Transcript Highlights:

• feel that we already have a procedure feel that we already have a procedure that<00:50:52.880>
• <00:51:37.200> We're procedures that we rolled out. We're procedures that we rolled out.
• >> I teachers understand if the procedures >> I teachers understand if the procedures
• , procedures, procedures, >> then<00:53:19.599> staff<00:53:20.000> and<00:53:20.319
• <00:53:24.319> and directed to also follow procedures and directed to also follow procedures

Keywords: 910, house, all

Summary: The committee heard testimony on HB 2485, which would require cardiovascular screening for student athletes. The Department of Education and Department of Health said they support the bill’s intent but noted that many screenings are already part of existing school-entry and well-child exams. The Attorney General’s office asked for clarifying language on who performs the screenings, where results go, how “positive findings” are defined, how referrals would work, and whether funding would be appropriated if DOE must hire health professionals. The American Heart Association strongly supported the bill, citing the risk of sudden cardiac arrest in young athletes and arguing that sports physicals are an effective opportunity for early detection. No vote was taken, and the committee moved on after testimony. The committee then heard HB 89, concerning a school psychologist working group and possible licensing or credentialing of school psychologists. The Department of Education and Board of Psychology supported the measure. The Hawaii Psychological Association said it supports licensing school psychologists but asked to be included in the working group, arguing it is an important stakeholder. The Hawaii Association of School Psychologists opposed including HPA, saying the issue is between school psychologists and DCCA and that HPA is not part of their organization. Testimony and discussion focused on the long-running disagreement over whether school psychologists should be regulated under the Board of Psychology or another mechanism, and on title protection and scope of practice. No action was reported during this portion. The committee also took up HB 2445, relating to standardized emergency responses for immigration enforcement at or near schools. The Department of Education said it already issued internal law-enforcement guidance and questioned whether the bill was necessary, while also raising concerns about the bill’s 1,000-foot buffer language and the limits of school authority over activity off campus. The Board of Education echoed those concerns and suggested the bill may need clearer definitions. Supporters, including the White Coalition for Immigrant Rights, the Legal Clinic, and an attorney testifying on Know Your Rights training, argued that recent federal changes have increased ICE activity near schools and that a law is needed to ensure clear, public protocols, staff training, and family protections. A student testifier said the measure was a top priority of the state student council. The transcript ends during testimony, with no vote or final committee action shown.

Transcript Highlights:

• relevant house precedents by the parliamentarian, I'd like to advise the members of the Rules and Procedures
• HB2399 by Leo-Wilson relating to procedures and required... ...ending in certain suits affecting the
• Bill 2234 is related to the age of criminal responsibility, addressing certain substantive and procedural
• HB3793 by McLaughlin, relating to the procedures for a commissioner's court to close or vacate certain
• based on filing an application for a place on the general primary election ballot or for... ...nomination

Bills: HB2293, HB2694, HB2999, HB3694, HB3254, HB4662, HB5629, HB5632, HB5675, HB5664, HB5671, HB5680, HB5682, HB5693, HB4158, HB5695, HB4669, HB5696, HB5698, HB5677, HB5699, HB5694, HCR81, HCR83, HCR84, HCR89, HCR111, HCR142, HR868, SB682, SB1351, SB1895, SB1931, SB2141, SB3044, SCR1, SCR6, SCR37, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HB75, HB5354, HB4683, HB4847, HB1449, HB3833, HB265, HB1845, HB 108, HB1960, HB1955, HB2512, HB2581, HB2803, HB1738, HB636, HB2638, HB2655, HB871, HB 1107, HB1765, HB1822, HB3679, HB4099, HB3732, HB3171, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2658, HB2757, HB2080, HB3063, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3405, HB475, HB3463, HB3441, HB3520, HB3178, HB158, HB2060, HB4991, HB1991, HB5596, HB2014, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB4916, HB5624, HB4505, HB5093, HB5302, HB5402, HB5606, HB4630, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5520, SB1177, SB1559, SB746, SB434, SB1383, SB1214, SB1079, SB3031, SB2141, SB2185, SB1895, SB1241, SB901, SB1883, SB552, HB 1249, HJR218, HB5623, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SB3037

Keywords: Sweeny Hospital District, board of directors, local governance, elections, healthcare administration, Brazoria Drainage District, commissioners, vacancies, resignation, hydrogen vehicles, weight limitations, transportation, environmental impact, clean energy, deep fake, intimate depictions, consent, digital media, criminal penalties, State Board of Education

Transcript Highlights:

• The bill clearly defines what products and procedures fall under this regulation.
• Last year, the joint administrative procedures... adopted a process by rule.
• Last year, the Joint Administrative Procedures Committee issued a notice of nullification of the rule
• This was suggested by the clerks of the courts to better align with their budgeting procedures.
• It also ensures align with their budgeting procedures.

