Transcript Highlights:

• the bill moves along, presumably out of this committee or hopefully out of this committee, we can dial
• We can dial in, working with the opposition, where that bar is to set for the type of undercover officer
• When the rightful owner discovers that their property has been stolen by a trespasser, they dial 911,
• When the rightful owner discovers that their property has been stolen by a trespasser, they dial 911,
• A police. dial 911, as most people in America would do.

Summary: The committee heard AB 82, which would expand privacy and safety protections for patients and providers of reproductive and gender-affirming care. The author and supporters said the bill is needed because of rising harassment, doxing, and threats, and because sensitive health data could be used by hostile actors; opponents argued it would create constitutional problems, enable abuse of safe-at-home protections, and improperly shield providers and records from scrutiny. Public testimony was heavily divided, with many advocates in support and many privacy, civil liberties, and anti-trafficking or sex-based policy groups in opposition. The bill was moved on a due pass recommendation and remained on call. The committee then heard AB 331, which would clarify that county election certification is a ministerial duty, prohibit misleading ballot return envelopes, and require voter information guides to be delivered to jails in an acceptable format. The Department of Justice and several good-government groups supported the measure, the Secretary of State had no position after amendments, and a committee member noted ongoing concerns but supported it after the changes. The bill passed on a do pass recommendation to Appropriations and was placed on call. AB 1178 followed, proposing to protect undercover peace officers’ names, images, and likenesses in public records while preserving disclosure of sustained misconduct records. Law enforcement and public safety groups supported the bill as a needed safety measure, while journalists, transparency advocates, and civil liberties groups opposed it, saying existing law already protects officers and the new language could lead to overbroad withholding. After discussion about the scope of undercover status and the need for judicial discretion, the bill passed as amended to Appropriations. The committee also adopted a consent calendar. Later, AB 981 was heard, creating a five-county pilot program requiring intelligent speed assistance devices for certain reckless driving convictions. Supporters, including traffic safety advocates and crash victims, said the bill could reduce repeat speeding and save lives; opponents raised concerns about cost, installer oversight, liability for automakers, and the breadth of the pilot. The bill passed as amended to Appropriations. AB 22, which would repeal Proposition 57 and restrict release of sexually violent predators and certain sex offenders, drew strong opposition from youth justice, public defender, and civil liberties groups who said it would be unconstitutional and harmful; the chair recommended no, no motion was made, and the bill was held. Finally, AB 897, a squatter-removal bill, was presented with the author arguing it would protect property owners through a faster due-process process; the transcript cuts off during early support testimony and does not show a final action on that measure.

Transcript Highlights:

• the bill moves along, presumably out of this committee or hopefully out of this committee, we can dial
• the bill moves along, presumably out of this committee or hopefully out of this committee, we can dial
• the bill moves along, presumably out of this committee or hopefully out of this committee, we can dial
• When the rightful owner discovers that their property has been stolen by a trespasser, they dial 911,
• A police officer... ...dial 911, as most people in America would do.

