Transcript Highlights:

• experiences, and grants for new residency training slots.
• um or clinical training um or clinical training experiences<00:42:50.280> um<00:42:50.680
• um grants for new trainings experiences um grants for new trainings for<00:42:52.200> new<00:
• 42:52.440> residency<00:42:52.920> training<00:42:53.319> slots the<00:42:57.640
• some of the costs of clinical training some of the costs of clinical training for<00:43:10.240><

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• Math education. is a key driver of individual opportunity and economic growth.
• This bill contemplates required math training for K-8 math teachers.
• . training.
• Targeted intervention. monitoring and teacher training.
• . training.

Bills: SB451, SB762, SB1490, SB1262, SB1459, SB1750, SB1962, SB2252, SB2253, SB2365

Keywords: instructional materials, public schools, Education Code, adoption, rejected materials, local funds, open educational resources, Texas Education Code, school districts, open enrollment charter schools, funding restrictions, environmental regulation, business compliance, local authority, economic development, state preemption, local control, open education resources, SB 762, Texas public schools

Transcript Highlights:

• That flexibility already exists, but it was kind of a pilot program that will now stay. training training
• requirements for seat training training requirements for seat belt<00:30:31.679> restraints<00
• We also had Representative Nash's bill on mandated reporter training.
• The training we've seen from the department...
• Uh the mandated reporter training.

Bills: SF1959, HF2444, SF2298, HF2445, SF2216, HF2443, HF2130, HF1943, HF2436, HF2442

Keywords: veterans, military affairs, Department of Veterans Affairs, Department of Military Affairs, omnibus veterans bill, appropriations, National Guard, state active service, armory, State Armory Building Commission, veterans homes, veterans cemeteries, county veterans service office, Minnesota GI Bill, Gold Star families, Blue Star families, Secret War in Laos, Hmong veterans, Laos veterans, special guerrilla units

Transcript Highlights:

• advisers for clarity project I'm trained advisers for clarity project I'm trained in<00:56:27.119
• trained trained facilitator<00:56:42.160> I've<00:56:42.480> developed<00:56:43.039>
• gu to be some of this work to train gu to be some of this work to train people<01:37:08.600>
• to training not only training<01:38:03.080> the<01:38:03.239> therapists<01:38:03.760>
• training within a couple of days.

Keywords: 910, house, all

Transcript Highlights:

• I admire your bill on raising the age for drivers' training course.
• <00:27:10.159> training raising the age for uh drivers training raising the age for uh drivers
• training course.<00:27:10.960> I<00:27:11.200> believe<00:27:11.440> that's<00:
• raising the age for required drivers raising the age for required drivers education<00:27:23.760
• emergency operations, regional training emergency operations, regional training components,<01:00

Keywords: 1187, senate, all

Transcript Highlights:

• DOE looks at their procedures and training and the RadCon program.
• Some of the things we've done recently: we've been processing that driver fuel for the last about two
• There are some of them where they’d say, okay, we’ve trained all of this on a lot of the things that
• Although they are critical, they're not a major cost driver when it comes down to it.
• For example, in the F-35... ...not a major cost driver when it comes down to it.

Summary: The meeting opened with remarks about the value of public engagement and the quality of questions from the group, followed by a series of technical presentations from Idaho National Laboratory staff. Joe Renovitz described recent nuclear regulatory changes tied to presidential executive orders, including NRC Part 53 for advanced reactors, the forthcoming Part 57 for very small reactors, and DOE updates to reactor authorization standards. He emphasized efforts to align DOE and NRC processes, use risk-informed and performance-based licensing, support reactor deployment for AI/data centers and national security, and use AI to speed communications and crosswalks between DOE and NRC requirements. In response to questions, he said there was no plan to merge agencies, but rather to improve coordination and public outreach through groups like GAIN and NEI. David Tolman then discussed the nuclear fuel cycle, including uranium mining, conversion, enrichment, fuel fabrication, spent fuel storage, transportation, disposal, and reprocessing. He explained high-assay low-enriched uranium (HALEU), why it is needed for advanced reactors, and DOE’s HALEU Availability Program and related investments in enrichment, transportation, deconversion, and supply chain development. He also covered spent fuel management, the possibility of centralized storage or a fuel-cycle campus, the Center for Used Fuel Research, and ongoing work on high-burnup cask testing and reprocessing technologies. Tolman described aqueous, pyrochemical, and fluoride-volatility reprocessing approaches, noting the advantages and waste characteristics of each, and said several companies are working with INL on these technologies. Ashley Shields presented INL’s AI and nuclear work, focusing on the Genesis initiative and the Prometheus effort to use AI to design, license, build, and operate reactors with far less human intervention. She described INL’s broad use of generative AI tools, the need to manage large volumes of legacy technical data, and applications in reactor design, materials discovery, autonomous laboratories, and digital twins. Shields said AI is being used to reduce the enormous documentation burden in nuclear licensing and to support autonomous or remotely operated reactor demonstrations, while stressing that humans remain in supervisory roles. In discussion, she addressed data security, model access, and the continued need for software engineers. The session then recessed briefly and resumed with Mitch Kerman beginning a presentation on critical minerals and materials.

