Transcript Highlights:

• It used to say retirement pay revolving fund that maintains to retention pay.
• Will those parts of their pay or any part of their pay be untaxed? Thank you for the question.
• We do not tax military pay, so these individuals now no longer pay state income tax on their income.
• pay that you earn in the state of Oklahoma, that military pay is not taxed.
• I don't know what the state would be asked to pay.

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Transcript Highlights:

• What's happening is they are getting more than they order and they're having to pay for what they did
• As I recall, several years ago, we created the Redbud Fund, which I think helps rural school districts
• Bill 1675 increases our responsiveness for our youth camps and outdoor camps in Oklahoma for our severe
• am coming on this bill maybe a couple of weeks behind, but I have Had the opportunity to meet with several
• President, for several years, I've run a bill to try to require background checks to prevent sexual offenders

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Bills: HB146, HB322, HB469, HB1183, HB1481, HB1509, HB1510, HB1511, HB1514, HB1515, HB1516, HB1520, HB1522, HB1524, HB1531, HB1535, HB1548, HB1550, HB1559, HB1573, HB1574, HB1590, HB1593, HB1601, HB1603, HB1615, HB1628, HB1643, HB1644, HB1645, HB1648, HB1663, HB1667, HB1671, HB1678, HB1679, HB1682, HB1688, HB1691, HB1692, HB1695, HB1696, HB1697, HB1716, HB1721, HB1724, HB1725, HB1728, HB1730, HB1733, HB1737, HB1738, HB1739, HB1740, HB1741, HB1742, HB1752, HB1753, HB1764, HB1768, HB1769, HB1777, HB1782, HB1790, HB1799, HB1810, HB1823, HB1824, HB1832, HB1839, HB1840, HB1844, HB1845, HB1850, HB1851, HB1858, HB1860, HB1864, HB1870, HB1873, HB1875, HB1877, HB1878, HB1880, HB1881, HB1886, HB1888, HB1890, HB1892, HB1893, HB1898, HB1921, HB1934

Keywords: judiciary, Hawaiian language, Ōlelo Hawaiʻi, language access, cultural preservation, voter registration, automatic registration, state agencies, electoral participation, opt-out system, disability, parking, travel placard, accessibility, mobility, retirement, pension, law enforcement, public safety, Hawaii Revised Statutes

Transcript Highlights:

• My house was paying $150,000 in taxes a year, and it doesn't pay any taxes now.
• So I'm opposed to several aspects of this bill.
• So we reached out to several neighbors.
• We have a severe shortage of housing in Texas.
• money to pay for a nursing home?

Bills: HB24, HB2015, HB2149, HB2559, HB2701, HB2797, HB3172, HB24

Keywords: zoning, public notice, local government, residential development, protests, water conservation, municipal utility districts, Texas Commission on Environmental Quality, environmental regulation, groundwater management, nonconforming uses, zoning regulations, land use, property rights, municipal authority, municipal moratorium, development moratorium, property development, subdivision, site plan

Transcript Highlights:

• Prime example being we pay a nurse practitioner less than we pay a physician for the same CPT code.
• Prime example being we pay a nurse practitioner less than we pay a physician for the same CPT code.
• So you cannot pay those dentists for this service until that language is fixed.
• I will say the one comment that we received regarding not paying higher rates Are there any questions
• There were several comments received.

Keywords: 1204, all

Transcript Highlights:

• We have several against too. Okay. And who is here to speak again? Okay, Jason Lohen.
• Several...
• All development requires public infrastructure, and somebody has to pay for it.
• They will be paying the tax or assessment obligation instead of the impact fee, and rather than paying
• We used the bond funds to pay for the infrastructure of the development.

Bills: HB2128, HB2255, HB2397, HB2429, HB2591, HB2680, HB2834, HB2868, HB2911, HB2951, HB2979, HB2991, HB2996, HB2999, HB4001, HB4011, HB4017, HB4020, HB4026, HB4086, HB4088, HB2244, HB2342

Keywords: homeowners associations, condominiums, open meetings, governance, transparency, Arizona Teachers Academy, teacher preparation, education funding, public schools, scholarships, teacher certification, community colleges, HOA, homeowners association, planned community, condominium, CC&Rs, covenants, conditions and restrictions, resale disclosure, association disclosure

Transcript Highlights:

• <00:02:05.120> months, And over the past several months, And over the past several months,
• that has generally been, um, several that has generally been, um, several million<00:08:17.480><
• what you're paying now for that service. what you're paying now for that service.
• And we say, "Well, we're not really paying more cuz we're paying ourself back."
• paying more cuz we're paying not really paying more cuz we're paying ourself<01:15:27.000> back."

