Transcript Highlights:

• They have primary treatment, secondary treatment. They remove bio solids.
• some additional treatment.
• These distributed waste treatment units are essentially microwastewater treatment facilities.
• It's not equivalent to a wastewater treatment or an onsite waste treatment facility.
• It also clarifies that 'out of service' applies to the permit service areas of the mitigation bank, not

Transcript Highlights:

• So our research identified a treatment oversight gap.
• Then you wrap those services around, whether that's intensive home-based services in the home daily,
• My understanding is that if a service is designated as an essential service at the state level, then
• And if that is true, I am just wondering if a service like this can be considered an essential service
• And if that is true, I am just wondering if a service like this can be considered an essential service

Summary: The committee met with Representative Redman participating remotely after his flight was canceled. Members approved the minutes, then voted to proceed with a Medicaid study and to release the follow-up report on state oversight of children’s residential care. OPE staff said the original report had identified major gaps in oversight, but that most recommendations had now been addressed through agency changes and House Bill 723, which codified several reforms including a Youth Bill of Rights, annual unannounced surveys, revised interview procedures, and restraint/seclusion reporting to licensing. Of 19 recommendations, 13 were complete, two were in progress, and four remained open, with one requiring legislative action. The follow-up discussion focused on the remaining gaps: whether licensing should have authority to oversee treatment quality, whether restraint and seclusion data should be reported publicly or to the legislature, and how to address abuse by facility staff, including a registry pathway and a single investigative process. OPE and committee members noted that these unresolved items would require policy decisions by the legislature. Department of Health and Welfare and licensing officials described improved oversight practices, including unannounced surveys, a new tracking system, and better monitoring of foster placements. The ombudsman reported increased complaints, more facility visits, and stronger collaboration with licensing, and said his office could potentially take on more oversight if given authority and staffing. The committee then voted to close the report, with several members saying they wanted to work on legislation next session. The committee also heard OPE’s report on career technical education funding and teacher recruitment. The report said Idaho had 1,103 approved secondary CTE programs and about 151,500 enrollments, with agriculture the largest program area. Members heard that larger and more urban districts, especially in southwest Idaho, offered more diverse CTE options, while smaller and more remote districts relied more heavily on agriculture and had fewer health, public safety, and engineering programs. OPE said 60% of surveyed LEAs reported funding constraints, especially equipment and facility costs, and many said dedicated CTE funds could not be used for base teacher salaries. The report also found that recruiting CTE teachers was difficult, with respondents citing a lack of qualified candidates and pay that often was not competitive with local industry, though the comparison varied widely by program area. OPE outlined policy options such as allowing more CTE funds to pay salaries, adjusting the funding formula for smaller class sizes, simplifying occupational specialist credential routes, and targeting salary incentives to high-need fields. The presentation was still underway when the transcript ended, with members asking questions about district settings, salary comparisons, and how the funding options might affect staffing and program access.

Transcript Highlights:

• These facilities are regulated by the Health and Human Services Commission.
• centers to close. ultimately reducing access to critical addiction services.
• Senate Bill 626 has to do with in-service abuse training.
• It removes family-based safety services and reunification services from the roof. rubric of Family Preservation
• than it is to pay for that same treatment through your insurance provider.

Bills: SB437 , SB528 , SB626 , SB636 , SB884 , SB968 , SB1044 , SB1608 , SB2336

Committee: Senate Health & Human Services

Transcript Highlights:

• Early intervention and social services, disability services, are invited to provide services in our Head
• Early intervention and social services, disability services, are invited to provide services in our Head
• People with disabilities deserve treatment that heals, not harms—treatment rooted in respect, safety,
• They are service animals.
• And everyone I know that has a service dog or guide dog, a service animal, has experienced this.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• >> Chair: HEALTH AND HUMAN SERVICES COMMITTEE WILL COME TO ORDER.
• CAN WE HAVE THE INDIANS LISTEN TO OUR TREATMENT VISIT.
• WE HAVE EIGHT LOCATIONS WE DO EVERYTHING FOR MENTAL HEALTH SERVICES TO ADDICTION TREATMENT.
• OBVIOUSLY WE WANT TO UNDERSTAND TREATMENT OPTIONS AND THERE MAY BE AN AREA THAT THERE IS A BETTER TREATMENT
• BOTH FROM THE INSURANCE SIDE AS THE TREATMENT CENTER OUTSIDE.

