Transcript Highlights:

• . programs. programs.
• , a two-year program, or a four-year program.
• , a two-year program, or a four-year program.
• , a two-year program, or a four-year program.
• One-year program, a two-year program, or a four-year program.

Keywords: 1183, house

Transcript Highlights:

• Really just make a program that was a serious program with clear, clear deliverables, clear, measurable
• And we have this game, a grant program and that program has so far been appropriate, 60 million dollars
• So another well-known program.
• I bite anybody to join the program.
• Another great program.

Keywords: 999, senate, all

Transcript Highlights:

• Is it a mandatory program?
• Is it a mandatory program?
• parents can decide whether to opt their children into the program or not is it a mandatory program for
• Our students in satellite programs never step on a centralized program.
• , or I just say satellite programs, career technical education programs.

Keywords: 1182, all

Summary: The committee first heard House Bill 4043, which would require each school district and charter school to ensure that at least one employee at each school is trained in CPR, first aid, and AED use by August 1, 2027. The sponsor said he would consider floor amendments to clarify that a trained person should be available at all times and to tie the requirement to schools that actually have AEDs. Supporters, including a constituent who lost a child, said the bill could help save lives; opponents and some members raised concerns about cost, staffing, and whether one trained employee is enough. The bill received a due pass recommendation on a 7-1 vote with several members voting present. The committee then took up House Concurrent Resolution 2015, as amended by a strike-everything amendment supporting at least 60 minutes of daily physical activity for students and prominent display of the federal Dietary Guidelines for Americans. A public health advocate testified in favor, emphasizing chronic disease prevention in children. The committee adopted the strike-everything amendment and then gave the resolution a due pass recommendation on a 12-0 vote. House Bill 2621, as amended, addressed enrollment and special education access for pupils in unorganized territory, tribal land, and certain military-connected students, including changes to certificates of educational convenience and timelines for district and county action. The sponsor and stakeholders described it as a technical fix to reduce enrollment delays and improve access to services. After adopting both the strike-everything amendment and a Garcia amendment, the committee passed the bill 11-0. The committee also advanced House Bill 2385, which limits superintendent contracts to one-year terms during the first three years of employment and allows longer terms only after three consecutive years. The sponsor framed it as a way to reduce costly buyouts and give school boards more flexibility; there was no public testimony, and the bill passed 7-4. House Bill 4106, creating the One Arizona Service Fellowship Program, also passed after amendment. Supporters said it would build service opportunities and workforce experience, while some members objected to creating and funding a new state program; it passed 8-2 with one present. Later, House Bill 2992, as amended, established a pilot program in schools for child sexual abuse and assault awareness and prevention, expanded to K-12 in the amendment and funded from the Victim Compensation and Assistance Fund. A survivor and anti-trafficking advocate strongly supported teaching children and training staff, while some members objected to the funding source and possible unintended consequences. The bill passed 6-5 with one present. House Bill 2370, concerning who may modify weapons detection systems and requiring superintendent notification to governing boards within 24 hours, passed 8-3 after a debate over school safety, accountability, and whether the bill was too vague or too narrow. House Bill 4056, as amended, would bar fees for legislators making public records requests in their official capacity and require electronic delivery; the sponsor cited large fees charged by school districts, while opponents warned against broad fee exemptions. It passed 8-3. Finally, the committee began House Bill 2478, which would create the Arizona Commission on Student Outcomes to study K-12 performance, accountability, graduation requirements, finance, and related issues, with a proposed amendment to add early childhood analysis. The sponsor said the commission would help drive a statewide conversation and that the Classroom Site Fund had sufficient unused balances to support it. Testimony from early learning and advocacy groups was generally neutral but supportive of including early childhood in the study, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• She spent four years in program.
• <00:07:16.240> They nurse program at St. Paul College. They nurse program at St.
• <00:25:01.200> and like people in nursing programs and like people in nursing programs and
• So if someone is our state programs.
• <00:36:15.040> that applies to the actual programs that applies to the actual programs that