Summary: The Senate convened with prayer, the Pledge of Allegiance, several introductions, and an announcement that there would be no conference that weekend. The chamber then took up a long special order calendar and passed a series of bills, often by substituting House companions. Early measures included trust law modernization to create a nonjudicial trustee discharge process, military affairs changes expanding leave and retirement-related provisions, a bill to prepare for the end of penny use by standardizing cash rounding, and a podiatric medicine bill regulating cellular or tissue-based products and informed consent. The Senate also approved veterans court expansion, RV park assessment clarification, alcohol-loss tax deduction authority, bail bond and pretrial release revisions, and a military-installation jurisdiction bill to allow juvenile cases on bases to be handled in state juvenile court under certain conditions. Most bills passed unanimously or near-unanimously, with the bail bond bill passing 36-1 after questions about charitable bail bonds and confirmation that existing law on return of charitable bail funds would remain unchanged. The chamber then paused for a lengthy farewell presentation honoring Senator Lori Berman, featuring a video, remarks from many senators, and Berman’s own closing speech reflecting on her 16 years of service, her legislative priorities, and her call for civility, bipartisanship, and continued support for issues such as school safety, Israel, anti-Semitism, and affordability. After the tribute, the Senate resumed and passed additional bills, including one expanding insurance coverage definitions for portable electronics and eyewear, a workforce and nursing education funding bill broadening support for health science programs, a recovery residences regulatory streamlining bill, a felony battery enhancement bill adding resisting an officer with violence as a qualifying prior offense, and a child welfare bill extending visitor thresholds in out-of-home placements, making the Step Into Success program permanent, and creating a best-practices program. The chamber also advanced a candidate qualification bill tightening party-affiliation requirements and adding a House provision on recent legal name changes; debate began on that measure as the transcript ended.

Transcript Highlights:

• Majority Leader, you are recognized for your procedural motions. Thank you, Mr. Speaker.
• Assembly Bill 1523 by the Committee on Judiciary, an act relating to civil procedure.
• Assembly Bill 1071 by Assemblymember Calra, an act relating to criminal procedure.
• on the underlying claims, and not focusing on the underlying procedural hearings time and again.
• Madam Majority Leader, you are recognized for your procedural motion.

Keywords: 988, house, all

Transcript Highlights:

• 00:02:04.039> to<00:02:04.240> 733<00:02:05.079> transmit<00:02:05.560> nominations
• Governor's message Nos. 727 to 733 transmit nominations to various boards and commissions.

Keywords: 912, senate, all

Summary: The Senate met with 21 members present and four excused. The Journal of the previous day was approved, and Governor’s Message Nos. 727 to 733, transmitting nominations to various boards and commissions, were referred according to the order of the day. The body also adopted Standing Committee Reports Nos. 1080 to 1088 without objection. During announcements, Senator Kidani highlighted upcoming Education Week activities, including recognition of outstanding students, educators, administrators, and faculty. She also noted the Friends of the Library’s continued support and announced the annual book fair at the Capitol on Monday, March 17, from 8:30 to 11:30 a.m. in Conference Room 224. Senator Dela Cruz introduced Jiha, Mrs. Kim, and Noah to the Senate. At the end of the session, Senator Wai moved to adjourn until 11:30 a.m. Monday, March 17, and Senator Dela Cruz seconded the motion. The Senate adjourned without objection.

Transcript Highlights:

• Thank you for the procedure. All right. All right. So, Senator Reen is doing both of those.
• Thank you for the procedure. All right. >> All<00:12:37.839> right.
• in place, and are now and procedure in place, and are now receiving<00:47:16.400> letters<00:
• Some of the committees are the finance, information technology, policy, HR, nominating, pension, and
• Some of the committees are the finance, information technology, policy, HR, nominating, pension, and

Keywords: 1191, senate, all

Transcript Highlights:

• amendment does is convert it over to a study committee, understanding that I would most likely be nominated
• would<00:09:26.880> most<00:09:27.040> likely<00:09:27.360> be<00:09:27.440> nominated
• <00:09:27.839> to<00:09:28.080> serve would most likely be nominated to serve would
• most likely be nominated to serve on<00:09:28.880> that<00:09:29.200> committee.

