Transcript Highlights:

• Um, and getting these systems into this century, getting them out of the Oregon Trail era and into the

Keywords: 1187, senate, all

Transcript Highlights:

• And I think we can all agree that technologies come a long way since some of us were playing Oregon Trail

Bills: HF357, HF3389, HF1434, HF2500, HF1606

Keywords: HF357, hasenpfeffer, card games, social skill game, Minnesota gambling law, tournament, contest, prize limit, low-stakes gaming, card game exemption, gambling exemption, cribbage, bridge, euchre, pinochle, Texas hold'em, whist, skat, sheepshead, gin

Transcript Highlights:

• He said he intended to support the bill and then trailed off. pocket of a deep pocket and doesn't go

Keywords: 1187, senate, all

Transcript Highlights:

• <00:50:02.880> He He simply will go outside with staff, walk a lap around their walking trail

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• The reason I'm against it is because I understand, Senator Perry, we've been on a long trail on this

Bills: SB 5, SB 11, SB 12

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights

Summary: The Senate Committee on State Affairs took up Senate Bill 5, which Senator Perry described as a ban on intoxicating THC consumer products while preserving legal CBD, CBG, hemp seed, hemp seed protein powder, and hemp seed oil products. Perry argued that most retail THC products are already illegal under federal law, that the industry has used loopholes and misleading labeling to sell high-potency products, and that regulation would be ineffective because chemists can quickly alter formulations. He also said the bill would steer people with medical needs toward the Texas Compassionate Use Program (T-Cup), which he and other supporters described as the proper physician-guided alternative. Committee members and witnesses repeatedly discussed the distinction between legal hemp-derived products and intoxicating THC products, and Perry said the bill would not touch non-consumable hemp uses such as fiber and clothing. Invited testimony came from law enforcement and medical witnesses who supported the bill. Texas Police Chiefs Association representative Steve Dye, Kaufman County District Attorney Early Wiley, and Chambers County Sheriff Brian Hawthorne all said regulation would be too costly, too complex, and ultimately unenforceable, while a ban would be clearer and easier to enforce. They cited overloaded DPS labs, the need for expensive private testing, limited police and prosecutor resources, and the difficulty of keeping up with constantly changing cannabinoids and out-of-state products. Hawthorne and Wiley described raids and investigations involving warehouses, retail stores, cash seizures, and products they said were marketed to young people and often mislabeled or imported from other states. They also said the bill would help law enforcement by creating a clearer legal line and protecting legitimate CBD/CBG businesses. Dr. Lindy McGee, speaking for the Texas Medical Association and Texas Pediatric Society, testified that retail THC products pose serious risks to children and adolescents, including addiction, impaired brain development, psychosis, suicide attempts, self-harm, accidental toddler ingestions, and possible long-term cognitive effects. She said there is no effective medication treatment for THC addiction comparable to nicotine cessation tools, and she supported restrictions such as child-resistant packaging, no marketing to minors, and age limits, while opposing criminal penalties for possession by minors. Senators asked follow-up questions about brain development, memory, dementia risk, pregnancy, and cardiovascular effects. No vote was taken during the portion provided, and the committee continued with invited testimony and questions.

Transcript Highlights:

• Oregon Trail Generation, Accenial.

Bills: HJR73, HB31, HB279, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB2959, HB1862, HB 1026, HB4401, HB4164, HB3920, HB4737, HB4966, HB4967, HB1958, HB4979, HB5459, HB3862, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HCR141, SB250, SB1883, SB617, SB2411, SB2306, SB2929, SB552, SCR27, HJR218, HB168, HB2545, HB5436, HB4926, HB5165, HB4811, HB4755, HB3179, HB4310, HB4611, HB3637, HB3153, HB2786, HB2966, HB2159, HB5081, HB638, HB640, HB876, HB4809, HB5308, HB4687, HB5623, HB4412, HB3284, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB4421, HB 1106, HB4070, HB2370, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB4076, HB4623, HB4535, HB4327, HB4520, HB3824, HB4921, HB2494, HB3066, HJR112, HB2695, HB3138, HB2442, HB3863, HJR73, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HB31, HB279, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB2959, HB1862, HB 1026, HB4401, HB4164, HB3920, HB4737, HB4966, HB4967, HB1958, HB4979, HB5459, HB3862, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141

Keywords: ad valorem tax, property tax, tax limitation, elderly, disabled, low-income, homestead exemption, constitutional amendment, juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, HB 279, uranium mining, uranium permit

Transcript Highlights:

• They've been working on this for a long time, and she has kind of... ...to blaze the trail for us here

Bills: HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40

Keywords: constitutional amendment, medium of exchange, currency rights, digital currency, financial autonomy, tax exemption, rainwater harvesting, graywater system, local government, ad valorem taxation, housing finance, multifamily residential, low income, audit requirements, affordable housing, development bonds, oil waste, gas waste, liability, treatment processes

Transcript Highlights:

• The only way to do this is to know who owns whom and to follow that ownership trail so that we can actually

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• That’s something we heard out on our campaign trail: residents saying, “You know, my neighbors don’t

Bills: HF51, HF1161, HF2201, HF2786, HF1053

Keywords: HF51, Sibley County, State-Aid Highway 21, capital investment, bonding bill, general obligation bonds, transportation infrastructure, road improvements, sanitary sewer, water main, storm sewer, local infrastructure, county grant, Minnesota Department of Transportation, bond proceeds fund, public works, utility infrastructure, education finance, school district funding, tax base adjustment

Transcript Highlights:

• original question from Representative Heights, and it's kind of what we heard with the parks and trails

Bills: HF1250

Keywords: outdoor heritage, land acquisition, wildlife management, conservation easements, environmental restoration, 1183, house

Transcript Highlights:

• Low-income students significantly trail high-income students across Minnesota.

