Transcript Highlights:

• and distribution of vaccines, the Department of Health must prioritize purchasing vaccines at the federal
• other kinds of health care needs that dietitians provide really important care for.
• I've been involved in hospital care and out-of-hospital care for over 20 years, starting as a volunteer
• In-hospital care is distinctly different than out-of-hospital care.
• we need to make sure that animals are taken care of.

Summary: The Senate Health and Long-Term Care Committee held public hearings on several House bills and later took executive action on two others. The committee heard testimony on House Bill 2242, which would let the Department of Health issue immunization recommendations and tie preventive-service coverage to federal recommendations as of June 30, 2025, while preserving access to vaccines and other preventive services. Supporters, including the Governor’s office and the Insurance Commissioner, said the bill would protect access, affordability, and stable vaccine purchasing; opponents argued it politicizes vaccine policy and gives too much influence to state agencies and outside groups. The committee also heard testimony on House Bill 2152, allowing terminally ill patients in hospitals, nursing homes, and hospice facilities to use medical cannabis under facility policies, with supporters emphasizing dignity, symptom relief, and safeguards, and House Bill 2088, joining the dietitian licensure compact, which supporters said would help military spouses, telehealth, and workforce shortages. House Bill 2110, on ambulance inter-facility specialty care transports, drew support from rural hospitals seeking more staffing flexibility and opposition from nurses and EMS personnel concerned about training, accountability, and patient safety. House Bill 2247, on veterinarian-client-patient relationships and telemedicine, drew support from the sponsor and some stakeholders as a workforce and access measure, but also criticism from the state veterinarian and others who said it could conflict with federal VCPR requirements and public health protections. House Bill 2340, expanding substance use disorder monitoring program eligibility to nursing assistants and stipend support, was presented as a way to help low-wage health workers stay in the workforce; there were no in-person testifiers against it. In executive session, the committee considered House Bill 2155, concerning the use of nursing titles, and House Bill 2531, aligning the ambulance transport fund quality assurance fee with federal regulations. Both bills received do-pass recommendations and were sent to the Rules Committee. For the public hearings, no final committee votes were taken on the other bills in this transcript, and testimony concluded on each measure after the committee heard from sponsors, agency officials, advocates, and opponents.

Transcript Highlights:

• Okay, and that's in relation to the purchase of the new building?
• I was not aware of that issue when we approved the purchase of that building.
• Again, it's some of the most vulnerable of our population, and we're not taking care of these folks.
• "And we're not taking care of these folks.
• taken care of now.

Committee: All ALC-PEER

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:

• of my purchasing a hearing aid is certainly<00:16:01.000><c> something</c><00:16:01.360><c> that</c>
• Seeing none, moving on to SB 1424, relating to credentialing of health care providers.
• plans and so forth, so it'll drive up the cost of health care because these people are not going to
• of health care because these people are not<00:55:10.359><c> are</c><00:55:10.480><c> not</c><00:55:
• Yes, but this is the funding for the universal immunization purchasing, so that's part of the funding

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• So, I mean, you don't care whether the lab goes in the Department of Health or the Department of Transportation
• Eric Abbe, Hawaii Primary Care Association, in support. Mike Wen of Aloha Care, in support.
• transport to the purchasing licensee's production center or one of its retail locations.
• by the purchasing dispensary at the time of transportation shall be transported to the purchasing licensee's
• by the purchasing dispensary at the time of transportation shall be transported to the purchasing licensee's