Keywords: 1191, senate, all

Transcript Highlights:

• Transmit nominations to the circuit court of the first circuit and the intermediate court of appeals.
• Transmit nominations<00:04:28.000> to<00:04:28.160> the<00:04:28.320> circuit<00
• :04:28.639> court<00:04:28.880> of<00:04:29.040> the nominations to the circuit
• court of the nominations to the circuit court of the first<00:04:29.520> circuit<00:04:30.080>

Keywords: 912, senate, all

Transcript Highlights:

• I'm honored to be nominated by our governor, Ron DeSantis, to serve as a trustee for the St.
• I'm honored to be nominated by our governor, Ron DeSantis, to serve as a trustee for the St.
• I'm honored to be nominated by our governor, Ron DeSantis, to serve as a trustee to be nominated by our

Summary: The committee first heard CS/SB 270, which would extend Bright Futures eligibility by 12 months for certain students whose parent was serving overseas in public service and then retired, giving military and diplomatic families more time to return to Florida without losing scholarship eligibility. Senator Burgess also explained a late-filed amendment to set the bill’s effective implementation for the 2025-26 school year, and the committee adopted the amendment without objection. The bill received supportive testimony, including from Senator Smith, and was reported favorably by a roll call vote. The remainder of the meeting focused on confirmation hearings for appointees to state college boards of trustees, with the chair emphasizing a new process of hearing from each nominee individually rather than taking a blanket vote. Nominees from Tallahassee State College, St. Johns River State College, South Florida State College, Broward College, State College of Florida Manatee-Sarasota, Palm Beach State College, Pasco-Hernando State College, and Valencia College described their backgrounds and priorities, which largely centered on workforce development, nursing and health sciences, dual enrollment, fiscal responsibility, student retention, and partnerships with local employers and communities. Several nominees highlighted their own educational or professional ties to the colleges, and some noted the importance of serving rural or military-connected communities. One nominee, John Aloko for Pasco-Hernando State College, was not present because he was attending a conference in Hawaii and was deferred to a later hearing. After hearing all other nominees, the committee voted to recommend confirmation of the remaining appointees in a block vote, covering Tabs 2 through 22 except Tab 8, and the motion passed. Two members later asked to be recorded as voting in the affirmative on earlier items.

Transcript Highlights:

• I wholeheartedly support Mariana Padilla and her nomination as the Secretary of Public Education.
• Chair, I move that the Senate Rules Committee. support the nomination of Mariana Padilla to Cabinet Secretary
• I look forward to supporting this nomination. And with that, I'll ask for a roll call vote.
• Amy, we have two letters that were sent in support of your nomination.

Transcript Highlights:

• And today we'll consider President-elect's nomination of Russell Vought to lead the Office of Management
• It is a profound honor to be nominated a second time by President Trump to serve as the Director of the
• But I do continue to have very serious concerns regarding your nomination, starting with your position
• Congratulations on the nomination, Mr. Vought. I want to go back to the comment that Senator...

Transcript Highlights:

• of participation by another group other than they pay for it out of their pocket and receive the nominal
• um buy down that and receive the nominal um buy down that we<01:08:52.880> have<01:08:53.040>
• Chair, had the reinsurance program and there were some nominal federal tax credits during the pandemic
• federal tax credits during the nominal federal tax credits during the pandemic.<01:16:02.960> those
• Thank you. ...subsidy or perhaps back to the nominal subsidies that we had seen prior to COVID.

Bills: HF3388, HF400

Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400

Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.

Transcript Highlights:

• And next, the nominations for chair are open. Yes. And next, the nominations for chair are open.

Summary: The board approved the October 15 meeting minutes and then reviewed three employment disclosure forms involving staff or spouses employed by the Washington State Liquor and Cannabis Board and the Department of Corrections. The disclosures were approved unanimously. The board also adopted a proposed rule change to conform board rules to a prior statutory amendment that separated fines from costs. Members then discussed a draft advisory opinion interpreting the phrase “letter of recommendation” under the ethics statute. The draft would read the term broadly, allow legislators to decide when to write such letters when requested by a constituent, and reaffirm that it remains appropriate to use state resources for job references or scholarships for individuals the legislator has supervised or worked closely with at the legislature, as well as for certain gubernatorial appointments. Members generally supported the draft, but asked for possible clarification of the phrase “work closely with,” and approved the opinion as drafted with that caveat. The board also reviewed proposed future meeting dates, noting a concern that January 19 falls on Martin Luther King Jr. Day and may need to be changed. No final action was taken on the dates during the public portion. The meeting then moved toward executive session after adjourning the public portion.

