Transcript Highlights:

• So it's unclear to me if the council has intended to access and utilize field data.
• Marco Vera, you're general manager of the McAllen Public Utility, and you are for House Bill 3125.
• Uh, Mark Vega, McAllen Public Utility, general manager.
• We can drill deeper, and we can drill, you know, we can go and, and really utilize the resource, uh,
• There's actually families that are living there if we can make Those resources such as utilities more

Transcript Highlights:

• NOW WE WILL TAKE HIM TAB EIGHT SB 1002 UTILITY SERVICE RESTRICTIONS AND I BELIEVE SENATOR TRUMBULL IS
• YOU CAN ADD LANGUAGE THAT SAYS MUNICIPAL UTILITY SHALL NOT CONNECTION FEES THAT ARE NOT COST-BASED.
• IF I IS A MUNICIPAL CUSTOMER WANT SOLAR ENERGY DELIVERED TO MEET MY MUNICIPAL UTILITY CAN'T SAY NO?
• A MUNICIPAL UTILITY ON A SUNNY DAY WOULD RUN SOLAR PLANS FIRST AS THEY DON'T HAVE FUEL COSTS.
• THAT IS THE EFFECT OF RESTRICTING THE AMOUNT OF GAS THE UTILITY IS USING THAT DAY.

Keywords: 999, senate, all

Transcript Highlights:

• When chairs, committee members, John, chair of the Public Utilities Commission.
• Thank you. the mainland where utilities can lean on the mainland where utilities can lean on neighboring
• >> I want to state at the outset, I also have with me our utility analyst, Daniel Park.
• utility analyst uh Daniel Park. utility analyst uh Daniel Park.
• That's going to add costs no matter what the structure of the utility is.

Bills: SB3326, SB2911

Keywords: renewable energy, energy storage, cost reduction, public utilities commission, Hawaii energy policies, intoxicating liquor, direct shipment, breweries, distilleries, Hawaii, 912, senate, all

Summary: The committees heard SB 3001 on artificial intelligence in a joint Commerce and Consumer Protection/Labor and Technology hearing. Testimony included support from the Department of Education and Google, comments from the Office of Consumer Protection and the Attorney General’s office, and late opposition from Agentic LLC. The Attorney General raised constitutional and vagueness concerns and suggested clarifying amendments, while Google said the bill’s risk-based approach and proposed amendments could help establish industry-wide safety standards for minors. The committees recessed and then voted to pass SB 3001 with amendments, adopting DCCA/OCP recommendations on data minimization for minors and UDAP clarity, the Attorney General’s proposed clarifications and deletions, and Google’s nonconflicting amendments; the effective date was deferred to July 1, 2050. The vote passed unanimously among members present, with some members excused. The Commerce and Consumer Protection committee then took up several previously heard measures in decision-making. SB 2045 on combat sports passed with amendments reflecting DCCA and boxing commission recommendations, including clarifying the on-site medical professional requirement, reporting duties, promoter payment, removal of the combat sports registry and ambulance requirement, and other technical changes; the effective date was deferred to July 1, 2050. SP 2347 on the residential landlord-tenant code passed with amendments striking landlord requirements so OCP could work on a multilingual tenant-rights notice, and SP 2495 on consumer protection passed with amendments requiring OCP to publish an annual report on potential code violations. SB 2777 on insurance was deferred to February 17, 2026 for further decision-making. At a later CPN decision-making agenda, SB 2471 and SB 2829, both relating to the powers of artificial persons, passed with amendments clarifying the preamble, removing language about foreign artificial persons, and making other consistency and non-substantive changes; both effective dates were moved to January 1, 2027. SP 2033 on renewable energy also passed with amendments clarifying the definition of grid-ready homes, cost-sharing provisions, applicability to interconnecting customers, and safety/certification compliance, with the effective date deferred to July 1, 2050. In each case, the committee voted to adopt the recommendations without objections from members present. The committees also heard SB 3000 on insurance, which would authorize the Attorney General to bring civil actions to recover costs and losses tied to climate-attributable harm and future climate risk, including costs incurred by state insurance-related entities. The Insurance Division and Attorney General’s office offered comments seeking clarification and warning about redundancy, implementation issues, possible representation of private insurers, and concurrent litigation concerns. Supporters, including the Center for Climate Integrity, a resident testifier, Sierra Club, and Green America, argued the bill would help shift insurance costs to fossil fuel companies responsible for climate harms and address rising premiums and nonrenewals in Hawaii. Opponents, including the American Petroleum Institute, argued the bill singled out one industry, raised constitutional concerns, and should be deferred because related climate litigation is already pending. The transcript ends with the committee continuing testimony and discussion on SB 3000 and then moving into SB 3326 on energy, where the consumer advocate and Hawaiian Electric opposed the bill’s proposed separation of generation from transmission and distribution, while the PUC stood on written testimony, Retail Merchants of Hawaii supported it, and Life of the Land raised concerns about assumptions and the need for more substance.