Committee: Senate Health and Human Services

Summary: The committee heard testimony on HB 302, which would expand access to medical cannabis by removing the in-person provider-patient relationship requirement and related restrictions. The Department of Health supported the bill, and multiple advocates and organizations testified in support, including the ACLU of Hawaii, Hawaii Alliance for Cannabis Reform, Marijuana Policy Project, and others. Supporters said the measure would improve access for patients, especially on outer islands, and some urged broader amendments allowing providers to certify cannabis for any medical condition and to speed registration and treat in-state and out-of-state patients equally. No opposition was heard, and the bill was left with no questions after testimony. The committee also heard HB 1052 HD1, which clarifies that the Public Utilities Commission may use universal service fund monies to provide free telecommunications access for individuals with print disabilities. Testimony was uniformly supportive from the DCCA Division of Consumer Advocacy, the State Council on Developmental Disabilities, the Department of Human Services, the Public Utilities Commission, and the National Federation of the Blind of Hawaii. Witnesses described the program as an important accessibility service that has been operating under prior appropriations and should continue under the universal service program. HB 1482, relating to controlled substances and hemp/synthetic cannabinoids, drew support from the Department of Law Enforcement, Department of Health, Honolulu Police Department, and others, with some comments from the Attorney General’s office. Supporters said the bill would clarify that delta-8 THC is a controlled substance and help enforcement against illegal hemp products and synthetic cannabinoids. Testimony and questioning focused on the need for better lab testing capacity, retail registry and age-gating, seizure authority, nuisance abatement, and possible use of special funds or appropriations to support enforcement. Members also discussed enforcement of illegal hemp businesses and whether additional funding or statutory changes would be needed. Finally, the committee took up HB 712, a 340B drug-discount measure affecting safety-net providers and contract pharmacies. Hospitals, health centers, and provider groups testified in support, saying the bill would protect access to discounted drugs and preserve funding for services such as chronic disease management, transportation, and specialty care. Pharmaceutical-industry representatives opposed the bill or sought amendments, arguing the 340B program has expanded beyond its original intent and lacks transparency, and they requested reporting or audit-like provisions to verify claims and revenues. Members questioned both sides about alleged abuse, the growth of contract pharmacies, and whether the bill should include transparency requirements before moving forward.

Transcript Highlights:

• Farm to institution matters because institutions purchase millions of dollars in food annually.
• , which allowed for $20,000 a month to continue the purchase of local products from local farms.
• And I think with this funding, if, you know, we can breathe a sigh of relief and work closer with care
• “I also like section 13 of the farm bill, which allows MDAR to have a right of first refusal for purchasing
• Likewise, giving MDAR the first right of refusal for purchasing agricultural land might be one of the

Committee: Joint Joint Committee on Agriculture and Fisheries

Summary: The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers. A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders. The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.

Transcript Highlights:

• must use the medications for the purpose of providing abortion care or medical management of early pregnancy
• In 2023, the department purchased 30,000 doses of mifepristone, and in 2025, DOC purchased an additional
• recipients of the medication and prioritize bulk distribution to health care providers and health care
• care and the use of misoprostol.
• Second, I find it confusing to put almost 200,000 doses in the care of the Department of Corrections

Summary: The Senate Human Services Committee heard testimony on Senate Bill 5917, which would change how the Department of Corrections and Department of Health distribute abortion medications from state stockpiles. Staff and the bill sponsor said the measure would remove pricing restrictions, allow the medications to be donated or sold more flexibly to health care providers, and help avoid expiration of existing supplies. Supporters, including the Washington State Women’s Commission, the governor’s health policy advisor, DOH, physicians, and Pro-Choice Washington, said the bill would improve access to medication abortion and miscarriage care, especially for people facing barriers. Opponents argued it would expand state involvement in abortion, shift costs to taxpayers, and raise safety concerns. No vote was taken on the bill in the hearing portion shown. The committee also heard Senate Bill 6080, which would require written contracts before local jails accept people in federal custody and would prohibit some out-of-state transfers absent a valid judicial warrant. Senator Cleveland said the bill was prompted by a situation in Clark County and was intended to provide clarity, reimbursement, and accountability for local governments. Supporters from the Latino Community Fund, the Association of Counties, and the City of Vancouver said it would protect taxpayers and local discretion. The sheriffs’ association supported some of the bill’s goals but raised concerns about unintended consequences for routine federal arrests and wanted more clarification. The hearing on SB 6080 was then closed. The committee then heard Senate Bill 6085, which would revise the Institutional Welfare Account, formerly the incarcerated individual betterment fund, to require more input from incarcerated people and their families on how the funds are spent and to change some allowable uses. The sponsor said the bill would ensure the account reflects current needs and supports family contact, reentry, and institutional safety. Testimony was mixed: the Washington State Reentry Council supported the concept but objected to requiring legislative appropriations and to using the funds for reentry services; a Department of Corrections representative supported the intent but raised concerns about removing law library funding without replacement. After testimony, the committee moved into executive session and considered several bills and amendments, including SB 5940, SB 5945, SB 5957, and SB 5966. Multiple amendments were offered and mostly failed on SB 5940 and SB 5945, while one amendment on SB 5945 passed. The committee advanced SB 5940, SB 5957, and SB 5966 with due-pass recommendations, and the transcript ends with the committee adjourning after the final action on SB 5966.

