Transcript Highlights:

• Of course, the Texas appraisal system, despite all of the hard knocks it gets, my understanding is that
• The other is a case management system.
• I think, and Commissioner Yaltman mentioned this, the system resiliency plans, I think, are a big step
• I think, and Commissioner Yaltman mentioned this, the system resiliency plans, I think, are a big step
• Obviously, they have the ability to operate and maintain the system as they see fit, but again, you're

Summary: The Senate Committee on Nominations held its final nomination hearing of the session and considered three nominees: J.B. Goodwin for the Texas Real Estate Commission, Courtney Yaltman for the Public Utility Commission of Texas, and Thomas Gleason as PUC chairman. Goodwin described his long career in real estate and charitable work, and senators questioned him extensively about the Real Estate Commission’s self-directed, semi-independent status, housing affordability, institutional homebuyers, property insurance costs, disclosure issues, and the Burnett v. National Association of Realtors case. Yaltman and Gleason were questioned about PUC oversight of ERCOT, post-Winter Storm Uri reforms, utility resilience and vegetation management after Hurricane Beryl, water and telecommunications oversight, staffing and transparency, and rising infrastructure and utility costs. Much of the discussion focused on housing and utility affordability, with several senators urging the nominees to keep consumer protection and public trust at the forefront. Goodwin said housing affordability and large-scale investment purchases were not within the Real Estate Commission’s direct purview, though he supported further study. Yaltman and Gleason said the PUC had increased oversight of ERCOT, improved communication and accountability with utilities, and was working on resiliency plans, rate-setting issues, and infrastructure planning while trying to avoid overburdening ratepayers. The committee first voted to favorably report nominees left pending from the May 5 agenda by a 6-0 roll call vote. After public testimony was opened and closed, the committee then voted on the nominees heard that day and favorably recommended all three to the full Senate for confirmation by a 7-0 vote. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• UAVs, including systems capable of striking U.S. targets and allies in the region.
• The Houthis had this information, could reposition their defensive systems.
• Gabbard, of a weapon or weapons system? I don't recall specific weapons systems being named.
• I'm not talking about specific any weapon. or weapon system?
• I don't recall specific names of systems or weapons being used or named within the.

Keywords: national security, cyber threats, civil liberties, transnational crime, FISA Section 702, public-private partnership, intelligence community, Annual Threats Hearing

Summary: The Senate Intelligence Committee convened for a significant meeting focused on the Annual Worldwide Threats Hearing. Prominent officials from various intelligence agencies presented their insights on emerging national security threats, including concerns over increasing cyber threats, particularly from China and non-state actors. A major discussion point included the balance between national security and civil liberties, as evidenced by conversations surrounding Section 702 of FISA and its implications for privacy protection. The challenges posed by cartels and transnational criminal organizations, especially related to narcotics trafficking, were emphasized as pressing issues necessitating coordinated responses from federal, state, and local law enforcement agencies. This meeting underscored the necessity of public-private partnerships to tackle these multifaceted threats effectively.

Transcript Highlights:

• Water systems are lacking.
• Water systems are lacking.
• Water systems are lacking.
• Water systems are lacking.
• How is that being monitored?

Keywords: 912, senate, all

Transcript Highlights:

• the appropriate services and monitor the appropriate services and monitor their<00:06:24.319>
• and as we worked through converting from that case management system to our new case management system
• and as we worked through converting from that case management system to our new case management system
• upgrade<00:33:32.399> was management system um upgrade was management system um upgrade
• system.

