Transcript Highlights:

• :50.240> and<00:12:50.560> cater<00:12:50.880> to<00:12:51.600> these<00:
• 12:52.399> new<00:12:52.880> egg<00:12:53.279> layer Smith and cater to these new
• c> are<00:12:54.480> coming<00:12:54.720> in<00:12:55.040> to operations that
• The challenge for Kentucky farmers<00:12:57.440> that<00:12:57.680> want<00:12:57.839><
• c> to<00:12:57.920> get<00:12:58.079> into<00:12:58.320> going<00:12:58.639>

Keywords: Meeting Start 00:00 Attendance Roll Call 00:18 KOAP Report 00:58 Approval of Minutes 53:58, 958, all

Summary: The Tobacco Settlement Agreement Fund Oversight Committee met on June 11 but did not have a quorum, so it could not approve the prior minutes. The committee then received a compliance and program update from Brandon Reed and Bill McClowski of the agricultural development board, who said the office is fully staffed, has digitized most records, and has added a Facebook page to share board actions, projects, and compliance work. They also reported that the board and finance corporation continue to operate with strong county-council participation and that the office had completed numerous site visits, program reviews, and project closeouts over the reporting period. The presenters reviewed monthly funding actions from December through May, including board approvals ranging from hundreds of thousands to several million dollars, with a December finance meeting delayed by a snowstorm. They highlighted that the Kentucky Agriculture Finance Corporation now has 57 loans generating more than $2 million per month in payments, and that the revolving loan program has grown to support more than $24 million annually in repayments available for relending. They also noted that 75% of the portfolio is in beginning farmer loans and that the office had recently surpassed 1,000 active loans. Several projects were discussed in detail. These included a grain facility in Callaway County supporting organic corn production for expanding egg-layer operations, a Union County cattle business expansion, a West Liberty Veterinary Clinic project to build a working cattle facility, a Grayson County farmers market project, a Casey County veterinary services project, and a packing warehouse for the Kanye family to support specialty crops. The presenters emphasized that county and state tobacco settlement funds are often combined, sometimes with participation loans, to leverage local investment. They also stressed the importance of supporting greenhouses, farmers markets, specialty crops, and large-animal veterinary services as key agricultural priorities. No votes or formal actions were taken beyond the lack of quorum and the informational presentations.

Transcript Highlights:

• The mean score was 4.5 across all 12.
• On November 27, the final rule was published, effective January 1, 2025.
• On January 1, that rule became effective.
• How does the Florida 12-month continuous eligibility policy...
• The first disbursement of funds for approved loans is expected in January 2026.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• That begins in January 2027.
• So today we are doing eligibility every 12 months for our adult population.
• And so this all occurs over an eight- to 12-week period.
• And so this all occurs over eight to 12-week period.
• We launched this benefit January 1, 2025, so it's very new.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• And I think that<00:12:09.560> we're<00:12:09.680> going<00:12:09.800> to<00:12:
• 09.840> be<00:12:09.920> doing<00:12:10.160> a<00:12:10.240> study<00:12:
• Seeing<00:12:27.680> none,<00:12:28.120> thank<00:12:28.400> you,<00:12:28.640><
• Um<00:12:33.720> There's<00:12:34.240> one<00:12:34.480> quick<00:12:34.800>
• January<01:27:55.040> 1st. January 1st. January 1st.

Keywords: 1189, house, all

Transcript Highlights:

• :23.519> of<00:12:23.760> of<00:12:23.959> property<00:12:24.399> tax<00:
• 12:25.040> uh exemptions<00:12:28.519> one<00:12:28.720> thing<00:12:28.839>
• to<00:12:29.240> note<00:12:29.480> is<00:12:29.639> that exemptions one thing
• tax exemptions are ongoing meaning<00:12:35.959> they<00:12:36.240> have<00:12:36.440>
• Assessor<01:12:13.080> and<01:12:13.560> so<01:12:14.560> um Okay.