Transcript Highlights:

• to be given of purchase not a rebate to be given later.<00:15:23.839><c> Uh</c><00:15:24.240><c> this
• Counsel, Office of Legislative Counsel; Chief Health Care Advocate, Vermont Legal Aid; Policy Analyst
• , Consumer Research and Health Policy Analyst, Office of the Health Care Advocate; and Vermont Legal
• Madam Speaker, the Department of Vermont's<00:19:15.440><c> healthc</c><00:19:15.760><c> care</c><00:
• healthc care access has one of Vermont's healthc care access has one of the<00:19:17.280><c> largest

Transcript Highlights:

• New Mexico has a more emphatic position of taking care of people and making them eligible for an effective
• There is consideration around the perishable nature of certain types of produce that keeps us from purchasing
• Candidates can apply through the Dental Hygienist Committee of the Board of Dental Health Care and receive
• care of their teeth.
• terms of assisting them with the maintenance of those pets, be it dog food, be it veterinary care, etc

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• It's already taken care of, but it's just clarifying that we cannot... we cannot, like for securities
• , could not go and purchase land anywhere in the... ...go and purchase land anywhere in the city of Helena
• Their Board of Education would not be able to go and purchase land in the city of Montgomery without
• The city of Helen wanted to take land just through purchase.
• to limit it solely to if a property is purchased by a board of education.

Transcript Highlights:

• On the flip side, we know from small business one of their number one concerns is rising health care
• On the flip side, we know from small business one of their number one concerns is rising health care
• It requires the purchaser be offered a prorated refund if the terms of the digital goods license change
• I'm saying buy or purchase unless they give an upfront acknowledgement from the consumer of what it is
• Of course, they took a lot of care, but I do think that it's an incredible experience for people who

Committee: House House Commerce Committee of Reference

Summary: The Commerce Committee heard and acted on multiple bills. HB 2192, a child influencer bill, would require compensation for minors featured in monetized content to be placed in trust, create a process for minors or adults to request takedown of content, and add restrictions on sexualized depictions of minors. The sponsor and Google supported it as model legislation; members raised questions about compliance, age 13 access to earnings, and removal rights at 18. It passed 9-0 with 2 present. HB 2501, an agency bill conforming Arizona’s appraisal management company definition to federal law, also passed unanimously 11-0. HB 2693, which revises bona fide association rules to allow self-funded multiple employer welfare arrangements through statewide chambers or business leagues, passed 8-1 after an amendment; one member cited possible federal preemption in opposing it. HB 2010, the digital goods disclosure bill requiring clearer “buy/purchase” language and prorated refunds when access changes, passed unanimously after amendment, with supporters calling it a consumer protection measure and retailers warning about compliance burdens and possible preemption. The committee then considered HB 2279, which would exempt commercial river outfitters in Grand Canyon National Park from liability for injuries or deaths arising from inherent risks of river trips, while preserving liability for gross negligence or intentional misconduct. Supporters said it aligns Arizona with other western states and reflects existing federal oversight; opponents argued it could violate Arizona’s anti-abrogation clause and improperly define inherent risk. The bill passed 7-4. HB 2690, which would tighten unemployment insurance eligibility by requiring more work-search actions, weekly reporting, and pre-claim data cross-checks, drew strong opposition from advocates who said it would add red tape and harm eligible claimants; supporters said it would reduce fraud and encourage work. It passed 7-4. HB 2310, clarifying that qualified marketplace contractor agreements may be terminated unilaterally by the contractor, passed 10-0. The committee also approved HB 2555, requiring retail businesses with physical locations to accept cash for purchases of $100 or less and prohibiting cash fees, after an amendment exempting rentals and mobile home vendors; supporters emphasized access for unbanked consumers and small purchases, while one member objected that businesses should self-govern. It passed 10-0. HB 2199, which requires RV park managers to complete education on landlord-tenant laws similar to mobile home park managers, passed 7-0 with 3 present after testimony from homeowner advocates and park groups in support. Finally, HB 2459 was introduced at the end of the meeting; it would allow landlords to pass through utility charges actually imposed by providers and add an administrative fee for submetering, but the transcript cuts off before testimony or a vote on that bill.

