Transcript Highlights:

• These are the substance use disorder treatment program and service changes, and provider qualification
• Disorder Treatment Program and service changes, and provider qualification changes.
• As a highly specialized health care system, direct care and treatment cannot operate programs without
• Development of substance use treatment programs to have things that support people in early recovery
• This was the case for me after 15 years of Ivy Matthews, five other treatment programs, three trips to

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• Um, we're asking to continue this treatment program not only for TBI vets, but for PTSD vets. back to
• asking to continue this treatment asking to continue this treatment program<00:11:13.920> uh<
• and treatment funds.
• treatment funds.
• Our main program is our Military Assistance Response Program, or MARP.

Keywords: 958, all

Summary: The committee heard House Bill 369, which would add post-traumatic stress disorder to an existing 2018 hyperbaric oxygen therapy-related law for veterans. Representative Scott Sharp and HBOT for KY Vets representatives testified that PTSD and traumatic brain injury often overlap, that veterans are frequently misdiagnosed, and that hyperbaric oxygen therapy has shown benefits in clinical trials and in Kentucky’s own funded program. Members asked whether the bill would require insurance coverage; the sponsors said it would not, and noted they are seeking broader approval through medical and congressional channels. The committee voted favorably on HB 369, with members expressing support based on personal experience and the needs of veterans and their families. The committee then considered House Bill 419, for which a committee substitute was adopted before testimony. Representative Suzanne Miles and Kentucky Fire Commission/KCTCS representatives explained that the bill would expand the fire commission board from 14 to 18 members, clarify that KCTCS’s 5% administrative fee applies collectively to all funds rather than separately to each fund, and allow excess funds to help cover out-of-pocket cancer screening costs for volunteer and paid firefighters. A question about board staggering was answered by explaining that staggered terms were originally used to avoid all terms ending at once and were expected to continue. The committee passed HB 419 with favorable expression. Later, USA Cares presented an update on how it has used prior state funding. The organization described its grant-based assistance for veterans and military families facing housing, vehicle, and utility crises, as well as career transition and housing-related support programs. Testimony emphasized that the aid helps prevent homelessness and reduce suicide risk, and the group reported it had used nearly all of the $2 million awarded in the last budget cycle to assist 364 families and more than 500 dependents. No vote was taken on the USA Cares presentation.

Transcript Highlights:

• programs.
• have access to an opioid treatment program.
• Someone is in a residential treatment program, working hard to get their life back on track, and during
• , intensive outpatient programs, residential treatment, and inpatient hospitalization.
• Key features of this program include coverage for residential SUD treatment, facility-based crisis stabilization

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• Assisted treatment just threw our program.
• They've met their treatment plan.
• And so a treatment plan is designed for them.
• since setting up that program.
• and our familial search program.

Keywords: 999, senate, all

Transcript Highlights:

• As a single state agency for substance abuse, mental health, and opioid treatment, the department lays
• He reconnected with his family and continues to engage in recovery programs.
• mental health treatment facilities... ...divert 90% of the individuals from state mental health treatment
• and divert individuals from state mental health treatment facilities.
• The alternative is you just go straight to the state mental health treatment facility.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Because my son's treatment program allowed nicotine vaping as a harm-reduction strategy,...
• Because my son's treatment program allowed nicotine vaping as a harm reduction strategy, he regularly
• However, an assisted outpatient treatment program has proven that community-based outpatient treatment
• The ability to do assisted outpatient treatment, if they've got a good program somewhere like Fort Stockton
• They are able to meet with them, see what the progression and treatment is, advocate for the programs

Keywords: 1185, senate, all

Transcript Highlights:

• program.
• I had heard that Program.
• Program.
• and our familial search program.
• the National UCR program.