Keywords: Meeting Start 00:00:00 Commonwealth Office of Technology 00:01:00 Department of Education 00:21:00 Transportation Cabinet 00:35:30 Secretary of State 00:45:15 Cabinet for Health and Family Services 00:56:11 Discussion of the Kentucky Communications Network Authority and Related legislation 01:09:11, 958, all

Summary: The meeting began with approval of the prior minutes and then focused first on the Commonwealth Office of Technology’s legacy systems and two specific projects. COT officials said many agencies have made progress moving off legacy applications, with remaining mainframe systems slated to be retired through RFPs or other work orders. They also described a legacy funding pool of $10 million per biennium used to help agencies transition. The two projects discussed were the Kentucky aerial photography and elevation data program, which provides statewide aerial imagery and lidar data for GIS, E911, environmental, transportation, and other uses, and a citizen identity and access management system intended to give residents a single login for state services. Officials said the GIS program costs about $1.2 million annually to host and maintain, with data acquisition costing several million more per year, and that the citizen identity system would cost about $2.5 million per year after an initial three-year COT investment. Members asked about duplication of funding, licensing, local government use, and whether multi-factor authentication would be required; COT said the GIS data is being acquired as statewide unlicensed data and that MFA would be available but not yet mandated statewide. Committee members pressed COT on costs, overlap with cabinet-level IT spending, and the practical benefits of the GIS and identity projects. COT explained that GIS hosting is generally covered through enterprise assessments billed quarterly to agencies, while the new aerial data is intended to benefit the whole state and local partners. On the identity project, officials said it would centralize authentication for citizens who use state systems, improve compliance with zero-trust and NIST-related security expectations, and reduce help desk and maintenance burdens through self-service account tools. Members also discussed whether the system would extend to local governments; COT said it would be a Kentucky.gov-style state login for users inside the state identity infrastructure, not a local-government system. The Department of Education then testified that it does not operate mainframes or major legacy systems, having moved long ago to cloud-based, off-the-shelf products and vendor-supported services. KDE officials described a strong emphasis on staff cybersecurity awareness, standardized statewide systems, vendor risk-sharing, and reducing sensitive data exposure, including efforts to move away from student Social Security numbers. They also highlighted a transition from Microsoft Active Directory to Identity Automation, which they said will improve identity management and make multi-factor authentication universal across K-12. In response to questions about Kentucky Wired and internet service, KDE said all 171 school districts and KDE agencies have been moved to a new next-generation internet service through ENA by Zayo, with strong satisfaction, e-rate savings, and better reliability. Officials warned that any internet disruption would immediately affect attendance, grades, student records, payroll, security systems, and communications across the K-12 system.

Transcript Highlights:

• The potential for a high-paying clean energy job is also exciting.
• There are several ways to do it. The bill has three ways.
• I will have to pay it off or lower the price of the house.
• But customers don't pay rates. They pay bills.
• are paying.

