Transcript Highlights:

• all of us that are Medicaid providers. all of us that are Medicaid providers.
• >> participating providers? >> participating providers?
• provider, or another type of provider.
• all of those providers. all of those providers. >> Thank<00:41:46.480> you.
• So they have the flexibility and the creativity to use some business approach in order to try to provide

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• Today, this hearing will be streamed on the assembly's website and members of the public can provide
• Jobs First, by targeting sectors that are high paying waged and that also have the opportunity to provide
• Provided over 300 youth with work experience and career exploration opportunities to help them prepare
• Our local city provided her opportunity. And then she became a full-time employee.
• And thank you for stopping by our choteria in Paramount and providing. She sent me a nice text.

Keywords: 988, house, all

Transcript Highlights:

• Providers that are participating in this program do not have access to any funding provided for this
• Providers that are participating in this program do not have access to any funding provided for this
• Providers that are participating in this program do not have access to any funding provided for this
• We provide all of that.
• We provide all of some remediation.

Keywords: 958, all

Summary: The committee heard presentations from the Family, Career and Community Leaders of America and the Governor Scholars Program. The FCCLA student speaker described how career and technical education helped her gain certifications, work in early childhood settings, and recognize a child who needed speech help, emphasizing support for CTE, FCCLA, and related student organizations. The Governor Scholars Program presentation, led by Dr. Jennifer Price with student speakers Max Corbett and Abigail Ziggler, focused on the program’s role in serving about 1,500 rising seniors each summer, its history since 1983, its statewide reach, and its impact on leadership development, college readiness, and keeping students connected to Kentucky. Members praised the students and program, and several shared personal stories about the program’s long-term benefits. Representative Camuel asked about funding, and Dr. Price said the program’s request was $2.1 million to maintain current enrollment levels of about 1,020 scholars for 2026; no vote was taken on that request during this segment. The committee then took up House Bill 498, sponsored by Representative Duvall, with Aaron Looper of Graduation Alliance testifying in support. A committee substitute was adopted after explanation. The substitute broadened eligibility for accredited providers to include public and nonprofit entities, allowed each county an opportunity to provide services with a $200,000 aggregate maximum per county, reduced the dollars per credit to serve more students, and made date corrections. Representative Duvall said the bill was a workforce measure developed from the Workforce Attraction and Retention Task Force and aimed at adults who lack a high school diploma but have two years or less remaining to graduate. Looper said the bill would create a pathway for adults to earn a regionally accredited high school diploma, paired with workforce and industry-recognized credentials, and stressed that it would not compete with GED programs, which are better suited for adults farther from graduation. He said the model is pay-for-performance, with providers paid only after milestones are completed, and that it would be available online, in person, or in hybrid form to improve rural access. In response to questions, he said students would not be charged fees, providers would handle transcript retrieval and remediation, and the program would include built-in accountability measures. He also said the budget request is $2 million per year, with the goal of maintaining the current level of service and eventually expanding if successful. Members asked about how the program differs from existing adult education options, access in all counties, and whether there are deserts in service availability; Looper said the online model and provider outreach are intended to address those gaps.

Transcript Highlights:

• provider within a...
• Organizations and providers are craving stability, flexibility, and parity so that they can confidently
• questions when they go from provider to provider in the system.
• House Bill 670 addressed coverage parity in Medicaid, House Bill 4 provided COVID flexibilities, House
• That technology-neutral definition is critical to allowing the providers the necessary flexibility in

Keywords: 1184, house, all

Transcript Highlights:

• <00:06:43.920> is<00:06:44.680> providing community and providers is providing community
• and providers is providing more<00:06:45.280> direct<00:06:45.680> support<00:06:46.040
• Yeah. 22 are with a different ICS<00:24:35.600> provider. ICS provider.
• The proposal clarifies their rights, provides them with flexibility and control over their care, insurance
• rights, provides them with flexibility rights, provides them with flexibility and<01:05:36.080> control

Keywords: 1187, senate, all

Transcript Highlights:

• Every district has nonprofits, and we know how effective they are in providing community District has
• does not provide centralized guidance to organizations on grant administration issues, which creates
• Specifically, we recommend that this office provide interagency coordination.
• Specifically, we recommended this office provide interagency coordination and serve as a resource for
• It gives public agencies more flexibility without lowering California's performance expectations.

Keywords: 988, house, all

Transcript Highlights:

• submitted by the provider. submitted by the provider.
• services provided.
• Um and would provide services provided.
• the lead agency and service provider. the lead agency and service provider.
• and the services are provided them. and the services are provided them.

