Transcript Highlights:

• This can look like a lot of things with SNAP reform.
• This can look like a lot of things with SNAP reform.
• This can look like a lot of things with SNAP reform.
• This can look like a lot of things with SNAP reform.
• </c><01:03:06.480><c> You</c> lot of things with SNAP reform. You lot of things with SNAP reform.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:01:00 Approval of Minutes 00:02:31 Kentucky Farm Bureau 00:02:42 Kentucky Department of Agriculture 00:28:18 Kentucky Cattlemen's Association 01:48:13, 958, all

Summary: The committee heard first from Kentucky Farm Bureau leaders, who outlined the organization’s current priorities and recent work on farmland transition. Eddie Melton said Farm Bureau is working through 983 county and advisory committee resolutions and highlighted support for the updated selling farmer tax credit, now law through House Bill 775, as well as Senate Bill 28’s agriculture economic development provisions. He said Farm Bureau’s likely priorities include maintaining the 50% share of the tobacco settlement fund for agriculture, protecting funding for the Kentucky Department of Agriculture, preserving sales tax exemptions on farm inputs, keeping property taxes controlled, and exploring additional tools to keep farmland in active farmers’ hands, including possible loan or inheritance-tax changes. He also raised concerns about eminent domain transparency, nuisance deer permits, and access to agricultural inputs and crop protection products. Alita Bots described the farmland transition initiative in more detail, saying the revised state tax credit is generating strong interest and that a new federal tax provision now allows eligible land sales to actively engaged farmers to spread capital gains taxes over time. She said the initiative has reached 22 counties and more than 1,300 people this year through outreach and meetings, and that Farm Bureau is pairing policy work with resources to help farm families plan transitions and prepare wills and other estate documents. Drew Graham added that the effort is also meant to bridge the rural-urban divide and support rural communities, and Farm Bureau invited members to its annual meeting in early December. Members asked about rising insurance costs and deer damage. Farm Bureau representatives said severe convective storms, inflation, and higher repair and material costs have driven insurance rate increases, citing five major storm events since 2021 and a recent Owensboro hailstorm that caused about $350 million in losses; they said the company is moving toward percentage deductibles to help moderate increases. On deer, they said crop-loss totals are hard to quantify but acknowledged the problem and discussed possible coordination with the Department of Fish and Wildlife and Hunters for the Hungry. Commissioner Jonathan Shell then began the Department of Agriculture presentation, reporting gains from the department’s school agriculture outreach program, including a 23% increase in county participation between March and September and improved teacher-reported student learning, before continuing into the department’s legislative priorities.

Transcript Highlights:

• Let's get serious about immigration reform.
• Let's get serious about immigration reform.
• Let's get serious about immigration reform.
• Republican Medicaid work, are at risk.
• Medicaid funds disabilities they serve.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, September 11, 2025, 1012, house, all

Transcript Highlights:

• Engrossed Senate Bill 5142 relates to Medicaid network adequacy requirements for post-acute care services
• providing availability in a regional service area, timeliness of care, and compliance with federal Medicaid
• The goal of this bill is to expand Medicaid and really access to predictable and timely post-acute care
• The goal this bill is to expand Medicaid and Raleigh access to predictable and timely The goal this bill
• is to expand Medicaid and Raleigh access to predictable and timely post-acute care, post-acute rehab

Summary: The Health Care and Wellness Committee met on February 10 at 8:30 a.m. and heard two bills. On Engrossed Second Substitute Senate Bill 5594, staff explained that the bill would expand state policy on biosimilars by allowing health carriers to require patients to try a biosimilar before covering the equivalent brand drug starting in 2027, directing exchange plans to increase biosimilar utilization, and changing pharmacist substitution rules so substitution is generally allowed unless the prescriber says not to substitute. The prime sponsor, Sen. Harris, said the bill would lower costs and noted many other states already allow similar substitution. Supporters from health plans and generic/biosimilar manufacturers said biosimilars are safe, effective, and can save consumers and the system money, while a patient advocate raised concerns that the bill may not guarantee lower out-of-pocket costs at the pharmacy counter and suggested preferred formulary placement as a fix. AAM supported the bill with a technical amendment to place biosimilars in the same section as generics and interchangeable products, and the hearing on the bill was closed with no vote taken. The committee also heard Engrossed Senate Bill 5142 on Medicaid network adequacy for post-acute care. Staff said the bill would require the Health Care Authority to adopt network adequacy standards for nursing homes and inpatient rehabilitation facilities, considering community access, regional availability, timeliness, and federal Medicaid rules, with standards due by January 1, 2028 and implementation by July 1, 2028. Sen. Muzzall described it as a follow-up to last year’s bill that would create a pre-approved pathway for patients who are difficult to discharge because continuing care is hard to secure. Testimony from hospital and health system representatives strongly supported the bill, saying patients often remain in hospitals longer than medically necessary because of delays in finding skilled nursing or rehab placements and because single-case agreements are time-consuming and unpredictable, especially in rural areas. Public testimony on SB 5142 was then closed, and the meeting adjourned without any recorded votes or other action.

