Transcript Highlights:

• <00:08:29.520> And<00:08:29.600> this<00:08:29.760> is program integrity is
• And this is program integrity is upheld.
• > delivery the program integrity and the delivery the program integrity and the delivery of<00:14
• >> Um, so, prepayment review is a program integrity tool that I think is very important, but we have
• >> Um so, prepayment review is a program >> Um so, prepayment review is a program integrity

Keywords: 918, senate, all

Summary: Senate DFL leaders held a press conference outlining a fraud-prevention agenda centered on transparency, accountability, and modernization of state systems. Majority Leader Erin Murphy said Minnesotans are angry about fraud and that the caucus has already passed multiple fraud-prevention measures, but more work is needed. She and other senators emphasized that outdated county and state IT systems leave programs vulnerable to waste and abuse, and said they want to pursue both immediate upgrades and longer-term funding solutions, including possible bonding for technology infrastructure. Senator Zena Mohamed described legislation to overhaul program integrity in Medicaid and human services by adding safeguards before, during, and after provider enrollment and service delivery. She said the goal is to prevent theft before dollars are spent, rein in third-party entities that profit without accountability, and improve consumer protections and reporting pathways. Senator Amanda Hemmingsen-Jaeger highlighted a bill to ban cryptocurrency kiosks, arguing they are heavily used in scams targeting seniors and vulnerable people, and also backed a state consumer financial protection bureau and stronger False Claims Act enforcement. Senator Rob Kupec focused on ethics and conflicts of interest, including a proposal to bar legislative members and certain state employees from quickly moving into jobs tied to entities receiving state appropriations or grants. He also said lawmakers should strengthen penalties for theft of public funds and restrict state contracts for people convicted of fraud. Senator Heather Gustafson promoted her Office of Inspector General bill, saying oversight is fragmented and an independent office is needed for investigations, safeguards, and early detection; she said the Senate passed the bill 60-7 last year and she wants it enacted. In response to questions, Murphy and Gustafson said the OIG should have law-enforcement powers, that bipartisan support exists in principle, and that the House needs to settle on a single proposal. The senators also said prepayment review can be useful but can disrupt services, and they argued agencies must use the tools already given to them while lawmakers continue oversight.

Transcript Highlights:

• and to use these programs.
• something called an integration layer. something called an integration layer.
• for managing these programs.
• She is integral to this work.
• integrity work.

Keywords: 919, house, all

Summary: The House took up Senate File 334, a bill to modernize Minnesota’s county-administered human services technology systems, including those used for Medicaid, SNAP, and related programs. The author described the current systems as outdated “green screen” platforms from the late 1980s and early 1990s that are cumbersome for county workers, slow service delivery, and make it harder to retain staff. The bill would create an integration layer over legacy systems, establish a long-term technology modernization fund with about $90 million in spending over time and a $50 million cap, and place MNIT in charge of holding and disbursing funds. It also creates governance structures, including an interagency group with county representation and a legislative working group, and includes a $15 million fund for the Office of the Inspector General’s technology needs. Several members spoke in strong support, emphasizing that modernization would improve efficiency, help counties serve residents better, and strengthen fraud detection and data sharing. Representatives from Winona, Washington, Olmsted, Stearns, Hennepin, and others cited local experiences with hacked county systems, obsolete software, and the difficulty of recruiting workers to outdated systems. One member urged that the effort be made enterprise-wide and suggested adding the Office of Legislative Auditor to oversight. Another noted the bill’s potential to improve identity verification tools and support broader agency collaboration. No amendments were offered. After third reading and debate, the clerk called the roll and the House passed the bill with 134 ayes and 0 nays; the title was agreed to.

Transcript Highlights:

• We also enjoyed collaborating on program integrity measures that were not included in the governor's
• budget but also support program integrity.
• The Inspector General's Office has three core program integrity functions.
• integrity across DHS programs.
• integrity measures that are going to advance integrity in Medicaid's programs, in protecting the state's

Transcript Highlights:

• That's integrated into the call-taking system.
• And this really brings the integration.
• mobile crisis and integrate 988.
• in mobile crisis and integrate in 988.
• So I just want to share with you that we have our program, one of the oldest programs, in the country

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• Communities, we have some programs aligned with this type of work.
• So, we employ several of those students once they graduate from the program.
• It's not an easy task for our partners and our community rehabilitation programs.
• And it's not an on and off switch sometimes that happens with programs.
• Someone goes to a program during that time, and that's a barrier.

