Transcript Highlights:

• So we took that, annualized it, and came up with that estimate of what would happen if we doubled it.
• So if it’s our intent and we want to raise adult dinner rates, we don’t have to necessarily dip into
• But if we did that, if we did that, you wouldn’t have to necessarily dip into the... Okay.
• Dip into the... Okay, just making sure I understood all that. Thank you.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. The Insurance Department’s amendment to its holding company system rule was reviewed and approved, as were two State Board of Election Commissioners rules: one clarifying poll watcher conduct, vote challenges, and provisional voting, and another increasing pay for certified election monitors and defining training, observation, and report-writing compensation. The Arkansas Financial Education Commission also had its rule reviewed and approved after removing membership requirements tied to DEI language to comply with Act 938. The committee held over the Department of Education’s request to be excluded from reporting requirements for one month to allow further discussion about who should write or implement the rules. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from reporting requirements for Acts 567, 568, 967, and 1025. DHS said CMS had raised comparability and other federal approval concerns, especially for the dental and diagnostic lab provisions, and that it might not be able to meet the acts’ effective dates. DHS described several possible paths forward, including broader benefit changes, waivers, or splitting the dental provisions so the pediatric rate increase could move separately from the special-needs adult cap increase. The Arkansas State Dental Association disputed DHS’s conclusion that the acts could not be implemented as written, argued that Act 1025 is workable, and urged DHS to continue pursuing implementation and preserve the September 1 effective date where possible. Public testimony also supported expanded dental access for adults with disabilities and special needs. After discussion, the committee voted not to exclude DHS from reporting requirements for those acts. The committee then reviewed the Division of Higher Education’s Act 781 report. The division said it has 32 rules in effect, asked to repeal three rules—two replaced by new rules and one no longer supported by authority or current law—and to continue the remaining 29 rules. The committee approved that request, with the repeals effective upon adjournment of the Legislative Council meeting on January 16, 2026. The meeting concluded with no questions on the remaining written rulemaking updates from prior and current sessions, which were filed without further action.

Transcript Highlights:

• c> I'm<04:47:38.400> yeah like double dipping that's why I'm yeah like double dipping that's
• They could work full-time, so double dipping, for sure. Murray, thank you.
• Uh, double dipping has such a negative connotation, and I'm a little bit baffled.
• <05:05:16.200> dipping this Murray thank you uh double dipping this Murray thank you uh double
• know that this concern about uh double know that this concern about uh double dipping<05:05:25.440

Keywords: 1189, house, all

Summary: The committee first took up HB 713, which would require mile markers on Route 112, the Kancamagus Highway. The sponsor and DOT testimony described the road as a heavily traveled but isolated corridor with little or no cell or radio service, frequent accidents and breakdowns, and serious public-safety problems when emergency responders cannot quickly locate incidents. Members discussed where markers should be placed, how frequently they should appear, whether both sides of the road should be marked, and the potential cost; DOT said the project could be done with federal funds and might be combined with other work to reduce mobilization costs. The committee agreed the bill was straightforward and voted OTP 18-0, with discussion that a friendly amendment might be offered later to refine the language. The committee then heard HB 563, concerning calculation of adequate education grants. Testimony explained that the bill would add fiscal capacity disparity aid in FY 27 and increase the special education differentiated aid factor, while also reducing extraordinary needs grants so the overall fiscal impact would be net neutral. Members noted the changes were limited to the second year because of the budget process and school district ballot timing. Supporters argued the fiscal capacity aid would help property-poor towns and should be expanded, while others emphasized the bill’s budget-neutral structure. The committee voted to retain HB 563 for further consideration in the budget process. Finally, the committee opened HB 675, which would limit the authority of school districts to make certain appropriations. A Derry resident and former local official testified in favor, arguing that property taxes are too high, that school spending has outpaced town-side tax caps, and that local voters should have more control over school budgets. Committee members questioned whether the issue should instead be handled locally through existing processes or broader governance changes, and one member noted the state’s constitutional obligation to provide an adequate education. The discussion continued, but no final action on HB 675 was taken in the portion provided.

Transcript Highlights:

• So that's to prevent a bit of that double dipping, as it were. to claim any tax credit in the code to
• So um that's why we simply want to put that in the law that they can double dip on a credit to allow
• So um that's why we simply want to put that in the law that they can double dip on a credit to allow
• dip.
• That's double what's being proposed here.

