Transcript Highlights:

• Primary layer need to still continue. Thank you.
• So just so we're all clear, the first column, New Mexico, the primary layer is 250.
• Home and community-based services are the largest payer of home care across the country.
• While there is a small private pay market and long-term insurance, Medicaid is the primary payer.
• Thus, there is no private market, and Medicaid serves as the largest payer.

Transcript Highlights:

• <00:11:50.560> of<00:11:50.800> the higher payers in the payer mix of the higher payers
• We're a primary care provider.
• Cuts in rates would certainly impact our ability to provide primary medical care, primary behavioral
• That's what I was looking for. primary care provider. Uh, cuts in rates primary care provider.
• medical care, primary provide primary medical care, primary behavioral<02:19:00.800> health<02

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• Patients would be encouraged to pick a primary care clinic, one that they actually use, and that primary
• would be encouraged to pick a primary would be encouraged to pick a primary care<00:06:42.240>
• medical providers primarily at primary medical providers primarily at primary care<00:06:54.720>
• primary care provider.
• I'm only negotiating with one payer, and that payer thinks of me as a small individual clinic, which

Keywords: 1187, senate, all

Transcript Highlights:

• That was about a 25% increase to the rate payer back in those days.
• rate payer, but they're not paying $39.06 on their bill. bill, is there additional fees that they would
• And then what are your rate payers... pay? I imagine there's like a per cubic foot or per gallon.
• Better contracts mean better prices and that means less burden on your rate payers.
• sell for the average rate rate payer?

Keywords: 1184, house, all

Transcript Highlights:

• Forty percent of the funding was based on the square mileage of an ambulance service's primary service
• Grant funding goes so far, but we have to figure out a way, and I think from a payer perspective, boy
• mix uh every time the ambulance payer mix uh every time the ambulance goes<00:39:32.640> out<
• Minnesota is currently operating under complicated 1980s-era primary service area systems, where primary
• service area systems where primary service area systems where primary<01:12:12.000> service<01

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• payers of last resort.
• That's the largest payer—those three combined overwhelmingly.
• Is this delta between the government payers and what's... ...the government payers and what's being charged
• They're a secondary payer by federal law. Right.
• So, because they're a primary payer.

Bills: SB210, SB225, HB280, HB287, HB94, HB88, SB157, HB7, HB8, HB42

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, blood tests, DUI, law enforcement, traffic offenses, chemical analysis, public nuisance, event liability, local government, community health, legal action, transparency, reporting, public safety, regulation, accountability

Transcript Highlights:

• piece of this, and this we'll hear later on today too in the conversation is that that changes the payer
• That changes the payer mix and it changes the economic model of how we have what our health care delivery
• So we are the largest payer in New Mexico, and I know we take a pretty big share of the state's budget
• Chairman, so on the primary care, FQHC, primary care—so today is primary care day, I believe.
• Chairman, so on the primary care, FQHC, primary care, so today is primary care day, I believe.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• for CYBHI, there’s been increasing claims and increasing billing that’s happening through the multi-payer
• But it’s still in the initial stages, and there’s a lot of potential for this particular multi-payer
• Thank you, Chair Patel and members, for the opportunity to offer insights into the CYBHI multi-payer
• fee schedule, where there’s a structure called consortiums where you have a lead LEA that is the primary
• biller... ...where you have a lead LEA that is the primary biller, and they are billing on behalf of

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• On line 131, the all-payers claims database fee schedule.
• claims database, which is the state's primary health policy research database.
• the state's primary health policy research<00:34:38.320> database.
• information from payers. information from payers.
• more out of the payers and stuff. Yep. more out of the payers and stuff. Yep.

Keywords: 919, house, all

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• Hawaii Primary Care Association in support. Aloha Care on Zoom not present. Not present.
• Hawaii<00:13:16.200> Primary<00:13:17.200> Care<00:13:17.600> Association<00
• :13:18.399> in Hawaii Primary Care Association in Hawaii Primary Care Association in support.<
• I also have Hawaii Primary Care Association in support. That's all I have on my list.
• I also have Hawaii Primary Care Association in support. That's all I have on my list.