Summary: The Appropriations Committee on Criminal and Civil Justice met to continue its review of performance measurement in the criminal justice system. The first presentation, from State Courts Administrator Eric McClure, described how the court system uses multiple data sources to track filings, dispositions, clearance rates, workload, and support services, and how those data inform judge need, budget requests, resource allocation, and court administration. He also discussed ongoing efforts to improve case-level reporting, the use of case management systems in trial and appellate courts, and performance efforts in problem-solving courts and civil case management. McClure noted that the legislature provides dedicated funding for problem-solving courts and for medication-assisted treatment, and that the courts are required to report outcomes and monitor compliance with contract requirements. Melanie Brown-Whor of the Florida Behavioral Health Association then reviewed the medication-assisted treatment program funded through the courts budget. She said the program combines medication with counseling and behavioral supports, serves people involved in or at risk of criminal justice involvement, and has expanded over time to include additional medications and more counties. She reported improved engagement and retention, with more than 10,000 people screened over five years, about 9,200 receiving medication, and over 6,600 successfully discharged. Senators asked about racial and ethnic demographics, hospital referrals, and how services are delivered; Brown-Whor explained that local community providers deliver treatment under contract and that the program is working to improve data reporting and consistency. The Department of Law Enforcement then presented on investigations, forensics, and criminal justice information services. Deputy Commissioner Vaden Pollard outlined FDLE’s strategic plan and major investigative priorities, including cybercrime, targeted violence, crimes against children, mutual aid, and the SAFE fentanyl eradication program. He said SAFE has led to major seizures, arrests, and a reported decline in fentanyl deaths. Director Jason Bundy described FDLE’s forensic laboratory operations, DNA and rapid DNA capabilities, cold case and missing persons work, and the staffing and turnaround-time challenges tied to complex evidence testing. Director Lucy Saunders reviewed FDLE’s criminal history, biometric, incident-based crime reporting, and criminal justice transparency systems, noting that Florida is still transitioning agencies from summary reporting to incident-based reporting. The committee raised questions about Rapid DNA deployment, cold case coordination, and the slow pace of NIBRS/FIBRS adoption. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• program services.
• This is for comprehensive substance abuse treatment programs.
• For qualified residential treatment program services statewide. 108 is with Centers for Youth and Families
• This is for qualified residential treatment programs. 121 is with Northwest Arkansas Children's Shelter
• program.

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• who want to re-engage in the treatment process.
• This is not treatment.
• essentially a landlord-tenant-based program.
• They are not shelters or treatment centers.
• program, not a peer living environment.

Keywords: 995, all

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• And then in 2018, Programming and treatment space to address the out-of-cell time.
• So in the end of 2020, we picked up these design and programming, conceptual design programming meetings
• Through 2018 to 2024, we remodeled current inmate housing units with treatment space and programming
• Suwannee to Dade, we worked to provide the treatment in the programming space.
• That is our goal in our long-range program plan.

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• in partnership with local community treatment programs.
• The program offers three residential treatment facilities with a capacity of 48 pregnant and parenting
• The program offers<00:35:06.880> three<00:35:07.200> residential<00:35:07.680> treatment
• Programs that participate programs.
• program? program?

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:09 Approval of Minutes 00:00:48 KOAP Report 00:01:09 Update from CHFS 00:20:27, 958, all

Summary: The meeting opened with a quorum, approval of the September 18, 2025 minutes, and a staff update on recent tobacco settlement-funded agriculture activities. The agriculture side highlighted Commissioner Shell’s outreach, including school visits, farm visits, and speaking engagements in Kentucky and a trip to Tennessee to discuss program models. A representative also described a national conference in Iowa, where Kentucky’s agriculture finance program was praised as a $180 million loan program built with tobacco settlement funds. The board noted September approvals totaling $950,000 for the agriculture development board and $3.3 million for the finance corporation, along with staff activity such as site visits, program closures, and project reports. The board also announced that the KKMP report covering 2015-2022 would be distributed and that the annual report, marking the program’s 25th anniversary, was being prepared. The board then reviewed two featured projects. The Organic Association of Kentucky requested $425,000 for organic producer support, but the board approved only one year of funding at $29,000, with members noting concern about recurring applicants and the need to evaluate long-term funding. The second project, by Joseph Dale Bentley in Lewis County, sought $51,300 to expand a small ruminant facility for goat production and export. Members were particularly interested because the project was already operating and creating market opportunities for Kentucky goat producers; the board approved half the project cost to help expand infrastructure and potentially allow quarantining on site. The cabinet then presented its annual update on tobacco settlement fund use in public health. Julie Brooks, Sarah Johnson, and Andrea Day reported on the HANS home visitation program, tobacco prevention and cessation efforts, lung cancer screening, and early childhood oral health. HANS served more families in FY25, rising from 6,293 to 6,715, and increased services from 139,943 to over 143,000. Tobacco prevention and cessation programs continued to support Quit Now Kentucky and My Life, My Quit, though officials noted federal uncertainty and the loss of federal tobacco control infrastructure. They also reported a slight decline in student outreach and cessation requests, but continued demand from schools and communities for vaping and nicotine prevention support. Lung cancer screening expanded to 55 screens, with Kentucky cited as a model for other states due to improved incidence, survival, and early detection rates. Early oral health efforts continued through local health departments, with more trainings for public health nurses, continued varnish kits, and expanded support for dental graduates and hygiene teams.

Transcript Highlights:

• when we closed all treatment programming due to lack of sustainable funding.
• How many people does the program keep out of jail? Those participants who were in the program?
• Texas Families Program.
• The Inpatient Treatment Program protects our children and our grandchildren, our spouses, and our friends
• I go to the ACAA program myself.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• So, before treatment began, he chose to So, before treatment began, he chose to preserve<00:10:16.720
• , of his life-saving treatments, of his life-saving treatments, we<00:10:27.960> would<00:
• everybody who goes in for treatment everybody who goes in for treatment reach<00:32:04.480> up
• actual treatment itself.
• , treatment, treatment, right?

