Transcript Highlights:

• The second one is $277,000 from substance abuse prevention and treatment.
• It extends an existing contract for substance abuse treatment services for DCFS clients.
• Number 16, DHS with 10th District Substance Abuse Program for substance abuse treatment services.
• This is for substance abuse treatment services in Western Arkansas. Number 19, DHS with James H.
• This is for substance abuse treatment services in Western Arkansas. Number 19, DHS with James H.

Committee: All JOINT BUDGET COMMITTEE

Transcript Highlights:

• for the chartered public treatment for the chartered public schools.<00:12:00.720><c> And</c><00:12:
• <00:12:27.120><c> as</c><00:12:27.440><c> governmental</c> treatment as governmental treatment as governmental
• No, that shouldn't because the<00:12:50.320><c> treatment</c><00:12:50.720><c> for</c><00:12:50.880><
• c> governmental</c><00:12:51.440><c> use</c><00:12:52.000><c> is</c> the treatment for governmental use
• is the treatment for governmental use is the<00:12:53.440><c> so</c><00:12:53.680><c> the</c><00:12:

Committee: House Executive Departments and Administration

Transcript Highlights:

• which has since aided more than 14 million children and families through prevention, intervention, treatment
• Yvonne helped establish the first residential treatment...
• Yvonne helped establish the first residential treatment village in the United States for abused and severely
• This is an opportunity to be able to get these individuals the treatment that they need.
• I think the most humane thing is to be able to give them the support and the treatment that they need

Summary: The House convened on Ash Wednesday with prayer, the Pledge of Allegiance, the journal approved, and a series of guest introductions recognizing Dr. William Thompson, Disability Day at the Capitol participants, Arizona Cattle Growers, a GCU student guest, striking ASU Aramark workers and union supporters, Nurse-Family Partnership nurses, Navajo Nation visitors, and others. Members also made remarks honoring Lent, Ramadan, Black History Month, and various community figures. Attendance was recorded at 54 present, 3 absent, and 3 excused, and the House received committee substitutions and Senate messages without objection. The chamber adopted House Resolution 2006, a death resolution honoring Yvonne Glee Lyme Federson and her work with Childhelp to combat child abuse. The resolution was adopted unanimously, followed by a moment of respectful silence. The House then resolved into Committee of the Whole and later an additional Committee of the Whole to consider several bills. Measures receiving do pass recommendations included HB 2089, HB 2177 as amended, HB 2258, HB 2322 as amended, HB 2786, and HB 2825 as amended, with amendments adopted on HB 2177, HB 2322, and HB 2825. The House adopted the Committee of the Whole report and ordered those bills engrossed or regrossed as appropriate. In the additional Committee of the Whole, members debated HB 2074, HB 2104, and HB 2105, all property- or health-related measures. HB 2074 drew sharp debate over an amendment removing a life-of-the-mother exception in a partial-birth abortion provision; supporters said the change clarified that safer medical alternatives exist, while opponents argued it would criminalize care even to save a mother’s life. HB 2104 and HB 2105 were amended to add taxable improvements as a trigger for assessor review and to make a standardized report optional, with supporters saying the changes improved county property tax administration and opponents warning they could hinder assessors and create litigation. All three bills received do pass as amended recommendations and were ordered engrossed. The House then took up third-reading votes and passed HB 2173, HB 2203, HB 2223, and HB 2501 by 57-0 votes with three not voting. HB 2307, an emergency measure concerning dangerous and incompetent defendants and out-of-state treatment options, passed 37-20 with three not voting, but failed to achieve the required two-thirds vote for the emergency clause. Members explained votes in support as a temporary response to a lack of in-state treatment beds, and in opposition as a bill that was too broad or not yet implementable. The House adjourned until 10 a.m. on Thursday, February 19, 2026.

Transcript Highlights:

• Current law governing psychotropic medications in residential treatment for children in DCF custody can
• SB 560 addresses these inefficiencies to ensure timely treatment and clear standards.
• The bill streamlines standards for licensing and experience of evaluators at residential treatment centers
• We made clear in that bill that unless a young person was already receiving treatments up to, I think
• They are not allowed to provide any treatment, any procedures, prescriptions.

Bills: S0560 , S0590 , S0778 , S1010

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• Beyond research, California's life sciences sector is also leading the way in transforming treatments
• To new treatment and cures, and work to ensure that access to healthcare is equitable and affordable
• There is no medical treatment, there is no cure yet.
• California is a leader in innovation in the development of treatments and care models.
• Senate concurrent resolution 15 by Senator Umberg relative to substance use disorder treatment moth.