Keywords: 1187, senate, all

Transcript Highlights:

• The bill essentially provides up to one hundred and twelve hours of protected leave for training purposes
• , and it provides up to one hundred and twelve hours of protected leave for what is defined as active
• So, it's giving more flexibility to the workers. Thank you. Okay.
• The biannual payout will allow employees and programs scheduling flexibility and reduce the amount of
• There's unfortunately no framework for that, and this bill does provide that framework.

Transcript Highlights:

• You'll be given two minutes to provide your comments.
• You'll be given two minutes to provide your comments.
• Capacity expansion projects also provide operational flexibility, such as adding system ties, reducing
• You will be given two minutes to provide your comments.
• If you wish to provide public comment on Senate Bill 326, If you wish to provide public comment on Senate

Bills: SB287

Keywords: solid waste, recycling, universal recycling, single-stream recycling, multifamily housing, apartment recycling, commercial recycling, waste diversion, recycling grants, low-interest loans, Delaware Recycling Fund, Delaware Solid Waste Authority, DNREC, waste hauler, curbside recycling, yard waste, source-separated recycling, pay-as-you-throw, extended producer responsibility, waste bans

Summary: The House Natural Resources and Energy Committee met and considered three Senate bills. SB 287 with Senate Amendment 2, a DNREC cleanup bill on recycling, would tighten recycling collection rules for haulers and commercial generators, require multifamily recycling education, repurpose the Delaware Recycling Fund, and add annual reporting; after brief questions and no public comment, the committee motion to release did not initially receive enough votes, so the bill was circulated for signatures. SB 346, which would speed Environmental Appeals Board hearing and decision timelines so DNREC secretary decisions become final if deadlines are missed, drew support from the Nature Conservancy and also failed to get enough votes at the meeting, so it too was circulated for signatures. The committee then took up SB 326, a major utility-regulation bill sponsored by Senator Hanson and Representative Heffernan that would cap certain non-mandatory utility spending, limit interim rates, increase oversight and transparency, and streamline rate-setting. SB 326 generated extensive testimony and debate. Supporters, including the Public Advocate, Sierra Club, PSC staff, and some legislators, argued that Delmarva Power’s spending on non-mandatory infrastructure has risen far faster than inflation, that the company is a regulated monopoly, and that the bill would help restrain future delivery-rate increases without harming reliability because mandatory reliability, storm response, and vegetation management spending would remain allowed. Opponents, including Delmarva Power, business groups, contractors, labor representatives, and the Delaware Contractors Association, argued the cap would delay needed reliability and capacity projects, hurt economic development, reduce jobs, and interfere with utility planning; they also said supply costs, not distribution spending, are the main driver of recent bill increases. After public comment and additional questioning, the committee voted to release SB 326 on a split roll call, but because several members were absent the bill was also walked for additional signatures. The committee then adjourned.

Transcript Highlights:

• We're looking at a situation where we need the family to provide that help.
• to provide support, and at the same time being mindful.
• And some insurance companies will not provide you full insurance.
• I recognize That's the first comment I've heard around that flexibility.
• Because of the emotional support that the pets provide to the family.

Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health court participation, homeowners association governance, groundwater enforcement, pet-policy disclosure in rentals, and post-disaster property speculation. SB 1088 would update California’s POLST and DNR laws by renaming POLST to Portable Orders for Life-Sustaining Treatment, allowing electronic signatures, clarifying who may sign on a patient’s behalf, and making clear that these forms are voluntary; it drew support from the Coalition for Compassionate Care and no opposition. SB 1242 would let original family petitioners participate in CARE Court for care coordination and information-sharing, while preserving judicial discretion to exclude them if harmful; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a removal of patient consent. The committee advanced SB 1242 on a 7-0 vote, with the bill placed on call. The committee also considered SB 1007, which would require more HOA budget transparency, disclosure of evidence for violations, and a lower cap on regular assessment increases without a homeowner vote. Supporters argued it would improve accountability and protect homeowners from steep fee hikes, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap and the need for flexibility for large expenses; the bill passed 6-1 and was placed on call. SB 1364, as amended, would prevent a person convicted of sexual assault from obtaining custody or visitation of a child conceived from that assault, while preserving the possibility of voluntary co-parenting and aiming to qualify California for federal grant funding; it passed 8-0 and was placed on call. Later, SB 997 would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and its groundwater sustainability plan, addressing an enforcement gap for a GSA created by special legislation rather than a joint powers agreement. It drew support from agricultural and county groups and passed 9-0, placed on call. SB 1296 would require landlords to disclose pet policies up front on applications, websites, and ads, and allow refund of an application fee if disclosure was not provided before payment; supporters said it would reduce wasted application costs and pet relinquishment, while rental housing groups said the ad disclosure requirements were impractical. The bill passed 8-0 and was placed on call. The final bill, SB 1090, was introduced to prohibit large property owners from making unsolicited purchase offers for five years in wildfire-disaster areas, responding to investor activity after the Eaton and Palisades fires; the author and a SAGE witness described it as a protection against disaster capitalism and predatory low offers to displaced residents.

