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:

• 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.

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:

• We have a monitoring system around all the positions that are shown there. practices of Del work adoped
• we have a have a approval system we have a monitoring<00:37:36.640> system<00:37:37.640> around
• <00:37:38.440> all<00:37:38.599> the monitoring system around all the monitoring system
• The system that DEHRD is using, NeoGov, is a sister system.
• <03:49:32.399> that system it's a substitute system that system it's a substitute system that

Keywords: 912, senate, all

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:

• 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.

Transcript Highlights:

• I responder voice system monthly update.
• Um, the system is know of as DORIS.
• system stable and secure. system stable and secure.
• So, there was much demand for the system.
• We've also been monitoring expenses for the program.

Keywords: Call to Order and Roll Call- 00:00:01 SERVS Informational Update- 00:01:22 Child Removal and Reunification Update: Department for Community Based Services Financials- 00:03:00 Small Business Sales Tax Websites: Department of Revenue-00:28:05 Senior Citizen Meal Programs: Department for Aging and Independent Living-00:35:50 Adjournment-01:41:57, 958, all

Summary: The committee first approved the minutes from the September 11 meeting by motion and voice vote. It then received a brief update on the statewide emergency responder voice system, but no presenter was present. The chair said he expected a more substantive update in November and warned that if there is not real progress on acquiring needed private properties, the committee may consider further action, including possibly freezing funding. The main discussion centered on the Department for Community Based Services’ child removal and reunification work and its structured decision-making tools. Commissioner Lisa Dennis and General Counsel Wesley Duke explained that the intake, safety, and risk assessment tools are being used at very high rates and that the department is still implementing and evaluating the system. Dennis said the tools are meant to inform, not replace, professional judgment; when staff disagree with a recommendation, the worker and first-line supervisor consult and decide together. Members questioned whether the system favors keeping children in the home, whether the department has studied safety outcomes for in-home cases versus removals, and whether foster home shortages affect removal decisions. Dennis said child safety remains the top priority, that the practice has not changed, and that the department would provide additional data on outcomes later. Members also asked about permanency timelines and delays in termination of parental rights cases; Dennis said federal timelines are difficult to meet because of family progress, substance use recovery, and court delays, and she confirmed foster parent shortages were not the reason for those delays. The committee then heard a presentation from the Department of Revenue on the new My Taxes portal. Staff said the portal, launched in March, replaced DOR’s portion of the old Kentucky One Stop Business Portal and now allows businesses to file and pay multiple taxes, update account information, and receive official notices. They reported the system is available 24/7 except for scheduled maintenance every other Thursday evening, has maintained over 99% availability since launch, and now has a dedicated contact center with 50 agents plus a public help line and email. In response to questions, the department said early downtime was caused by unexpectedly high traffic, but server capacity was increased and in the last three months there had been only one day of unexpected downtime.

Transcript Highlights:

• <00:25:40.799> for been to CPE for a new HVAC system for been to CPE for a new HVAC system
• The new system will be a geothermal heat pump system, which will increase efficiency in operation.
• So we have a question for the geothermal system. What is that comparison?
• If we went without a geothermal system... Thank you.
• Yeah, geothermal is by far the most efficient systems on the market.

Keywords: 0:00:02 Call to Order and Roll Call 0:00:30 Approval of Minutes 0:00:49 Information Items 0:01:54 Louisville Arena Authority 0:24:50 Project Rpt from Postsecondary Institutions - MSU 0:26:35 Project Rpt from Finance and Admin. Cabinet 0:37:52 Lease Rpt from Finance and Admin. Cabinet 0:40:13 Rpt from OFM – KIA 0:56:00 Rpt from OFM – EDF Grants 0:58:45 Rpt from OFM – OFM 1:01:46 Adjournment, 958, all

