Transcript Highlights:

• And I think the combination of our work is very good, and I hope we pass this. Yep, I concur.
• And with that, I guess what we would be looking to do is to attach this combined amendment...
• And with that, I guess what we would be looking to do is to attach this combined amendment... this is
• <01:43:25.360> amendment<01:43:26.320> uh Attach this combined amendment, 2026-1838H
• We would like to make the combined deal look like a good package.

Keywords: 1189, house, all

Transcript Highlights:

• We also combine a lot of work through academia, so a lot of... ...combine a lot of work through academia
• We also combine a lot of work through academia, so a lot of... combine a lot of work through academia
• So I think it's a combination. Water efficiency, yeah, we need to be more efficient.
• So I think it's a combination. Water efficiency, yeah, we need to be more efficient.
• Oh, I didn't get a DWR grant, so we got a different combination of grants.

Summary: The hearing focused on oversight of AB 658 and the State Water Resources Control Board’s five-year temporary permits for groundwater recharge. Assembly Member Arambula and committee members discussed how the permits are intended to help capture high flows during wet periods, support SGMA implementation, and store water underground for later use. The State Water Board chair said the five-year permits have become an important tool, with seven five-year permits issued this season and over 43,000 acre-feet authorized, but noted that actual recharge depends on hydrology and that the board is open to improvements. Members and witnesses discussed several possible changes to make the program more effective: allowing a two-year delay before the five-year permit clock starts, codifying CEQA exemptions that have been used through executive order, and shifting from a public objection model to a public comment model to reduce delays. There was also discussion of water availability analyses, with some members asking whether the state could develop a broader statewide assessment to reduce consultant costs and make permitting more predictable. The board said such an effort would be large and costly, but could potentially save applicants money and improve consistency. District representatives described their experiences. Stockton East said the five-year permit was more cost-effective than repeated 180-day permits, but that the 90-20 methodology, consultant costs, and a burrowing owl survey condition made use difficult. Omaha-Hartnell Water District said its recharge work depends on simple, low-cost infrastructure and that five-year permits, CEQA reform, and lower upfront fees would help small districts. A consultant working with Scott Valley and Sierra Valley said five-year permits can work well in different basins, but local infrastructure, stakeholder coordination, streambed alteration agreements, and upstream flow constraints can limit recharge. Members also raised concerns about basin connectivity, downstream water rights, and the need to pair recharge with sustainable groundwater pumping and broader water storage planning.

Transcript Highlights:

• These are New Mexico definitions: base income equals net income combined if it's a combined group.
• Net income means base income combined.
• Now we use combined filing for corporations that are part of a unitary business.
• They file a combined return, and that's the important distinction for net income.
• State Road Fund revenues, which is combined with a forecast from S&P Global of a 136% increase in the

Transcript Highlights:

• And then I... ...but they enacted a permanent rebate that combined and expanded them a bit.
• Requiring CIT combined reporting for multi-state corporations, creating a new top PIT bracket of 5.9%
• Requiring CIT combined reporting for multi-state corporations, creating a new top pit bracket of 5.9%
• The 2024 package was tax relief in 22 bills combined into one final tax package.
• It can be a combination of both.

