Transcript Highlights:

• So COVID did impact some of the workforce, so we definitely wanted to make sure that workforce was available
• so we definitely some of the workforce so we definitely wanted<00:13:13.839> to<00:13:14.040>
• make<00:13:14.199> sure<00:13:14.440> that<00:13:14.639> Workforce<00:13
• :15.240> was wanted to make sure that Workforce was wanted to make sure that Workforce was available
• and two address funding for workforce and two address funding for both<00:44:54.760> services

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• Jason Windham, Bonnie Temple, Steve McKinnon, Alexander Atwater, Jim Massie, Charleston. ...He's a workforce
• Now moving on to the Alabama workforce. If you would please call that one for us.
• Brandon is a replacement for one of the members on the Alabama Workforce Board that we had for Senator
• Brandon to the Alabama Workforce? ...Brandon to the Alabama Workforce?

Keywords: 923, senate, all

Transcript Highlights:

• And we're thinking about how to ensure, of course, local workforce hire and...
• Spectators and for moving our workforce. And then emergency vehicles and first responders.
• In terms of workforce, we do have workforce development programs.
• What are the new technologies, the new workforce? I don't know.
• What are kind of the new technologies, the new workforce? I don't know.

Keywords: 987, senate, all

Summary: The hearing focused on Los Angeles’ preparations for the 2028 Olympic and Paralympic Games, with an emphasis on infrastructure, transportation, sustainability, community benefits, and legacy planning. Members and witnesses discussed venue readiness, state and local coordination, public safety, accessibility, and how the Games can leave behind lasting improvements such as transit upgrades, streetscape work, energy and utility improvements, and potentially permanent community assets. LA28 also highlighted its broader planning goals, including a transit-first, no-new-permanent-build approach and the use of temporary venues that could later serve communities. LA28’s Joey Freeman reported on ticket sales, volunteer interest, sponsorships, and recent legislative wins, including laws to support the games route network, temporary infrastructure, medical staffing, and out-of-state EMS deployment. He said LA28 has reached $2.5 billion in corporate sponsorships, sold more than 4 million tickets in the first drop, and launched a local presale with roughly half a million $28 tickets and a community ticketing program. However, several senators sharply criticized the ticketing rollout, saying low-cost tickets were too limited and that the committee lacked basic data on how many tickets were available, sold, or priced affordably. Members also raised concerns about ensuring access for low-income residents, schools, nonprofits, and the broader Los Angeles community. Mayor Karen Bass said the city’s theme is “Games for All” and described efforts to prepare small businesses, improve infrastructure, and create a citywide Cultural Olympiad and fan-fest style viewing sites modeled partly on Paris. She asked for state help with permitting, mutual aid for law enforcement, and cleanup of state-owned corridors and highways, and said the city wants local businesses prioritized over a broader Southern California definition of “local.” Other witnesses from Exposition Park and the Rose Bowl described major venue-specific needs, including accessibility, traffic and safety upgrades, utility replacement, site improvements, and legacy investments. No formal votes were taken in the portion provided, but members requested follow-up meetings and additional information on ticketing, community access, procurement, cultural programming, and infrastructure plans.

Transcript Highlights:

• want to share: it's budget season right now, and there is still a need for money for the perinatal workforce
• And yet, there's a significant workforce shortage projected across the country in that workforce.
• And you look at the reason for some of these closures: workforce and having OB-GYNs as part of it.
• This sort of workforce issue around OB-GYN, which of course directly connects to access and care, is
• There's also legislation around workforce that we're actually here talking about today.

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• development<00:04:37.280> manager,<00:04:37.680> as<00:04:37.919> well workforce
• development manager, as well workforce development manager, as well as<00:04:38.240> Lord<00:
• And we also have Nicole Kakall, executive director of True Initiative and Oahu Workforce Development
• 05:12.960> Oahu director of True Initiative and Oahu director of True Initiative and Oahu Workforce
• Workforce Development Board member. Workforce Development Board member.