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• So, isn't that the definition of double dipping?
• So, isn't that the definition of double dipping?
• So, isn't that the definition of double dipping?
• So, isn't that the definition of double dipping?
• They all said, in no case, we're not double dipping.

Keywords: 1189, house, all

Transcript Highlights:

• And those facilities today receive up to or close to 30 cents a kilowatt hour, which is both double what
• There's no simple answer to these problems, but there is a long-term solution: double down on energy
• That would be duplicitous and double dipping, so we agree with the governor's position to repeal the
• And the nuclear groups are double-dipping because the Department of Energy pays them for storage now.
• And, uh, and, and the nuclear groups are double dipping because they, um, the Department of Energy pays

Keywords: 995, all

Summary: The committee heard testimony on H. 4144, the Governor’s Energy Affordability, Independence, and Innovation Act, with the administration arguing the bill would lower bills in the short and long term while expanding clean energy supply and innovation. The Governor and Secretary said the bill would reduce or restructure charges on customer bills, reform Mass Save, expand securitization as a financing tool, speed interconnection, create energy-ready zones, strengthen consumer protections in competitive supply, and allow broader state procurement of energy resources. They said the package could save consumers billions over time and would help address high energy costs, especially during extreme heat and winter spikes. Committee members pressed the administration on several provisions, especially securitization, asking whether the bill requires an apples-to-apples comparison of total costs over time, including interest and lost tax revenue, versus paying through rates. Administration witnesses said DPU review and public comment would be required and said they would work to clarify the language if needed. Members also questioned the bill’s solar and procurement provisions, including reduced net metering compensation for some large facilities, the scope of all-resource procurements, and whether hydro, solar, and nuclear would be included; the administration said those resources were contemplated and that procurement would still be reviewed by DPU. Other questions focused on the short-term relief from bill changes, the treatment of low- and moderate-income discounts, and whether the bill’s heat pump and Mass Save reforms would help customers who cannot afford upfront costs. Several witnesses and committee members discussed Mass Save reforms, including securitization of program costs, on-bill financing, pre-approval of rebates, and shifting program administration away from gas utilities. Administration witnesses said the changes were intended to reduce volatility, lower administrative costs, and better align costs with long-term savings. Questions also touched on geothermal permitting, municipal participation in offshore wind procurement, and the proposed repeal of the ballot requirement for nuclear power, which the administration defended as preserving future options under heavy review. No votes were taken during the hearing portion described. Supportive testimony came from labor, environmental, business, planning, and development groups. The AFL-CIO, NECA, and the Environmental League of Massachusetts backed the bill, emphasizing lower bills, job creation, labor standards, just transition protections, and cleaner energy. NAIOP, the Massachusetts Business Roundtable, and MAPC supported provisions on energy-ready zones, interconnection reform, microgrids, extreme-heat shutoff protections, and Mass Save improvements. A HEET representative praised the bill’s use of securitization, geothermal, and utility financing tools but urged guardrails and workforce protections. Overall, testimony was broadly favorable, with most witnesses calling for refinements rather than opposing the bill outright.

Transcript Highlights:

• But then both April and May now, we've seen a dip below the legislative forecast.
• When we look back at March, you know, right before the Iran conflict, we were starting to dip a little
• We've also just very recently looked at the potential to add, by double-bunking, up to 732 beds.
• Like they'd have single, maybe double cells, but their own rooms. We've now turned it more to bunk.
• Chairman and members of the committee, I'd have to double-check.

Keywords: 908, all

Transcript Highlights:

• You can see a dip, a dip in the, in the numbers and then kind of slowly stabilizing right now.
• We were able to onboard six additional investigators this biennium, more than doubling the size of our
• enforcement team conducted 1630 on-site inspections this past fiscal year, an all-time record, almost doubling
• the agency was able to onboard its new database, expand its staff from 21 to 29, which includes doubling
• those cattle in those feed yards spend about 6 to 8 months in the feed yard, at which time their size doubles

Bills: HB294

Keywords: energy efficiency, tax exemption, residential properties, sustainability, real estate

Transcript Highlights:

• pleased that the DEP has helped fund the expansion of this gene bank, and we're going to more than double
• We're going to more than double the size of the gene bank so that we can increase the number of holdings
• So as you see it dip off in the last years, because now we're starting to chase a lot of the singles.
• So that's why that dip-off is going to happen.
• So they're increasing, converting it to double A, which is an expensive process.