Summary: The committee heard several energy and utilities bills, with testimony largely focused on wildfire mitigation, affordability, clean energy planning, and utility accountability. AB 706, by Assembly Member Aguiar-Curry, would create a fund to support projects that use forest biomass waste from wildfire mitigation and forest restoration; supporters said it would reduce open burning and emissions while providing reliable renewable power, and the bill later passed 13-0. AB 39, by Assembly Member Zbur, would require larger cities and counties to adopt electrification planning strategies for transportation and buildings; it drew broad support from clean energy, labor, environmental, and local government advocates and passed 9-0. AB 1167, by Assembly Member Berman, would restrict investor-owned utilities from charging ratepayers for lobbying, promotional advertising, and similar shareholder-benefit expenses; supporters framed it as an affordability and transparency measure, while utilities argued the bill was overly broad and already covered by existing rules. It passed 7-0, with some members not voting and the roll left open. The committee also considered AB 1417 on offshore wind community funding transparency, which was amended to remove new fees and instead require reporting on developer support for local and tribal community capacity-building; opposition was withdrawn and the bill passed 9-0. AB 367, by Assembly Member Bennett, would require water districts in high fire-risk areas of Ventura County to have backup power, full tanks during red flag warnings, and hardened facilities; water agencies opposed unless amended due to cost and liability concerns, but the bill passed 10-0. The consent calendar, including multiple additional measures, was approved 11-0. Other bills drew more divided testimony. AB 745 would allow securitization to finance utility undergrounding and prohibit a return on equity for undergrounding projects; supporters said it would lower ratepayer costs, while utilities warned it would effectively discourage undergrounding and could raise other rates. The bill passed 7-4 and was left on call. AB 1423 would apply reliability standards to publicly funded EV chargers installed before 2024; supporters said taxpayers should get functioning chargers, while charging-network representatives objected to retroactive requirements and possible conflicts with existing agreements. It passed 13-0. AB 388 would create a narrow exception to utility regulation to facilitate green hydrogen projects using private power lines; supporters said it would unlock low-cost renewable hydrogen and jobs, while utilities raised concerns about customer protections and grid planning. It passed 12-0. The committee also began hearing AB 825, which the author said would address the high cost of financing major transmission and generation buildout, but the transcript cuts off before the full presentation and action on that bill.

Transcript Highlights:

• It's not my expert, but several of them didn't have to pay it anymore.
• Now, as to whether or not they're paying what they would have been paying before that happened, because
• It's not my expert, but several of them didn't have to pay it anymore.
• >> They're they pay it back. >> They're they pay it back.
• We pay for providers to provide the medical services. We pay the bill.

Keywords: 924, joint, all

Transcript Highlights:

• And I pay insurance in Florida.
• I pay health insurance in Florida, and my insurance goes up every single year.
• This leaves taxpayers paying for negligent care that caused deaths.
• He was in severe pain, coughing up blood.
• Who pay for medical costs to employees that need the services.

Summary: The Senate Judiciary Committee heard three bills. SB 514, by Senator Harrell, clarified that medical quality review committees used by managing entities are treated like other medical review committees for purposes of civil liability and public records protections. The committee adopted a Harrell amendment removing the word “malpractice” from the title, heard support from the Florida Hospital Association, Florida Association of Managing Entities, and Florida Smart Justice Alliance, and then voted 11-0 to report the bill favorably. The committee then took up SB 734, by Senator Yarborough, which would repeal the current wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The bill drew extensive testimony from families describing deaths they said were caused by medical negligence and from supporters including AARP and the Florida Justice Association, while opponents from the health care, insurance, and business sectors argued it would raise malpractice premiums, increase litigation, worsen physician shortages, and reduce access to care. After debate, the committee voted 9-2 to report the bill favorably. Finally, SB 538, by Senator Bradley, was presented as the state courts legislative package. It updates court operations by clarifying duty judge requirements, removing a location limit on duty hearings, repealing a cap on arbitrator compensation in court-ordered non-binding arbitration, and allowing alternative judicial authentication of oaths and acknowledgments when a court seal is unavailable. The bill received supportive waiver forms from the Florida Bar ADR section and several judges, and was reported favorably on an 11-0 vote. The committee then adjourned.

Transcript Highlights:

• We're going to have to pay for it.
• We're going to have to pay appropriate salaries to hire the right people.
• We just have to pay for it.
• We just have to pay for it.
• We just have to pay for it.