Keywords: 958, all

Summary: The subcommittee received an overview of Kentucky’s specialty courts from Audrey Collins of the Department of Specialty Courts and the Administrative Office of the Courts, along with testimony from Christian County District Judge Foster Cutoff. Collins described the mission and structure of drug, mental health, and veterans treatment courts, emphasizing therapeutic jurisprudence, individualized treatment, judicial oversight, and multidisciplinary teams. She said Kentucky currently has about 2,991 active participants across the three court types, with drug courts in all 120 counties, mental health courts in 17 counties, and veterans treatment courts in eight counties. She also highlighted reported outcomes such as 7,658 entrants and 4,384 successful completions from 2020 to 2024, a five-year average completion rate of 57%, and lower recidivism among graduates than the statewide average. Collins also reviewed funding and costs, saying the department’s fiscal year 2025 budget was $18.6 million, with most of it from general funds, plus restricted and federal funds. She noted spending on personnel, treatment services, and drug testing, and said specialty courts allow participants to remain employed and meet obligations such as child support and restitution. She said participants paid more than $5.4 million in child support, restitution, and other court-related obligations over five years, and that a statewide evaluation by Morehead State University is underway. In response to questions, she said a dip in 2024 collections may have been affected by a case management system overhaul, and that court costs can be waived in some indigent cases while restitution is still required. Judge Cutoff described veterans treatment court and mental health court in Christian County, saying the programs are especially important because of the nearby Fort Campbell military community and because they help veterans with PTSD, traumatic brain injury, substance use, and related issues. He said the courts rely heavily on staff, treatment providers, and the VA, which helps connect participants to benefits and therapy. He also said mental health court participants receive housing, benefits, and medication support, and that the programs can keep people out of jail and help them stabilize. Committee members asked about the legal basis and history of the courts, and Collins explained that Kentucky’s specialty courts began as pilot programs in the mid-1990s, shifted from federal support to state funding around 2008-2009, and are now largely state funded. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• system, because we have set within that system the rules for distribution.
• system, because we have set within that system the rules for distribution.
• system, because we have set within that system the rules for distribution.
• The IT system comes into play there, the Nexus system, the automated case management system, because
• It's the community college system? Oh, the community college system. Thank you.

Keywords: 928, house, all

Summary: The committee held a Division 3 budget work session focused on the Department of Health and Human Services’ Division of Economic Stability. Karen Hebert, the division director, and Nathan White, DHHS chief financial officer, walked members through the governor’s operating budget pages and a briefing book, explaining that the division was consolidated in 2018 and serves programs aimed at financial stability, poverty reduction, child care access, and related supports. Members repeatedly asked for clearer breakdowns of general fund spending, historical growth since consolidation, and how the division’s broad mission areas map onto specific budget lines. A major portion of the discussion centered on the Bureau of Child Development and Head Start collaboration and the child care subsidy program. Hebert said the child care scholarship/subsidy helps low- and moderate-income families access daycare so parents can work, attend school, or receive treatment, and that eligibility is based on state median income up to 85%. She reported a 45% increase in utilization, 4,032 children receiving daycare support as of the end of January, and about 15% of eligible children being served. She also described the quality improvement system “Granite Steps for Quality,” with 160 providers enrolled out of 717 licensed programs, and noted that 1,200 child care professionals added credentials in the last year. Members pressed for cost-benefit information, asking for data on how much the state pays, how many providers and children are served, and whether the department could quantify unmet need. The witnesses said some projects were funded with short-term ARPA child care dollars and that detailed cost data for specific examples, such as the Gorm Community Learning Center expansion, would need to be looked up. They also explained that the child care fund is a federal block grant with required spending set-asides of 9% for quality, 3% for infants and toddlers, and up to 5% for administration, and that unused funds remain available. The committee also reviewed slide 10’s accounting units, including that the Child Care Workforce Fund is 100% general funds and was created as a priority item under HB 2 from the 2024 session, while some other child care-related units are 100% federal funds.

Transcript Highlights:

• It's the current system.
• It's the current system.
• It's the current system.
• It's the current system.
• It's the current system.

