Transcript Highlights:

• but the first one is: is there a particular age, a minimum or a maximum, that a child has to be in order
• Well, sir, I got my marching orders here. One sec. All right.

Keywords: Call to Order and Roll Call – 0:00:04 Approval of Minutes – 0:03:57 United Way of Southern Kentucky –0:04:30 Preschool Education – 0:36:46 School Safety Updates – 1:01:41 Kentucky Association of School Superintendents – 1:41:47 Educational Cooperatives – 1:55:18 Adjournment – 2:07:37, 958, all

Summary: The committee opened its sixth meeting of the 2025 Interim Joint Committee on Education, confirmed a quorum, recorded attendance votes, and approved the minutes. Chair Lewis reminded presenters to keep remarks brief because of the full agenda and limited time. The first presentation was from United Way of Southern Kentucky, with Anne Puckett, Craig Browning, and Warren County Schools Superintendent Rob Clayton introducing a regional early childhood initiative. The presenters argued that kindergarten readiness and early childhood support are critical to later academic and life outcomes. They cited research and statistics about brain development in the first five years, the effects of unprepared kindergarten entry, and links between low literacy, school discipline, dropout rates, and incarceration. They said their region’s readiness scores fell during COVID and after a tornado, and that the most effective response was in-home parent education to help families support children from birth to age five. They described the model as voluntary, community-based, and not requiring new buildings, and said similar programs have been successful in Missouri. The group said it had already raised more than $1 million in private donations and committed three years of funding for four additional staff, expanding service in Allen, Logan, and Warren counties. They requested $600,000 per year for the next two-year budget cycle to add 12 more educators, serve about 360 families and 660 additional children, and build evidence for a possible statewide model. Members generally expressed support for the concept, with Representative Tipton and Representative Jackson discussing a prior home-based preschool pilot and the importance of starting early. Representative Calloway questioned whether increased family chaos and government involvement justified the approach; presenters responded that the program uses community educators, not a government-run organization, and is aimed at helping overwhelmed families. Representative Stalker asked about eligibility and early intervention, and presenters said the program serves children from birth to age five and can help identify needs early enough to connect families with services such as First Steps.

Transcript Highlights:

• State Affairs will come to order. Will the clerk call the roll? Benton. Here. Birdwell. Here. Hall.
• Of members under the Texas Constitution, it's got to be ordered.

Bills: HB18

Keywords: HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance

Transcript Highlights:

• Come to order. The clerk will call the roll. Chair Shaheen. Here. Vice Chair Bucy. Here.

Bills: HB18

Keywords: HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance

Transcript Highlights:

• I hereby call this meeting of the Health Services Committee to order.
• 35.320><c> centers</c> legislation is that birthing centers legislation is that birthing centers Physicians
• obes those that care for Physicians obes those that care for women<00:14:40.120><c> who</c><00:14:40.399
• bad situation and they did not feel comfortable with a lot of the documentations they had to sign in order
• bad situation and they did not feel comfortable with a lot of the documentations they had to sign in order

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=frNyDhxNCbk, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, Call to Order and Roll Call – 00:04:40 Approval of Minutes – 00:06:39 Public Comment – 00:08:00 Announcements and Adjournment – 01:28:10, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=KESOq4l34uc, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, 00:14 Call to Order and Roll Call 01:13 Kentucky State Police – Road Fund Appropriations 19:59 KY Transportation Cabinet – Federal Funds Match 50:40 Adjournment, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=_If_Z8gEtxw, 2026-06-21T07:17:06+00:00, 2.2.24, Data collected via generic collector engine, 00:02 Call to Order and Roll Call 00:40 Approval of Minutes 01:00 Revenue Sharing Flex Funding 21:44 Highway Contingency Projects 59:08 Adjournment, 958, all, 2.2.42, 2.1.47

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: cremation, natural organic reduction, health and safety, environmental concerns, funeral services, medical licensing, physician graduates, healthcare access, occupational licensing, foreign medical graduates, cell-cultured protein, food safety, human consumption, agriculture, food labeling, healthcare workforce, advisory board, Texas Workforce Commission, resource guide, education collaboration

Transcript Highlights:

• I'm a family physician. I've worked in Skyiau since 1998. I own my own business.
• I likewise have a great desire to see excellent rural medicine performed from physicians, physician assistants
• And obviously, physicians are in high demand these days.
• That'll be the order. Senator Woods... Thank you, Mr. Chairman.
• That will be the order.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Transcript Highlights:

• I'm a family physician. I've worked in Skiatook since 1998. I own my own business.
• I likewise have a great desire to see excellent rural medicine performed from physicians, physician assistants
• That will be the order.
• That will be the order.
• Without objection, that will be the order. Without objection, that will be the order.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Summary: The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine. The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2. Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.

