Transcript Highlights:

• , including maternal psychiatric disorders during pregnancy and postpartum.
• And the various conditions that this would include are bipolar disorders, depression in childhood and
• disorders, schizophrenic disorders, and a whole variety in that range.
• years: hyperlipidemia, hypertension, anticoagulation management, nicotine dependence, opioid use disorder
• The end of her opening: heart failure, coronary heart disease, and cardiac rhythm disorders—that's not

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• Do they have a substance abuse or mental health disorder that is causing them to recycle through the
• And it does not cause ill side effects, but they can per se issues for alcohol disorders.
• So you'll see 59% or if you would use disorder around 29% or alcohol use disorder and then about 13%
• and also with mental health disorders as well.
• We are very grateful to be living in a time in which substance use disorder.

Keywords: 999, senate, all

Transcript Highlights:

• MAT is an effective use of… is an effective treatment for treating substance use and alcohol use disorder
• for individuals who have opioid use disorder.
• And if you look at the chart on the left-hand side, you'll see that opioid use disorder is the second
• Do we have any programs for medically assisted alcohol use disorder? Alcohol use disorder.
• But in there, they do talk about alcohol use disorder.

Transcript Highlights:

• Other topics we had covered were autism and health-related social needs.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• designation that reflects what we call invisible disabilities or invisible medical disabilities, such as autism

Bills: HB66, HB79, HB95, HB145, HB66, HB79, HB95, HB145

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, HVAC, air conditioning, heating, ventilation, warranty transfer, manufacturer warranty, consumer protection, home sale, residential real property, real estate

Transcript Highlights:

• billion acquisition of RF radio spectrum billion acquisition of RF radio spectrum same<00:21:59.600
• , uh, radio spectrum, which is exactly what I do, right?
• So you can use that spectrum for 700 or for cellular devices as well.
• So that that spectrum is radio.
• So you can use that that spectrum Okay.

Keywords: Call to Order and Roll Call- 00:00:02 Statewide Emergency Response System Monthly Update- 00:02:23 Shock Probation: Administrative Office of the Courts-00:34:28 Shock Probation: Department of Corrections Oversight-01:04:04 Adjournment-01:12:22, 958, all

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.

Transcript Highlights:

• There is not one eating disorders clinician who would ever use these products to treat a young person
• suffering from an eating disorder.
• We actually haven't heard them using them for either older or young people to treat eating disorders.
• a lot of those eating disorders include using these products.
• There is no correlation to eating to diet pills and eating disorders.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• I have a connective tissue disorder, and they held me so hard my joints partially dislocated.
• Chair, colleagues, from talking about seniors to not talking about our youngest ones, it's the spectrum

Keywords: 988, house, all

Transcript Highlights:

• Um, and when it was originally created, it had a very broad spectrum of responsibility.
• Every day we see we serve individuals living with substance abuse disorders, serious mental illness,

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• But when it comes to this issue of substance use disorder disease, let's speak here. Thank you.
• When it comes to this issue of substance use disorder disease, let's be clear, it's still a lot of stigma
• that's like a teaspoon, and this is serious to me because I'm a person that lived with substance use disorder
• are being stripped of their discretion to consider context, like whether someone has substance use disorder
• from educators across the entire state of Florida, regardless of where they fall on the political spectrum

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• The result has been significant consequences regarding public safety, public health, civil disorder,
• The result has been significant consequences regarding public safety, public health, civil disorder,
• at 13% and the number of folks that have a substance use disorder that are unsheltered at 75%.
• Well, that tells me that folks with substance use disorders don't seek shelter.
• illness and addiction oftentimes fail and are producing the kind of street-level destitution and disorder

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• Well, they said she has a mental disorder. Which one?
• No documentation about any specific mental disorder.
• because she had panic disorder.
• Risk of dying because she had panic disorder, post-traumatic stress disorder, and major depressive disorder
• health and substance use disorder access law.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• I gang treats all addictions including opioids, cocaine, meth, alcohol, post-traumatic stress disorder
• It was pertains to substance use disorder. With pertains to substance use disorder.
• stress disorder, and I will<00:15:59.360> use<00:15:59.519> the<00:15:59.680> term<
• addiction and substance use disorder. addiction and substance use disorder.
• <00:49:44.800> area the substance use disorder area the substance use disorder area to<00:

Keywords: 958, all

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

Transcript Highlights:

• Mental Disorders fifth edition. Mental Disorders fifth edition.
• Kentucky criteria for gambling disorder.
• In the presentation disordered gambling.
• information on problem and disordered information on problem and disordered gambling<00:54:36.880
• Best problem and disordered gambling.

