Transcript Highlights:

• We wanted to hone in a little bit of information on this, so it went specifically, or was geared more

Committee: House Ways and Means

Transcript Highlights:

• So my question is geared towards Senator Den Hartog, if that's all right.

Committee: Senate State Affairs

Transcript Highlights:

• We're going to shift gears and go to File Item 3, Senate Bill 837 by Senator Gomez-Reyes.

Summary: The Senate Committee on Human Services met on January 12, 2026, beginning without a quorum but hearing four bills. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with the federal definition and reflect their prevention-focused, low- or no-cost, multi-generational role. Supporters from the Child Abuse Prevention Center and California Family Resource Association said the change would clarify state law and help position California for future federal partnerships; no opposition was heard. SB 299 by Senator Cabaldon would correct a prior CEQA exemption for child care facilities so it applies in residential as well as nonresidential areas. Supporters, including Napa County Supervisor Liz Alessio and the Rural County Representatives of California, said the current language unintentionally blocks child care projects in places families need them most and has been used to delay or stop projects; several local government and early care organizations also supported the bill, and there was no opposition. SB 837 by Senator Gomez-Reyes would require aging and disability resource connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. Testimony from the California Commission on Aging and the California Foundation for Independent Living Centers emphasized recent wildfire deaths and the need for better evacuation and preparedness support; no opposition was presented. SB 479 by Senator Arreguín would allow the cities of Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across teams and departments, similar to counties under existing law. Supporters said the bill would improve coordination and outcomes for unsheltered residents, while noting confidentiality safeguards already exist; a privacy letter from Oakland Privacy was mentioned, but no formal opposition testified. After quorum was established, the committee voted 5-0 to pass each bill: SB 299 to Senate Environmental Quality, SB 557 and SB 837 to Senate Appropriations, and SB 479 to Senate Judiciary. All four measures were placed on call briefly and then cleared with unanimous votes.

Transcript Highlights:

• And and to switch gears back to the school readiness plus program and have the same question.

Transcript Highlights:

• business program to connect job seekers with job creators, as well as a newly created tax credit program geared

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs met to consider several bills and the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. SB 1310, relating to reporting of student mental health outcomes, was temporarily postponed. The committee then took up SB 1354 on behavioral health managing entities, adopted a delete-all amendment, and heard support for the bill’s focus on transparency, accountability, audits, referral patterns, and a DCF report due by December 1. Members discussed the capacity of the current reporting system and the need for coordination with school districts. The committee voted the bill favorably. The committee next considered SB 1620 on mental health and substance abuse disorders, which implements selected recommendations from the 2025 Commission on Mental Health and Substance Use Disorders. The bill, as amended, includes reforms on dignity and patient-centered care, crisis response, individualized treatment plans, use of the DLA-20 assessment tool, data analysis by the Louis de la Parte Florida Mental Health Institute, and creation of a research center. Amendments removed a direct medication-provision requirement in favor of a review and report on discharge procedures, medication adherence, and long-acting injectables, and clarified licensure priorities for short-term residential treatment programs. Testimony and debate emphasized the need for action, better data, and efficient use of public funds. The committee reported the bill favorably. Finally, the committee heard from Taylor Hatch, the Governor’s appointee to lead DCF. Hatch described her background in state government and her priorities for DCF, including coordination, transparency, prevention, permanency, and responsiveness to vulnerable Floridians. Several members spoke in support, citing her experience at APD and familiarity with the agency’s work. The committee voted unanimously to recommend her confirmation, and then adjourned.

Transcript Highlights:

• Don't know if they covered that in your webinar, but that's geared off a formula that has to do with
• webinar,<00:47:23.640><c> but</c><00:47:24.440><c> um</c><00:47:24.600><c> that's</c><00:47:25.040><c> geared
• </c><00:47:25.480><c> off</c><00:47:25.840><c> of</c> webinar, but um that's geared off of webinar, but
• um that's geared off of formula<00:47:26.840><c> that</c><00:47:27.000><c> has</c><00:47:27.200><c>

Committee: Senate Taxes

Transcript Highlights:

• I’m going to switch gears here a minute for a section that I had filed an amendment on and have spoken
• I'm going<00:44:43.160><c> to</c><00:44:43.240><c> switch</c><00:44:43.520><c> gears</c><00:44:43.800
• here</c><00:44:43.960><c> a</c><00:44:44.000><c> minute</c><00:44:44.880><c> for</c> going to switch gears
• here a minute for going to switch gears here a minute for a<00:44:45.160><c> section</c><00:44:45.600