Transcript Highlights:

• If we don't actually, when a drunk driver kills three people?
• And so I think there's an element of training that's required.
• We will be soon training our managers on those procedures.
• What I can say is we put out training materials on those pieces.
• We're now for a compliment after the training for the training for the workers, with the information,

Summary: The hearing focused on a state audit of Cal/OSHA titled “The Division of Occupational Safety and Health: Process Deficiencies and Staffing Shortages Limit Its Ability to Protect Workers.” Committee leaders and the audit team described serious workplace tragedies, argued that California’s worker protections are not being adequately enforced, and said the audit was prompted by concerns that Cal/OSHA was too often relying on letters instead of inspections, delaying investigations, and closing cases without enough documentation. Members repeatedly emphasized that the issue was not just staffing, but also outdated policies, weak oversight, and inconsistent enforcement. State Auditor Grant Parks said the audit found a 32% vacancy rate in 2023-24, heavy reliance on hard-copy files, outdated or unclear policies, and inconsistent decision-making in complaints, accidents, citations, and fine reductions. He said Cal/OSHA conducted on-site inspections in only about 20% of complaints, used letter investigations more than 80% of the time, often lacked evidence that hazards were corrected, and sometimes failed to inspect serious injury cases on time. The audit also found weak documentation for fine calculations and settlement reductions, with some penalties reduced substantially without clear explanations. Parks said the agency had accepted the findings and would provide progress updates later in the year. Committee members pressed the auditor on vacancy rates, the use of letter investigations, the low rate of criminal referrals, and whether fines were being reduced too often. Cal/OSHA and DIR officials responded that the vacancy rate had fallen to 12% partly because 66 vacant positions were eliminated in a statewide budget reduction and partly because of hiring; they said 126 people had been hired in the first half of the year. They also said they had hired a policy writer, were updating several policies, were planning periodic internal audits, and were developing a new data management system expected to go live in late 2026 or early 2027. On fines, officials said Title 8 sets base penalties and allows adjustments based on factors like employer size, history, and good faith, with appeals and informal conferences also affecting final amounts. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• This is why training is critically important right now, and this is why training cannot be denied, and
• We're strong proponents of training; we have no problems with training at all.
• that the necessary third-party training infrastructure exists before we prohibit current training providers
• from providing the additional training.
• I trust the trained therapists.

Keywords: 988, house, all

Summary: The Assembly Business and Professions Committee heard several Senate bills focused on workforce training, public safety, health, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand and modernize private security guard training, especially de-escalation training, and drew strong support from security workers and labor groups who described dangerous encounters and inadequate preparation. Opponents, including security firms and business groups, argued the bill would impose major costs, create staffing shortages, and push employers toward unregulated alternatives. The committee ultimately voted to pass the bill to Labor and Employment, with some members noting support contingent on future amendments about training capacity. SB 936 by Senator Blakespear would restrict retail sales of larger nitrous oxide canisters while preserving legitimate medical, culinary, and automotive uses. Supporters, including Orange County Supervisor Katrina Foley, counties, public health groups, waste agencies, and law enforcement organizations, said misuse of nitrous oxide is causing addiction, impaired driving, neurological harm, and disposal hazards. There was no organized opposition on the record, and the committee passed the bill to Public Safety. SB 1271 by Senator Reyes would require the Medical Board to collect data on licensed midwives’ capacity to serve as preceptors and train new students, with the information reported to the Legislature. Supporters said California’s midwifery pipeline is strained, especially in rural and birth-desert areas, and that more data is needed to expand training access. The committee passed the bill to Health. SB 903 by Senator Padilla would prohibit AI chatbots from being advertised or used as therapists without appropriate licensed-professional oversight and informed consent, and would reinforce confidentiality and patient-protection rules. Testimony centered on the death of a teenager after extensive interactions with an AI chatbot, with supporters urging stronger guardrails and opponents asking for amendments; the committee passed the bill to Privacy and Consumer Protection. The consent calendar item, SB 1165 by Senator Caballero, was also approved and sent to Revenue and Taxation.

