Transcript Highlights:

• 22.880> um<00:05:23.199> you<00:05:23.440> know "Treatments, the same, you know, therapies
• Um, also allowing pharmacists to provide services like medication therapy management, um, as the medication

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• professionals: physicians, dentists, nurses, behavioral health professionals of all levels, physical therapy
• an LSAA can do, an LSAA is actually considered a counseling license by the New Mexico Council and Therapy

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• Therapy has helped me, access to healing spaces have helped me, and I say that openly because we need
• So I I go to therapy once a week.

Keywords: 988, house, all

Transcript Highlights:

• One of her patients has a kid who needs speech therapy and she does not have broadband, so cannot do
• She is waiting six months to get in for speech therapy. That's six months.

Keywords: 988, house, all

Transcript Highlights:

• She's an active member of the Texas Occupational Therapy Association and a member of TWU's Pioneer Club
• In educational background, she earned a B.S. in Biology and a master's in occupational therapy from TWU

Summary: The Senate Committee on Nominations met to consider several gubernatorial nominees and first approved a slate of nominees left pending from the March 31 agenda. The committee voted 5-0 to favorably report those nominees to the full Senate for confirmation. Public testimony was then opened and later closed, with some listed witnesses not appearing. The committee heard testimony on Jerry K. Weldon II for the Brazos River Authority Board of Directors. Senators focused on stewardship of the Brazos River, the authority’s relationship to the legislature and the public, Sunset review, water quality and nutrient runoff, impaired waterways, and possible uses of constructed wetlands for aggregate mine reclamation. Weldon emphasized collaboration, transparency, and keeping the citizens of Texas as the authority’s primary customer. Commissioner Robert Vaughn was considered for reappointment to the Texas Transportation Commission. Discussion centered on TxDOT’s management, rural funding, population growth, project delivery, and the commissioner’s role on the audit committee. Doug McCreakin was considered for the Texas Tech University Board of Regents, with questions about legislative priorities, compliance with DEI-related state law, workforce development, rural medical education, and university partnerships. Jody Giles was considered for reappointment to the University of Texas Board of Regents, and Bernadette Carrasco Coleman for reappointment to the Texas Woman’s University Board of Regents; both discussed higher education priorities, PUF funding, compliance with state law, and student support programs. John Rutherford was considered for reappointment to the Teachers Retirement System Board of Trustees, with questions about fiduciary oversight, investment understanding, and keeping the retirement system solvent. Brigadier General Michael Boyd was also considered for appointment to the Texas Military Preparedness Commission, where discussion focused on military retention, child care, spouse licensing, base infrastructure, and grant funding for Texas installations. The committee did not take final votes on these later nominees during the hearing and left them pending subject to the call of the chair.

Transcript Highlights:

• And these results are being talked about in a group therapy like setting and some of our schools. >>
• After a lot of therapy, she realized that her mom and her grandmother have most likely been assaulted

Keywords: 999, senate, all

Transcript Highlights:

• TYs healed... ...themselves through patience, professional therapy, restorative justice circles, and
• He studied psychology in undergrad and grad school, focusing on wilderness therapy.
• Instead of support, therapy, or someone checking in if we ate, we get court dates, we get charges, we
• with a psychology degree in California and immediately enrolled in graduate school for wilderness therapy
• CPR, developed by people saying what they wanted when they were in distress; open dialogue; family therapy

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• mandates written notification to patients referred to out-of-network providers and creates the dental therapy
• committee and has presented, but all this amendment would do is allow dental hygienists to use laser therapy
• I will say the dental therapy bill, until they have safeguards in all of this, is a big concern for me
• intervention programs to offer voluntary faith-based content alongside the required cognitive behavioral therapy
• intervention programs to offer voluntary faith-based content alongside the required cognitive behavioral therapy

Bills: HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 363, HB 116, HB 491, HB 1495, HB 368, HB 1285, HB 1905, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2798, HB 107, HB 1587, HB 3684, HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 609, HB 630, HB 420, HB 767, HB 1708, HB 1404, HB 2457, HB 140, HB 227, HB 913, HB 2198, HB 2763, HB 1261, HB 1135, HB 1318, HB 2358, HB 2765, HB 2735, HB 3307, HB 1242, HB 2842, HB 333, HB 201, HB 694, HB 2415, HB 155, HB 272, HB 405, HB 519, HB 1136, HB 1275, HB 1437, HB 1532, HB 1675, HB 1868, HB 1888, HB 1990, HB 2286, HB 2523, HB 3129, HB 3251, HB 3354, HB 3479, HB 3803, HB 3804, HB 3805, HB 3806, HB 3887, HB 4163, HB 4238, HB 1240, HB 1842, HB 2029, HB 2622, HB 3255, HB 654, HB 4643, HB 4945, HB 3611, HB 3724, HB 3623, HB 3810, HB 4127, HCR 78, HCR 12, SB 767

Keywords: HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan

Transcript Highlights:

