Transcript Highlights:

• North Dakota currently has two comprehensive stroke centers, four primary stroke centers, and 30 acute
• Our North Dakota Stroke Center map shows the distribution of stroke centers across the state.
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow
• Stroke centers across the state.
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• You've moved them outside of those city centers. And and...
• Their big need is attaching where they live to job centers, and those job centers are generally San Francisco
• , streetlights, parks, community centers, libraries.
• , streetlights, parks, community centers, libraries.
• cap-and-invest process.

Summary: The Senate Transportation Committee held an informational hearing on the California High-Speed Rail Authority’s 2026 draft business plan and next steps for the project. Chair Cortese opened by noting major changes since the 2024 plan, including new leadership, a bottoms-up review, scope changes in the Central Valley, loss of federal funds, and renewed interest in private investment and value capture. The Authority’s CEO, Ian Chaudhary, presented the project as moving into a construction and track-laying phase, citing progress on Central Valley structures, right-of-way acquisition, utility relocations, and a new procurement for track and systems. He said the plan reflects a more disciplined, optimized approach, with the Merced-to-Bakersfield segment targeted for revenue service around 2033 and the broader Phase 1 corridor envisioned as commercially viable through ancillary revenues, public-private partnerships, and future private financing. Committee members questioned the Authority about station relocations, single-tracking, tax increment financing, utility relocation authority, transparency, and the feasibility of private financing. Chaudhary said the Merced and Bakersfield station locations were still under discussion with local governments and that no contracts had been finalized. He defended the reduced scope and single-track approach as a just-in-time strategy to avoid overbuilding, while maintaining high-speed standards. He also said the Authority was exploring land value capture, broadband, energy, and other corridor-based revenue sources, but acknowledged that some tools would require legislative action and that private financing options were still being evaluated. Several senators expressed support for the project but raised concerns about permitting delays, local opposition, constitutional and statutory limits, and the need for stronger accountability. The Legislative Analyst’s Office and the High-Speed Rail Inspector General then gave critical assessments of the draft plan. LAO staff said the plan assumes major statutory changes, understates risk, lacks transparency about scope changes, and may not fully fund even the smaller Merced-to-Bakersfield segment once borrowing costs and other uncertainties are considered. Inspector General Ben Belknap said the draft plan does not comply with newer statutory requirements in SB 198 and AB 377, citing three main deficiencies: unauthorized scope changes to the Merced-to-Bakersfield segment, an inadequate funding plan that omits financing costs, and missing procurement milestone dates. He said the Authority’s presentation obscures the true cost and schedule impacts of the project changes, and that incomplete reporting limits legislative oversight. The Authority responded that it would address the OIG’s findings in the final business plan, and committee members indicated they expected a written response on compliance issues.

Transcript Highlights:

• So at the interview process, this is when it comes out that they are fostered?
• Thank you for the question center, Archiletta.
• adopt emergency regulations through a similarly lengthy process.
• Processes for approving programs based on the federal requirements.
• The trailer bill language sets forth these processes.

