Transcript Highlights:

• It's<00:02:17.080> a<00:02:17.160> pleasure<00:02:17.520> to<00:02:17.640> present
• a pleasure to present House Bill 236<00:02:20.080> today,<00:02:20.360> which<00:02:20.640
• Uh they're they're<00:02:57.600> held<00:02:57.920> to<00:02:58.200> very<00:02:
• Please<00:04:02.600> call<00:04:02.760> the<00:04:02.880> roll.
• Please call the roll. Please call the roll. Senator<00:04:05.080> Chambers-Armstrong.

Keywords: 00:00 Call to Order 0:18 Roll Call 0:53 HB 236 Discussion 4:02 HB 236 Vote Adjournment 5:59, 958, all

Transcript Highlights:

• I've<00:02:22.800> got<00:02:22.959> to<00:02:23.040> go<00:02:23.200> through
• 00:18:04.720> to<00:18:04.880> provide<00:18:05.039> an tax to Anchors Middletown
• > service<00:18:23.919> um<00:18:24.080> to<00:18:24.320> those<00:18:24.559
• 42.960> KRS<00:18:43.440> 108<00:18:44.160> to<00:18:44.400> to<00:18:44.799
• Just to follow up<00:18:53.760> on<00:18:54.000> that,<00:18:54.960> um<00:18:55.440

Keywords: Call to Order 00:00 Roll Call 0:31 HB 36 Discussion 1:10 HB 36 Vote 8:20 HB 776 Discussion 9:42 HB 776 Vote 12:19 HB 236 Discussion 14:15 Adjournment 20:40, 958, all

Keywords: 00:00 Call to Order 0:30 Roll Call 1:05 HB 904 Discussion 36:20 HB 904 Vote 44:14 Adjournment, 958, all

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=sN_4fzDDc3k, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00 Roll Call: 00:41 SB 148 Discussion: 02:29 SB 148 Roll Call Vote: 06:19 HB 188 Discussion: 07:50 HB 188 Roll Call Vote: 12:40 HB 236 Discussion: 14:07 HB 236 Roll Call Vote: 16:25 SB 153 Discussion: 20:27 SB 153 Roll Call Vote: 24:37 SB 263 Discussion: 26:13 SB 263 Roll Call Vote: 28:43, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• Uh it turned out to have extreme<00:02:04.479> complications<00:02:05.200> at<00:02:05.439
• , the council decided that they were<00:02:23.680> going<00:02:23.840> to<00:02:24.080>
• to start<00:02:36.640> a<00:02:36.800> vet<00:02:37.040> school.
• LVTs will be able to work alongside<00:18:11.840> veterinarians<00:18:12.960> to<00:18:
• :18:39.440> efforts<00:18:39.840> to<00:18:40.080> modernize<00:18:40.640> the

Keywords: 00:00 Call to Order 00:05 Roll Call 1:00 HB 357 Discussion 4:53 HB 357 Vote 6:40 HB 45 Discussion 8:00 HB 45 Vote 9:29 HB 48 Discussion 15:00 HB 48 Vote 16:25 HB 212 Discussion 20:17 HB 212 Vote 21:50 HB 49 Discussion 25:55 HB 49 Vote 27:16 Adjournment, 958, all