Transcript Highlights:

• <01:31:40.960> infrastructure talking about utility infrastructure talking about utility infrastructure
• We look at space utilization data.
• We look at space utilization data.
• We look at space utilization data.
• We talked about space utilization, and Secretary Hicks asked earlier.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:55 Approval of Minutes 00:02:01 Information Items 00:02:10 Review of Executive Branch Agency Plans 00:02:20 A. A. Eastern Kentucky University 00:02:48 B. B. Kentucky Community and Technical College System 00:15:21 C. C. Kentucky State University 00:31:43 D. D. Morehead State University 00:41:44 E. E. Murray State University 01:01:56 F. F. Northern Kentucky University 01:16:09 G. G. University of Kentucky and Hospital 01:25:00 H. H. University of Louisville 01:42:52 I. I. Western Kentucky University 01:56:17, 958, all

Summary: The meeting opened with prayer and the Pledge of Allegiance, followed by a roll call establishing a quorum. The committee then approved the prior meeting’s minutes. Members were reminded to silence cell phones, and the chair noted an informational item on capital plan amendments made by state agencies during the latest revision period before moving to university capital plan presentations. Eastern Kentucky University President David McFaden outlined EKU’s enrollment growth, strong Kentucky student retention, and signature programs in nursing, occupational therapy, criminal justice, education, manufacturing engineering, and aviation. EKU’s main capital priorities were a new health innovation project to support a proposed osteopathic medical program, including a $50 million escrow requirement until accreditation; a collaborative center for health innovation to address outdated health sciences facilities; a $5 million startup request for an air traffic control program; aircraft upgrades for the aviation fleet; and continued asset preservation funding. In response to questions, EKU said roughly 40% of the new health facility would be dedicated to the medical school, with shared simulation space for multiple health programs, and that aviation maintenance needs are currently being met through KCTCS partners but could be expanded if demand grows. KCTCS representatives then described the system’s scale and capital needs, noting service to 107,000 students, extensive dual credit and workforce training, and a network of 342 buildings across 70 campuses. They said prior legislative support, including $277 million in asset preservation and $90 million released for approved projects, had helped with safety, roofs, energy efficiency, and campus security. Their current priorities include about $30 million for systemwide safety and security upgrades, renovations tied to consolidation and footprint reduction under Senate Joint Resolution 179, and broader asset preservation needs estimated at roughly $300 million to $325 million. Members discussed the need to preserve and expand skilled trades training, and KCTCS said its plan includes construction trades and flexible, multiuse facilities that can adapt to changing workforce needs. No votes were taken beyond approval of the minutes, and the presentations concluded with questions and discussion only.

Transcript Highlights:

• Most utility customers are billed monthly for energy use.
• I'm Nick Dominguez, general manager of Lassen Municipal Utility District.
• We're a small municipal-owned utility.
• Derek Dahloff, on behalf of the California Municipal Utilities Association, in strong support.
• Okay, many utility companies support must be very good. It's very unique and fully understand.

Keywords: 987, senate, all

Transcript Highlights:

• AB 716, Carrillo, motion is do pass to the Committee on Utilities and Energy. Ransom? Aye.
• The road is being torn apart, utilities are being cut off.
• Yes, utility prices are very high. Okay, yeah. Climate, climate.
• AB 783, the motion is due passed to the Committee on Utilities and Energy.
• AB 716, do pass to the Committee on Utilities and Energy. Calderon? Aye. Calderon, aye.

Keywords: 988, house, all

Transcript Highlights:

• We don't have public utilities in the state of California.
• We don't have public utilities in the state of California.
• The motion is do pass to Energy, Utilities and Communications. Current vote is 7 to 0.
• Utilities and Communications. Current vote is 7 to 0. Chair and Vice Chair voting aye.
• The motion is do pass to Energy, Utilities, and Communications. Current vote is 8 to 0.

Keywords: 987, senate, all

Transcript Highlights:

• We agree that opioids should never be over-utilized.
• The state has strict guidelines that protect against the over-utilization of them.
• We agree that opioids should never be over-utilized.
• So utilizing science, utilizing new things coming down the pike, this is actually where we should be.
• So utilizing science, utilizing new things coming down the pike, this is actually where we should be.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• They measure the utilization rate really against all available funding sources.
• USDA; we utilize anybody.
• So, I do utilities, and during COVID, costs really, really increased—doubled.
• for the water utilities.
• We do utilize CES quite a bit. We utilize HGAC quite a bit.

