting, if you consider paint, markings, rubber removal, all these things, friction testing

Summary: The Senate Transportation Committee met and first considered SB 86, which would make it unlawful for unauthorized aliens to operate commercial motor vehicles in Florida. The sponsor described the bill as a highway safety measure, requiring lawful presence, a valid CDL, English proficiency, and the ability to communicate with law enforcement. The bill also provides for impoundment, custody transfer to federal authorities, a civil penalty on the motor carrier, and an out-of-service order. An amendment was adopted, public testimony included support from the Florida PBA, and the committee reported the bill favorably. The committee then heard SB 706, which preempts naming of major commercial service airports to the state and would rename Palm Beach International Airport as Donald J. Trump International Airport. An amendment was adopted to make the change subject to FAA approval, a trademark agreement, and a reasonable implementation period for Palm Beach County. Palm Beach County representatives supported the measure and the amendment, and the committee reported the bill favorably. Next, the committee approved SB 1670, a specialty license plate bill for the “outsider” plate, after adopting an amendment reducing the Huber Brothers Foundation’s share of proceeds from 25% to 10%. The committee also passed SB 1054, which increases penalties for traffic infractions that result in crashes involving red lights or stop signs, including higher fines, license suspensions, and a one-year bodily injury insurance requirement after injury-causing crashes. Testimony from law enforcement and advocacy groups supported the bill, and it was reported favorably. Finally, the committee considered SB 422 on ADS-B aviation surveillance data. The bill would prohibit use of ADS-B data to calculate or collect landing-related fees, and an amendment narrowed the prohibition to fees tied to landings, touch-and-goes, or entering a fee-assessing airspace radius. Aviation groups, pilots, and airport officials offered extensive testimony, with supporters arguing the bill protects safety and prevents inaccurate or surprise billing, while airport representatives said they use the data for fee collection and operational purposes and wanted further changes. Despite those concerns, the committee reported the bill favorably. The meeting then adjourned.

Transcript Highlights:

• We're also a global leader in genomics, diagnostics, and mRNA testing.
• Unintended consequences and spillover opportunity to experiment and test and then see what can be scaled
• 2017 as I was trying to optimize my own hydration as an athlete, and then again experiencing. low blood

Keywords: 988, house, all

Transcript Highlights:

• can take regarding your brain health, getting sleep, eating a healthy diet, exercise, managing high blood
• because that's when treatments work best, the treatments that we have available now, and the biomarker testing
• can take regarding your brain health—getting sleep, eating a healthy diet, exercise, managing high blood
• can take regarding your brain health—getting sleep, eating a healthy diet, exercise, managing high blood
• because that's when treatments work best, the treatments that we have available now, and the biomarker testing

Keywords: 928, house, all

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.

Transcript Highlights:

• After doing some simple tests, her primary doctor diagnosed her with acute myelogenous leukemia.
• We have to have patience in order to test new therapies like my partner Lisa.
• in</c><00:25:50.559><c> order</c><00:25:50.720><c> to</c><00:25:51.919><c> uh</c><00:25:52.159><c> test
• </c><00:25:52.480><c> new</c> have patience in order to uh test new have patience in order to uh test
• </c><00:37:35.359><c> and</c> specialists in our pediatric blood and specialists in our pediatric blood

Keywords: 1183, house

Transcript Highlights:

• Members, sickle cell disease affects hemoglobin, which is the major protein that carries oxygen in red blood
• Normally, red blood cells are disc-shaped and flexible, allowing them to move easily through blood vessels
• In sickle cell disease, red blood cells are misshaped, typically crescent or sickle-shaped, due to a
• When red blood cells sickle, they do not bend or move easily and can block blood flow to the rest of
• According to the National Heart, Lung, and Blood Institute, 100,000 people in the United States and 8