Keywords: 958, all

Summary: The committee approved the minutes from its August 21 meeting and then received an update from Kentucky Horse Racing and Gaming Corporation leadership on implementation of Senate Bill 299 and House Bill 566. Jamie Eids and staff described the agency’s new structure after charitable gaming was brought under the corporation, including new divisions, staffing, banking, payroll, insurance, procurement, and reporting systems. They also unveiled the corporation’s new logo and tagline, and said the transition had been designed to avoid interruption for charities, licensees, and racing operations. A major focus was the fee structure required by House Bill 566. Eids outlined current licensing fees across racing, sports wagering, and charitable gaming, compared Kentucky’s fees with other states, and recommended keeping the status quo for one more year because the agency has only recently brought all three components fully in-house. Members asked about whether charitable gaming had harmed veterans’ groups or other nonprofits, whether any revenue should be transferred back to the state, and whether the charitable gaming licenses cover one-off raffles as well as standing operations. Eids said she had not heard complaints, said the licenses include all such activity with some exemptions, and agreed to look at the question of future transfers. The committee then heard from Melissa Combs Wright on pari-mutuel wagering and Hannah Sims on sports wagering. They reported continued growth in historical horse racing, more than $11 billion in total pari-mutuel wagering in fiscal year 2025, over $10.5 billion in HHR wagers, and about $161 million in pari-mutuel tax revenue, with most of that supporting the general fund and horse-breeding development funds. They also said sports wagering has generated nearly $5 billion in wagers since launch, $73 million for the public pension fund, and more than $2 million for problem gambling services, while expanding to 13 retail locations and 92 additional sports events. Members raised concerns about players being cut off after winning, the lack of local government revenue sharing from gaming facilities, and the growth of computer-assisted wagering; the witnesses said they were reviewing CAWs and that Kentucky does not license poker rooms through the corporation.

Transcript Highlights:

• project, known as Project Leo, was originally created in 2016 and operated through the Centers for Autism
• And having worked with the autism community for many, many years, I can tell you this is a very important

Summary: The committee on Higher Education Appropriations heard and favorably reported two bills: SB 1570, which revives the former Project Leo program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices, and CS/SB 1376, which creates a grant program to support genetic counseling education in response to a statewide shortage of genetic counselors. Both bills drew supportive comments, with the genetic counseling bill also receiving public support from a university representative. The committee then took up a large slate of confirmations. It first approved a block of reappointments to various university and college boards of trustees, including institutions such as UWF, Broward College, Chipola College, FIU, Pasco-Hernando, Polk State, St. Petersburg College, Valencia, FAMU, FAU, UCF, FSU, New College, UNF, USF, and Broward College. It then heard from numerous new appointees and some requested reappointments, many of whom emphasized workforce training, nursing, military and veteran support, dual enrollment, and local economic development as priorities for their institutions. Several nominees highlighted their personal ties to the schools and communities they would serve, including appointees to Pensacola State, Polk State, St. Petersburg College, UNF, UWF, FIU, the College of the Florida Keys, Valencia College, and Chipola College. Committee members repeatedly asked about nursing NCLEX pass rates, workforce alignment, and institutional growth. One reappointment, Thomas Zachary Smith to the UWF board, was pulled from the block for separate questioning about his past public comments and his role in Project 2025; he said he would serve in his personal capacity and treat all students equally. The committee also separately heard from a Florida Poly reappointment, I. Shapiro, who was questioned about prior remarks regarding race and Supreme Court nominations, and from a New College reappointment, Mark Bowerlaine, who described campus improvements and enrollment growth. The meeting ended amid ongoing confirmation processing and separate votes on the remaining nominees.

Transcript Highlights:

• health and sub substance use disorder health and sub substance use disorder Services<00:03:47.480
• residential substance use disorder residential substance use disorder Services<00:14:50.160>
• shared with us substant use disorder shared with us substant use disorder recommendation<00:21:00.720
• For me, working on treatment for substance use disorder and mental health disorders is personal.
• For me, working on treatment for substance use disorder and mental health disorders is personal.