Transcript Highlights:

• A tariff rider is a supplemental charge on a utility bill that is not included in the base rate.
• There's a fundamental disconnect with having a public utility that is privately owned and operated for
• I think it's time we reconsider for-profit public utilities.
• a public utility that is privately<00:59:52.680> owned<00:59:53.039> and<00:59:53.280>
• when taxpayers have to Public Utilities when taxpayers have to bail<01:00:22.280> them<01:00:

Keywords: 910, house, all

Transcript Highlights:

• taxes are not disagregated by utility taxes are not disagregated by utility type.<00:45:52.079><
• <01:18:32.000> using as it works through to a utility using as it works through to a utility
• :02.480> or They're called electric utilities or They're called electric utilities or other other
• The utility industry as well.
• utility and having him in in their deal. utility and having him in in their deal.

Keywords: 916, all

Transcript Highlights:

• But it would be more utilized in a sense.
• concern but it it would be more utilized concern but it it would be more utilized in<00:40:45.880
• It was a librarian that was at the state, and we could utilize Campbell High School.
• We cannot utilize the area that used to have the planting and the greenery and everything.
• things are not working we cannot utilize things are not working we cannot utilize the<00:44:23.920

Keywords: 912, senate, all

Summary: The joint committees heard Senate Bill 659, which would exempt the Department of Education from the electronic procurement system for purchases of fresh local agricultural products and local value-added processed agricultural or food products up to $100,000, and require geographic preference guidelines for locally sourced products. The Department of Education, Department of Agriculture, Hawaii Farm Bureau, and State Procurement Office all testified in support or support of the intent. DOE said the bill would give it short-term flexibility to buy local items not currently on the vendor list, such as poi and limu, while procurement staff said they would provide written comments and a corrected version of their testimony. Committee members questioned why the bill was needed, why the threshold would rise from the current $24,999 small-purchase limit to $100,000, and whether the department should instead amend its vendor list or RFP process. Members raised concerns about efficiency, administrative burden, whether the bill was a temporary fix for procurement planning gaps, and whether purchases would remain compliant with federal USDA rules if federal school-lunch funds were used. DOE responded that the measure would help it expand local purchasing, support farmers, and allow purchases of products not currently available through existing distributors, and said it was working with partners on food-safety certification and federal compliance. The committees then voted to pass SB 659 with amendments. The Joint Committee on Education approved it 3-2, and the Joint Committee on Agriculture and Environment later approved the amended measure 4-0. The chair noted an amendment and a deferred effective date, and the motion was adopted.

Transcript Highlights:

• The bill also directs the Public Utilities<02:08:13.679> Commission,<02:08:14.159> the<
• Presumption that a utility was not negligent if it followed an approved wildfire plan.
• What does it mean for the utilities who need support?
• Utilities<02:25:11.280> at<02:25:11.520> the Utilities at the Utilities at the PUC<02:25
• ,<02:30:30.720> of of the legislature, of the utility, of of the legislature, of the utility

Keywords: 912, senate, all

Transcript Highlights:

• Within our jurisdiction is the Division of Energy Resources at the Department of Commerce, the Public Utility
• So, making energy efficiency a priority is an important strategy as we look to make utility rates as
• We all use energy, and we all pay utility bills—or maybe some of you are off-grid.
• Annually, the program costs $32 million but returns, as Chair Acomb said, $40 billion in utility savings
• This technology has actually been utilized for many decades, so frankly, we should be allowing for the

Transcript Highlights:

• And that was one of the reasons we wanted to give local entities or the utility, whoever's setting the
• Entities or the utility, whoever's setting the rates, enough time to do a rate study and figure out how
• And so within this area, what we're doing is utilizing the...
• What it does is give utilities and rural co-ops more flexibility. Goals.
• So this just adds nuclear power to the technologies that can be utilized.

Bills: SB47, SB195, SB196, SB197, SB198, SB78

Keywords: food recovery, composting, waste management, solid waste surcharge, organic waste reduction, environment, grants, advisory group, soil conservation, water resources, training services, outreach programs, environmental protection, animal care, veterinary services, spay and neuter, Las Vegas, community funding, animal welfare, animal shelter

Transcript Highlights:

• I've got multiple utility companies that come across.
• I've got multiple utility companies that come across.
• I utility companies that come across.
• But I that don't appreciate utilities.
• impacted by a utility contractor. impacted by a utility contractor.