Keywords: 910, house, all

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• This is definitely an opportunity we have as we partner with our payers and our communities to put that
• We've also prioritized access in our primary care facilities and services, from young babies who might
• One of the things that we have been committed to across our primary care clinics in central Florida is
• So these were patients coming from primary care.
• These were patients coming from primary care offices or other locations, not just the emergency room

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• in healthcare costs among the primary in healthcare costs among the primary ways<00:24:07.840>
• Pressure has continued to mount on commercial payers to make up the difference.
• Primary care providers collaborate directly with experts on their own team.
• And I think, as a primary care provider, it also really reduces burnout and increases retention in primary
• our state it will strengthen the primary our state it will strengthen the primary care<01:44:43.400

Keywords: 1187, senate, all

Transcript Highlights:

• Lastly, usually when a utility is considering extending services, there's two things that are primary
• There’s two things that are primary. One is, is there capacity available?
• and taxpayer protections I clean energy, clean water, and rate payer and taxpayer protections.
• Miller has to do with protecting the rate payer, and so I was really curious...
• Miller has to do with protecting the rate payer.

Summary: The Economic Infrastructure Subcommittee considered a full agenda of transportation, utility, aviation, and energy bills. HB 4045, amending the Jacksonville Aviation Authority charter, passed without questions or debate. HB 1075, which would require municipal utilities to allow outside property owners to connect when capacity exists and fees are paid, drew testimony from local government and municipal advocates who warned about conflicts with existing agreements, long infrastructure payback periods, and the risk of subsidizing nonresidents; despite concerns from Rep. Smith and others about municipal boundaries and cost, the bill passed, with Smith voting no. HB 519, as amended, authorizes golf cart crossings at signalized intersections on designated golf cart roads; it passed unanimously after lighthearted debate about golf carts and pedestrian crossings. The committee then took up HB 919, which creates a state definition for major commercial service airports and preempts airport naming authority, including renaming Palm Beach International Airport to Donald J. Trump International Airport subject to FAA, county, and trademark-related conditions. Palm Beach County supported the bill and an amendment clarifying implementation and trademark language, while Rep. Eskamani and others raised concerns about preemption and the timing of honoring a sitting president; the bill passed with several no votes, including Eskamani, Skidmore, and the ranking member. HB 1093, the Advanced Air Mobility and Infrastructure Act, would support eVTOL/vertiport development through tax exemptions, infrastructure funding flexibility, and statewide siting standards while preserving local zoning; supporters framed it as an economic-development and workforce bill, while Rep. Cheney raised taxpayer concerns. An amendment narrowing liability protections for vertiports co-located with public airports was adopted, and the bill passed with Cheney voting no. Finally, HB 1461 established a regulatory framework for advanced nuclear reactors, assigning oversight roles to the PSC, DOH, and DEP. Supporters argued the bill would improve energy reliability, affordability, and Florida’s leadership in clean, advanced energy, while an opponent from Deploy US urged strong consumer protections and cautioned against overbroad deregulation. Rep. Eskamani emphasized preserving PSC prudency review for ratepayer protection, and the sponsor said the bill was refined through committee discussion. After an amendment fixing technical issues and clarifying that one section applied to all nuclear, the bill passed favorably. The meeting then adjourned.

Transcript Highlights:

• PACE is the Program of All-Inclusive Care for the Elderly, and these PACE organizations provide primary
• So through the APD dental program... ...is also the payer of last resort.
• For our clients who are, we do work diligently to ensure that our program is the payer of last resort
• Whether that be a Medicaid payer or the department pays, that's probably one reason why there is such
• For our clients who are, we do work diligently to ensure that our program is the payer of last resort

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• <00:11:34.920> on legislature and public payers on legislature and public payers on strategies
• recommendations and assist public payers recommendations and assist public payers and<00:14:08.560
• The focus of the PAB is to save state payers money. Are you referring to a federal program?
• It affects public payers, businesses, and households.
• public payers and the legislature, but this is some of the things that we’re tasked with doing.