Transcript Highlights:

• During the public health pandemic, we saw Medicaid rolls grow.
• And so now we're back to treating the sickest of the sick on Medicaid.
• We were the last state in the country to create a Medicaid program.
• That does four main things to our Medicaid program.
• We ask about 19 million questions today of folks on Medicaid.

Keywords: 1182, all

Summary: The committee met to review the governor’s fiscal 2027 budget presentation, with the chair repeatedly asking members to keep questions brief and avoid speeches. The discussion focused first on the overall revenue and spending outlook, including concerns from members that the executive forecast was more optimistic than the JLBC baseline and that the budget appeared to front-load revenue and expenditure growth. The governor’s budget team said the forecast was close to JLBC’s, that the budget was structurally balanced, and that differences were roughly $100 million per year on ongoing revenue. Members asked for follow-up calculations in writing, including the total multi-year gap and the amount of revenue enhancements above base revenues. A major portion of the meeting centered on tax and fee proposals tied to data centers, water use, and sports betting. The governor’s team defended eliminating the existing data center tax incentive as the removal of a loophole rather than a new tax, arguing the incentive had already succeeded in attracting major investment. They also described a proposed Department of Water Resources fee-setting authority for data centers to support a new Colorado River Protection Fund, and said the proposal would apply to existing and future facilities without a grandfather clause. Members raised concerns about fairness, competitiveness, and whether the changes would require a supermajority vote. The team also discussed increased sports betting fees, saying the revenue forecast did not include dynamic behavioral effects. The committee then moved through major spending areas, including corrections, public safety, border security, cybersecurity, K-12 education, Medicaid, and developmental disabilities. The governor’s budget includes ongoing funding to prevent correctional officer pay cuts, money to comply with prison health care court orders, probation funding, body-worn cameras, law enforcement staffing, fentanyl task forces, and cyber readiness grants. Members questioned the lack of funding for a prison oversight committee and asked for corrections spending totals over the administration. On border security, the executive said it was seeking about $759.7 million in federal reimbursement for border-related costs and that the governor had met with federal officials, including Secretary Noem and Tom Homan, about the request. In education, the budget proposes renewing Prop. 123, adding K-12 base funding, and issuing $1.5 billion in school facilities bonds over three years; members debated whether the proposal was appropriate and whether Prop. 123 revenues could support the debt service. The meeting also covered AHCCCS cost growth and federal HR1 impacts, with the executive warning of major coverage losses and hospital funding reductions, and DDD funding, where the governor’s team said the budget fully funds services and includes about $120 million in supplemental needs. No votes were taken; the meeting was a presentation and question-and-answer session only.

Transcript Highlights:

• And that's true, for example, in Medicaid funding.
• And that's true, for example, in Medicaid funding.
• Can you do a little deeper dive on issues of Medicare and Medicaid?
• Can you do a little deeper dive on issues of Medicare and Medicaid?
• So. computing skills to look at criminal justice reform.

Summary: The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students. Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines. A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.