Keywords: 919, house, all

Summary: The committee heard House File 4609, the Minnesota Building Families Act, and laid it over for possible inclusion in an omnibus bill. The bill would require insurance coverage for infertility diagnosis and treatment, including IVF-related care, and the author emphasized that it would not change Minnesota’s current surrogacy laws. She also noted the bill already contains a religious exemption and clarified that it had been referred through commerce but came to health first because of reviser delays. Supporters testified that infertility is common and financially devastating, describing personal experiences with miscarriages, cancer-related fertility loss, and large out-of-pocket costs such as second mortgages, retirement withdrawals, and fundraising. A physician testified that infertility is a disease, that delays in care can worsen outcomes, and that insurance coverage can improve health outcomes and reduce multiple births and costs. Supporters also argued that fertility coverage is already offered by some large employers and in other states without major premium increases. Opponents, including representatives of the Minnesota Catholic Conference and Minnesota Family Council, argued the bill would subsidize IVF and potentially surrogacy, which they said raises ethical concerns about embryos, commodification, and exploitation of women. They urged the committee to vote no and instead support restorative reproductive medicine or other approaches that address underlying causes of infertility. In member discussion, some legislators expressed sympathy for families affected by infertility and miscarriage but raised concerns about insurance costs, success rates, and the need for guardrails; others noted adoption as another way families are built. No vote was taken beyond laying the bill over.

Transcript Highlights:

• In authorizing the program on an ongoing basis, DSH will be able to Thank you. ...four-year program.
• programs, the court ordered the department to initiate substantive treatment services within 28 days
• And in one case, not on this program but also a similar program, like I said, the CCE program, the letters
• who operates the BrightLife Kids programs, and Coots, that operates the Soluna program, have a long
• program from two hearings ago.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• meeting next under our fund a program meeting next under our fund a program the<00:15:49.120>
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution

Keywords: 00:01 Call to Order and Roll Call 00:30 Approval of Minutes 00:59 Information Items 03:34 Finance and Admin Cabinet 12:31 KY Infrastructure Authority 21:47 Office of Financial Mgmt 23:27 Adjournment, 958, all

Summary: The committee first handled informational reports on several bond and lease matters, including school district and board of education debt-service items, upcoming revenue bond issues in Henderson and Jessamine counties, and three advertised lease-space requests for state agencies. Members also reviewed prior lease transactions that had not been approved in November and December; the Finance and Administration Cabinet later canceled and rebid the Harlan County lease and moved ahead with the Perry County lease modification. Additional information items included a Kentucky Communications Network Authority quarterly capital projects report and Eastern Kentucky University asset preservation revisions. The committee then heard from Deputy State Budget Director Janice Thomas on four action items. She reported a $2.85 million USDA-funded renovation at Kentucky State University’s Betty White Building, a $294,000 increase for the Kentucky School for the Deaf’s Middleton Hall renovation, and a $6.1 million restricted-funds scope increase for the KCTCS Science Building Expansion in Elizabethtown. Members asked about how often the statutory 15% increase authority is used for school dormitory and cottage projects and about the competitiveness of construction bids; Thomas said bids are typically competitive but recent estimates have been difficult because of higher material and equipment costs. The committee approved the three action items unanimously and also received a no-action report on a $3.918 million Corrections project to repair and replace the KCIW kitchen drain line. Next, the Kentucky Infrastructure Authority presented seven loans and grants, all of which the committee approved unanimously. The package included sewer and water projects for Frankfort, Sturgis, Scottsville, Morganfield, Western Pulaski County Water District, and Springfield, plus an emergency $5.487 million Kentucky Waters grant for Eddyville after a catastrophic sewer plant failure and weather-related emergency declarations. The projects covered wastewater interceptor and treatment upgrades, sewer collection rehabilitation, water transmission main installation, and planning/design work, with loan terms ranging from five to 30 years and interest rates from 0.5% to 2.25%. Finally, the committee considered a $38.4 million Kentucky Housing Corporation conduit issuance for a 322-unit multifamily rental project in Jefferson County. A member asked how the committee participates in the transaction, and staff explained that it is a conduit issuance and not state debt. The committee then moved to approve the issuance.

Transcript Highlights:

• by opening the program up to physicians. ...by opening the program up to physicians whose practice setting
• What this grant program will allow us to do is to make sure that folks get the support and treatment
• Since 2017, I've been the medical director for the Compass Moms Do Care Program, which is a program providing
• Moms Do Care is a statewide program founded in 2015 designed to support Moms Do Care is a statewide program
• They experience delayed diagnosis and treatment.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• We've seen it when people have been in treatment, not in treatment.
• We've seen it when people have been in treatment, not in treatment.
• In other instances, it takes a much longer period of time, with both treatment—psychological treatment
• I have been receiving treatment since then and my job was guaranteed back if I complete treatment and
• And offer treatment plans.