Summary: The Committee on Environment and Natural Resources heard a series of presentations focused on coral reef restoration, artificial reefs, biosolids management, and a proposed biosolids processing facility. Mote Marine Laboratory described the severe decline of Florida’s coral reefs, its restoration methods using microfragmentation, genetic banking, selective breeding, nurseries, and outplanting, and asked for a long-term state commitment to help restore reef areas. The Keys Marine Laboratory and Florida Institute of Oceanography highlighted their role as a hub for coral rescue, holding, propagation, and research, including emergency response during the 2023 bleaching event. The Fish and Wildlife Conservation Commission discussed the scale of reef loss, the state’s coral rescue and propagation efforts, and the economic and habitat value of artificial reefs, while noting permitting delays and material-selection concerns for reef projects. The committee then received a DEP update on the Osborne Reef tire cleanup. DEP explained that the original tire reef was a failure, that nearly 500,000 tires had been removed by 2024, and that the current effort is funded at $5 million for the fiscal year, with cleanup now shifting from large tire clusters to more difficult individual tires and coral relocation. Members asked about the future of the site after cleanup; DEP said that phase two decisions, such as whether to restore or monitor the area, have not yet been made. DEP also presented on biosolids rules, explaining that the 2021 rule tightened nutrient management, groundwater, and surface water protections, reduced the number of active land-application sites, and contributed to a shift away from Class B land application toward Class AA, landfill, or out-of-state disposal. Senators raised concerns about PFAS, nutrient loading, and the loss of disposal options, and a public speaker warned of a statewide septage disposal crisis. Finally, Sedron Technologies presented its VARCOR system and a planned Indiantown facility that would process dewatered biosolids into clean water, ammonia, and a dry Class AA product or fuel, with the company saying the process can destroy PFAS and help relieve regional disposal pressure. Senators expressed support for the technology as a potential solution to Florida’s biosolids challenges. No formal votes were taken on the presentations themselves, and the only action at the end of the meeting was adjournment after Senator Polsky moved to do so.

Transcript Highlights:

• They're not going to, you know, we want to maintain our AAA bonding or double-A-plus, whatever we are
• A plus whatever we are in New double A plus whatever we are in New Hampshire<01:19:44.920> he
• Real estate here in the state, I've seen prices almost double in the last five, seven years.
• So overall, the concept is there's kind of a deal going on here: we're going to double the rates the
• So overall, the concept is there's kind of a deal going on here: we're going to double the rates the

Keywords: 928, house, all

Summary: The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops. Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight. Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.

Transcript Highlights:

• Firefighters almost always use up their 15 days and must dip into their vacation to meet their military
• So they're having to really do double duty. We're trying to fix this.

Bills: HB39, HB114, HB1875, HB1894, HB1965, HB2513, HB39, HB114

Keywords: veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot, remembrance, monthly designation, honoring military, Texas legislation, rural services, paid leave, fire protection personnel, military service, public employees, employment benefits

Transcript Highlights:

• we're up in the double digits. we're up in the double digits.
• He said he would be remiss if he tried to guess, but that it would be a double whammy, compounded.
• <00:23:36.640> whammy >> but it is it it will be a double whammy >> but it is
• So, I'll just go ahead and get right into it so we can get to our double cheeseburgers and milkshakes
• <00:37:58.480> cheeseburgers<00:37:59.119> and get to our double cheeseburgers and

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:15 Department of Insurance Update 00:01:39 Department of Financial Institutions Update 00:37:07 Insurance Industry Update 00:54:50 Credit Union Industry Update 01:10:53, 958, all

Summary: The committee met with a quorum, approved the September 16 minutes, and then received an update from Insurance Commissioner Sharon Clark and staff on the Department of Insurance. Clark reviewed department activity, including growth in premium volume and licensing, consumer complaints and recoveries, and a rise in fraud referrals. She said the department has 66 open fraud cases and described common schemes such as staged auto accidents, inflated repair or cleanup charges, and roofing scams. She also said the department’s investigators often prepare strong cases but face reluctance from local prosecutors, especially in Fayette and Jefferson counties, to pursue them. Clark reported favorable workers’ compensation news, saying rates will decrease 9.7% next year for the 20th straight year. She contrasted that with a difficult property insurance market driven by storms, reinsurance costs, inflation, labor shortages, and litigation, but said Kentucky’s market remains relatively stable, citing the Kentucky Fair Plan’s small number of policies. She then warned of significant 2026 health insurance premium increases on the exchange: 16.1% for Molina, 23% for Anthem, and 37% for WCare, after CareSource withdrew. She said the rates were reviewed by actuaries and found fair, but that the biggest pressure point is the scheduled expiration of enhanced premium tax credits, which she said could leave about 90% of exchange enrollees facing a compounded increase. Members questioned Clark about fraud prosecution, the number of people in commercial versus public coverage, and the impact of expiring subsidies. Clark said the prosecution issue is mainly with Commonwealth attorneys and that rural counties are more cooperative than urban ones. She also said the health market is individually rated and that older enrollees would be hit harder, while the loss of tax credits could push some people out of the marketplace. One member asked about the attorney general’s recent opinion on SB 188, the PBM bill; staff said attorneys were still reviewing it. Clark closed by noting that Kentucky’s fraud and towing/storage legislation has become a model for other states.