Summary: The committee’s final day focused first on a historical overview of New Mexico tax packages by Pam Stokes of Legislative Council Services. She described how tax packages have alternated over the decades between tax relief, revenue raising, and tax reform, with examples ranging from the creation of the gross receipts tax in 1966 to major packages in 1981, 1986, 1991, 1994, 2005, 2019, 2022, 2024, and the vetoed 2025 package. Members discussed how tax policy often tracks revenue conditions, how packages can combine increases and decreases, and how local government gross receipts taxes and hold-harmless distributions have affected communities differently. Several members reflected on past packages, especially the 2004 food tax repeal and the 2013 film tax and manufacturing changes, and noted that tax policy can have major economic and political effects even when it is not “sexy” legislation. The committee then heard a proposal to expand the health care practitioner gross receipts tax deduction to include co-insurance, and to extend the sunset date. Sponsor Senator Figueroa said the bill was intended to help recruit and retain medical providers and build on prior deductions for co-pays and deductibles. Testimony explained that co-insurance is the patient’s share after the deductible, that providers currently absorb the gross receipts tax on those payments, and that the proposal would cost about $30 million to the state plus about $20 million to municipalities and counties, with the exact fiscal impact likely to be updated. Members raised concerns about the effect on local governments, whether insurers could be required to reimburse providers, whether the bill would actually attract doctors, and whether better evaluation measures and sunsets should be added. The sponsor said the bill was part of a broader set of efforts to address provider shortages and that the discussion would continue. Representative McQueen then presented a bill to update the Land Conservation Incentives Act. He and conservation partners said the program has protected more than 500,000 acres but has not kept pace with rising land values, especially for irrigated agricultural land in the Middle Rio Grande. The proposal would increase the percentage of conservation value eligible for the credit, raise the per-transaction cap from $250,000 to $2 million, and make the credit refundable rather than only transferable. Testimony emphasized that the program is voluntary, keeps land in private ownership and production, and helps land-rich, cash-poor landowners preserve farmland and water rights. Members asked about average credit amounts, how easements work, whether landowners could effectively buy land and then use the credit, and whether there should be inflation indexing or a statewide cap. The discussion also touched on water rights, fencing, and the role of conservation easements in protecting agricultural land and compact water deliveries. Finally, Senator Sharer previewed his 2% tax proposal with a historical presentation on New Mexico tax law, using props to illustrate the evolution from early territorial tax codes to the modern tax system. He argued that the state’s current tax structure is overly complex and that recent federal changes have disrupted the personal income tax base. The committee did not take any votes on the day’s presentations; the meeting was primarily informational, with members offering feedback and raising policy concerns for future sessions.

Transcript Highlights:

• perspective, a new natural gas combined perspective, a new natural gas combined cycle<00:08:25.440
• That's almost the size of a new natural gas combined-cycle plant.
• a new natural gas combined cycle plant. a new natural gas combined cycle plant.
• It's coal-fired, but we'll be adding the gas-fired combined cycle to that.
• <01:15:16.480> cycle to build a new one-on-one combined cycle to build a new one-on-one combined

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:10 Approval of Minutes 00:01:19 Helping Power Kentucky's Growth (LG&E/KU) 00:01:39 Update from Kentucky's Electric Cooperatives 00:47:35, 958, all

Summary: The committee met with a quorum, approved the minutes from the previous meeting, and then heard a presentation from LG&E and KU representatives Caroline Clark and John Bevington on economic development, energy demand, and the utility’s role in supporting Kentucky’s growth. Bevington described the company’s service territory, generation fleet, and recent economic development activity, including 76 projects supported in 2024, more than $2.8 billion in private investment, and over 3,000 new jobs. He emphasized that data centers are now the dominant driver in the pipeline, with 22 data center projects representing about 8.7 of the 9.7 gigawatts of potential demand, alongside other manufacturing and commercial projects. A major focus was how data centers choose sites and how utilities respond. Bevington explained that hyperscale data centers typically approach utilities first because they need transmission-level access, and that utilities then conduct internal analyses, estimate infrastructure needs, and require financial security before proceeding. He said the company is working through formal transmission studies and long-lead infrastructure planning, and noted that Kentucky’s sales tax exemption for data centers helped attract interest. He also outlined the economic benefits of data centers, citing an announced Louisville project of 525 megawatts and about $11 billion in investment, with an estimated $500 million in new tax revenue over 10 years, plus broader job and GDP impacts. Members asked about whether data centers could generate their own power, the reliability of the pipeline numbers given confidentiality and nondisclosure agreements, and cybersecurity concerns. Bevington said the company does not assume all pipeline projects will materialize in Kentucky and instead assigns probabilities to avoid overbuilding. He also said he was not the right person to address cybersecurity in detail but offered to return to a committee focused on IT or security. In response to questions about future supply, he said LG&E and KU are adding generation through a 120-megawatt solar facility in Mercer County, a 120-megawatt solar purchase in Marion County, and a 645-megawatt natural gas combined-cycle plant in Louisville, with PSC approval recently granted for additional generation and related system upgrades.