Summary: The Licensing, Occupations, and Administrative Regulations Committee met with a quorum and took up several bills, beginning with House Bill 387. The bill was presented as a measure to ensure veterinarians are not subject to controlled-substance reporting requirements through regulation or other means, while also revising the controlled substance council to remove an emergency medicine physician and an acute care nurse and add two veterinarians. Supporters said the change was needed because veterinary reporting would be overly complicated, especially in rural Kentucky and for large-animal practices. The committee adopted the committee substitute, approved a committee amendment, and passed the bill unanimously, including the title amendment and emergency clause. The committee then heard House Bill 45, which would modernize Kentucky CPA licensure. The sponsor and the State Board of Accountancy said the bill updates outdated rules, supports workforce mobility and remote practice, reduces barriers to interstate commerce, and adds a new licensing option to address time and cost concerns for candidates. The committee passed the bill unanimously. House Bill 48 followed, a long-updated physical therapy practice act revision. Testimony said it would clarify and streamline the statute, add definitions for physical therapist assistants, change certification language to licensure, allow expungement of minor non-patient-harm violations, clarify sexual misconduct language, adjust disciplinary and fee-setting provisions, and ease requirements for some internationally trained practitioners. The committee again passed the bill unanimously. House Bill 212 was next and would allow licensed veterinary technicians, under direct veterinarian supervision, to administer rabies vaccinations to dogs, cats, and ferrets. The sponsor and Kentucky Veterinary Medical Association said the change would help shelters, humane societies, and mass vaccination clinics, improve recordkeeping, and address rising rabies concerns in Kentucky. The committee approved the bill unanimously. Finally, House Bill 49 was presented by Representative Matt Cook and the Board of Licensure for Engineers and Surveyors as a scholarship program funded by $5 from each annual license renewal plus fines and penalties, aimed at encouraging Kentucky students to enter engineering and surveying and remain in the state for six years after graduation/licensure. Members asked about the service commitment and funding source; the sponsor said the program would use existing funds and not raise renewal rates. The committee passed the bill unanimously, with the chair noting it as a positive example of board modernization.

Transcript Highlights:

• go ahead and call the meeting to order and DJ, please take the roll.
• <00:15:42.399> for in order to bridge over thank you for in order to bridge over thank you
• :23.640> to<00:18:23.760> make<00:18:23.919> a I think uh this is going to make
• a I think uh this is going to make a difference<00:18:24.600> so<00:18:25.080> thanks<00
• to record a vote I would like like to record a vote I would like yes<00:21:29.640> sir<00:21:

Keywords: 00:00 Call to Order/Roll Call 01:23 Discussion of 25RS HB 219 06:40 Roll Call Vote on 25RS HB 219 07:44 Discussion of 25RS HCR 20 09:36 Roll Call Vote on 25RS HCR 20 10:58 Discussion of 25RS HB 303 17:02 Roll Call Vote on 25RS HB 303 18:38 Consideration of Referred Administrative Regulations 21:46 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first considered House Bill 219, sponsored by Representative Rebecca Raymer. The bill requires emergency services to provide mandatory training for emergency medical staff on sexual assault emergency response requirements, with the training developed in collaboration with the Sexual Assault Response Team advisory committee. Testimony from Jenna Cassidy of the Kentucky Association of Sexual Assault Programs and WN Stevens of Children’s Advocacy Centers of Kentucky explained that the training would help emergency department staff properly respond to sexual assault patients, preserve evidence, and connect patients to needed resources; the committee also clarified that the bill is training-focused and not a certification requirement. HB 219 received favorable expression and was reported to the House floor. The committee then heard House Concurrent Resolution 20, also from Representative Raymer, which directs the Legislative Research Commission to study gaps in sexual assault nurse examiner coverage, why those gaps exist, and what hospitals do when no SANE nurse is available. Raymer said the study was intended to gather data for future legislation, and members noted the importance of documenting current practices and supporting efforts to expand SANE coverage. The resolution was adopted with 16 favorable votes and recommended for passage on the House floor. Next, the committee took up House Bill 303, sponsored by Representative Steve Bratcher, which creates a pathway for military medical personnel to translate their training into civilian Kentucky credentials through colleges and universities. The committee substitute broadened participation beyond KCTCS to any Kentucky institution with accredited programs, and Bratcher explained that schools would evaluate military experience, award applicable credit, identify gaps, and still require the relevant licensure exam. Members asked about university participation, credentialing standards, and how prior military radiology training would transfer; Bratcher said the program is voluntary for institutions and works with existing SkillBridge and veterans’ programs. HB 303, as amended by committee substitute, passed unanimously and was recommended for passage. At the end of the meeting, the committee briefly reviewed administrative regulations. Representative Fleming asked about a behavioral regulation that had previously been found sufficient, and staff indicated it had been deferred, later found deficient again in the Senate Health Services Committee, and may be addressed through Senate Bill 65. The chair then allowed members to record additional votes before adjourning and announced the next Health Services meeting would be February 20 at noon in Room 149.