Keywords: 912, senate, all

Transcript Highlights:

• It's fuel for this workforce to keep going.
• But if we lose our workforce, we will lose our impact.
• Workforce struggles, and those are the reasons why I must oppose SB 135 and House 279 because rather
• Workforce is absolutely the right issue, but professional licensure exams are the wrong target.
• Workforce shortages, increased demand for care, cultural and language needs, geography, and increasingly

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• So Governor Haley announced kind of a public-private academic initiative focused on workforce, and it
• And it's about how to provide investments in workforce infrastructure and talent development.
• One is workforce related.
• One is workforce related.
• The hub will coordinate AI readiness across education, workforce, business, and community sectors, and

Keywords: 907, all

Summary: The committee held a series of informational briefings on information management and technology issues. It first heard from ACLU representatives on data privacy, who argued that Oregon should strengthen protections against private data brokers, government purchases of personal data, reverse warrants, automatic license plate readers, and local police surveillance. They urged data minimization, limits on data sales and retention, and broader transparency and accountability measures. Members asked about practical uses of license plate readers, state sales of data, and how Oregon’s approach compares with other states; the presenters said similar proposals have been adopted elsewhere, including data minimization in Maryland and a state version of the Fourth Amendment Is Not for Sale Act in Montana. The committee then received a detailed update from the Department of Administrative Services and Enterprise Information Services on licensing system modernization for 14 boards and commissions with the most immediate need. DAS said it is seeking a shared procurement approach through an RFP that would create either one scalable system or two tiers of systems, depending on agency needs and security requirements, with contracts expected by September. Committee members emphasized the need for a more unified, user-friendly statewide login and service experience for businesses and residents, and raised concerns about small agencies “figuring it out on their own” without sufficient cybersecurity or technical expertise. EIS said it is overseeing the investment review, security and architecture review, and future implementation planning, and noted that multiple agency requests may still come back to the legislature in the next session. The committee also discussed a revised cybersecurity incident notification concept. Staff explained that the earlier bill had raised stakeholder concerns, so the co-chairs directed further interim work with the Oregon Cybersecurity Advisory Council and other local government and K-12 stakeholders. The goal is a narrower, voluntary “911-style” notification process that would let public bodies alert peers and potentially receive assistance after cyber incidents; a temporary voluntary process is being tested now, with a work group developing language for possible 2027 consideration. Finally, the committee heard updates from the new state chief data officer on data governance, data sharing, geospatial work, and the state transparency website, followed by a briefing on data centers from NCSL and the Technology Association of Oregon. The data officer described efforts to expand data inventories, data governance plans, data literacy, and interagency sharing, along with statewide aerial imagery, geospatial standards, and the open data portal. The data center discussion focused on national and state trends, including rapid growth in data centers, rising electricity and water demand, and legislative responses such as new rate classes, reporting requirements, and cost-allocation rules to protect ratepayers. No votes were taken; the meeting was informational only.

Transcript Highlights:

• , on workforce, on the federal<00:02:04.560> pressures.
• of reimbursement cuts, workforce of reimbursement cuts, workforce shortages,<00:08:47.839> uh
• It's the workforce.
• <00:21:09.760> It's<00:21:10.000> the<00:21:10.240> workforce.
• It's the workforce. And 340B is people. It's the workforce.

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.

Transcript Highlights:

• That kind of disruption hurts kids, adds stress for families, and delays workforce reentry.
• Child care is a critical support that helps parents stay in the workforce and children...
• Are there any... ...to care and alleviating the DSP workforce shortage.
• It's exacerbated by lack of facilities, workforce shortages, and inadequate funding.
• It's exacerbated by lack of facilities, workforce shortages, and inadequate funding.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• There's a perception that when you're looking at workforce, the issues that matter, where we're going
• There's a perception that when you're looking at workforce, the issues that matter, where we're going
• So you have child care, education-skilled workforce, health care, housing, and then this infrastructure
• In 2016, I discovered the Workforce Development Board On-the-Job Training Program, which allowed me to
• SCORE, the Workforce Development Board, and the Chambers of Commerce are critical lifelines for small