Keywords: 1189, house, all

Summary: The committee first accepted the minutes from the April 4 meeting, then moved to a discussion of potential audit topics and follow-up on prior performance audits. Christine Young, Director of Audits, and Jay Henry, performance audit supervisor, walked members through a spreadsheet showing the status of roughly 30 performance audit reports from the past 10 years, including the number of observations, whether agencies concurred, how many observations were fully addressed, and when each report was last updated. They explained that “fully addressed” only means the agency addressed the observations it agreed with, and that some reports include rejoinders when the audit office disagrees with an agency’s response. Members also discussed how some audits have been updated and others have not, including an example from the prescription drug monitoring program, which moved from the Board of Pharmacy/OPLC to HHS and was recently updated after staff contacted HHS. A major focus was the mental health workforce licensing audit, which was described as having little or no follow-up in the spreadsheet. Several members said this was especially concerning given the ongoing mental health crisis and argued that the committee should require a response. The committee agreed to start by sending letters to the chairs of the boards listed under that audit, asking the chair or designee to appear at the next meeting or respond in writing about what has been done and what remains unresolved. Members noted that the current process is voluntary and self-reported, which can lead to long delays or no response, especially for boards that meet only monthly and may have changed membership or leadership since the audit was issued. The committee also discussed other audit follow-up issues, including the liquor commission division of enforcement and licensing, which staff said was farther along than its percentage suggested, and a recently released human rights report that was not yet due for update. Members raised the possibility of using future budget reviews to ask agencies what they have done about old audit findings. In addition, the committee briefly discussed future audit topics, including a possible audit of local school districts related to special education, and staff explained that the statute allows the LBA to audit a limited number of non-state entities over a five-year period. The motion to authorize the chair and LBA to draft and send letters to the mental health workforce licensing boards passed by show of hands with one abstention. The next meeting was tentatively set for June 6 in State House 100, with staff to confirm the room and schedule.

Transcript Highlights:

• , the civil system, is better able to manage families that are having problems going forward than is
• the criminal system.
• Thank you, I appreciate that. believe the DCF system the Civil system believe the DCF system the Civil
• <00:14:47.199> and<00:14:47.920> um system and um system and um it's<00:14:50.519> it
• These are the days of the old system.

Keywords: 928, house, all

Summary: The subcommittee continued work on HB 553, a bipartisan bill to update the child protection act’s definitions, especially around abuse, neglect, psychological maltreatment, and serious impairment. Supporters said the current law is outdated, vague, and too limited to address modern child welfare concerns, and argued the bill is intended to create clearer standards for DCF/DCYF, courts, and parents without adding criminal penalties or expanding authority to remove children. They also noted the bill had been developed over months of bipartisan work and that similar concepts exist in other states; a committee researcher had circulated a comparison of 17 states with prenatal and substance-use-related provisions. A major focus was whether the bill should include a more explicit definition of emotional abuse. Some members argued that the bill’s current language is not specific enough and could leave parents without fair notice, while others said the bill already addresses the issue through definitions of psychological maltreatment, emotional harm, and serious impairment. Office of Child Advocate staff explained that the drafting process intentionally avoided defining every emotional-abuse term separately and instead used a pattern-based psychological maltreatment standard with examples such as threatening, demeaning, humiliating, and belittling behavior. They said those provisions were drawn from other states and were meant to fill gaps seen in cases involving severe emotional harm and injured infants. The committee also discussed trauma-informed language related to substance use disorder and pregnancy. Members said the amendment was intended to avoid discouraging pregnant people with substance use disorder from seeking medical care, while still allowing intervention when a child is substance-exposed; they noted the proposal would include an exemption when a licensed health care provider is monitoring the pregnancy. Several members emphasized that the bill is meant to protect children while also giving parents clearer notice of prohibited conduct, and one member raised concerns about how the bill could affect other legislation dealing with criminal neglect. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• directs the Department of Transportation to conduct a statewide study on advanced detection and monitoring
• systems at public railroad crossings.
• systems at public railroad crossings.
• Interoperability of the proposed technology with PTC systems in the trains themselves, we felt that the
• We'd have a more economical system.