Transcript Highlights:

• > to<00:02:02.000> experience<00:02:02.800> what<00:02:03.040> a<00:02:03.120
• proceed<00:02:21.600> with<00:02:21.800> the We are going to go out of order on the
• > 20<00:53:00.640> to<00:53:00.800> 40%.
• <00:53:22.480> 20<00:53:22.800> to<00:53:22.960> 40%<00:53:23.720> on<00:
• c><00:59:37.600> wanted<00:59:37.760> to<00:59:37.840> present.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Summary: The committee first took up House Bill 527, a cleanup bill related to insurance matters and the Strengthen Kentucky Homes program. The committee substitute removed language that would have repealed the workers’ compensation deductible range, added a one-time grant/reimbursement provision for contractor fortified-roofing certifications, and added an emergency clause. The Department of Insurance said the bill also updates licensing language, addresses issues with unlicensed pharmacy benefit managers, and supports contractor training tied to the roof grant program. The commissioner noted the program is set to go live March 1 and asked members to inform constituents about possible roof grants of up to $10,000. House Bill 527 received a favorable report after the committee adopted the substitute and title amendment by voice vote and then approved the bill on a roll call vote. The committee then heard House Bill 627, a PIP reform bill. The sponsor and State Farm’s legislative agent said the substitute clarified language so the Attorney General can prosecute insurance fraud and reflected negotiations with hospitals, the Kentucky Hospital Association, the Kentucky Justice Association, chiropractors, and physical therapists. The bill would apply the workers’ comp fee schedule to most PIP claims, require bills within 180 days, prohibit balance billing and credit impairment, raise funeral benefits to $5,000 and weekly wage benefits to $500, require an annual fraud report, and give the Attorney General concurrent jurisdiction over insurance fraud cases. A physician testifying in opposition argued the bill would cut reimbursement for non-hospital providers, shift costs to hospitals and other payers, reduce access to care, and create an uneven playing field that favors hospitals. Committee members asked about the lack of a PIP fee schedule and the effect of the workers’ comp schedule relative to Medicare and commercial insurance. After debate, the committee adopted the substitute and then passed House Bill 627 with favorable expression on a roll call vote, with one member voting no. The committee also considered House Bill 355 on real estate appraisers. The sponsor said the bill would restore an independent board, allow evaluations under federal guidelines, and move Kentucky from a voluntary to a mandatory appraisal state. Testimony from insurance and appraisal representatives said the bill would require licensure for real property damage appraisers, exempt insurance agents and claims adjusters licensed under the insurance code, and create clearer standards and oversight. Members asked about the cost of an executive director and whether the board could sustain itself through fees; the sponsor said the board had historically been self-sustaining. The committee adopted the substitute and then gave House Bill 355 a favorable report by roll call vote. Finally, the committee began House Bill 568, which would prohibit new public adjuster licenses while allowing current licensees to renew. The sponsor said the bill responds to ongoing complaints and investigations in the industry and noted that most licensed public adjusters in Kentucky are not residents of the state. The transcript cuts off as the bill’s presentation was beginning.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=eHfh_r5vtFw, 2026-06-21T07:17:06+00:00, 2.2.24, Data collected via generic collector engine, 00:12 Call to Order/Roll Call 02:18 Discussion of 24RS HB 408 10:54 Roll Call Vote on 24RS HB 408 11:57 Discussion of 24RS HB 477 23:10 Roll Call Vote on 24RS HB 477 24:18 Adjournment, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• discussion or roll call on a different vote.
• discussion or roll call on a different vote.
• :02:22.400> guests<00:02:22.720> to<00:02:22.959> introduce<00:02:23.440> themselves
• DJ was asked to call the roll. The roll call vote followed.
• First vote on the bill. So we will take the vote now. Please call the roll.

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.

