Transcript Highlights:

• We do not duplicate. We provide essential local service and connect with one another.
• We do not duplicate.
• So there are lots of concerns, and this is not a duplicative audit.
• I will say that I've done my homework, and I would not bring something that is duplicative.
• So there are lots of concerns, and this is not a duplicative audit.

Summary: The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment. The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit. The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.

Transcript Highlights:

• I think we have a lot of duplication.
• I think we have a lot of duplication.
• I think we have a lot of duplication.
• I think we have a lot of duplication.
• I have we have a lot of duplication.

Bills: HF2440

Keywords: labor market, employment, economic development, funding, data analysis, 1183, house

Transcript Highlights:

• that we share with you all, as well as the oversight of the managed care organizations, provider registration
• 30-some million dollars because the real question was whether or not the Michigan model could be duplicated

Transcript Highlights:

• expansion and water development, we're thinking about how the gauges and Mesonet expansion do not duplicate
• With being somewhat concerned about the volunteer registration, my suggestion is that we make sure—I'll

Keywords: 1185, senate, all

Transcript Highlights:

• It modifies the long-term facilities and staffing plan to allow for more flexibility and reduce duplication
• Can you fill out the registration card and come take a seat? Come, please take a seat.

Bills: SB552, SB1099, SB1124, SB1208, SB1372, SB1506, SB1667, SB1804, SB1806, SB1870, SB1936, SB1937, SB2180, SB2405, SB2569, SB2570, SB1646

Keywords: community supervision, criminal justice, illegal alien, deferred adjudication, Texas Code of Criminal Procedure, SB 1099, undocumented immigrant, unauthorized immigrant, immigration status, felony sentencing enhancement, criminal penalty increase, Texas Penal Code, Code of Criminal Procedure, affirmative finding, judgment finding, deportation, public safety, immigration enforcement, sentencing reform, felony offense

Summary: The committee heard a series of criminal justice bills, beginning with SB 1870 and SB 1727, both of which were adopted as committee substitutes and reported favorably to the full Senate. SB 1870 would bar local governments from adopting policies that decriminalize controlled substances or direct officials not to enforce state drug laws, with civil penalties enforced by the Attorney General for violations. SB 1727 was described as a technical change to make the draft a formal Legislative Council version of a TDCJ-related assault bill; both bills were also sent to the local and uncontested calendar. The committee then took up SB 2405, the major Sunset bill for TDCJ, the Board of Pardons and Paroles, Windham School District, and the Correctional Managed Health Care Committee. Senator Parker explained that the bill continues and modernizes those agencies, requires a 10-year facilities and staffing plan, expands rehabilitation and reentry programming, improves parole-board consistency and training, and codifies various cleanup and inspector general recommendations. Sunset staff and agency witnesses discussed the bill’s data-sharing, program coordination, and projected savings from reducing delays in parole-voted programming; public witnesses generally supported the post-secondary education and reentry provisions, while some urged stronger statutory direction for Windham and more reform to medically recommended intensive supervision. The bill was left pending. SB 1804, SB 1099, SB 2569, and SB 2570 were also heard. SB 1804 would allow restitution for tattoo removal for human trafficking survivors and remove the age restriction so adult survivors can qualify; it was reported favorably and sent to the local calendar. SB 1099 would increase penalties for certain felony offenses when committed by a person determined to be unlawfully present in the country; immigration and civil rights witnesses opposed it as overbroad and difficult to administer, but it was reported favorably. SB 2569 would modernize unmanned aircraft reporting by requiring law enforcement agencies to post reports on public websites; it passed unanimously and was sent to the local calendar. SB 2570 would create a defense to prosecution for peace officers and correctional guards using less-lethal force weapons within the scope of their training; law enforcement witnesses supported it, civil rights and prosecutor witnesses raised concerns that it was too broad and could weaken existing use-of-force standards, and the bill was left pending for further work.