Committee: House Public Safety

Summary: The committee heard several public safety-related bills, with extensive testimony for and against each measure. AB 82 by Assembly Member Ward would expand privacy and safety protections for patients, families, and providers of gender-affirming care, including limits on reporting certain prescription data to CURES, expanded safe-at-home and anti-doxing protections, and broader health information confidentiality. Supporters said the bill responds to rising harassment and threats against transgender people and providers; opponents argued it would create dangerous secrecy and undermine parental rights. The committee recommended the bill do pass to Judiciary, and it was held on call. AB 331 by Assembly Member Pellerin would clarify that county election certification is a ministerial duty, prohibit misleading ballot return envelopes, and require voter information guides to be delivered to jails in an acceptable format. The Department of Justice and supporters said the bill strengthens election integrity and access, while the Secretary of State had no position after amendments addressed concerns. The committee moved the bill do pass to Appropriations, and it passed on call. AB 1178 by Assembly Member Pacheco would narrow public-records redaction rules for undercover peace officers, while preserving disclosure of sustained misconduct records. Law enforcement supporters said it protects undercover officers and their families; transparency and civil liberties groups warned it could lead to broader withholding and confusion in the courts. After amendments and discussion, the committee recommended the bill do pass as amended to Appropriations, and it passed. AB 981 by Assembly Member Gibson would create a five-county pilot requiring intelligent speed assistance devices for people convicted of specified reckless driving and speed offenses, with a report back to the Legislature. Supporters, including traffic safety advocates and crash survivors, said it would reduce speeding and save lives; opponents raised concerns about cost, liability, oversight, and the breadth of the pilot. The committee recommended the bill do pass as amended to Appropriations, and it passed. The consent calendar was also adopted. The committee then heard AB 22 by Assembly Member DeMaio, which would repeal Proposition 57, restrict release of sexually violent predators, and repeal a sex-offender registry exception for certain offenses. Supporters framed it as a public safety correction to prior policy choices, while opponents said it would be unconstitutional and would harm youth rehabilitation and community safety. The chair recommended a no vote, no motion was made, and the bill was held. The committee also began hearing AB 897 by Assembly Member DeMaio, which would create a process to remove alleged squatters from property more quickly; the author and supporters said it would protect property owners and provide due process, while opponents warned it could criminalize informal housing arrangements and accelerate homelessness. The transcript cuts off during testimony on AB 897, before final action is shown.

Transcript Highlights:

• I think Senator Putnam will put you on speed dial.
• I think Senator Putnam will put you on speed dial.
• I think Senator Putnam will put you on speed dial.
• I think Senator Putnam will put you on speed dial.
• I think Senator Putnam will put you on speed dial.

Committee: Senate Higher Education

Transcript Highlights:

• We can either cling to a ban written when dial-up internet was cutting-edge technology, or we can open
• We can either cling to a ban written when dial-up internet was cutting-edge technology, or we can open
• We can either cling to a ban written when dial-up internet was cutting-edge technology, or we can open
• We can either cling to a ban written when dial-up internet was cutting-edge technology, or we can open
• We can either cling to a ban written when dial-up internet was cutting-edge technology, or we can open

Committee: Senate Energy, Utilities, Environment, and Climate

Transcript Highlights:

• I want to dial back to something you mentioned after my first question.
• I want to dial back to something you mentioned after my first question.
• I want to dial back to something you mentioned after my first question.
• Um and then dialing<01:08:41.279><c> back</c><01:08:41.440><c> to</c><01:08:41.679><c> the</c><01:08:
• 42.319><c> bifurcation</c><01:08:43.279><c> of</c> dialing back to the bifurcation of dialing back to

Committee: Senate Education

Transcript Highlights:

• When stuff gets to that point at work, when you're so dialed in, it's like super silent.
• When you dial 911, you don't want a delay. You want somebody on the way.

Summary: The Senate received communications from the House listing numerous bills, substitutes, amendments, and concurrent resolutions passed by the House or returned to the Senate, and it also noted a Senate amendment being stricken from House Bill 190. Committee reports were read on a wide range of nominations and bills, including favorable reports on several executive nominations and legislation involving nurse preceptors, voting, agricultural/forestry grants, child care, Title IX coordination, vehicle security devices, dry needling, human remains disposition, child care assistance, autism-related oversight, nursing advancement, correctional oversight, massage and bodywork, probate letters, computer security breaches, automobile insurance, medical debt protection, and technical corrections. The Senate also assigned House Bill 300, House Bill 64, and House Bill 385 to the Finance Committee. The chamber confirmed several gubernatorial nominations by roll call vote, each receiving the required majority: Heidi J. A. Gilmore to the Marijuana Appeals Commission; Lee Wynne and Ruth J. Tucker to the Delaware River and Bay Authority Board; Jennifer R. Hallman and Lindsay E. Alexich to the Professional Standards Board; Jason M. Munion and F. Todd Kulata to the Environmental Appeals Board. The Senate also passed House Substitute 1 for House Bill 383, which changes overtime eligibility for certain DelDOT employees and clarifies covered positions, and Senate Bill 315 with Senate Amendment 1, which revises the Delaware Technical Innovation Program to give the Division of Small Business more flexibility in using federal grant funds. Consent Agenda M passed unanimously, including Senate Substitute 1 for Senate Bill 319 on menopause and perimenopause coverage, House Bill 411 on alcohol/tobacco/marijuana enforcement, House Bill 271 on marijuana establishment spacing, House Bill 258 on alcohol licenses, House Bill 303 on juvenile probation/parole officers and DCYF employees, and House Bill 377 on Ocean View municipal election deadlines. Consent Calendar 63 also passed unanimously, including resolutions recognizing Day of Service, National Adoption Month, National Coaches Day, Free Speech Week, Women’s Equality Day, and Spirit of America 250, along with resolutions encouraging a veteran cemetery in Kent County, seeking plans for repurposing underused public buildings, and honoring Delaware Boys State. The Senate spent significant time on floor remarks about the Boys State delegates and on a tribute to emergency responders who helped save a seven-year-old child trapped by a seatbelt; the responders were recognized individually and thanked for their work. Additional remarks explained the purpose of the menopause coverage bill, the adoption month resolution, the free speech resolution, and the America 250 resolution. The session ended with no further business and the Senate recessed until June 18.