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• <00:11:56.120> and treatment of substance use disorders and treatment of substance use disorders
• , and that 80% of people with opioid use disorder were on such medications.
• , and that 80% of people with opioid use disorder were on such medications.
• Community pharmacists are really the frontline providers in the fight against opioid use disorders.
• :20.599> disorder<00:39:21.000> receive<00:39:21.480> any opioid use disorder receive

Keywords: 1191, senate, all

Transcript Highlights:

• <00:06:14.240> And post-traumatic stress disorder. And post-traumatic stress disorder.
• . disorders. disorders.
• Speaker, this is a bill that addresses eating disorders.
• disorders. So it's both factors. disorders. So it's both factors.
• , out of state due to an eating disorder, out of state due to an eating disorder, um<00:10:16.000

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Summary: The House convened, opened with prayer and the Pledge of Allegiance, recorded 95 members present, approved the prior journal, and received notice from the Senate that Senate Bills 1 and 3 had passed and were sent over for concurrence. Committee reports advanced a number of bills on housing, local purchasing, health care credentials, postsecondary education, school bus safety, special license plates, milk transportation, veteran PTSD treatment, and the Kentucky Fire Commission, with several reported with committee substitutes. The chamber then considered House Bill 169 on coverage for feeding or eating disorders. The sponsor explained that the bill addresses insurance coverage decisions tied to body mass index by requiring BMI to be considered alongside another factor, such as depression, anxiety, or family circumstances, and said the committee substitute clarified that one factor alone could not control the decision. The substitute was adopted, and the bill passed 95-0. House Bill 393, which updates the Alzheimer’s and related dementias council, adds a caregiver seat, and requires an annual action project including an early detection toolkit, also passed unanimously, 95-0. House Bill 194, relating to cigar bars, drew the most discussion. The sponsor said the bill does not repeal existing smoke-free ordinances, but creates a narrow exemption for tightly defined cigar bars, with a 25% gross revenue threshold from cigar-related sales, age restrictions, local permitting options, smoke containment requirements, and signage. Members asked about local authority, other tobacco products, and whether the bill could affect smoking bans; supporters emphasized the narrow scope and personal choice, while opponents said their districts’ smoking bans and constituent concerns led them to vote no. The bill passed 69-24. The House then applied the clincher and moved to announcements, including committee schedule notices, a Small Business Day event, receptions, and citations recognizing National School Counseling Week, the KBLC Black History Celebration, and memorializing Brandy Engles.

Transcript Highlights:

• Documented medical evidence has shown that their injuries were caused by a genetic disorder, not abuse
• Ehlers-Danlos Syndrome, a hereditary connective tissue disorder that affects bones, cartilage, blood
• from the 2025 Commission on Mental Health and Substance Use Disorder draft report to improve crisis
• We have Jay Reeve from the State of Florida Commission on Mental Health and Substance Use Disorder.
• I am the chair of the State of Florida's Commission on Mental Health and Substance Use Disorder.

Summary: The Human Services Subcommittee considered three bills and reported all of them favorably. HB 1013, relating to crisis care coordination, would create a pilot program in Polk and Volusia counties to connect people who have had Baker Act-related crises with follow-up counseling, assessments, and outpatient services through partnerships between law enforcement and community providers. The sponsor said the program has reduced repeat Baker Act commitments in Polk County, and the committee adopted a strike-all amendment moving the pilot to a different statute, formalizing partnerships, and requiring an independent DCF evaluation due in January 2029. The bill drew support from mental health and justice advocates and passed unanimously. The committee then heard PCS for HB 511, which addresses child protective investigations involving specific medical diagnoses. Sponsors and several parents, attorneys, and advocates described cases in which children were removed after injuries were initially treated as abuse but later linked to conditions such as Ehlers-Danlos syndrome, metabolic bone disease, or other medical fragility. They argued the bill would require notice of the right to a second medical opinion, better consideration of preexisting conditions and medical records, and more coordination before reports are sent to law enforcement, while still preserving protections for abused children. Members expressed sympathy for the families and emphasized the need for fairness and accurate medical review; the bill passed 17-0. Finally, HB 1439, based on recommendations from the 2025 Commission on Mental Health and Substance Use Disorder, was presented as a broader mental health and substance use disorder measure focused on crisis response, access to care, and workforce development. An amendment aligned the bill more closely with commission recommendations, including assessment tools, trauma-informed practices, school-based behavioral health access, telehealth, discharge planning, and long-acting injectable treatment access. The commission chair testified that the bill reflected a vetted set of recommendations from subject matter experts and commissioners, and the committee adopted the amendment and then reported the bill favorably by unanimous vote. The meeting then adjourned.

Transcript Highlights:

• I had the disorders in Pittsburgh.
• I also know that we're only treating about 30% of people with opioid use disorder.
• Seventy percent of people with opioid use disorder are still out there.
• <01:03:29.039> play medications for opiate use disorder play medications for opiate use disorder
• They don't disorder. It confuses them.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.