Transcript Highlights:

• AN 11% INCREASE ACROSS THE STATE FOR THE ABILITY TO PROVIDE THE INCREASED TREATMENT REQUIREMENTS.
• LITTLE AREAS AROUND STORM WATER TREATMENT PLANTS, THE WET SYSTEMS.
• AND THEN ALSO CREDITS, TREATMENT CREDITS. SOLUTIONS WERE MENTIONED.
• AND THEN ALSO CREDITS, TREATMENT CREDITS.
• YOU ESSENTIALLY WOULD PROVIDE A TREATMENT VOLUME AND THAT'S SEPARATE FROM THE GAME SURE THAT YOUR POND

Transcript Highlights:

• Scientific advancements are accelerating, and so are the tests and treatments, but they only slow the
• They were sent to treatment. Thank you.
• It's a problem for the individual who needs treatment to become competent, and it's a problem for the
• Long-term incarceration or treatment has never been a county responsibility.
• Long term incarceration or treatment has never been a county responsibility.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved minutes from February 18, February 19, and March 4, then took up several health-related bills. HB 2050, which updates radiologic technologist and radiologic assistant standards, school accreditation, clinical hours, supervision rules, fees, and telehealth definitions, received support from a radiologic technologist and a nurse practitioner and passed 7-0 with a do-pass recommendation. HB 2082, creating a Childhood Cancer and Rare Childhood Disease Research Commission and expanding the research fund, was amended to require at least $5 million in funding before commission allocations and to shift grant-awarding authority to the DHS director; it passed 7-0 as amended, though members raised concerns about oversight. HB 2176, which changes DHS licensing denial criteria and complaint-investigation procedures for health care institutions, also passed 7-0 after testimony from hospital and public health representatives supporting clearer timelines and transparency, with one member noting concerns about possible subjectivity in ownership-related denials. HB 2195, addressing DHS oversight of nursing care institutions, including personnel record access, deficiency timelines, and complaint-investigation deadlines, was amended to delay implementation until July 1, 2027 and allow off-site preliminary reviews; it passed 7-0 as amended, though one member said DHS should have been present to answer questions. HB 2202, appropriating $300,000 annually for a dementia care tele-mentoring program, drew support from the Alzheimer’s Association and a patient with younger-onset Alzheimer’s; it passed 6-1, with one no vote arguing medical schools should teach the material instead of the state funding it. HB 2307, an emergency measure to address placement of dangerous, incompetent, non-restorable defendants, was heavily debated and amended to use up to three beds at the Arizona State Hospital forensic campus temporarily, create a study committee, and sunset after five years; counties and DHS disagreed over whether counties should bear any costs, and the bill passed 4-3 as amended. Finally, HB 2584, which prohibits public funds from being used for genetic sequencing equipment or services tied to foreign adversaries, passed 4-3 after a sponsor and a national security witness argued it would protect genomic data from hostile foreign control. The committee then adjourned.

Transcript Highlights:

• The doctor says, okay, here's this treatment that we can do.
• Now the insurance company wants to deny the treatment.
• That allows, theoretically and in most cases, the worker to get treatment quickly and also allows the
• goes on and as more diagnostic... ...of the injury develops as treatment goes on, as more diagnostic
• We want to support those workers while they get their treatment and then allow them to return back to

