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KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (2-12-26)

Health Services

Transcript Highlights:
  • I'd like to call this fifth meeting of the House Standing Committee on Health Services to order.
  • Now, in order for that to happen, for those guardrails to be put in place, we have a hearing process,
  • "What can happen in order?"
  • Only a limited through a court order.
  • <00:58:36.640> to<00:58:36.960> make in order to make in order to make mental<00:58
Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 485, a major mental health measure addressing both KRS 202C and KRS 202A. The committee first adopted a committee substitute and then approved a committee amendment correcting misspellings in the bill. Members and witnesses described the bill as the product of years of work with judges, prosecutors, defense attorneys, mental health professionals, advocates, and the Kentucky Judicial Commission on Mental Health. Testimony on the 202C portion focused on individuals charged with serious violent offenses who are found incompetent to stand trial. Witnesses, including a circuit judge and a family member whose mother was killed by her mentally ill brother, argued that current timelines require repeated evidentiary hearings and impose unnecessary trauma on victims’ families and strain on courts and KCPC. Supporters said the bill would lengthen review intervals, clarify the role and payment of guardians ad litem, and reduce repeated relitigation while preserving due process and public safety. They noted that 202C cases are few in number but consume a significant share of KCPC bed space. The committee then turned to the 202A portion, which covers civil mental health commitments for people who may not have committed a crime. Supporters said current law leaves courts with only two choices—hospitalization or release—and that the bill would create a third option by allowing court-ordered outpatient treatment and other guardrails such as medication compliance and follow-up care. Witnesses emphasized that the bill defines terms such as “benefit” and “serious mental illness,” expands the definition of danger, and aims to provide a least restrictive alternative to inpatient hospitalization. No final vote on the bill itself was taken during the portion of the meeting provided, but the substitute and amendment were adopted and testimony continued in support of the measure.
KY
Transcript Highlights:
  • But we had to establish relationships if they were not already established to have a foundation in order
  • It also helped me for temporary jobs that I needed at a certain time.
  • It also helped me for temporary jobs that I needed at a certain time.
  • It also helped me for temporary jobs that I needed at a certain time.
  • And so, in order to really are making.
Summary: The committee met with a quorum, approved the October minutes, and heard first a progress report on the state-funded “Putting Young Kentuckians to Work” initiative. Workforce leaders from Cumberland Workforce Development Board and Kentucky Works said the HB 1 funding has allowed them to contract with all 10 workforce boards and build new pipelines with high schools, area technology centers, school districts, and community and technical colleges. They reported an end-of-year goal of 3,600 job placements, with 218 placements reported as of October 2025 and enrollment numbers continuing to rise. Testimony emphasized that the program is aimed at disconnected youth and high school seniors, that federal WIOA funds are too limited to support this work alone, and that the flexible state funding has enabled short-term training and placements in fields such as welding, CDL, and CNA. Members asked about barriers to implementation, wage levels, and services for students with disabilities; presenters said the main challenge was building school relationships and that wage growth should improve as students gain more skills and credentials. The committee then received an update on the Kentucky Talent Attraction Initiative. Representatives from Greater Louisville Inc. and Commerce Lexington explained that the General Assembly previously provided $250,000 for a consultant to develop a statewide talent attraction and retention strategy, and that more than 13 organizations across the state support the effort. Development Counsellors International described its research process, including statewide stakeholder engagement, and said the goal is to create a Kentucky talent value proposition that combines job opportunities with quality-of-place messaging. They reported that Kentucky faces a shrinking labor force and a projected national worker shortfall, while internal research found 47% of working-age respondents could consider leaving the state within two years because they are not confident in career opportunities. At the same time, they said 96% of surveyed higher education students would stay if offered a full-time job, and 72% of employers expect to expand staffing in the next two years. The presenters said they are moving from research into messaging and an action plan, and that the strategy should be customized and measurable rather than one-size-fits-all.
KY
Transcript Highlights:
  • Delivery orders, invoices, and few ways.
  • off of that issues delivery orders off of that master<00:56:54.880> agreement.
  • <00:59:45.359> So, the delivery orders off of that. So, the delivery orders off of that.
  • . order. order.
  • <01:09:00.080> So a delivery order off of that one. So a delivery order off of that one.
Summary: The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025. The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements. Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.
