Transcript Highlights:

• Will there be any interchange?
• Will there be any interchange?
• there<01:08:08.160> be<01:08:08.319> any<01:08:09.200> um<01:08:09.520> interchange
• <01:08:10.160> and<01:08:11.039> um<01:08:11.280> I'm there be any um interchange
• and um I'm there be any um interchange and um I'm also<01:08:11.920> willing<01:08:12.160>

Keywords: 1187, senate, all

Transcript Highlights:

• Initially, my thoughts were, when I looked up the definition, it was interchangeable.
• Initially, my thoughts were, when I looked up the definition, it was interchangeable, until I actually

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• hazardous if it is along a freeway or an expressway, including entrance ramps, exit ramps, and interchanges
• also considered hazardous if it is along a freeway, including entrance ramps, exit ramps, and interchanges

Summary: The Transportation Committee met and considered a series of bills, beginning with SB 266, which would exempt sales and use tax on electric vertical takeoff and landing aircraft sold from manufacturers to operators. Senator Harold said the measure is intended to help Florida attract an advanced air mobility industry and create jobs. The committee adopted an amendment clarifying the definition of EVTOL aircraft and excluding drones, then reported the bill favorably. SB 350, by Senator DeSigley, was also reported favorably after a minor amendment; it allows local governments to permit vehicles to travel slowly on flooded streets without being treated as unlawfully impeding traffic. Supporters from the Florida PBA and Florida League of Cities waived in support. The committee next approved SB 706, designating part of U.S. 92/Gandy Boulevard as the Senator James A. Sebesta Memorial Highway. SB 628, Lucy’s Law, was heard with extensive emotional testimony from Lucy Fernandez’s parents and others. The bill strengthens boating safety by increasing penalties for reckless boating, requiring boating safety education after certain violations, and aligning some boating penalties more closely with motor vehicle laws. A substitute amendment was adopted, and the bill was reported favorably. SB 872, dealing with county and municipal price controls for the removal and storage of electric vehicles, was also amended and reported favorably after testimony from towing industry representatives about the added costs and storage constraints posed by damaged EVs; the Florida Insurance Council spoke in opposition. The committee then approved SB 650, which expands hazardous walking condition criteria for elementary school students to include walkways along freeways, ramps, and interchanges, regardless of speed limit. SB 1318, the hands-free driving bill, generated substantial testimony from safety advocates and families affected by distracted driving; it would rename Florida’s texting law as a hands-free driving law and prohibit handheld use of wireless devices while driving. The committee also passed SB 994, increasing driver education requirements for standard and learner’s licenses, and SB 662, designating a portion of West Beaver Street in Duval County as Harry Frisch Street. Several senators recorded affirmative votes on bills after the roll calls, and the meeting adjourned after all listed measures were reported favorably.

Transcript Highlights:

• The middle photo is an interchange improvement project in Hillsborough County.
• This $4.3 million SIGP project improves the interchange at Big Bend Road and I-75.

Summary: The Senate Transportation Committee met and first received an update from FDOT on the Sun Trail shared-use nonmotorized trail program. FDOT said the program, created in 2015 and expanded by 2023 legislation, now includes connections to the Florida Wildlife Corridor and received a one-time $200 million appropriation plus increased annual funding. The department reported programming about $180 million of that funding, completing 42 construction projects totaling nearly 95 miles in 21 counties, and installing trail counters and QR-code surveys to measure usage and economic impact. Members expressed support for the program and asked no substantive questions. The committee then heard a presentation on FDOT’s locally administered state transportation funding programs, including SCOP, SCOPM, SCRAP, SIGP, and TRIP. FDOT explained these programs support local roadway resurfacing, bridge repair, drainage, paving unpaved roads, and safety or capacity improvements, with varying state match levels depending on the program and eligibility. FDOT said its adopted five-year work program includes more than $1.4 billion for local transportation improvement projects. A member asked whether toll revenues from Miami-Dade, Broward, and Palm Beach counties fund these programs; FDOT said it would research the funding source and follow up. The committee’s main discussion was a panel on advanced air mobility (AAM), including FDOT and industry representatives from Supernal, Joby, Atlantic Aviation, Hillsborough County Aviation Authority, and Eve Air Mobility. FDOT described its AAM planning work, advisory committee, local government guidebook, and upcoming training, while panelists emphasized Florida’s leadership, the likely use of existing airport and heliport infrastructure first, and the expectation that private investment will fund much of the early vertiport buildout. Members raised concerns about community acceptance, privacy, zoning, airspace congestion, security, and lessons from scooters and drones. Panelists repeatedly stressed a “crawl, walk, run” rollout, local government coordination, multimodal connectivity, and public outreach. No votes were taken, and the committee adjourned after the panel.