Summary: The Transportation Committee considered several bills and amendments. SB 1274, as amended, removed a number of unrelated transportation provisions and added items including local authority to lower residential speed limits, clarification that certain license plate frames do not obscure plates, FDOT funding for eligible rural airport projects, limits on yellow-light timing changes to intersections with red-light cameras, revisions to private use of license plate readers, and rules for direct payments to first-tier subcontractors. The amendment and the bill both passed favorably. SB 1310, as amended, would direct FDOT to study advanced detection and monitoring systems at public railroad crossings and report policy options to the governor and legislature; rail safety testimony supported the study while urging attention to interoperability and other safety concerns. The amendment and bill were adopted and reported favorably. The committee also heard SB 828 on extending sovereign immunity to private contractors providing public transit services. Supporters said it would reduce litigation costs, provide predictability, and help maintain affordable transit and paratransit service, especially in rural areas; opponents argued it was an overbroad expansion of sovereign immunity and could affect employee rights and accountability. After an amendment narrowing the language to contractors providing services rather than operating transit and removing subcontractor references, the bill passed favorably. SB 1378, which strengthens traffic enforcement by clarifying abandoned-vehicle removal, penalties for unlawful plates or stickers, and vehicle seizure authority for fleeing and eluding, also passed favorably with support from law enforcement-related testimony. The committee then confirmed a slate of appointees in tab 6 by one vote, with no objections. SB 1562, dealing with motor vehicle dealers and limiting concentration of a brand’s sales among a single dealer group once the brand has a meaningful Florida presence, was presented as a competition and dealer-diversity measure and passed favorably. Members later recorded additional affirmative votes on several tabs, and the chair noted this was likely the committee’s last meeting of the year before adjourning without objection.

Transcript Highlights:

• Wright: WITH THE AMOUNT OF MONEY THAT GOES TO THE SCHOOL SYSTEMS IT WOULD SEEM TO ME THERE MAYBE AND
• WHEN YOU LOOK AT THE BIG SYSTEM, THE WHOLE THING OF THE STATE OF FLORIDA THIS IS REALLY CONCERNING.
• I CAN'T IMAGINE WHAT THE TOTAL BUDGET IS FOR THE SCHOOL SYSTEM, I GUESS WE SHOULD FIND OUT.
• JUST TO HAVE FAITH IN OUR SYSTEM AND FAITH IN OUR STATE, FAITH IN THOSE INSTITUTIONS DOING THE RIGHT
• I LOVE THIS COMMITTEE, I THINK THIS IS THE CHECKS AND BALANCE SYSTEM AND THE BUCK STOPS HERE. >> Sen.

Keywords: 999, senate, all

Transcript Highlights:

• In a follow-up around this, just keep talking about our IT systems and how we communicate across the
• Chair and Representative Gillman. >> I think, you know, speaking generally again, that IT systems that
• There's so many systems that are available.
• We're learning that we could be a part of a system, and that would help sort things out.
• But those monitoring processes are also there to ensure the validity of 8 providers who are fighting

Transcript Highlights:

• Jones, I recognize that you have this patient using this cardiac monitor, but they're not charging it
• Hey, you know, exactly as you said, this person is not charging their monitor, you might want to find
• Person is not charging their monitor, you might want to find a different modality.
• I wonder if you could just very briefly sort of explain how the payment system works here.
• <00:47:30.560> of How How does How does the the system of How How does How does the the system

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• Oh, it says the community college system. Yeah, and it's a working group.
• Oh, it says the community college system. Yeah, and it's a working group.
• Oh, it says the community college system. Yeah, and it's a working group.
• Oh, it says the community college system. Yeah, and it's a working group.
• The case may be, oh, it says the community college system. Yeah, and it's a working group.