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• <00:27:34.960> the between just those three primary the between just those three primary the
• primary care OBGYN and outpatient rates. primary care OBGYN and outpatient rates.
• some version of an all-payers claim database. >> And that is what it says it is.
• with an all-payers claim database. with an all-payers claim database.
• of an all-payers of an all-payers claim<00:34:06.840> database.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• Ending that acclaims payer base.
• Additionally, this bill allows these contracts only for primary care physicians or primary care physician
• Things like advanced primary care and primary care where doctors receive predictable prospective payments
• We have to have strong primary care. Background or else, yeah, I mean especially in a small town.
• So, primary care is critically important in every community.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• Our system is unique both in its services and payer mix, and it's been under significant financial stress
• mix, and it's been services and payer mix, and it's been under<00:03:22.560> significant<00:03
• On the next slide is the hospital's payer mix and mixed trend over the last decade.
• hospital's best payer. hospital's best payer.
• However, HCMC is acute and its unique payer mix in the role that it serves in the statewide ecosystem

Transcript Highlights:

• the rate payers in the service area. the rate payers in the service area.
• . payers. payers.
• <00:20:17.280> This<00:20:17.480> would come down on the rate payer.
• This would come down on the rate payer.
• And [clears throat] if the residential rate payers are paying, they should have a say at the table.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:38 SB 213 Discussion 00:01:23 SB 213 Roll Call Vote 00:20:45 SB 8 Discussion 00:26:23 SB 8 Roll Call Vote 00:58:16, 958, all

Summary: The committee met with a quorum, approved the prior minutes, and first heard Senate Bill 213 from Senator Phillip Wheeler. He described the bill as a response to rising electric bills, especially in Eastern Kentucky, and said it would give the Public Service Commission more tools to push utilities toward least-cost planning, require stronger integrated resource plans, and address utility service territories, utility sales, and generation contracts. He argued that monopoly service territories are privileges granted by the Commonwealth, not irrevocable rights, and said the bill would help prevent ratepayers from bearing the cost of poor utility decisions or sale premiums. He also said the bill would allow large new loads, such as data centers, to choose alternative power sources in certain areas to encourage economic development. Members asked questions about how the bill would work, especially the section stating that service territory rights belong to the Commonwealth and the provision dealing with utility sale premiums. Senator Wheeler explained that if a utility is sold at a premium, that premium should not simply be passed on to customers, and he said the bill aims to reduce costs for ratepayers and create more competition. Several members spoke in support of the bill’s goals while noting the complexity of utility regulation. Senator West said some companies had not been responsive to concerns about rates, Senator Williams said he would pass but wanted utilities to have enough generation to serve Kentucky users, and Chair Smith said the bill was a smart approach within the legislature’s limited authority. The committee then voted to report Senate Bill 213 favorably with the expression that the same shall pass. The committee then took up Senate Bill 8 from Senator Brandon Smith, which would modernize the Public Service Commission. He said the bill and committee substitute were intended to help the PSC handle increasingly complex utility regulation, infrastructure investment, and rate cases by expanding the commission from three to five members, with three gubernatorial appointees and two appointed by the Auditor of Public Accounts. He also said the bill would adjust the threshold for PSC review of electric transmission construction from one mile to five miles, to reduce delays while preserving oversight of major projects, and would update appointment terms and other language in the substitute. Smith said the changes were meant to improve staffing and expertise at the PSC and speed transmission buildout. The discussion was still underway when the transcript ended, and no final vote on Senate Bill 8 appears in the provided excerpt.

Transcript Highlights:

• care services, and we worked with TMA on this list: emergency care, intervention necessary care, and primary
• TMA on this list: emergency care, interventional necessary care, and primary care provided by a physician
• So it would be, obviously, emergency care is listed out, but it could be primary care, outpatient mental
• So the all-payer claims database. Say that again? The APCD, the all-payer claims database.
• I've been practicing emergency medicine for 45 years, as well as some rural medicine and primary care

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.