Transcript Highlights:

• We're talking about... junior reserve officer training.
• And this deals with vehicles that have no driver in it.
• And automated vehicles with no drivers.
• no driver. no driver. >> That's<02:23:42.000> right. >> That's right.
• must have a driver under the wheel. must have a driver under the wheel.

Keywords: 920, all

Summary: The Alabama Senate convened with prayer and the pledge, then established a quorum with 27 senators present. The body excused absent senators, approved the previous day’s journal, and allowed bills and committee reports to be introduced throughout the day. The Senate also welcomed guests in the gallery, including Auburn University McCarter School of Building Science students and retired MPD Sergeant Martin Bean. The chamber received multiple House messages and gubernatorial confirmations, referring several local bills and appointments to the appropriate committees. Committee reports included favorable action on Senate Bills 298 and 91 from County and Municipal Government, and House Bills 297, 365, and 436 from Local Legislation. The Senate adopted several resolutions, including recognitions for Tharptown Baptist Church, Tuskegee University Day, Dr. Bradley Heim, the 250th anniversary of the Declaration of Independence, McGill-Toolen Catholic High School volleyball, and a special order calendar resolution setting priority bills for the 15th legislative day. On local bills, the Senate advanced and gave final passage to a series of county and municipal measures, including SB 301 (Perry County), SB 314 (Morgan County), SB 295 (Montgomery County), SB 312 (Marshall County), HB 371 (Pike County constitutional amendment), HB 386 (Elmore County), HB 330 (Etowah County), HB 409 (City of Alabaster), HB 408 (Shelby County), SB 299 (Barbour County), HB 416 (Cleburne County), and HB 421 (Lawrence County constitutional amendment). HB 337 on Madison County was carried over. The Senate also adopted a resolution honoring Alabama’s record-breaking economic development year, citing major investments and job creation, and heard a lengthy Black History recognition segment on W.E.B. Du Bois, Patricia Roberts Harris, Langston Hughes, and Maya Angelou. The main policy discussion centered on Senate Bill 240 regarding parole hearings, with the sponsor explaining it would allow the Pardons and Parole Board to hear from inmates and victims by phone or video to reduce travel burdens and improve access. The sponsor said an amendment was being worked on and moved to carry the bill over to the call of the chair, while another senator raised questions about whether inmates currently have an in-person opportunity to speak and whether board members would be able to question participants remotely.

Transcript Highlights:

• They come with the instructor, with the driver. We drill down into that.
• The requirement would deepen existing inequities and access to teacher training programs.
• Focus on remote career training.
• Provide the training that you need in our school, and guess what?
• Uh, it's a mixture of, um, Zoom trainings that they attend.

Transcript Highlights:

• Delaware drivers deserve clear and predictable rules.
• Delaware drivers deserve clear and predictable rules.
• care professionals in paid clinical positions in health care facilities while they complete the training
• care professionals in paid clinical positions in health care facilities while they complete the training