Summary: The committee held an information hearing on California’s economy and household affordability, with the first panel focusing on inflation, housing, energy, wages, and the likely effects of new federal tariff policy. PPIC’s Sarah Bone said Californians remain deeply pessimistic about the economy, with inflation the main driver of concern; she noted prices are still about 23% higher than in January 2020, with especially large increases in food, energy, and housing costs. LAO’s Brian Euler emphasized that housing is the largest household expense and pointed to insurance, electricity, gasoline, and health care as other major cost pressures, urging the Legislature to review whether existing policies are actually reducing costs and to consider studies of why recent housing laws have not produced more units. UC Davis economist Catherine Russ warned that tariffs on China, Canada, Mexico, and potentially broader imports could raise consumer prices, disrupt supply chains, and hurt California exporters, farmers, and small businesses; she suggested monitoring prices, strengthening food assistance, and preparing transition support for affected workers and producers. Members pressed the panelists for concrete, near-term policy ideas, especially on housing and tariffs. Questions centered on whether accessory dwelling units are making a meaningful dent in affordability, how to improve implementation of pro-housing laws at the local level, and how to measure the impact of tariffs on consumers, health care, and agriculture. Panelists said ADUs help but are limited, that state laws can be undermined by local implementation and litigation, and that tariff effects may show up quickly in prices and later in hiring and investment. Several members stressed that the tariff issue is not a minor disruption for constituents and asked for more data on consumer impacts, food aid needs, and crop-specific farm losses. The second panel shifted to regional economic development and small business support. Go-Biz’s Derek Kirk described California Jobs First and the state economic blueprint as a first-in-decades, regionally informed strategy to create good-paying jobs, support key sectors, and align workforce and business development across 13 regions. The California Association for Local Economic Development’s Gerbach Sahota argued that local governments need practical tools, stable policy, and stronger partnerships with the state, while warning that prosperity is not always perceived as shared and that rural communities can be left behind. He urged the Legislature to use hearings, local input, and existing funding streams more effectively, including for recovery and infrastructure. David Fitzgerald of the Small Business Development Centers said California’s SBDC network serves hundreds of thousands of clients, many of them women and historically underrepresented entrepreneurs, and has generated billions in economic impact, capital access, revenue, and jobs. He said the biggest gaps are outreach to the state’s many self-employed businesses with no employees, better labor data on those workers, and more flexible support for direct services. Committee members then asked what small businesses need most in the face of inflation and tariff shocks, including lower licensing costs and other relief, and the discussion continued on how to better target state support to businesses and households under pressure.

Transcript Highlights:

• So we've actually improved our workforce out there in behavioral health.
• It's just we're not seeing the outcomes that we would expect to see from this improved workforce.
• I just wanted everybody to see within their local Communities what kind of workforce they have.
• And they kind of drive the workforce or drive out the workforce.
• The workforce is not out there.

Transcript Highlights:

• million in child care workforce million in child care workforce retention<01:46:01.119> and
• um expand their workforce. um expand their workforce.
• And um and childcare workforce grants.
• I don't use the the workforce grants?
• workforce initiative? workforce initiative?

Keywords: 1189, house, all

Transcript Highlights:

• Uh, we've been able to begin the process of rebuilding our workforce both in the maintenance side as
• we have are able to maneuver workforces we have are able to maneuver in.<00:03:27.599> U<00:03
• <00:09:10.399> to<00:09:10.560> where now we have a limited workforce to where now
• we have a limited workforce to where the<00:09:11.680> same<00:09:12.160> amount<00:09:
• back that workforce and have the<00:10:09.360> the<00:10:10.000> adequate<00:10:10.560

Keywords: Highways and Transportation - Room 216, 18 February, 2026; 10:30 AM, 925, all

Summary: The committee heard from Brad White, head of the Mississippi Department of Transportation, as part of his confirmation process. White said the department has improved staffing and funding over the last four years, citing support from the legislature, supplemental appropriations, ARPA funds, and fuel tax adjustments. He emphasized that MDOT is still rebuilding its engineering and maintenance workforce and needs continued salary flexibility to remain competitive and respond to disasters. A major portion of the discussion focused on MDOT’s response to the recent severe ice storm. Several senators questioned whether the response was adequate and whether district lines, coordination with local governments, and emergency task-force planning should be changed. White said the storm was unusually severe, with freezing rain, flash-freeze conditions, widespread power outages, and more than 15,000 miles of highway impacted. He said MDOT crews were spread thin, but still logged more than 26,000 man-hours, worked with law enforcement and rescue units, and were aided by about 400 employees in the affected area plus 500 others from other regions. He said the department is reviewing lessons learned and expects winter-storm response to change going forward. Senators also asked about comparisons with Tennessee and whether the storm response was a funding issue. White said it was not primarily a money problem, but that Mississippi’s budget and weather patterns differ from neighboring states, making stockpiling materials less practical. He said cities and counties could help in emergencies if coordinated with MDOT, and he supported properly funding agencies such as MDOT, MEMA, the National Guard, and public safety. Another senator raised long-delayed road projects, including Highway 61 and the Port Gibson bypass, and White said the capacity program remains active and that emergency response had not stopped project work. The committee then considered several appointments to the Mississippi Motor Vehicle Commission and related boards. Kenneth Jeffrey Smith of Pontotoc, William J. Van Deender, and Ranatada Tracy McGawan of Jackson were each introduced, praised, and recommended by motion. The committee voted unanimously to advise and consent on each nomination, with no opposition recorded.