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a moment of silence honoring former Senator Charlie Dean. Senators also introduced guests, including family members, church leaders, and visiting students. The chamber then moved to the special order calendar, where several bills were temporarily postponed, including measures on Citizens Property Insurance, artificial intelligence, public records, and data centers. The Senate passed a series of bills focused on consumer protection, transportation safety, health, and financial regulation. CS/HB 505 on virtual currency kiosks passed 37-0 after being substituted for SB 198 and amended to adopt Senate language aimed at limiting fraud and setting transaction controls. SB 382 on electric bicycles passed 37-0 after amendment to broaden the task force to micro-mobility devices. SB 844 on sickle cell disease continuing education passed 37-0, requiring certain health professionals to complete training on care management. SB 1014 on municipal utility service outside city limits passed 37-0, and SB 428 on the swimming lesson voucher program passed 36-0 after amendments expanding the program to ages 1 through 7 and adding drowning-prevention education for new parents. The Senate also passed CS/CS/CS/SB 540 on the Office of Financial Regulation, which creates cybersecurity program requirements for certain licensees, expands oversight of some investment advisers, and updates credit union and anti-money-laundering provisions; it passed 36-0. CS/CS/SB 1440 on public records passed 35-1 after technical amendments tied to related cybersecurity exemptions and reporting requirements. SB 1594 on veteran benefit payments to minor clients passed 36-0, directing certain benefits for foster youth toward post-secondary education or aftercare rather than agency reimbursement. At the end of the session, the Rules Chair moved to certify all passed bills to the House and retain postponed bills on the special order calendar, and the Senate adjourned until the next day.

Transcript Highlights:

• If you have, uh, diabetes, high blood pressure, you're obese.
• My blood pressure was 180/120.
• You've got high blood pressure, I'll give you pills out of your way.
• I had to ask for it because I was monitoring my blood sugars, and guess what?
• And when you have ACEs, you are more likely to have high blood pressure and diabetes.

Bills: HB46

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• Well, the leading causes, absolutely, of kidney disease are high blood pressure and diabetes.
• You may not be able to stall the development... ...of high blood pressure and diabetes.
• My blood pressure was 180 over 120.
• If you have high blood pressure, they say, "I’ll give you pills; get on your way."
• When you have ACEs, you are more likely to develop high blood pressure and diabetes.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• THE DAY HE TRIED TO DISCHARGE ME MY CONDITION WAS ACUTE BLOOD LOSS. ACUTE PERFORATED DUODENAL.
• HE WAS IN SEVERE PAIN COUGHING UP BLOOD.
• WE KEPT TELLING EACH NEW DOCTOR AND NURSE ABOUT HIS HISTORY OF BLOOD CLOTS.
• THEY QUICKLY DISCOVERED THAT HE HAD A BLOOD CLOT.
• THE BLOOD CLOT HAD CUT THE BLOOD SUPPLY OFF TO HIS INTERNAL ORGANS FOR TOO LONG.

Keywords: 999, senate, all

Transcript Highlights:

• They take a test, they go through a training course and take a test on a multitude of subjects, some
• Yes, because of lack of training, also because I didn't go to pharmacy school to test infectious blood
• Cleo-Wave tests.
• But HIV tests, you can actually get over-the-counter HIV tests.
• You know, in terms of the test and treat, I mean, as you know, you don't really test... ...test and treat