Transcript Highlights:

• positions, and one of the reasons is that they are appointed by the governor after being vetted by the nominating
• the governor after being vetted<00:37:13.560> by<00:37:13.640> the<00:37:13.760> nominating
• <00:37:14.319> committee<00:37:15.200> but vetted by the nominating committee but vetted
• by the nominating committee but then<00:37:15.480> they<00:37:15.640> also<00:37:15.880
• Is that just basically because that's probably the committee that the nomination would come through?

Keywords: Meeting Start 00:00 Roll Call 00:24 SB 3 Discussion 01:06 SB 3 Vote 04:51 SB 15 Discussion 07:14 SB 15 Vote 14:42 SB 103 Discussion 15:39 SB 103 Vote 33:53 SB 201 Discussion 35:44 SB 201 Vote 39:47, 958, all

Summary: The House Standing Committee on Economic Development and Workforce Investment met with a quorum and first considered Senate Bill 3, relating to student athletes and NIL. Senator Max Wise said the bill would modernize Kentucky’s NIL framework so universities remain competitive and student-athletes can benefit, noting the state’s earlier NIL law and the need to act before a pending national settlement. Several members supported the bill but expressed concern that NIL has changed college athletics and could eventually affect high school sports. The committee reported Senate Bill 3 favorably. The committee then took up Senate Bill 15, relating to minimum wage exceptions for minor league baseball players. Senator Amanda Bledsoe and MLB representative Josh Allen explained that the bill would align Kentucky law with the players’ collective bargaining agreement, treating the players as salaried rather than hourly workers and addressing overtime issues. Members discussed the minimum weekly salaries at Single-A and Triple-A, along with housing, meals, and health benefits under the agreement. The committee adopted a committee substitute, passed a title amendment, and reported Senate Bill 15 favorably. Finally, the committee heard Senate Bill 103, which concerns the Office of Vocational Rehabilitation and services for people with disabilities. Senator Danny Carroll and provider advocates said the bill would add regulatory oversight, require reporting to the legislature and governor, and give preference to in-state services when available, while preserving access to out-of-state services when needed. Testimony focused on Kentucky’s low employment ranking for people with disabilities, unused federal funds, provider funding concerns, and an OVR order of selection that would limit services to the most severe cases. The committee adopted a committee substitute and reported Senate Bill 103 favorably after supportive comments from members about the program’s impact on employment and quality of life.

Transcript Highlights:

• A free society does not compel medical procedures through force or penalty.
• <02:08:11.760> It procedures through force or penalty.
• It procedures through force or penalty.
• It retains the current procedure in the current system of surveys.
• nomination for his party in 1974. nomination for his party in 1974.

Keywords: 1189, house, all

Transcript Highlights:

• HB 2790, nominating petition. HB 2791, state historic preservation. HB 2792, new property tax.
• 2775 in international crime with 2778 retail licensing 2779 health care 2786 tpt exemption 2789 nominating
• petition 2779 health care 27 86 tpt exemption 2789 nominating petitions 2790 state historic preservation

Keywords: 1182, all

Summary: The House convened with prayer by Deacon Ernie Gonzalez, the Pledge of Allegiance, approval of the prior journal, and recognition of Dr. Pamela Murphy as Doctor of the Day. Members also introduced guests, including local officials, Arizona Game and Fish commissioners, and advocates from the Alzheimer’s Association. A proclamation was read designating January 26, 2026, as Arizona Aviation Day, highlighting the industry’s economic impact and the role of airports, aerospace, and aviation-related jobs in the state. The clerk then recorded a large number of bills and resolutions for first and second reading, covering water and energy policy, education savings accounts and school choice, elections and campaign finance, veterans issues, public safety, housing, health care, immigration-related matters, and land and natural resources. Representative Gress also read a resolution recognizing National School Choice Week and praising Arizona’s school choice programs, including charter schools and empowerment scholarship accounts. A lengthy portion of the meeting consisted of members’ personal privilege remarks responding to violence and immigration enforcement actions in Minnesota and Arizona. Many members condemned ICE tactics, described fear and harm in immigrant communities, and called for constitutional rights, due process, and accountability; several requested or observed a moment of silence. No substantive floor votes on legislation were taken during the transcript beyond the motion to adjourn, which passed, and the House adjourned until 1:15 p.m. Tuesday, January 27, 2026.