Keywords: 987, senate, all

Summary: The Senate Budget Subcommittee on Education heard May Revision proposals covering higher education, including the Bureau for Private Postsecondary Education, the University of California, California Community Colleges, the California Student Aid Commission, UC College of the Law, San Francisco, and trailer bill reporting changes. For the Bureau for Private Postsecondary Education, the administration proposed a one-time $10 million General Fund backfill to repay a special fund loan taken to cover litigation costs, plus provisional language to adjust for a pending legal expense and to repay the loan without interest. The LAO opposed shifting costs to the General Fund and raised legal concerns about an interest-free loan under Proposition 26. Senators asked about whether the $10 million would cover the litigation and about the estimated $245,000 in interest savings. For UC, the May Revision maintained the Governor’s ongoing support and included budget language requiring campuses to grow by 2,968 California undergraduates in 2026-27. UC also sought $1.5 million in one-time General Fund support for the First Star foster youth program. UC described strong outcomes for the UCLA program, while the LAO recommended rejecting the new spending because UC already has overlapping outreach programs, including the Early Academic Outreach Program, and because the need for new state funding was not clear. Senators debated whether the proposal duplicated existing services and discussed the program’s reported college-going and completion rates. The committee also heard a request for $1 million ongoing General Fund for UC College of the Law, San Francisco, to maintain campus safety services; the college described its shared-campus model and public-interest mission, while the LAO noted the college was also raising tuition and that the proposal would maintain, rather than expand, current security spending. The committee then reviewed community college proposals. Finance outlined a larger May Revision package centered on a 4.31% SCFF COLA, enrollment growth funding, categorical COLAs, a one-time Adult Learner Demonstration Project allocation, deferred maintenance, and other ongoing and one-time items. The Chancellor’s Office supported the package but asked for more enrollment growth funding, a higher growth rate, and additional policy changes. The LAO recommended at least funding the statutory 2.87% COLA, then considering whether to redirect remaining funds to enrollment growth, categorical COLAs, or one-time priorities; it recommended rejecting the Adult Learner Demonstration Project. Senators questioned the use of the discretionary COLA to cover paid pregnancy disability leave, the impact on hold harmless and basic aid districts, and whether the state should instead create a separate categorical. The Chancellor’s Office and Finance said the COLA approach was intended to provide flexibility, though Finance said it was open to further discussion about districts that would not receive direct funding. For student aid, Finance described May Revision changes to Cal Grant and the Middle Class Scholarship, including a one-time reduction tied to lower estimated costs and a later true-up, as well as proposals for the Golden State Teacher Grant Program and implementation of the federal Workforce Pell program. CSAC supported the financial aid investments but urged more time and clearer implementation planning for Workforce Pell, noting the need for state approval processes, data linkages, and likely ongoing administrative workload. The LAO recommended rejecting additional Golden State Teacher Grant funding and cautioned that the Workforce Pell trailer bill and one-time funding were premature given the new federal rules and unclear workload. Senators also raised concerns about the Middle Class Scholarship reduction, the need to support students facing higher living costs, and the decline in CADA/DREAM Act applications, with CSAC saying the drop did not reflect reduced need and that outreach should be strengthened. The final item was a set of technical trailer bill changes to shift some UC, CSU, and community college reporting from annual to biennial and consolidate reports; Finance said there were no programmatic changes.

Transcript Highlights:

• The city gave us a responsibility to run a cultural art center in the center of our downtown, which is
• The city gave us a responsibility to run a cultural art center in the center of our downtown, which is
• Old School Square. run a cultural art center in the center of our downtown, which is Old School Square
• In fact, we're in the process of turning it over.
• In fact, we're in the process of turning it over.

Summary: The Joint Legislative Auditing Committee met to consider several audit requests and enforcement items involving local governments and special districts. The committee approved operational audits of the City of Miami Beach, the Delray Beach Downtown Development Authority, and the City of Daytona Beach. In each case, the requesting member described concerns about transparency, financial management, or internal controls, while local officials or representatives generally said they were willing to cooperate and, in Delray Beach’s case, noted that an internal audit had already been completed and that some issues were being corrected. The committee also received a presentation on the statewide review of neighborhood improvement districts. The reviewers reported that 15 of 21 districts were active and six inactive, with common findings including outdated or missing performance plans, weak web presence, inadequate meeting notices, and limited management mechanisms. They said staffing levels often correlated with the ability to meet statutory requirements, and they recommended updates to district governance and transparency practices. On enforcement, staff reviewed local governments and special districts that had failed to file required financial reports or had submitted audit reports missing required information. The committee approved staff recommendations to proceed under the statutory enforcement process for the noncompliant entities, with flexibility for the chair and vice chair to delay action if additional information is provided in good faith. The committee also voted to send a letter to the Union County Legislative Delegation encouraging a local bill to dissolve the Town of Rayford, based on staff’s view that the town lacked employees, services, debt, and a clear reason to continue existing as an incorporated municipality.

Transcript Highlights:

• But we have our payload processing facility, our PPF.
• And the world watching NASA and the Space Center.
• and technology development center.
• And Kennedy Space Center, we have a little over $2 billion.
• . ...with their Space Center and their state Johnson Space Center, so their vision, their board of directors