Transcript Highlights:

• because they're not able to take care of themselves.
• because they're not able to take care of themselves.
• There's two kind of pillars of people that come into the state of Missouri and purchase cigarettes.
• There's two kind of pillars of people that come into the state of Missouri and purchase cigarettes.
• cigarettes of people coming from out of state and purchasing cigarettes from a Missouri business.

Committee: House Veterans and Armed Forces

Transcript Highlights:

• Members of Cantrell, do you care to vote? Declare the vote. Ninety-four aye, zero nay.
• We will actually be investing the taxpayer's money by purchasing the property instead of just throwing
• But what I am curious about is whether, with the purchase of that facility, the idea is that we will
• Is there a timeline in terms of when the building has to be purchased? Good question.
• legislation passes and next year, we would go ahead with a purchase instead of a renewal of the lease

Summary: The House considered and advanced a large package of bills, many on joint committee reports, with most measures passing by wide margins and several emergency clauses approved. Early debate centered on HB 4036, which moved $5 million from an existing filmed-in-Oklahoma account to a new revolving fund for the “Bringing Sitcoms Home from Hollywood” pilot program. Supporters said the money was surplus, still controlled by the film office, and intended to create jobs and a strong return on investment; opponents questioned whether the funds should instead go to other state needs and whether the program had enough workforce and infrastructure. The bill passed 53-42, but its emergency failed. The House also passed HB 471, which creates state support for federal “Trump accounts” for children under 18, after debate over federal control, investment risk, and whether the $12.5 million could be better spent on child care, schools, or other services; it passed 61-30 and the emergency failed 62-27. Several education, transportation, and public safety measures then moved through with little or no opposition. HB 4030, described as the education limits bill, passed 93-1 with its emergency. HB 4065 and HB 467 each appropriated $93,000 for security at the Oklahoma School of Science and Mathematics and the Schools for the Blind and Deaf, respectively, and both passed unanimously or near-unanimously with emergencies. HB 4038 directed $5 billion for the eight-year transportation plan and $266,000 for safer school zones; HB 4048 transferred PREP funds to three road projects; and HB 4031 moved up to $41 million into the long-term aerospace and aeronautic stability fund. HB 4047, which used PREP funds for a rural economic development project, fairgrounds upgrades, and university energy improvements, drew the most discussion over whether the spending was truly rural-focused, but passed 81-11 with the emergency approved. The House also approved a series of capital, justice, health, and workforce-related bills. These included HB 452 to buy the Service Oklahoma building it currently occupies; HB 4041 for a two-year trafficking victim pilot program and public safety technology; HB 4056 and HB 4057 for OSBI and narcotics headquarters/warehouse facilities; HB 4044 for current National Board Certified Teachers; HB 4032 on mining fees and agreement language; HB 4034 to raise court reporter compensation; HB 4050 reducing employer contributions while keeping retirement funds growing; HB 4053 and HB 4054 for flagship university capital projects; HB 4072, a public finance/accounting measure involving the Invest in Oklahoma Board and Revenue Stabilization Fund mechanics; HB 4045 and HB 4046 creating military-related funds to support bases and BRAC-proof installations; HB 4040 establishing oversight and a revolving fund for rural health transformation federal money; and HB 4051 clarifying legislative control over the FMAP rate preservation fund. Most of these passed with strong bipartisan support and emergency clauses, and the chamber ended with announcements of committee meetings before adjourning until April 15, 2026.

Transcript Highlights:

• In the absence of a vetting system, the state has purchased firearms, ammunition, and accessories from
• On behalf of the Chiefs who respect and support the laws to allow citizens to purchase legal firearms
• Mismanaged inventory, inadequate, Precautions and care in the sale of these deadly weapons, mismanaged
• age of 14 when the perpetrator is in a position of care or custody over the victim.
• Okay, that takes care of all of our business for today.