Transcript Highlights:

• Florida was early to dip its toe into the No Surprises Act in 2016, creating a state alternate dispute
• Florida was early to dip its toe into the No Surprises Act in 2016, creating a state alternate dispute
• So it is double-sided.

Bills: S0158, S0314, S0618, S0684, S0838, S0990, S1000, S1082, S1452, S1494, S1500, S1568, S1706

Keywords: pet insurance, consumer protection, insurance regulation, policy disclosure, agent training, payment stablecoin, financial regulation, anti-money laundering, state oversight, digital currency, financial services, workers compensation, Florida statute, commercial insurance, insurance board, electronic signatures, vehicle titles, insurance regulations, auditing, total loss vehicles

Summary: The Banking and Insurance Committee heard and advanced a wide range of insurance, financial services, and probate bills. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for emergency out-of-network claims. After extensive discussion about the relationship between the state and federal No Surprises Act processes, an amendment was withdrawn due to concerns about clarity and scope, but the bill itself was supported by providers and insurers and was reported favorably. The committee also approved SB 684 on electronic signatures for total loss vehicles and vessels, CS/SB 158 on pet insurance consumer disclosures and agent education, SB 1494 expanding breast cancer screening coverage, CS/SB 314 on digital assets and stablecoin issuers, and CS/SB 1500 on uncontested probate procedures and small-estate administration. SB 618 on workers’ compensation insurance was amended to raise the consent-to-rate cap for workers’ compensation policies from 10% to 20% and then reported favorably, with supporters saying it would help keep higher-risk employers in the voluntary market. CS/SB 1568 creating a Florida Stablecoin Pilot Program was amended to remove authority for a Florida coin and limit the program to existing stablecoins, then passed. Later, the committee approved CS/SB 838 on electronic payment convenience fees for retail installment contracts, with the sponsor emphasizing that a fee-free payment option must still be offered. SB 1452, the Department of Financial Services agency bill, was amended and reported favorably; it covered My Safe Florida Home administration, insurance and licensing changes, unclaimed property updates, and other DFS-related provisions. The committee also passed SB 1706 on the My Safe Florida Condominium Pilot Program, targeting owner-occupied condominiums at or below 80% of area median income, and SB 990 on protected cell captive insurance companies, which supporters said would modernize Florida’s captive insurance laws and encourage more competition. The meeting ended with all listed bills reported favorably and the committee adjourned.

Transcript Highlights:

• That's the only double-digit growth in withholdings payments that I think I've seen.
• That dip in the rate... ...that dip in the rate reflects exactly what I said: there was a 150 basis point

Keywords: 924, joint, all

Transcript Highlights:

• Electricity rates in our state are nearly double the rest of the country for homes and almost triple
• In the past 5 years, the number of illicit goods seized by CBP has more than doubled, while the value
• In the past 5 years, the number of illicit goods seized by CBP has more than doubled, while the value
• In the past 5 years, the number of illicit goods seized by CBP has more than doubled, while the value
• They put in the long hours and often dip They put in the long hours and often dip into<04:33:09.119

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 27, 2026, 1012, house, all

Transcript Highlights:

• But that's why it dips down; it goes around the city of Weston there.
• And then you see the little dip down there of District 19.
• And then you see the little dip down there of District 19.
• And you can see the little divot that District 19 kind of dips down and goes around.
• Now that the legislature is doubling down on the mid-decade redistricting, the culmination of all of