Transcript Highlights:

• In 2023, the governor's budget includes centralization of CCAP provider registration.
• It was literally five children, duplicates, two different daycares.
• It was literally five children duplicates,<01:38:55.680> two<01:38:55.840> different<01
• <01:38:57.200> Uh duplicates, two different daycares.
• Uh duplicates, two different daycares.

Keywords: 1183, house

Transcript Highlights:

• Um, and it just I don't know if there's any duplication that's going on with during that process that
• Um, and it just I don't know if there's any duplication that's going on with during that process that
• Um, and it just I don't know if there's any duplication that's going on with during that process that
• that's going on with during duplication that's going on with during that<00:26:51.520> process
• <00:27:09.200> your you know, being not duplicating your you know, being not duplicating your

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• This bill does not also address the duplicative investigative authority in the Medicaid programs.
• This bill does not also address the duplicative investigative authority in the Medicaid programs.
• This bill does not also address the duplicative investigative authority in the Medicaid programs.
• This bill does not also address the duplicative investigative authority in the Medicaid programs.
• They're impractical and duplicative.

Bills: HF1, HF2

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• This bill duplicates NRS 200.571 under the rubric of harassment and stalking.
• It doesn't make sense to create a duplicate process tailored for political candidates.
• One was what was discussed there, right, with some of the opposition about it being a duplicate bill,
• a duplicate law.
• , a duplicate law.

Keywords: 909, all

Transcript Highlights:

• We did note one duplicate payment.
• You mentioned that there was one duplicate... Thank you very much, Mr. Chair. It was not clear.
• You mentioned that there was one duplicate payment. Yes. And I think I missed it.
• The contractor noted the duplicate payment, notified the city, and they did refund them.
• The duplicate payment notified the city, and they did refund them.

Summary: The Joint Legislative Auditing Committee heard the Auditor General’s operational audit of the City of Mexico Beach, which identified nine findings. The audit cited significant turnover in key management positions, late filing of required annual financial reports, weaknesses in competitive procurement and purchase approval controls, a duplicate payment on stormwater repairs that was later largely refunded, issues with the city accountant’s contract and IRS classification, IT access control problems, and the lack of fraud-reporting policies. Committee members asked about corrective action, and the Auditor General said a follow-up audit is required by statute within 18 months, with no enforcement authority beyond reporting progress back to the committee. Mayor Rich Wolf and city staff responded that the city had experienced major turnover and was rebuilding its finance and administrative team. He said the city had hired a city administrator, financial director, city clerk, and accounting firm, and was working to create policies, procedures, forms, and review processes to address the findings. Members discussed whether the turnover and hurricane-related workload contributed to the problems, and city officials said some of the larger purchases were storm-related and tied to FEMA or emergency work. The committee then received a staff update on enforcement for local governments that have not filed required financial reports. Staff said 400 entities had been notified, and as of the meeting two counties, 33 municipalities, and 48 special districts still owed reports or audits. The committee adopted a motion to proceed under section 11.42, Florida Statutes, including possible withholding of state funds for municipalities and enforcement actions for special districts, with authority for the chair and vice chair to delay action if new information warranted it. Finally, the committee unanimously directed the Auditor General and OPPAGA to conduct the required 2024-2025 audit of the Department of the Lottery, with the Auditor General handling financial, internal control, and compliance issues and OPPAGA developing operational recommendations. Members also briefly discussed whether the committee had reviewed transportation surtaxes and expressed interest in improving the timeliness and transparency of the audit and enforcement process before adjourning.

Transcript Highlights:

• So, the idea that this is duplicative and therefore we don't have to do it or that it hasn't been vetted
• So, the idea that this is duplicative and therefore we don't have to do it or that it hasn't been vetted
• So, the idea that this is duplicative and therefore we don't have to do it or that it hasn't been vetted
• So, the idea that this is duplicative and therefore we don't have to do it or that it hasn't been vetted
• So, the idea that this is duplicative and therefore we don't have to do it or that it hasn't been vetted

Keywords: 1183, house

Transcript Highlights:

• It will be duplicative of equipment.
• This I down the road can duplicative.
• I concerned about duplication there. That will continue.
• I concerned about duplication there. That will continue.
• That will about duplication there.