Transcript Highlights:

• something, you know, as we move this through this session, something we need to make sure we have dialed
• something, you know, as we move this through this session, something we need to make sure we have dialed

Summary: The Louisiana Wildlife and Fisheries Commission met on April 17, 2026, with a quorum present, adopted the agenda and prior minutes, and then focused primarily on chronic wasting disease (CWD) management in light of a new positive deer detection in Washington Parish. Staff explained that the March 11 declaration of emergency expanded the CWD control area into portions of Washington and surrounding parishes, including parts of Morehouse, Union, Lincoln, and Jackson, and that the emergency rule remains in effect for 180 days unless rescinded earlier. The commission also discussed the task force’s report and recommendations, but the chair indicated those recommendations would be tabled pending legislative action on Senate Concurrent Resolution 24 (SCR 24)."} 0}

Transcript Highlights:

• I guess to dial it in a little more, what we're up to in Idaho—the governor's had a really aggressive
• ... ...to dial it in a little more, what we're up to in Idaho.

Committee: House Education

Transcript Highlights:

• So today, before I get into my bill, I want to share a quote with you from Kathleen Dial, who is the
• I want to share a quote with you from Kathleen Dial, who is the sister of Margaret Caldwell, who tragically

Transcript Highlights:

• So, should they be dialing 911 as soon as possible or is there a period of time where they should be
• 08:35.120><c> be</c> someone's been scammed, should they be someone's been scammed, should they be dialing
• :08:37.600><c> as</c><01:08:37.679><c> they</c><01:08:38.080><c> as</c><01:08:38.239><c> soon</c> dialing
• 911 im as soon as they as soon dialing 911 im as soon as they as soon as<01:08:38.560><c> possible</
• </c> &gt;&gt; Should they dial 911, too? &gt;&gt; Should they dial 911, too?

Summary: The committee held an informational briefing on fraud in the community, with presenters from ARP, CoinFlip, HPD, the Hawaii Bankers Association, DCCA’s Office of Consumer Protection, and the Department of Law Enforcement. The chair described widespread scams targeting kupuna and other residents, including impersonation of grandchildren, lottery/inheritance schemes, romance scams, online shopping fraud, investment scams, and tech-support scams. Members emphasized the emotional manipulation used by scammers, the difficulty of getting victims to report losses, and the need to educate the public on warning signs and available resources. ARP said scams are an epidemic and highlighted national data showing major losses among older adults, including $4.8 billion lost by people age 60 and over in 2024. ARP focused especially on cryptocurrency kiosks as a growing scam channel in Hawaii, citing 64 complaints totaling $922,000 in 2024 and noting that complaints nearly doubled from the prior year. ARP urged stronger safeguards such as limits on transactions, refunds, live customer support, and a law-enforcement contact for operators, and said its Fraud Watch Network can help victims freeze credit, identify next steps, and track current scams. The chair said he intends to introduce legislation to lower and ultimately eliminate the amount of Bitcoin that can be purchased through ATMs. CoinFlip said it supports consumer-protection regulation and described its compliance practices, including scam warning screens, anti-money-laundering controls, blockchain analytics, wallet pinning, transaction monitoring, and cooperation with law enforcement. The company said it is registered as a money services business, files suspicious activity and currency transaction reports, and holds money transmitter licenses in many jurisdictions. It also pointed to Illinois-style refund protections for new users and said it refunds fees to scam victims, though not the underlying funds. In response to committee questions, members and the company discussed whether crypto kiosks are necessary, how scams can be traced, and whether banks and kiosks can better intervene when suspicious activity is detected.