Transcript Highlights:

• These are not interchangeable roles.
• These are not interchangeable roles.
• These are not interchangeable roles.
• These<01:15:52.320> are<01:15:52.400> not<01:15:52.600> interchangeable<01:15:53.200
• These are not interchangeable roles. These are not interchangeable roles.

Keywords: 1187, senate, all

Transcript Highlights:

• potential project types that are listed out, but it essentially refers to things like adding an interchange
• or conversion from an intersection to an interchange, so stop lights to controlled access, extending
• potential project types that are listed out, but it essentially refers to things like adding an interchange
• or conversion from an intersection to an interchange, so stop lights to controlled access, extending
• or conversion from an intersection to an interchange, so stop lights to controlled access, extending

Keywords: 1183, house

Transcript Highlights:

• We use those terms interchangeably: the National Center on Grandfamilies and the Grandfamilies and Kinship
• 00:35:45.720> terms Grand families we use those terms Grand families we use those terms interchangeably
• the<00:35:47.280> national<00:35:47.680> Center<00:35:48.000> on interchangeably
• the national Center on interchangeably the national Center on Grand<00:35:48.560> families<00

Keywords: 1187, senate, all

Transcript Highlights:

• Public School Fund for the Division of Elementary and Secondary Education, DESE, which I'll also interchangeably
• Public School Fund for the Division of Elementary and Secondary Education, DESE, which I'll also interchangeably

Summary: The House and Senate Education Committee first approved minutes from February 2 and 3, then took up an interim study proposal on adult education and the Excel Center model. Representatives from Goodwill Industries of Arkansas, the Excel Center network, and the University of Notre Dame’s Lab for Economic Opportunities testified that roughly 300,000 Arkansans over age 19 lack a high school diploma or GED, and argued that the Excel Center provides a supported diploma pathway for adults who struggle with GED testing. Witnesses highlighted wraparound services such as free child care, transportation assistance, tutoring, life coaching, and career services, and cited outcomes including high retention, growing enrollment, and research showing higher employment and earnings and lower criminal justice involvement for graduates. Committee members raised questions about the state’s role, existing adult education programs, and how the study would be structured; the motion to adopt the ISP passed, though there was some procedural disagreement about when questions should have been taken. The committee then heard a detailed adequacy funding overview from BLR staff Katie Walden and Adrian Beck on Arkansas K-12 education finance. They reviewed national funding principles and explained Arkansas’s system, including state and local revenue sources, the Public School Fund, the Educational Excellence Trust Fund, the Educational Adequacy Fund, and the Facilities Partnership Program. Staff said K-12 state and local revenues totaled $6.6 billion in 2025, with foundation funding making up the largest share of district and charter funding, followed by additional, categorical, and supplemental funds. They also explained the matrix-based foundation formula, the role of the uniform rate of tax, and how categorical and supplemental funds support areas such as alternative learning, English learners, special education high-cost cases, teacher salary equalization, declining enrollment, and student growth. Members asked several follow-up questions about how specific funding categories are defined and used, including student support staff, instructional aides, special education high-cost occurrences, ALE funding, teacher salary equalization, and the inclusion of Excel Center amounts in state-local funding totals. Staff said some of those details would be addressed in a later presentation and offered to provide additional records, including district lists and historical information. The meeting ended after the funding overview, with no additional votes or actions beyond the ISP adoption and adjournment.