Keywords: 912, senate, all

Summary: The committee heard testimony on HB 345, which would establish ʻōpae ʻula as the state shrimp. The Department of Land and Natural Resources and Kua Ulu Aumo testified in strong support, saying the designation could help protect endemic shrimp in anchialine pools and increase public education and awareness. In response to questions, DLNR said it would use existing education programs, press releases, and partnerships for statewide outreach and was not seeking a separate appropriation for that purpose. Members then took up SCR 132 and SR 111, which encourage adoption of recommendations from the UN Global Plastics Treaty and the Rapa Nui Summit Declaration on climate justice and sustainable development. Greenpeace Hawaii supported the measures, arguing that plastic production is tied to fossil fuel interests and that microplastics pose serious health and environmental risks. The committee later adopted the measures with amendments, including a change from “waste hierarchy” to “zero waste hierarchy” and technical edits. The final measures, SCR 157 and SR 127, urged the state to adopt and implement the UN Convention on the Law of the Sea agreement on biodiversity beyond national jurisdiction. DLNR testified that it had only just reviewed the resolution but stood on its written testimony. The committee passed SCR 157 and SR 127 as is. The meeting also included a separate hearing on SCR 89 and SR 72, which would create a University of Hawaiʻi Community College pathway for meat processing. The Department of Agriculture, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council supported the idea, citing workforce needs and local protein supply, while several members raised concerns about whether a formal educational pathway or degree requirement might unnecessarily limit entry into the field; discussion focused on whether the proposal should be more vocational and whether there is enough data on workforce demand. No final vote on those measures was shown in the transcript excerpt.

Transcript Highlights:

• system in support of Percy. system in support of Percy.
• State public system in support. >> Yeah. State public system in support.
• system, then why why change it? system, then why why change it?
• , because of, um, systemic pressures that exist within the school system.
• DOE system. DOE system.

Keywords: 910, house, all

Summary: The committee on Education met on February 17 and announced it would limit public testimony to one minute because more than a thousand testimonies were expected on one measure. The first bill heard was HB 1934, relating to the Imagination Library of Hawaii. The state librarian and Friends of the Library supported the bill, saying the program is a proven, cost-effective way to improve early literacy and should be expanded statewide for children ages 0 to 5. Friends of the Library said the current 50/50 match requirement would be too difficult to meet immediately and asked for state funding for the first few years to help launch the expansion. Testimony included eight supporters and one opponent, and members asked whether the proposal was an expansion of an existing program; the state librarian said it would expand service beyond currently targeted communities. The committee then heard HB 20004, which would extend the floating librarian pilot program. The state librarian, Department of Education, HSTA, and several individuals testified in support. Supporters said the program helps address staffing needs and improves student readiness, especially for college and information literacy. One retired community college librarian said school librarians help students prepare for college and are increasingly important in teaching critical evaluation of misinformation and AI-generated content. Members asked about implementation of the existing pilot, including recruitment of certified librarians for neighbor island and Oahu complex areas; DOE said those positions had been identified and recruitment was underway, and existing funds remained intact. The final major discussion was HB 2398, which clarifies the library system’s role in RNMSP-related projects and public library construction on or near school land. The state librarian and public library system supported the bill, while the Department of Education and Attorney General’s office raised concerns about vague language, especially the phrase “land controlled by the board,” and suggested amendments. In questioning, the state librarian explained that the bill was prompted by conflicts on shared or adjacent school/public library sites, including traffic, pickup and drop-off access, and other operational issues. DOE described significant disruption from one project’s traffic changes and said planning for such projects should involve early coordination and formal agreements. The state librarian responded that the new bill would clarify oversight and help avoid delays and disputes over property control and future renovations.

Transcript Highlights:

• This system is critical to... ...that we have called the summary reporting system.
• But the system has limitations.
• And we get from our summary reporting system, we're reliant on the clerk's case maintenance systems.
• It feeds that information to our system.
• What is a good court system? How do we measure it?

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• That's not the system.
• THAT'S NOT THE SYSTEM.
• It's a systemic failure.
• Using national data sets through the Pregnancy Risk Assessment Monitoring System, or PRAMS, which is
• USING NATIONAL DATA SETS THROUGH THE PREGNANCY RISK ASSESSMENT MONITORING SYSTEM, OR PRAMS, WHICH IS

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 20, 2026, 1012, house, all

Transcript Highlights:

• into the system. into the system.
• money to finance the new system. money to finance the new system.
• system. Sorry. system. Sorry.
• cams in the system.
• types of systems we build. types of systems we build.