Transcript Highlights:

• , as well as a new self-therapy treatment for solid cancers and several new treatments for rare diseases
• These treatments...
• Relapse treatment was the hardest stretch yet.
• for a cancer, or treatment of a resistant cancer.
• It means less research into life-saving treatments, life-saving cures and treatments.

Committee: Senate Senate Appropriations

Transcript Highlights:

• </c> in Medicaid are for diabetic treatment. in Medicaid are for diabetic treatment.
• And we assumed that people would gradually start treatment and about 32% would stay on the treatment
• </c> for diabetes treatment. for diabetes treatment.
• </c> to the treatment environment. to the treatment environment.
• </c> ideal for treatment with a GLP1. ideal for treatment with a GLP1.

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• When treatment courts first rolled out, a lot of the data around juvenile treatment courts was just to
• We were constantly changing and updating to ensure we were providing the best service. Services.
• Some of the requirements include individualized treatment goals, which are developed with our treatment
• Level for behavioral health treatment, education support, and basically wraparound services.
• We provide wraparound services. We provide mentoring, academics, and health services.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• mental health and SUD services.
• Any cost sharing or treatment limitations related to mental health or SUD services must comply with federal
• , medical and surgical services, youth and adult services, and in-person and telehealth services.
• treatment altogether.
• Regardless of opinion on these experimental treatments, I think we can agree that these treatments should

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• for mental health courts, assertive community treatment, known as ACT, statewide peer support services
• for mental health courts, assertive community treatment known as act, statewide peer support services
• Historically, the Department of Health and Welfare has provided all treatment services for mental health
• Treatment, yes. Is it community, is it the assertive community service, or treatment?
• “Or is it service or treatment? Which one actually is it?

Summary: The joint Senate Finance and House Appropriations committee considered several trailer appropriations and related language items. It approved $200,000 ongoing for the Idaho Department of Correction tied to House Bill 684, which allows sheriffs to seek reimbursement for costs of collecting absconders from out of state, and approved $63,000 ongoing for the Idaho State Police under Senate Bill 1226 to cover DNA sample and thumbprint collection for certain misdemeanor offenses. The committee also reconsidered the Secretary of State budget after House Bill 909 failed on the floor, and passed an amended FY 2027 budget with a $235,800 general fund increase, including a one-time $350,000 voter pamphlet appropriation, a $20,000 transfer from operating to personnel, and a 2% base reduction. A major portion of the meeting focused on restoring behavioral health programs in the Department of Health and Welfare using one-time Millennium Income Fund and opioid settlement dollars. Analysts outlined options to restore ACT, peer support, skills training, transportation, partial hospital, and early serious mental illness programs. The committee first rejected a broader restoration package, then approved a narrower FY 2027 package restoring only assertive community treatment and peer support services with $4.619 million from the Millennium Fund, $5.555 million from the opioid settlement fund, and $20.525 million in federal funds. It also approved $250,000 from the opioid settlement fund for peer support services in mental health courts and adopted language directing the department to identify savings for future funding needs, though a broader language motion failed. The committee then approved a FY 2026 supplemental of $200,000 for the Legislature to hire a consultant for the Medicaid Legislative Review Panel under HCR 30, despite objections that it duplicated work already being done by the Department of Health and Welfare’s consultant. Members also discussed that the one-time behavioral health funding would only carry programs through FY 2027 and may require general fund support later. The committee adjourned after announcing it would likely meet again Wednesday to handle year-end transfers, remaining trailer bills, and other pending budget items.

Transcript Highlights:

• </c> placement services identified in the placement services identified in the bill,<00:18:48.360><c>
• No treatment, no punishment.
• This is access to treatment.
• If you look here, a lot of the terms treatment are replaced with restoration services.
• are replaced with restoration treatment are replaced with restoration services.<00:44:29.520><c> Again

Transcript Highlights:

• <00:03:05.959><c> or</c><00:03:06.159><c> Residential</c><00:03:06.680><c> Treatment</c> services or
• Residential Treatment services or Residential Treatment despite<00:03:08.080><c> them</c><00:03:08.280
• In situations where lack of service options or residential treatment beds lead to children boarding in
• , or substance use disorder treatment, parenting skills training, self-sufficiency support services,
• , or substance use disorder treatment, parenting skills training, self-sufficiency support services,

Committee: Senate Health and Human Services

Transcript Highlights:

• , and recovery support services to address... ...prevention and mental health promotion, treatment, and
• Treatment Act, or ITA, implementation.
• much desire to try to get services to them early and often so that we can intervene before treatment
• have to utilize the high-intensity services as much.
• services.

