Transcript Highlights:

• Authorizing a fee for the Committee on Public Health HB 1504 by Reynolds relating to authorizing the
• conditions and licensing of Dispensing Organizations and Cannabis Testing Facilities, authorizing a fee
• Public Safety, and Veterans Affairs, it will be $15.06. $15.07 by Ashby relating to the tuition and fee
• HB 1553 by Toth, relating to reducing the school maintenance and operation for our own tax purposes.
• HB 1634 by Lujan, relating to a tuition and fee exemptions at public's institution.

Keywords: 1184, house, all

Transcript Highlights:

• Uh, the, the fee, as we discussed, would only be, uh, provided for a $10 additional registration fee
• Uh, we operate that as staff.
• Uh, we're supported by the current $10 fee.
• Stop raising taxes and fees and no more tolls. Texas taxpayers have had enough.
• Senator Donna Campbell already passed a bill to allow a $10 fee hike in the area.

Transcript Highlights:

• We reduce the operational costs while at the same time we'd be increasing revenue both for the operator
• slot machines we reduce the operational slot machines we reduce the operational costs<00:47:46.040
• <01:45:37.920> for approval of a plan of operation for approval of a plan of operation for
• difficult to justify placing a new fee difficult to justify placing a new fee um<01:48:40.360>
• <01:48:42.080> like fee like fee like this<01:48:43.960> sen<01:48:44.880> thank

Keywords: 1191, senate, all

Transcript Highlights:

• state operations. state operations. um<00:04:31.600> for<00:04:31.840> example<00:
• state operated facility. state operated facility.
• Uh, and that will provide both the fees of bond counsel, the fees of hosting a TERA hearing.
• :28.000> uh also the the fees associated with uh also the the fees associated with uh with<01:
• , be able to cover our inspection fees, be able to cover our inspection fees, underwriting,<01:15

Keywords: 0:00:08 Call to Order and Roll Call 0:00:38 Approval of Minutes 0:01:02 Information Items 0:02:17 Lease Rpt from Postsecondary Institutions 0:06:42 Project Rpt from Finance and Administration Cabinet 0:15:03 Lease Rpt from Finance and Administration Cabinet 0:24:00 Rpt from OFM – KY Infrastructure Authority 0:42:55 Economic Development Fund Grants 0:53:38 Rpt from OFM – New Debt Issues 1:16:33 Remaining 2025 Meeting Dates 1:16:45 Adjournment, 958, all

Summary: The committee first handled routine business, including roll call, approval of the July minutes, and several informational reports. Those reports included a University of Kentucky restricted-fund medical equipment purchase for Chandler Hospital, debt issues for five school districts, Eastern Kentucky University’s planned model laboratory school using construction management risk delivery, a Division of Real Properties lease advertisement, Kentucky Communications Network Authority quarterly project reports, and EKU asset preservation revisions. Members then heard and approved a new UK St. Clair Urgent Care Clinic lease in Morehead and an amendment expanding space for the UK Family and Community Medicine Clinic at Turflin Clinic. Testimony explained that both properties are privately owned, the Morehead lease predated the UK/St. Clair arrangement, and the Turflin Clinic is tight on space. The committee also approved three new projects and an appropriation increase: two Department of Military Affairs projects, a Window Ford Training Center underground electric project and a Williamsburg Readiness Center interior repair project, a Fish and Wildlife property acquisition adjoining Veterans Memorial Wildlife Management Area, and an $8.113 million increase for the Department of Revenue integrated tax system (DORIS). The DORIS increase was described as needed for change orders tied to legislation and to complete the unified tax system. The committee next reviewed no-action items, including a $3 million emergency flood-damage repair project for the Bush Building and Vest-Lindsay House in Frankfort, and three pool projects over $1 million: a Kentucky Correctional Institute for Women window replacement phase 2 project, a Department of Criminal Justice Training interior refurbishment at Thompson Hall, and the Muddy Gut Branch stream mitigation project in Johnson County. The flood project was confirmed to be fully reimbursed by insurance proceeds. Finally, the Kentucky Infrastructure Authority presented six loans and nine grants. Action items included water and sewer financing for Cumberland County, Lebanon, Northern Kentucky Water District, Lewisport, and Providence, plus a major Taylor Mill treatment plant project and several cleaner water grants and reallocations. Members asked about loan rates, local rate increases needed to repay debt, and the Providence emergency water interconnect; staff explained that Lewisport had begun a rate increase process, and that the Providence project would connect Webster County Water District and the city of Providence to stabilize pressure after a systemwide failure. All action items were approved.