Keywords: 914, all

Transcript Highlights:

• I know you focused on the program I know you focused on the program Integrity<00:01:50.920> which
• the division of program Integrity she is the division of program Integrity she is the director<00
• federally we handle those in program federally we handle those in program Integrity<00:15:46.720
• requests we also have a unified program requests we also have a unified program Integrity<00:15:
• prevention and with our unified program prevention and with our unified program Integrity<00:30:

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• There is no finish line to program integrity.
• integrity for the Medicaid program.
• the and program integrity uh for the and program integrity uh for the Medicaid<00:29:26.640>
• Um uh recovery program integrity.
• <00:53:06.640> integrity report with respect to program integrity report with respect to program

Keywords: 1187, senate, all

Transcript Highlights:

• This is an integral part of that system.
• These programs whole person's needs.
• programs that delivering related um programs that address<00:04:11.120> the<00:04:11.280>
• Citizens integral part of that system.
• <00:13:58.399> So maximize how those programs work. So maximize how those programs work.

Keywords: 1187, senate, all

Transcript Highlights:

• I've been working on these programs, studying these programs for about four years now.
• Other programs that should have evidence coming out sooner include the HART program in Durham, North
• programs.
• Both of these programs are critical.
• So we started as a crisis diversion program. The program quite a bit.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• find a way to uh to get the program find a way to uh to get the program integrity<00:10:30.400><
• regard to program integrity. regard to program integrity. 16<00:19:31.480> is<00:19:31.600
• Section 19, the proportional program integrity interventions.
• proportional program integrity proportional program integrity interventions. interventions. interventions
• <01:12:40.120> integrity that can help maintain program integrity that can help maintain program

Keywords: 1187, senate, all

Transcript Highlights:

• With integration, we create two million high-value jobs.
• So we provide export accelerator training and cohort-based programs.
• We're going to go on to our next panel, which is our fourth panel on economic integration.
• All of our programs are free. We work with our underserved communities.
• I am a program manager for a unit that issues water quality permits.

Summary: The joint hearing of the Assembly Select Committee on California-Mexico Bi-National Affairs and the Assembly Economic Development, Growth, and Household Impact Committee focused on the USMCA and how the agreement affects California’s economy, jobs, supply chains, and competitiveness. Opening remarks emphasized California’s heavy trade dependence on Mexico and Canada, the importance of stable trade rules, and concerns that tariffs or uncertainty could harm workers, small businesses, agriculture, logistics, manufacturing, and border communities. Members said the hearing would help inform a future legislative report or resolution on California’s priorities for the agreement’s review. Academic and policy witnesses argued that the USMCA is central to North American economic integration and California’s role in it. Testimony from UC San Diego and CETYS University described California and Mexico as co-producers rather than simple trading partners, highlighting sectors such as medical devices, aerospace, semiconductors, logistics, and advanced manufacturing. Witnesses also warned that the upcoming review could involve not just trade but security and immigration issues, and they urged a stronger, longer-term agreement with more certainty, better border efficiency, and new tools such as specialized technician visas, binational certification standards, innovation zones, and a technology fund. Go-Biz and chamber representatives said USMCA provides predictability, market access, and support for small and medium-sized businesses, while also creating compliance burdens through rules of origin, labor standards, and customs procedures. They pointed to California’s trade missions, export support programs, and state-level cooperation with Mexico and Canada as ways to help firms participate in regional supply chains. Mexican government and business representatives said the agreement is largely functioning well, that Mexico’s public consultation process received nearly 800 submissions and about 2,000 chapter-specific comments, and that many stakeholders favor maintaining or extending USMCA. No formal votes were taken; the committee heard testimony and asked witnesses for follow-up information to inform its report and future recommendations.

Transcript Highlights:

• pleased<00:04:48.680> to program integrity, and we're pleased to program integrity, and we're
• Program integrity at the forefront.
• program integrity overhaul.
• <00:13:08.520> care program integrity in the child care program integrity in the child care
• around program integrity. around program integrity.

Keywords: 1183, house

Transcript Highlights:

• program Integrity area and our program Integrity area and our background<00:07:48.800> studies
• <00:25:57.039> Integrity investigator from our program Integrity investigator from our program
• <00:57:16.359> Integrity of our divisions the program Integrity of our divisions the program
• > and program Integrity investigators do and program Integrity investigators do and how<01:07:
• my again at program Integrity is not my again at program Integrity is not my deep<01:12:56.400><

Keywords: 1183, house

Transcript Highlights:

• The statute also requires a plan to create and maintain integrated workforce development programs.
• The plan to create and maintain integrated workforce development programs.
• this program.
• And so that's got historical data, obviously, to ensure the integrity of the program, but also to feed
• And so that's got historical data, obviously to ensure the integrity of the program, but also to feed

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• Now, that's for every single program.
• using to determine the eligibility for the program?
• and significance within the framework of the program.
• metrics for the adult education program.
• within the adult education program and urge your support of SB 670.