Keywords: 1187, senate, all

Transcript Highlights:

• There are specific software programs or other types of programs. All those are great resources.
• program.
• The McKinley Academy program is an early college program.
• You talked about a lot of the CTE programs. Do you have an educator rising program?
• It is an AI program, but most parents who are not aware that it's an AI program actually will have a

Transcript Highlights:

• Resources development to process program Resources development to process program applications<00
• then to follow through on the program then to follow through on the program internship<00:10:42.959
• <00:27:23.760> be really designed to help the program be really designed to help the program
• <00:27:57.559> the<00:27:57.720> program added cost for the program the program added
• cost for the program the program was<00:27:58.399> designed<00:27:58.760> to<00:27:58.960

Keywords: 912, senate, all

Summary: The Committee on Labor and Technology heard testimony on several measures. Senate Bill 327, relating to internships, drew broad support from the Department of Education, Department of Labor and Industrial Relations, University of Hawaiʻi, DBEDT, P20, HFIA, Hawaiʻi Electric, the Hawaii Primary Care Association, and the Chamber of Commerce, with suggested amendments to clarify the internship purpose, limit some responsibilities to the state executive branch, and address staffing and reporting details. The committee later recommended passing SB 327 with amendments, including changes to the internship language, private-sector references, work-hour limits, reporting requirements, and a deferred effective date for further discussion. Senate Bill 716, relating to the Hawaii Employment Security Law, received support from the Department of Labor and Industrial Relations as a step toward modernizing unemployment insurance, and the committee recommended passage with housekeeping and technical amendments. Senate Bill 717, relating to collective bargaining, would allow certain exempt employees to grieve suspensions or discharges. The City and County of Honolulu and the Department of Human Resources Development said the issue should remain a collective bargaining matter, while HGEA and United Public Workers supported the bill. DHRD opposed changing the statute and pointed to existing internal complaint procedures. The committee nevertheless recommended passing SB 717 with amendments and deferred the date for further discussion. Senate Bill 742, relating to data sharing, would create a data sharing and governance working group within the Office of Enterprise Technology Services and include appropriations. OETS, the Executive Office on Early Learning, the University of Hawaiʻi, DOE, Hawaiʻi Kids Can, Hawaiʻi P-20, and others supported the measure, with OETS estimating a total cost of about $2.64 million, including software, consulting, and six FTE. The committee recommended passage with amendments and a deferred effective date, and noted the budget request in the committee report. The final measure, Senate Bill 855, relating to the Hawaii Retirement Savings Act, would shift the program from opt-in to opt-out and appropriate startup funds; former Senator Brian Taniguchi and AARP supported it, while Retail Merchants of Hawaiʻi and the Tax Foundation of Hawaiʻi opposed it over costs and burdens on small businesses and concerns about adding mandates before the program is implemented. The committee recessed briefly on a proposed AARP amendment, then returned and indicated support for the opt-out language before taking the bill up for decision-making.

Transcript Highlights:

• 94% of participants in a PACE program 94% of participants in a PACE program would<00:09:14.480><
• seniors experience it is a program our seniors experience it is a program our seniors and<00:
• We introduced the PACE program, and they may have been very successful with the program because the program
• I've been the program the P program<00:13:00.839> since<00:13:01.199> July<00:13:02.519
• Unlike many other states that have instituted a PACE program, Minnesota already has the MSHO program

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• <00:04:21.160> that<00:04:21.320> was program uh is a uh a program that was program
• Smooy's program, one of the programs that we were able to fund with the RFS program.
• Smooy's program, one of the programs that we were able to fund with the RFS program.
• Smooy's program, one of the programs that we were able to fund with the RFS program.
• <01:24:50.360> program conservation stewardship program program conservation stewardship program

Keywords: 1187, senate, all

Transcript Highlights:

• And the need for these programs is great. ...continue to limit participation in these programs.
• And the need for these programs is great.
• English proficiency programs for skilled immigrants need... ...English proficiency programs for skilled
• The second tenet of the bill is to immediately pilot programs such as JVS's English for Advancement Program
• We take our apprenticeship programs extremely seriously.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development heard testimony on several workforce-related bills, with most of the hearing focused on ESOL and apprenticeship legislation, followed by testimony on a four-day workweek pilot and paid prenatal leave. On ESOL, witnesses including the Boston Foundation, Skillworks, MassINC, MIRA, JVS Boston, Eastern Bank, immigrant advocates, employers, and legislators supported H.2080/S.1326, arguing that Massachusetts has a large backlog of limited-English-proficiency residents waiting for classes, that ESOL is essential to economic mobility and immigrant integration, and that the state needs a coordinated, statewide strategy with more vocational and workplace-focused English instruction. Testifiers cited long waitlists, fragmented delivery across agencies, labor shortages, and examples of workplace English programs helping immigrants gain jobs, advance careers, and support businesses. Committee members asked questions about how vocational ESOL differs from standard classes, and witnesses explained that it focuses on job-specific language and workplace scenarios. The committee also heard strong support for H.2085/S.1303, which would require more use of registered apprentices on public construction projects over $1 million. Labor leaders from the Massachusetts AFL-CIO and Massachusetts Building Trades, along with electricians and apprentices, said the bill would help apprentices complete training by ensuring enough job-site hours, expand access to good union careers, and strengthen the construction workforce for housing, infrastructure, and clean energy work. Several witnesses defended existing apprenticeship ratios and electrical licensing standards, warning against deregulation and emphasizing safety. Committee members asked about project thresholds and apprenticeship ratios, and witnesses said the bill’s phased apprentice-hour requirement was intended to cover most public projects under current cost conditions. The committee then heard testimony on S.1330, a four-day workweek pilot program. Senator Dillon Fernandez and Representative Shirley Arriaga described the proposal as a response to burnout, affordability pressures, and changing workplace norms, arguing that a pilot would let Massachusetts study whether shorter workweeks improve productivity, retention, and worker well-being. Witnesses said the model could help families balance caregiving and commuting while maintaining or improving output. Finally, the committee took testimony on S.1361, establishing paid prenatal leave. Parents, health advocates, March of Dimes, and others said paid leave would help pregnant workers attend critical prenatal appointments, reduce missed care, and improve maternal and infant health outcomes. Several speakers shared personal stories about high-risk pregnancies, pregnancy loss, and the financial strain of taking unpaid time off. No votes were taken during the hearing; the committee primarily received testimony and asked a limited number of questions.

Transcript Highlights:

• of some of those programs.
• In 2020, with the implementation of all of those programs, but especially the COVID recovery programs
• So we are looking again, our program... Programs touch a number of different areas in the state.
• The Local Solar Access Program, which you'll review the rules on shortly, That's one of the key programs
• . and commercial development programs, and go over a little briefing about the program itself to the

Transcript Highlights:

• Recapture program.
• Ready Community Program or for some of the Community Program or for some of the other programs.
• Congress had a program that they said run this program. U.S.
• Those are to run the entire program. Those are to run the entire program.
• Treasury's program in accordance with their program guidelines.

Keywords: 916, all

Transcript Highlights:

• I also founded the National Dental Advocacy Program through the Patient Advocate Program, a nonprofit
• The benefit of being able to sell the drugs on the 340B program is that it is a voluntary program for
• from 340B, there are standards and programs that have done this really well, such as the HIV programs
• This program is, this bill is not trying to eradicate the 340B program.
• the Medi-Cal program.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• that program.
• program.
• <03:23:19.040> thank programs thank programs thank [Applause] Thank you.
• ><03:44:00.439> is<03:44:00.680> already program our program as it is already program our
• waiver program.

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• The Professional Student Exchange Program.
• you have and doing the same exact program in another place.
• We've got the Scholars Program that we put in, adjust the ACT requirement for the Scholars Program as
• far as how the program is working and what they're doing.
• , and professional programs.