Committee: House Public Safety

Summary: The Assembly Public Safety Committee heard several bills and adopted a consent calendar of six measures, including bills on background checks, female offender prison facilities, a juvenile justice hunger survey, protective orders and firearms, a youth offender camp pilot, and peace officer behavioral health training. AB 710 and AB 848 were pulled by the authors. The committee also took up AB 458, AB 394, AB 1094, AB 1092, and AB 1036, with extensive testimony on each. AB 458, by Assembly Member Stephanie, would require state agencies buying firearms, ammunition, or accessories for law enforcement to vet vendors for compliance with firearms laws and procurement standards. Supporters, including Brady and the California Police Chiefs Association, said it would prevent taxpayer dollars from going to irresponsible dealers; opponents argued it imposed unnecessary bureaucracy and vague standards. The bill passed the committee on a due-pass-as-amended vote to Appropriations. AB 394, by Assembly Member Wilson, would expand protections for transit workers and riders by clarifying battery penalties, allowing restraining orders in the transit context, and making those orders system-wide. Transit agencies, labor groups, police chiefs, and other supporters backed the measure, while public defenders and civil liberties groups raised concerns about clarity, judicial discretion, and impacts on riders who rely on transit. The bill passed unanimously to Judiciary. AB 1094, by Assembly Member Baines, would raise the minimum parole eligibility term for child torture cases from seven to 20 years; supporters emphasized the severity of the abuse and the need for stronger accountability, while opponents argued the parole system already screens risk and that prevention would be more effective. It passed to Appropriations. AB 1092, which would extend concealed carry permit renewals from two to four years, drew support from gun rights groups and sheriffs but was opposed by the chair, who called it a solution in search of a problem; the bill failed. AB 1036, by the chair, would expand post-conviction discovery access for people serving felony sentences of one year or more, including Brady material and jury selection notes; innocence organizations supported it, while district attorneys objected that it was too broad and burdensome. It passed to Appropriations, with members noting ongoing negotiations over amendments.

Transcript Highlights:

• Improving health care access, quality, and outcomes through transformation of the health care delivery
• Administration, Division of Purchasing.
• because of the complexity, like the size, With Division of Purchasing because of the complexity, like
• But we, again, in consultation with Department of Admin, Division of Purchasing, determined that that
• Please, let's just go through that kind of process to take care of inquiries so that we're all aware

Summary: The Rural Health Transformation Committee met with a quorum and approved the April 22 minutes. The main presentation came from Kate Sapra of CMS, who outlined the federal Rural Health Transformation Program, a $50 billion, five-year cooperative agreement for all 50 states. She emphasized CMS oversight, annual rescoring based first on implementation progress and later on outcomes, strict deadlines for obligating and spending funds, and the possibility of clawbacks if funds are not used on time or for approved purposes. She also described CMS’s Idaho site visit and the broader federal-state collaboration, including reporting requirements and technical assistance. Director Juliet Sharon of the Idaho Department of Health and Welfare then reviewed the state’s first round of planned sub-awards and solicitations. She explained the distinction between full RFPs, cooperative agreements, and smaller sub-grants, and said the first year will focus on building program structure, hiring support staff, data analysis, third-party administration, needs assessments, and initial service and infrastructure investments such as EMS, maternal and child health, behavioral health, chronic disease prevention, transportation, and technology. Committee members asked for more detail on KPIs, scoring metrics, and access to the actual RFP documents, and Sharon said those materials could be shared through SharePoint with confidentiality protections. Members also raised questions about reimbursement versus upfront funding, especially for tribes and other rural providers that may not have capital to start projects. CMS said upfront funding is allowable if consistent with state procurement rules and that RHTP funds cannot supplant existing funds or pay for projects already underway without a strong new-project rationale. Questions were also raised about multi-year construction or renovation projects, minor renovation definitions, and whether funds could be shifted between categories; CMS said budget revisions are possible but time-consuming, and year one changes would be difficult. The committee agreed to submit feedback on the first batch of opportunities by May 29 and scheduled the next meeting for July 15.