Summary: The Appropriations Committee met with a quorum present and considered three items. First, it heard and passed SB 158, which eliminates cost-sharing for diagnostic and supplemental breast examinations under the state employee health plan. Senator Berman described the bill as a way to remove financial barriers to early breast cancer detection, and several senators spoke in strong support, emphasizing the importance of follow-up screening and the life- and cost-saving value of early diagnosis. The bill was reported favorably by roll call vote. The committee then took up SPB 7024, a committee bill on state planning and budgeting. Senator Brodeur explained that the proposal modernizes and simplifies the state agency long-range planning process by focusing on key data points, removing stale measures, and improving how plans are presented to the Legislature. Senator Berman supported the bill, highlighting new provisions on implementation status and budget consequences if enacted laws are not carried out. The committee voted to submit the proposal as a committee bill and reported it favorably. Finally, the committee considered SPB 7026, a major overhaul of state information technology governance. Senator Harrell described a transition from the current Florida Digital Service structure to a new cabinet-level Agency for State Systems and Enterprise Technology (ASSET), with enterprise-wide standards, interoperability, procurement oversight, cybersecurity coordination, technical debt tracking, a testing laboratory, workforce development, and annual IT expenditure reporting. Members raised questions about procurement authority, judicial branch inclusion, existing contracts, cybersecurity, and staffing; Harrell said agencies would retain final procurement decisions but would have to follow enterprise standards, the courts were not included, existing contracts would continue, and the bill would add significant state IT staffing. Several amendments were adopted, including changes on CIO selection conflicts, removal of the Northwest Regional Data Center from a definition, reporting on deviations from standards, and technical updates related to the data center and workforce positions. Public testimony strongly supported the bill as a needed modernization of Florida’s fragmented IT system. The committee then reported SPB 7026 favorably as a committee bill. The meeting adjourned after members recorded their votes on the three items.

Transcript Highlights:

• He knew it would be a pay cut.
• So in fairness, we pay up to 10 students. We pay per student.
• So we... and we have the cap on there so we're not paying any if they have 60 students, we're not paying
• Everybody pays the same, or subsidized, unsubsidized.
• So several years ago the state stopped paying for that.

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• Yes, they pay a 25% surcharge.
• Our taxpayers pays police the rolls around that building.
• The stadium pays Miami gardens taxes.
• >> And then pay something towards our police.
• That's so we're in this space and we're paying attention that closely.

Keywords: 999, senate, all

Transcript Highlights:

• Now, this will lower what they are paying to 20% and change their take-home pay significantly.
• And even though we've done the increased pay raises, a lot of it is getting swallowed up.
• MBM's are eating up the take-home pay of our teachers.
• Some students are dealing with severe medical issues.
• This bill is a result of that hard work that we've been doing together for several months.

Keywords: 996, all

Transcript Highlights:

• THERE ARE SEVERAL APPEARANCE FORMS. ARCH ANDERSON ASSOCIATION RESERVES WEEDS IN SUPPORT.
• DOESN'T THIS ALLOW EMPLOYERS TO PAY ILLEGAL IMMIGRANTS WHATEVER THEY WANT?
• THE SOMETHING FORCING AN EMPLOYER TO PAY ANYBODY LESS THAN MINIMUM WAGE.
• THERE IS A SEVERABILITY CLAUSE AT THE BOTTOM OF THE BILL.
• WHEN YOU PAY YOUNG WORKERS LESS YOU INCENTIVIZE TURNOVER, REDUCE MORALE AND YOU NORMALIZE POVERTY.

Keywords: 999, senate, all

Transcript Highlights:

• for somebody one state over several for somebody one state over several States<00:03:43.560>
• They want to know what they're going to have to pay.
• They want to know what they're going to have to pay.
• It's tied to Medicare and actually pays less than what Medicare pays, so that's why we have to have this
• and actually pays less than Medicare and actually pays less than what<00:51:31.119> Medicare<

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

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

Transcript Highlights:

• <00:33:34.240> those they're done and we would pay those they're done and we would pay those
• :54.119> General will you have to pay so General will you have to pay so General obligation<01
• As you know, our jails are severely overcrowded, in particular OCCC and HCCC.
• <02:06:24.599> but will pay and not only will we pay but will pay and not only will we pay
• We only pay if a bed is filled, so we pay per bed.

Keywords: 910, house, all

Summary: The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services. Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations. The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.

Transcript Highlights:

• Medicaid did pay for appetite stimulating drugs. In 2025, we did not pay for weight loss drugs.
• any<00:05:58.479> prescription Did Medicaid pay for any prescription Did Medicaid pay for
• did pay for appetite stimulating drugs. did pay for appetite stimulating drugs.
• > to<00:14:49.120> the Manufacturers pay rebates back to the Manufacturers pay rebates
• You you mentioned several. several. several.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.