Transcript Highlights:

• That is a good point because the consent orders might get delayed for a few days.
• I was going to vote no because somebody said I slept and they had to wake me up in order for me to vote

Keywords: Meeting Start 00:00 Call to Order and Roll Call 00:07 Discussion SB 97 01:21 Vote SB 97 13:27 Discussion HB 3 15:12 Vote HB 3 17:15 Discussion HB 184 17:54 Vote HB 184 18:42 Discussion HB 355 19:34 Vote HB 355 39:50, 958, all

Transcript Highlights:

• And they says, “Well, we don't want to get change ordered. We're protecting against change orders.”
• Uh, through our last, uh, change order 7, when we negotiated the change and a termination at this point
• </c><00:24:18.880><c> 7</c> Uh through our last uh t change order 7 Uh through our last uh t change order
• over to Holly, I'll just note that some of the recommendations that you see will appear out of the order
• So, in order to confidently determine whether there is enough capacity currently to meet demand, KDVA

Keywords: Call to Order and Roll Call- 00:00:00 Approve Minutes from November 13, 2025- 00:00:55 RiverLink Tolling Operations for Louisville Bridges-Quarterhill Testimony- 00:01:48 Staff Report on Veterans’ Centers- 00:26:45 Kentucky Department of Veterans Affairs Response to Staff Report- 0:58:53 Adjournment- 1:18:00, 958, all

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Transcript Highlights:

• All right, we have a quorum, and I will call our meeting back to order.

Keywords: November 20, 2025 00:12 Call to Order and Roll Call 00:58 Information Items 06:50 Finance and Administration Cabinet 09:10 KY Infrastructure Authority 21:20 Office of Financial Management 29:14 Meeting Recessed 44:58 Reconvened 45:07 Approval of Minutes 46:35 Next Meeting Date 47:05 Adjournment, 958, all

Summary: The committee met without a quorum for much of the meeting, so several agenda items were initially heard only for information. Early updates included six informational reports, such as an Auditor of Public Accounts compliance examination with no findings, university equipment and allocation reports, school district bond issuances, Western Kentucky University’s planned public-private partnership housing redevelopment, and quarterly Kentucky Communications Network Authority reports. Members then questioned WKU officials about the P3 housing project, including the number of RFQ responses, property tax responsibility, ownership of the student life foundation, and the status of repairs to residence halls. WKU said the foundation has owned the property since 2000, one hall would be razed or demolished at the end of the academic year, and repairs to the other two were expected to be completed by fall 2027. The committee also heard a Department of Fish and Wildlife Resources acquisition project for Mount River Farms in Wayne County and a Department of Corrections roof replacement project at Luther Luckett Correctional Complex, but no votes were taken until a quorum was later established. The Kentucky Infrastructure Authority then presented six loans and four grant reallocations, including loan increases for Adair County Water District and the City of Harlan, new loans for Litchfield, Louisa, Southeastern Water Association, and Flatwoods, and grant reallocations under the Cleaner Water Program. Members asked about Harlan’s 30-year term and special condition requiring a revenue increase; KIA explained the longer term is reserved for disadvantaged communities and that the condition was meant to reinforce standard debt coverage requirements, while depreciation is reviewed but not included in cash-flow calculations. After a recess, Senator Thomas arrived and a quorum was reached. The committee approved the prior minutes and then took a consolidated vote on the action items, which passed. The final items included a Kentucky Economic Development Authority revenue bond refunding for CommonSpirit Health, several Kentucky Housing Corporation conduit and single-family bond issuances, a Western Kentucky University bond issuance, and SFCC debt issues. Members discussed the housing transactions, noting they are developer-financed and not subject to a traditional bidding process, and expressed concern about whether the process could produce more units for the same amount of money. The meeting adjourned after all information items were approved and the next meeting date was announced.

