Transcript Highlights:

• Uh, while KACO continues to develop a more comprehensive approach and a plan that we will unveil at our
• Uh while KACO continues to develop a Uh while KACO continues to develop a more<00:05:17.440> comprehensive
• c> approach<00:05:19.000> and<00:05:19.080> a<00:05:19.160> plan more comprehensive
• approach and a plan more comprehensive approach and a plan that<00:05:20.160> we<00:05:20.280
• Our board directed us at our annual strategic planning meeting to come up with a comprehensive approach

Keywords: Meeting Start: 00:00:07 Roll Call 00:00:13 Approval of Minutes from August Meeting 00:01:55 Discussion of County Jails 00:03:31 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 01:02:12 Adjournment 01:54:56, 958, all

Summary: The committee met with a quorum, approved the August 26 minutes, and then took up a discussion of county jail funding. KACO representatives and county officials said jail operations are an ongoing strain for counties because they must pay for inmate care, facilities, and mandated standards, while many counties also rely on jail revenue to offset costs. They described Kentucky’s jail system, including 77 jails, 43 closed counties without jails, and the mix of county, state, federal, and controlled-intake inmates. KACO emphasized that counties remain financially responsible for inmates even when they must contract with other jails, often at costs above the state’s per diem rate, and said it is developing a broader proposal to present later. The testimony focused on rising expenses and shrinking revenue. KACO said counties spent about $374 million on jail operations in FY24, up 24% from FY19, and about $41 million on jail medical costs, up 40%. General fund support for jails was said to total $147 million in FY24, more than double pre-COVID levels. Speakers also noted that state inmate populations in county jails have fallen from about 11,500 in 2019 to 7,212 in 2025, while federal inmates have increased because they are more lucrative for counties. The state jail per diem of $35.34 was described as insufficient to cover actual costs, especially medical care. County judges from Webster, Knox, and Hardin counties gave examples of local budget pressure. Webster County said it now houses 114 state prisoners, 47 county prisoners, and 24 out-of-county prisoners, and that it transferred $512,000 from its general fund to the jail last year, about $77 per taxpayer. Knox County said its jail budget has grown from an initial $2.8 million projection to $5.7 million, with $3 million coming from occupational tax revenue. Hardin County said its jail has an approximate $11 million expense budget against $5 million in revenue, creating a $6 million deficit, driven by higher payroll, medical, and insurance costs and a 29% drop in state prisoner revenue. The judge said the county has responded with property tax increases and an expanded occupational tax district, but still uses reserves to cover other county services. A Grant County magistrate then began speaking from the perspective of magistrates and commissioners, describing her background working at a local jail before serving in county government. The discussion remained centered on the fiscal burden of jails and the need for counties and the legislature to work together on a long-term solution.

Transcript Highlights:

• And I just want to flag this is non-comprehensive.
• This is not a comprehensive timeline of all the provisions, but if you would like one, we have linked
• This is not a non-comprehensive.
• This is not a comprehensive<00:13:09.519> timeline<00:13:10.000> of<00:13:10.320> all
• <00:13:10.480> the comprehensive timeline of all the comprehensive timeline of all the provisions

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• When the Legislature passed the CCPA, it did so as a tech-neutral and industry-neutral comprehensive
• Experts use detailed modeling, comprehensive data collection, and long-term...
• Experts use detailed modeling, comprehensive data collection, and long-term projections to calculate
• That is why we have shared comprehensive amendments that would avoid meritless safe yield trials unless
• The district and Searles are both currently in a comprehensive groundwater adjudication.