Transcript Highlights:

• It's<00:02:06.520> good<00:02:06.720> to<00:02:06.760> have<00:02:06.920> Vice
• And if you wish<00:02:28.320> to<00:02:28.440> speak<00:02:28.800> on<00:02:28.920
• if you'll<00:02:49.760> please<00:02:50.080> go<00:02:50.280> to<00:02:50.360><
• , they're welcome<00:02:53.240> to<00:02:53.320> come<00:02:53.560> up.
• Seeing no other discussion, Jay, please call the roll. it to the end but are there barriers it to the

Keywords: Call to Order and Roll Call: 0:00 Bills for Consideration: 26RS HB 94 – 2:40 26RS HB 307 – 15:00 Adjournment: 20:15, 958, all

Summary: The House Standing Committee on Postsecondary Education met with a quorum, welcomed new member Representative Beverly Chester-Burton, and recognized interns in attendance. The committee then took up House Bill 94, which would require the Council on Postsecondary Education to host an online transfer portal for students, require annual university updates to transfer data, and convene academic officers to study and report on streamlining high-demand pathways such as teaching and nursing. Representative Vanessa Grossl said the bill was revised in response to prior concerns and emphasized that the goal was to improve transparency, reduce time to degree, and lower student debt. Travis Powell of CPE supported the measure, saying the portal and study would improve transparency and help identify barriers to transfer. The committee adopted the committee substitute for House Bill 94 and then passed the bill out favorably by roll call vote, sending it to the House floor. The committee also reconsidered House Bill 307, dealing with proactive postsecondary admissions, after earlier discussion and additional meetings. Chair James Tipton explained that the new substitute made several changes, including addressing a FERPA concern by having KDE share student information directly with universities, limiting social security number use to the last four digits plus date of birth, and adding provisions for KIA to include a link or QR code to the common online application in KEYS scholarship notifications. Members adopted House Committee Substitute 3 for House Bill 307, with Representative Stalker noting support for the social security number change. The committee then passed House Bill 307 as amended with a favorable recommendation to the House floor. No other substantive actions were taken.

Transcript Highlights:

• The Chair called the committee to order and asked the clerk to call the roll. >> Representative Aull.
• renewing, or holding<00:02:14.800> a<00:02:14.959> license<00:02:15.280> to<00:
• <00:02:16.800> This holding a license to practice law.
• um<00:02:21.760> to<00:02:22.080> acquire<00:02:22.480> and<00:02:22.800
• c> think<00:28:30.080> it<00:28:30.240> was<00:28:30.320> called we want to

Keywords: Call to Order 00:00 Roll Call 00:02 HB 526 Discussion 01:12 HB 526 Vote 37:51 HB 424 Discussion 41:41 HB 424 Vote 44:40 HB 459 Discussion 45:57 HB 459 Vote 47:26 Adjournment 48:21, 958, all

Summary: The committee took up House Bill 526, while House Bill 254 was removed from the agenda at the sponsor’s request. HB 526 would make bar membership and dues voluntary for Kentucky attorneys, and the sponsor argued it protects constitutional rights, prevents compelled association, and would not stop the Kentucky Supreme Court or Kentucky Bar Association from offering services such as CLE, ethics support, and lawyer assistance programs. He also argued Kentucky lawyers should not be forced to fund speech or activities they may disagree with, and urged passage of the bill. Representatives of the Kentucky Bar Association, including its president and the chair of the Young Lawyers Division, opposed the bill. They said the KBA is an arm of the Supreme Court rather than a private association, and that mandatory dues support nonpolitical services such as free continuing legal education, legal research, the Kentucky Lawyers Assistance Program, ethics guidance, mentorship, disaster relief work, and the Legal Food Frenzy. They warned that changing to a voluntary system would reduce infrastructure, increase costs for lawyers, and potentially shift more regulatory and service burdens to the Supreme Court. Members questioned whether the bill would actually prevent the KBA from continuing its programs and asked about other states’ bar structures. The sponsor and supporters pointed to Indiana and other states with voluntary bar membership, while KBA witnesses said Kentucky’s current system is efficient and constitutional and that many services are not truly free but are funded through dues. The discussion became heated at points over whether KBA testimony itself constituted political speech, and the chair intervened to keep the meeting moving. The transcript ends during member questions, with no final vote on HB 526 shown.