Transcript Highlights:

• </c><00:15:56.320><c> Uh</c><00:15:56.560><c> but</c><00:15:56.720><c> in</c><00:15:56.880><c> order<
• Uh but in order so that are in statute.
• Uh but in order for<00:15:57.199><c> a</c><00:15:57.440><c> scholarship</c><00:15:57.839><c> granting
• So for in order for a outcomes measures.
• Seafood Competitiveness order, and it mentions specifically aquaculture.

Keywords: Call to Order and Roll Call: 0:00:00 Approval of Minutes: 0:01:45 Federal Education Updates 0:02:12 Dual Credit Updates: 0:43:38 Kentucky State University's Doctoral Program Request: 01:27:08 Postsecondary Accreditation: 1:49:05 Consideration of Referred Administrative Regulations: 2:14:48 Adjournment 2:16:31, 958, all

Summary: The committee met with a quorum, approved the previous meeting minutes, and heard a presentation from Austin Reid of the National Conference of State Legislatures on education-related provisions in the federal One Big Beautiful Bill Act (H.R. 1). Reid said the law is projected to increase the federal deficit over 10 years, with major savings coming from Medicaid, student loan changes, and SNAP. He focused on how those changes could affect schools, including possible effects on free and reduced-price meal certification, state funding formulas that use SNAP as a proxy for low-income status, and Medicaid-funded school services for students with disabilities. Reid also outlined the new federal scholarship tax credit, which gives a dollar-for-dollar credit for donations to qualifying scholarship-granting organizations. He said families up to 300% of area median income may benefit, the program begins in 2027, and states must opt in and designate eligible organizations. He noted unresolved questions about whether states can add their own criteria and said Treasury regulations will be important. He also described the expansion of 529 plans to cover more K-12 and postsecondary expenses. On higher education, Reid explained a new workforce Pell grant option for short-term programs, with states and governors playing a role in determining eligible programs. He said the programs must meet placement, completion, and earnings measures and that implementation is expected to be tight before the July 1, 2026 effective date. He also reviewed student loan changes, including lower institutional loan limits, prorated borrowing for part-time enrollment, new caps on graduate and Parent PLUS loans, and a new earnings-based accountability standard that could make some programs ineligible for student loans if graduates earn too little. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• Um, I also have a history of being a practicing physician for the last 30-plus years.
• Each speaker would have, like, three minutes in order to make a comment.
• </c><00:13:39.680><c> So</c> uh in order to make a comment. So uh in order to make a comment.
• </c><00:40:36.400><c> Congress</c><00:40:37.599><c> uh</c> in order to address things.
• Congress uh in order to address things.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=TEhklOTT0yY, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start 00:00 Call to Order and Roll Call 00:20 Update on Morehead and Rowan County 02:00 Local Tourist and Convention Commissions Legislative Discussion 25:34, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=ZIO_-JBUz74, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start 00:00 Call to Order and Roll Call 00:52 Welcome 01:15 Discussion of Workforce and Attraction and Retention Task Force Study 05:23, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=NHieJIxk-34, 2026-06-21T07:17:06+00:00, 2.2.24, Data collected via generic collector engine, 0:00:09 Call to Order and Roll Call 0:01:15 Highway Construction Contingency Account 0:33:20 Governor’s Recommended Road Plan 1:09:48 Adjournment, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=R6RoqAXt9wA, 2026-06-21T07:17:05+00:00, 2.2.24, Data collected via generic collector engine, Call to Order – 00:00:01 Strengthening Trauma-Informed Schools – 00:01:16 Approval of Minutes – 01:17:38 Community Mental Health – 01:18:03 Adjournment – 01:52:00, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• Of the Children and Families Committee to order. Good to see everybody today.
• We are required to review and adjust orders every three years.
• And then the reverse of that is if an order is set low because somebody...
• As child support orders. Thank you. All right.
• So in order to redirect child support, it either must be done through court order or through the statute

Bills: HF2436, HF470, HF2643, HF2456, HF102, HF1367

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension