Transcript Highlights:

• And I just insurance market reforms.
• lose their Medicaid eligibility lose their Medicaid eligibility primarily<01:09:22.480><c> because</
• </c> million a year um based on loss Medicaid million a year um based on loss Medicaid payments.<01:09
• </c><01:32:11.520><c> These</c> with the changes to Medicaid. These with the changes to Medicaid.
• </c><02:18:50.000><c> I</c> Medicaid coverage. 200,000 people. I Medicaid coverage. 200,000 people.

Keywords: 1187, senate, all

Transcript Highlights:

• I'm here not only to advocate as a person who advocates for justice reform, but I'm also here as a family
• Now, of course, the state pays part of the Medicaid, but it's only a fraction of it.
• The 1984 reforms that Phil Talmadge pushed forth made it almost impossible for a recall petition to be
• This bill does not address another needed reform that SB 5974 makes, which is prohibiting sheriffs from
• House Bill 2387 would take our laws in the wrong direction, and SB 5974 would reform our laws in a way

Bills: HB2387, HB2490, HB2508, HB2539

Keywords: elected sheriff, sheriff accountability, recall election, peace officer certification, certified peace officer, law enforcement authority, Washington RCW, criminal justice training commission, special election, public official recall, decertification, sheriff removal, voter accountability, county sheriff, police powers, extraordinary medical placement, compassionate release, medical parole, terminal illness, serious medical condition

Transcript Highlights:

• to the government efficiency and reform initiative savings target of $100 million.
• These reforms are necessary to ensure that people who need the benefits can get them.
• And these reforms are included, and they will become law.
• They've worked on H.R. 1 and Medicaid and SNAP.
• They've worked on tax conformity, they've worked on H.R. 1 and Medicaid and SNAP, the reforms to make

Summary: House Republican caucus met on April 29 to review the FY 2027 budget package and several related “budget implementation” bills, with Chairman Livingston noting that HB 2415 was being held. Staff and members walked through HB 4138, the General Appropriations Act (“feed bill”), which appropriates about $17.96 billion from the general fund and includes one-time fund transfers, 5% lump-sum reductions for most agencies, funding for the state health insurance plan, school facilities, child care, correctional officer stipends, public safety, and other prior-year items. Members emphasized that the budget reflected House and Senate negotiations after the governor left budget talks, and Republican leaders framed it as a package that lowers taxes, shrinks government, and funds priorities such as K-12, child care, foster care, and public safety. The caucus then reviewed a series of mostly standard budget bills: HB 4139 on gaming/racing assessments; HB 4140 on federal monies, the budget stabilization fund, and ACE initiative savings reporting; HB 4141 on capital outlay, highway construction, airport funding, and rural transportation match funds; HB 4142 on commerce and lottery distributions; HB 4143 on corrections reporting; HB 4144 on environmental provisions and water-related fund uses; HB 4145 on state employee health insurance premiums and DES reforms; HB 4146 on higher education funding provisions; HB 4147 on SNAP administration and error-rate reduction; HB 4148 on K-12 inflation adjustments, school facilities, and ASDB property-sale oversight; HB 4150 on county expenditure flexibility and state office rent rates; HB 4151 on the Department of Revenue’s integrated tax system funding and related charges; HB 4152 on tax conformity, deductions, and repeal of several renewable-energy tax preferences and the Rio Nuevo diversion; and HB 4153 on transportation reporting. Discussion repeatedly centered on health plan solvency, SNAP/ACCESS eligibility and fraud controls, school funding, rural transportation, and tax conformity and relief. The caucus also took up several blue-sheet bills: HB 2035 on extended-family placement notifications in child welfare cases; HB 2170 restricting certain PRC-controlled companies from state IT contracts; HB 2249 expanding Parents’ Bill of Rights provisions; HB 2573 on DUI interlock/restricted-license rules and psychotherapy definitions; and HB 2873, which was amended to allow withdrawal of referendum petitions before ballot qualification. HB 2415 was held. The Speaker closed by praising the caucus for its budget work, saying the package delivers tax relief, protects vulnerable populations and public safety, and reflects months of Republican negotiations, and the meeting adjourned to the floor.