Summary: The committee met in hybrid format, approved the June 24 and June 25, 2026 minutes, and then heard several bills and a joint resolution. On House Bill 382 with House Amendment 2, Senator Hoffer explained the measure as a technical correction to prior rental-car and peer-to-peer car-sharing law that would clarify when loss-of-use damages may be recovered while preserving recovery for intentional, willful, or criminal conduct. Avis Budget Group and Enterprise Mobility supported the bill, saying it resolved ambiguity and restored limited common-law recovery, while Allstate and Toro opposed it, arguing the bill could reintroduce unfair and unpredictable fees and leave too much discretion to rental companies. No vote was taken in the transcript, and Senator Townsend said he still had questions about how the bill would operate. The committee then considered House Bill 476, a Frederica charter change that would reduce town council meetings from twice monthly to monthly and make ordinances effective immediately unless otherwise stated. Representative Postles presented it as a simple, noncontroversial change, though members noted Senator Buckson, the Senate sponsor, was not present at the time. No public comment was offered on that bill. The committee also heard House Joint Resolution 13, which directs the Department of Labor to study a Delaware health care apprenticeship degree program and report recommendations; the Delaware Health Care Association supported the resolution and urged coordination with existing workforce efforts. Finally, the committee heard House Bill 458 with House Amendment 1 on backflow devices in low-hazard buildings. Senator Pardee said the bill would exempt residences and office-type buildings from costly backflow retrofits until regulations are updated, and DHSS said the current regulations do not clearly define low hazard but that the bill’s list of exempted buildings would not raise immediate public health concerns. The Delaware Association of Realtors supported the bill, arguing the regulations were overbroad and costly, while the Delaware Rural Water Association opposed it, warning that weakening backflow protections could threaten drinking water and aquifers. The committee then adjourned without any recorded votes on the substantive bills in the transcript.

Transcript Highlights:

• We also launched in 2024 our Oral Health Training Academy, which is an online web-based training tool
• Who has been trained and certified in their practice to do this?
• Last year we trained 93.
• We train their health advocates as well.
• But I can tell you when we do trainings, number one is: I wasn't trained in this.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• volunteer firefighters, to a scene of an accident without knowing all the details, without being trained
• That driver had four misdemeanor DUIs before he got a felony.
• It would also provide training and certifications as there certifications for this is this is been an
• So a big part of this will be the training, the certifications to get those individuals up and ready
• I'm talking about As they're trained, as your division is trained, they provide education somehow to,

Bills: SB1936, SB1612, SB1543, SB1260, SB1988, SB1859, SB2041, SB1257, HB4272, HB3277, HB3148, HB3651, HB3323, HB4287, HB4105, HB3304, HB3345

Keywords: forfeiture, criminal offenses, law enforcement, Class D1 offenses, property seizure, SB1612, mandatory reporting, violent injury reporting, gunshot wound, stab wound, poisoning, burn injury, explosive injury, medical reporting, healthcare providers, law enforcement notification, evidence preservation, patient video records, confidentiality waiver, misdemeanor penalty

Transcript Highlights:

• It would make our roads safer and hold dangerous drivers accountable for their actions.
• And then the second, very importantly, is that law enforcement receives training.
• So FDLE will be required to work with different departments Law enforcement receives training.
• This is important, I think, for law enforcement to be aware of and receive this training.
• bill, I'm proud to say this allows us to meet kids on the spectrum where they're at by providing training

Summary: The Government Operations Subcommittee met and took up a long agenda of policy bills, local bills, and open government sunset review measures. The committee first heard HB 433 on administrative procedures, as amended by a strike-all that would create a five-year repromulgation process for agency rules, require review of guidance documents, add cost-benefit analysis requirements, and tighten licensing reporting. Members questioned whether the bill duplicated existing JAPC review functions and raised concerns about costs and the scope of agency authority, but the amendment was adopted and the bill was reported favorably 12-3. The committee then approved HB 699, which increases penalties for certain traffic infractions when they result in a crash; CS/HB 404, a local bill updating the City of Tampa firefighters’ and police officers’ pension plan; HB 711, creating a statewide Spectrum Alert and law-enforcement training for missing children with autism; HB 4023, a local ethics-related charter change for the North Springs Improvement District; HB 583, requiring registration and disclosure for agents and organizations associated with foreign principals and foreign-supported political organizations; HB 251, recognizing International Holocaust Remembrance Day in Florida; and HB 749, extending medical benefits for firefighters who suffer catastrophic injuries during training. Most of these bills drew supportive testimony and were reported favorably by unanimous or near-unanimous votes. The committee also considered several OGSR/open-records measures. PCB GOS-25-04 preserved exemptions for public safety communications system infrastructure records, PCB GOS-25-05 aligned cybersecurity-records sunset dates to October 2, 2026, and PCB GOS-25-06 narrowed exemptions for certain records held by the Department of Financial Services as receiver for insolvent insurers, making more information public. All three were reported favorably on 17-0 votes. The meeting adjourned after the final roll call.