Summary: The committee heard testimony on several bills related to reproductive access, child safety online, immigration enforcement in schools, health privacy, location data, digital provenance, reparations, and age assurance. AB 54 would protect the medication abortion supply chain and shield providers and others from liability; AB 1137 would strengthen reporting and enforcement tools for child sexual abuse material on social media; AB 49 would limit ICE activity at California public schools; AB 82 would expand privacy and safety protections for gender-affirming care patients and providers; AB 1355 would restrict the collection, use, and sale of precise location data; AB 853 would expand provenance requirements for AI-generated and authentic content; AB 62 would create a pathway for restitution for racially biased eminent domain takings; and AB 1043 would create a device-based age assurance framework for online services. Supporters generally framed the bills as necessary responses to current harms: reproductive rights advocates emphasized California’s role as a safe haven; child safety witnesses described the persistence and re-victimization caused by CSAM online; immigrant rights and education advocates said schools should remain safe from immigration enforcement; health and LGBTQ+ advocates stressed privacy and safety risks tied to tracking and harassment; privacy and consumer groups backed limits on location data and stronger provenance tools; and reparations advocates said AB 62 would help address historic injustices. Opposition came from family policy, tech, business, law enforcement, and industry groups, who raised concerns about safety claims, constitutional issues, implementation burdens, transparency, law enforcement access, and the need to preserve existing privacy frameworks and voluntary standards. The committee members largely expressed support for the policy goals while noting implementation concerns on some measures. Several members asked for or were offered coauthor status on bills. AB 1137, AB 54, AB 49, AB 82, AB 1355, AB 853, and AB 62 all received do-pass votes to Appropriations, with some members voting no or not voting on certain bills. AB 1355 and AB 853 were advanced with amendments or ongoing work promised with opponents, and AB 1043 was presented with discussion of possible amendments on parental consent and age assurance details, though the transcript cuts off before final action on that bill.

Transcript Highlights:

• and other provisions related to project development have changed significantly, we provided a comprehensive
• provided<00:05:09.680> a significantly, we provided a significantly, we provided a comprehensive
• list of comments in a comprehensive list of comments in a separate<00:05:12.240> document.
• <01:29:58.560> and<01:29:58.880> statewide on a more comprehensive and statewide on
• a more comprehensive and statewide basis.<01:30:00.400> Um basis.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:29:26.440> multi-disciplinary<00:29:27.320> reviews comprehensive multi-disciplinary
• reviews comprehensive multi-disciplinary reviews of<00:29:27.760> maternal<00:29:28.360> deaths
• The work that is done is to conduct a comprehensive review to lead the recommendations to prevent further
• The work that is done is to conduct a comprehensive review to lead the recommendations to prevent further
• So we were able, I'm happy to say now, to get funding yearly for this, where we can do comprehensive,

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• With Ascentia Health, we're proposing a bold new all-Minnesota solution that provides seamless, comprehensive
• This engagement will help ensure our systemwide strategic plan is not only comprehensive but also reflective
• <00:03:34.920> care<00:03:35.560> to<00:03:35.799> patients seamless comprehensive
• care to patients seamless comprehensive care to patients and<00:03:36.280> our<00:03:36.519><
• strategic plan is not only comprehensive strategic plan is not only comprehensive but<00:05:01.639

Keywords: 1183, house

Transcript Highlights:

• We're trying to get a comprehensive total of the HUD programs.
• uh total of the HUD comprehensive uh total of the HUD programs<00:41:18.079> I<00:41:18.200><
• But again, this is a comprehensive report of everything that we do and who we serve and the number of
• <01:44:00.800> report<01:44:01.119> of again this is a comprehensive report of again
• this is a comprehensive report of everything<01:44:01.719> that<01:44:01.840> we<01:44

Keywords: 1187, senate, all

Transcript Highlights:

• I encourage you to watch the Minnesota Sentencing Guidelines Commission as they conduct a comprehensive
• > conduct<00:20:47.600> a commission as they conduct a commission as they conduct a comprehensive
• c> review<00:20:49.640> this<00:20:50.159> year<00:20:51.159> because comprehensive
• review this year because comprehensive review this year because they<00:20:51.640> have<00:20
• inmates uh so it's a very comprehensive inmates uh so it's a very comprehensive study<00:25:11.720

Keywords: 1187, senate, all

Transcript Highlights:

• We’re pulling together data to get as comprehensive a picture as we possibly can about what’s happening
• We’re pulling together data to get as comprehensive a picture as we possibly can about what’s happening
• together to data to get as comprehensive together to data to get as comprehensive a<01:31:29.840
• This was so comprehensive, thank you, but I wrote down a few questions and wanted to make sure you were
• so comprehensive thank you but I wrote so comprehensive thank you but I wrote down<01:34:35.400> a

Keywords: 1187, senate, all

Transcript Highlights:

• So we'll need to really reframe how we're looking at it, but we really tried to be as comprehensive as
• We have a comprehensive outreach plan that is very much under development and underway.

Keywords: 962, all

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• pieces of the apportionment system over the years, today's report really represents the first comprehensive
• We found OSPI lacks comprehensive documentation of internal controls and data information flow.