Summary: The Committee of Military, Veterans Affairs, Space, and Domestic Security heard a series of informational presentations focused on Florida’s aerospace and space ecosystem. Blue Origin described its Florida operations at Rocket Park, Launch Complex 36, and Port Canaveral, highlighting New Glenn and Blue Moon development, recent launch activity, workforce development efforts, and major capital investment in the state. Amazon Leo (formerly Project Kuiper) outlined its low-Earth-orbit broadband network, customer terminals, satellite and gateway architecture, dark-sky mitigation efforts, and Florida investments including a payload processing facility and launch support infrastructure. Starcatcher Industries presented its concept for an orbital energy grid that would beam power to satellites, discussed demonstrations in Florida, customer interest, and plans for a first satellite launch next year. Space Florida President and CEO Rob Long gave a strategic update on the state’s aerospace industry, citing billions in private investment, growth in aerospace establishments and projects, spaceport infrastructure investments, workforce and university partnerships, and the importance of maintaining Florida’s competitiveness against other states. NASA Kennedy Space Center Director Janet Petro then emphasized Artemis II preparations, rising launch demand, aging infrastructure, and the need for stronger state-federal coordination and investment in research, workforce, and common-use infrastructure. She compared Florida’s support structure with Texas and argued that Florida must act to avoid losing aerospace leadership. Members asked questions about mobile and aviation applications for Amazon Leo, dark-sky impacts, satellite counts, Starcatcher’s power transmission losses and storage approach, and NASA’s funding and infrastructure constraints. Petro also discussed limits on commercial investment in common infrastructure under federal rules and suggested that state investment and better alignment among partners could help. No bills were considered and no votes were taken beyond adjournment; the committee concluded by adopting a motion to adjourn.

Transcript Highlights:

• We did have a hearing centered around Prop 36 and its impact, and we did center around collaborative
• But I also have a couple of questions centered around the jury pilot program.
• Is there a process that has 20 steps that maybe only needs 10?
• Is there a process that they don't need to do anymore?
• Is there a process that has 20 steps that maybe only needs 10?

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• on Dexter activity center on Dexter activity center on Dexter Avenue.
• So, how does this process, your data your data your data process, your process, your process, your database
• There's a center left or center right. This is really not left or center right.
• process vetted, some vetting process vetted, some vetting process is the three names that are is the
• It's about this process that we're putting in about this process that we're putting in about this process

Bills: HB 1535, HB 123, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HB 24, HJR 138, HB 3800, HB 42, HB 129, HB 677, HB 668, HB 2128, HB 2038, HB 2316, HB 3686, HB 2563, HB 1160, HB 3883, HB 2788, HB 2663, HB 3305, HB 3474, HB 1105, HB 3490, HB 3597, HB 1295, HB 3512, HB 3783, HB 2017, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4081, HB 4783, HB 4063, HB 2783, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 4700, HB 3560, HB 3860, HB 3146, HB 184, HB 198, HB 247, HB 367, HB 449, HB 1778, HB 514, HB 632, HB 2582, HB 766, HB 2715, HB 2712, HB 3069, HB 3505, HB 1269, HB 4224, HB 5032, HB 2240, HB 5180, HB 3348, HB 4668, HB 4665, HB 3395, HB 3157, HB 4395, HB 4325, HB 4386, HB 4273, HB 2760, HB 2820, HB 1828, HB 1579, SB 2349, SB 1268, SB 610, SB 1577, SB 1369, SB 2032, SB 2034, SB 1057, SB 1044, SB 922, SB 1759, SB 1143, SB 1506, SB 1403, SB 2361, SB 870, SB 372, SB 72, SB 1583, SB 2314, SB 1267, SB 1273, SB 765, SB 552, HB 2145, HJR 112, HB 1804, HJR 110, HB 1194, HB 1531, HB 5008, HB 3421, SCR 27, HB 5398, HB 1407, HB 426, HB 1535, HB 123, HB 1773, HB 1871, HB 2035, HB 2448, HB 2492, HB 1411, HB 4753, HB 4666, HB 4529, HB 1499, HB 1610, HB 2028, HB 1506, HB 886, HB 3546, HB 796, HB 223, HB 1475, HB 3556, HB 4638, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HCR 98, HCR 92, HCR 126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• The city is home to two major Walmart distribution centers, including a regional distribution center,
• The city is home to two major Walmart distribution centers, including a regional distribution center,
• The current process is, hey, this is going to happen.
• David's North Austin Medical Center.
• As critical access hospitals, rural referral centers.