Transcript Highlights:

• However, what we don't understand is that depression is a combination of biological, environmental, and
• And what I did was I used an ensemble model, which is a combination of different AI models, but essentially
• So ultimately what I did was, out of all of those techniques, I combined them into this heat map here
• So ultimately what I did was out of all of those techniques, I combined them into this heat map here,
• It’s a heck of a combination, to be sure. Mark Gordon, do you have something there?

Keywords: 1182, all

Summary: The Committee on Science and Technology met to hear a presentation from Ananya Lakaraju, a Hamilton High School junior, on her research project using metabolomics and machine learning to identify potential salivary biomarkers for major depressive disorder. She described using a UCSD saliva metabolomics dataset, statistical methods such as Spearman correlation, Mann-Whitney U, and PLS-DA, and an ensemble AI model with SHAP and permutation importance to identify metabolites and pathways associated with depression. She said the work suggested several novel biomarkers, with some metabolites and pathways showing stronger associations with depression than others, and noted that her model achieved about 90% accuracy and a 97% AUC in distinguishing depressed from non-depressed samples. Lakaraju also discussed a drug-discovery component of the project, using pathway analysis and molecular docking in UCSF Chimera to identify a target protein and potential compounds that might block a depression-related pathway. She said flupinazine showed the lowest binding energy in her simulations. Members asked questions about what the metabolites were, whether the findings were novel, how the saliva samples were obtained, and how the app she developed would be used. She explained that the data came from an online dataset rather than direct sample collection, that some top-ranked compounds were exogenous and not likely biomarkers, and that the app was intended to supplement AI results with mood and behavioral information because the model is not a doctor and could still be wrong. The committee praised the presentation and discussed the broader implications for AI policy and mental health diagnostics. Lakaraju said she became interested in coding through robotics and later combined that interest with biology, and she emphasized her goal of making mental health assessment more objective and holistic. The meeting ended with members thanking her for the presentation and adjourning without any formal votes or legislative action.

Transcript Highlights:

• In our combined bill, we are retaining the provisions of Senate Bill 658, that was by Senator Burgess
• Are you in support of the PCS as well, the combined bill? Excellent.
• We're the In our combined bill, we are retaining the provisions of Senate Bill 658, that was by Senator
• Are you in support of the PCS as well, the combined bill? Excellent.
• And then back on 658, we had Dallas Tieson liking 658 too, so combined, right? Okay, excellent.

Summary: The Committee on Regulated Industries met and reported several bills favorably. SB 530 on state lotteries was presented with two technical amendments and passed as amended. The bill revises Department of Lottery powers and duties, updates bid/proposal information requirements, adds definitions related to ball machines, and gives the department more flexibility to purchase rather than lease machines. SB 204 also passed favorably; it increases penalties for illegal slot machine operations to a third-degree felony and creates a process for veteran service organizations to seek binding declaratory statements from the Gaming Commission about whether a machine is lawful. Testimony on SB 204 included support from Florida Gaming and soft opposition from a veteran organization that wanted clearer language and more cooperation on electronic bingo-type games. The committee then took up a combined proposed committee substitute merging SB 658 and SB 608 on water safety requirements for rental and residential properties. The merged bill requires certain rental properties near water bodies or with swimming pools to have specified safety devices, such as exit alarms, self-closing/self-latching locks, pool fences, pool covers, or pool alarms, and allows DBPR enforcement for vacation rentals. Supporters emphasized the bill’s goal of preventing child drownings, citing Florida’s high number of fatal drownings and the disproportionate impact on young children and children with autism. The combined bill was reported favorably. SB 980 on nicotine dispensing devices was amended with a delete-all amendment creating the Florida Agegate Act. The substitute bill restricts advertising, promotion, and display of non-FDA-approved nicotine devices in retail settings accessible to those under 21, sets escalating penalties, directs fine revenue to enforcement and youth prevention, and authorizes inspections and warrantless searches tied to retail permits. Members discussed whether the bill would effectively curb illegal and counterfeit products and how enforcement would work; the sponsor said the measure is intended to reduce youth access in light of limited enforcement resources. The bill passed favorably. SB 1708 on veterinary licensure by endorsement also passed, removing a three-year out-of-state practice requirement for licensed veterinarians while keeping other qualifications intact to help address veterinary shortages. Finally, SB 680 on electric vehicle charging taxation passed with a strike-all amendment creating a sales tax exemption for electricity sold to EV charging station operators and transferred to consumers, provided it is separately metered and properly documented. The committee adjourned after noting additional support forms and inviting members to a later K-12 speech and debate bill presentation.