Transcript Highlights:

• original bill said that the project had to be in a location that's accessible to an interstate interchange
• original bill said that the project had to be in a location that's accessible to an interstate interchange

Bills: S0002, S0026, S0354, S1112, S1192, S1220, S1352, S1670

Keywords: negligence, settlement, appropriation, highway safety, damages, law enforcement, motorcycle accident, compensation, Department of Transportation, legal claim, land use, development, sustainability, environmental protection, housing policy, labor pool, employment, temporary work, placement fee, Department of Commerce

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard several bills and reported most of them favorably. The first major measure, CS/SB 1220, was described as a broad transportation package expanding FDOT authority over trails, seaports, aviation, advanced air mobility, delivery devices, and related technology, while also addressing toll revenue use, autonomous vehicle penalties, digital driver licenses, and an FDOT study on alternative-fuel vehicles. An amendment narrowed some provisions, including local regulation of personal delivery devices and FDOT airport language. Senator Smith and others raised concerns about language involving FDOT assistance to local governments on federal grant applications, but the bill passed unanimously after support from industry and local-government appearance cards. The committee also approved SB 1112, the Labor Pool Act, which would prohibit labor pools from charging placement fees when workers are hired permanently by a third-party employer and require annual registration with the Department of Commerce. The sponsor and supporters said the bill would reduce barriers to full-time employment, improve oversight, and help returning citizens and low-wage workers; multiple witnesses testified in support, including labor advocates and individuals describing high placement fees. Senators from both parties praised the bill’s worker and reentry benefits, and it passed unanimously. The committee then favorably reported SB 2, a claims bill for the estate of Danielle Maudsley arising from a fatal FHP arrest incident and settlement, and SB 26, another claims bill providing relief for the estate of Mark Legata after alleged FDOT negligence. Senate Bill 1352 on motor vehicles also passed without opposition. It would create a secure online portal for license plate seizure processing, allow disabled veterans to retain their DV plate designation upon reissuance or transfer, ban license plate covers and similar devices that obscure plates, and route certain online driver license and ID transactions through county tax collectors. SB 1192, a customer service pilot requiring callback queues for certain calls to the Department of Commerce and Department of Children and Families, was likewise reported favorably to improve response times and reduce hold times. The most extensive debate centered on CS/SB 354, the Blue Ribbon Projects bill, which would create a new process for very large developments on 10,000-acre or larger parcels if the owner sets aside 60% of the land for conservation or reserve uses. Supporters said it was intended to promote long-range planning, preserve land, and provide certainty for infrastructure and services, while opponents from counties, planning groups, and environmental organizations argued it would preempt local land-use authority, weaken public participation, and allow conservation requirements to be too vague. An amendment added more detail, but concerns remained about administrative approval, timelines, and the definition of reserve areas. Despite opposition from some members, the committee reported the bill favorably on a divided vote. SB 1670 was temporarily postponed, and the committee adjourned after recording one member’s vote on SB 1220.

Transcript Highlights:

• would be true capacity, but there are also a lot of major complex system-to-system connections, interchange
• few: movable bridge, pedestrian bicycle detection, wrong-way driving technology at all of our interchanges

Bills: S0048

Keywords: housing, accessory dwelling units, affordable housing, local government, zoning regulations, military families, density bonus, homeownership, property taxes

