Transcript Highlights:

• But it is a social compact, and there is a responsibility, and that's what we did as Republicans, and
• But it is<06:43:31.840> a<06:43:32.080> social<06:43:32.478> compact<06:43:33.440
• and<06:43:33.760> there<06:43:34.000> is<06:43:34.240> a is a social compact
• and there is a is a social compact and there is a responsibility<06:43:35.760> and<06:43:36.080
• It's my privilege to recognize a gentleman from Illinois, Mr. LaHood, for three minutes.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 29, 2026, 1012, house, all

Transcript Highlights:

• This emergency amends the occupational therapy licensure compact to update rules on data system reporting
• amends the occupational<01:57:09.280> therapy<01:57:09.840> lensure<01:57:10.480> compact
• <01:57:11.040> to occupational therapy lensure compact to occupational therapy lensure compact

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• For example, when an Emergency Management Assistance Compact, or EMAC, is requested, many times the neighboring
• example when an emergency management example when an emergency management assistance<00:37:19.359> compact
• or<00:37:19.920> call<00:37:20.280> emac<00:37:20.599> is assistance compact
• or call emac is assistance compact or call emac is requested<00:37:21.359> as<00:37:21.480>

Keywords: 1187, senate, all

Transcript Highlights:

• You go before the Adult Parole Board, and you can then be granted the privilege of parole, which is supervision
• there's another agreement, both embedded in our state law, where we participate in an interstate compact
• an law where we participate in an law where we participate in an interstate<04:46:54.798> compact
• <04:46:55.320> supervision<04:46:56.360> process interstate compact supervision process
• interstate compact supervision process um<04:46:57.520> I'm<04:46:57.600> going<04:46:

Keywords: 928, house, all

Summary: The committee heard an overview from the Agriculture Commissioner on the department’s major divisions and staffing. He described the Office of the Commissioner, Agricultural Development, Pesticides, Regulatory Services, Weights and Measures, Animal Industry, Plant Industry, and Soil Conservation, noting that many programs are federally funded or supported by dedicated fees and fines. He said the department has 44 full-time positions plus one DoIT employee shared with other agencies, and that HR services are now contracted through Administrative Services. He also explained that Soil Conservation is administratively attached to the department and funded through Moose Plate grants and county contributions, not direct state funding. Members asked about specific program functions and issues, including weights and measures inspections, animal health, bird flu response, internships, invasive species, and the Big E/New Hampshire building. The commissioner said weights and measures covers nearly all commercial measuring devices and products sold by weight, and that inspectors are currently part-time police officers, though the department is discussing removing that requirement. He said the department is actively involved in bird flu monitoring, including regular calls with USDA and the state veterinarian and collecting milk samples from dairy farms. On invasive species, he focused on Japanese knotweed and bittersweet, saying the department has only one staff person working on the issue, mainly as a coordinator with DOT and towns, and that eradication is extremely difficult. He also said the department does not run student internships and refers inquiries to UNH Cooperative Extension. The committee discussed budget and revenue issues, including three new general fund positions, one of which is the assistant commissioner and another a biological scientist for invasive species. The commissioner said the department had been in “triage mode,” that an assistant commissioner was needed because of workload, and that the department is a net positive to the General Fund each year. He said some fees and fines have not been updated in decades and would require legislation to change, including a proposed $5 fee for each animal database certificate to help fund a system that costs about $250,000 annually to maintain. In response to questions about budget reductions, he said the department protected personnel, reduced the cost-of-care fund, fair grants, and land preservation funding to about $25,000 each, and did not plan to buy new vehicles or computers. He also said he could not support including the $50,000 Conservation District resilience grant program in his budget under the current reduction targets, though he remained hopeful it might be funded another way.

Transcript Highlights:

• Fortunately, Pennsylvania left this very compact last year, and that was a huge win that allowed us to

Summary: The House convened with prayer, the Pledge of Allegiance, guest recognitions, and a quorum call before moving into committee reports and floor action. Committees reported a number of bills and resolutions, including measures from Local Government, Energy, Health, Judiciary, Appropriations, Rules, and Finance. The chamber also announced caucus and committee meetings, then recessed and later reconvened for final consideration of legislation. Several bills passed the House finally, including House Bill 2299 on body cameras for county probation officers, House Bill 167 designating a scenic byway along Allegheny River Boulevard, House Bill 95 requiring disclosure when content or advertising is generated or substantially modified by artificial intelligence, House Bill 1944 expanding medical amnesty and Good Samaritan protections on campuses, House Bill 2443 creating a child victim recovery fund, House Bill 246 updating references from the Public Welfare Code to the Human Services Code, and House Bill 2586 establishing title protection for music therapists. The House also adopted House Resolution 463 recognizing Korean-American Citizenship Day, House Resolution 499 recognizing Juneteenth Independence Day, and House Resolution 547 directing a study of electronic monitoring as an alternative to incarceration. The House spent significant time on amendments to House Bill 133, which concerns reinstatement of parental rights, and House Bill 138, which addresses parental incarceration and termination of parental rights. Both bills received bipartisan amendments adding guardrails and exceptions, and the amendments were adopted unanimously. The chamber also debated House Bill 2224, the Fair Act, with multiple amendments on utility rates, return on equity, and scope; some amendments were adopted, several tied votes failed, and the bill was left amended for reprinting. House Bill 2544, dealing with school administrators’ rights and negotiations, saw an amendment to allow individual bargaining, but that amendment failed and the bill was agreed to. The session ended with a correction to the record on House Bill 1944, a motion to recommit several bills to Appropriations, and adjournment until June 22, 2026.