Transcript Highlights:

• In our case, we partner with a... ...a transportation provider that has the capacity to provide that
• Provide and have some flexibility on that funding to be able to use those dollars throughout the year
• Provide our students with everything that we need.
• It is about providing our teachers with stipends and extra time and money to provide them with that knowledge
• Flexible for us to have some flexible calendaring to provide time for our teachers to plan, but also

Transcript Highlights:

• It gives them the flexibility they need to choose between four-year college, community college, workforce
• <00:10:07.240> they<00:10:07.400> need It gives them the flexibility they need It gives
• them the flexibility they need to<00:10:08.280> choose<00:10:08.640> between<00:10:09.000
• :13:32.760> to effort you are making in this bill to effort you are making in this bill to provide
• the funding that is critically provide the funding that is critically needed<00:13:35.360> to

Keywords: 1187, senate, all

Transcript Highlights:

• post-secondary institutions to provide post-secondary institutions to provide academic<00:02:17.280
• party to provide a review testimony party to provide a review testimony without<00:03:46.560>
• Then came 2024, designed to provide institutions with flexibility while still upholding important due
• Then came 2024, designed to provide institutions with flexibility while still upholding important due
• These initiatives simplify the application process, highlight affordable pathways, and provide flexible

Keywords: 1187, senate, all

Transcript Highlights:

• health care providers.
• So if they did provide it, like say, for instance, they... provided that care.
• carriers to have an adequate network of providers to provide that care?
• That they would have to provide that care to you, even though they didn't provide it to you before.
• So if the provider...

Bills: HJR144, HJR218, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HCR118, HB 1233, HB2239, HB2379, HB2863, HB3368, HB3787, HB3815, HB3898, HB4023, HB4285, HB4329, HB4331, HB4429, HB4646, HB4904, HB5200, HB5320, HB5651, HB5662, HB5668, HB5670, HB5672, HB5674, HB5676, HB5679, HB5688, HCR108

Keywords: regional mobility, transportation authority, local law, constitutional amendment, public projects, Texas energy fund, energy efficiency, retail electric customers, electric generating facilities, business court, civil procedure, litigation, jurisdiction, arbitration, Texas State Guard, task force, professionalization, state missions, critical infrastructure, science park district

Transcript Highlights:

• After the hearing, we will provide an opportunity for public comment to conclude.
• United, as well as provide parity proposals for non-represented child care providers.
• The Trey-Lobre language provides the additional detail needed.
• For context, for every one meal provided by food banks, CalFresh provides nine.
• The process of providing CalFresh to meet the need we're seeing immediately.

Keywords: 988, house, all

Transcript Highlights:

• HB 6 assists in this aim by providing options and flexibility to school administrators for both low level
• Maybe you can work between the two of you that would be that would be more than happy to provide that
• Thanks for your flexibility. Go ahead. Thank you, Madam Chair and committee members for your time.
• Thank you so much for providing the resources. Any other questions? If not, thank you, Dr. Salazad.
• Y'all are, y'all are, y'all are the ones that provide for us. So for that we're eternally grateful.

Bills: HB6, HB120, HB210

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• area where the climate for soil conditions are perfect for cultivation, plus flooded rice fields provide
• This allows more flexibility to continue having these wonderful programs in our communities.
• Renders provide a vital service to a huge swath of my membership and if this bill presented any threat
• This bill will provide ranchers a much-needed method for disposing of routine mortalities on the ranch
• the flexibility they need to do so.

Keywords: 988, house, all

Transcript Highlights:

• Base systems also add flexible capacity to the grid.
• This represents over 250 megawatts of flexible capacity that Base or other energy providers could add
• They had to provide a... ...list of information.
• This bill provides a simple but hugely impactful protection for survivors.
• This bill provides a simple but hugely impactful protection for survivors.