Summary: The House convened, opened with an invocation and the Pledge of Allegiance, established a quorum with 96 members present, excused absent members, and approved the journal from March 4, 2026. The chamber also received notice that the Senate had passed Senate Bills 50 and 191 and requested concurrence. Several bills were reported for second reading and committee action, including measures on schools, barbering, virtual currency kiosks, eminent domain, DUI, fire protection, school district reporting, teacher certification, legal representation, cost and fee reporting, dentistry, credit insurance, harmful practices, elections, child welfare, health data, Medicaid directed payments, workplace violence in health care, utilities, solid waste, carbon sequestration, and coal/energy affordability. House Bill 534 was sent to the Rules Committee after receiving prior readings, and House Bill 600 was brought up for third reading and passage. House Bill 600, relating to the collection of delinquent tax bills, was explained as allowing counties to use a consolidated procedure to collect multiple delinquent tax cases more efficiently, requiring county attorney contracts with the Department of Revenue to include that option, and extending to counties some property-tax collection tools already used by cities for delinquent and dilapidated properties. A member from Jefferson raised concerns that the bill could allow foreclosure on occupied properties and warned about potential harm to elderly or low-income homeowners; the sponsor responded that the bill was not intended to remove anyone from their property. The House passed HB 600 by a vote of 82-11, and a clincher was applied. House Bill 662, concerning regulation of low-voltage battery-charged security fences by local governments, was described as a business-friendly measure supported by the Chamber of Commerce and affected industries, intended to define the fences and reduce regulatory uncertainty in commercial and industrial zones without removing local regulation. It passed unanimously, 96-0, and a clincher was applied. House Bill 364, relating to benefits for Kentucky National Guard members, was amended by House Floor Amendment 1 to define Commonwealth emergency pay and hazardous duty for Guard members on state active duty during emergencies. Supporters emphasized compensation for Guard members responding to disasters and emergencies, and members cited recent flood and crash responses as examples of their service. The bill passed 96-0, and a clincher was applied. House Bill 534, an elections bill, was taken up with House Committee Substitute 2 adopted. The sponsor said the bill was the product of work by the Secretary of State, the Board of Elections, county clerks, KREF, and others, and was intended to strengthen election laws. Debate focused on a provision that would remove from voter rolls individuals convicted of felonies even while appeals are pending; one member argued this would disenfranchise people before appeals are resolved and sought to offer an amendment, but a motion to suspend the rules for that amendment failed with only 18 votes in favor. Another member said the substitute was the best version of the bill and indicated he would offer amendments, including changes to the felony-appeal language and campaign finance timing, while also seeking to remove a section requiring federal cooperation. The transcript cuts off during that discussion, before final action on HB 534 is shown.

Bills: SR110 , SR109 , SCR58 , SCR59 , SCR12 , HB198 , HB225 , HB508 , HB512 , HB599 , HB632 , HB763 , HB909 , HB971 , HB989 , HB1066 , HB1171 , HB1204 , HB1231 , HB1246 , HB1248 , HB1250 , HB221 , HCR41 , HCR63 , HCR76 , HCR77 , HCR86 , HCR92 , HCR93 , HCR58 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB261 , SB276 , SB295 , SB388 , SB450 , SB465 , HB17 , HB21 , HB42 , HB45 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB324 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB821 , HB823 , HB1006 , HB1018 , HB1033 , HB1034 , HB1043 , HB1070 , HB1134 , HB1237 , HB1239 , SB162 , SB382 , SR93 , SCR40 , SCR30 , SB35 , SB65 , SB215 , SB228 , SB246 , SB249 , SB268 , SB269 , SB282 , SB283 , SB296 , SB323 , SB338 , SB363 , SB369 , SB408 , SB431 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR6 , HCR31 , HB297 , HB305 , HB336 , HB337 , HB351 , HB436 , HB594 , HB789 , HB956 , HB957 , HB995 , HB1040 , HB50 , HB117 , HB120 , HB122 , HB139 , HB148 , HB149 , HB185 , HB247 , HB271 , HB286 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB842 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB36 , HB119 , HB126 , HB129 , HB245 , HB280 , HB677 , HB726 , HB850 , HB966 , SB68 , SB149