Transcript Highlights:

• <00:56:57.280> SAUS the alternative is combining SAUS the alternative is combining SAUS just
• How about the word 'combining' instead of 'changing'?
• So, it's not um we're combining, right?
• :31:53.520> the two, the combination without the two, the combination without the counties,<01
• <01:32:03.920> I<01:32:04.159> mean,<01:32:05.120> combine We could combine

Keywords: 928, house, all

Summary: The meeting focused on reviewing and amending draft minutes and then discussing a draft report on SAU consolidation and school administration efficiency. Members first corrected a disputed statement in the minutes about who starts charter schools, and agreed to mark it as disputed. They also noted a donation figure mentioned in the meeting but not reflected in the notes, and then approved the minutes as amended. The committee then reviewed supporting materials, including a Census Bureau education spending table and a 1993 report on eliminating SAUs. The chair argued New Hampshire ranks very high in administrative spending and used that as evidence for reducing administrative costs. Other members pushed back, noting that education costs are largely borne locally and that the committee should stay focused on its charge. Several members also objected to characterizations of SAU boards and to relying heavily on an old report or on the School District Governance Association’s proposal. The draft report itself drew repeated edits. Members objected to language suggesting the testimony from associations was simply that change was not needed, and proposed more neutral wording about concerns over the impacts of changes. There was also disagreement over a proposed model in which a county-level school administrator would be elected; some members said that would be inappropriate and premature, while others argued the committee had not yet fully developed a consolidation model. The discussion ended with a call from some members for more time and for a future joint legislative committee to continue refining any proposal before legislation is introduced.

Transcript Highlights:

• This new combined unit will continue to do the work that they've been doing.
• This is before the combination here.
• <00:24:47.880> together need to do and by combining together need to do and by combining together
• They combined training like we're looking at here at the BCA.
• <00:51:01.240> training other very well they combined training other very well they combined

Keywords: 1183, house

Transcript Highlights:

• <00:08:38.039> uh<00:08:38.200> markets, combined uh markets, combined uh markets, that
• I was just talking about the new macro businesses that evolve from the combination business.
• Senator Dibble noted that ultimately it is about combining a currently separate medical supply chain
• This is something that currently the medical combination businesses are allowed to do.
• that currently the medical combination that currently the medical combination businesses<00:23:35.360

Keywords: 1187, senate, all

Transcript Highlights:

• regulatory region combination prone regulatory region raising<01:29:08.960> concern<01:29:09.360
• The presence of residual or fragmented DNA combined with LNP-mediated delivery to immune and non-immune
• <01:51:17.360> with<01:51:17.520> the<01:51:17.760> LMP fragmented DNA combined
• with the LMP fragmented DNA combined with the LMP mediated<01:51:19.040> delivery<01:51:19.920
• enhanced transfection combined with enhanced transfection efficiency<02:07:15.040> due<02:07:

