Transcript Highlights:

• EPSDT is the early periodic screening, diagnostic, and treatment benefit.
• EPSDT is the early periodic screening, diagnostic, and treatment benefit.
• EPSDT is the early periodic screening, diagnostic, and treatment benefit.
• EPSDT is the early periodic screening, diagnostic, and treatment benefit.
• EPSDT is the early periodic screening, diagnostic, and treatment benefit.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• If you want to be smoke screened and confused by the argument that this is about fluoride, then stay
• Senator Grow, CS for CS for Senate Bill 1546, a bill to be entitled an Act relating to Background Screening
• This bill extends the date requiring a Level 2 background screening for athletic coaches from January
• clearinghouse. and provides that a person who has not been background screened may act as an athletic
• Justice and Senator Grow, CS for CS for SB 1546, a bill to be entitled an Act relating to background screening

Bills: HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HCR 77, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HJR 5, HJR 2, HB 1399, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1672, HB 1722, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 1445, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2558, HB 2742, HB 1695, HB 33, HB 144, HB 109, HB 103, HB 148, HB 3809, HB 2217, HB 220, HB 2421, HB 2363, HB 421, HB 2455, HB 3711, HB 2559, HB 2775, HB 3126, HB 3666, HB 3595, HB 3260, HB 3376, HB 3826, HB 3770, HB 1831, HB 2614, HB 3113, HB 322, HB 431, HB 869, HB 1203, HB 1244, HB 1875, HB 1950, HB 2152, HB 2341, HB 2809, HB 2856, HB 3012, SB 1415, SB 1058, SB 487, SB 1499, SB 513, SB 1697, SB 1197, SB 1437, SB 1809, SB 836, SB 1879, SB 1145, SB 963, SB 1038, SB 1147, SB 914, SB 711, SB 1409, HB 3707, HB 589, HB 1360, HB 2337, HB 2391, HB 718, HB 23, HB 2436, HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HCR 77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• to birth control, STI prevention and treatment, pregnancy options counseling, life-saving cancer screenings
• to birth control, STI prevention and treatment, pregnancy options counseling, life-saving cancer screenings
• to birth control, STI prevention and treatment, pregnancy options counseling, life-saving cancer screenings
• to birth control, STI prevention and treatment, pregnancy options counseling, life-saving cancer screenings
• for TSA Aviation workers screening for TSA Aviation workers screening equipment<01:30:44.800>

Keywords: 910, house, all

Transcript Highlights:

• <01:27:15.400> that<01:27:15.560> we 500 free health screenings that we 500 free health
• screenings that we provide<01:27:16.480> annually<01:27:16.960> thanks<01:27:17.159>
• glasses, conduct over 6,000 hearing screenings to address issues affecting learning, and offer over
• <01:44:17.280> over this funding we aim to screen over this funding we aim to screen over
• <01:44:23.760> to conduct over 6,000 hearing screenings to conduct over 6,000 hearing screenings

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• We needed dollars infused, and if you remember back to green screens and waiting and having to almost
• remember<00:04:14.040> back<00:04:14.440> to<00:04:15.040> green<00:04:15.440> screens
• <00:04:16.120> and remember back to green screens and remember back to green screens and waiting

Keywords: 919, house, all

Summary: House Republican leaders in Minnesota gave a post-session recap focused on what they described as major accomplishments in a tied legislature. They highlighted passage of the Office of Inspector General bill to combat fraud, along with tax and fee relief measures including $125 million in property tax relief and $250 million in car tab reductions. They also pointed to funding for hospitals and uncompensated care, county IT modernization, school safety and mental health programs, public official safety at the Capitol and judicial branch, and a $1.2 billion bonding bill for infrastructure. Leaders repeatedly contrasted this session with the prior Democratic trifecta, arguing Republicans blocked new tax increases and helped make government more accountable and affordable. They said the OIG bill had been a top priority, had previously been blocked in the House, and was now signed into law. On health care, they said the final package included support for hospitals and denied that discussions about 340B involved pharmaceutical companies, saying offers on that issue were rejected by House Democrats. In response to questions, leaders said the tie forced public negotiation and that Minnesotans were the real winners because lawmakers worked together. They also defended the lack of final floor votes on gun-related proposals, saying those measures had been voted on multiple times in committee and on the floor but did not have the votes to pass. On transparency, they said the process was as open as possible and that bonding projects had been heard in committee and reviewed by the bonding team before inclusion.

Transcript Highlights:

• As prescribing rates for these medications rise, so too does the importance of awareness and screening
• recognize a guest in the gallery whose work has made a meaningful difference in advancing awareness, screening
• Lee, Screening, and access to care for those living with tardive dyskinesia. Dr.
• played a critical role in ensuring the timely adoption of statewide guidelines for tardive dyskinesia screening

Keywords: 987, senate, all

Transcript Highlights:

• I want to start by pointing out we're going to put some a couple little quick slides up on the screen
• some a couple little quick slides up on some a couple little quick slides up on the<00:03:58.040> screen
• the screen. the screen.