Transcript Highlights:

• Dead people were getting Medicaid. Illegal aliens were getting Medicaid.
• People who were not legal to get Medicaid were getting the Medicaid benefits.
• Dead people were getting Medicaid. Illegal aliens were getting Medicaid.
• Dead people were getting Medicaid. Illegal aliens were getting Medicaid.
• Dead people were getting Medicaid. Illegal aliens were getting Medicaid.

Keywords: 1187, senate, all

Transcript Highlights:

• President, this is a serious matter with regard to the acuity of the Medicaid population, and I hope
• President, of the work we do here regarding EMS reform.
• President, of the work we do here regarding EMS reform.
• These are common-sense reforms designed to make the system of our housing system function better.
• So these reforms that are in the budget, we hope, are going to make a real difference.

Keywords: 1212, all

Transcript Highlights:

• Um I do specifically to Medicaid.
• </c> children, also known as the Medicaid children, also known as the Medicaid expansion<00:32:41.600
• </c><00:47:21.839><c> enrolles</c> discussed requiring Medicaid enrolles discussed requiring Medicaid
• </c> revenues that are related to Medicaid revenues that are related to Medicaid and<00:51:06.240><c>
• </c> Medicaid in Minnesota. Medicaid in Minnesota.

Keywords: 1183, house

Transcript Highlights:

• We did do some reform on that for this past session.
• We did PFC reform last session.
• But they didn't talk about reforms.
• on Medicaid, I want to have an income.
• I would get Medicaid, and I wouldn't have an $893 copayment because Medicaid and the system would pay

Bills: HB21, HB211, HB223, HB323, HB524, HB530, HB636, HB762, HB21, HB211, HB223

Keywords: housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, housing assistance, financial assistance, low income housing, community support, affordability, veterans housing, community involvement, air conditioning, tenant support, healthcare, elderly, taxation

Transcript Highlights:

• House Bill 181 by Representative Blocke-Laz is an act to amend Titles 24 and 47 relative to Medicaid
• House Bill 181 by Representative Blocke-Laz and Act of Men Titles 24 and 47, relative to Medicaid program
• and supplemental nutrition assistance program integrity relative to Medicaid program and supplemental
• House Bill 1037 by Representative Bourriaque is an act in Title 36 relative to operational reforms within
• House Bill 1037 by Representative Borriac is an act in Title 36 relative to operational reforms within

Bills: SR107, SCR53, SCR54, SCR55, SCR12, HB167, HB181, HB243, HB316, HB321, HB335, HB492, HB578, HB624, HB708, HB864, HB906, HB968, HB969, HB978, HB985, HB1005, HB1032, HB1077, HB1095, HB1104, HB1118, HB1157, HB1187, HB1189, HB1195, HB1198, HB1220, HB221, HCR58, SB283, SB338, SB488, SB520, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, SB68, SB76, SB149, SB191, SB196, SB318, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB119, HB129, HB677, HB850

Keywords: condolence resolution, memorial resolution, tribute, sympathy, Joel Parker Sr., Louisiana Senate, rodeo, cowboy, horse trainer, stock and rodeo producer, black cowboy, African American history, community recognition, funeral resolution, celebration of life, Lottie Stampede Arena, Easter Sunday Rodeo, ranching, plantation work, faith community

Summary: The Senate convened with a quorum, heard a guest minister’s prayer and pledge, and then proceeded through the journal, legislative bureau report, and a large number of bills and resolutions. Several Senate resolutions and concurrent resolutions were introduced or laid over, including measures recognizing individuals and events, commemorating the YMCA’s 175th anniversary, and creating or referring study and memorial resolutions. The House also sent over multiple bills, which were introduced and referred to the appropriate committees, covering topics such as court filings, travel reimbursement, public assistance integrity, pregnancy and baby care data protections, alcohol permits, capital-case intellectual disability procedures, and pharmacy benefit manager transparency. The chamber then considered House-returned Senate bills. SB 68, a constitutional amendment concerning Louisiana Supreme Court jurisdiction over attorney disciplinary matters, failed to receive the required votes on concurrence after a 24-10 vote, though the author gave notice. SB 76, dealing with child custody modification standards, was concurred in unanimously. SB 149, on general obligation bond bid requirements, had House amendments rejected and was sent to conference. SB 191, concerning ad valorem tax notice procedures, and SB 196, extending the appeal period for tax assessments, were both concurred in. SB 318, on publication of the tax exemption budget and local reporting, was also concurred in unanimously. The Senate also suspended the rules to recall HB 1017 from the Retirement Committee and recommit it to Judiciary A. During personal privilege remarks, members highlighted Disability Awareness Day, recognized a local award recipient, and provided an update and prayer request for Senator Selders following surgery. The meeting concluded with committee announcements and adjournment to reconvene the following day.