Summary: The committee opened by announcing a heavy agenda and noting that Senate Bill 1176 would be held. It then took up several Senate bills, beginning with SB 1272, which appropriates $5 million for the City of Douglas as a state match for the Douglas Port of Entry project. The bill was amended to draw the money from the Water Supply Development Revolving Fund instead of the General Fund. Senator Gowen, the Douglas mayor, and city staff described the project as a $678 million federal investment opportunity that would support water, wastewater, and broadband infrastructure, create jobs, and improve border security. The committee approved SB 1272 as amended on a 15-0 vote with three present and one not voting. The committee next approved SB 1503, as amended, which expands the state death benefit to include civilian pilots employed by law enforcement agencies and applies the change retroactively to January 1, 2026. Senator Gowen and DPS leadership testified that the change was needed so the family of a pilot killed in a February helicopter crash would qualify for the benefit. The bill passed 18-0 with one not voting. SB 1274, as amended, created a separate timeshare salesperson license and training path; supporters said it would streamline licensing for people who only sell timeshares, while one member objected to the added rulemaking discretion. It passed 17-1 with one not voting. The committee also approved SB 1286, which expands veterinary telemedicine by allowing longer prescription periods for certain medications after an electronic exam, with shorter limits for antimicrobials. Supporters said it would help rural and disabled pet owners and had been negotiated to the satisfaction of veterinarians and telemedicine advocates. The bill passed 18-0 with one not voting. SB 1519, as amended, raised the off-highway vehicle weight threshold from 2,500 to 3,500 pounds and revised related registration and funding provisions; supporters argued it would reflect newer enclosed-cab vehicles and better align Arizona with neighboring states, while opponents warned of trail damage and said the study process was not complete. It passed 10-7 with one present and one not voting. Finally, the committee approved SB 1618, which restructures the Military Affairs Commission, adds members with defense and aerospace expertise, requires more frequent meetings and reporting, and updates the Military Installation Fund and related duties to better attract and retain defense missions. Supporters said the changes would help Arizona compete for military and defense investment, while some members questioned whether the commission’s mission was being broadened too far and whether the existing structure should instead be handled through other agencies. The bill passed 10-6 with one present and one not voting. The committee then considered SCR 1020, which would index legislative salaries to inflation or deflation starting with future officeholders if approved by voters. Supporters argued the current $24,000 salary had eroded significantly since 1998 and limited who could serve, while opponents objected to legislators voting on their own pay or preferred reducing session time instead. The resolution was approved and sent forward for voter consideration.

Transcript Highlights:

• I know of quote there is only one test I know of to<00:30:21.000><c> determine</c><00:30:21.440><c>
• draws and chromosomal tests for all people to dictate who can play sports and use restrooms, all to
• draws and chromosomal tests for all people to dictate who can play sports and use restrooms, all to
• draws and chromosomal tests for all people to dictate who can play sports and use restrooms, all to
• Would we require every New Hampshire citizen to get a chromosome test? Who would pay for those?

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on House Bill 148, with the chair limiting testimony to two minutes and asking for no outbursts so the committee could get through eight bills that day. Representative Kofalt, the prime sponsor, said HB 148 was the same as last year’s HB 396, which passed both chambers but was vetoed by the governor. He explained the bill would allow, but not require, separation by biological sex in bathrooms, locker rooms, houses of correction, and certain athletic competitions, leaving local school boards and administrators discretion to set policies. He argued the bill was meant to address safety and privacy concerns and cited a Milford incident and concerns in several school districts as examples of why local flexibility was needed. Committee members questioned the lack of a definition of “biological sex” and how the bill would be applied. Kofalt said he did not think a definition was necessary because males and females are generally understood, and he said the bill would give local policymakers latitude to make practical rules. He also said the bill was intended to address situations where people might misuse transgender claims to access spaces inappropriately. In response to questions, he said he was aware of issues in Kearsarge, Milford, and Mascoma school districts and had heard of discomfort in the State House, though he did not know all the details. Several opponents testified that the bill would discriminate against transgender and non-binary people and create enforcement problems. Executive Councilor Karen Hill said the bill would roll back New Hampshire’s anti-discrimination protections and conflict with the state’s Live Free or Die values. Alice Wade, a trans woman, said she had used women’s restrooms without incident and argued the bill would invite invasive enforcement and harassment. Representative La Selig said the bill was discriminatory and that bathroom concerns were being confused with unrelated harassment by cisgender males. Betsy Harrington supported the bill, citing a girls’ soccer game at Kearsarge that she said was disrupted by a boy playing on a girls’ team. Rosie Emer and her child testified against the bill, saying bathroom restrictions would increase anxiety and risk for trans and non-binary children. Stephen Scaer and Wendy Stallings supported the bill, arguing sex is biologically fixed and that excluding males from female spaces should not require genital inspections. No vote or final committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• </c> &gt;&gt; Um we have a lead clearance testing &gt;&gt; Um we have a lead clearance testing technician
• > Stress tests where you take a contrast...
• They put the blood spot on from paper.
• </c><03:11:00.000><c> But</c> that is used for blood spot testing.
• But that is used for blood spot testing.