KY
Transcript Highlights:
  • The presentation order today, again, we're going to give a little bit of context and go over some of
  • The presentation order today, again, we're going to give a little bit of context and go over some of
  • Um the presentation<00:15:43.839> order<00:15:44.079> today<00:15:44.399> again<
  • 00:15:44.880> we're presentation order today again we're presentation order today again we're
Summary: The meeting began with a quorum call and approval of the August minutes, then moved to an update from the Kentucky Chamber of Commerce on small business conditions. Chamber representatives John Hughes and Amit Patel said Kentucky has benefited from pro-growth policies such as lower income taxes, regulatory modernization, and workforce development, but they emphasized ongoing challenges including workforce shortages, child care access, housing availability, rising insurance costs, and inflation. Patel, speaking as a hotel operator, said recruiting and retaining staff has become difficult and that his company is considering child care stipends and other benefits to help employees. Members asked about child care benefits, community involvement, and health care costs; Patel said the business is discussing additional support for employees and noted that health care costs have tripled over three years. The chamber said it will prioritize child care and housing policy in the upcoming session. The committee then received an update from the Cabinet for Economic Development on the Kentucky Angel Investment Tax Credit program from David Brock of KY Innovation and Matt Wingate. Brock outlined the state’s broader innovation and entrepreneurship programs, including innovation hubs, SBIR/STTR matching funds, the Kentucky Enterprise Fund, SSBCI, and STEP, and said these programs have helped create jobs, raise capital, and support exports. He explained that the angel tax credit is intended to encourage private investment in innovative Kentucky small businesses with high growth potential. The credit is generally 25% of investment in non-enhanced counties and 40% in enhanced counties, with annual and per-investor caps and eligibility rules for both businesses and investors. Brock reported that 317 businesses have been certified, 117 have received at least one investment, 445 investors have made 750 investments, $57.2 million has been invested, $19 million in credits has been awarded, and 373 new jobs have been reported since 2021. Committee members asked about the relationship between the program’s industry verticals and university research, the difference between enhanced and non-enhanced counties, and where investments are occurring geographically. Cabinet staff said the verticals align with the original Innovation Act framework, and that enhanced counties are defined by statute, including distressed and disaster-impacted areas. They said most investments and credits have been in non-enhanced counties, though some examples were cited in Bath County and Auburn. No votes or formal actions were taken during the meeting beyond approval of the minutes.
KY
Transcript Highlights:
  • our students who are have court-ordered our students who are have court-ordered placements.<01:08
  • on the purchase orders for reimbursement for<01:41:31.679> yourself<01:41:32.880> where
  • <01:45:11.520> to district what is necessary in order to district what is necessary in order
  • to provide um that were there in order to provide um input<01:46:36.560> on<01:46:36.880>
  • to make the right information in order to make the right decision<02:07:46.079> isions.
Summary: The committee first handled routine business, including roll call, introductions, and approval of the previous meeting minutes by voice vote. It then heard a presentation on SB 253, focused on expanding support for teacher apprenticeship and teaching-and-learning pathways. Senator Hickman and staff from the Kentucky Department of Education and Nelson County Schools described how the program uses dual credit, work-based learning, and registered apprenticeship to help students earn an associate degree in high school and continue toward a teaching degree. They said the goal is to address the teacher shortage by creating a sustainable pipeline into the profession. Witnesses emphasized that the main barrier is cost. Mary Taylor said Kentucky’s youth apprenticeship model has been successful in other fields and that education should be added as an in-demand sector, but an associate degree alone will not solve the teacher shortage because teachers still need a bachelor’s degree and certification. Laura Arnold of Nelson County Schools described the district’s Lead Nelson program, saying the district has invested more than $800,000 since 2021, currently has 37 students in the pathway and seven committed apprentices, and spends about $85,000 per apprentice from freshman year through certification. She said district staffing, planning, and university partnerships are also significant hurdles. Members asked about job guarantees, tenure, and retirement; Arnold said employment is performance-based and retirement issues are being considered. Senator Hickman said the bill would use lottery funds to help cover tuition and dual credit costs so more districts can participate, noting that a prior version died because of a high fiscal note. Representative Payne and Representative Tipton praised the program but stressed the need for funding and noted inconsistencies between statute and budget language on Work Ready Kentucky and dual credit support. Representative Tipton also cautioned that lottery revenue may not keep pace with demand and said the General Assembly may need to make broader funding decisions. After the apprenticeship discussion, the chair moved the committee to the next agenda item on computer science and AI literacy, where Code.org began a presentation on the importance of computer science for all students.
KY
Transcript Highlights:
  • Chair: Call this meeting of the Education Assessment and Accountability Review Subcommittee to order.
  • We did not go to any of the RTCs and review their purchase orders or invoices.