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard presentations on the Governor’s recommended budget for fiscal year 2026-27 and then considered one bill, CS/SB 48 on accessory dwelling units (ADUs). The Governor’s office outlined a $117.4 billion overall budget, with transportation and economic development receiving about $18 billion statewide and $601 million in general revenue. Agency heads then presented priorities for Commerce, Highway Safety and Motor Vehicles, Military Affairs, State, Transportation, Emergency Management, and the Florida State Guard, emphasizing workforce development, housing, tourism marketing, aviation and space infrastructure, law enforcement recruitment, emergency preparedness, and military readiness. In the Commerce presentation, Secretary Kelly highlighted funding for housing programs, the Hometown Heroes program, the Florida Job Growth Grant Fund, rural infrastructure and workforce grants, Reconnect and Florida WINS systems, law enforcement and firefighter recruitment bonuses, defense support, Visit Florida, Space Florida, and SelectFlorida. Senators asked about Visit Florida’s private match requirements and whether the agency fully leveraged prior appropriations; Visit Florida’s CEO said the match was met and exceeded, though it is difficult but important. The Highway Safety and Motor Vehicles presentation focused on trooper pay, pursuit vehicles, aviation assets, and enterprise data systems, with questions about immigration enforcement and body cameras. Military Affairs requested funding for readiness centers, training facilities, education and health benefits for Guardsmen, and maintenance of existing armories; members discussed Guard deployments, staffing levels, and a proposed firing range project. The Department of State requested funds for automated election audits, a conservation lab, and historic preservation, and defended its arts grant process and rule changes. Transportation’s budget emphasized a $14.3 billion work program, road and bridge maintenance, aviation and aerospace, safety initiatives, and seaport investments, while Emergency Management requested funding for preparedness, flood mitigation, WebEOC, grants management, and alert systems; senators also asked about the Alligator Alcatraz detention facility. For CS/SB 48, Senator Gates explained that the bill would require local governments to allow property owners to voluntarily create ADUs, while preserving local authority over setbacks, construction, and permitting. An amendment removed reusable tenant screening reports and clarified that conforming ADUs would be allowed by right without a separate hearing. The Florida Restaurant and Lodging Association supported the bill, saying ADUs could help provide long-term housing for service workers. After questions about local government and HOA authority, the committee adopted the amendment and then reported CS/SB 48 favorably by roll call vote.

Transcript Highlights:

• We also want to note our concerns with the inclusion of therapeutic interchanges.
• our concern echoing California Medical Association over the new authority to make therapeutic interchanges

Keywords: 988, house, all

Transcript Highlights:

• it a tax credit or a grant, and for this presentation, I'm going to use those terms somewhat interchangeably
• California competes is every company that is awarded, and again I'll use the terms grant or credit interchangeably

Keywords: 988, house, all

Transcript Highlights:

• But average daily membership, or enrollment—sometimes we use them interchangeably—but in the law you
• :50.680> the<00:09:50.839> law<00:09:51.079> you<00:09:51.200> do interchangeably
• but in the law you do interchangeably but in the law you do need<00:09:51.519> to<00:09:51.640
• <01:16:34.760> um<01:16:35.159> and<01:16:35.760> there's interchangeably um and
• there's interchangeably um and there's definitely<01:16:36.480> a<01:16:36.639> lack<01