Summary: The committee first handled routine business, including a roll call, approval of the prior meeting minutes, and a set of informational reports. Those reports covered University of Louisville research equipment purchases, a Kent County school district debt issue for elementary school renovations, the University of Kentucky’s planned use of construction management risk for a new engineering building, APA certification reports for underwriter and bond counsel selection committees, and a KCNA status report on infrastructure upgrades and purchases. The main presentation was an informational update from the Louisville Arena Authority. Board representatives said the arena was created to drive economic development and reported about $1.4 billion in economic impact from 2010 to 2013. They explained the authority’s financial structure, including arena operating revenues, TIF revenues, debt service, and a long-term capital plan for major repairs and replacements. Members questioned the low net revenue figures, the long timeline before TIF revenues are projected to exceed debt service, the size of capital expenditure spikes, and the University of Louisville revenue-sharing arrangement. The authority said the $2.42 million annual UL payment is fixed under a 2017 refinancing agreement, while other amounts vary with ticket sales and related revenues. They also said the COVID-era state and Metro funds, combined with authority cash, were used to prepay debt and reduce interest, lowering the debt service schedule. The committee then considered and approved a new capital project for a new HVAC system for the student wellness center pool area. The project, presented by university staff, was approved by the board and required committee action. The committee took a roll call vote, and the project passed unanimously. Finally, Janice Thomas of the state budget office presented two tourism, arts, and heritage cabinet grid resilience projects at Kincaid Lake State Resort Park and Kentucky Down Village State Resort Park. Each project costs $7,834,600 and is funded mostly by a federal grid resilience grant, with the remainder from state utility infrastructure replacement funds and energy policy funds. Staff explained that the projects will move park electrical service ownership and maintenance to regional utilities, allowing the state to exit the infrastructure-management role while continuing to pay utility bills through normal metering. The committee approved the action item by voice vote.

Transcript Highlights:

• edge system. edge system.
• This takes us to legacy systems.
• <01:29:50.000> Every continue to run those systems. Every continue to run those systems.
• our systems from a seven to an eight. our systems from a seven to an eight.
• those systems in those courtrooms. those systems in those courtrooms.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:27 Legislative Research Commission 00:01:15 KentuckyWired Operations Company 00:17:30 Wireless Internet Service Providers Association 00:40:15 Administrative Office of the Courts 01:08:55 Kentucky Auditor of Public Accounts 01:33:00, 958, all

Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.

Transcript Highlights:

• Um, and I point out in the testimony here that the county system in Los Angeles actually went through
• .<00:26:49.200> Let's<00:26:49.520> see monitoring.
• Let's see monitoring.
• So the VERS, which is the vaccine adverse event reporting system, and the vaccine death reporting system
• our immune our natural immune systems. our immune our natural immune systems.

Keywords: 910, house, all

Summary: The committee heard several health-related resolutions and received testimony on each. HCR 28/HR 27 would ask the Department of Health to reconvene a working group on water and air contamination and remediation tied to the Pu‘uloa Range training facility; supporters said nearby residents and the broader public may be exposed to lead and heavy metals, and that further testing and eventual relocation of the range are needed. HCR 35 would request an auditor’s report on the social and financial effects of mandatory insurance coverage for biomarker testing, and HCR 36 would request a similar report on colorectal cancer screening coverage. The Department of Health and cancer advocates supported both, saying biomarker testing helps match patients to the right treatment and that earlier colorectal screening improves outcomes; DOH also cited screening data showing lower screening rates among uninsured people. HCR 134, on limiting cost sharing for diagnostic and supplemental breast imaging, drew support from the Susan G. Komen Foundation and others, who said out-of-pocket costs can delay diagnosis and treatment. HCR 171, on mandatory coverage for continuous glucose monitoring, also drew support from health and disability advocates. HCR 185, on coverage for Native Hawaiian healing and cultural practitioners through federally qualified health centers, received support from Papa Ola Lōkahi and a community testifier who described the value of traditional healing and access gaps. HCR 173, urging DOH outreach and vaccination drives at schools with low vaccination rates, drew support from DOH, DOE, and public health and disability advocates, but also strong opposition from several testifiers who argued the measure was government overreach and raised concerns about vaccine safety and parental choice. Testimony on HCR 173 was the most divided, with supporters emphasizing the need to raise immunization rates to prevent outbreaks and protect vulnerable children, while opponents argued schools should not host vaccine drives and that parents should make vaccination decisions without government involvement. The Department of Health said it is already working with schools and community partners to expand school-based immunization efforts and would prioritize schools with rates under 30%. The State Health Planning and Development Agency also supported the measure, saying rates below 50% are a serious public health concern. No votes or final committee actions were announced in the portion of the meeting provided.