Keywords: 1189, house, all

Summary: The committee met as a special House committee on COVID response efficacy, noted absences, and restated its mission to review New Hampshire’s pandemic response, including federal guidance, federal funds, emergency use authorization vaccination efforts, long COVID treatment, patient bill of rights implementation, and vaccination policies. The main business was discussion of a proposed letter or report language concerning current COVID vaccine recommendations for young children, especially those under age two, and how to support any conclusions with cited scientific and state sources. Representative Polozov argued that the committee should ask the governor or agencies to reconsider current recommendations, saying the committee should focus on whether vaccination is needed for that age group, whether it is effective, and whether the risks outweigh the benefits. He said he had distributed articles and wanted the committee to pair its conclusions with scientific and statistical data. Other members asked him to identify the specific New Hampshire DHHS and American Academy of Pediatrics sources for the recommendation, clarify the age range being discussed, and separate any evidence about adverse effects in other age groups from the infant/toddler demographic so the letter would be transparent and not misleading. Members generally agreed the letter should be carefully sourced and refined, with citations for each claim. The chair said the committee would treat the request as urgent and try to finalize a version by the next meeting, noting that some members would be traveling. The committee also discussed scheduling additional testimony in September and October, possibly with extra meetings, to continue gathering evidence and to hear from witnesses. The chair then began reviewing supporting articles, including studies he said were new since the 2024 report, and introduced a 2025 South Korea cohort study and another 2025 Italian cohort study as examples of the evidence he wanted to incorporate into an updated 2026 report.

Transcript Highlights:

• On February 7, 2025, the Bureau of Criminal Apprehension Financial Crimes and Fraud Section combined
• <00:08:26.080> with Crimes and Fraud Section combined with Crimes and Fraud Section combined
• By combining them together, we gain a number of efficiencies.
• There’s a number of different things that we look at when we look across the board by combining.
• ,<00:18:37.679> we're at across the board by combining, we're at across the board by combining

Keywords: 1183, house

Transcript Highlights:

• You will have a combined total of five minutes.
• You have a combined total of five minutes.
• You have combined to five minutes.
• You will have a combined total of five minutes.
• You will have a combined total of five minutes.

Keywords: 987, senate, all

Transcript Highlights:

• really<00:10:37.720> a the funding source is really a the funding source is really a combination
• of some State funding uh combination of some State funding uh Federal<00:10:40.360> funding<00
• That started in 1993, of the combination of programming in that area and a great example of successes
• Partnerships within their community to provide resources for early childhood families and to combine
• This model combines several evidence-based strategies designed to support student and family success.

Keywords: 1187, senate, all

Transcript Highlights:

• So combined those two alone population.
• Um, it's number one overall when you combine federal funds into that.
• Um, it's number one overall when you combine federal funds into that.
• Um, it's number one overall when you combine federal funds into that.
• number one overall when you combine number one overall when you combine federal<00:53:52.079>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• Let's see if we can combine some of those together.
• Let's see if we can combine some of those together.
• <00:52:39.280> those also still believe that combining those also still believe that combining
• do those kind of combined activities. do those kind of combined activities.
• some of those see if we can combine some of those together.<00:53:40.559> And<00:53:40.720>

Keywords: 958, all

Summary: The committee received an update from Secretary Jeff Noel of the Kentucky Cabinet for Economic Development, joined by Matt Wingate and Terry Bradshaw of the Kentucky Association of Economic Developers, on the Kentucky Product Development Initiative (KPDI) and the closing fund. The presentation focused on how KPDI helps communities develop shovel-ready industrial sites by funding infrastructure, engineering, geotechnical work, and other site-preparation costs. Noel emphasized that the program is designed to reduce uncertainty for companies, improve speed to market, and support statewide job creation and investment, especially in rural and eastern Kentucky where development costs are often higher. Testimony highlighted the complexity and expense of preparing sites, with examples of road, water, power, and rock-removal costs, and the importance of third-party evaluation in scoring applications. Noel said the program has 116 total projects statewide, with 20 active projects stemming from pilot efforts and 35 projects already resulting in about 6,381 jobs and $4.4 billion in investment. He cited examples including Crown Holdings, Flash Metals, Phoenix Paper, Pratt Paper, AESC, Sound Elements, Kitchen Foods, Latte, Krueger, Biomass, and Anna Munsman. Bradshaw added that even communities that have not yet landed a project have benefited by building spec buildings or improving access to industrial property. The speakers said the last KPDI round drew $81 million in requests but only $35 million in available funding, and they urged lawmakers to consider whether additional funding or program adjustments are needed. Suggested changes included modestly increasing eligibility or funding flexibility for rural and eastern Kentucky, while maintaining third-party performance metrics, and continuing to prioritize finishing existing parks and creating strong regional sites. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• So over $80,000 for a combination of printing their minutes.
• That gets sent up to NDIT, and then they combine that into one state plan.
• That gets sent up to NDIT, and then they combine that into one state plan. that gets sent up to NDIT,
• and then they combine that into one state plan.
• Well, I was reminded back on your slide about reorganizing and combining.