Keywords: 919, house, all

Summary: The House took up Senate File 856, which would create an Office of the Inspector General to combat fraud in state public programs. Representative Norris described the bill as the product of a long bipartisan, bicameral working group and emphasized the office’s independence, five-year term, Senate confirmation, removal-for-cause protections, authority to investigate entities receiving public funds, prevention-focused duties, and required public and annual reporting. Representative Anderson PE also thanked the bipartisan authors and staff, saying the bill was the result of extensive negotiations and should move forward without reopening the agreement. Members then considered several amendments. Norris offered a technical cleanup amendment, A44, to clarify language about embedding employees at the Department of Education, distinguish civil and criminal investigative authority, and update law-enforcement terminology; it was adopted. Anderson PE then offered and secured adoption of a technical amendment, A45, to correct a drafting error. Representative Cleorne offered A37 to add prepayment review procedures for all agencies, but it failed on a roll call, 65-67. Cleorne also offered A38 to appropriate $15 million for OIG modernization and data-sharing improvements, but withdrew it after noting it would be out of order. A39, which would have renamed the proposed law enforcement unit from an anti-fraud and waste bureau to an anti-fraud and enforcement unit, failed on a roll call, 66-67, after debate over whether “waste” should be included in the title and scope. During debate on the naming amendment, supporters argued the title should better reflect law-enforcement work and avoid implying the office was a “waste” agency, while opponents said the existing language reflected the bipartisan working-group agreement and that changing it could jeopardize the bill’s progress. Representative West cited inspector general standards that include waste among their duties, and Representative Pinto questioned the substantive basis for opposing the change. Later, Representative Mhler offered A41 to eliminate the future law-enforcement agency entirely, arguing it would be duplicative and unfunded; the transcript cuts off before the vote on that amendment.

Transcript Highlights:

• Education to, in effect, cross-check their numbers against each other on a regular basis to avoid duplication
• eye diseases and ocular oncology, requires the Department of Health to revoke medical marijuana registration
• earlier when we were doing the GAA talk that we had an amendment coming up in this bill to remove the duplicative

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several gallery introductions before taking up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley explained that the bill is intended to divert clinically appropriate defendants with mental illness from jail to treatment, create pretrial mental health diversion programs, expand grant uses for mental health and substance abuse reinvestment, require evaluations and treatment follow-up in certain probation and prison settings, add Hillsborough County to a forensic hospital diversion pilot, and establish a Florida Behavioral Health Data Repository. Senators from both parties spoke in support, emphasizing treatment over incarceration, public safety, and the Murphy family’s role in the bill. The Senate passed the bill 37-0 and then recorded 37 co-sponsors. The chamber then moved into presentations on SB 2500, the 2025-26 General Appropriations Act. Chair Hooper said the Senate budget totals $117.4 billion, reduces overall spending from the prior year, maintains reserves, keeps employee health contributions level, and includes major investments in water quality, transportation, education infrastructure, and nearly $1 billion in education capital outlay. Committee chairs outlined their portions of the budget, including increased funding for K-12 schools and scholarships, higher education workforce programs, Medicaid and health services, corrections and courts, transportation and housing, and environmental restoration such as Everglades and water quality projects. Members then asked extensive questions, especially about education funding, school choice, AP/IB and accelerated programs, the Family Empowerment Scholarship, and the FEFP calculations. Senator Burgess repeatedly explained that scholarship funding is being moved “below the line” to improve tracking and that the Senate position is to preserve funding while giving districts more flexibility. Senators also questioned the APD wait list for disability services, opioid settlement spending, arts funding, the My Safe Florida Home condo pilot, and proposed IT and agency restructuring. Several chairs said some issues would be resolved in conference, and no final vote on the budget was taken in the portion provided.

Transcript Highlights:

• The reality is that this bill does not create any duplicative processes.
• So it is not duplicative.
• She addressed that you had mentioned some of those duplicative things.
• information that the state would receive is duplicative.
• It is duplicative.

Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.

Transcript Highlights:

• being, I'm kind of agreeing with you in that, you know, this working group could inadvertently be duplicating
• being, I'm kind of agreeing with you in that, you know, this working group could inadvertently be duplicating
• being, I'm kind of agreeing with you in that, you know, this working group could inadvertently be duplicating
• <00:09:18.680> what<00:09:18.880> is inadvertently be duplicating what is inadvertently
• be duplicating what is already<00:09:19.640> out<00:09:19.880> there<00:09:20.079>

Keywords: 912, senate, all

Summary: The Senate Committee on Water and Land met on March 21, 2025, and considered several resolutions related to water resources, coastal management, and energy planning. On SCR 42/SR 27, which urged DLNR’s Division of Forestry and Wildlife to prioritize restoration and protection of additional wetlands and anchialine ponds, DLNR supported the measure and suggested a technical correction changing a reference from the Division of Agriculture to the Division of Aquatic Resources. Testimony from Hā‘ena Reef and Ocean Coalition, Maui Ocean Center, and individuals was in support. The committee recommended passage with technical and non-substantive amendments. The committee also heard SCR 54/SR 36, which would create a desalination planning task force to study whether large-scale desalination for potable water is feasible. DLNR and CWRM said the proposal was a large undertaking and raised capacity concerns, noting the Board of Water Supply was already moving forward with its own desalination planning. BWS testified in support, saying its project was still in planning and design, with construction not expected until late 2027 or 2028, and that the project would produce about 1.7 million gallons per day to supplement Ewa’s water supply. Members discussed whether the task force might duplicate existing work and noted the measure focused on consumption rather than other desalination uses. The committee ultimately recommended passage with technical and non-substantive amendments. For SCR 59/SR 43, which asked DLNR, the Division of Boating and Ocean Recreation, and the Kaho‘olawe Island Reserve Commission to work together on maintaining the Kihei ramp, DLNR reported ongoing collaboration and listed prior improvements including paving, washdown work, dredging, and a retaining wall. The committee recommended passage with technical and non-substantive amendments. On SCR 106/SR 87, which requested a study of which energy sector could be most quickly and cost-effectively decarbonized through public investment in combustion-free alternatives, OPSD said the State Energy Office had already completed a decarbonization study under Act 238 (2022) and a follow-up alternative fuels analysis, and suggested the resolution duplicated existing work. Energy Justice Network testified in support, arguing the proposal would build on prior studies by focusing on non-combustion options such as wind, solar, and storage. Despite support from several organizations and individuals, the committee deferred the measure indefinitely. The committee also passed SR 18 as is, passed SC 51/SR 33 as is, deferred SC 47, and passed SC 76/SR 59 with amendments.

Transcript Highlights:

• What we are doing is simply aligning with the federal definition, and it was duplicative to have both
• What kind of discounts could be duplicated?
• discounts what kind of duplica duplicate discounts what kind of discounts<00:10:30.079> could
• <00:10:30.240> be<00:10:30.399> duplicated<00:10:31.120> or<00:10:31.560> yeah
• discounts could be duplicated or yeah discounts could be duplicated or yeah okay<00:10:32.079>