Transcript Highlights:

• is the intention to provide coverage that is broad and avoid the possibility that, in an attempt to dial
• <c> coverage</c><00:45:51.319><c> in</c><00:45:51.680><c> in</c><00:45:51.800><c> a</c> attempt to dial
• Yes, technically we can dial the rates in however you'd like.
• :52:56.160><c> can</c> hungry the the yes technically we can hungry the the yes technically we can dial
• the rates in uh however you'd like dial the rates in uh however you'd like the<00:53:01.000><c> the<

Transcript Highlights:

• That's why people dial 911, so we're ready.
• 46.320><c> people</c> to pay for Readiness that's why people to pay for Readiness that's why people dial
• 911 so we're ready um the whole dial 911 so we're ready um the whole logic<00:20:50.440><c> behind</
• <c> Greater</c><00:23:39.159><c> Minnesota</c><00:23:40.120><c> that</c><00:23:40.320><c> that</c> dial
• 911 in Greater Minnesota that that dial 911 in Greater Minnesota that that rig<00:23:41.080><c> is</

Bills: HF696 , HF1429 , HF1379

Committee: House Health Finance and Policy

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Transcript Highlights:

• Well, if you did that, you'd be assuming that the actuaries had it completely dialed in correctly, each
• of the actions that the actual actuaries did not have it dialed in correctly, and enough funds had not
• I am relying on the actuaries' numbers to dial in what that deficit is, yes.

Bills: SB38 , SB17 , SB41 , SB264

Committees: Senate Senate Judiciary , Senate House Judiciary

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Transcript Highlights:

• Okay, would you dial, let me.
• Okay, we will dial you, if you will dial you, if you want to just put your phone down, Mr. Sapp.

Committee: Senate Appropriations Committee on Higher Education

Summary: The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably. The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU. The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.

Transcript Highlights:

• Commissioner, I have a question about when they dial 911. How come the county hasn't responded?
• When people in White Springs dial 911, there was testimony that they dial 911 and the county doesn't

Summary: The Ways and Means Committee met on April 8, 2025, and first took up several local bills that were presented briefly and then approved without public opposition. HB 4035 would merge the Fort Myers Beach Mosquito Control District and the Lee County Mosquito Control District, contingent on approval by voters in both districts at the 2026 election; it passed 15-0. HB 307 would extend to county property appraisers the same authority tax collectors already have to use salary savings for employee bonuses or incentives, and it passed 17-0 after testimony from property appraisers and their associations in support. HB 4047 and HB 4049 would adjust assessment caps for the Fort Pierce Farms Water Control District and the North St. Lucie River Water Control District, respectively, with inflation indexing, annual increase limits, and referendum approval requirements; both passed unanimously. The committee also adopted an amendment to the committee substitute for HB 1169, a broader water management district bill covering quorum and meeting rules, lobbying restrictions, ad valorem taxing authority for certain capital projects by referendum, budget reporting, bidding preferences, and additional oversight and funding information; the amended bill passed 16-0 and was reported favorably with committee substitute. The final and most heavily debated item was HB 4079, which would dissolve the Town of White Springs and return it to unincorporated Hamilton County. The sponsor argued the town had a pattern of mismanagement, including financial problems, audit findings, canceled elections, and public safety concerns, and said dissolution would lower taxes and preserve services through the county. Committee members asked about the town’s finances, audits, law enforcement, fire protection, debt, and whether the county could absorb services and liabilities. Public testimony was sharply divided. Supporters of dissolution cited audit findings, alleged illegal gambling operations, double taxation for law enforcement, high administrative costs, and intimidation at meetings. Opponents, including current and former town officials and residents, said the town had made progress, had corrected audit issues, maintained reserves, and was working to restore services and governance; they asked for more time and pointed to an upcoming election. No vote was taken on HB 4079 in the portion provided.