Keywords: 928, house, all

Summary: The Joint Committee on Dedicated Funds met to review inactive and dedicated accounts, note prior legislation that had passed, and begin its annual review of agency funds. Members discussed several inactive funds, including some HHS-related accounts, a law enforcement memorial fund, and possible cleanup of accounting references where funds had been reorganized or merged. Staff noted that some newer funds may simply not have started receiving revenue yet, and the committee agreed to follow up on specific accounts later rather than address everything immediately. The committee then heard from Fish and Game on its dedicated funds. Topics included the statewide public boat access account, which is used for boat ramp and access-site maintenance and is supported by boat registration fees and federal funds; the ORV education, training, and enforcement account, which has declined over time and may need attention because revenue depends heavily on weather and snowmobile use; and the search and rescue account, which is funded by Hike Safe cards, a $1 fee from boat and OHRV registrations, and court-ordered fees. Fish and Game also explained that the conservation license plate fund had been merged into the non-game species management account, which is supported by donations, federal funds, and a statutory general fund transfer, and that pheasants are treated as game species under a separate program. The committee spent considerable time on the lifetime license account, an off-book Treasury-held account that collects lifetime license sales and returns funds to Fish and Game based on annual sales plus 9% of the fund balance. Members questioned why the account’s presentation did not clearly show the transfer as a revenue reduction and suggested the reporting format needed cleanup so the flow of money would be easier to understand. Fish and Game said the account is operating properly and that the transfer to the unrestricted Fish and Game fund exceeded $400,000 in the most recent year. The committee also reviewed the publications and fundraising revolving fund, which keeps a $100,000 balance for inventory purchases and transfers excess year-end funds to the unrestricted Fish and Game fund; members again raised concerns that the reporting format did not clearly show the transfer, and staff said they could add a note or other clarification.

Transcript Highlights:

• Members, sickle cell disease affects hemoglobin, which is the major protein that carries oxygen in red blood
• Normally, red blood cells are disc-shaped and flexible, allowing them to move easily through blood vessels
• In sickle cell disease, red blood cells are misshaped, typically crescent or sickle-shaped, due to a
• When red blood cells sickle, they do not bend or move easily and can block blood flow to the rest of
• According to the National Heart, Lung, and Blood Institute, 100,000 people in the United States and 8

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and a doctor of the day announcement. Members also observed a moment of silence for former Senator Charlie Dean, with tributes offered to his service and family. Several introductions were made, including guests in the gallery and visiting students. On the special order calendar, the Senate temporarily postponed bills on Citizens Property Insurance, artificial intelligence, public records, and data centers, then took up and passed several measures. SB 198/HB 505 on virtual currency kiosks was substituted to the House bill, amended to adopt the Senate language, and passed 37-0 to address fraud, registration, transaction limits, warnings, receipts, and refunds for scam victims. SB 382 on electric bicycles passed 37-0 after amendment to broaden the task force to micro-mobility devices and collect crash data. SB 844 on sickle cell disease continuing education passed 37-0, requiring one-time board-approved training for certain licensed health professionals. SB 1014 on municipal utility service outside city limits passed 37-0, prohibiting cities from denying water or wastewater service solely because an owner refuses annexation, subject to service and funding conditions. The Senate also passed SB 428 on the swimming lesson voucher program by 36-0 after amendments expanding eligibility to ages 1 through 7 and adding postpartum drowning-prevention education and safe bathing guidance. SB 540 on the Office of Financial Regulation passed 36-0, creating cybersecurity program and oversight requirements for certain financial licensees and clarifying anti-money-laundering enforcement. SB 1440 on public records passed 35-1 after technical amendments, extending cybersecurity-related public records exemptions and reporting provisions. SB 1594 on veteran benefit payments to minor clients passed 36-0, directing benefits received on behalf of foster youth toward post-secondary education or aftercare rather than agency reimbursement. At the end of the session, the Rules Chair moved to waive rules so all bills passed that day would be immediately certified to the House and the postponed bills would remain on the special order calendar; both motions were adopted. The Senate then adjourned until the next morning for committee meetings and other business.