Transcript Highlights:

• HB237 by Guillen relating to an interstate compact for animal health initiatives for the Committee on

Bills: HB1, HB 2, HB 3, HB 5, HB20, HB 22, HB 1, HB 2, HB 3, HB 5, HB 20, HB 22

Keywords: youth camps, emergency preparedness, safety standards, health regulations, camp licensing, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license

Transcript Highlights:

• It's informational, and we're doing the best we can to get through these days, and everything's compact

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• There's laws Congress passes I don't like, um, but, you know, sort of the, the, the, the compact of our

Bills: HB 551, HB 1281, HB 1378, HB 1617, HB 2868, HB 2881, HB 3374, HB 4439, HB 4726, HB 4732, HB 4878, HB 4914, HB 4921, HB 4958, HB 5200, HB 5318, HB 5360, HB 5402, HB 5568, HB 5573, HB 5623, HJR 218

Keywords: political contributions, address privacy, Texas Ethics Commission, election transparency, campaign finance, international organizations, World Health Organization, jurisdiction, state law, enforcement, United Nations, World Economic Forum, attorney general, Texas attorney general, state sovereignty, legal enforcement, Texas Attorney General, electric energy storage, municipal regulation, county regulation

Transcript Highlights:

• So for the reason that I mentioned for those type of fish is because compacted Makani, they contacted

Transcript Highlights:

• Utility service in Minnesota is governed by the regulatory compact.

Bills: HF2928, HF2912, HF2297

Keywords: water appropriation, data centers, environmental review, energy conservation, permit application, carbon-free energy, geothermal energy, renewable energy, Macalester College, appropriation, sustainability, solar energy, pollinator programs, license plates, agrivoltaics, environmental sustainability

Transcript Highlights:

• the term party state to just the language which allows Florida to get closer to join the national compact

Keywords: 999, senate, all

Transcript Highlights:

• When we talk about compaction that's in the bill...

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• But so long as they are under Title 32 orders, that compact that the government... governor has with

Bills: HB39, HB227, HB930, HB 1078, HB39, HB227

Keywords: highway designation, veteran recognition, commemorative, transportation, Brazoria County, Texas National Guard, combat duty, military activation, state requirements, emergency response, active combat duty, military service, Congressional action, Governor responsibilities, Congressional declaration, state law, conflict, armed forces, congressional approval, war declaration

Transcript Highlights:

• There are going to be portable PLC training learning systems with compact Logix L16s.

Summary: The Education Postsecondary Committee met to hear an overview of Florida career and technical education (CTE) from Chancellor Kevin O’Farrell and presentations from Big Bend Technical College and Santa Fe College. O’Farrell described Florida’s CTE structure, including career clusters, postsecondary program types, enrollment and completion growth, apprenticeship expansion, and the state’s credentials review process. He said postsecondary CTE enrollment is near 480,000 students and completions reached a record 76,806, with strong growth in nursing, law enforcement, EMT, and other public-safety credentials. He also discussed the CTE audit, which uses retention/success, employment or continued education, and labor-market demand metrics; programs not meeting thresholds would eventually require phase-out plans beginning in 2026. He highlighted the workforce development capitalization grant as a major driver of program expansion and facility renovation, and answered questions about business outreach, construction trades, apprenticeships, and space-industry training. Shelby McCall of Big Bend Technical College described how the college responded to hurricanes, mill closures, and regional economic disruption by expanding rural workforce training. She highlighted aluminum welding, millwright, welding technology, health sciences, and a new advanced manufacturing facility funded by state grants and local partnerships, along with a new LPN-to-RN bridge program. She said the college has strong placement and certification results and is working with employers such as Lippert, NAMO, and others to align training with local demand. Senator Simon praised the college’s role in Taylor County’s recovery and workforce development. Dr. Paul Brody of Santa Fe College said state workforce grants have helped the college expand nursing, skilled trades, apprenticeship, automotive, diesel, and manufacturing programs, including partnerships with Bradford County Technical College, UF Health, Habitat for Humanity, and local employers. He reported growth in CTE enrollment, nursing credentials, apprenticeship enrollment, and job placement rates, and described new efforts in semiconductor training, CDL training, and a charter school model that combines high school, an AS degree, and industry credentials. The committee took no formal action beyond hearing the presentations and adjourned after Senator Berman moved to adjourn.