Keywords: youth fitness, school achievement, Lafayette Parish, Louisiana Governor's Games, elementary education, Louisiana Arts Day, arts and culture, cultural heritage, artists, musicians, writers, performers, culture bearers, tourism, creative economy, economic impact, cultural sector, Louisiana Partnership for the Arts, festivals, visual arts

Transcript Highlights:

• was approached this last year about patient access, and as you know, I run lots of bills that are geared
• So we're talking about gearing up and bridging the gap and working towards all of these goals that we
• date that this has to be in place for, that the hospitals have to be providing it, to give us time to gear

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• So we know that, well, yes, they need to wear all that protective gear.
• Witness: Yes, they need to wear all that protective gear.
• My brother is a licensed applicator who has to be trained to use the proper gear, has to have the proper

Committee: House General Laws

Transcript Highlights:

• I'll now switch gears and focus on the tools that CARB uses to reduce emissions from combustion vehicles
• I'll now switch gears and focus on the tools that CARB uses to reduce emissions from the combustion vehicles
• some success in California, identified a real pinch point: you use the credit card reader and the gear

Summary: The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions. The chair opened by emphasizing California’s progress on EV adoption and charging reliability, but also noted ongoing challenges with affordability, access, interoperability, heavy-duty electrification, and federal headwinds. She highlighted interest in technologies such as inductive charging and thanked host organizations and staff before moving to the first panel. State agency witnesses from Go-Biz, CARB, and the California Energy Commission described current programs and priorities. Go-Biz outlined its role in coordinating agencies, supporting permitting, and advancing the state’s ZEV market development strategy and equity action plan. CARB discussed federal attacks on its clean vehicle regulations, litigation to defend waiver authority, and the importance of incentives and regulatory programs such as Advanced Clean Trucks, Advanced Clean Fleets, Clean Truck Check, HVIP, and Clean Cars for All. The CEC detailed its funding and regulatory work on charging and fueling infrastructure, charger reliability, payment methods, roaming, and statewide planning, while stressing the need for more charging in multifamily housing and more public DC fast charging. All three agencies said federal rollbacks and permitting delays are major obstacles, but that California remains committed to expanding ZEV adoption. The second panel featured advocates, local government, utility, and research perspectives. CalETC urged continuous state funding through the Greenhouse Gas Reduction Fund and emphasized the low-carbon fuel standard, multifamily charging, and managed charging. An EV advocacy group proposed a conquest-style state incentive for new and used EV buyers and argued that multifamily housing is a major untapped market, while also favoring Level 2 charging over Level 1 for most home and apartment settings. Los Angeles County and LADWP described large-scale local deployment of chargers, fleet electrification, workforce training, and the need for sustained funding, agency coordination, and streamlined permitting and grid interconnection. UCS recommended prioritizing replacement of older high-emitting vehicles, using fuel policy revenues to support cleaner cars, and expanding bidirectional charging. The chair closed by asking for more discussion on Level 1 versus Level 2 charging and noted the importance of education, affordability, and practical deployment strategies.

Transcript Highlights:

• I'll now switch gears and focus on the tools that CARB uses to reduce emissions from combustion vehicles
• I'll now switch gears and focus on the tools that CARB uses to reduce emissions from the combustion vehicles
• some success in California, identified a real pinch point: you use the credit card reader and the gear