Keywords: 1183, house

Transcript Highlights:

• addressing and tackling this challenge as we all know from the time that we each spent on the campaign trail

Bills: HF10, HF27

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation

Transcript Highlights:

• Everything from our trails to our streets, and I appreciate your story about your district.

Bills: HF5

Keywords: tax modification, transportation funding, electric vehicle tax, Social Security subtraction, retail delivery fee, motor vehicle registration, state budget, transportation policy, 1183, house

Summary: The Transportation Committee resumed consideration of House File 5, which would reduce transportation-related revenues while also providing tax relief, including a subtraction for Social Security income, elimination of the delivery fee, and a cap on automatic gas tax indexing. The committee adopted the A1 author’s amendment, which added the phrase “using existing resources,” and then proceeded to public testimony. Representative Joy described the bill as making Minnesota more affordable, while several members and testifiers raised concerns about the impact on transportation funding and road maintenance. MnDOT Commissioner Nancy Doppenberg testified that reductions in planned transportation investments would worsen pavement, bridge, and roadway conditions, reduce construction projects and jobs, and add to an already large funding gap. Committee discussion focused on the estimated revenue losses from the bill, including about $45 million in fiscal year 2026 and $55 million annually from repealing the delivery fee, plus additional losses from capping gas tax indexing, for a combined transportation revenue reduction of about $131 million in the 2026-27 biennium. Members also asked about bridge aesthetics, paint, transit impacts, and whether other mandates and cost increases should be considered alongside revenue reductions. Supporters of the delivery fee repeal, including the Minnesota Grocers Association and Minnesota Retailers Association, argued the fee is costly to administer, confusing to consumers, and disproportionately burdens small businesses and lower-income or disabled consumers who rely on delivery. The Minnesota Association of Townships and the Minnesota Transportation Alliance emphasized that rural and local governments face major road and bridge funding needs and warned that reducing revenue would shift costs to property taxpayers or leave projects unfunded. No final vote on the bill was taken in the portion of the meeting provided; the committee continued with testimony and member questions.

Transcript Highlights:

• The chair then continued, but the sentence trails off in this excerpt. 18 years of age in both places

Keywords: 928, house, all

Summary: The House Judiciary Committee met in executive session and first corrected a procedural issue by revoting on House Bills 98 and 164, which had previously been reported out unanimously before the notice had been placed on the calendar. HB 98, concerning professional limited liability company assistant managers, was again voted ought to pass by roll call 16-0 and was placed on the consent calendar. HB 164, dealing with local records, was amended with a fiscal note update from the Secretary of State’s office and then voted ought to pass as amended 17-0; because it was going to Finance, it was not eligible for consent. The committee also set aside HB 111 briefly while the amendment language was corrected. The committee then took up HR 6, a resolution condemning the judicial doctrine of disparate impact. The sponsor argued the resolution was intended to criticize the doctrine, but several members said it was too broad, legally problematic, and in need of more work, including a drafting error in the addressee. The committee voted ITL on HR 6 by 15-2, and with no objection it was placed on the consent calendar. The final major item was HB 111 FN, which would extend the right-to-know ombudsman position for two years. Representative Kuttab offered an amendment to limit remote records requests to people with a New Hampshire connection, citing testimony about out-of-state requests and the burden on municipalities. Members discussed the broader policy of the bill, with supporters saying the ombudsman has reduced court filings and saves time and money, while opponents said the office needs restructuring or more resources and that they were not ready to extend it without changes. The amendment was adopted 16-1, and the committee then voted ought to pass as amended 15-2, sending the bill to Finance.

Transcript Highlights:

• because I think, while well-intended, it feels to me like it’s a horse-drawn wagon going down the wrong trail
• a a a horsedrawn wagon going down the a a a horsedrawn wagon going down the wrong<04:07:27.119> trail

Keywords: 1189, house, all

Transcript Highlights:

• We'll see that the value in the data is it creates an auditable trail that states use today, OIG uses

Keywords: 1185, senate, all

Transcript Highlights:

• I would ask for member support to add this amendment to be able to make sure that we have a paper trail

Bills: HF4277, HF3819, HF3489, HF4408, HF3901, HF4316

Keywords: child care, child care center, day care, licensed child care, video security cameras, surveillance, security cameras, maltreatment, child abuse, child safety, public and shared areas, camera mandate, child care assistance program, CCAP, Great Start Compensation Support, early learning scholarships, licensed provider, Minnesota Statutes 142B.68, Harvey's Law, privacy

Transcript Highlights:

• We just, we're trailing behind Reading Corps a little bit. >> Representative Green. >> Yeah, thank you

Bills: HF3421

Keywords: early literacy, reading instruction, teacher preparation, teacher candidates, teacher licensure, educator licensing, Professional Educator Licensing and Standards Board, PELSB, field experience, supervised practicum, evidence-based reading, science of reading, literacy methods, teacher training, preservice teachers, school-based experience, reading intervention, Minnesota education policy, 1183, house

Transcript Highlights:

• six years about updating IT systems, mentioning SSIS and saying some systems are as old as Oregon Trail

Keywords: 1183, house

Transcript Highlights:

• Clarity is, is the money trail.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.