Transcript Highlights:

• This is the bill we heard two days ago on juvenile justice reform.
• Also, there's the shared value that only able-bodied people should not be on the rolls of Medicaid.
• In my opinion, I feel like this is just a fancy way that's dressing up to defund Medicaid expansion.
• When we voted for Medicaid expansion in our, in our state.
• Medicaid expansion when we voted for Medicaid expansion in our state because we want to take care of

Keywords: 959, house, all

Transcript Highlights:

• And while Medicare covers vitiligo treatment, Medicaid coverage varies state by state.
• Because Virginia classifies Vitiligo as a cosmetic condition, Medicaid won't cover the treatment in our
• And I urge today the Centers for Medicare and Medicaid Services to certify vitiligo is a non-cosmetic
• What Red flags were missed, and what reforms will prevent this from ever happening again?
• So you can have your child, your cousin, your sister visit you on your Medicare or Medicaid.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 25, 2026, 1012, house, all

Transcript Highlights:

• HB 26 by whole relating to the requirement contracts with Medicaid managed care organizations to permit
• the organization to offer nutrition counseling instruction services in lieu of other state Medicaid
• HB 888 by Lalani relating to the Medicaid coverage replacement for.
• and addressing issues related to the Medicaid program, including the creation of an alternative program
• And Medicaid eligibility to provide health benefit coverage to certain individuals imposing penalties

Transcript Highlights:

• HB 26 by whole relating to the requirement contracts of Medicaid managed care organizations to permit
• the organization to offer nutrition counseling and instruction services in lieu of other state Medicaid
• tax street maintenance referred the committee on ways and means hba 888 by lalani relating to the Medicaid
• and addressing issues related to the Medicaid program, including the creation of an alternative program
• relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid

Bills: HCR21, HCR22, HCR23, HCR24, HCR25, HCR26, HCR27, HCR31, HCR41, HCR42, HCR43, HCR44, HCR45, HCR52, HCR53, HCR66, HCR67, HCR73, HR8, HR10, HR13, HR20, HR21, HR50, HR59, HR61, HR71, HR74, HR79, HR84, HR86, HR90, HR91, HR102, HR103, HR107, HR113, HR125, HR126, HR132, HR142, HR145, HR149, HR150, HR152, HR167, HR179, HR181, HR183, HR186, HR192, HR196, HR199, HR207, HR211, HR212, HR213, HR216, HR249, HR256, HR259, HR261, HR263, HR272, HR281, HR285, HR294, HR295, HR300, HR305, HR311, HR313, HR315, HR316, HR323, HR331, HR339, HR340, HR346, HR349, HR352, HR357, HR358, HR360, HR363, HR374, HR377, HCR20, HCR28, HCR30, HCR32, HCR49, HR14, HR15, HR19, HR23, HR24, HR25, HR26, HR27, HR29, HR47, HR48, HR55, HR56, HR66, HR85, HR92, HR93, HR95, HR96, HR140, HR155, HR164, HR204, HR241, HR242, HR250, HR253, HR260, HR262, HR265, HR279, HR310, HR312, HR328, HR332, HR359, HR362, HR367

Keywords: recognition, award, petroleum industry, leadership, community service, HCR 22, House Concurrent Resolution, Texas Legislature, commendation, honorary resolution, Dr. James Olson, James Olson, University of Texas Permian Basin, UT Permian Basin, psychology professor, 50 years of service, faculty recognition, academic award, Piper Professor Award, Regents' Outstanding Teaching Award

Transcript Highlights:

• So, $90 million to Medicaid.
• It has no impact on Medicaid.
• The LRC is a civil justice reform group.
• HB 1591 is a fiscally responsible reform.
• But without victim advocates, And much of that, some of that is the reform you would like to do.