Transcript Highlights:

• currently PAs are not being monitored currently PAs are not being monitored for<00:19:35.040>
• I'm a board-certified emergency physician. uh the trauma system alignment uh the uh the trauma system
• kind of got a patchwork type of a system kind of got a patchwork type of a system throughout<01:
• system since 2011. system since 2011.
• ,<01:23:54.720> and Uh each level within the system, and Uh each level within the system,

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• As the first established cemetery in our system, Little Falls is also the smallest geographically and
• As the department continues to assess the impacts of this legislation and monitor interment trends under
• 08:41.880> Falls<00:08:42.360> is<00:08:42.599> also<00:08:42.960> the system
• , Little Falls is also the system, Little Falls is also the smallest<00:08:43.760> geographically<
• interment trends under this monitor interment trends under this expanded<00:09:18.160> eligibility

Bills: HF4615, HF3532, HF4492, HF4171

Keywords: military, pay, officers, enlisted members, state active service, Minnesota Statutes, veterans, burial eligibility, honor guard, state cemeteries, military service, burial fees, veterans affairs, Minnesota Department of Veterans Affairs, advisory task force, commanders task force, veterans service organizations, American Legion, Veterans of Foreign Wars, VFW

Transcript Highlights:

• This could be a staggered system.
• Then there's the system that's real popular in the Midwest, the MABAS system, usually a box alarm system
• And then they've built up a system through this box alarm system to call resources strategically as they're
• real popular in the Midwest, the MABIS system, usually a box alarm system where all parties that provide
• business system.

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• Um, NMED sets pollution limits, monitors compliance, and can impose fines that require corrective action
• And going back to that with notification, how, if they're monitoring this PAS as it moves through the
• So, um, I know that there are monitoring wells that are, um, throughout the area, but, um.
• Systems or even microscopic organisms.
• We monitor and maintain highway safety on New Mexico and the shipping routes, and then all shipments

Transcript Highlights:

• That means because there's people cheating the system, and we haven't...
• You know, we're talking about fraud in our system. This is one side of it.
• The system has not been fixed. It has only adapted. Aren't you all tired of this?
• It's the system that allows this.
• It's a system.

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.

Transcript Highlights:

• We continue to monitor at the federal level.
• <00:20:03.480> at we are you know continue to monitor at we are you know continue to monitor
• at every year that we're looking systems at every year that we're looking at<00:20:40.720> uh
• Those are just numbers, and I prefaced that by saying, you know, it really depends on what systems we're
• to our oversight and monitoring activities, the algorithms that we have in the system.

Keywords: 958, all

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

Transcript Highlights:

• , which we have referred to as the value-based reimbursement system, and it adds an annual update to
• It dismantles what was a bipartisan agreement on a system that was designed on shared values.
• <01:03:36.119> the market are also closely monitoring the market are also closely monitoring
• We have closely monitored the board's actions as they considered the development of the two standards
• <01:31:26.080> is system is system is imperfect<01:31:28.159> we<01:31:28.360> know<

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• Not according to policy or the system automation, or that should not happen.
• At the individual level, the system is set up to do a variety of things.
• That information then is sent to our eligibility system.
• We have to make sure the system is set up.
• We have to make sure the system is set up.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• Community-based behavioral health systems are often complex and fragmented with services that vary widely
• We met with systems of care and we continued to hear the same dialogue that it was difficult to navigate
• We tested this out with our local referral sources such as sheriff's office, 211, school system, and
• Yes, but stop weaponizing the system against parents who dare to advocate for their own kids.
• Genetic testing takes months and months as the system is moving swiftly to terminate rights.