• My practice is focused on the use of cellular therapy approaches for children with rare inherited life-threatening
• As he did well, he was eligible for a gene therapy approach to increase the delivery of the missing enzyme
• eligible<00:36:19.480> for<00:36:19.599> a<00:36:19.680> gene<00:36:20.000> therapy
• <00:36:20.400> approach<00:36:20.760> to eligible for a gene therapy approach to eligible
• for a gene therapy approach to increase<00:36:21.280> the<00:36:21.440> delivery<00:36

Keywords: 1187, senate, all

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• Eager to get back in the pool, I returned to practice a few weeks later, more for physical therapy than
• “Eager to get back in the pool, I returned to practice a few weeks later, more for physical therapy than
• due to the use of treatments such as puberty suppression and then full gender affirmation hormone therapy
• due to the use of treatments such as puberty suppression and then full gender affirmation hormone therapy
• due to the use of treatments such as puberty suppression and then full gender affirmation hormone therapy

Keywords: 1183, house

Transcript Highlights:

• even will not cover general anesthesia for dental care necessary before organ transplants and cancer therapy

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• PATIENT NUMBER 2 A 55-YEAR-OLD LADY, AFIBRILLATIONON STANDARD MEDICAL THERAPY WITH BETA BLOCKERS AND

Keywords: 999, senate, all

Transcript Highlights:

• So by providing groups therapy and individual therapy with our students, and then we have a mental health
• But with proper support, time, and therapy, he has recovered and is thriving now in the sixth grade.
• But with proper support,<00:50:53.680> time,<00:50:53.920> and<00:50:54.160> therapy
• ,<00:50:54.640> he<00:50:54.880> has support, time, and therapy, he has support, time
• , and therapy, he has recovered<00:50:55.440> and<00:50:55.680> is<00:50:55.920> thriving

Keywords: 1187, senate, all

Transcript Highlights:

• The big one is gene therapies. that are coming through for cickle cell that are coming through for cickle
• <01:08:53.359> one<01:08:53.520> is<01:08:53.759> gene<01:08:54.159> therapies
• <01:08:54.880> Um The big one is gene therapies and cell and gene therapies.
• , but Kentucky entered into an agreement on July 15th of this year, basically for a cell and gene therapy
• basically a 33-state agreement where they're using an outcomes-based procedure to have sickle cell gene therapies

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• I don't have a way to treat them with, if they're using nicotine, I can give nicotine replacement therapy
• She would have benefited from the program having inhalation. therapy but it was unavailable at the time
• DPS working group, and I have graduated with a master's degree in medical cannabis science and therapy
• With safe and proper dosing instructions to support our clients on their canna therapy journey.
• We are a Texas-based, veteran-owned canna therapy company.

Bills: SB3, SB810, SB965, SB1073, SB1119, SB1505, SB 3

Keywords: Texas Education Code, public schools, school district, open-enrollment charter school, teacher speech, employee speech, biological sex, pronouns, gender identity, retaliation, discipline, workplace protections, school personnel, education policy, LGBTQ, transgender, charter schools, SB 965, religious speech, prayer

Transcript Highlights:

• Or do we need therapy for this? And what kind of therapy makes sense? Or medication?
• Or do we need therapy for this? And what kind of therapy makes sense? Or medication?
• that would be a licensed addiction counselor who reports through the Board of Behavioral Health and Therapy
• Behavioral report through the Board of Behavioral Health<00:31:20.360> and<00:31:20.519> therapy

Keywords: 1183, house

Transcript Highlights:

• We have drug and alcohol treatment, work therapy, of course, volunteer programs, which are very extensive
• Recreational therapy and really focusing now more on mental health and behavioral health needs of our
• We have drug and alcohol treatment, work therapy, of course, volunteer programs, which are very extensive
• Recreational therapy and really focusing now more on mental health and behavioral health needs of our
• Recreational therapy and really focusing now more on mental health and behavioral health needs of our

Keywords: 1183, house

Transcript Highlights:

• 01:40:43.040> cell those that are performing stem cell those that are performing stem cell therapy
• 44.800> this<01:40:44.960> act<01:40:45.280> to<01:40:45.520> register therapy
• pursuant to this act to register therapy pursuant to this act to register with<01:40:46.159> them
• They all use stem cell therapy, and they all had to leave the United States to receive that treatment
• They all use stem cell therapy, and they all had to leave the United States to receive that treatment

Keywords: 916, all

Transcript Highlights:

• thankfully is very strong and we would love nothing more than to provide our specialized care and therapies
• innovations that can, you know, the biologics and things like that that have become available, or gene therapies
• that that have become available<04:02:02.319> or<04:02:02.720> gene<04:02:03.080> therapies
• <04:02:04.080> for<04:02:04.399> children available or gene therapies for children
• available or gene therapies for children where<04:02:04.960> there's<04:02:05.199> remarkable

Keywords: 1189, house, all

Transcript Highlights:

• It is a specific methodology that was created by the same people that created gay conversion therapy.
• the same people that created gay by the same people that created gay conversion<01:51:29.719> therapy
• often ABA is ordered conversion therapy often ABA is ordered because<01:51:32.360> primary<01
• like gay conversion therapy.
• These providers are not therapists and are not qualified to provide therapy.

Keywords: 1187, senate, all

Summary: The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings. OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff. The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.