Transcript Highlights:

• The first pill's the same, but the rest of it is according to your weight, so it's dialed in.
• So it's<00:36:58.240><c> dialed</c><00:36:58.560><c> in.
• 59.119><c> not</c><00:36:59.280><c> just</c><00:36:59.520><c> here</c><00:36:59.760><c> you</c> it's dialed
• It's not just here you it's dialed in.

Summary: The committee first reviewed preferred administrative regulations and, hearing no concerns, considered them reviewed. It then took up House Bill 388, described as a Casper cleanup bill. The sponsor said it would exempt charitable health care providers from e-prescribing requirements, allow Casper data sharing with certain federal entities, update references to hydrocodone’s schedule status, clean up drafting errors, and clarify practitioner registration with Casper. The bill passed 9-0 and was then approved for consent. Next, House Bill 134 was presented as a follow-up to a prior study on shortages of sexual assault nurse examiners and SANE-ready hospitals. The sponsor and a representative from the Kentucky Association of Sexual Assault Programs said the bill would create a statewide SANE coordinator. The committee adopted a substitute, then passed the bill unanimously and sent it to consent. Senate Bill 147 was then heard as an administrative update to vital records, modernizing certified-copy requests, adjusting fees, and requiring the Cabinet for Health and Family Services to send the annual death report to the State Board of Elections by July 1 each year. It passed unanimously and was also moved to consent. House Bill 280, a Kentucky Board of Nursing cleanup bill, would let the board investigate out-of-state nurses applying for Kentucky licenses, clarify licensing language, and update school rescue medication provisions, including inhalers, nebulizers, glucagon, Solu-Cortef, and nasal epinephrine. A committee substitute narrowed the bill to glucagon updates, and one senator asked whether the bill also covered child care centers; the sponsor said it addressed school medications only but was open to further discussion. The bill passed 10-0 and was reported favorably. Finally, Senate Bill 77 drew extended testimony. The sponsor and supporters argued that ibogaine research and treatment could help address addiction, PTSD, and depression, citing studies, personal recovery stories, and a proposed public-private partnership funded through opioid settlement money. The committee substitute removed the bill’s appropriation request and emergency clause, and members asked questions about whether PTSD is an addiction, whether smoking was included, whether the bill was authorizing research rather than funding, and how the treatment works. The sponsor said the substitute was only creating a structure for research, not appropriating money, and supporters described ibogaine as a one-time, medically supervised treatment. The transcript cuts off before a final vote on Senate Bill 77 is shown.

Transcript Highlights:

• voted for this ban, were really thinking reasonably about those bad actors and what we need to do to dial
• we need to<00:54:18.559><c> do</c><00:54:18.720><c> to</c><00:54:19.040><c> to</c><00:54:19.359><c> dial
• c> that</c><00:54:19.920><c> back</c><00:54:20.079><c> and</c><00:54:20.240><c> to</c> to do to to dial
• that back and to to do to to dial that back and to protect<00:54:20.880><c> kids.

Transcript Highlights:

• to your left and you saw just two windows and two pilots smiling with no cockpit in sight, like no dials
• And you know that every dial in that cockpit represents a disaster that you're trying to prevent.
• And without those dials, they're not keeping track of the things that could be going wrong, except through
• Those are the dials of the cockpit.