Keywords: 958, all

Summary: The committee discussed House Bill 353, a proposal to tighten eminent-domain procedures and property protections while still allowing public projects. Supporters said the bill would not prohibit condemnation, but would require proof that property is in blight, give owners notice and an opportunity to cure, require a reasonable plan and funding for the public use, and ensure the taking is limited to what is necessary. They argued this would protect good-faith property owners, prevent abandoned projects, and make the process more efficient for utilities and infrastructure by encouraging easements where possible instead of full takings. Much of the discussion focused on the proper measure of compensation and the broader constitutional limits on eminent domain. Several members argued that compensation should reflect current market value and that public benefit should not be treated as the standard for value. Others said market value can be unfair in cases involving unique property uses, damage to land, or public-private projects, and suggested owners should share in some upside. Members also raised concerns about Kelo v. City of New London, the risk of abuse by governments or large corporations, and the need to protect farmers and rural landowners from one-sided treatment. A number of legislators supported the concept but asked for more detail on how the bill would work in practice, whether it is based on model legislation from other states, and how it could be tailored to Kentucky. The bill sponsor said it was a modified model policy and was open to amendments to make it more Kentucky-specific. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• You can simply add language that says that municipal utilities shall not charge connection fees that
• If I, as a municipal utility customer, want solar energy delivered to me, apparently my municipal utility
• Municipal utilities, especially those that generate their own energy, have to take actions every day
• For example, a municipal utility on a sunny day will run their solar plants first, as they don't have
• That has the effect of restricting the amount of gas that the utility is using that day.

Summary: The Committee on Community Affairs met and took up a long agenda of bills, beginning with SB 262 on trust law technical changes. Senator Berman explained four clarifications involving trust decanting, successor trustee actions, ademption by satisfaction, and homestead/community trust definitions; a technical amendment was adopted and the bill was reported favorably. The committee also approved SJR 174 and SB 176, which together would prevent certain homestead tax assessment increases when owners elevate flood-prone homes, and SB 180, a hurricane preparedness and response bill that included a strike-all amendment addressing FEMA reimbursement, mutual aid, hazard mitigation, and post-disaster rebuilding issues. Supporters from emergency management, beaches, counties, and local business groups testified in favor of SB 180, and it was reported favorably. Members then approved SB 608, which renames the Gulf of Mexico to the Gulf of America in Florida statutes, despite questions about cost and an appearance in opposition. SB 1002, dealing with utility service restrictions and local government limits on energy-related policies, drew opposition from Earthjustice and Florida for All over possible unintended consequences and fossil-fuel favoritism, but was still reported favorably. SB 466 on the Florida Museum of Black History generated extensive testimony, with strong support from St. Augustine, Florida Memorial University, pastors, local officials, and the museum foundation for locating the museum in St. Johns County; one witness argued for Eatonville instead, but the bill was reported favorably. The committee also passed SB 1128 on building permits for single-family dwellings after an amendment clarified local zoning review and added insurance and liability protections for design professionals. SB 582, increasing penalties for unlawful demolition of historic buildings and structures, was reported favorably with support from preservation advocates. SB 1202, extending family health insurance premium benefits to firefighters permanently disabled during training exercises, also passed without opposition. Finally, SB 1242 on community redevelopment agencies prompted the most debate: supporters argued CRAs can be valuable tools for affordable housing and redevelopment, while opponents warned the bill would effectively end all CRAs by 2045 and block new projects; after extensive discussion, the bill was reported favorably. At the end, senators recorded additional votes on several tabs, and the committee adjourned.

Transcript Highlights:

• You can simply add language that says that municipal utilities shall not charge connection fees that
• If I, as a municipal utility customer, want solar energy delivered to me, apparently my municipal utility
• Municipal utilities, especially those that generate their own energy, have to take actions every day
• For example, a municipal utility on a sunny day will run their solar plants first, as they don't have
• That has the effect of restricting the amount of gas that the utility is using that day.