Keywords: 928, house, all

Summary: The Department of Education’s Bureau of School Finance provided an adequacy-funding training for Division II, led by Mark Mello. He walked the committee through the adequacy formula using Albany, Allenstown, and Alton as examples, explaining average daily membership, base adequacy aid, and differential aid for free/reduced-price meals, special education, and English language learners. He also noted a recent change requiring home-education differential aid and emphasized that these aid streams are generally unrestricted district funding rather than money tied to specific students or programs. A major focus was the ongoing litigation over the adequacy base amount and the statewide education property tax, or SWEPT. Mello explained the historical basis of the current base amount, the 2008 legislative report that set the original methodology, and the later court ruling that the adequacy amount should be $7,356, which is now before the Supreme Court. He also described how SWEPT currently raises a fixed statewide amount of $363 million and how that revenue is used to offset the state’s adequacy obligation. For the example towns, Albany and Allenstown receive state adequacy grants because their SWEPT revenue is below their calculated adequacy cost, while Alton is an excess SWEPT community because its local SWEPT revenue exceeds the cost of adequate education. The discussion then turned to the pending “excess SWEPT” issue in the Supreme Court and what would happen if excess collections had to be remitted to the state. Mello said the Department is preparing a hypothetical walkthrough and explained that, if the court upholds the Superior Court ruling, DRA would likely be directed to collect excess SWEPT. Members raised concerns about whether SWEPT must be used for educational purposes and about the cash-flow burden on towns if money had to move from municipalities to the state and then back to districts. Mello and members discussed possible administrative workarounds, such as credits against other state aid distributions, and noted that the committee would continue reviewing the mechanics if the court decision comes down during budget work.

Transcript Highlights:

• those 400 mileph superchargers, DC fast chargers that are found out on our highways and interstate interchanges
• found out on our highways and that are found out on our highways and interstate<00:04:35.199> interchanges
• and<00:04:37.040> uh<00:04:37.440> have<00:04:37.680> been interstate interchanges
• and uh have been interstate interchanges and uh have been funded<00:04:38.080> by<00:04:38.320

Keywords: 958, all

Summary: The Budget Review Subcommittee on Transportation met with a quorum, approved the June 3, 2026 minutes, and then heard a presentation from Mike Proctor of Evolve Kentucky on electric vehicles and charging infrastructure. Proctor described Evolve Kentucky as a nonprofit formed in 2016 to promote EV adoption and charger deployment, said the group has helped place more than 135 chargers at 65 locations, and reported that Kentucky EV registrations have grown rapidly but still represent about 1% of the state’s roughly 3 million vehicles. He also outlined the group’s view that EV drivers and charger operators already contribute to state revenue through annual vehicle fees, charger taxes, utility taxes, and related business taxes, and cited figures showing rising revenue collections as EV adoption increases. A major theme of the presentation was that EV owners are paying their “fair share” rather than being overcharged. Proctor said the current $126 annual EV fee is roughly comparable to the fuel tax a typical gasoline vehicle would pay, and noted that public charging can add additional tax burdens for drivers who cannot charge at home, such as those living in apartments or condos. He also argued that EVs provide broader benefits, including lower noise and air pollution, grid-stabilizing nighttime charging, tourism spending at destination chargers, and reduced road wear for passenger EVs compared with much heavier vehicles. Members questioned Proctor about whether EV owners are paying more than their fair share, how the fee compares with gasoline taxes, and whether apartment and condo residents are disproportionately affected because they rely on public chargers. Proctor responded that the fee was intended to bring EV owners into parity with gas vehicles, not to overcharge them, and said some public chargers are free while others are used by drivers who cannot charge at home. No additional votes or formal actions were taken beyond the minutes approval.

Transcript Highlights:

• It's used interchangeably with taxable property attributable to new construction.
• property growth is defined.<01:20:12.680> It's<01:20:12.880> used<01:20:13.280> interchangeably
• It's used interchangeably with defined.
• It's used interchangeably with taxable<01:20:15.680> property<01:20:16.160> attributable

Keywords: 9:00am HB 158 9:10am HB 281 9:20am HB 317 9:30am HB 340 9:40am HB 1062 9:50am HB 1187 10:00am HB 1234 10:10am HB 1300 10:20am HB 1306 10:30am HB 1381 10:40am HB 1541, 928, house, all