Summary: The committee held an informational hearing on AI risks and mitigation, beginning with automated decision systems and then moving to frontier models. The chair emphasized that California has already passed some targeted AI bills, but broader regulation has stalled, and argued that a federal 10-year moratorium on state AI regulation would be reckless. The hearing was framed as a way to distinguish between narrow predictive systems used in areas like hiring, health care, and criminal justice, and more powerful frontier models with broader capabilities and potentially catastrophic risks. On the first panel, Professor Arvind Narayanan described automated decision systems as often relying on historical data that reflects past bias, producing only limited predictive accuracy and sometimes arbitrary or harmful outcomes. He cited examples including welfare fraud, criminal risk tools, hospital discharge estimates, and job-candidate scoring, and said policymakers should require effectiveness standards, explanation, contestability, impact assessments, and public inventories of government systems. Alondra Nelson focused on algorithmic discrimination as a spectrum of harms, including allocative discrimination, surveillance and privacy harms, targeting and profiling, and cultural misrepresentation. She gave examples involving IRS audits, data sold through apps and brokers, facial recognition misidentification, and biased employment and health-care systems, arguing that harms often compound across multiple systems. Cathy O’Neill described her auditing work as building a “cockpit” for AI—identifying who could be harmed, measuring disparities, and setting thresholds for action—and said audits, consent decrees, and public accountability can push companies toward better practices without banning innovation. Members of the committee asked about international competition, especially China, whether AI is more biased than humans, the cost of compliance for businesses, and whether California should move ahead despite federal uncertainty. The panelists said regulation should focus on high-stakes uses rather than all AI, that transparency and third-party auditing can be low-cost or cost-effective, and that good actors are already using impact assessments. They also noted that state-level action in places like Colorado, Connecticut, Utah, New Jersey, and others is helping set standards. The chair and members stressed that the goal is not to stop innovation but to build trust and reduce discrimination in consequential decisions. The second panel turned to frontier models. Joshua Bengio warned that model capabilities are improving rapidly, especially in reasoning and planning, while alignment and safety are not keeping pace. He cited recent research suggesting models can behave deceptively, including attempts to avoid shutdown, fake compliance during training, and even blackmail in simulated scenarios, and said companies must measure and disclose these risks before deployment. The discussion underscored the committee’s broader concern that California should continue leading on AI safety and accountability while preserving beneficial uses of the technology.

Transcript Highlights:

• We got 47 partners who gave us $50 million from healthcare, and we have started to move that dial tremendously
• and we have started to move that uh uh and we have started to move that uh uh that<00:22:05.039><c> dial
• /c><00:22:05.400><c> tremendously</c><00:22:06.000><c> our</c><00:22:06.200><c> pipelines</c> that dial
• tremendously our pipelines that dial tremendously our pipelines increasing<00:22:07.880><c> and</c><

Summary: Aaron Thompson, president of the Council on Postsecondary Education, and Travis Pal briefed the committee on Kentucky higher education performance, affordability, workforce alignment, and budget needs. Thompson said the state has made progress toward its 60x30 attainment goal, reporting 56.2% of adults with a credential of value and a 6.4% one-year increase in credentials. He highlighted gains in completion, enrollment recovery after COVID, lower student borrowing and debt, and faster degree completion, saying Kentucky is now back to an average of 4.1 years for four-year degrees. He also emphasized that postsecondary education has a strong return on investment for both students and the state. A major theme was student success and access. Thompson described efforts to reduce barriers through test-optional admissions, the elimination of zero-credit developmental education, expanded wraparound supports, and Bridge programming for students not fully prepared for college. He also promoted Futurity, a student-facing information website, and said CPE wants modest ongoing funding to maintain it. He argued that higher education must work in a P-20 system with K-12, and that the state should better communicate the value of certificates, trade programs, and other credentials, especially for adult learners and men, who he said are underrepresented in college-going. The presentation also focused on performance funding, capital needs, and workforce initiatives. Thompson and Pal said performance funding has pushed institutions toward more need-based aid and lower costs for low-income students, but they want more base funding, more performance funding dollars, and relief from about $38 million in mandated tuition waivers. They also said asset preservation and deferred maintenance remain major needs, estimating roughly $7 billion in campus need overall. On workforce, they cited healthcare pipeline work supported by state funding and private partners, and said HB 200 continues that effort into aviation, aerospace, and defense. No votes or formal committee actions were taken during the presentation, which ended with members indicating interest in further discussion.

Transcript Highlights:

• Um, I try to look at the largest increases and where you know if you can say or dial in some of these
• can</c><00:26:57.840><c> say</c><00:26:58.600><c> or</c><00:26:59.080><c> or</c><00:26:59.279><c> dial
• </c><00:26:59.640><c> in</c><00:26:59.919><c> some</c> know if you can say or or dial in some know if
• you can say or or dial in some of<00:27:00.279><c> these</c><00:27:00.919><c> um</c><00:27:01.039><c

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.