Keywords: 908, all

Transcript Highlights:

• So over $80,000 for a combination of printing their minutes.
• That gets sent up to NDIT, and then they combine that into one state plan.
• Well, I was reminded back on your slide about reorganizing and combining.
• Well, I was reminded back on your slide about reorganizing and combining, I was reminded by Levi that
• Today, the combined print and online circulation of newspapers is reaching at least 50% of households

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• But there's nothing in the works that's going to try to combine DOE or NRC or how— There's nothing in
• the works that's going to try to combine DOE or NRC.
• Basically, what that is, is combined... ...the third one from the left.
• Basically, what that is, is combining nuclear with other clean energy systems and sources.
• So not only is hydrogen used in refineries, but I can turn around and combine it with CO2.

Summary: The meeting opened with remarks about the value of public engagement and the quality of questions from the group, followed by a series of technical presentations from Idaho National Laboratory staff. Joe Renovitz described recent nuclear regulatory changes tied to presidential executive orders, including NRC Part 53 for advanced reactors, the forthcoming Part 57 for very small reactors, and DOE updates to reactor authorization standards. He emphasized efforts to align DOE and NRC processes, use risk-informed and performance-based licensing, support reactor deployment for AI/data centers and national security, and use AI to speed communications and crosswalks between DOE and NRC requirements. In response to questions, he said there was no plan to merge agencies, but rather to improve coordination and public outreach through groups like GAIN and NEI. David Tolman then discussed the nuclear fuel cycle, including uranium mining, conversion, enrichment, fuel fabrication, spent fuel storage, transportation, disposal, and reprocessing. He explained high-assay low-enriched uranium (HALEU), why it is needed for advanced reactors, and DOE’s HALEU Availability Program and related investments in enrichment, transportation, deconversion, and supply chain development. He also covered spent fuel management, the possibility of centralized storage or a fuel-cycle campus, the Center for Used Fuel Research, and ongoing work on high-burnup cask testing and reprocessing technologies. Tolman described aqueous, pyrochemical, and fluoride-volatility reprocessing approaches, noting the advantages and waste characteristics of each, and said several companies are working with INL on these technologies. Ashley Shields presented INL’s AI and nuclear work, focusing on the Genesis initiative and the Prometheus effort to use AI to design, license, build, and operate reactors with far less human intervention. She described INL’s broad use of generative AI tools, the need to manage large volumes of legacy technical data, and applications in reactor design, materials discovery, autonomous laboratories, and digital twins. Shields said AI is being used to reduce the enormous documentation burden in nuclear licensing and to support autonomous or remotely operated reactor demonstrations, while stressing that humans remain in supervisory roles. In discussion, she addressed data security, model access, and the continued need for software engineers. The session then recessed briefly and resumed with Mitch Kerman beginning a presentation on critical minerals and materials.

Transcript Highlights:

• based on recommendations from our technical advisory committee and behavioral health providers to combine
• When we combined those fee schedules, we looked at the reimbursement rate for each of those codes, and
• those fee schedules Providers to combine those fee schedules so<00:15:36.600> when<00:15:36.759
• > schedules so when we combined those fee schedules so when we combined those fee schedules we
• reimbursement rate when we combined reimbursement rate when we combined those<00:15:50.759> uh

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.