Transcript Highlights:

• your amazing work in the greater Houston area fighting for my environmental justice criminal justice reform
• Relating to a prohibition or conducting an ex parte renewal of a recipient's Medicaid eligibility refer
• Williamson Medicaid reimbursement for certain costs incurred by a chronically ill Medicaid recipient
• HB 2938 by Gonzalo Silva-Paso, relating to the- and care services under Medicaid and program administered
• 131 by Simmons proposing a constitution amendment requiring the state to expand eligibility for Medicaid

Keywords: 1184, house, all

Transcript Highlights:

• ><c> local</c><00:15:44.360><c> jurisdictions,</c> Reform Act helps local jurisdictions, Reform Act helps
• Every Medicaid by billions of dollars.
• Medicaid Medicaid uh<03:20:52.399><c> have</c><03:20:52.640><c> some</c><03:20:52.880><c> cuts</c><03
• ><c> bring</c> policy reforms that bring policy reforms that bring accountability,<04:08:36.960><c> that
• But the correct use of policy reforms.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, April 10, 2025, 1012, house, all

Transcript Highlights:

• So this bill, I like to call the Medicaid employer ambush.
• are different than Medicaid standards for adults.
• It's the family that relies on Medicaid, that chooses to be on Medicaid, that is now without a job.
• and Medicaid in the state of New Jersey.
• That's who's cutting Medicaid. It's the state of New Jersey.

Keywords: 1146, all

Transcript Highlights:

• So during the one big beautiful bill, there was a number of Medicaid reforms that were put into that,
• saving over a trillion dollars over time for the Medicaid population.
• Idaho helped lead many of the reforms Washington is now implementing nationwide.
• Those reforms focus on accountability and protecting taxpayers.
• Those reforms focus on accountability and protecting taxpayers.

Keywords: 989, all

Transcript Highlights:

• Medicaid. Medicaid.
• They know the need for this common-sense reform.
• They know the need for this common-sense reform.
• </c> the need for this common sense reform. the need for this common sense reform.
• But the reformers on both sides of the aisle, reformers on both sides of the aisle, including<04:05:06.479

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, July 22, 2026, 1012, house, all

Transcript Highlights:

• At other times you're doing vice versa when it comes to a lot of the Medicaid-Medicare issues.
• Where do Medicaid come from? The federal government.
• But then the people voted for it, 61% voted for Medicaid expansion. It's got to be funded.
• We talked about education reform.
• About education reform, and the Idaho Supreme Court gave him a reason to smile yesterday.

Summary: The Idaho House convened with a quorum, approved the House Journal, and received committee reports printing House Bills 593-599 and advancing several bills, including HB 544, HB 540, HB 541, HB 569, SB 1222, and SJM 108. The House also introduced and referred new bills HB 600-605, covering public records, collective bargaining and taxpayer funding of unions, foreign laws, Capitol Mall/camping and state property management, sex offender registration, and tax subtractions for tips and overtime. Several other measures were moved to second reading, and the chamber briefly went at ease while waiting on Appropriations. The main floor debate centered on House Concurrent Resolution 25, a call under Article V for a balanced budget amendment. Supporters argued the federal debt is unsustainable, that Idaho already balances its budget, and that a convention threat is needed to force Congress to act. Opponents warned a constitutional convention could become a runaway process, create opportunities for lobbying and corruption, and even alter the ratification rules; some also argued the real problem is the monetary system and federal spending incentives, not just the absence of a balanced budget amendment. Members cited historical precedent, Article V, and concerns about delegate selection and sideboards throughout the debate. After extensive debate, the House passed HCR 25 by a vote of 36 ayes to 34 nays, with the title approved and the resolution sent to the Senate. The House then held remaining third-reading bills in place until Monday, heard several personal privilege announcements and committee schedule notices, and adjourned until 11 a.m. Monday, February 9, 2026.

Transcript Highlights:

• So whether or not we need to call for... none of our Medicaid patients that you're, that Highmark is
• Okay, so we're only talking about... then we're not talking about Medicaid patients?
• Medicaid, I believe, would fall under this, but Highmark does have Medicaid, and we can provide that
• The product has the endorsement of members of the auto insurance reform task force.
• This legislation builds upon the work of the auto insurance reform task force and its continued attempts

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• And since then, we've had historic tax reform and tax cuts for individual taxpayers in particular.
• And since then, we've had historic<01:21:32.320><c> tax</c><01:21:32.719><c> reform</c><01:21:33.280>
• and</c><01:21:33.679><c> tax</c><01:21:34.080><c> cuts</c><01:21:35.040><c> for</c> historic tax reform
• and tax cuts for historic tax reform and tax cuts for individual<01:21:36.560><c> taxpayers</c><01:21
• House Bill 488, Representative Gordon, an act relating to the Medicaid home and community-based waiver

Keywords: Convene 00:00:00 Senate Message 00:04:59 Orders of the Day 00:06:19 Recess 00:06:38 Reconvene 01:11:12 HB 306 01:11:42 HB 34 01:14:19 Motions, Petitions, and Communications 01:16:25 Rep. Petrie Statements on Budget 01:16:42 Motions, Petitions, and Communications continued 01:23:50 Introduction of New Bills and Resolutions 01:36:28 Recess for ConC and Rules Meeting 01:38:52 ConC/Rules Report 01:45:18 Floor Amendments 01:46:21 Adjournment 01:46:32, 958, all

Transcript Highlights:

• This is a um almost decadel long reform of regulatory structures for mental health services started back
• effort and this session the governor is bringing forward what we call our second phase of this uh reform
• :54.640><c> structures</c><00:03:55.040><c> for</c> reform of regulatory structures for reform of regulatory
• </c><00:04:53.040><c> effort</c> to a broader uh a broader reform effort to a broader uh a broader reform
• This is relating to consumer protection, specifically Medicaid fraud. distributed.

Keywords: 1187, senate, all

Transcript Highlights:

• is to address projected deficit in State Employee Health Insurance Trust Fund, and it proposed key reforms
• DEFICIT&nbsp; IN STATE EMPLOYEE HEALTH INSURANCE TRUST FUND&nbsp;&nbsp; 189 AND IT PROPOSED TO KEY REFORMS
• will do a prior authorization, which is key in the case of all insurance companies, even inside the Medicaid
• The reason we can get drugs more cheaply in Medicaid is because of the formulary, and there are exceptions
• &nbsp; 486 THE REASON WE CAN GET DRUGS MORE&nbsp; CHEAPLY IN MEDICAID IS BECAUSE OF&nbsp;&nbsp; 487 THE

Summary: The State Administration Budget Subcommittee met to consider four conforming committee bills tied to the proposed 2026-27 House General Appropriations Act. Rep. Maggard presented PCB SAB 26-04, the annual retirement bill, which updates Florida Retirement System contribution rates based on the annual actuarial study and was said to produce a $31.7 million state savings. He also presented PCB SAB 26-02, which addresses collective bargaining impasses for state employees by tying resolution to spending decisions in the appropriations act or implementing legislation. Both bills drew brief questions, mainly from Rep. Gantt, and both passed favorably on roll call. Rep. Miller presented PCB SAB 26-03, which reorganizes state audit functions and creates the Florida Accountability Office, consolidating legislative audit work into four divisions and adding whistleblower protections and reporting requirements. Rep. Gantt asked whether the bill changed the use of outside auditors and whether it had a fiscal impact; Miller said the work would be absorbed within existing resources and that the Legislature would retain responsibility. A taxpayer witness supported the bill and urged stronger local-government audit standards and broader whistleblower coverage. The bill passed favorably. Rep. Abbott presented PCB SAB 26-01, a broader appropriations conforming bill focused on the State Employee Health Insurance Trust Fund, prescription drug formulary changes, a health insurance assessment on agencies and vacant positions, the $3 traffic violation surcharge for the State Law Enforcement Radio System, Capitol complex space management, and changes to the Office of Supplier Diversity. Much of the discussion centered on whether a closed formulary would make medications harder to obtain, with Abbott saying prior authorization would still allow access and that the change was needed to control costs and protect the trust fund. Rep. Gantt and Rep. Robinson raised concerns about employee health benefits and the repeal of supplier diversity provisions, arguing the committee lacked data on the impact to minority- and women-owned businesses; Abbott said the changes would still allow small businesses to compete and that the bill was intended to save money and modernize procurement. PCB SAB 26-01 also passed favorably, and the meeting adjourned after all agenda items were reported out.

Transcript Highlights:

• On behalf of Texans for lawsuit reform registered for the bill, is that correct? That's correct.
• The goal of all tort reform bills that just a little bit closer to you a little closer, I thought it
• The goal of all tort reform bills has been to guarantee fairness and efficiency in the civil justice
• It's as important of a tort reform bill as we've seen in Texas since 2003, and TLR is firmly committed
• If the bills are paid by insurance, Medicare, Medicaid, that comes in because that was paid.