Bills: HB875 , HB1667 , HB2369 , HB3844 , HB4415 , HB4479 , HB4483 , HB4676 , HB5118 , HB5400 , HB5545

Committee: House S/C on Workforce

Summary: The subcommittee heard testimony on a broad agenda of workforce, labor, and workers’ compensation bills. HB 4676 would require political subdivision workers’ compensation networks to follow the same notice, access, and complaint rules as certified TDI networks; supporters said public employees and first responders deserve equal access to care, while municipal risk pool representatives opposed added regulation and said existing 504 networks already perform well. HB 4479 would create a rural workforce development grant program at TWC to support college-and-career readiness and local workforce alignment, and HB 3844 would define “opportunity youth” in state law to improve data, coordination, and access to services for disconnected young Texans; both drew strong support from rural, education, and chamber witnesses. HB 5545 would clarify federal tax treatment for wage-replacement benefits in non-subscriber injury benefit plans, with proponents calling it a win for employers and injured workers. HB 5118 would direct TWC and DIR to study AI and automated employment decision tools in hiring, including bias and oversight concerns. HB 1667 would move existing PTSD workers’ compensation language into a broader Labor Code chapter so more first responders, including state and campus officers, could qualify for benefits; supporters called it a technical fix to extend coverage more evenly across agencies. The committee also heard several first-responder and workers’ compensation bills. HB 2369 would speed up claims handling for injured first responders by allowing a single medical evaluation, giving carriers 60 days to accept or deny a claim, and letting workers seek treatment while disputes proceed; law enforcement supporters said it would help injured officers return to work faster, while opponents warned it would revive extent-of-injury waiver problems and increase litigation. HB 4483 would reclassify certain workers’ compensation maintenance taxes as surcharges to reduce retaliatory taxes imposed by other states on Texas-domiciled carriers, and HB 875, as revised by committee substitute, would create a small-project exception to municipal workers’ compensation and bonding requirements for certain low-value construction contracts in small cities; both were presented as cost-saving measures for Texas employers and local governments. HB 4415 would extend anti-retaliation protections for workers’ compensation claimants from first responders to all public employees and expressly waive sovereign immunity for those claims, with supporters describing it as closing a loophole that leaves public workers without the same remedy available in the private sector. The committee also took testimony on HB 5400, which would expand remedies for sexual harassment victims by removing the requirement to first file an administrative charge, extending the filing deadline from 300 days to two years, clarifying retaliation, and eliminating current damages caps. Supporters, including employment lawyers and a parent of a victim, said the current deadlines and caps prevent many survivors from obtaining counsel or full relief, especially younger workers and those in small workplaces or franchises. Across the agenda, witnesses repeatedly emphasized access to care, fair treatment for injured workers, rural workforce development, and stronger protections for vulnerable employees. After each bill was laid out and testimony heard, the chair generally closed the public hearing and left the bill pending; no final votes were taken, and the subcommittee adjourned after completing the agenda.

Transcript Highlights:

• Requires regular treatment plan reviews and standardized use of the DLA-20 assessment tool across child
• It also includes short-term residential treatment, requires regular reviews to assess the need for more
• It also includes short-term residential treatment.
• It requires regular reviews to assess the need for more short-term residential treatment facilities,
• or residential treatment for a developmental disability, the court refers the child.

Committee: Senate Fiscal Policy

Summary: The Committee on Fiscal Policy met and considered a wide range of bills, including early learning and special needs funding (SB 1102), Israel bond investment authority (SB 1674), Parkinson’s disease research at USF (SB 1800), mental health and substance use disorder reforms (SB 1620), veterans nursing home beds (SB 788), securities regulation updates (SB 988), labor pool regulation (SB 1672), Alzheimer’s awareness (SB 398), educator preparation (SB 1590), student mental health reporting (SB 1310), specialty license plates (SB 824), financial institutions and IOTA-related issues (SB 1612), transportation facility designations (SB 1408), utility worker protections (SB 1386), DNA testing grants (SB 1072), the Council on the Social Status of Black Men and Boys (SB 364), housing support for former foster youth and homeless students (SB 584), sex offender registration changes (SB 1654), migrant vessel disposal (SB 830), commuter rail indemnification (SB 916), juvenile justice revisions (SB 1344), aggravating factors in capital cases (SB 984), and a criminal offender substance abuse pilot program (SB 1140). Most bills were explained by sponsors, often with supportive testimony from affected agencies, advocacy groups, or industry representatives, and several were amended before final action. The committee adopted amendments on many measures, including clarifications and effective-date changes for SB 1102; technical changes to SB 1620 implementing mental health commission recommendations; a delete-all amendment for SB 1620; an amendment to SB 988; a consumer-disclosure amendment on SB 1612; and multiple amendments to SB 1408, SB 364, SB 584, SB 1654, and SB 1344. SB 1672 on the Labor Pool Act drew extensive public testimony in opposition from worker advocates, who argued repeal would weaken protections for temp workers and formerly incarcerated workers, and the bill was temporarily postponed to a later meeting without a vote. Several bills received notable testimony in support, including SB 584, where former foster youth described housing instability and the importance of campus housing and federal voucher coordination; SB 1386, which was backed by utility and industry groups seeking stronger penalties for assaults on utility workers; and SB 984, which drew opposition from the Florida Conference of Catholic Bishops over expansion of death penalty aggravators. The committee also heard support and opposition on SB 1612 regarding IOTA interest rates and legal aid funding, with bankers and civil legal aid representatives disputing the proper rate structure and whether the bill conflicted with Florida Bar rules. At the end of the meeting, the committee reported all voted-on bills favorably, including SB 1102, SB 1674, SB 1800, SB 1620, SB 788, SB 988, SB 398, SB 1590, SB 1310, SB 824, SB 1612, SB 1408, SB 1386, SB 1072, SB 364, SB 584, SB 1654, SB 830, SB 916, SB 1344, SB 984, and SB 1140. Members also requested to be recorded on various bills, and the committee adjourned after noting one remaining meeting would be lengthy.