Transcript Highlights:

• The second is a $2.1 million workforce education grant that would have funded what was known as House
• The second is a $2.1<00:02:22.319> million<00:02:23.200> workforce<00:02:23.680> education
• <00:02:24.239> grant $2.1 million workforce education grant $2.1 million workforce education
• in EMS is is a real really the workforce in EMS is is a real really difficult<00:21:37.600> area<
• We had the $10.8 million in the block grant, and then we had a $2.1 million in the workforce education

Keywords: Meeting Start 00:00:00 Kentucky Board of Emergency Medical Services (KBEMS) 00:00:53 Approval of Minutes 00:23:37, 958, all

Summary: The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs. Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60. Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments. No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.

Transcript Highlights:

• And then, of course, health care workforce needs.
• It's all the challenges that remain: workforce, affordability, and access.
• And all of those things, and then, of course, workforce, just base workforce.
• and the primary care workforce, it's all around trying to at least incrementally get at... and access
• , and then, of course, workforce, just base workforce.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• That is where we stand now with respect to our 1115 workforce demonstration that is sitting with CMS.
• their position known against workforce in general.
• I think a lot of the workforce shortages we see in the state, especially in rural areas and among those
• You have to have the workforce there in order to have the students there and have someone to teach them
• So I do think that as we address workforce in all areas, we'll be able to have more students come in.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• And then third, we'll turn to our charge on strengthening the law enforcement workforce.
• I will tell you that... ...practices in our struggle with our workforce.
• This is a workforce stabilization issue, and it's a public safety issue.
• Schedules, not the traditional nine-to-five workforce.
• TxDOT's role is not to commission officers, but to strategically Workforce.

Keywords: 1184, house, all

Transcript Highlights:

• There is a huge workforce things.
• As Professor Jones said, we got to train our workforce.
• And as I said before, we've got to train people who are already in the workforce.
• So if we can do those things, workforce.
• So this is an important part of the future of Minnesota and the workforce that we have.

Keywords: 1187, senate, all

Transcript Highlights:

• Commerce, led by the chief manufacturing officer, which is pretty much already in place; supports workforce
• That's the group that we're targeting this support for workforce development at.
• We want to maintain and home grow... ...that we're targeting this support for workforce development at
• ADUs increase workforce housing because ADUs cost less to build.
• ADUs increase workforce housing because ADUs cost less to build, they cost less to rent, and they're

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development met with a quorum present and took up three bills. The first two, both by Senator Truenow, addressed Florida manufacturing. SB 600 would codify the Office of Manufacturing in the Department of Commerce, support workforce development grants, create a Florida Manufacturing Promotional Campaign, and require biannual reporting. A strike-all amendment clarified that the chief manufacturing officer already exists, the campaign is voluntary, the program falls under Chapter 288, and grant awards are at the department’s discretion. Florida Makes, Associated Industries of Florida, and the Florida Chamber of Commerce appeared in support, and the committee reported CS/SB 600 favorably. SB 602 established fees for the promotional campaign, with an amendment setting the fee at no more than $100 to administer the voluntary program; Florida Makes supported the bill, and the committee reported CS/SB 602 favorably. The committee then considered CS/CS/SB 184 by Senator Gates, an affordable housing and property rights bill requiring local governments to allow accessory dwelling units in single-family residential areas, while exempting planned unit developments and master-planned communities. The bill also limited local restrictions on parking and homestead treatment, allowed a density bonus for housing affordable to military families, and referenced an OPPAGA study on mezzanine financing. An amendment clarified that ADUs could not be used as short-term vacation rentals and must be rented for at least 30 days, allowed manufactured homes if they meet local standards, and removed a requirement that the unit be rented at an affordable rate or to a moderate- or low-income person. Senators asked about homestead exemption treatment, property tax impacts, and local control, and Gates explained that ADUs could be built later and would be separately taxed without affecting the original homestead exemption. Several groups appeared in support of SB 184, including AARP, Americans for Prosperity, Florida Realtors, and the Florida Chamber of Commerce. Senators Smith and Arrington spoke in favor, with Arrington noting concerns about parking flexibility for local governments. The committee adopted the amendment and then reported CS/CS/SB 184 favorably. At the end of the meeting, Senator Collins asked to be recorded as voting yes on tabs two and three, and the committee adjourned.

Transcript Highlights:

• the areas is what does our workforce the areas is what does our workforce look<00:08:03.960>
• workforce development. workforce development.
• We have a need to of EMS workforce.
• <00:31:20.400> shortages, really addressing workforce shortages, really addressing workforce
• It is it is well workforce shortages.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.