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee met to work through the higher education budget, beginning with a conflict-of-interest request from Representative Martinson, who was excused from voting because of a partnership that leases office space to Bismarck State College. Members then reviewed the higher education institution budget sheets, covering ongoing and one-time funding items for campuses and system projects such as BSC housing, Lake Region roof repairs, UND’s STEM and National Security Crossroads projects, the UND allied health facility, NDSU projects including New Horizons, DSU deferred maintenance and campus security, Mayville’s Old Main, Minot projects, and the regional health institutes. Members also discussed student financial assistance, the professional student exchange program, IT security funding, and workforce/education innovation grants. Several amendments and policy questions were debated. The committee adopted an amendment to make workforce education innovation grants competitive rather than automatically distributed, and then voted to remove language prohibiting those funds from being used to duplicate academic programs. Members also removed similar anti-duplication language from the New Horizons section. They agreed to extend the UND hyperbaric chamber transfer authority to 2027 and clarified language around UND land-sale proceeds. A proposed amendment to add $5.6 million for the Wahpeton State School of Science building purchase failed for lack of a second, and a proposal to restore fetal alcohol spectrum disorder funding to UND was left for conference. The committee also discussed, but did not add, a tuition cap change, a study on the Praxis exam, and several governance-related provisions. The committee spent significant time on broader higher education policy items, including a $3 million enterprise resource planning request for the university system, a $2 million grant program for students who are pregnant, recently gave birth, or are caring for young children, and a $1.1 million request for library age-verification software tied to the Odin system. Members also discussed dual-credit authority for UND and NDSU, a goal for the UND medical school to increase North Dakota resident enrollment, and intent language regarding the commissioner/chancellor model and presidential search authority. At the end of the meeting, the committee approved the amendments and then gave the higher education budget a do-pass recommendation as amended, with Representative Sanford designated as the carrier. The Forest Service budget was also approved, including two additional FTEs, and the committee adjourned after noting it would continue with other budgets the next day.

Transcript Highlights:

• These programs that we funded programs.
• We do many programs, and WOS is part of four programs that we do.
• improve their programming. improve their programming.
• scale up our programs.
• scale up our programs.

Keywords: 1187, senate, all

Transcript Highlights:

• Program means school grade level, program, or class.
• They have an agriculture program, and they also have a new manufacturing program and a cosmetology program
• program means school grade level program program means school grade level program or<00:21:07.880
• They have an agriculture program, and they also have a new manufacturing program and a cosmetology program
• but again it's not my this program but again it's not my program. program. program.

Keywords: 1189, house, all

Summary: The committee of conference on HB 751 reviewed amendment 2026-1904H page by page, focusing on open enrollment rules, capacity definitions, statewide enrollment limits, denial criteria, transportation, and funding. Members discussed clarifying that districts may set capacity at zero if they truly have no room, creating a statewide enrollment cap of 500 that can increase by 25% if it reaches 90% utilization, and exempting seats already used by open enrollment students before October 1, 2026. They also discussed how the Department of Education would allocate seats through rulemaking, while local districts would still set capacity, with grandfathered seats preserved where districts already allow open enrollment. A substantial portion of the meeting centered on when districts may deny open enrollment applications. The amendment would allow denials for reasons such as chronic absenteeism or disciplinary history, while requiring districts to consider whether those issues are tied to disability, McKinney-Vento status, foster care, or bullying. Members emphasized that such factors are to be considered, not used as the sole basis for rejection, and noted that the bill separately prohibits receiving schools from accepting or rejecting applicants based on pupil needs, special education needs, disability, aptitude, or athletic achievement. There was also discussion of whether interdistrict transfers should count toward open enrollment capacity, with a suggestion that a carve-out may be needed. The committee also reviewed provisions on program-specific capacity, continuous enrollment, and transportation. It was explained that capacity can apply to a school, grade, program, or class, including CTE programs, and that students may be denied if a specific program is full or if they do not meet prerequisites. The group clarified that open enrollment pupils would maintain continuous enrollment without reapplying, though there was concern about how that would work if district capacity changes over time. Transportation would generally be the parent’s responsibility unless required by an IEP or 504 plan, though students may use an existing bus route if seats are available and the receiving district allows it. On funding, the committee noted that the amendment changes the earlier HB 751 approach and instead ties open enrollment funding to base adequacy, differentiated aid, and an additional grant modeled on charter school funding, with dates removed at the department’s request. Members also raised concerns about how open enrollment would interact with existing tuition agreements and whether districts could use the new pathway to alter or pressure those arrangements. Department staff said districts would still be required to maintain a school of record and provide an adequate education free of charge outside the open enrollment program, and that if open enrollment enrollment became unusually large relative to district adequacy enrollment, the issue could be brought to the state board. No votes were taken in the portion provided.