Bills: HB1316, HB2401, HB2557, HB2720, HB1073, HB2685, HB2640, HB2403

Keywords: postsecondary education, homelessness, foster youth, education access, support programs, commission, gender equity, boys, men, advocacy, state policy, special education, parental rights, educational access, evaluation reports, disability services, behavioral health, emergency services, health insurance, provider access

Transcript Highlights:

• that, with zooming in and helping us to make sure we have a very good plan moving forward to really reform
• with that with zooming in and help us to make sure we have very good plan moving forward to really reform
• and one of them is the President's big, beautiful bill, which required folks to be able to draw Medicaid
• will be between the Bureau and Work Ed Consulting, and this will be for the use of the Hospital Medicaid

Summary: The Executive Subcommittee met and first considered a waiver request from the Stuttgart School District to use the TIPS interlocal purchasing system for a turf replacement project instead of the traditional competitive bid process. Superintendent Jeff McKinney explained that three bids were received but none fully met the RFP specifications, including warranty and insurance requirements. He said the district, with its architect’s guidance, determined that United Turf and Track was the best option because it met the 10-year warranty requirement, had resolved the insurance issue, had prior experience with the district, and could complete the work in time for summer installation. The committee approved the waiver request. Members then approved a consultant services agreement between the Bureau of Legislative Research and WorkEd Consulting for work related to the workforce system study and potential legislation for the 2027 session. Senator Jane English and Representative Mary Bentley said the consultant would help the legislature develop reforms after prior audit findings showed the current workforce system was inefficient and ineffective. They noted WorkEd’s experience in other states, including Louisiana, West Virginia, Mississippi, and Virginia, and explained that some subcontractors would include people who had worked on the earlier Georgia Center for Opportunity study. The contract was approved. The committee also approved a renewed actuarial and consultant services agreement with Perrin Knight for services related to the state’s new property insurance captive. Jill Thayer said the contract would provide independent actuarial support to legislative subcommittees, especially the State Insurance Properties Oversight Subcommittee, with services billed only as used. Members asked about budgeting, frequency of work, and overlap with existing executive branch contractors; Thayer and Senator Goodmore said the service had been anticipated from the start and would be separate and independent. Finally, Marty Garrity requested use of committee room funds to renovate Committee Room C in the Big Mac Building because its audio-visual equipment is outdated. That request was approved, and the meeting adjourned.

Transcript Highlights:

• So usually the Medicaid program... ...related to eligibility determination.
• for folks, including people in the Medicaid expansion population.
• Coverage looks different in Medicaid than it does in the private health insurance market.
• The first goal that I have up here is outlined in 345 because the bill was called the Medicaid Reform
• Because today a lot of folks can get care coordination from Medicaid in different ways.

Summary: The Senate Health and Welfare Committee received an update from the Department of Health and Welfare on House Bill 345 and Idaho’s transition to comprehensive Medicaid managed care. Medicaid administrator Sasha O’Connell reviewed the bill’s directives, including rural hospital designation, work reporting and community engagement requirements, eligibility redeterminations for expansion adults every six months, changes to renewal processes, the choice waiver, state-directed payments, discontinuation of Healthy Connections Value Care and primary care case management, site-neutral payments, practice authority protections, and expanded cost-sharing. She also explained that the department is awaiting some CMS guidance and is pursuing federal approvals and public comment on several state plan amendments and waivers. A major focus was the planned move to comprehensive managed care, under which one managed care organization would coordinate most services for each enrollee, with Idaho planning three statewide plans rather than regional contracts. O’Connell said the department has held listening sessions, tribal consultation, and a request-for-information process, and that feedback has centered on continuity of care, timely provider payment, network adequacy, behavioral health and developmental disability services, and the need for clear, consistent contract standards. She said the department is using other states’ contracts and a set of program design pillars to shape the upcoming request for proposals, with a phased rollout planned for January 2029 for most services and January 2031 for developmental disability services. Senator Wintrow asked about EPSDT after a related statutory repeal in House Bill 345, expressing concern that families might think the protection had been removed. O’Connell responded that EPSDT remains a federal requirement for children and youth and that the department has not changed that obligation. The committee took no vote or formal action and adjourned after the update and questions.