Summary: The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions on state clean-transportation programs. The chair emphasized California’s progress on EV adoption and charging reliability, but also noted ongoing problems with affordability, charger access, interoperability, and the need to support light-duty, heavy-duty, and fleet electrification. She also highlighted interest in inductive charging, bidirectional charging, and the transition to NACS, and said the hearing would help shape future legislative action. State agency witnesses from Go-Biz, CARB, and the California Energy Commission described their roles in market development, emissions regulation, incentives, and charging deployment. Go-Biz outlined its ZEV market strategy, equity action plan, and permitting streamlining work, while CARB detailed federal challenges to its clean vehicle rules, the need to defend waiver authority in court, and the importance of incentives and regulatory stability. The CEC discussed charger reliability rules, statewide inventory and planning, funding for public and multifamily charging, and efforts to expand fast charging and improve access in charging deserts. All three agencies stressed that federal rollbacks and the expiration of federal tax credits make state policies and funding more important. Testimony from industry, local government, and advocacy groups largely supported continued state investment. Cal ETC urged a continuous Greenhouse Gas Reduction Fund appropriation, more support for multifamily charging, and managed charging programs. The American EV Jobs Alliance proposed a state “conquest” incentive for new and used EV buyers and argued that multifamily charging is the biggest untapped market. Los Angeles County and LADWP described large-scale fleet and charger deployments, public housing and multifamily projects, and the need for sustained funding, agency coordination, and utility/grid interconnection support. The Union of Concerned Scientists recommended prioritizing Clean Cars for All, using fees on non-CARBOB gasoline to fund cleaner vehicle replacement, and expanding authority for bidirectional EV deployment. Members and witnesses also discussed Level 1 versus Level 2 charging for multifamily housing and other use cases. The chair noted that Level 2 is essential for many drivers but asked whether Level 1 could be a cheaper, faster option in some settings. Witnesses agreed that Level 1 can work in certain contexts, especially airports or some multifamily installations, but emphasized that consumer confidence, overnight range, dealer education, and reliable access to charging remain central to broader EV adoption. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• time 2026 so um gives the companies more time 2026 so um gives the companies more time to to to get geared
• up if they would like i' move get geared up if they would like i' move get geared up if they would like

Bills: SJR 36 , SJR 2 , SB 4 , SR 45 , SR 47 , SR 63 , SR 66 , SR 70 , SR 85 , SCR 14 , SB 10 , SB 11 , SB 10 , SB 11

Transcript Highlights:

• This bill includes a grant program for some of these communities within the river to increase outdoor
• Shifting gears a little bit, though I do appreciate this line of questioning.

Summary: The House convened with prayer, the Pledge of Allegiance, quorum call, and adoption of the special order report for the day. Members observed a moment of silence for several service members killed in the Middle East conflict, and the chamber also recognized visiting students, law enforcement, and later several guests in the gallery during farewell remarks. The House then moved through the special order calendar, taking up a series of bills on third reading. The first major measure was CS for CS for HB 981 on tributaries of the St. Johns River, which sponsors described as a community-driven plan to restore the Ocklawaha River while balancing conservation, recreation, and economic concerns. Representative Sapp opposed the bill, arguing it would harm rural communities, Rodman Reservoir interests, freshwater resources, property values, and local jobs without adequate funding or certainty. Representative Cross supported the restoration effort and its long-term environmental and community benefits. The House adopted an amendment updating planning references and expanding the advisory council, then passed the bill 107-3. The chamber next passed CS for CSHB 1389 on affordable housing and the Live Local Act after debate over state preemption of local authority, accessory dwelling units, and the removal of local opt-out provisions; supporters emphasized the statewide housing shortage and the need for more housing supply, while opponents argued the bill further limited local control. The bill passed 70-29. The House also passed CS for CSHB 1085, codifying the local government cybersecurity grant program and giving preference to fiscally constrained counties, by a unanimous 109-0 vote. CS for HB 273 on special districts passed after extensive questioning about downtown development districts, rural areas of opportunity, budget approval, and administrative caps; an amendment to remove the downtown district provisions failed, and the bill ultimately passed 88-? yeas as announced on the floor. CS for HB 989 on motor vehicle manufacturers and franchise dealers passed 109-1 after sponsor testimony that it would prevent manufacturers from concentrating new vehicle inventory with one dealer group and protect competition and small businesses. CS/CS for HB 1329 on local government spending and budget transparency passed 82-28 after a lengthy debate over whether the bill would impose costs on local governments; a Cheney amendment to provide hardship assistance for smaller governments was adopted, and supporters framed the bill as improving public access to local budget information while opponents argued it duplicated existing transparency and could require new software or staff. The House then began consideration of CS/CS/CS/CS HB 1417, the Department of Environmental Protection package, with the sponsor outlining provisions on environmental regulation, septic systems, solar facility stormwater controls, coastal resiliency partnerships, and air-pollution permit timing.

Transcript Highlights:

• Assembly Bill 2024 by Assembly Member Wynn, relating to outdoor advertising.
• rise to present AB 2024, a narrow cleanup bill to address delays in the permitting process and the Outdoor
• Currently, we are seeing situations where permit applications for outdoor advertising displays are accepted
• which updates the whale tail license plate funding structure to better support coastal access and outdoor
• Assembly Bill 2717 by Assembly Member Caloza and an act relating to outdoor advertising.