Transcript Highlights:

• I hereby call this meeting of the Health Services Committee to order.
• Bill 389; he was told that would have to be done after the roll call is finished.
• or record votes I'd like their presence or record votes I'd like to<00:11:19.720> record<00:11
• :21.560> yes<00:11:21.760> vote<00:11:22.000> for to record my presence and a yes
• vote for to record my presence and a yes vote for House<00:11:22.399> Bill<00:11:22.639> 389

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=UAyCs5KcViM, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, 0:01:00 Call to Order and Roll Call 0:02:10 2024 Legislation Update 0:47:32 Cash Management System Overview 0:59:52 Louisville Bridges Vendors Update 1:10:18 Adjournment, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=cxKsilIUODU, 2026-06-21T07:16:59+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00 Roll Call: 02:24 SB 100 Discussion: 04:08 SB 100 Roll Call Vote: 18:36 HB 92 Discussion: 21:11 HB 92 Roll Call Vote: 34:01 HB 240 Discussion: 35:51 HB 240 Roll Call Vote: 42:39 HJR 5 Discussion: 43:39 HJR 5 Roll Call Vote: 45:32, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• If you need to record a vote, you need to, uh, you cannot do so during a discussion of a different roll
• > allow<00:18:13.440> other<00:18:13.679> licenses<00:18:14.159> to<00:18
• we're<00:18:14.960> changing<00:18:15.280> that<00:18:15.400> to<00:18:15.679><
• they needed<00:18:22.039> to<00:18:22.159> take<00:18:22.320> in<00:18:22.520><
• have something to say yes I just wanted<00:53:54.240> to<00:53:54.359> say<00:53:54.559

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• Services<00:02:48.879> to<00:02:49.120> seek Department for Medicaid Services to
• to<00:18:28.880> uh<00:18:28.960> the<00:18:29.120> dominant<00:18:29.600><
• <00:18:31.760> to<00:18:32.000> be<00:18:32.160> able<00:18:32.320> to
• they<00:18:34.480> need<00:18:34.640> to<00:18:35.039> make<00:18:35.280
• U we just want to<00:18:44.720> start<00:18:44.880> off<00:18:44.960> with<00:18

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• , but<00:02:01.520> we're<00:02:01.840> going<00:02:02.000> to<00:02:02.320>
• :02:12.959> within<00:02:13.440> 30<00:02:13.760> days<00:02:14.319> to<00
• > every<00:02:34.800> two<00:02:34.959> to<00:02:35.120> three<00:02:35.360
• <00:02:54.959> You<00:02:55.120> want<00:02:55.280> to<00:02:55.599> keep
• <00:06:15.840> All<00:06:16.080> in >> All right. Need a roll call vote.

Keywords: Call to Order and Roll Call: 0:02 Bills for Consideration: 26RS HB 383: 1:03 26RS HB 469: 6:32 26RS HB 586: 14:46 26RS HB 621: 19:58 Adjournment: 28:32, 958, all

Summary: The House Standing Committee on Primary and Secondary Education met and first considered House Bill 383, which concerns military-connected students with IEPs and 504 plans. The sponsor explained that the bill, as amended by a committee substitute and then a committee amendment, is intended to emphasize Kentucky’s priority for military children and to have their existing or new plans adopted within 30 days of arrival to the greatest extent possible, while documenting cases where that is not possible. Members spoke in support, including references to military families who would benefit. The committee adopted the substitute and amendment and then passed HB 383 favorably to the House floor with the committee substitute attached. The committee next heard House Bill 469, which would require school board candidates to undergo a background check and can test before appearing on the ballot. The sponsor said the bill was prompted by concerns about school board access to children and school buildings, and that the cost would be paid by the candidate. Members asked about the criteria for disqualification and the open records exemption; the sponsor said the background check would use existing pass-fail criteria and the records exemption would protect candidates from embarrassment if they failed. The committee passed HB 469 favorably with the committee substitute attached. House Bill 586 was then considered, clarifying that sunscreen is not a medication in schools. The sponsor and a student advocate testified that some districts treat sunscreen as an over-the-counter medication, limiting student use without a provider order, and argued the bill would help prevent sunburn and skin cancer by allowing students to use sunscreen more freely. Members praised the advocacy and asked about the medication issue; the sponsor said the concern came from dermatology stakeholders. The committee passed HB 586 favorably to the House floor. Finally, the committee took up House Bill 621, which would move special education caseload and class-size limits from regulation into statute. The sponsor said the bill responds to proposed Department of Education changes that worried special education teachers, would slightly increase class-size maximums when a paraprofessional is present, and would not affect waiver procedures, preschool caseloads, or speech-language pathologist caseloads. Members asked about the rationale and supporting data for the limits; the sponsor said there are no federal guidelines and the bill was meant to preserve current regulatory numbers. The committee passed HB 621 favorably to the House floor, and then adjourned.

