Transcript Highlights:

• You may have seen some of the coverage.
• Our goal in our news is to provide unbiased coverage, to provide coverage in a range of views that everyone
• I want to talk a little bit about the loss of news coverage.
• That means they have no local coverage whatsoever. 1,500 counties in the U.S. have limited coverage.
• We were required to, and those requirements... ...we were required to, and those requirements went out

Summary: The hearing focused on the impact of the federal rescission of Corporation for Public Broadcasting funding on California public media, with Assemblymember Chris Ward and Senator Akilah Weber Pierson framing public media as essential civic infrastructure for education, local news, arts, emergency alerts, and underserved communities. Local officials from San Diego and La Mesa voiced support, emphasizing public media’s role in trusted information, children’s programming, and community arts access. Panelists from PBS SoCal, KCRW, Rebuild Local News, NPR, KPBS, Radio Bilingüe, and KVPR described significant budget losses, layoffs, reduced programming, and threats to rural and specialized services. They highlighted impacts on children’s educational content, local journalism, arts coverage, science and documentary production, and emergency alert systems. Several speakers noted that smaller stations in rural or low-broadband areas are especially vulnerable, while larger stations are also cutting staff and delaying projects. They also discussed possible responses such as shared services, cost reductions, philanthropy, and state support, while warning that one-time bridge funding is not a long-term fix. Committee members asked about operational changes, alternative revenue sources, the role of state programs, and whether public pressure could restore federal funding. Witnesses said the loss is already being felt, that restoration appears unlikely in the near term, and that any state support should be structured to protect editorial independence and provide stable, timely funding. The hearing concluded with a shift to labor and production testimony and then to station-specific testimony from KPBS, Radio Bilingüe, and KVPR, followed by public comment.

Transcript Highlights:

• To coverage of IMD services.
• I'm just talking about the staff requirements. Do you have that number?
• It's a gap in coverage that puts lives at risk.
• The Mental Health Parity and Addiction Equity Act, otherwise known as MHPAEA, requires that coverage
• Documentation showing the one-to-one match, which was required in the legislation, is also required.

Keywords: 908, all

Transcript Highlights:

• and the levels of insurance coverage and the levels of coverage<00:20:10.720> provided<00:20:
• Again, that statutory contract only guarantees access to group coverage, but they could be required to
• more the cost of coverage. more the cost of coverage.
• Single coverage for 2026 is 11054.
• required as a result of those premiums. required as a result of those premiums.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• coverage.
• continue coverage when the retiree dies. continue coverage when the retiree dies.
• before death, the spouse loses coverage. before death, the spouse loses coverage.
• would lose her coverage. would lose her coverage.
• about this federal requirement.

Bills: HF1151, HF1239, HF1240, HF2020, HF2514, HF2515, HF2451

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• :05:07.440> training not require a formal training not require a formal training curriculum,<00
• . required. required.
• membership and appointment, meeting requirements, and reporting requirements.
• membership and appointment, meeting requirements, and reporting requirements.
• Topics such as panel membership and appointment, meeting requirements, and reporting requirements.

Keywords: Call to Order and Roll Call- 00:00:03 Summary of Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:01:00 Staff Update on Child Fatality and Near Fatality External Review Panel 00:16:00 Child Fatality and Near Fatality Review Panel Representatives Available for Questions-00:39:34 Kentucky State Police & Finance Cabinet Status Update on Kentucky Statewide Emergency Responder Voice System-00:52:35 Adjournment-01:46:24, 958, all

Summary: The committee first approved the minutes from December 19 and June 12, then received a staff report on the Kentucky Fire Commission’s minimum training standards and administrative spending. Staff explained that the commission’s current minimum training hours are 115 for volunteer firefighters and 300 for paid firefighters, down from 150 and 400 before January 1, 2023, after the commission removed elective classes not directly tied to NFPA standards. The report found the commission’s certification testing aligns fully with NFPA standards, but recommended that the commission formally promulgate regulations establishing the reduced training hours. On finances, staff said the commission complied with the first statutory cap on administrative reimbursements to KCTCS, but could not verify compliance with a second, more specific cap because the finance system does not break out program-level costs and the statute is vague. Staff recommended the commission work with KCTCS to fix that issue and suggested the General Assembly may wish to clarify the statute. After questions about reimbursement levels and investment income, the committee voted to accept the report. The committee then heard an update on the Kentucky Child Fatality and Near Fatality External Review Panel. Staff reported that the panel has implemented two of three prior recommendations: it revised its agency notification letter to clearly state the 90-day response deadline and added response prompts and checkboxes to improve completeness. The third recommendation, to adopt formal written procedures, remains in progress; staff said the panel plans to develop those procedures alongside its new case management system. The panel is meeting its statutory membership and meeting requirements, but agency responses to its recommendations have been inconsistent: 48% were timely and appropriate in 2022, 36% in 2023, and 82% in 2024, though only three of nine timely 2024 responses were fully complete. Staff also described the new case management system project, funded with $200,000 in one-time money, and recommended the panel consult budget staff about use of those funds beyond fiscal year 2025. They reissued the recommendation that the panel develop written procedures for case review, findings, recommendations, and annual reports. Committee members raised concerns about the lack of penalties for noncompliance, the volume and length of panel meetings, and technology barriers to reviewing cases, and one member said the panel’s findings should inform future legislation.