Keywords: 1187, senate, all

Transcript Highlights:

• On January 2nd, it was the birthday of our speaker, Robert Revis.
• On January 3rd, it was the birthday of Assemblymember Jackie Irwin.
• David served 12 years on the Vacaville City Council and another 12 as mayor, leaving an indelible mark
• Tuesday, January 7th is a check-in session. Wednesday, January 8th, check-in session.
• Thursday, January 9th, floor session at 9 a.m.

Transcript Highlights:

• /c><00:12:13.399> the<00:12:13.560> next<00:12:13.800> couple<00:12:14.040> of
• pots um as we<00:12:23.399> do<00:12:23.800> that<00:12:24.800> I<00:12:24.920>
• :43.399> see<00:12:43.720> that<00:12:44.600> what<00:12:44.720> we<00:12
• <00:12:47.519> they<00:12:47.680> typically<00:12:48.480> are<00:12:48.639><
• <00:12:58.240> fill<00:12:58.519> out<00:12:59.199> as<00:12:59.279> it

Keywords: 928, house, all

Summary: The committee received an overview from Chris of the Legislative Budget Assistance Office on how it will estimate unrestricted revenues for the General Fund, Education Trust Fund, Highway Fund, and Fish and Game Fund. He explained that the committee’s work is based on current law, not pending bills, and that the estimates will feed into a House resolution and an amendment to House Bill 1, the operating budget. He also described the broader budget process, including how House and Senate estimates are reconciled, how surplus statements account for revenue changes from enacted bills, and how a committee of conference could resolve differences later in the session. No votes were taken. Members then asked about why the Education Trust Fund was running below plan. Chris said the shortfall appeared to be driven largely by business taxes, including differences in the BET/BPT split and improved tax-processing systems that better track where business tax payments belong. Representative Orr also asked about tobacco tax collections and out-of-state sales; Chris said tobacco revenue was likely overestimated in 2023 based on COVID-era patterns, with more people smoking at home, and noted that e-cigarette tax revenue goes to the General Fund while cigarette taxes are split between the General Fund and Education Trust Fund. He said he did not have a specific estimate for cross-border sales. Commissioner Lindsay St. Pierre of the Department of Revenue then began a deeper dive into the department’s role and the taxes it administers. She reviewed the department’s mission, organizational structure, taxpayer services, and the tax policy and legislative analysis staff who prepare fiscal notes and testify on bills. She noted that the department administers about $2.9 billion in revenue across major taxes such as business taxes, meals and rooms, and utility property tax, and that the figures being discussed were preliminary because the annual report had not yet been issued. The discussion was informational only, with no formal action taken.

Transcript Highlights:

• We<01:12:34.000> are<01:12:34.159> going<01:12:34.400> to<01:12:34.560> be
• ><01:12:34.719> better<01:12:35.040> than<01:12:35.199> we<01:12:35.440> were
• <01:12:42.960> King<01:12:43.199> means<01:12:43.440> to<01:12:43.600> me
• That<01:12:44.640> audacity<01:12:45.600> of<01:12:45.920> hope<01:12:46.480>
• Please<01:12:58.400> vote<01:12:58.560> for<01:12:58.719> this<01:12:58.960>