Transcript Highlights:

• When clients qualify for Medicaid long-term services and supports, DSHS case managers assess clients'
• care needs and authorize the number of hours of care that Medicaid will pay for.
• We analyzed Medicaid data comparing the records for these authorized hours with actual hours used.
• We analyzed Medicaid data comparing the records for these authorized hours with actual hours used.
• So we focused on that reform, on the potential to move away from the Prometric contract. Thank you.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• I don't know systems reform the way these folks do.
• Bail reform went in.
• Also, police training reform. I'm, I'm committed to moving forward on police training reform.
• also getting back to DOC, uh, probation reform, there was a, a baby probation bill, probation reform
• I agree with juvenile justice reform.

Bills: HB1160, HB1289, HB1339, HB1798, HB1065, HB1795, HB2113, HB2124, HB2125, HB2134, HB2140, HB2185, HB2191, HB2205, HB2211, HB2219, HB2245, HB2253, HB2283, HB2343, HB2406, HB2501, HB2574, HB1170, HB1544, HB1834, HB2156, HB2188, HB2206, HB2471, HB2478, HB2605, HJM4012, HB1104, HB1152, HB1254, HB1443, HB1903, HB1941, HB1982, HB2006, HB2034, HB2105, HB2179, HB2203, HB2297, HB2303, HB2322, HB2329, HB2345, HB2350, HB2379, HB2388, HB2399, HB2418, HB2462, HB2464, HB2495, HB2539, HB2544, HB2551, HB2554, HB2588, HB2636, HB1128, HB1408, HB1570, HB1742, HB1823, HB2089, HB2104, HB2114, HB2172, HB2192, HB2207, HB2251, HB2262, HB2266, HB2294, HB2298, HB2319, HB2320, HB2323, HB2351, HB2354, HB2374, HB2401, HB2405, HB2429, HB2431, HB2442, HB2451, HB2479, HB2496, HB2515, HB2523, HB2540, HB2593, HB2632, HB2661, HB1496, HB1898, HB2095, HB2157, HB2225, HB2274, HB2311, HB2325, HB2333, HB2476, HB2508, HB2552

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House convened with a quorum, recited the Pledge of Allegiance, heard a prayer, and received a Senate message that the Senate had passed second substitute Senate Bill 5061. The chamber then moved through second- and third-reading action on several bills, with debate centered on salmon treaty history, cannabis cooperative rules, inmate commissary and legal financial obligations, collective bargaining protections, and school restraint/isolation policy. Members also took up a bill to adjust Paid Family and Medical Leave funding to address a projected $30 million tax liability, and later reconsidered one education bill after initial passage. House Bill 2554, dealing with repeal of RCW 77.110 and salmon-related history and tribal treaty issues, saw a proposed striking amendment from Representative Walsh that was rejected on a voice vote. The bill then passed 64-28. Engrossed House Bill 1941, authorizing cannabis producer cooperatives, adopted an amendment limiting any one entity to 30% market share in a co-op; a second amendment adding guardrails was rejected. The bill passed 66-27. Substitute House Bill 2539, raising the indigency commissary threshold from $25 to $100 for incarcerated people, passed 57-36 after debate over inmate needs versus victim and child-support concerns. Engrossed Substitute House Bill 2471, a trigger bill creating state collective bargaining protections if the federal NLRB is weakened, adopted an amendment clarifying agricultural coverage and then passed 58-35. The most extensive debate was on Engrossed Substitute House Bill 1795, which would phase out isolation and restrict certain restraint practices in schools. Members adopted amendments adding professional development intent language, expanding reporting to authorized entities and out-of-state placements, and clarifying positive behavior intervention planning; several other amendments on parental consent, property damage, and isolation-room definitions were rejected. Supporters emphasized student safety, trauma reduction, and de-escalation, while opponents argued the bill removed useful tools from educators and was premature without broader training. The bill initially passed 58-36, then the House reconsidered it and passed it again 57-37. Second Substitute House Bill 2345, which reallocated Paid Family and Medical Leave premium shares to avoid a $30 million tax cost, passed unanimously 94-0. The House then recessed for caucus after placing additional bills on the second-reading calendar.

Transcript Highlights:

• </c> discussing the Medicaid waivers. discussing the Medicaid waivers.
• the Department of Medicaid Services. the Department of Medicaid Services.
• </c> Kentucky Medicaid. Kentucky Medicaid. &gt;&gt; Thank<00:02:45.280><c> you.
• </c> administer the Medicaid program. administer the Medicaid program.
• </c> in the Medicaid program. in the Medicaid program.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.