Summary: The Senate opened with a quorum, an invocation, and routine motions to excuse Senator King and dispense with the reading of the previous journal. Members then took up several ceremonial resolutions and recognitions, including honoring Duncanville High School’s boys basketball state championship, recognizing the city of Palestine, welcoming the Texas African American Lawyers Foundation and Barbara Jordan Leadership Institute, acknowledging the Cibolo Chamber of Commerce, and designating Texas County Treasurer’s Day and Mesquite Day. A memorial resolution for Clyde Vance Dunham of Waco was adopted, with multiple senators speaking in tribute to his long legal career and community service; the Senate agreed to adjourn in his memory. The chamber then considered a series of bills, most of which were advanced on expedited motions. Senate Bill 1948, concerning fire prevention standards for certain agricultural facilities, passed after suspension of the rules and the three-day rule. Senate Bill 1394, updating weight and tire-load rules for ready-mix concrete trucks, passed unanimously. Senate Bill 1814, creating an electronic database to provide information to certain veterans, also passed unanimously. Senate Bill 241, tightening enforcement of the public camping ban and authorizing state enforcement and reimbursement mechanisms, drew questions about impacts on unhoused people but ultimately passed. Senate Bill 1147, withdrawing Texas from the Interstate Mining Compact, passed unanimously. The Senate also passed Committee Substitute for Senate Bill 921 on Medicaid ex parte renewals after a narrower vote, and Senate Bill 609, requiring school districts and charter schools to comply with legally required policies, after rejecting an amendment by Senators Menendez and Perry that would have added a good-faith/resource-limitation safeguard for districts. Committee Substitute for Senate Bill 660, requiring bollards or similar barriers near certain hospital emergency rooms, passed with rural exemptions and exceptions for existing protections. Senate Bill 2155, a cleanup bill returning veterinary board authority from TDLR to the State Board of Veterinary Medical Examiners, passed with amendments. Committee Substitute for Senate Bill 1209 on election dates and Committee Substitute for Senate Bill 1396 prohibiting national sex education standards in public schools also passed. The Senate then received first-reading bills and adjourned until the next day.

Transcript Highlights:

• For the UC Davis Integrative Center for Alternative Protein and Meat.
• The process of providing CalFresh to meet the need we're seeing immediately.
• the Environmental Protection Information Center.
• I'm Rebecca Gonzalez with the Western Center on Law and Poverty.
• Whitney Francis with the Western Center on Law and Poverty.

Keywords: 988, house, all

Transcript Highlights:

• The Center for School Safety.
• The Hope Center.
• Area Health Education Centers. Area Health Education Centers.
• Kentucky Poison Control Center. Kentucky Poison Control Center.
• continue to move through the process. continue to move through the process.

Keywords: 958, all

Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.

Transcript Highlights:

• . centers. centers.
• >> That's same with medical center. >> That's same with medical center.
• So, it's a living breathing process. process. process.
• One of them is the Medicaid eligibility process. That's a different application process.
• >> The process from application. >> The process from application.

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.

Transcript Highlights:

• And how long do you believe that the process of engagement...
• center because community-based centers have been decimated by TK.
• Child Care Resource Center alone has over 19,000 children waiting for care.
• I'm a center-based owner in the city of Ventura, Ventura County.
• And I was very surprised when I got here and opened my center, took over a center of someone that was

Summary: The committee took up issue number seven, Child Care Rate Reform Transition Plan, and heard a presentation from the LAO on an eight-part transition plan for the period before implementation of the alternative methodology-based child care rate system. The plan would provide interim rate increases to existing regional market rates and standard reimbursement rates beginning January 1 of the budget year, keep the higher of SRR or ARMR as the single rate, annualize cost-of-care supplements, update hold-harmless language, eliminate the private market cap, authorize one-time systems transition funding with JLBC approval, and require annual reporting on parent co-pays. Members asked about the timeline and public/legislative feedback process, and administration staff said they were working toward the July 1, 2025 deadline while continuing stakeholder engagement through the rate and quality advisory process. Public comment was overwhelmingly focused on child care and early learning funding. Providers, county offices, advocacy groups, and education organizations urged the Legislature to move quickly on the alternative rate methodology, provide interim relief through a cost-of-living adjustment, reimburse based on enrollment rather than attendance, and preserve health and retirement benefits and workforce stability. Many speakers also pressed for funding to expand the promised 200,000 child care slots, warning that waitlists remain long and providers are under financial strain. Several commenters supported maintaining or extending grants and technical assistance for transitional kindergarten, inclusive early education, and mixed-delivery early learning programs. A separate set of comments addressed the Inclusive Early Education Expansion Program, with Sacramento County education officials and others urging a statewide plan that would extend support to the 20 counties not currently receiving grants, especially rural areas. Other speakers raised concerns about facilities and staffing impacts from TK expansion, the need for consistent eligibility rules across subsidized programs, and the importance of statewide systems-level funding. The chair thanked the LAO, administration, and public commenters, said the item would remain open until after the May Revision, and adjourned the meeting.