Keywords: 981, all

Summary: The House convened with a quorum, led the Pledge of Allegiance with visiting students from Dr. Martin Luther King Early College, and approved the journal from the previous day after a brief, humorous exchange about a correction to the minority leadership title. The chamber then took up House Joint Resolution 1002, a resolution commemorating Martin Luther King Jr. Day and honoring Dr. King’s life, nonviolent leadership, and role in the civil rights movement. The resolution recounted his education, activism, speeches, writings, the Montgomery bus boycott, the Civil Rights Act of 1964, the Voting Rights Act of 1965, and the history of Martin Luther King Jr. Day in Colorado and nationally, including the state holiday commission and the holiday’s service-oriented observance. Several members spoke in support of the resolution, emphasizing Dr. King’s legacy as a call to action, the importance of nonviolence, community service, and the need to continue addressing injustice. Speakers highlighted the role of young people in the civil rights movement and urged continued work on equity, dignity, and inclusion. One member also connected King’s legacy to current concerns about immigration enforcement and federal power, arguing that justice requires active resistance to injustice. Another member objected that the discussion had become politicized and used the opportunity to criticize immigration policy, while the chair reminded members to stay within the resolution. The resolution text was read at length and included a call for observances, ceremonies, and activities across Colorado, encouragement of service projects, and support for teaching King’s legacy and nonviolent principles in social studies standards. The transcript shows the House adopting the journal, but it does not show a final vote on the resolution within the excerpt provided.

Transcript Highlights:

• The complaint was sent to the address provided by the complainant on January 17th, 2024.
• Is there a motion to adopt the proposed amendments in Chapter 12?
• And yes, I think we did one in January that was...
• I went to the post office the next day, on January 24th, and picked up a letter.
• If he got the notice in January of 2025, right, that had been sent but not properly delivered?

Transcript Highlights:

• However, we've since refiled that on January 7, 2025.
• So essentially what this meant was that a family could pay one monthly premium and receive a full 12
• So, on December 30th, we requested that—around January 2nd or January 3rd, that 30-day time period, give
• We were denied that extension until February 1st, but we were granted an extension until January 14th
• So that's where we are as of January 14th. That time has come and gone.

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• whatever<00:12:02.279> schools<00:12:02.720> we<00:12:02.839> want<00:12
• :12:41.279> just<00:12:41.600> I<00:12:42.160> I<00:12:42.680> understand
• you're<00:12:43.199> coming<00:12:43.440> from<00:12:43.720> I<00:12:43.839>
• > pure<00:12:45.720> I<00:12:45.800> think<00:12:45.959> as<00:12:46.160>
• gets to<00:12:48.760> decide<00:12:49.079> if<00:12:49.199> we've<00:12:49.440><

Keywords: 1183, house

Transcript Highlights:

• SB 1323 became effective January 1, 2025.
• And more recently, in late January, early February, we increased the Currently, in late January, early
• Typically 12 months.
• And then there was also, is it, 12 quarters of enhanced federal match, which says, is also, is it 12
• Regarding issue 12, the proposal...

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• <00:12:43.600> for<00:12:44.240> should<00:12:44.480> a<00:12:44.720> court
• determines that<00:12:45.839> it<00:12:46.160> is<00:12:46.399> a<00:12:46.639>
• <00:12:53.839> an<00:12:54.079> offense<00:12:54.560> could<00:12:54.720>
• be less than<00:12:55.440> five<00:12:55.920> that<00:12:56.160> a<00:12:56.399
• > fine<00:12:56.639> could<00:12:56.880> be<00:12:57.040> less<00:12:57.200

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• <00:12:00.079> This<00:12:00.320> is<00:12:00.480> when<00:12:00.800> provider
• So that's kind<00:12:17.120> of<00:12:17.200> what<00:12:17.360> we're<00:12:17.600
• 19.519> a<00:12:19.760> little<00:12:19.839> bit<00:12:20.000> of<00:12:20.079
• c> prepare<00:12:21.440> for<00:12:21.600> some<00:12:21.760> of<00:12:21.920
• <00:12:25.760> and<00:12:26.480> um<00:12:26.720> requires<00:12:27.120> some

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• This book on January 6th.
• I'd like to say that we've heard about the January 6th pardons.
• That request did not come in until the afternoon of January 6th.
• This was the room that we retreated to on January the 6th.
• What did the FBI know before January 6th?