Transcript Highlights:

• The kiosk operators have shifted gears. The kiosk operators dropped their fees to a flat $3 to $10.
• Initially, they were going to try and knock the fee down to 8%, and the kiosk operators were saying they've
• Previously, to changing the fee structure, yes, the kiosk operators were refunding. previously to changing
• the fee structure, yes, the kiosk operators were refunding.
• the cost or the fee.

Keywords: 1184, house, all

Transcript Highlights:

• still operate if you're issuing permits. still operate if you're issuing permits.
• the inspector's fee, but there's no discount from our $350 building permit fee.
• We charge a flat fee for residential, and we charge a flat fee for commercial.
• the fee. the fee.
• . fees. fees.

Keywords: 1189, house, all

Transcript Highlights:

• >> The flat fee. >> Oh, there's a flat fee.
• >> The the flat fee. >> The the flat fee.
• You have to have a clearly defined dispensing fee and an ingredient fee.
• You have to have a clearly defined dispensing fee and an ingredient fee.
• defined dispensing fees and an ingredient fee.

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.

Transcript Highlights:

• In the case, from my understanding, with the landing fees we assess on everything with our operators,
• In the case, from my understanding, with the landing fees we assess on everything with our operators,
• In the case, from my understanding, with the landing fees we assess on everything with our operators,
• In the case, from my understanding, with the landing fees we assess on everything with our operators,
• In the case, from my understanding, with the landing fees we assess on everything with our operators,

Keywords: 910, house, all

Summary: The House Committee on Transportation met on March 20, 2025, first on two bills and then on a series of resolutions. On SB 597, relating to administrative driver’s license revocation, the Department of the Attorney General and other agencies supported extending the deadlines for written review decisions because chemical testing results, especially from neighbor islands, can take longer to return. One individual testified in opposition. The committee amended the bill to set the review-decision deadlines at 14 and 28 days, deferred the effective date to July 1, 3000, and recommended passage with amendments by vote. The committee then heard SB 1285 SD2, a highway safety measure that would create an impaired-driving offense, establish automatic license suspension procedures, and amend related administrative processes. The Attorney General’s office raised concerns about the new infraction structure and recommended deleting that section, while the Public Defender opposed the bill, arguing it could create due process problems and unnecessary burdens on the courts. DOT and several advocacy groups supported the measure, and one individual testified in support of lowering the BAC limit to 0.05. The committee adopted extensive amendments, including deleting several sections, revising revocation language for refusals to test, and deferring the effective date to July 1, 3000, then passed the bill with amendments. In the later resolution hearing, the committee heard measures on Maui road projects, the Kulani Hako Bridge replacement, enforcement against improperly registered out-of-state vehicles, a proposed extension of the Skyline rail to West Oahu, a proposal to transfer airport regulatory authority to DOT, a golf-ball safety resolution, and a restricted parking pilot program in West Oahu neighborhoods. Testimony was generally supportive on the Maui road, bridge, vehicle-registration, and golf-ball measures, while DOT opposed the airport-corporation task force resolution and several groups offered mixed views, including calls for public-sector union representation if a task force were created. The committee also heard support and concern on the Skyline extension resolution, with members noting the need for transit options that better serve West Oahu. At the end of the meeting, the committee adopted the resolutions it took up in decision-making, including the Maui road measures, the bridge resolution, the vehicle-registration resolution, and the Skyline-related resolution, with the airport-corporation and parking-zone measures also heard before adjournment.

Transcript Highlights:

• with the fee schedule, we're recouping about 50% of our costs.
• with the fee schedule, we're recouping about 50% of our costs.
• So not only are they in cohorts where they're working on the operations of the fee schedule, but they
• So not only are they in cohorts where they're working on the operations of the fee schedule, but they
• These individuals have been instrumental in working within the fee schedule.

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• The current approach to fees for the largest feedlots?
• The fee increases were something everyone agreed were necessary.
• Brand committee has also talked over the years to raise fees and to adjust the RFL fees to be more closely
• There would be no fees, there would be no audits, no inspections.
• And so our fees are much lower than a lot of the teams.

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• Produced water injection operators, created created the operators led response plan within the same area
• While the fees are not large.
• Um, for our system, it does not require a fee. There is no fee charged.
• Is there an application fee? Is there a ticket fee?
• area as the operators.