Transcript Highlights:

• We do this because our mission requires it of us.
• we do this because our mission requires we do this because our mission requires it<00:04:49.080>
• <01:18:01.320> 24-hour outside okay um kylin requires 24-hour outside okay um kylin requires
• <01:32:06.119> to<01:32:06.320> request is legally required to request is legally required
• we are asking DHS uh we are requiring we are asking that<01:32:30.040> you<01:32:30.199> require

Keywords: 1183, house

Transcript Highlights:

• And I think it's appropriate now to eliminate that requirement that the exam requirement.
• requirement that the exam requirement. requirement that the exam requirement.
• coverage.
• ensure these plans can fill coverage ensure these plans can fill coverage gaps<01:30:14.880>
• bill without any type of coverage. bill without any type of coverage.

Keywords: 1191, senate, all

Transcript Highlights:

• There is ample precedent for pharmacy benefit coverage of injectable PrEP.
• In fact, some insurers already cover the drugs... ...pharmacy benefit coverage of injectable PrEP.
• This bill doesn't require local governments to do anything.
• City attorneys and county counsels do our Require local governments to do anything.
• Gaps or uncertainty about the scope of required Identifying information at all.

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.

Transcript Highlights:

• There are ways you can get supplemental coverage for this.
• They'll mark the yes, and they will not get the coverage because it's adverse selection.
• There are ways you can get supplemental coverage for this.
• There are ways you can get supplemental coverage for this.
• There are ways you can get supplemental coverage for this.

Bills: HF1224, HF1615, HF2403

Keywords: foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• as required by NDCC-54-10-27.
• requirement back to the auditor's office.
• There is no coverage provided under the member... ...memorandum of coverage for PFAS-related claims and
• And we have a lot of required reports.
• Treasury, and any of the reporting requirements that the Treasury is requiring right now won't be necessary

Keywords: 908, all

Transcript Highlights:

• It's just a matter of that coverage.
• We're going to require the health insurance... instead of mandatory coverage, we are...
• Instead of mandatory coverage, we are going to amend it to be an optional coverage, similar to that of
• And for the mandatory coverage, we are going to ask for Sunrise analysis for coverage of prescription
• requirements requirements but but but um<00:33:01.080> we<00:33:01.399> limited<00:33:

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• They have requirements.
• They have requirements. two different places, they have requirements that are more extreme than mental
• And they are required to have certification for that profession, and the They are required to have certification
• So basically, this trailer bill was required in the implementation of BHSA.
• We were required to have a revenue... Thank you.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• Not every instance would require a public adjuster, but there are some complex items that would require
• And in this market that we're in, it's very difficult to find coverage.
• And in this market that we're in, it's very difficult to find coverage.
• The requirements from those vendors would then have to be inside the policy.
• When a property owner hires a PA, we review the policy, all coverages.

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills. Topics included public adjusters (H. 1100/S. 785), electronic cancellation notices (H. 1123/S. 701), insurance rebates and loss-mitigation devices (H. 1233), flood hazard determinations (H. 1087 and related flood bills), organ donor insurance protections (H. 1248/S. 727), mental health parity in disability policies (S. 780), motor vehicle service contracts (H. 1139/S. 812), modernization of business-to-business insurance transactions (H. 1105), and a bill changing the GIC withdrawal notice deadline (H. 1150). Committee chairs set a three-minute testimony limit and heard from legislators, industry representatives, advocates, and affected consumers. Testimony on public adjusters was sharply divided. Insurance agents and property-casualty industry representatives argued that bills barring insurers from prohibiting public adjusters would interfere with policy terms, while public adjusters and several consumers described cases where adjusters helped secure substantially higher settlements and said some surplus lines policies already contain anti-public-adjuster endorsements. On electronic notices, the insurance industry supported consumer opt-in email communications, while agents warned that email-only cancellation notices could cause consumers to miss cancellations. On rebates/loss mitigation, insurers supported allowing risk-mitigation devices outside the policy to encourage innovation, while agents opposed the bill as an improper inducement. Flood-related bills drew opposition from insurers who said flood determinations are complex and federally governed. The committee also heard strong support for organ donor protections from a kidney transplant recipient and the American Kidney Fund, who said the bill would prevent insurance discrimination against living donors and could encourage more donations. On disability parity, a disability insurance specialist opposed S. 780, arguing that mental health limitations are a consumer choice that helps keep coverage affordable, while the bill’s sponsor said it would prevent unequal limits on behavioral health claims. The committee also heard support for H. 1139/S. 812 from the service contract industry, and support for H. 1105 from APCIA as a modernization measure for specialty commercial lines. No votes were taken; after testimony concluded, the chairs closed the hearing.