Summary: The Joint Legislative Audit and Review Committee subcommittee heard a State Auditor’s Office performance audit on the accuracy and reliability of OSPI’s school apportionment system. Auditors said the system, which calculates and distributes K-12 funding using multiple feeder systems and a core apportionment engine, is outdated, unstable, inefficient, and at high risk of failure. They reported weak controls over data input, documentation, oversight, and staffing, and said OSPI relies heavily on manual workarounds, a few knowledgeable staff, and vendor support. In limited testing of three districts, the auditors found the system calculated funding correctly for the 2023-24 school year, but they identified nine small input discrepancies tied to differences between budget materials and state law, which they said could compound into larger dollar amounts. The auditors recommended replacing or modernizing the system and noted that delays in doing so prolong risk. OSPI largely agreed that the current platform needs replacement and said it has been working toward a new system for years. Agency officials clarified that the Legislature requested a feasibility study in 2022, that the study found the system at risk of catastrophic failure, and that funding for a replacement is now in the state IT pool subject to OCIO/OFM gate reviews. OSPI disputed the audit’s characterization of the rounding and budget-law discrepancies, saying the issue was an agency rule and implementation choice, not an error that caused under- or over-allocation. Officials also said the current system is too old to easily absorb future formula changes, but that the planned replacement should be flexible enough to handle a new funding model if the Legislature adopts one. Committee members asked about the amount and timing of the $16 million project funding, whether smaller districts face greater risk, how many times data is entered, and whether the funding formula should be simplified. Auditors and OSPI both emphasized that formula simplification is a policy question for the Legislature, not the audit. Public testimony came from one online witness, who urged full implementation of the audit recommendations and modernization of the system. The subcommittee took no formal vote and adjourned after the presentations and testimony.

Transcript Highlights:

• saw this bill in committee, my statements still resound and say the same: that in the absence of comprehensive
• , and in light of that, I vote no, and hope that we'll get to a point where one day we'll have comprehensive

Keywords: 1182, all

Transcript Highlights:

• And then, lastly, they are going around and training physicians on how to do comprehensive screening
• This is a new original contract for lithium supply chain analysis, and this is to allow for a comprehensive

Summary: The ALC-Review Subcommittee reviewed seven methods of finance, including university projects at ASU Jonesboro and Mountain Home, Black River Technical College deferred maintenance, UA Batesville’s Farm Project Gateway Center, UAMS PET cyclotron equipment, a new allied health building at UAPB funded by a federal grant, and UCA’s multi-purpose arena design work. The committee also approved an alternative delivery construction project for UAPB’s Allied Health and Sciences Building, with East Harding Construction selected and AMR Architects as designer. Members then approved discretionary grants from the Department of Health and DHS, including support for a heart attack center designation, community health worker training, homeless services funding corrections, behavioral health transition support, and an enabling technology pilot. In the contracts section, the committee reviewed RFQs, construction-related contracts, intergovernmental contracts, and a large slate of out-of-state and in-state contracts covering topics such as seatbelt survey data collection, Medicaid and DHS systems, state hospital staffing and services, veterans’ services, education assessments, and state IT and procurement projects. Several contracts drew extended questioning. Senators and representatives pressed DHS and the Department of Veterans Affairs about heavy reliance on contract nursing and staffing costs, and officials said they were using pay incentives and recruitment efforts to increase state employee staffing. Members also questioned AEDC’s lithium supply chain study and the Department of Education’s security contract, with concerns about projected costs and repeated amendments. The committee held three in-state contracts—Department of Education security services and two DHS staffing contracts—until Friday, then adopted the remaining contracts and received informational reports on contract amendments, executed contracts, and emergency procurements before adjourning.

Transcript Highlights:

• to know about sexual abuse prevention, I also believe that this could be accomplished by having comprehensive
• Additionally, what...” by having comprehensive and age-appropriate sex education from kindergarten through

Keywords: 1182, all

Transcript Highlights:

• And so at the time, there was one state that had a comprehensive data privacy program.
• Now, six years later, there's 20 other states that passed comprehensive and enforceable data privacy

Keywords: 914, all

Transcript Highlights:

• It's a comprehensive legal code governing criminal law, civil disputes, family law, and individual rights
• It's a comprehensive legal code governing criminal law, civil disputes, family law, and individual rights

Keywords: 1182, all

Transcript Highlights:

• treat ag enclave developments as if they were conforming uses, regardless of what those local comprehensive
• We work really closely with local governments on their comprehensive plans.