Transcript Highlights:

• to revise provisions regarding Medicaid eligibility expansion.
• Medicaid members, age 19 to 64, who are covered through the Affordable Care Act Medicaid expansion, must
• Chair, I want to talk about Medicaid expansion.
• As you heard yesterday from the senator from 14, the Medicaid budget is not growing because of Medicaid
• The Medicaid expansion population actually has decreased, and those numbers have also, The Medicaid expansion

Summary: The Senate convened with a quorum, approved the journal, received committee reports, and moved through messages from the House and first- and second-reading business before taking up a long series of third-reading bills. Early action included referral of Senate Bill 1449 on elections petitions and signature gatherers, and passage of several measures on cooperative purchasing, industrial hemp, community infrastructure districts, parental school choice tax credit clarifications, open meetings recording rights, an advisory question on an official state gun, water skiing rules, and data center water use. The chamber also returned House Bill 888 to committee after concerns were raised about procurement transparency and possible conflict with another procurement bill passed the prior day. Several bills drew extended debate. Senate Bill 1424, which would have expanded dealer protections against direct manufacturer vehicle sales and grandfathered existing operations, failed on a 11-24 vote after opponents called it protectionist and argued it would limit consumer choice. Senate Bill 1436, clarifying cooperative and group discount purchasing for state procurement, passed after supporters said it would allow agencies to use competitive bids more effectively and avoid litigation. House Bill 772 and House Bill 879, both relating to industrial hemp, passed with supporters stressing they were clarifications for grain/fiber hemp and consumable hemp products, while opponents worried about THC and regulatory scope. House Bill 926, allowing counties to form community infrastructure districts in unincorporated areas, passed despite objections that it would accelerate development and increase property tax burdens. House Bill 934, making technical changes to the parental school choice tax credit, passed after a lengthy debate over whether students using the credit should still participate in public school extracurriculars; supporters said the bill clarified original intent, while opponents called it a double dip. House Bill 894, protecting the public’s right to record open meetings, passed overwhelmingly. House Bill 932, placing an advisory question on the ballot for an official state gun, also passed after a spirited historical discussion of firearms. House Bill 887, creating a limited exception for early-morning water skiing outside designated courses, passed by unanimous-consent roll call. The final bill discussed in the excerpt, House Bill 895 on data center cooling and water use, was introduced with a warning that consumptive water use by large data centers could strain Idaho’s aquifer and should be limited to closed-loop systems.

Transcript Highlights:

• I serve as the Medicaid Director for California at the Department of Health Care Services.
• My experience in working in publicly funded Medicaid programs in California and federally is that when
• And State Medicaid Director Sadwith shared the number is hitting at full implementation, and I think
• However, these reforms require a significant investment of resources, and we know state support will
• And allowing individuals who fall out of medical help because of these federal reforms to then just go

Summary: The hearing focused on the expected health coverage losses tied to H.R. 1, the resulting pressure on California’s county indigent care systems, and what data and policy changes the Legislature may need before the next budget cycle. Chair Hart and Assemblymember Addis framed the issue as a major rollback in coverage that could leave more Californians uninsured and push more people into county safety-net programs. Members repeatedly emphasized the need for baseline, county-by-county data on eligibility, benefits, caseloads, and funding before making larger structural decisions. The Legislative Analyst’s Office explained the history of county indigent care under Welfare and Institutions Code 17000, the shift in funding through 1991 realignment, and the later redirection of funds to CalWORKs. LAO said county programs vary widely in scope and eligibility, that current realignment funding does not automatically rise with demand, and that the Legislature faces tradeoffs if it changes the funding structure. Administration witnesses from Finance and DHCS projected large Medi-Cal and Covered California enrollment losses, with DHCS estimating more than 1 million Medi-Cal members could eventually lose coverage under work requirements and redeterminations, and noting that a new federal rule could make exemptions more restrictive. Officials also said there is no single statewide real-time data system for uninsured or indigent care populations, though some hospital and utilization data exists with significant lags. County representatives from Santa Barbara, San Diego, and Tulare described how their indigent care programs are being rebuilt or strained after years of low demand. They warned that many newly uninsured residents will need only basic, emergency-oriented care under county programs, not the preventive and continuous care available through Medi-Cal, and said that without new state support counties may have to divert funds from public health or reduce other services. Several counties asked for bridge funding, technical statutory changes, and flexibility to adjust realignment methodology. The California Health Care Foundation closed by arguing that the problem is statewide and needs a statewide solution rather than a patchwork county response.