Keywords: 1183, house

Transcript Highlights:

• With weapon screening in place, bad actors carrying dangerous weapons cannot enter the core buildings
• Minnesota permit to carry.<00:04:17.959> With<00:04:18.160> weapon<00:04:18.519> screening
• With weapon screening in place, carry.
• With weapon screening in place, bad<00:04:19.959> actors<00:04:20.519> carrying<00:04:20.920

Keywords: 1183, house

Summary: The committee took up House File 3357, a bill to prohibit weapons on Minnesota State Capitol grounds, with exceptions for official protective personnel. The bill’s author and co-author argued it was needed to create a safer environment for legislators, staff, and the public in light of recent threats and violence, including the killing of Speaker Emerita Hortman and other threats directed at members. Supporters said the Capitol should be a place for discussion, not guns, and emphasized the emotional and safety concerns faced by lawmakers, especially women. Opposition testimony came from the Minnesota Gun Owners Caucus, which argued the bill would burden peaceable permit holders rather than violent criminals. Opponents said permit holders are highly vetted, commit crimes at very low rates, and should not be forced to choose between First and Second Amendment rights at the Capitol. Several Republican members echoed those concerns, saying the bill would create a confusing patchwork, fail to address threats outside the building, and infringe on lawful self-defense rights. One member also raised concerns about threats against legislators and questioned whether the bill’s assumptions about permit holders were supported by verifiable data. The discussion became contentious at points over procedure and interruptions, with the chair reminding members about decorum and allowing a roll call vote after repeated requests. The committee then voted 6-7, with one excused, against the motion to re-refer the bill to Public Safety. As a result, the motion did not prevail and House File 3357 was laid over.

Transcript Highlights:

• I believe they have screens. Yeah, and people can see that all computers have screens.
• There are screens that's set up. So you believe it should be banned? Banned, I don't know.
• ..committee on time because we were frantically doing agenda setting for a Probst watching on the screen

Bills: SB1433, SB1434, SB1435, SB1567, SB1571, SB1686, SB1745, SCR1024, SCR1025, HB2671, HB2676, HCR2044

Keywords: county boundaries, Maricopa, Gila, Pinal, Yavapai, Yuma, La Paz, local governance, Arizona Revised Statutes, Maricopa county, county division, new counties, intergovernmental agreements, special election, shared use agreements, education, explicit material, parental consent, student protection, library access

Transcript Highlights:

• it's really become a community issue and it's really important for us to get the word out that the screening
• for us to get the word out that<00:15:10.399> um<00:15:10.480> the<00:15:10.720> screening
• <00:15:11.120> that's<00:15:11.440> done<00:15:11.680> to that um the screening
• that's done to that um the screening that's done to prevent<00:15:12.720> to<00:15:12.959>

Bills: SB2445, SB2125, SB2355, SB2834, SB3237

Keywords: pedestrian, fines, traffic laws, economic vulnerability, safety, walking, public transportation, teacher licensing, teacher shortage, emergency hire, unlicensed teacher, out-of-field teaching, licensed teachers, charter schools, Department of Education, DOE, Board of Education, licensure requirements, teacher certification, alternative licensure

Transcript Highlights:

• Apparently, the fine for when you don't have one of these little screens when you're carrying gravel
• ><00:32:56.720> of<00:32:56.799> these<00:32:57.039> little<00:32:57.360> screens
• <00:32:57.919> when have one of these little screens when have one of these little screens

Keywords: Judiciary, Division B - Room 409, 2 February, 2026; 4:30 P.M., 925, all

Summary: The committee took up a series of criminal justice and public safety bills. Early discussion focused on immigration-related concerns and the costs of enforcement, with one senator pressing for data to support claims about crimes by undocumented immigrants and another citing specific cases and DPS removals of drivers with falsified CDLs. The committee also heard a bill requiring the sex marker on a driver’s license to match sex at birth; the sponsor said it was the same measure passed by the committee the prior year, and it received a title sufficient/do pass recommendation. Several bills addressed corrections and court procedures. One bill clarified that people in intervention court are subject to the sentencing judge’s sanctions and are not entitled to a separate technical-violation hearing like probationers or parolees; the sponsor said it would reduce, not increase, leniency, and the committee passed it. Another bill extended the statute of limitations for felonious assistance program fraud from five to ten years, citing the TANF fraud case and the need for more time to detect abuse in executive agency programs; it also passed. The committee then approved a bill allowing judges, after a hearing and specific findings, to order firearms removed in domestic violence cases and protective-order proceedings when the weapons pose a credible threat. The committee also advanced a bill increasing penalties for witness tampering, with the sponsor saying prosecutors wanted a stronger tool because defendants were sometimes willing to accept the current five-year penalty rather than face the underlying offense. Members discussed whether the bill covered intimidation versus tampering and whether the penalty should be tied to the underlying crime; a motion to reconsider/adjust the bill was adopted, and the bill ultimately received a do pass recommendation. Another measure increased fines for handheld mobile device violations while driving, especially in school and work zones, and members discussed whether the bill should be stronger and how any collected fines would be used; it passed. Finally, the committee approved a bill requiring reporting of certain convictions and adjudications to the Child Protective Services central registry, and ended by passing a bill increasing the fine for failing to use a screen on loads that can spill from vehicles and damage windshields, with members noting the fine had not been updated since 1974.