Summary: The Assembly convened, established a quorum, and proceeded through a large House of Origin floor file, with the Speaker repeatedly urging members to be at their desks and keep support bills brief. Early actions included dispensing with the journal, re-referring AB 2285 to the Banking and Finance Committee, and then taking up dozens of third-reading items, with many bills passed by voice or recorded vote and others passed temporarily or retained on file. The floor debated and passed a wide range of measures on land use, housing, labor, public safety, health care, utilities, taxation, and consumer protection. Among the bills approved were measures on land surveyor review (AB 1933), nurse midwife access for pregnant and postpartum patients (AB 1696), historic-district transit zoning flexibility (AB 2415), EV charging infrastructure fees and timelines (AB 1820), foreclosure bidding protections (AB 1957), tribal cannabis commerce (AB 2506), outdoor advertising permitting (AB 2024), commercial building permit timelines and third-party plan checkers (AB 2418), DUI penalties (AB 1685 and AB 1687), utility rate transparency (AB 1715), CalWORKs work-penalty changes (AB 1755), dynamic electricity rates (AB 1787), interior designer licensure (AB 1796), compost labeling and contamination rules (AB 1812), modular housing standardization (AB 1815), small claims limits for businesses (AB 1827), Native American Day as a paid state holiday (AB 1841), hospital staffing and maternity access bills (AB 1868 and AB 1882), protective orders tied to release dates (AB 1889), and a series of public health, missing persons, and teacher credentialing measures later in the file. Several high-profile bills drew extended debate. AB 2624, expanding Safe at Home privacy protections to immigrant service providers, prompted sharp disagreement over free speech and alleged limits on online posting, but supporters said it protected workers facing threats and doxing; it ultimately passed 49-19. AB 2023, creating a framework for regulating AI chatbots used by children, was framed as a child-safety measure after testimony about chatbot-related harms and suicide risks, and passed 58-8. Other notable votes included AB 2208 on Medi-Cal protections against federal cuts, AB 2299 on CalFresh/SNAP losses, AB 2115 apologizing to California Native peoples for historic state harms, and AB 2311 on public hospital physician employment; the transcript ends as the Assembly continues working through the remaining file.

Transcript Highlights:

• Assembly Bill 2024 by Assembly Member Wicks, relating to outdoor advertising.
• rise to present AB 2024, a narrow cleanup bill to address delays in the permitting process and the Outdoor
• Currently, we are seeing situations where permit applications for outdoor advertising displays are accepted
• which updates the whale tail licensing plate funding structure to better support coastal access and outdoor
• Assembly Bill 2717 by Assembly Member Colosa and relating to outdoor advertising.

Transcript Highlights:

• So, we have had to store things in outdoor buildings, which unfortunately does not have the proper climate
• We have amazing facilities outdoors.
• We have amazing facilities outdoors.
• We have amazing facilities outdoors.
• by providing affordable, safe, accessible, and modern facilities that support equitable access to outdoor

Bills: HF3700 , HF3982 , HF3927 , HF3933 , HF3949 , HF4238 , HF4275 , HF4476 , HF4504

Committee: House Capital Investment

Transcript Highlights:

• , supplies, classroom materials, phone, internet, child care apps, continuing education, payroll, outdoor
• I know a couple weeks ago we were talking about Norway and kind of how they invest in outdoor education
• they<01:30:19.840><c> invest</c><01:30:20.080><c> in</c><01:30:20.719><c> uh</c><01:30:20.880><c> outdoor
• </c><01:30:21.280><c> education</c><01:30:21.760><c> and</c> they invest in uh outdoor education and
• they invest in uh outdoor education and and<01:30:22.159><c> how</c><01:30:22.400><c> we</c><01:30:22.560

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• actually be outside in the air and to feel the sun on their face and to spend time with their family outdoors
• actually be outside in the air and to feel the sun on their face and to spend time with their family outdoors
• with their face um and to spend time with their family<01:16:45.840><c> um</c><01:16:46.080><c> outdoors
• </c><01:16:46.640><c> So</c><01:16:46.800><c> we're</c><01:16:47.040><c> really</c> family um outdoors
• So we're really family um outdoors.

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• John enjoyed spending time with family, the outdoors, hunting and fishing, listening to music, and playing