Bills: S0014, S0016, S0024, S0168, S0288, S0548, S0686, S0830, S1138, S1234

Keywords: negligence, settlement, police conduct, municipal liability, personal injury, compensation, injuries, Miami-Dade County, rural electric cooperatives, energy production, Florida law, energy tariffs, regulation, impact fees, transportation capacity, local government, interlocal agreements, growth management, community planning, extraordinary circumstances

Summary: The committee met with a quorum present and took up a series of local claims, public records, growth management, permitting, and nuisance bills. It first heard and approved SB 16, SB 14, and SB 24, all uncontested claims bills providing relief related to injuries or settlements involving the City of St. Petersburg and Miami-Dade County. The committee also approved SB 288 on rural electric cooperatives, which narrows statutory language to protect co-op decisions on generation and power purchases while preserving consumer protections, and SB 830, which creates a public records exemption for certain personal information of county and city managers and their families due to reported threats against local officials. Members then considered SB 1138 on qualified contractors and development review, which would create a registry of licensed professionals to help local governments process pre-application reviews and plats more quickly. Local government groups raised concerns about preemption and preserving quasi-judicial authority, while private-provider supporters backed the bill; Senator Sharief voted no, and the bill was reported favorably. The committee also approved SB 168, expanding public nuisance law to include gambling houses and increasing penalties, and SB 686 on agricultural enclaves, which revises the enclave process, adds a public hearing path, limits it to certain residential projects in urban service areas, and was amended to change a date to June 30, 2026 before being reported favorably. The committee next approved CS for SB 548 on growth management and impact fees, which clarifies plan-based methodology, extraordinary circumstances, interlocal agreements, and refund procedures for improper fee collections. Testimony reflected support for clearer standards but also concerns about fee increases and refund administration. Finally, SB 1234 on building permits and inspections was reported favorably; it would extend permit validity, exempt some low-value work from permitting, create a statewide residential permit form, speed review timelines, and expand private-provider use, drawing opposition from a Miami-Dade building official who argued for continued local oversight and support from private-provider advocates. Senator Jones requested to be recorded as voting affirmatively on several tabs and negatively on tab 9, and the committee adjourned after all bills were disposed of.

Transcript Highlights:

• enacted, we would likely spend the next interim actually fleshing out virtual policies a bit more comprehensively
• We can't throw out distance education, but we do have to study it because PED had a very comprehensive

Keywords: 996, all

Transcript Highlights:

• enacted, we would likely spend the next interim actually fleshing out virtual policies a bit more comprehensively
• said we can't throw out distance education, but we do have to study it because PED had a very comprehensive

Transcript Highlights:

• 250-year anniversary, I present to you Senate Bill 250, the Senate's Rural Renaissance Bill, a comprehensive
• When the Auditor General completed his comprehensive review of how we fund school choice within that

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, including recognition of Alpha Kappa Alpha Sorority’s Founders’ Day and a visiting debate student. The chamber then received and adopted, by a 39-0 vote, a committee report confirming 52 gubernatorial executive appointments to various state, regional, and local boards and commissions. The first major bill was SB 250 on rural communities, described as a broad “Rural Renaissance” package. Sponsor Senator Simon outlined provisions creating an Office of Rural Prosperity, a Renaissance Grant Program for counties facing population loss, housing and transportation investments, additional funding for rural education, and rural health care support. Two amendments were adopted to remove overlapping grant language tied to new federal rural health funding and to update hospital funding estimates. Senators from both parties generally supported the bill, though some raised questions about eligibility for certain rural areas and how funds would be accessed. The bill passed 39-0. The Senate then took up CS/SB 318 on educational scholarship programs. Senator Gates said the bill responds to Auditor General findings by separating scholarship funding from public school funding, requiring student identification and enrollment verification, reducing administrative fees for scholarship funding organizations, requiring annual audits, and directing the Department of Education to develop a competitive selection and performance-based business plan for those organizations. Three amendments were adopted, including changes to the stabilization fund and documentation requirements. Senators from both parties debated transparency, accountability, and implementation concerns, with some also urging future attention to declining-enrollment school districts and the quality of scholarship providers. The bill passed 38-0. At the end of the session, the Senate waived rules to immediately certify SB 250 and CS/SB 318 to the House, welcomed Palm Beach County visitors in the gallery, and adjourned until the next scheduled meeting.