Summary: The committee heard several higher education bills. It first approved the consent calendar, which included SB 67 and SB 619. The main discussion centered on SB 437, which would direct the CSU system to develop a fair, evidence-based process for verifying whether someone is a descendant of a person enslaved in the United States, as part of the state’s reparations work. Supporters said the bill fills a gap left by the Reparations Task Force and would create a transparent, credible lineage-verification process; opponents argued genealogy methods already exist, the bill would waste money and delay action, and some raised constitutional concerns. The committee took a vote on SB 437, but the roll was left open after the initial tally showed three ayes and three noes. The committee then heard SB 790, which would allow California to join the interstate reciprocity agreement for online postsecondary education. The author and supporters said the bill would improve consumer protections for California students taking out-of-state online courses and help California institutions compete more effectively by reducing the burden of seeking separate state approvals. Opponents, including University of Phoenix and other groups, argued the bill conflicted with the existing reciprocity framework, could exclude some institutions, and might not actually secure California’s entry into the agreement. The committee voted 3-1 to pass SB 790 as amended to the Business and Professions Committee, with the roll left open. The committee also heard SB 391, which would authorize the Community College Chancellor’s Office to charge fees for research partners seeking access to data. Supporters said the office is absorbing significant unfunded workload from data requests and that fees would help recover costs; opponents, including the California Teachers Association community college association, warned the fees could create barriers for faculty and smaller researchers. Members discussed possible exemptions and implementation details. The committee voted 5-1 to pass SB 391 as amended to the Appropriations Committee, with the roll left open. Finally, the committee heard SB 685, a pilot program to provide cost-of-attendance assistance at four CSU campuses for students who experienced homelessness in high school. Supporters said it would help students cover housing, food, and transportation costs and reduce dropout risk; members asked about eligibility and implementation, and the author explained the bill would use McKinney-Vento homelessness designations and target students at risk of “summer melt” and college homelessness.

Transcript Highlights:

• drive our programming.
• We also added, during the COVID-19 pandemic, mental health integration programs.
• Steps programs.
• I mentioned our mental health integration program.
• program, or maybe now they're the county, or maybe they started at an FQHC, which had integrated care

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• That program, the goals for that program is, and Kelly, this is one of our program highlights, but we
• That program, the goals for that program is, and Kelly, this is one of our program highlights, but we
• KStep program. KStep program.
• places and programs. places and programs.
• your integrated integrated care model. model. model.

Keywords: 958, all

Summary: The Joint Committee on Families and Children met with a quorum, approved the August minutes, and received an update that the number of children in out-of-home care with active placements was 8,647 as of September 7, 2025. The first presentation was from Isaiah 117 House, a nonprofit that provides a home-like setting for children on removal day so they do not have to wait in a state office. Speakers described the mission as reducing trauma for children, lightening the burden on case workers, and easing transitions to foster or kinship placements. They said the Kentucky home in Logan County opened on August 15 and had already served 10 children in its first six days. Committee members asked about logistics, including whether children placed with kinship caregivers would still come to the house, how long children can stay, who remains responsible for them, and how volunteers are screened. The presenters said children are brought to the house regardless of whether they are headed to kinship or foster placement, that 72 hours is not a hard cutoff, and that a case worker remains in charge at all times while volunteers provide support. They also said volunteers undergo background checks, trauma-informed training, confidentiality instruction, and annual continuing education. In response to questions about funding and expansion, they said Isaiah 117 House is community-funded without state or federal money, and that new homes are opened only when fully funded, with construction costs typically ranging from $80,000 to $150,000 and first-year budgets around $180,000. The committee then heard a presentation from Remy Eastep Homes on its Family Centered Integrated Healthcare and related services. Leaders described the organization’s history from its origins as separate orphanages in Boyd County to residential treatment, treatment foster care, prevention services, and outpatient behavioral health. They said the organization shifted about 15 years ago toward engaging families more directly because family involvement improves outcomes and helps keep children safely at home when possible. The presentation continued into program details, but no votes or formal actions were taken on either presentation.

Transcript Highlights:

• Likewise, members, we have got a significant investment in the program integrity to address some of the
• We established program integrity search charges for all DHS providers.
• We're instituting program integrity provisions in the EIDBI services, requiring a new provisional license
• a program We're instuting a program integrity<00:09:43.279> provisions<00:09:44.000> in
• <00:11:55.279> integrity<00:11:55.839> piece help with the program integrity piece

Keywords: 1183, house

Transcript Highlights:

• integrity.
• Um one or two program integrity.
• Program integrity. So we have a robust program integrity.
• Program integrity. So we >> one more. Okay. Program integrity.
• have a robust u program integrity. have a robust u program integrity.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs
• And again, the reason I'm talking about that too is it does show the integration across all these programs

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.