Bills: HB206

Keywords: HB206, school district bonds, bond election, voter approval, Education Code, Chapter 45, Section 45.003, Section 45.0034, Texas schools, school finance, local tax election, bond referendum, school construction, capital improvements, election frequency, five-year waiting period, district bonds, public school funding

Transcript Highlights:

• So, Madam Chair, Senator Figueroa, that's just the operating expenses.
• They may do it by improving the operations.
• The amount of fees will depend on what sector the manager is in.
• We are sensitive to fees. Again, our target is that net return. we know fees reduce that.
• Madam Chair, if I could go back to fees, one more comment.

Transcript Highlights:

• So right now there is no real regulation on fee structure.
• the model that we operate on.
• So we operate on an increase of five times your monthly increase.
• And here's the key: we don't need a fee structure. You know why we don't need a fee structure?
• We don't need a fee structure. You know why we don't need a fee structure?

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• We have Medicaid fee-for-service claims.
• We pulled claims based on codes that are on our behavioral health fee schedule.
• The chart on the bottom just shows the fee-for-service members.
• fee schedules so when we combined those fee schedules we<00:15:38.680> looked<00:15:38.920>
• <00:42:46.079> for claim data uh through the fee for claim data uh through the fee for service

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• That is a state operation.
• Preempted may be awarded attorney fees and costs. And I believe that was Senate Bill 280.
• And the winner of that lawsuit can get their attorney's fees I don't know. reasonable.
• We're just charging a fee at that point.
• So I don't... fee at that point.

Summary: The Intergovernmental Affairs Subcommittee held its first meeting of the 2025 session and focused on an overview of county and municipal home rule powers and state preemption. After roll call and member introductions, Chair Alex Rizzo and Vice Chair Griff Griffiths explained the constitutional and statutory basis for local self-government, the distinction between charter and non-charter counties, and how express and implied preemption limit local authority. Griffiths emphasized that home rule gives local governments broad power to address community needs, but the Legislature can override that authority through clear preemption, with courts ultimately deciding disputes. Representatives Holcomb and LaMarca added that local issues should generally be addressed locally first, but statewide standards can be appropriate when uniformity is needed or local action is ineffective. The committee then heard from a panel representing counties, cities, business, and construction interests: Ginger Delegal of the Florida Association of Counties, Carolyn Johnson of the Florida Chamber of Commerce, Rebecca O'Hara of the Florida League of Cities, and Carol Bowen of Associated Builders and Contractors of Florida. Delegal and O'Hara argued that home rule is rooted in local autonomy, policy experimentation, and accountability to voters, and warned against broad or “vacuum” preemptions that remove local authority without replacing it with state regulation. Johnson and Bowen supported preemption when local rules create a patchwork that hurts statewide competitiveness, raises costs, or complicates business operations, citing examples such as labor rules, heat safety, permitting, and procurement preferences. The panel also discussed the 2023 local ordinances law, which requires business impact estimates and provides attorney’s fees in certain challenges, as a mechanism to resolve disputes locally before resorting to preemption. Members questioned the panel about the 2024 heat-safety preemption and how to protect workers in the absence of local ordinances. Business representatives said existing OSHA duties and industry best practices already require employers to provide safe conditions, while local governments and the state should avoid inconsistent standards across jurisdictions. Another discussion centered on construction permitting, licensing, and local boards that may slow projects and increase costs; Bowen suggested eliminating redundant local fees and barriers while preserving statewide licensing and enforcement against bad actors. No votes were taken, and the meeting remained informational, with the chair inviting continued discussion on when preemption is appropriate versus when local governments should retain authority.

Transcript Highlights:

• And the fee on this would be $10 for the whole tanker.
• So the 2%, all that fee there is to cover the inspection fee that goes on that right now ODAF is having
• to take fees from money from other parts to make up the inspection fees on this and the management on
• So if someone produces $86 their fee for the year would be $100.
• , but agricultural operations.

Bills: SB1346, SB1509, SB1928, SB2028, SB2071, SB2110, SB2117, SB2127, SB2134, SB722, SB3

Keywords: water infrastructure, wastewater, investment program, loans, local government, SB1509, groundwater, water wells, well spacing, water rights, Oklahoma Water Resources Board, OWRB, basin, subbasin, maximum annual yield, aquifer management, water allocation, water permits, temporary permits, irrigation

Transcript Highlights:

• So, do you believe this, the amount of the fee is...
• non-resident of the state, there is a fee of $700.
• We operate a switching... facilities.
• This is a very important component of our operations.
• within the... that operate within the state.