Transcript Highlights:

• Next we have Josh Frost, Hawaii Alliance for Cannabis Reform in support.
• Next we have Josh Frost, Hawaii Alliance for Cannabis Reform in support.
• We strongly support this bill and the amendment requested by the Hawaii Alliance for Cannabis Reform
• for Cannabis Reform in support and<00:03:06.879><c> growing</c><00:03:07.120><c> dispensaries</c><00
• They serve a high number of Medicare and Medicaid patients, and so they qualify.

Keywords: 912, senate, all

Summary: The committee heard testimony on HB 302, which would expand access to medical cannabis by removing the in-person provider-patient relationship requirement and related restrictions. The Department of Health supported the bill, and multiple advocates and organizations testified in support, including the ACLU of Hawaii, Hawaii Alliance for Cannabis Reform, Marijuana Policy Project, and others. Supporters said the measure would improve access for patients, especially on outer islands, and some urged broader amendments allowing providers to certify cannabis for any medical condition and to speed registration and treat in-state and out-of-state patients equally. No opposition was heard, and the bill was left with no questions after testimony. The committee also heard HB 1052 HD1, which clarifies that the Public Utilities Commission may use universal service fund monies to provide free telecommunications access for individuals with print disabilities. Testimony was uniformly supportive from the DCCA Division of Consumer Advocacy, the State Council on Developmental Disabilities, the Department of Human Services, the Public Utilities Commission, and the National Federation of the Blind of Hawaii. Witnesses described the program as an important accessibility service that has been operating under prior appropriations and should continue under the universal service program. HB 1482, relating to controlled substances and hemp/synthetic cannabinoids, drew support from the Department of Law Enforcement, Department of Health, Honolulu Police Department, and others, with some comments from the Attorney General’s office. Supporters said the bill would clarify that delta-8 THC is a controlled substance and help enforcement against illegal hemp products and synthetic cannabinoids. Testimony and questioning focused on the need for better lab testing capacity, retail registry and age-gating, seizure authority, nuisance abatement, and possible use of special funds or appropriations to support enforcement. Members also discussed enforcement of illegal hemp businesses and whether additional funding or statutory changes would be needed. Finally, the committee took up HB 712, a 340B drug-discount measure affecting safety-net providers and contract pharmacies. Hospitals, health centers, and provider groups testified in support, saying the bill would protect access to discounted drugs and preserve funding for services such as chronic disease management, transportation, and specialty care. Pharmaceutical-industry representatives opposed the bill or sought amendments, arguing the 340B program has expanded beyond its original intent and lacks transparency, and they requested reporting or audit-like provisions to verify claims and revenues. Members questioned both sides about alleged abuse, the growth of contract pharmacies, and whether the bill should include transparency requirements before moving forward.

Transcript Highlights:

• </c><00:24:47.080><c> patient</c> ensuring that when a Medicaid patient ensuring that when a Medicaid
• these are Services Medicaid is Services these are Services Medicaid is already<00:25:06.720><c> paying
• </c> stronger more efficient Medicaid stronger more efficient Medicaid Program<00:26:38.200><c> well<
• </c> implemented some sort of Medicaid implemented some sort of Medicaid payment<00:30:04.519><c> for
• </c><00:32:53.519><c> or</c> W when it comes to Medicaid or W when it comes to Medicaid or skyrocketing

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• Um this um is reforms to waiver 536.
• These also determination reforms.
• </c> housing stabilization service reforms housing stabilization service reforms including<01:08:27.120
• I know there's a six, the EIDBI reform.
• </c> target the Medicaid. target the Medicaid.

Keywords: 1187, senate, all