Transcript Highlights:

• Members, sickle cell disease affects hemoglobin, which is the major protein that carries oxygen in red blood
• Normally, red blood cells are disc-shaped and flexible, allowing them to move easily through blood vessels
• In sickle cell disease, red blood cells are misshaped, typically crescent or sickle-shaped, due to a
• When red blood cells sickle, they do not bend or move easily and can block blood flow to the rest of
• According to the National Heart, Lung, and Blood Institute, 100,000 people in the United States and 8

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and observed a moment of silence for former Senator Charlie Dean. The chamber also received several introductions, including guests from the Church of Jesus Christ of Latter-day Saints and visiting Polk County students. After routine business, the Senate took up a special order calendar, temporarily postponing several bills including measures on Citizens Property Insurance, artificial intelligence, public records, and data centers. The Senate then passed a series of bills, most by unanimous or near-unanimous votes. Approved measures included SB 198/HB 505 on virtual currency kiosks, which creates registration, disclosure, transaction-limit, warning, receipt, and fraud-refund requirements; SB 382 on electric bicycles, which adds pedestrian-yield rules, speed limits near pedestrians, and creates a micro-mobility safety task force; SB 844 on sickle cell disease continuing education for certain health professionals; and SB 1014 on municipal utility service, which bars cities from denying water or wastewater service outside city limits solely because the owner refuses annexation. Each of these bills was explained by the sponsoring senator, amended as needed, and passed on recorded votes. The Senate also passed SB 428, expanding the state swimming lesson voucher program from ages 0-4 to ages 1-7 and adding drowning-prevention education for new parents through a merged amendment with related language; senators from both parties spoke in support, emphasizing child safety and autism-related drowning risks. Additional bills passed included SB 540 on Office of Financial Regulation cybersecurity and oversight changes, SB 1440 on related public-records and cybersecurity exemptions, and SB 1594 to protect veterans’ benefits received on behalf of foster children by directing those funds toward post-secondary education or aftercare rather than agency reimbursement. Final votes were largely 36-0 or 37-0, with SB 1440 passing 35-1. At the end of the session, the Rules Chair moved to waive rules so all bills passed that day would be immediately certified to the House and all temporarily postponed bills would remain on the special order calendar. The Senate then adjourned until the next morning for committee meetings and other business.

Transcript Highlights:

• Port wine stains are present at birth, and they're caused by an abnormal development of blood vessels
• In clinical terms, these malformations are blood vessels that may disrupt critical functions such as
• Nobody should ever Nobody should ever have to delay testing or treatment because of cost sharing or insurance
• I have sleep apnea, type 2 diabetes, kidney issues, high blood pressure, high cholesterol, and anxiety

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• If you're successfully treated for blood pressure and you stop your medicine, your blood pressure will
• </c> blood pressure, cholesterol. blood pressure, cholesterol.
• glucose will go medicine, your blood glucose will go back<00:59:11.520><c> up.
• , your blood pressure will go medicine, your blood pressure will go up.<00:59:22.720><c> Same</c><00:
• </c> use that perspective for diabetes, blood use that perspective for diabetes, blood pressure,<00:59

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• Kratom has several side effects, including liver damage, high blood pressure, weight loss, constipation
• So 2.1 milligrams per milliliter of blood. What was— yeah, it was milliliters of blood, yep.
• The sample was drawn from femoral blood.
• you know, and I don't know— I don't know that we or the FDA or anybody knows what a toxic level, a blood
• levels, blood serum levels, like show up in this autopsy?