Transcript Highlights:

• Senate Bill 218, Los Alamos Emergency Operations Center.
• But tell me, is this a dispatch center?
• Madam Chair, Senator Wilson, no, this isn't a dispatch center.
• And is it a training center? Yes, Madam Chair.
• Madam Chair, Senator Wilson, yes, it will be a training center.

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• <00:03:23.280> On University Hawaii Cancer Center. On University Hawaii Cancer Center.
• advocate for the uh uh cancer center advocate for the uh uh cancer center ever<00:05:02.960>
• Also, what that process would entail. Also, what that process would look<00:38:24.560> like.
• Um, late Muffy Center in support.
• advisory group come through the process advisory group come through the process the<01:07:30.000

Keywords: 912, senate, all

Summary: The committee first took up Senate Bill 2693 relating to capital improvement projects for aerospace infrastructure. Members had no questions, and the recommendation to pass the bill with a defective date of July 1, 2050 was adopted unanimously. The committee then deferred decision making on Senate Bill 26980 relating to transportation and Senate Bill 2374 relating to the blue economy until Thursday, February 19, 2026, in Room 229, pending additional information. In the joint hearing on Senate Bill 2816 relating to state enterprise zones, agencies and organizations including DBEDT, HTDC, Taxation, the University of Hawaii Cancer Center, Oceanit, the Hawaii Medical Association, and the Queen’s Health System testified in support or submitted written comments. One public testifier urged expanding enterprise zones around the Kakaako/Cancer Center area and combining them with the foreign trade zone to reduce taxes and attract business. A senator questioned whether the enterprise zone program had ever been comprehensively evaluated, noting DBEDT said it had not done a full study in recent years and cited annual report figures including about $221 million in company revenues and $460,000 in foregone state revenue in 2022. The discussion focused on whether the bill would subsidize existing activity or support new economic development, and on the broader policy question of whether enterprise zones should be used to revitalize depressed areas or to target strategic sectors like health care technology. The committee then heard Senate Bill 2900 relating to sports officials. The Department of Education supported the measure, saying the Attorney General is best positioned to represent employees in temporary restraining order matters and that elevating intentional bodily injury of a sports official to a class B felony would improve safety. The Office of the Public Defender opposed the bill, arguing it would escalate conduct already covered by existing assault statutes and go beyond other protected classes. The Department of the Attorney General recommended narrowing the bill by inserting “substantial” before bodily injury in the criminal section and deleting a section that would make the AG’s office act like plaintiff’s counsel in civil matters, suggesting instead that departments adopt policies to help employees obtain TROs without creating an open-ended civil representation role. Several sports and school-related organizations testified in support, and members discussed whether the bill should be narrowed or coordinated with other measures before further action.

Transcript Highlights:

• <00:10:04.680> through<00:10:04.920> RSA Services Center through RSA Services Center
• It will process those reports.
• It will process those reports.
• intake our hotline will process those intake our hotline will process those reports<00:19:40.480>
• <00:32:37.440> of our DCF system so within the center of our DCF system so within the center

Keywords: 1189, house, all

Summary: The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission. DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC. The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.

Transcript Highlights:

• Criminal judgeships; third, additional funding for due process.
• Last year, my staff processed 327,000 accounting transactions.
• The Broward Detention Center replacement is in the process of designing and preparing to construct a
• Again, another $664,000 is part of these new detention centers.
• It's state-of-the-art to include a juvenile assessment center.

Keywords: 999, senate, all

Transcript Highlights:

• "I have some of the same concerns that Chairman Wardlaw has about the human development centers.
• I have one in my district, Booneville Human Development Center.
• "That are at these human development centers?" "Yes, sir.
• Has all of that been through that process? Yes. Yes. Have you got outside help?
• We already have an intake process.