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• Well, for the opioid treatment department lays the foundation for behavioral health services by developing
• The administration of Crisis Services, operation oversight of the state, mental health treatment facilities
• and the blue represents some of the substance use treatment services that we cover.
• Services are more costly than community mental health services and substance use treatment services.
• in-home services.

Transcript Highlights:

• Additionally, we have Thunderbird Treatment Center opening in May, which is a 92-bed residential treatment
• But how payment for these services is structured.
• , substance use disorder services, medical and surgical services, youth and adult services, and in-person
• compares to medical services.
• The purpose of this bill is to provide our services out to you.

Summary: The House Health Care and Wellness Committee held public hearings on four bills and then took executive action on three measures. HB 2555 would require the Health Care Authority to apply for a Medicaid waiver to cover traditional health care practices provided through Indian Health Service, tribal, and urban Indian facilities. Supporters, including the prime sponsor, tribal health leaders, and the Health Care Authority, said the bill would recognize traditional medicine, expand access, and leverage federal funding, though HCA noted the July 1, 2026 waiver deadline and urban Indian reimbursement questions may be difficult to resolve. HB 2685 would codify tribal data sovereignty principles for state agencies, require reporting of notifiable conditions to tribal health jurisdictions, and exempt certain tribal data from public disclosure. Tribal representatives supported the bill as necessary for access, governance, and better public health planning, while the Washington Coalition for Open Government and HCA raised concerns about the breadth of the PRA exemption, undefined ownership interests, and implementation details. HB 2658 would require health carriers to submit standardized public data on behavioral health and other coverage and access metrics, with the Insurance Commissioner posting the information on a public dashboard. Supporters said the bill would improve transparency about mental health parity and help families, employers, and policymakers compare plans; opponents argued it duplicates or complicates recent parity reforms and could be misinterpreted. HB 2683 would shorten carrier credentialing timelines from 90 days to 30 days and require carriers to post billing and coverage information online. Supporters said it would reduce delays for providers and patients, while opponents warned the shorter timeline could be hard to meet and that posting information without login protections could raise privacy concerns. In executive session, the committee adopted two amendments to HB 2168, which concerns overdose mapping data, then reported the substitute bill out with a due pass recommendation by a vote of 16-1. It rejected an amendment to HB 2196 that would have extended PANDAS/PANS coverage to public and school employee plans, then advanced the substitute bill with a due pass recommendation by a vote of 15-2. Finally, the committee passed HB 2545, which would allow ambulatory surgical facilities to perform elective percutaneous coronary interventions, by a vote of 13-4, after members discussed safety, access, and cost savings.

Transcript Highlights:

• Authorized treatment is limited to a diagnostic interview and up to 11 treatment sessions within 90 days
• And also removing the barriers for treatment.
• And also removing the barriers for treatment, getting people in for treatment faster, and then also,
• That includes some concerns regarding the pre-claim allowance treatment, disrupting existing treatment
• providers. ...claim allowance treatment, disrupting existing treatment providers and treatment patterns

Summary: The committee held public hearings on several Labor and Workplace Standards bills. HB 2492 would require building and construction apprenticeship programs, beginning in 2027, to include two hours of behavioral health and wellness training covering topics such as suicide prevention, substance use disorder, recognizing distress, peer support, and connecting to resources. The prime sponsor and many labor, apprenticeship, and contractor witnesses supported the bill, describing high suicide and overdose rates in construction and sharing personal stories about losses and struggles in the trades. No vote was taken on the bill during the hearing. The committee then heard HB 2405, a Department of Labor and Industries request bill creating a pilot to allow earlier treatment for PTSD claims in workers’ compensation, including up to 11 treatment sessions before claim adjudication and limited follow-up treatment after closure. L&I and NFIB supported the measure as a way to speed treatment and reduce barriers, while one legal advocate supported it but raised technical concerns about pre-claim treatment and urged more focus on workplace prevention; another witness cautioned against emphasizing psychiatric drug treatment. The bill was heard only; no action was taken. HB 2406 would expand L&I’s ability to send notices electronically, with opt-in/opt-out provisions and some changes to timing rules for workers’ compensation and WISHA notices. L&I supported the bill as a modernization measure, while labor and workers’ advocates opposed changes affecting workers’ compensation notices, arguing that email should not become the default for vulnerable workers who may miss deadlines. HB 2478 would give L&I discretion, rather than a mandate, to investigate wage complaints and allow penalties when the department initiates an investigation; L&I supported it as a more efficient enforcement tool, and the committee discussed how complaints would still be handled and communicated. Finally, HB 2471 would create a state collective bargaining framework for private-sector workers if federal labor law or the NLRB no longer covers them. Supporters said it would preserve organizing and dispute-resolution rights if federal protections fail, while agricultural employers and NFIB opposed it, arguing it would inappropriately apply to agriculture and small businesses, could disrupt perishable harvests, and should rely on secret-ballot elections rather than card check. No votes were taken on any of the bills in the hearing.