  • of the RTC's and review<00:13:43.120> their<00:13:43.440> purchase<00:13:43.920> orders
  • <00:13:44.320> or review their purchase orders or review their purchase orders or invoices
Summary: The subcommittee heard an Office of Education Accountability report on Kentucky’s early childhood regional training centers (RTCs). OEA said the centers provide valuable training, consultation, technical assistance, and materials for preschool personnel, especially for children with disabilities and at-risk students, and that the services align with state and federal requirements. However, the report found uneven student and teacher populations across regions, wide variation in per-student funding, some staffing data inaccuracies, and several fiscal oversight concerns, including inconsistent indirect cost rates, a building rental charge that may have been duplicative, and host districts recording RTC expenditures in a way that could blur them with district finances. OEA also said some documentation of progress toward goals was incomplete and that the technology lending library appeared underused. The report recommended stronger KDE oversight, uniform coding and accounting practices, review of budgets and expenditures, and an evaluation of whether the current five-center model remains the most efficient structure; OEA also suggested the General Assembly may wish to revisit KRS 157.318. Members asked about KDE’s response, whether the centers are required by federal law, how the centers operate, and whether changing the model would affect federal funding. OEA said KDE had only discussed the findings informally and had not issued a formal response, the centers are required by state law but not federal law, and changing the model would not jeopardize IDEA preschool funds. The committee accepted the report by motion. The subcommittee then approved the minutes from its July 14, 2025 meeting after initially delaying action because quorum was not yet present. After that, members turned to the Office of Education Accountability’s proposed 2026 study agenda. OEA said the three proposed topics are the annual district data profiles, facilities funding, and implementation of early literacy statutes. The district profiles would add an appendix showing the number and percentage of students moving to private school or homeschool by district and another appendix noting data-quality issues that affect comparability. OEA explained that district staffing data can undercount contract staff because those employees are not always entered into the system, and members expressed interest in tracking whether prior recommendations were implemented. One senator also raised a separate interest in reviewing whether KDE created and implemented regulations related to KFIX. The discussion remained informational, with no final vote on the study agenda shown in the transcript excerpt.
KY
Transcript Highlights:
  • programs made money, and they were dependent, I guess, on a cash flow from the recovery portion in order
  • 00:16:00.800> recovery<00:16:01.360> portion<00:16:01.839> in<00:16:02.079> order
  • <00:16:02.560> to<00:16:03.120> finance the recovery portion in order to finance the
  • recovery portion in order to finance the<00:16:04.240> education<00:16:04.959> portion.
  • What sources of funding have you found in order to continue operating? So thank you, Mr. Wheeler.
Summary: The committee first heard a presentation from Kentucky Recovery Vocational Workforce and Re-entry Incorporated, led by Executive Director Jerick D'vor, on its vocational training model for people in recovery and formerly incarcerated individuals. He said the nonprofit operates in Russell Springs and serves students from across Kentucky, offering manufacturing and welding training tied to recovery services through Spark Recovery. D'vor emphasized that the program combines treatment, soft-skills coaching, job placement, and continued support after employment, arguing that training should begin around 90 days into recovery rather than earlier. He reported strong outcomes, including 292 students served, 259 certificates earned, and 250 job placements, with many participants placed in manufacturing jobs and 17 welders trained and placed through the new welding academy. Members praised the program but asked about funding, retention, and employability barriers. D'vor said the pilot was supported by opioid abatement grant funding, and the program now relies mainly on donor contributions and Spark Recovery’s investment in clients, with possible future support from additional opioid abatement funds or 1915(i) mechanisms. He said participants are not charged tuition and that the organization provides soft-skills training and job coaches. In response to questions about long-term outcomes, he said the program does not yet have a full alumni tracking system but is exploring technology options and continues to provide post-employment support for 90 days. After approving the committee minutes, members received an update on college athletics and Senate Bill 3 from University of Louisville Athletic Director Josh Heird and University of Kentucky Athletic Director Mitch Barnhart. They said Kentucky’s NIL framework and reporting requirements are working reasonably well and praised the state for not trying to create a competitive advantage in the evolving college sports environment. Heird reported that 521 student-athletes have signed up for NILGO and about 240 deals have been approved through the system, while noting the need to ensure NIL agreements are legitimate marketplace deals rather than artificial payments. The discussion also touched on the House settlement, the $600 approval threshold, and broader federal changes affecting college athletics.
KY
Transcript Highlights:
  • We'll go ahead and call this fourth meeting of the Budget Review Subcommittee on Transportation to order
  • And finally, in order to be able to do the work that we need to do, we have to have quality personnel
  • Uh, we've moved from a temporary space in Bardstown to a new permanent office.