Summary: The Committee on Community Affairs met and considered a series of bills on trust law, homestead property assessments, emergency preparedness, utility service restrictions, Black history museum planning, historic preservation, firefighter benefits, and community redevelopment agencies. Several measures were presented as technical or policy updates, including CS/SB 262 on trust code clarifications, SJR 174 and SB 176 on limiting homestead assessment increases for flood-mitigation elevations, SB 608 renaming the Gulf of Mexico to the Gulf of America in Florida statutes, SB 1002 on utility service restrictions, SB 582 increasing penalties for unlawful demolition of historic buildings, SB 1202 extending health insurance premium benefits to firefighters permanently disabled during training, and SB 1242 phasing out CRAs and restricting new projects. SB 180 on emergency preparedness and response also advanced after a strike-all amendment that added FEMA reimbursement streamlining, mutual aid coordination, and other disaster-response provisions. SB 1128 on building permits for single-family dwellings was amended to clarify local review authority and professional liability protections before passage. The committee heard substantial testimony on SB 466, which implements the Black History Task Force’s recommendation to locate the Florida Museum of Black History in St. Johns County/St. Augustine. Supporters emphasized the area’s civil rights and Black history significance, the task force process, and the backing of Florida Memorial University and local leaders; one witness opposed the bill and urged a feasibility study and consideration of other sites. SB 1242 drew the most sustained debate, with supporters arguing many CRAs have outlived their purpose and opponents warning the bill would eliminate a valuable local economic development tool, harm affordable housing projects, and create uncertainty for phased developments and existing projects. SB 1002 also drew opposition testimony from advocates who warned of broad unintended consequences for municipal utilities and local energy choices, while the sponsor said the bill was intended to resolve a specific legal misunderstanding. Votes were taken on each measure, and all of the bills considered were reported favorably by the committee. The committee adopted the amendment to CS/SB 262, the strike-all amendment to SB 180, and the amendment to SB 1128 before final passage. Several senators requested to be recorded on specific tabs after the meeting, and the committee then adjourned.

Transcript Highlights:

• Insert language for investor-owned utilities to use securitization to pay their contribution to the fund
• Next item, SB 960. investor owned utility and bankruptcy SE investor owned utility and bankruptcy SE
• to participate in the wild utilities to participate in the wild fire<00:14:46.040> liability<
• <00:15:03.120> to<00:15:03.279> replace for each electric utility to replace for each
• That is owed payment of purchase power costs by the electric utility under a power purchase agreement

Keywords: 912, senate, all

Summary: The joint Ways and Means and Judiciary committee met in decision-making mode and took up a long list of measures, mostly recommending passage with or without amendments. Early actions included S.B. 414, which was amended to blank the appropriation, draw funds from the major disaster fund, and change the effective date to 2050, and S.B. 223, which would require fire breaks in hazardous fire areas and create or expand wildland fire prevention and protection programs with blank appropriations for FY 2026 and 2027. The committee also advanced S.B. 1009 on state reserve parking space enforcement, S.B. 1149 on reported hate crime definitions and reporting, S.B. 402 on mooring-line requirements for certain vessels, S.B. 1441 on the Oahu regional health care system transfer, S.B. 1442 on child and adolescent mental health responsibilities, S.B. 1478 on harbor evacuation orders, and S.B. 493 on written notice for emotional support animal sales or verifications. Members generally raised little opposition, and most measures were adopted without reservations. Some bills drew brief discussion or committee-report notes, including S.B. 1149, which referenced a Hawaii Civil Rights Commission report encouraging policy-level hate crime data reporting, and S.B. 1442, which was amended with a far-future effective date and a committee-report note about whether mental health services should be expressly subject to funding. S.B. 1441 was substantially revised to require a memorandum of agreement between the Oahu Regional Health Care System and the Department of Health by November 30, 2025, with patient care to begin by December 31, 2025, and a report to the legislature before the 2026 session. The committee also considered several finance and energy-related measures. S.B. 897 on the wildfire liability trust fund prompted questions about whether costs would be passed to consumers; the response was that the proposal contemplated cost sharing and that some amounts were still blank. S.B. 1395 and S.B. 1396 were amended to remove special-fund structures, direct revenues into the general fund, and require the governor to include equivalent amounts in the executive budget for climate-related projects. S.B. 501 was amended to expand step-in agreement provisions for future PPAs and establish a fund outside the State Treasury, and S.B. 1589 was amended so private donations to the stadium authority would go into the NID special fund for stadium infrastructure and sod, with members discussing accountability and the source of stadium-related consultant spending. The committee adopted the recommendations on all measures considered, with some members noting reservations on a few bills, and one item, S.B. 1418, was deferred.

Transcript Highlights:

• health care needs leads to utilizing health care needs leads to utilizing services<00:17:27.199>
• you utilizing a great deal. you utilizing a great deal.
• <00:50:00.760> with you're balancing the utilization with you're balancing the utilization
• >> utilization or MLR? >> utilization or MLR? >> No, I'm<00:50:46.240> sorry.
• <00:51:07.600> your<00:51:07.880> portion utilizing your portion utilizing your portion

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.