Transcript Highlights:

• care practitioners to perform stem cell therapies for certain medical issues, provided that the treatment
• providers to provide patients with an informed consent written notice prior to performing such treatments
• Additionally, the bill requires medical marijuana treatment centers to report theft, loss, and diversion
• It says deleting the requirements that all officers and board members of medical marijuana treatment
• It says deleting the requirements that all officers and board members of medical marijuana treatment

Committee: Senate Health Policy

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• Development Award Program, or the IDEA Program, allowing institutions to bring life-saving cures and treatments
• This research has led to new treatments and prescription drugs that have significantly improved the lives
• This committee released the report that found that the average price of new treatments that NIH scientists
• Sick kids wouldn't get the treatment. Trials shut down.
• especially treatments for... something like cancer which can be very time-sensitive.

Committee: Senate Health, Education, Labor, and Pensions Committee

Keywords: NIH funding, healthcare research, chronic diseases, scientific integrity, public trust, pandemic response

Summary: The meeting of the committee focused on various healthcare and scientific issues, with significant discussions surrounding the impact of recent administrative actions on the National Institutes of Health (NIH) and its research agenda. Senators expressed concerns over funding cuts and personnel reductions, particularly the reported termination of over 1,200 NIH staff members, which could jeopardize ongoing and future research projects. The session included testimonies on the importance of supporting early-stage researchers and restoring public trust in scientific institutions following pandemic-related controversies. Additionally, the potential for future healthcare management based on diverse scientific ideas was emphasized as crucial to tackle chronic diseases effectively.

Transcript Highlights:

• Parents strongly opposed to unevanced treatment of gender-confused kids.
• Parents strongly opposed to unevanced treatment of gender-confused kids.
• . fork as opposed to beginning to give me treatment.
• So, number one, there's a difference in treatment.
• We have a difference in philosophic approach to the treatment of gender dysphoria, particularly with

Committee: Senate Judiciary

Summary: The committee heard SB 934 by Senator Wiener, which would extend the statute of limitations for malpractice claims arising from conversion therapy and clarify how expert testimony and scientific evidence may be used in those cases. Supporters, including a survivor, a licensed therapist, and LGBTQ advocacy groups, described conversion therapy as harmful and argued survivors often cannot come forward within current filing deadlines. Opponents, including civil justice and conservative legal groups, argued the bill was a workaround to recent Supreme Court rulings and raised concerns about free speech, evidentiary standards, and whether the bill could chill legitimate therapy. Committee members largely focused on whether the bill was limited to conversion therapy malpractice claims and not broader gender-affirming care; the bill was moved on a 7-2-1 vote to Senate Appropriations and placed on call. The consent calendar was also adopted on a 6-0 vote and placed on call. The committee then heard SB 1092 by Senator Allen, a housing bill aimed at manufactured home parks. The bill would give residents or their designated representatives a right to make a competitive bid when a park owner intends to sell, lease, or transfer a park, with notice and response periods intended to give residents time to organize financing. Supporters said the measure would preserve naturally occurring affordable housing, especially for older and lower-income residents, and help resident-owned cooperatives or nonprofits buy parks before investor buyers do. Opponents from park owner and realtor groups argued the bill would burden private property rights, devalue parks, and create unconstitutional takings and litigation risk. Committee questions centered on the bill’s timelines, whether residents would have 120 days to express interest and another 120 days to close, and whether the purchase agreement would be binding if accepted. The author and supporters said the second period was needed for due diligence and financing, while opponents said the structure could still delay sales and reduce market value. Several members expressed support for the bill’s goal but asked for further clarification or possible tightening of the timing and good-faith provisions; no final vote on SB 1092 was taken in the portion provided.