Transcript Highlights:

• </c><00:05:49.759><c> providers</c> collected through our service providers collected through our service
• idea of specialized treatment services to ensure that an individual achieves recovery from their problem
• idea of specialized treatment services to ensure that an individual achieves recovery from their problem
• </c><00:15:17.399><c> services</c><00:15:18.040><c> to</c><00:15:18.240><c> ensure</c> specialized treatment
• services to ensure specialized treatment services to ensure uh<00:15:19.320><c> that</c><00:15:19.560

Summary: The subcommittee heard an update from the Kentucky Horse Racing and Gaming Corporation on sports wagering revenue allocations and problem gaming funding. KHRGC reported that in fiscal year 2024, about $34.4 million was deposited to the pension fund and about $931,000 to the problem gaming assistance fund; fiscal year 2025 to date, the totals were about $18.5 million and $556,000, respectively, bringing all-time problem gaming funding to about $1.48 million. Members also discussed wagering volume, with KHRGC stating Kentucky had about $3.5 billion in wagers from September 2023 through December 2024 and about $1.4 billion in fiscal year 2025 to date. KHRGC explained that it tracks the funds sent to CHFS and the self-exclusion list, but does not track the number of people seeking help or the outcomes of those calls. The Division of Mental Health then described how the problem gambling assistance account is used. Patty Clark and Sarah Cooper said the fund supports education, counseling, public awareness, counselor certification, and treatment-related costs, with $50,000 reserved for administrative expenses. They said the department has spent the last 18 months establishing criteria, funding standards, performance measures, monitoring, and application procedures, and that it issued notices of funding opportunity in October. They reported about 1.49 million in the fund through the end of January, with awards including support for the Kentucky Council on Problem Gambling conference, a public awareness campaign by Project Ricochet, and a youth-focused campaign by Shaunie Transformation Youth Coalition. Testimony also focused on the scope of problem gambling in Kentucky and how the helpline works. The department said fewer than 10 clinicians in Kentucky are specifically certified in problem gambling, though all addiction clinicians can provide services, and estimated about 165,000 adults show problem gambling behaviors, with 47,000 to 64,000 potentially meeting criteria for a gambling disorder. They said helpline calls rose to about 3,240 in 2024, but only about 25% were from people seeking help, with most callers seeking information about online wagering. Members asked about anonymity, follow-up, co-occurring alcohol or drug issues, and whether the fund should reimburse Medicaid or directly cover treatment costs. The presenters said calls are anonymous, outcomes are not tracked unless callers follow up, and the program is currently focused on building provider capacity and targeted outreach rather than direct reimbursement or a statewide campaign.

Transcript Highlights:

• , some of which have good treatment, and some of which have good treatment.
• Some of which have very poor treatment, some of which have good treatment, and all of which we want to
• Patients wait in pain, and treatment is delayed.
• And she looked for months for treatment that would work.
• So, and And a really large amount of drugs and treatment plans.

Committee: Senate Health

Transcript Highlights:

• , assessments, lots of different outpatient services to treat behavioral health services and substance
• </c> overview of Behavioral Health Services overview of Behavioral Health Services and<00:04:06.040><
• </c><00:04:33.759><c> this</c><00:04:33.880><c> is</c> Services some of the services this is Services
• to treat Behavioral outpatient services to treat Behavioral Health<00:04:48.479><c> Services</c><00:
• We looked at services based on a paid date of service, and as we go forward we're going to show some

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• Consumer sales and service stations.
• Whereas if the service...
• Whereas if the service dealership service center were not located on tribal land, the tax would come
• service station.
• and good customer service.

Bills: SB22 , SB310

Committee: Senate Senate Conservation

Keywords: motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County