Transcript Highlights:

• The Committee on Senate Nominations Action Report from our Monday, May 19th meeting has been placed on
• It reinforces protections for Texans while not affecting ethical professionals who follow proper procedures
• The Secretary will read the caption: House Bill 2071, relating to certain policies and procedures for
• The Secretary will read the caption: House Bill 2071, relating to certain policies and procedures for
• We need a standardized operating procedure to detect, identify, and, if necessary, neutralize these drones

Summary: The Senate met with a quorum, heard an invocation, dispensed with the previous journal, and received a House message. Members also recognized Dr. Namita Bardwaj as doctor of the day. The chamber then adopted Senate Resolution 554 honoring Christopher “Chris” Jake Stone of Santa Fe for his heroism during the 2018 Santa Fe High School shooting, with several senators and the lieutenant governor offering remarks about his sacrifice and the ongoing impact on his family and community. The Senate also signed a number of bills and resolutions and adopted Senate Resolution 533 recognizing the Texas Legislative Internship Program class, with multiple senators highlighting individual interns and the program’s role in developing future public servants. The floor then took up and passed several bills, often by suspending the regular order and the three-day rule. These included HB 1639 on a study of cancer incidence among female firefighters; HB 102 granting early registration for students in military-related programs; HB 4325 increasing civil penalties for barratry; HB 5342 creating a 988 Suicide and Crisis Lifeline trust fund and related funding study; HB 3370 allowing late timberland appraisal applications after an owner’s death; HB 3376 requiring certain guardians to complete dementia/Alzheimer’s training; HB 132 extending confidentiality protections to information about hostile acts by foreign adversaries; and HB 1978, which sought to restrict ERCOT interconnections, but its motion to pass to engrossment failed on a 20-11 vote. Additional measures passed included HB 511 on unsolicited voter registration mailings, HB 2187 on nurse staffing, retaliation, and overtime protections, HB 2510 creating offenses for unlicensed assisted living operations, HB 694 on DFPS notification timelines, HB 1893 making license plates in law-enforcement video nonconfidential for public information requests, HB 2733 updating barratry and solicitation laws for digital communications, HB 4506 allowing opt-in electronic zoning notices, HB 3751 transferring a TxDOT property to DPS, HB 3033 creating a grant program for nonprofits supporting injured or killed DPS employees, HB 4273 on Medicaid fraud prevention and eligibility verification, HB 3211 on vision care benefits, HB 4529 exempting certain DoD-certified child care facilities from state licensure, HB 2522 easing fingerprinting requirements for certain vehicle dealers, HB 4219 tightening public information request response requirements, and HB 4783 requiring a report on opioid antagonist programs. The Senate also received a House message noting passage of SB 9, and a nominations committee report was announced for future consideration.

Transcript Highlights:

• Lieutenant Governor Patrick named me as the chair of the special committee to recommend rules of procedure
• But Article 15 provides little to no procedural guidelines on the impeachment process. impeachment contained
• of impeachment in Texas, however, it only applies to certain statewide elected officials. lacks procedural
• Clarifying and submitting procedures for impeachment will provide future legislators more guidance on
• the process and align the law with previous impeachment procedures and precedents.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• Lieutenant Governor Patrick named me as the chair of the special committee to recommend rules of procedure
• The insufficiencies in statutory impeachment guidelines and the lack of procedures for constitutional
• general laws governing impeachment, including but not limited to guidelines for House and Senate procedures
• Clarifying and Implementing procedures for impeachment will provide future legislators more guidance
• on the process and align the law with previous impeachment procedures and precedents.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• c><00:36:57.359> very<00:36:57.839> very<00:36:57.839> very<00:36:58.880> nominal
• services is at a very very very nominal services is at a very very very nominal uh<00:36:59.839>
• They will lose it over procedural formalities, difficult timelines, and missed signatures.
• They will lose<01:21:04.320> it<01:21:04.480> over<01:21:04.640> procedural<01:21
• :05.280> formalities, lose it over procedural formalities, lose it over procedural formalities

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.