Transcript Highlights:

• This grain that we purchase has an annual average of $500,000.
• Nothing changed in the amount of grain we purchased.
• </c><01:04:49.880><c> grain</c><01:04:50.160><c> we</c> amount of grain we amount of grain we purchased
• Uh, that's part of why we're talking about this right now, uh, to take care of this as quickly as we
• </c> accountants were doing and taking care accountants were doing and taking care of<01:14:52.920><c

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:

• purchased are then of our medications purchased are then sent<00:03:52.000><c> directly</c><00:03:52.239
• Even if 99% of the medication purchased.
• The care of these cemeteries will shift to the local governments. Thank you.
• and living in a caring way that's mindful of the future generations who will follow us.
• and living in a caring way that's mindful of the future generations who will follow us.

Committee: Senate Health and Human Services

Transcript Highlights:

• </c> treatment and care given in the back of treatment and care given in the back of units.<00:03:51.040
• But as you looked at health care transitions across this time, the level of care and things that were
• So the level of care and the transition that we've seen in health care in prehospital EMS has been tenfold
• through the level of technology and the advancement that you see in health care today.
• seen just through some of the the bigger<00:10:23.839><c> purchases</c><00:10:24.320><c> we</c><00:10

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:

• Um, since that was the bulk of it, I'll kind of be brief, but I'll touch on some of the highlights from
• And one of the areas of our work has been in the area of single-family rentals.
• </c><00:04:13.640><c> in</c> one of the areas of our work has been in one of the areas of our work has
• </c> was not well cared for. was not well cared for.
• So now I have another piece of evidence that supports that we have a lack of supply of housing.

Transcript Highlights:

• Uh, fortunately, many of our schools do purchase locally.
• Uh, fortunately, many of our schools do purchase locally.
• ,</c><01:02:18.559><c> how</c> of food that you have to purchase, how of food that you have to purchase
• Um child and adult care, of those total.
• about, and it's just a matter they care about, and it's just a matter of<01:30:28.239><c> of</c><01:

Summary: The task force met with a quorum, approved the minutes from the August 20 meeting, and then heard testimony from Representative Steven Doan on House Bill 439, a school nutrition bill aimed at restricting certain ultra-processed foods in schools. Doan said the bill was inspired by his own health journey and his work in agriculture, and he described the measure as targeting specific chemical additives in foods served during the school day, not concession sales or after-hours activities. He said the bill would phase in later to give schools time to adjust and noted that the list of restricted additives was drawn from efforts in other states and advocacy groups. Members asked about the chemical abstract numbers, fiscal impact, summer meal programs, fundraisers, and whether the bill would affect parent-provided items; Doan said he had not done a fiscal note and explained that the bill was intended to apply only during instructional time on school property. Committee members generally reacted favorably, with some raising practical concerns about cost and implementation. One member asked about high fructose corn syrup, which Doan said was not included because it is too pervasive in the food system. Another member noted that schools already limit some homemade items and asked about the line between school-provided and parent-provided food. Doan also said the list was based in part on Turning Point USA materials and similar laws in other states, and he referenced federal efforts to define ultra-processed foods. The committee then heard from Kentucky Department of Education officials Matt Ross, Lauren Moore, and Katie Embry on school meals and nutrition programs. They outlined Kentucky’s school lunch, breakfast, summer meals, and other USDA child nutrition programs, including participation and reimbursement figures, and explained how community eligibility provision schools, meal patterns, offer-versus-serve, smart snacks, and local wellness policies work. They said USDA and FDA are currently seeking public input on a uniform definition of ultra-processed foods, that there are no current USDA requirements specifically on ultra-processed foods, and that schools already operate under federal and state rules governing competitive foods, including a state time restriction on smart snacks. They also discussed local purchasing, noting its benefits but also the procurement and staffing challenges schools face. No votes or final actions on the bill were taken in the portion provided.

Transcript Highlights:

• assets because they have no statutory duty of care.
• assets because they have no statutory duty of care.
• A duty of care to the board alone is not enough. A duty of care to the board alone is not enough.
• can be involved in a continuum of care.
• In Sacramento County, only 17% of petitions resulted in a care agreement or care plan.

Summary: The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system. SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record. The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.