Transcript Highlights:

• and will remove the requirement for a 90-day notice.
• The amount that was required.
• AB 1906 requires coverage of these tests without cost sharing as ordered by a patient's provider.
• AB 1906 requires coverage of these tests without cost sharing as ordered by a patient's provider.
• AB 1906 would require coverage for at-home cervical cancer screening kits, which were recently FDA approved

Keywords: 987, senate, all

Transcript Highlights:

• overly burdensome requirements.
• plan, so they're required to do it by contract.
• California expanded coverage.
• Regrettably, we are here today in opposition to AB 350, which would require the coverage of fluoride
• We believe this coverage requirement should be considered as a part of California's current benchmark

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Has the department in the last couple of years required any refunds?
• Oh, we require refunds all the time. And what types of insurance?
• to give a notice that includes how to contact those two plans to get coverage.
• This statute requires the Division of Finance to transfer any fund balance...
• Okay, this is Senate Bill 4 requires this, is that what you're telling me?

Keywords: 959, house, all

Transcript Highlights:

• She required surgery as a result of the harm inflicted upon her.
• to hire a quality assurance manager, despite the fact that these are not state requirements.
• I respectfully ask the legislature to help resolve the growing liability insurance coverage issue.
• The growing liability insurance coverage issue.
• value of the home, requiring notice, and requiring that the heirs have the opportunity to buy out someone

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Transcript Highlights:

• The first is coverage from employer.
• ><00:25:27.600> that<00:25:27.760> all requirement under the ACA that all requirement under
• this market in terms of coverage pre-authorization and network adequacy requirements.
• You carries all the coverage on that.
• coverage, right? coverage, right?

Bills: HF3766, HF3972, HF3437, HF4118

Keywords: travel insurance, regulation, insurance licensing, consumer protection, travel assistance, short-term rental, vacation rental, home sharing, rental marketplace, online platform, property damage guarantee, damage waiver, reimbursement insurance, insurance regulation, commerce department, platform user, Airbnb, Vrbo, host protection, rental home marketplace

Transcript Highlights:

• When we reach the end of the program, we're required to pay it all out based on relative performance.
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• When we reach the end of the program, we're required to pay it all out based on relative performance.
• When we reach the end of the program, we're required to pay it all out based on relative performance.
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may

Keywords: 928, house, all

Summary: The Fiscal Committee met on May 16, 2025, and first adopted a rules-and-procedures change extending online audit approval timelines for American Rescue Plan items through December 2026 and bipartisan infrastructure law items through June 30, 2027. The committee then approved the April 18 minutes and adopted the consent calendar with several items removed for separate discussion, including items from Tabs 4, 6, and 7. On Tab 4 item 2511, members questioned why the state was paying utility costs for the Laconia property while it is being sold. Commissioner Charlie Arlinghaus explained the budget line covered utilities generally, not just heat, that some buildings still require minimal heating, and that the main increase was tied to the Winnipesaukee River Basin Project wastewater charges. He said the charges had risen sharply, the property sale would eventually trigger a utility true-up at closing, and he would provide additional analysis. The committee then adopted the item. On Tab 4 item 25115, the Department of Justice said funding for a temporary fourth pathologist was removed from the 2026-2027 budget because it was no longer needed, and the committee adopted the item. On Tab 6 item 25126, Department of Health and Human Services officials explained the Medicaid managed care “withhold” as a performance incentive: about 2% of capitation payments are held back, then redistributed based on quality and operational metrics, with unearned amounts staying with the state until the end of the program and subject to actuarial requirements. They said the approach has improved performance and helped with Medicaid unwinding outreach, reducing enrollment by about 11,000 people in the past year. The committee adopted the item. On Tab 7 item 25139, the Department of Energy said it no longer needed an additional position because existing staff could handle the work, and the item was adopted. The committee also adopted regular-calendar items 25114 and 25131, noted that one regular-calendar item had been withdrawn, set the next meeting for June 20 at 11:00 a.m. in Room 100 of the State House, and adjourned after a motion and second.

Transcript Highlights:

• not require general fund revenue. not require general fund revenue.
• It requires multiple patient care thing. It requires multiple patient care slots. slots. slots.
• <00:58:17.520> So, coverage. Let's get this worked out. So, coverage.
• Reporting requirements in HB 2 are more than HR1 requires.
• And the state's budget requires.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.