Summary: The working group met for a legislative-only discussion on kratom ahead of a special session, with members first hearing a staff memo summarizing federal and state regulation, kratom’s psychoactive effects, reported health risks, and North Dakota’s recent executive action and special session call. The chair explained that legislators in the room would speak first, then online participants, with comments limited to about five to seven minutes, and noted a public open house and later expert testimony would follow. Several legislators argued the issue had already been extensively debated in the 2025 session, citing House Bill 1101, which would have scheduled kratom as a Schedule I substance and was defeated, and House Bill 1566, which evolved into a study. They urged the group to consider both prohibition and regulation, and some suggested a temporary measure until the 2027 session. Others emphasized testimony from people who say natural kratom helps with chronic pain or PTSD and warned against banning a product that some use to function, while still supporting tighter controls on adulterated or synthetic products. Other members focused on public health and enforcement concerns. Some said the executive order created confusion for users, retailers, and law enforcement, and raised concerns about withdrawal, access to treatment such as Suboxone, and whether the state could regulate the product effectively in the short time available. A pharmacology-focused discussion distinguished natural kratom leaf from synthetic 7-OH products, with several members saying the synthetic forms pose the greatest overdose risk and should be tightly restricted or scheduled, while any legal natural product would need strict limits, labeling, and penalties. The meeting ended without a vote, with the chair saying the group would continue gathering testimony and return for further hearings next week and during the special session.

Transcript Highlights:

• Once it expires, they have to go through the testing again.
• The lab tests for what?
• and blood tests that they need, because it's been very... division is tasked with um taking away a division
• </c><01:57:12.360><c> and</c><01:57:12.520><c> blood</c><01:57:12.760><c> tests</c> different rabies
• tests and blood tests different rabies tests and blood tests that<01:57:13.239><c> they</c><01:57:13.400

Keywords: 912, senate, all

Summary: The committee heard budget testimony first from the Department of Corrections and Rehabilitation. Director Tommy Johnson outlined short-term goals to reduce overcrowding, improve living and working conditions, fill vacancies, expand mental health services, and update the correctional master plan. He said the department is still dealing with severe overcrowding at facilities such as OCCC and HCCC, with 947 people at OCCC against a design capacity of 628, and noted 938 inmates are currently housed on the mainland because of temporary repairs at Halawa. He also reported progress on staffing, saying the correctional officer vacancy rate has dropped from 34.3% to 24% through expanded recruitment. The department’s major budget request was $30 million for planning and design for a new Old Triple C project, along with other requests for re-entry services, identification documents, security systems, radios, sink-toilet modules, and trauma-informed care. Members asked about the timing and scope of the OCCC project, courtroom space in new facilities, and the department’s plan to use the funding to improve re-entry and reduce recidivism. The committee then heard from the Department of Law Enforcement on a wide range of priorities. The department described requests to expand agricultural crime enforcement, traffic enforcement, illegal fireworks enforcement, and facilities such as a police building at the DKI airport, a state training center, and new police facilities in central and Leeward Oahu. It also discussed a major IT request for a statewide law enforcement and critical infrastructure notification platform, plus funding for grants management, the Wahiawa Civic Center and court complex, the prescription monitoring program, narcotics enforcement operations, and the narcotics lab. A significant portion of the discussion focused on a proposed traffic enforcement program for commercial vehicle inspections, speeding, and DUI enforcement, which the department said would be funded with federal dollars and would operate concurrently with county police. Committee members questioned whether the effort duplicated county jurisdiction and how the program would be trained and staffed. Members also pressed the department on salary disparities for deputy sheriffs and related vacancies, and the department said the administration was working on a supplemental agreement and placeholder funding to address the issue. Additional discussion covered agricultural crime staffing, the Silver Alert program, and expansion of the forensic lab to handle explosives, firearms, and related evidence. No votes were taken in the portion provided, and the meeting moved from the corrections presentation to the law enforcement budget review with questions and answers throughout.

Transcript Highlights:

• Our members are already heavily engaged in herd monitoring, testing, habitat management, fence maintenance
• Our members are already heavily engaged in herd monitoring, testing, habitat management, fence maintenance
• Yeah, so it would be, you know, you start to see, remember, any warm-blooded animal can become infested
• sites for that particular community, but we want to make sure that they begin to take ownership of the blood

Keywords: 1184, house, all

Transcript Highlights:

• House Bill 236, State Athletic Commission, blood testing of contestants timing. >> House Bill 236, State
• Athletic Commission, blood testing of contestants timing. >> House Bill 236 is on third reading and

Keywords: House streaming session for Friday, February 20, 2026, 957, house, all