Summary: The committee considered a series of appropriation, fund transfer, and reserve requests across multiple agencies. Section B temporary appropriations included funding for state technology upgrades, personnel management staffing and IT skills assessment, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, and higher education workforce grants and credentialing pathways. Additional items covered an ARPA grant for the University of Arkansas Fort Smith LPN program, an IIJA grant for the Oil and Gas Commission’s critical minerals work, a restricted reserve transfer for State Police vehicle purchases, a transfer to the Arkansas Heroes Program, and cash fund requests for the Real Estate Commission’s AV system and HVAC work. Most of these items were approved by voice vote. One budget classification transfer request from the Commissioner of State Lands drew extended questioning and was ultimately not approved. Members questioned the $250,000 transfer to operating expenses tied to the purchase of a West Little Rock office building, the ongoing lease costs at the prior location, and whether the agency had adequately planned for building-related expenses. After discussion, the motion failed, and members told the agency to tighten spending and return if needed. The committee then took up 15 pay plan appropriation requests totaling $25.7 million and approved them after discussion with DFA, DHS, Corrections, and the State Board of Election Commissioners. Members focused heavily on DHS staffing shortages at human development centers, where officials said vacancies and turnover were driven by overtime and burnout rather than pay alone; one member asked DHS to submit a written plan to address the issue. Corrections reported the pay plan had improved hiring and retention. The committee also approved overtime appropriations for Emergency Management and Military. Reports on reserve funds, the Budget Stabilization Trust Fund, tobacco settlement, State Central Services, Education Adequacy, Medicaid Trust, IIJA, and revenue transfer activity were received. The Medicaid Trust Fund report prompted significant concern about February’s $90 million draw; DHS said the month was unusually high because of cash-flow timing and that the fund should end the year with a balance between $150 million and $200 million, while lawmakers noted a second $100 million set-aside is planned for FY27. The final discussion centered on DHS’s state hospital damage claim and reconstruction funding, where members expressed disappointment that insurance reimbursement would likely return only about $1.8 million now and possibly about $97,000 more later, far less than the roughly $5 million initially expected. DHS explained the policy was based on actual cash value and depreciation for old buildings, and said the work would proceed on Unit 3 for secured restoration because it was the most cost-effective option.

Transcript Highlights:

• Knott uh from the Campaign Legal Center. Center. Center.
• voting process. voting process.
• We have a process in place.
• We have a process in place.
• process here. process here.

Keywords: 1187, senate, all

Transcript Highlights:

• , and rape crisis centers.
• . crisis centers.
• And so I'm voting yes to move it through the process and keep the conversation going.
• And so I'm voting yes to move it through the process and keep the conversation going.
• So thank you this process roll along.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:23 HB 503 Discussion 00:01:00 HB 503 Vote 00:02:17 HB 504 Discussion 00:02:53 HB 504 Vote 00:04:48 HB 500 Discussion 00:05:19 HB 500 Vote 00:29:18 HB 900 Discussion 00:32:02 HB 900 Vote 00:33:00, 958, all

Summary: The Kentucky Senate Appropriations and Revenue Committee met with a quorum and first took up House Bill 503, the legislative branch budget, adopting a committee substitute and reporting it favorably. The chair said the Senate version fully funds defined calculations, provides 2% raises in each fiscal year for legislative employees, removes a paragraph on operating expense reductions, and includes $1 million in the first year for a judicial branch salary study. House Bill 504, the judicial branch budget, was then amended and reported favorably; changes included 2% annual raises for judicial employees, revised operating expense language, $1 million each year for county current services, retention of Boyle County fit-up language, reporting requirements for smaller capital projects, full funding for nine judges added in 2022, and removal of furlough prohibitions and certain budget implementation language. Both bills passed the committee unanimously with favorable expressions to the floor. The committee then considered House Bill 500, the executive branch budget, adopting a committee substitute before hearing a lengthy summary of major spending and policy changes. The chair described statewide 2% annual employee raises, agency base reductions with many exemptions, increased school safety and 911 funding, veterans and military funding, local government and severance-related changes, attorney general and auditor funding, pension and retirement system support, education funding changes including SEEK, postsecondary and scholarship provisions, public safety and corrections funding, and multiple capital projects. The chair also highlighted Medicaid-related provisions, including added waiver slots, increased state-directed payments, a 2.5% reduction in managed care vendor payments for plan years 2027 and 2028 with savings redirected to fee-for-service rates, and additional funding for behavioral health and public health programs. The bill was reported favorably after members explained their votes, with several noting they had only recently received the full 228-page bill and wanted more time for detailed review. Finally, the committee adopted a committee substitute for House Bill 900, an appropriation measure for government agencies, and reported it favorably. The chair said the bill remains a work in progress and that one-time funding requests from across the Commonwealth and across party lines would continue to be addressed as the process moves forward. All measures considered during the meeting passed the committee with unanimous or near-unanimous favorable votes, and the meeting adjourned after no further business.

Transcript Highlights:

• Correctly, so for an infant in a five-star center, it's around OK. Thank you.
• At a center that takes 6 models, that really tech isn't changing their life.
• In September, 12 another 108 homes and 62 childcare centers were reduced.
• Are you in the process or have you thought about raising what that daily rate is?
• The quantity that at those centers are providing. Do you have those numbers?

Keywords: 914, all