Keywords: 912, senate, all

Summary: The Department of Health presented its supplemental budget requests and described several sources of uncertainty affecting federal funding, including policy changes, shutdown-related disruptions, and shifting appropriations proposals in Congress. Officials said some federal grants had been terminated and then restored, but the department still faces added administrative burden to access funds. They also said trust in public health institutions has declined, and outlined efforts to respond through community engagement, website cleanup, social media, and transparency dashboards. The department highlighted staffing and operations issues, noting a 29.7% vacancy rate and the success of its hiring pilot under Act 291, which has hired 38 candidates with an average 95-day hiring timeline. On the budget side, officials said the supplemental request includes increases in general, special, and revolving funds, and they walked through the first major general fund item for emergency medical services. After discussion, they said the EMS request was reduced from $8 million to $4.5 million to cover collective bargaining increases and keep contracts whole through August 2027. Behavioral health items included the payment crisis center in Ewa, which has connected more than 2,000 people to services, though roughly one-third remain unconnected or return frequently. Members questioned the quality of follow-up data and whether the program is reducing repeat use. The department also discussed state hospital decompression efforts, including use of the behavioral health crisis center, transfers to community hospitals, neighbor-island placements, and direct discharge to long-term care facilities; officials said the hospital is licensed for 292 beds and has seen census pressures rise again. A substantial portion of the hearing focused on Kalaupapa/Kalawao jurisdiction and preservation after patient care ends. Members pressed the department on the lack of a clear statewide plan, the roles of DOH, DNR, and DHHL, and what happens to land, buildings, and the cemetery after the last patient leaves. DOH said the current law is unclear on an end date, that the proposed bill would change the law, and that the landowners’ agreements with the National Park Service and each other will shape the transition. Officials said they would provide more information at a later hearing.

Bills: SB255, SB199, SB47, HB605, HB216, HB621, HB148, HB389, HB509, HB248, SB255, SB199, SB47, HB605, HB216, HB621, HB148, HB389, HB509, HB248, SB336, SB293, SB43, HB420, HB60, HB188, HB106, HB105, HB11

Keywords: SB255, cannabinoid, hemp, hemp-derived THC, THCa, delta-8 THC, HHC, CBD, THC, novel cannabinoid products, hemp products, intoxicating hemp, delta-8, retail license, Department of Revenue, Department of Agriculture and Industries, testing and labeling, third-party laboratory, product safety, public health

Transcript Highlights:

• They're not paying their fines now. the They're not paying their fines now. the court<00:23:23.360> system
• 24.000> sees<00:23:24.400> that<00:23:24.720> very<00:23:25.039> few court system
• I think sees that very few court system I think sees that very few people<00:23:25.440> are<00

Bills: SB24, SB83, SB142, SB140, SB94, SB24, SB83, SB142, SB140, SB94, HB132, HB37, HB51, HB105, HB54, HB7, HB158, HB188, HB189, HB111, HB13, HB192, HB149

Keywords: body-worn camera, public records, law enforcement transparency, recording disclosure, civil rights, adult-size changing table, changing station, accessible restroom, public bathroom, public building, public entity, ADA, Americans with Disabilities Act, accessibility, restroom renovation, new construction, grant program, state grant, local government facilities, historic property

Transcript Highlights:

• And is part of the vertically integrated system that AB 259 seeks to cut through.
• And this sort of shows how difficult it is to navigate the opaque nature of this system.
• And this sort of shows how difficult it is to navigate the opaque nature of this system.
• So that happens outside of the system. Thank you very much. Senator Wynn, did you have a question?
• ..so many different ways that we sort of rely on this sort of circular system to do it.

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• then um our system is going to<00:04:53.880> collapse<00:04:54.880> Mr<00:04:55.080>
• And I still believe this very sincerely, that there's enough money in the health care delivery system
• I know some of the larger systems, they can actually have people dedicated to each MCO.
• in Kentucky is rural delivery system in Kentucky is rural Healthcare<00:09:03.160> obviously<
• There are measures within the contract to monitor performance, but monitoring performance is not the

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.