Bills: HB1, HB247, HB1

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• damaged by the board's failure to comply with this chapter, can seek damages including attorney's fees
• Madam Chair, members, HB 2946, Municipalities Counties Development Fees, modifies development fees charged
• Madam Chair, members, HB 2946, Municipalities Counties Development Fees, modifies development fees charged
• Madam Chair, members, House Bill 2834, claims against HOA's filing fee.
• Madam Chair, members, House Bill 2834, claims against HOA's filing fee, passed the Commerce Committee

Keywords: 1182, all

Summary: The caucus reviewed a long list of bills and resolutions, with staff giving brief descriptions and members flagging which items were on consent, had unanimous committee votes, or should be pulled for further discussion. Topics included education, health care, public safety, labor, water, taxation, housing, and elections. Several measures were noted as party-line or mixed votes, while many others were reported as unanimous and placed on third-read or consent calendars. Among the more discussed items were bills on school and labor policy, including a proposal to prohibit teacher strikes, a measure restricting school district bond actions, a bill requiring school safety protocols and assigning felony penalties for noncompliance, and a resolution limiting public money for labor organization activities. Members also raised concerns or requested further review on bills involving pharmacist testing authority, expired opioid antagonists, a county sheriff-related measure, a housing affordability district proposal, and a tobacco/vape regulation bill. Some measures were explicitly pulled from consent, including a Medicaid audit resolution, a budget-related pay-withholding resolution, and several education and public safety bills. The caucus also heard multiple health and human services measures, such as genetic counselor licensing, nursing board and pharmacy board continuations, foster care rights, psychiatry access funding, and free school meals. In addition, there were water and energy bills on Colorado River management, groundwater, transmission-line review, and renewable energy valuation, plus election and campaign-related proposals. The meeting ended with announcements, including an upcoming Colorado River breakfast briefing and an internal award recognizing Representative Brian Garcia, followed by adjournment.

Transcript Highlights:

• So 100% of the fees would go to the Bureau's operations, and 50% would go to the actual endowment program
• Even though individuals who've been buried have paid endowment fees, sometimes endowment fees that were
• Options and facilitate the takeover of failed private cemeteries to other private operators.
• And the changes in this bill aim to improve the overall operations of the board.
• In addition to state fees, we pay outside legal counsel to review our documentation.

Summary: The Assembly Business and Professions Committee heard a lengthy agenda of Senate bills, with most measures ultimately advancing on party-line or broad bipartisan votes after substantial testimony and several amendments. Early in the hearing, SB 418 by Sen. Menjivar was presented as a health access bill to codify ACA nondiscrimination protections in state law and require coverage for up to a 12-month supply of medically approved hormone therapy; supporters framed it as protecting continuity of care amid federal threats, while there was no opposition testimony. The committee later also took up SB 456, which would exempt muralists from contractor licensing requirements for commissioned fine art murals; supporters said recent enforcement had chilled mural projects and harmed artists and communities, and the bill passed unanimously to Appropriations. SB 641, part of the wildfire response package, and SB 774, a sunset review bill for the Department of Real Estate and Bureau of Real Estate Appraisers, also advanced with support and no opposition. SB 775 and SB 776, sunset extensions for the behavioral sciences, psychology, and optometry boards, passed after witnesses described technical changes and the need to keep the boards operating. SB 777, dealing with abandoned cemeteries, drew testimony from local governments, industry, and counties; after amendments removed a local takeover mandate and shifted the bill toward a stakeholder working group and study process, opposition softened or was withdrawn and the bill moved forward to Local Government. SB 790, on interstate reciprocity for online higher education, generated the most debate, with supporters arguing California students and institutions need stronger consumer protections and access to the national reciprocity framework, while opponents said the bill’s terms conflicted with the existing compact; it passed as amended to Appropriations after committee members emphasized continued work on student protections. The consent calendar, including SB 389 and SB 861, was also approved, and the committee adjourned after additional vote changes were recorded.

Transcript Highlights:

• You can do a fee for Medicaid payments.
• You can do a fee for fee<00:07:40.000> model<00:07:40.240> in<00:07:40.400> which
• actually we actually do have some fee actually we actually do have some fee for<00:39:58.880>
• Louisville operates out of a teams.
• There are entity to be operational.

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.