  • Uh we've moved<00:26:06.799> from<00:26:07.039> a<00:26:07.200> temporary<00:26:
  • 07.679> space<00:26:08.000> in moved from a temporary space in moved from a temporary space
Summary: The Budget Review Subcommittee on Transportation met without a quorum and first received a maintenance update from Kentucky Transportation Cabinet officials James Ballinger and John Moore. They described how repeated disasters, including floods, tornadoes, and ice storms, have strained routine road maintenance and forced crews to focus on emergency response, snow and ice removal, pothole patching, ditching, signal repairs, mowing, striping, sign work, and other day-to-day upkeep. They said snow and ice costs have averaged about $60 million to $61 million annually in recent years, disaster response has totaled hundreds of millions of dollars over five years, and the cabinet often must carry those costs until FEMA or FHWA reimbursement arrives. They also said maintenance work is increasingly contracted out because of staffing and resource limits, and that competitive pay is needed to retain employees and contractors for around-the-clock emergency work. Members then discussed traffic roundabouts and other intersection designs. Senator Hickden asked about their cost savings and safety benefits compared with traffic signals, and cabinet staff said they would provide life-cycle cost figures later. They emphasized that roundabouts and related designs reduce serious injuries and fatalities, with serious injuries down roughly 70% to 80% and fatalities over 90% in their experience. Chair Douglas and others asked about roundabout sizing for trucks and farm equipment, and staff explained that designers tailor the inscribed diameter to local traffic needs and context. The committee also briefly discussed red-light running and traffic-light cameras, with members stressing the safety risks of drivers ignoring signals. The committee adopted the minutes from the prior meeting by motion and voice vote. It then heard from Sarah Jackson and Matthew Cole on the Real ID and driver licensing transition. They said the cabinet has expanded from almost no regional offices to 35, grown driver licensing staff from 89 to 400, and now issues about 1.3 million credentials annually. They reported improvements in office capacity, queue management, staffing, and compensation, including added workstations, new or expanded offices in Louisville, Lexington, and Bardstown, and the use of contract staff. They said statewide average wait times have fallen to just under 30 minutes, and Kentucky’s Real ID adoption rate has risen to 42.9%. Members asked follow-up questions about driver testing and CDL scheduling. The presenters said all permit and CDL testing is coordinated through Kentucky State Police, with written tests available in most regional offices and CDL testing at a smaller number of KSP locations. Senator Douglas asked when the driver testing requirements were last updated, and the presenters said that was set by KSP. The discussion ended with additional questions about which regional offices lack KSP testing presence, but no further action was taken before the transcript ended.
KY
Transcript Highlights:
  • So in order to communicate with those satellites, you have to actually see the sky.
  • The challenge is line of sight.<00:20:35.520> So<00:20:35.760> in<00:20:36.000> order
  • So in order to communicate with sight.
  • So in order to communicate with those<00:20:37.200> satellites,<00:20:38.080> you<00:20
  • Um our officers provide both order.
Summary: The committee received an update on Kentucky’s statewide emergency responder voice system (SERVS) and the supporting microwave network, known as KYeS. Michael Brandon Marshall, the state’s statewide interoperability coordinator, explained that the project began as a replacement for Kentucky State Police’s radio system and has expanded into a statewide public-safety trunked radio system. He reviewed work completed in phases 1 and 2, including upgrades to existing tower sites, construction of new sites, installation of generators and DC power plants, and replacement of microwave routers and stations. He said the microwave upgrade is a separate but necessary part of the project and that the remaining microwave work on existing sites is expected to be finished in 2026, with roughly 20 more sites likely to move from blue to green by the next monthly report if conditions allow. Members pressed Marshall on the pace of deployment and the lack of coverage in parts of Eastern Kentucky. Senator Thomas said the coverage map was especially unfavorable to counties from Whitley and McCreary up to Lewis County and asked when that gap would be fixed. Marshall said the eastern buildout is planned, but those areas have not yet been funded; he estimated that by the end of 2026 the areas around Posts 14, 8, and 11 should be live, while other eastern post areas would remain unbuilt until additional funding is provided. He said the decision to start in Western Kentucky was technical rather than political, based on terrain and the relative ease of building coverage over flatter ground. Senator Wheeler asked whether newer low-orbit satellite systems such as Starlink could reduce the need for tower construction. Marshall said satellite technology could be a useful tool, especially for outdoor or disaster-response communications, but it cannot replace terrestrial radio for public safety because responders often work indoors and need reliable penetration through buildings. He also noted that lower-frequency spectrum such as 700 MHz is better suited for that purpose. Representative Smith asked about contracting and delays; Marshall said the Finance Cabinet’s DECA manages the construction contracts, while his office helps define the scope of work and reviews whether it is adequately met. The committee indicated it will continue to receive monthly updates on the project.