Transcript Highlights:

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Keywords: 0:02 ROLL CALL 1:44 SB 145 DISCUSSION 5:15 SB 145 VOTE 6:50 HB 36 DISCUSSION 9:15 HB 36 VOTE 10:45 HB 92 DISCUSSION 13:22 HB 92 VOTE 14:30 HB 628 DISCUSSION 16:30 HB 628 VOTE 17:50 HB 245 DISCUSSION 19:20 HB 245 VOTE 20:45 HB 584 DISCUSSION 25:23 HB 584 VOTE 27:55 ADJOURNMENT, 958, all

Summary: The committee met with a quorum and first took up Senate Bill 145, which updates Kentucky’s laws governing caterers’ licenses and related ABC regulations. Senator Julie Rocky Adams explained that the bill clarifies where and how licensed caterers may sell and serve alcohol, standardizes food-to-alcohol revenue requirements, and removes administrative barriers. A committee substitute was adopted that also changes a tobacco-related license deadline from January 1, 2026 to July 1, 2026. Members discussed ABC staffing concerns, but the sponsor said those costs had not been specifically addressed. The committee substitute and then the bill as amended both passed unanimously and were sent to the House floor. The committee then considered three interstate compact bills. House Bill 36, the respiratory care compact, was presented as a straightforward compact aimed at helping military families, protecting the public, and improving real-time disciplinary data sharing; a committee substitute correcting immunity language was adopted, and the bill passed unanimously. House Bill 92, the dietitians compact, was described as improving portability of licensure, reducing burdens on licensees and states, supporting military families, and enhancing investigative and disciplinary information sharing; the committee substitute added background checks, and the bill passed unanimously. House Bill 628, the athletic trainer compact, was presented as a new compact with enough states moving forward to meet the threshold for establishment; members noted it had become a Department of Defense priority, and it also passed unanimously after a committee substitute. House Bill 254 was then taken up as a bill to exempt certain temporary emergency housing structures from plumbing code enforcement, based on experience during disaster sheltering when new trailers could not be used quickly because of inspection delays. A committee substitute corrected a drafting issue that had unintentionally affected temporary structures, and the bill passed unanimously. Finally, House Bill 584, which removes a permanent ban on a physician reapplying for DEA prescribing authority after rehabilitation and restoration of their medical license, was debated more extensively. The sponsor said the bill preserves DEA discretion while allowing a second chance after a lengthy rehabilitation process; KMA had not taken a position. Several members explained their votes, and the bill ultimately passed. The committee then recorded votes on the day’s bills and adjourned.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=zJdv-Z4Qxas, 2026-06-21T07:17:06+00:00, 2.2.24, Data collected via generic collector engine, 00:02 Call to Order/Roll Call 01:25 Consideration of Referred Administrative Regulations 01:57 Discussion of 24RS HB 293 12:45 Roll Call Vote on 24RS HB 293 14:32 Discussion of 24RS HB 493 17:02 Roll Call Vote on 24RS HB 493 18:11 Adjournment, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=JE9f8Yr7aoo, 2026-06-21T07:16:59+00:00, 2.2.24, Data collected via generic collector engine, Roll Call Vote 00:00 Gavel In 04:40 Committee Substitute 2 is adopted for SB 5 4:40 Motion on Bill 05:01 Roll Call Vote 05:08 HB 5 Motion 05:59 Roll Call Vote 0 6:07, 958, all, 2.2.42, 2.1.47