Bills: SB213, SB378, SB610, SB681, SB918, SB1172, SB1252, SB1343, SCR8

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Summary: The Senate Committee on Business and Commerce met with a quorum and took up several pending bills, first reporting SB 1006 favorably after adopting a committee substitute that adds quarterly ZIP-code-level reporting to TDI on insurer declinations, cancellations, and nonrenewals. The committee also adopted substitutes and favorably reported SB 388, which adds nuclear to a credit program and excludes batteries from the dispatchable definition; SB 917; SB 504, which narrows reporting requirements for certain local entities, raises a salary threshold, and authorizes AG injunctive relief; SB 925, which clarifies that federal match dollars are included in a PLA-related prohibition; and SB 815, which removes downcoding references and focuses on AI use in prior authorization. SB 815 advanced on an 8-2 vote, while SB 388 advanced 6-3 and the others were reported 9-0 or 6-0 as noted. The committee then heard testimony on SB 378, which would prohibit aestheticians and cosmetologists from administering injections or using prescriptive medical devices unless legally authorized and would clarify TDLR disciplinary authority. The author and a retired neurosurgeon testified that unsafe, unauthorized injections pose real patient risks, and a TDLR witness said the bill addresses a long-standing regulatory gap. SB 378 was left pending after testimony. The committee also heard SB 1252, aimed at reducing municipal permitting barriers for residential backup power systems; the author and industry witnesses said city permitting is costly and inconsistent, while municipal utility representatives and advocates said the substitute preserved safety and utility oversight. That bill was also left pending. Additional bills heard but left pending included SB 1172, which would let LPs and LLCs sell their own property without a real estate license; SB 681, which would extend engineer license renewal periods and apply similar flexibility to engineering firms; SB 918, a TDLR cleanup bill for orthotics and prosthetics exemptions; SB 1343, which would require data brokers to post a clear link explaining Texans’ privacy rights and how to exercise them; SB 213, which would prohibit forced bundling of residential property and auto insurance while preserving voluntary discounts; SB 610, which would codify TDLR’s anti-trafficking unit; and SCR 8, expressing opposition to a central bank digital currency over privacy, security, and financial-stability concerns. Public testimony on SB 1343 and SB 213 was generally supportive, with consumer and advocacy groups emphasizing privacy, competition, and survivor safety, and the committee closed the day with those measures and others left pending.

Transcript Highlights:

• He said they are changing from one statute to the next and providing more flexibility, but asked whether
• <00:27:53.800> more<00:27:54.080> flexibility, next.
• We're providing more flexibility, next.
• We're providing more flexibility, but<00:27:56.000> one<00:27:56.240> seems<00:27:56.600
• By contacting whoever provides these.

Keywords: 1187, senate, all

Transcript Highlights:

• I had provided two projects to you.
• that was provided to me and grab the right number.
• Um my error in providing the 300. Yep.
• <00:47:39.920> a information. and they didn't provide a information. and they didn't provide
• And as the chair flexibility to do that.

Keywords: 928, house, all

Summary: The committee heard testimony on proposed improvements to the New Hampshire State Police gun range and training facility. Commissioner Robert Quinn and Major Brendan Davy said the range is used for realistic, scenario-based training that cannot be replicated at a standard static range, including movement, use of cover, vehicle-based drills, elevation, and training under elevated heart rates and stress. They said the facility is important not only for state troopers but also for local and federal partners, and that it is used regularly for qualifications, requalification, and special unit training. Members asked about specific limitations and costs. Major Davy said the PSTC range is handgun-caliber only because the backstop is not rifle-rated, and local law enforcement can use the State Police range for qualification. Representative Kazinski questioned the size and cost of the project, and Public Works Director Theodore Copper then explained the estimate: $1.5 million for building and site work, plus soft costs, utilities, design, and inflation, bringing the total to $2.3 million. He said the proposed facility would include office space, two classrooms, restrooms, and heating and air conditioning, and that the estimate was reasonable. The committee also heard from Milford School District Superintendent Christy Misho in support of CTE funding. She said Milford has been working for years to secure support for an applied technology center renovation, that prior local bond efforts fell short of the required threshold, and that the district now plans a CTE-only local bond of about $4 million while seeking $10 million from the state. She argued the investment is needed to modernize outdated equipment and support workforce training, and said the district remains committed to the project. In work session action, the committee corrected a prior vote on the Pease Development Authority warehouse removal and replacement project, increasing the amount by $353,300 to $1,973,300 and raising the agency subtotal to $4,155,300. The committee also approved adding two Community College System items: $500,000 for an energy management system and $1.3 million for critical maintenance, for a total addition of $1.8 million. No objections were raised to these motions.