Summary: The committee of conference first resolved House Bill 158, which concerns public inspection of absentee ballot lists. The Senate explained a revised approach that removed the broader bill language and instead directed the Secretary of State to review absentee ballot data after each general election for patterns such as common addresses and to report findings to the committees of jurisdiction. The House agreed to the Senate position, and the conference committee voted unanimously to concur. The committee then took up House Bill 281, dealing with a sortable electronic voter checklist. Members debated the Senate’s removal of language that would have included the absentee ballot mailing address when different from the voter’s registration address. Concerns were raised that releasing mailing addresses could expose where voters are not home and could affect overseas and military voters. The committee also discussed a related form for election officials who personally know a voter, including how long the form would be retained and whether it would be subject to public records law. After further discussion, the House agreed to the Senate changes with an additional requirement that the form be signed, and the committee voted to proceed with the amended Senate position. House Bill 317, concerning verification of a person’s identity by a supervisor of the checklist without identification, was also discussed at length. The Senate’s version preserved the ability for election officials to identify people they know, but required a signed form under penalty of perjury and added a nursing home-related provision. Members described the measure as balancing community-based identification with tighter documentation, and a House witness described local problems with inconsistent ID checks and concerns about voting in nursing homes. The House sought one additional change requiring the nursing home verification form to be signed, and the Senate accepted that addition; the committee then voted to move the bill forward on the consent calendar. The conference committee next considered House Bill 340 on electioneering by public employees. The chair presented a replace-all amendment that tied the definition of electioneering to existing law, added a prohibition on expressly or primarily political surveys, and created a civil penalty of up to $1,000 alongside the misdemeanor penalty. Members discussed clarifying when the misdemeanor versus civil penalty would apply and which categories of public employees were covered. After caucus, the Senate agreed to the House’s replace-all approach with the clarifying changes, and the bill was closed. The committee also resolved House Bill 1062 by agreeing to strike a sunset clause from the Senate version authorizing random audits of citizenship qualifications, and it began discussion of House Bill 1187 on the filing window for special-election candidates, where the House proposed requiring local election officials to arrange a filing time on the same day or next business day after being contacted.

Transcript Highlights:

• "Are they interchangeable now cuz I was going to ask?"
• >> Are<01:46:25.000> they<01:46:25.120> interchangeable<01:46:25.920> now<
• 01:46:26.080> cuz<01:46:26.240> I<01:46:26.280> was >> Are they interchangeable
• now cuz I was >> Are they interchangeable now cuz I was going<01:46:26.520> to<01:46:26.600

Keywords: 1189, house, all

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• expansions to new communities, only keeping the system that we have safe and making sure that if a road interchange
• safe and making sure that if<00:20:36.320> a<00:20:36.400> road<00:20:36.680> interchange
• needs<00:20:37.560> to<00:20:37.640> be<00:20:38.200> fixed, if a road interchange
• needs to be fixed, if a road interchange needs to be fixed, that<00:20:39.080> you<00:20:39.200

Keywords: 1187, senate, all

Transcript Highlights:

• I may interchange that with IDD, but I'm really talking about the complex population.
• I<00:03:24.680> may<00:03:25.160> interchange<00:03:25.640> that<00:03:25.800>
• > with<00:03:26.480> IDD,<00:03:27.120> but<00:03:27.400> I'm I may interchange
• that with IDD, but I'm I may interchange that with IDD, but I'm really<00:03:27.680> talking<

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• We now see a corporatized, profit-based view of labor relations that treats these nurses as interchangeable
• relations that treats these<00:04:25.600> nurses<00:04:26.080> as<00:04:26.400> interchangeable
• <00:04:27.199> and<00:04:27.520> even these nurses as interchangeable and even these
• nurses as interchangeable and even dispensable<00:04:29.840> rather<00:04:30.160> than

Keywords: 1187, senate, all

Transcript Highlights:

• This was off of the I-94 interchange. You can see a number of businesses alongside the interstate.
• 01:05:38.599> The Dayton uh This was um uh off of The Dayton uh This was um uh off of The Interchange
• :40.640> can<01:05:40.839> see<01:05:41.160> a<01:05:41.279> number Interchange
• of I94 you can see a number Interchange of I94 you can see a number of<01:05:41.760> businesses

Keywords: 1183, house