Transcript Highlights:

• I’m very adept in our CHW program.
• , the initial TORCH program.
• She also works in our jail program, so we have a jail case management program, specifically. for HIV
• They identified about 83 different programs. We reviewed the financials of those programs.
• It saves us in other social services programs. It saves us money in other programs.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• consumer-directed services program. consumer-directed services program.
• When<00:48:16.600> this<00:48:16.800> program When this program When this program >&
• Medicaid program that exists. So, so did Medicaid program that exists.
• program that doesn't exist anymore. program that doesn't exist anymore.
• >> There's no federal program. >> There's no federal program.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• functions of the program. program. program.
• fee-for-service program. fee-for-service program.
• So, the disproportionate share program is a program on the EW program where if a person has low needs
• . program. program.
• So, we are seeking to eliminate that<01:04:46.920> program that program that program and<01:04

Keywords: 1183, house

Transcript Highlights:

• housing program, and the Wildfire County Coordinator program.
• access to this crucial program.
• housing program in the budget.
• We are a program administrator for two of the air districts as well as with the statewide program.
• HOPE Accounts Program.

Summary: The Assembly Budget Committee held an informational hearing on the final three-party budget agreement and related trailer bills, with the Department of Finance outlining the major budget bill and omnibus measures. Finance described a package built around balancing the state budget amid economic uncertainty, preserving core health and safety-net programs, and making significant ongoing reductions in some state programs. The budget bill included major items such as shifting $1 billion from the General Fund to the Greenhouse Gas Reduction Fund for Cal Fire, funding universal transitional kindergarten, deferring some UC and CSU funding, supporting foster care and homelessness programs, providing Proposition 36 implementation funding, and achieving Medi-Cal savings through changes to benefits and eligibility. The committee also heard that votes on the budget bills were expected later in the week and the following Monday. Finance then walked through the trailer bills, including health, human services, early learning, education, resources, energy, transportation, labor, housing, tax, public safety, courts, general government, cannabis, and energy-related measures. Notable provisions included a Medi-Cal enrollment freeze for certain adults, new premiums and benefit changes for some immigrants, child care COLA changes, education funding for literacy, teacher support, universal meals, and community college student support, as well as resource and climate measures affecting Cal Fire staffing and energy permitting. The housing trailer bill drew the most discussion, with provisions on CEQA streamlining, a vehicle miles traveled mitigation banking program, a renters’ credit trigger, and a six-year moratorium on new residential building standards. Members also discussed a film tax credit expansion, cannabis enforcement funding, a tribal police pilot program, and changes to tax policy, including military retirement income exclusions and wildfire settlement payment exclusions. Committee members largely praised the staff and the budget process, but several raised concerns and asked detailed questions, especially about the housing trailer bill’s new wage standards, tribal consultation provisions, and possible effects on prevailing wage protections. Finance explained that the housing language was intended to set wage floors for market-rate projects receiving CEQA streamlining, with different county-based tiers and a notwithstanding clause preserving existing prevailing wage laws. Members also questioned the size and timing of funding for the Children and Youth Behavioral Health Initiative, Clean Cars for All, Proposition 36, and the film tax credit expansion. Other members highlighted support for public safety, veterans’ tax relief, child care providers, housing production, and higher education, while some expressed concern that the budget’s policy changes were being negotiated too quickly or without enough stakeholder input.