Transcript Highlights:

• , the First DCA, basically stated that there was no violation of the equal protection laws, the privileges
• Some of us hitch a ride with an aide in a rent-a-car, a compact.
• and in both cases, the First DCA ruled that it did not violate the Equal Protection Clause, the Privileges

Keywords: 999, senate, all

Transcript Highlights:

• We were created through the Interstate Compact for Education back in the 1960s.
• We were created through the Interstate Compact for Education back in the 1960s.
• Um, we are a national nonpartisan education policy group created through the Interstate Compact for Education
• Um, we are a national nonpartisan education policy group created through the Interstate Compact for Education
• There are, of course, as many of you know, things like the Teacher Mobility Compact, which has 12 states

Keywords: 1191, senate, all

Transcript Highlights:

• We have also added a brand new rule under the Interstate Compact on the Placement of Children, fondly
• We have also added a brand new rule under the Interstate Compact on the Placement of Children, fondly
• We have also added a brand new rule under the Interstate Compact on the Placement of Children, fondly

Keywords: 995, all

Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.

Transcript Highlights:

• Because Queen Creek's municipal facilities are so compact that it really didn't—I mean, it did give us
• Because Queen Creek's municipal facilities are so compact that it really didn't—I mean, it did give us

Bills: SB1067, SB1234, SB1285, SB1295, SB1392, SB1413, SB1436, SB1470, SB1476, SB1489, SB1512, SB1535, SB1540, SB1556, SB1568, SB1569, SB1570, SB1573, SB1585, SB1609, SB1627, SB1634, SB1635, SB1644, SB1647, SB1648, SB1650, SB1653, SB1654, SB1655, SB1656, SB1657, SB1658, SB1661, SB1662, SB1664, SB1666, SB1667, SB1669, SB1709, SB1720, SB1723, SB1725, SB1743, SB1746, SB1748, SB1755, SB1786, SB1820, SB1822, SB1829, SCR1027, SCR1040, SCR1048

Keywords: tax lien, property tax lien, real property tax lien, foreclosure, right of redemption, redeem, excess proceeds, county abatement lien, abatement lien, lien priority, assessment lien, easement, county treasurer, certificate of purchase, tax delinquency, delinquent property taxes, property owner equity, judgment foreclosure, title report, Arizona Revised Statutes

Summary: The committee approved the minutes and then took up a long agenda of election, criminal justice, corrections, and county-government bills. Early election measures included SB 1436, requiring ballot language for certain school override and bond elections to estimate the secondary property tax impact; SB 1568, requiring election systems’ internal clocks to stay within 60 seconds of official time and making violations a misdemeanor; SB 1569, limiting special election board members from collecting or processing voter registration while assisting confined voters; and SB 1746, requiring voting centers to supplement rather than replace precinct polling places, requiring public offices and schools to provide polling space, and closing schools on primary and general election days for in-service training. SB 1436 and SB 1568 were eventually given do-pass recommendations, SB 1569 also passed committee, and SB 1746 passed despite concerns raised about school safety and access. Some bills were held earlier in the meeting and voted on later after testimony concluded. The committee also heard SB 1295, which would allow the Department of Corrections to release certain seriously ill inmates to contracted medical institutions if they qualify for ALTCS, with an amendment replacing disability language with illness-based criteria; the sponsor described it as a cost-saving measure that could shift care costs to federal programs. SB 1067, the so-called Gila County blight bill, would let counties place abatement costs for rubbish, debris, and dilapidated buildings on property tax bills and liens; county officials testified that it would help recover cleanup costs for blighted properties and heirs’ property, and it passed unanimously. SB 1413 would remove the $100,000 cap on restitution for serious injury or death caused by moving violations and passed after the sponsor said the cap had already been found unconstitutional. SB 1476 would make child neglect a class six felony when a custodian exposes a newborn to dangerous or narcotic drugs or causes fetal alcohol syndrome; supporters framed it as accountability and child protection, while opponents warned it could deter treatment and worsen family separation. The bill passed on a split vote. Later, the committee considered several criminal-justice and public-safety bills. SB 1512 would expand the definition of vulnerable adult and broaden “position of trust and confidence” for theft cases involving seniors and other vulnerable adults; testimony highlighted scams and exploitation of grieving or isolated elders, and the bill passed. SB 1585 would regulate sex-offender-specific evaluations, treatment, and polygraph services through the Sex Offender Management Board, add a surcharge fund and assessment on sexual-offense convictions, and appropriate funds to DPS; supporters said it would create uniform standards, while opponents questioned the need for additional fees, and it passed. SB 1662 would require probation conditions to be the least restrictive necessary and tailored to a defendant’s risk and needs; supporters from the Justice Action Network and criminal-defense advocates said it would improve rehabilitation and public safety, and it passed. The committee also began SB 1664, which would change constable petition-signature requirements in Maricopa and Pima counties, but the transcript cuts off before the full discussion and vote on that bill.

Transcript Highlights:

• HB1803 by Harlis, relating to density. and dental hygienist compact authorizing fees.
• House Bill 1803 would allow access to join the Interstate Dentist and Dental Hygienist Compact, and I

Bills: HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB 1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB 123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB 111, HB180, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7

Keywords: juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government

Transcript Highlights:

• To answer your question, correct, it would be any state in lieu of the compact.
• It would do much of what many of the compacts would do, except where it's a little bit more of our in-house

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.