Keywords: 995, all

Summary: The Joint Committee on the Judiciary heard testimony on a wide range of bills, with much of the discussion focused on housing stability and maternal mental health. On H. 1924/S. 1171, supporters including Sen. Joan Lovely, Rep. Jim O’Day, physicians, advocates, and people with lived experience urged the committee to create legal protections and treatment pathways for defendants who experienced postpartum psychosis or other perinatal mood disorders within 12 months of giving birth. Testimony emphasized that these conditions are rare but severe, often treatable, and can lead to tragic outcomes if criminalized rather than addressed through screening, expert evaluation, treatment, and, in some cases, resentencing or mitigation. Committee members asked about diagnosis years after the fact and how the Illinois law has worked; witnesses said retrospective diagnosis is possible and that the Illinois model has led to some successful resentencing petitions and broader awareness. Housing-related bills drew substantial testimony. On H. 1983/S. 1071, witnesses described “zombie” subordinate mortgages that were sold years after borrowers believed they had been resolved, then resurfaced with large balances and foreclosure threats. Supporters said the bill would require disclosures and court review to prevent unlawful servicing and foreclosure practices. On H. 1952, advocates from the Massachusetts Law Reform Institute, tenants, and legal services providers backed a permanent statewide right to counsel in eviction cases, citing data showing strong tenant outcomes and the importance of quality control, multilingual outreach, and full representation. On H. 1895/S. 1184, testimony supported codifying a two-tier summary process in eviction court and prohibiting defaults at the initial case-management stage. On H. 1883, a small property owner supported rent escrow as a way to protect landlords from bad-faith nonpayment while preserving tenant rights. The committee also heard testimony on bills addressing discriminatory housing covenants, tenant oversight, and homelessness. On H. 1762/S. 1080, a housing advocate supported removing void restrictive covenants from deeds, describing the Dirty Deeds Project and the lingering harm of racist language in property records. On H. 1814, tenants and advocates described harassment, retaliation, security problems, and lack of accountability in subsidized housing, arguing for an Office of the Tenant Advocate within the Attorney General’s Office. On S. 1120, multiple witnesses supported a bill of rights for people experiencing homelessness, saying it would affirm the right to rest and seek shelter, reduce criminalization, and extend anti-discrimination protections. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• In case you're unaware, the federal government has a program that they call the Continuum of Care program
• One example is jail-based treatment.
• Other examples are how do we integrate treatment with... ...housing programs so that we make sure that
• , for SSDI, for housing, all these different programs?
• States can compete against the continuum of care programs.

Keywords: 1204, all

Summary: The committee first heard a presentation on homelessness in Arkansas, with speakers from law enforcement, behavioral health, homeless service providers, and policy groups. Presenters argued that Arkansas should focus more on treatment, accountability, better data, and stronger coordination among providers, and they highlighted the Certified Community Behavioral Health Clinic (CCBHC) model as a way to expand Medicaid-reimbursed crisis, mental health, substance use, jail-based, and homeless outreach services. Testimony emphasized that Arkansas has relatively low overall homelessness numbers but a significant unsheltered population with serious mental illness or substance use disorders, and several members asked about sex offender tracking, provider accountability, statewide coordination, and whether the state could apply for federal funding or a statewide continuum of care arrangement. Speakers also discussed workforce supports, family homelessness, and the need for more transparent reporting and outcomes-based funding. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. DEQ sought to raise the threshold for commission review of certain post-closure cleanup expenditures from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing presented multiple rule changes implementing recent acts, including adding fees for dialysis patient care technician registration, updating contact-information requirements, clarifying APRN authority to sign death certificates and prescribe certain durable medical equipment, implementing delegation of certain nursing tasks to unlicensed workers, adding a declaratory-order process, revising certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each nursing rule was reviewed without objection after brief questions. In closing remarks, Senator Irvin announced that UAMS had completed its National Cancer Institute designation submission, calling it an important step for the state. The committee then adjourned.

Transcript Highlights:

• I again requested that he needed to be put in a residential treatment program.
• A referral was submitted for residential treatment to the community care program.
• is accessing care through VA's Mental Health Residential Rehabilitation Treatment Programs or RRTPs.
• The program last year.
• treatment.

Transcript Highlights:

• Some of those programs include improvements to the general surgery program, an orthopedic surgery program
• This is a chronic care program.
• This is a chronic care program.
• This is a chronic care program.
• Cancer treatment is expensive, and without the 340B program many of our patients simply would not have

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.