Transcript Highlights:

• <00:58:44.960><c> for</c><00:58:45.280><c> breast</c> treatment for breast treatment for breast cancer
• </c> had to be no other treatment. had to be no other treatment.
• Other disasters that may befall us, we need not just transportation but treatment issues.
• Uh and I think it's treatment issues.
• So it will have a variety of treatments.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• Senators, if you remember, uh, was the phone call conversation and the people that are in care and treatment
• and so with that I'm care and treatment and so with that I'm very<00:02:21.720><c> honored</c><00:02
• </c> uh for direct care and treatment uh for direct care and treatment facilities<00:03:00.080><c> there
• so I think this absolutely the treatment so I think this absolutely the right<00:05:12.680><c> thing
• Currently in direct care and treatment facilities, they already do have electronic messaging and video

Committees: Senate Health and Human Services , Senate Human Services

Transcript Highlights:

• The treatment her family received in assisted living shocked me.
• 01:15:02.080><c> and</c><01:15:02.320><c> mental</c> treatment for substance use and mental treatment
• The gap is particularly treatment is.
• We are not treatment center is located.
• </c><01:20:22.880><c> an</c> Treatment Center also provides an Treatment Center also provides an additional

Bills: HF2216 , HF1978 , HF2354 , HF1963 , HF1994 , HF1995 , HF1894

Committee: House Human Services Finance and Policy

Transcript Highlights:

• [snorts] That's just an treatment.
• or substance abuse treatment?
• or substance abuse treatment?
• </c><02:28:11.760><c> so</c> year 10 they complete the treatment so year 10 they complete the treatment
• :24.720><c> two</c><02:28:24.880><c> years</c> offender treatment itself is two years offender treatment

Bills: HB1531

Committee: House Public Safety

Summary: The committee heard testimony on House Bill 1913, which would create a mental health coordinator position within the Office of Veteran Services for the Daniel K. Akaka State Veterans Home and appropriate funds for it. Supporters said veterans, especially on the neighbor islands, need more mental health access and coordination. Several witnesses, including Sean Sonatada and Tom Driscoll, supported the intent but urged amendments to broaden the position beyond one facility and make it a statewide resource. Committee members questioned whether the bill would duplicate existing services at the veterans home and whether the position would be reimbursable through federal VA funding; testimony indicated the state would appropriate the money, while existing home services are already covered through current staff and federal reimbursement structures. The committee also heard testimony on House Bill 9, which would designate Hawaii as a Purple Heart state. Testifiers generally supported the measure as a way to honor wounded veterans and their families, though one member asked what benefits the designation would confer. Witnesses clarified that the bill was mainly symbolic and did not appear to create new benefits, and one testifier noted Honolulu County had already adopted a similar Purple Heart designation. The committee then took up House Bill 1628, which would establish a compassionate release protocol for certain seriously ill or debilitated incarcerated persons. The Department of Corrections and Rehabilitation and the Hawaii Paroling Authority opposed the bill, arguing that an existing administrative process already works, that the bill could improperly extend eligibility to people serving life without parole or mandatory minimum sentences, and that it lacked victim and family input and sufficient resources. In contrast, the Hawaii Correctional System Oversight Commission strongly supported the bill, saying it would reduce the high cost of incarcerating people with complex medical needs, ease burdens on staff and the prison population, and better reflect human dignity. The commission described having seen severe suffering and deaths in custody and said compassionate release is warranted in some cases. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• This bill would again differentiate between ordered treatment and restraint usage.
• This bill would again differentiate between ordered treatment and restraint usage.
• This bill would again differentiate between ordered treatment and restraint usage.
• This bill would again differentiate between ordered treatment and restraint usage.
• Is that what ... differentiate between ordered treatment differentiate between ordered treatment and<

Bills: HF4210 , HF4212 , HF4549 , HF4464 , HF4546 , HF4447

Committee: House Human Services Finance and Policy

Transcript Highlights:

• That would mean less access to vital treatments. It would mean less access to care in general.
• That would mean less access to vital treatments. It would mean less access to care in general.
• That would mean less access to vital treatments. It would mean less access to care in general.
• That would mean less access to vital treatments. It would mean less access to care in general.
• That would mean less access to vital treatments. It would mean less access to care in general.

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Development, AB 2423 by Goodwin relating to the exemption for the definition of abortion for the treatment
• records and files for public safety employees who successfully complete a public safety employee treatment
• HB 2538 by Kane, blending the chemical castration treatment as a condition of parole for certain releases
• HB 2557 by Jones of Dallas relating to prior authorization of prescription drug benefits related treatment
• for the suspension of an enforcement action against the regional water supply. sewer, wastewater treatment

Transcript Highlights:

• Targeting library boards creates unequal treatment and sets a troubling precedent.
• </c> treatment. Sets a troubling precedent. treatment. Sets a troubling precedent.
• [laughter] If we had put a treatment system and used that money in Tennessee and did a treatment facility
• If we had put a treatment system and used that money in Tennessee and did a treatment facility, we'd
• </c> in Tennessee and did a treatment in Tennessee and did a treatment facility,<00:55:09.920><c> we'd

Committee: House County and Municipal Government