Summary: The Select Committee on Congressional Redistricting met to consider HB 1D, which would establish Florida’s congressional districts using the governor’s proposed map, EOG PCRP 26. Representative Persons-Mulicka briefly introduced the bill, and Jason Jazeel and Jason Pareda of the governor’s office presented the legal rationale and map details. Jazeel argued that mid-cycle congressional redistricting is not prohibited, that the governor’s position is to draw districts without considering race, and that federal equal-protection principles should control over state race-based redistricting provisions. Pareda said he drew the map alone using 2020 census data and census blocks, while also considering population growth estimates, traditional redistricting criteria, and county/city boundaries where feasible. Pareda described the map as race-neutral and said it keeps 48 counties whole, 382 cities whole, and has a boundary-analysis score of about 85.7%. He walked through regional changes, including major revisions in South Florida, adjustments in Central Florida, and changes in the Tampa Bay area, explaining that population shifts and the need for exact congressional population equality drove many of the district configurations. Members questioned the timing of the special session, the use of 2020 census data versus newer population estimates, the role of the legislature versus the governor, the legal basis for mid-decade redistricting, and whether the map complies with the Voting Rights Act and Fair Districts amendments. Motions to place witnesses under oath and to extend the committee meeting by 30 minutes both failed. During public testimony, every speaker who was heard opposed the map. Commenters argued that the proposal was a partisan power grab, would reduce Democratic and minority representation, and violated the Florida Constitution and voting rights protections. Several speakers criticized the short notice and lack of public input, while others said the map would confuse voters or split communities. The chair repeatedly reminded attendees to maintain decorum and limited each speaker to about one minute.

Transcript Highlights:

• No double dipping.
• No double dipping.
• No double<02:00:38.880> dipping.
• <02:00:39.520> The<02:00:39.679> purchase<02:00:40.080> cannot double dipping
• The purchase cannot double dipping.

Keywords: 981, all

Summary: The meeting included routine floor business, announcements, and several committee notices, followed by consideration of resolutions and third-reading votes on multiple bills. Members also recognized visiting groups, including North Glenn High School students, NFIB members for Small Business Day at the Capitol, Parker Day participants, and advocates for intellectual and developmental disabilities. A resolution honoring Youth Mental Health Action Day was taken up and adopted 62-0, with sponsors emphasizing the shortage of mental health services in many Colorado counties and the need to support children’s mental health. The House then passed several bills on third reading. House Bill 1189, concerning property held by a community property spouse under the Uniform Community Property Disposition at Death Act, passed 61-1. House Bill 1039, concerning requirements for municipal jails, passed 46-16. House Bill 1044, aimed at improving equity in maternal health, passed 49-13. House Bill 1135, increasing transparency about chemicals used in certain hair products, passed 42-20. House Bill 1134, addressing conditions for municipal court defendants, passed 43-19. House Bill 1113, concerning modifications to election laws, passed 41-22. The House also heard a lengthy debate on House Bill 1110, which would allow financial institutions to place temporary holds on suspicious transactions involving vulnerable adults and provide related protections. Supporters said the bill would help prevent elder financial exploitation and give banks and credit unions tools to intervene. Opponents argued the bill’s liability protections for financial institutions were too broad and could weaken protections for victims. Representative Garcia offered amendment L007 to strike the immunity provision, and several members spoke for and against the amendment, but the transcript cuts off before any vote on the amendment or final action on the bill.

Transcript Highlights:

• This bill is double-assigned.
• While it is true that the bill does not have a fiscal impact, it is not double-assigned, as I mentioned
• There are really just to make sure that there's no double dipping, and so we just want to make sure there's

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• of individuals, and that dip is not during the public health emergency until 2020.
• <00:16:16.480> in healthcare.gov, the uh the dip in healthcare.gov, the uh the dip in enrollment
• enrollment of individuals, and that dip enrollment of individuals, and that dip is<00:16:19.120>
• I'd have to double check, but it's per year.
• double check those figures. double check those figures.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• So we don't want to double dip in that. >> Right.
• So we don't want to double dip in that. >> Right.
• So we don't want to double dip in that. Last year, we were short 172 drivers.
• So we don't want to double dip<01:46:34.080> in<01:46:34.239> that.
• dip in that. dip in that.

Bills: HB2185, HB2621, HB2179, HB2534, HB2168, HB2427, HB2560, HB2565, HB2172, HB2298, HB2304

Keywords: sports officials, referees, umpires, athletic directors, school administrators, league administrators, coaches, assault, first-degree assault, substantial bodily injury, temporary restraining order, TRO, private counsel, Department of Education, DOE, sports safety, school sports, amateur athletics, professional sports, public schools

Transcript Highlights:

• THEY CAN'T DOUBLE DIP.