Keywords: 00:25 Call to Order/Roll Call 01:36 Discussion of 25RS SB 153 23:11 Roll Call Vote on 25RS SB 153 30:56 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met on March 14, 2025, and took up a committee substitute for Senate Bill 153. The substitute deleted the original bill language and replaced it with provisions from Senate Bill 14, aimed at prohibiting pharmaceutical manufacturers from discriminating against 340B covered entities and adding reporting requirements for those entities. The sponsor explained that the protections would sunset after one year, allowing lawmakers to review data by July 1, 2026, and that Kentucky would continue to follow any future federal changes to the 340B program. Members asked several questions about the scope of the reporting, including what “total operating cost” means, how duplicate discounts are prevented, whether the reporting applies only to hospitals and not federally qualified health centers, and who would receive the data. The sponsor said the reporting is intended to help the Cabinet for Health and Family Services and the Office of Health Data Analytics at LRC assess how the program is working, including charity care and community benefits, while preserving protections for rural hospitals and allowing them to continue using contract pharmacies. A representative from LRC confirmed the data would come to the General Assembly through the Office of Health Data Analytics. The committee expressed mixed views about the balance between transparency and potential burdens on hospitals, especially rural facilities. Several members said they were supportive but had reservations about the reporting requirements and the sunset structure, while others noted concerns about unintended consequences and the possibility of changes on the House floor. The committee ultimately adopted the committee substitute, approved a title amendment, and reported Senate Bill 153 with House Committee Substitute 2 favorably. The meeting then adjourned.

Transcript Highlights:

• We've asked for the IGA's due to duplicate process right away.
• we're looking at some data yesterday in San Juan County, New Mexico On the northwest corner, the registrants
• What that means is that the addresses for the registrants are one for like 900 registrants.

Transcript Highlights:

• Information would be duplicative of and substandard to the C2C data.
• and unnecessary because no one wants to create duplicates?
• I would encourage that to ensure that this is not indeed create any of this duplication or unnecessary
• small or rural LEAs, duplication, which has been brought up before, and then duration, for how long will
• You have some questions that need to be answered in terms of, is there duplication?

Keywords: 988, house, all

Transcript Highlights:

• That is another sort of thing that is covered under federal regulations and just sort of duplicative.
• That is another sort of thing that is covered under federal regulations and just sort of duplicative.
• That is another sort of thing that is covered under federal regulations and just sort of duplicative.
• That is another sort of thing that is covered under federal regulations and just sort of duplicative.
• That is another sort of thing that is covered under federal regulations and just sort of duplicative.

Keywords: 958, all

Summary: The Senate Standing Committee on Education met with a quorum and first took up Senate Bill 68, which was presented by Kentucky Department of Education staff as a cleanup measure to reduce duplicative or outdated reporting requirements. The bill, as amended by a committee substitute, would streamline reporting on local wellness policies, school breakfast programs, school budgets, audits, and school nutrition assessments, while preserving existing requirements to adopt wellness and physical activity policies and maintain audit obligations. Members asked whether removing reporting on physical activity and related topics would weaken oversight; KDE responded that districts would still have to adopt the policies and be reviewed under federal nutrition monitoring, but the state reports were often incomplete, hard to compare, and not especially useful. The committee adopted the substitute and passed SB 68 unanimously. The committee then heard Senate Bill 207, the School Innovation Act, sponsored by Senator West. The bill would create an optional program allowing school districts to apply to the Kentucky Board of Education for waivers from certain administrative regulations and establish three-year “schools of innovation,” potentially with third-party partners, to give struggling schools more flexibility and a fresh start. Senator West said the model was inspired by a visit to a school of innovation in South Carolina and by examples from South Carolina and Indiana, and he argued that the bill would let districts try new approaches without mandating participation. He also said existing “district of innovation” language in statute is a relic and that the bill would replace it with a school-based model. Committee members asked about fiscal impact, eligibility, and whether the bill was limited to failing schools. Senator West said the fiscal note was indeterminate because participation is voluntary and could range from none to many districts, but he expected little direct budget change and possible outside philanthropic funding if a district chose to participate. He said the bill does not limit participation to the bottom 5% of schools and would be left to local district discretion. Members also raised whether high-performing or specialized schools could use the model; West said yes, if a district chose. Supportive testimony emphasized that the bill could reduce burdensome oversight and allow schools more flexibility to innovate. The discussion ended with continued questions and no final action recorded in the excerpt.

Transcript Highlights:

• <00:19:10.400> of health care costs, about duplication of health care costs, about duplication
• Very duplicative.
• Very duplicative.
• I think it’s partly a result of that. >> Duplicative. Very duplicative.
• <00:59:55.440> services, in care, reduce duplicative services, in care, reduce duplicative

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.