Transcript Highlights:

• We go to the next screen in the guardian profile search.
• In terms of regulating, OPPG manages registration, background screening, continuing education requirements
• In terms of regulating OPEG manages registration, background screening, continuing education requirements
• Background screening, continuing education requirements, and compliance reviews.

Summary: The Human Services Subcommittee met to receive updates on implementation of House Bill 1349, which created guardianship transparency measures, and on the Department of Elder Affairs’ Office of Public and Professional Guardians (OPPG). The Clerk of Courts Operations Corporation described the statewide guardianship database for judges and a public-facing website, noting the system went live in March 2025 after a soft launch in 2024. Officials said the database now includes information from all 67 clerks, with 388 users, about 6,400 wards, and 518 professional guardians. Members asked about unique identifiers, data duplication, training, and how the system is being used; CCOC said it is working to use registration numbers as identifiers, improve search functions, expand training, and seek continued funding. Secretary Michelle Branham then outlined OPPG’s implementation of HB 1349 and its broader oversight role. She said the department has doubled education requirements, expanded transparency through the Sentry system, and brought investigations fully in-house in August 2024. She described the complaint and investigation process, including legal sufficiency review, regional investigators, mandatory in-person interviews, and possible outcomes ranging from corrective training and fines to suspension or revocation. Members asked about complaint categories, disciplinary actions, whether guardians can be suspended during investigations, and how older cases are handled; the secretary said most complaints are administrative/technical, serious allegations are referred to law enforcement, and one older case discussed remained ongoing. The Auditor General’s office presented its operational audit of OPPG, covering July 2022 through January 2024 and follow-up on prior findings. The audit identified problems with monitoring private professional guardians and public guardian offices, complaint processing timeliness, incomplete public profile information, late registration renewals, failure to assess contract penalties, weak collection safeguards, missing follow-up on required public guardian reports, lack of needed rules, and Sentry system access/security controls. In response, Secretary Branham said the department does not dispute the findings and has already taken corrective steps, including launching Sentry, hiring additional monitors, moving investigations in-house, adding automated renewal reminders, updating forms, and drafting new rules. She also said the department plans to seek subpoena power and stronger fines in the next legislative session. The subcommittee took no formal vote and adjourned after members’ questions were completed.

Transcript Highlights:

• after we support this bill and it's signed by the governor, we'll ensure that colorectal cancer screenings
• Unfortunately, those required screenings are at risk due to litigation actually occurring in Texas.
• I had a friend diagnosed with colon cancer when he was 40 years old and Fortunately because of screening
• He recently celebrated his 50th birthday and And so this bill is a protect to those screenings and really

Keywords: 988, house, all

Transcript Highlights:

• essential and time-sensitive health care like contraception, STI testing and treatment, and cancer screenings
• and HIV prevention, testing and treatment, patient-centered pregnancy options counseling, cancer screenings
• and HIV prevention, testing and treatment, patient-centered pregnancy options counseling, cancer screenings
• Title X providers are often the only access point for essential services like STI testing, cancer screenings

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• return to your digital action sheets by clicking on the action sheet tab on the top middle of your screen
• :10.240> top<00:37:10.640> middle<00:37:11.040> of<00:37:11.280> your screen
• 37:19.839> be<00:37:20.000> taking<00:37:20.320> up<00:37:20.640> two screen
• We will be taking up two screen.

Keywords: 910, house, all

Transcript Highlights:

• If the data entry screen could have as little as a modification where the treasurer, whoever is doing
• uh the expectation of the legislature if uh the data<00:09:18.680> entry<00:09:19.040> screen
• c> uh<00:09:20.160> could<00:09:20.399> have<00:09:20.800> as data entry screen
• uh could have as data entry screen uh could have as little<00:09:21.200> as<00:09:21.320>

Keywords: 1183, house

Transcript Highlights:

• me walking on something that it was a mat that they placed on the floor and there was a computer screen
• But when they showed me my result, there were some red marks on that screen. um the doctor said that's
• As a highlight UTMB was the first in Texas to deploy artificial intelligence as a comprehensive screen
• . screening tool for cardiovascular disease, which we use alongside clinical expertise.