Transcript Highlights:

• 00:12:21.200> and<00:12:21.440> so<00:12:21.600> delays<00:12:22.079> do
• 00:12:23.360> delays<00:12:23.839> of<00:12:24.480> um<00:12:24.720> services
• Then<00:12:28.480> in<00:12:28.880> um<00:12:29.200> July<00:12:29.680> of
• ><00:12:29.920> last<00:12:30.240> year<00:12:30.560> as<00:12:31.200> as
• all<00:12:31.839> have<00:12:32.000> heard<00:12:32.240> about<00:12:32.560>

Keywords: 918, senate, all

Summary: The Senate Rules and Administration Select Subcommittee on Federal Impacts on Minnesotans and Economic Stability met on February 20, 2026, to hear from Minnesota Management and Budget State Budget Director Anna Mingi about federal funding changes affecting the state budget. Before testimony began, Senator Rasmusson objected to a draft committee report that had been prepared in advance of the hearing, arguing it was inappropriate to summarize testimony before it occurred. The chair responded that nonpartisan staff had prepared the draft from Mingi’s submitted presentation and could revise it after the hearing if needed. Director Mingi explained that federal dollars make up more than one-third of state spending and support about 650 federal awards totaling over $23 billion this year, with more than $15 billion supporting state entitlement programs. She said the federal funding environment had changed significantly since January 2025 through executive orders, pauses, terminations, new grant conditions, delayed awards, and the July 2025 passage of H.R. 1, the federal reconciliation bill. Her main focus was H.R. 1’s effects on health care and food assistance, including work requirements for some adults, changes to eligibility for legal non-citizens, limits on retroactive Medicaid coverage and directed payments, new limits on provider taxes, and SNAP changes that shift some benefit and administrative costs to the state and counties. She estimated H.R. 1 would reduce federal funds to state-administered programs by about $327 million in the current biennium and $1.6 billion in the next, with additional costs to hospitals, counties, and other partners beyond the budget horizon. Members asked follow-up questions about whether the estimates were relative to the forecast and whether federal Medicaid funding would still rise over time. Mingi said the estimates were based on the November forecast baseline and that Medicaid federal dollars would likely continue growing overall, though the law still creates significant losses relative to prior projections. Senator Rasmusson emphasized that point in remarks to the committee. The discussion then shifted to federal grant pauses and cancellations: MMB’s tracker showed about six awards on hold totaling roughly $491 million, 13 confirmed cancellations across areas including clean energy, education, food assistance, and public health, and additional threatened or litigated cuts not included in those totals. Mingi identified two canceled violence-prevention-related grants, including a FEMA public safety grant and a justice reinvestment grant, and noted that CDC had recently moved to cancel or seek cancellation of several Minnesota public health grants, including a $65 million public health infrastructure award.

Transcript Highlights:

• That’ll come in January and early next year, so it is a pleasure.
• Through the age of 12. There are some Century Code things.
• So we implemented January 1st, $500 a day for therapeutic leave days, right?
• January through April 2026.
• We gather data from January through April 2026.

Keywords: 908, all

Transcript Highlights:

• :12:02.800> clinic<01:12:03.120> where<01:12:03.520> they're<01:12:03.760> in
• a different<01:12:04.320> building<01:12:04.960> and<01:12:05.199> after<01:12:
• <01:12:12.800> make<01:12:12.880> sure<01:12:12.960> that<01:12:13.120> we're
• <01:12:23.840> What<01:12:24.080> what<01:12:24.320> are<01:12:24.480> your
• <01:12:26.880> billing<01:12:27.440> codes<01:12:28.000> do<01:12:28.239>

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

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Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• Now, therefore, be it resolved by the House of Representatives of the State of New Mexico that January
• They will be here until 12 p.m. today, then back at 1:30 until 5 today and tomorrow.
• Also, financial disclosure statements are due by the end of business on the 31st of January.
• Just looking at Eddy County alone in terms of capital outlay, K-12 schools.
• Speaker, Body, I reflect on my first January in this chamber, January of 2017; our oil production was