Transcript Highlights:

• approval by DLI then we have to train approval by DLI then we have to train trainers<00:16:04.800
• > workers<00:16:06.440> that trainers to train this the workers that trainers to train
• folks that are seeking this uh training folks that are seeking this uh training uh<00:30:22.240>
• And then also, on the training, the amount of training required, it drops it down by 75%.
• <00:56:11.960> the time to set up the trainings the time to set up the trainings the trainings

Bills: HF47, HF434, HF1503, HF1702

Keywords: telecommunications, installation, certification, safety, underground utilities, HF434, cervidae, deer, elk, moose, chronic wasting disease, CWD, wildlife importation, animal health, biosecurity, zoo, Association of Zoos and Aquariums, AZA, USDA exhibitor, species survival plan

Transcript Highlights:

• You've got to figure that because it's really a driver.
• , the Title IX training, etc.
• those trainings based on the changes in law.
• But, so two years ago I took the training, right?
• That would be for training up the fire supervisors.

Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.

Transcript Highlights:

• c> to shorter training a 70-hour training to shorter training a 70-hour training to perform<00:17
• So what we teach in trainings, and what I've learned from being trained and I now train, and from reading
• So what we teach in trainings, and what I've learned from being trained and I now train, and from reading
• So what we teach in trainings, and what I've learned from being trained and I now train, and from reading
• So what we teach in trainings, and what I've learned from being trained and I now train, and from reading

Keywords: 1191, senate, all

Transcript Highlights:

• drivers and vehicle services<01:05:01.000> transactions<01:05:02.000> so<01:05:02.440>
• <01:14:55.960> and<01:14:56.080> vehicle able to get get uh drivers and vehicle able
• Yeah, so I think there's two different ways that we use drivers and vehicle services data, maybe even
• <01:36:49.440> staff instructional documents trained staff instructional documents trained
• new people, that's what they train them with."

Bills: HF484, HF483, HF1447, HF1496, HF554

Keywords: natural gas, gas hookups, residential construction, energy policy, local control, state preemption, municipal regulation, county ordinance, electrification, climate policy, housing development, building codes, energy source, utility infrastructure, Minnesota Statutes chapter 326B, propane, utility service, building permits, local government, energy choice

Transcript Highlights:

• they require for foreign trained they require for foreign trained professionals.<01:24:30.639>
• Is it cost effective to drive to a ski train? To drive to the ski train would cost about $91.
• uh to drive to a uh the ski ski train uh to drive to a uh the ski train<03:30:22.479> to<03:30
• to take the ski train for a family?
• Their wages support commercial drivers.

Keywords: 981, all

Summary: The House convened, took roll, and approved the journal of Wednesday, May 6, 2026, as corrected. Members then made several announcements, including committee meeting notices, a Colorado Farm Bureau burger bash, recognition of Nurses Week, Asian-American and Pacific Islander Heritage Month, and a commendation honoring former legislator Dorothy Rupert for her public service and advocacy. The chamber also heard a report that Rep. Flynnel had helped save a life by calling 911 when she witnessed a medical emergency near the Capitol. Committee reports were received from Appropriations and Business Affairs and Labor, and the majority leader moved a slate of bills to special order for May 7. The House then proceeded to special orders and considered House Bill 1433, which would allow the firefighter behavioral health trust to receive gifts, grants, and donations to sustain services for firefighters dealing with trauma. Supporters described the program as essential for first responders, and the bill passed. The chamber next considered House Bill 1429 on consolidating administration of public assistance programs. Supporters said it would stabilize the safety net, reduce error rates, and create a transition plan involving counties, state departments, and frontline workers; the appropriations report and the bill both passed. House Bill 1416, which transfers money from the Universal High School Scholarship Cash Fund to support small businesses and the Colorado Small Business Development Center, also passed as amended after debate over the use of the scholarship fund and its prior implementation challenges. Opponents argued the money should remain with students, while supporters said the fund had already distributed most of its original allocation and the transfer would help small businesses without creating a new program.

Transcript Highlights:

• arrive<00:41:00.200> in Subcontracted drivers often arrive in Subcontracted drivers often
• particular driver particular driver on<00:55:00.400> a<00:55:00.560> like<00:55:01.200
• So, each driver will have to have a pre-employment drug test.
• these drivers paid no matter what? these drivers paid no matter what?
• You mentioned about the driver only waits for 5 minutes.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.