Keywords: 1184, house, all

Transcript Highlights:

• But right now, if I could share on my screen with you really quickly, I just want to share a picture
• :10:42.000> my But right now, if I could share on my But right now, if I could share on my screen
• with you really quickly, I just screen with you really quickly, I just want<00:10:45.440> to<
• And then the other payment that you saw on the screen was an IGT program for physician payments that
• was an IGT program for on the screen was an IGT program for physician<01:00:35.599> payments<

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• <00:42:52.560> Additional<00:42:53.040> screening by trained staff.
• Additional screening by trained staff.
• So I just wanted to put that on your radar screen because that is something that if that gets too out
• <01:21:08.400> because to put that on your radar screen because to put that on your radar
• screen because that<01:21:08.960> is<01:21:09.120> something<01:21:09.360> that<

Keywords: Meeting Start: 00:00:03 Roll Call: 00:00:09 Agency Updates: 00:01:44 Juvenile Justice Advisory Board Update: 00:03:36 Department of Juvenile Justice Update: 00:23:10, 958, all

Summary: The Juvenile Justice Oversight Council approved the minutes from its November 8, 2024 meeting and welcomed new member Representative Nick Wilson. The council also heard an update from the Administrative Office of the Courts on a school attendance awareness campaign aimed at reducing truancy referrals to court, and a member requested a future, more detailed presentation on truancy trends. The council then received an update from the Juvenile Justice Advisory Board from Dr. David Frink and Elsie Berger. They described the board’s membership, meeting schedule, public access, annual report and three-year plan, and its role in helping Kentucky remain compliant with federal juvenile justice requirements so the state can receive Title II funding. They said the board reviews grant applications for community-based services, substance use, and early intervention programs, with about $584,000 in federal funds this year and a little over $600,000 expected next year. Members asked about participation, board vacancies, and how to engage with the board, and the presenters emphasized the importance of statewide representation and community input. The Department of Juvenile Justice then provided a broader update through Commissioner Randy White and Deputy Secretary Mona Wamik. White said DJJ is under an ongoing U.S. Department of Justice investigation focused on conditions in detention facilities, including use of force, isolation, abuse, mental health care, and special education, and said the department has cooperated with repeated information requests and site visits. He also reviewed recent legislative and administrative changes, including 2023 Senate Bill 162, regional detention planning, facility segregation requirements, staffing and salary investments, improved staffing levels, reduced mental health vacancies, and training efforts related to security threat groups. He said DJJ has made progress but continues to work on staffing, safety, and facility improvements.

Transcript Highlights:

• It's an LED or LCD screen that's then rotating through pictures. And that's all well and good.
• I'm not opposed to a virtual wall if it's, you know, some sort of screen that's projecting.
• The screens rotate through.
• <01:21:31.840> I'm<01:21:32.000> I'm is the screens rotate through.
• I'm I'm is the screens rotate through.

Keywords: 928, house, all

Summary: The Legislative Administration Committee opened with Senate Bill 197, which would remove the Department of Health and Human Services commissioner’s supervisory role over the legislative facilities committee nurse and instead place the nurse under the Board of Nursing’s scope of practice. The sponsor’s aide and DHHS legislative director explained that the change updates outdated language last amended in 1995, aligns the statute with current practice, and was reviewed with legislative staff and nursing regulators, who were said to be comfortable with the proposal. Members asked why the change was needed and whether the commissioner had actually been supervising; the response was that the language no longer reflected how the position functioned. The chair said the bill might still be a simple consent item, but additional modifications were being discussed, so the hearing was closed with no vote taken at that time. The committee then heard Senate Bill 186, authorizing the Joint Legislative Historical Committee to accept and display a portrait of former Senator Jeb Bradley in the State House. The sponsor’s aide described Bradley’s legislative and congressional service and urged the committee to move the bill ought to pass. Members asked practical questions about whether the portrait was completed, its size, and where it would be hung. The witness said the portrait was not yet completed and that size and placement had not been determined, though the committee was told the historical committee would decide placement. A committee member noted that portrait sizes and locations are already being reviewed because of space concerns, and the hearing ended without a vote. A work session followed on the portrait bills, with the chair using them as a vehicle to discuss broader problems in the statutes governing portraits and the historical committee. He said the committee had gathered information from other states and suggested possible policy ideas such as portrait moratoriums, waiting periods after death, size limits, and clearer placement rules. Members discussed the need to update the RSAs and better define the historical committee’s authority. The committee did not take final action during the work session, but the discussion indicated that the portrait bills may be held while broader statutory revisions are considered.