Video & Transcript Research : '504 plan'

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FL
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Feb 10th, 2026

Children, Families, and Elder Affairs

Bills: S0556, S0794, S1600
Keywords: high school diploma, graduation requirements, physical education credit, performing arts credit, marching band, Special Olympics, students with disabilities, IEP, individual education plan, 504 plan, Florida education, school credits, diploma substitution, ROTC, dance class, State Board of Education, public schools, graduation pathways, adaptive physical education, Agency for Persons with Disabilities
Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably. The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably. Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.
MN
MN

Minnesota 2025-2026 Regular Session

House Education Policy Committee 3/4/26

Education Policy

Transcript Highlights:
  • So the A2 amendment clarifies some of the language around IEP and 504 plans and when students can use
  • 504 plans and when around um IEP and 504 plans and when students<00:01:14.840> can<00:01:15.720
  • , an individualized education plan, or a 504 plan.
  • <00:09:27.200> a<00:09:27.240> 504 individualized education plan, or a 504 individualized
  • education plan, or a 504 plan.<00:09:28.560> This<00:09:28.760> legislation<00:09:29.440
Bills: HF3776, HF3557, HF3585
Keywords: screen time, preschool, kindergarten, early childhood education, digital media, tablets, smartphones, educational technology, EdTech, classroom devices, publicly funded preschool, school policy, child development, special education, IEP, 504 plan, IFSP, Minnesota education law, climate literacy, education
Summary: The committee first approved the previous day’s minutes, then took up House File 3776, as amended by the A2 amendment, which clarified how the bill would apply to students with IEPs and 504 plans. The bill’s author argued that Minnesota should address screen time for preschool and kindergarten students, saying current law is too broad, that young children are especially vulnerable to developmental and attention harms from screens, and that parents and teachers should have more control over device use. The bill was laid over after discussion. Testimony on HF 3776 was split. Amanda Faye of Minnetonka Public Schools opposed the bill as drafted, saying it would conflict with existing academic standards, READ Act screening requirements, accessibility tools, and local control, and would force districts back to paper-based screening. Katherine Myers of Live More Screen Less supported the bill, citing concerns about early childhood screen exposure and arguing that screen-free time supports child development. Members raised concerns about local control, parental rights, and how to protect students who need devices for accommodations; the author and nonpartisan staff noted that schools can already adopt cell phone policies, but exceptions may be needed for certain students and uses. After laying over HF 3776, the committee began House File 3557. Representative Craft introduced the bill as a voluntary program to promote practical science education and workforce development tied to climate literacy, including a proposed Minnesota Seal of Climate Literacy for high school students. The bill was only introduced before the transcript ended, with no vote or final action recorded on HF 3557.
FL
FL

Florida 2026 Regular Session

Education Pre-K - 12 Jan 13th, 2026

Education Pre-K - 12

Transcript Highlights:
  • year can meet the graduation requirements, provided it is specified in their individual education plan
Bills: S0206, S0420, S0556
Keywords: autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment, teacher stipend, salary supplement, professional development, inclusive education, developmental disabilities, Down syndrome, behavioral disabilities, school district compensation, collective bargaining
Summary: The committee first heard SB 420, which would require portraits of George Washington and Abraham Lincoln to be prominently displayed in classrooms used for social studies and in all K-5 classrooms, with the Department of Education selecting the portraits. Senator Burgess framed the bill as a patriotic and educational measure tied to America’s 250th anniversary, while Senator Davis raised concerns about exclusivity, political precedent, and state intrusion into local classroom decisions. Senator Osgood and others asked about sensitivity to diverse student populations and whether additional figures such as Harriet Tubman could also be displayed. Burgess said the bill would not prevent other displays, emphasized the two presidents’ historical significance, and committed to funding support so the mandate would not burden districts. The committee voted the bill favorably. The committee then took up CS/SB 206 on autism education and teacher preparation. Senator Harrell’s strike-all amendment required teacher preparation programs to include autism and other neurodevelopmental disabilities, required ESE-certified teachers to complete an autism microcredential, created an autism loan forgiveness program and salary supplement provisions, and directed district professional development to include autism-specific training with local CARD centers. A second amendment removed a proposed change to the legal definition of autism so that issue could be handled separately. Senators Davis and Osgood asked about implementation timelines, grandfathering current teachers, and how the bill would affect educators already working in autism classrooms; Harrell said he was open to further discussion and wanted to ensure flexibility while still requiring the credential. Public testimony included support from Orange County Public Schools, a parent of children with autism, and others. The committee adopted the amendments and reported the bill favorably. Finally, the committee heard CS/SB 556, which allows students with disabilities to satisfy the high school physical education requirement by participating in Special Olympics for one year if included in the student’s IEP. An amendment also clarified that two years of marching band satisfies both the PE credit and a fine or performing arts credit. Supporters said the bill expands inclusive options and reduces administrative burdens, and Senator Yarborough praised the change as giving students more flexibility. The committee adopted the amendment and reported the bill favorably. The committee also took up confirmation votes for appointments in tabs 4 through 7 and recommended all of them favorably by a single roll call vote.
KY
KY

Kentucky 2026 Regular Session

House Standing Committee on Appropriations and Revenue (2-25-26) - Upon Adjournment of the House

Appropriations & Revenue

Transcript Highlights:
  • Um my plan is secure for at least now.
  • ,<00:35:46.880> but with what we've already planned, but with what we've already planned,
  • that we could move forward with planning that we could move forward with planning and<00:37:35.359
  • 504 504 and and and very<00:42:18.240> similar<00:42:18.640> to very similar to very similar
  • And that is House Bill 504. Motion to adopt House PHS on House Bill 504.
Keywords: Meeting Start 00:00:00 Roll Call 00:00:40 HB 500 Discussion 00:01:50 HB 500 Vote 00:38:40 HB 504 Discussion 00:41:45 HB 504 Vote 00:47:00, 958, all
Summary: The House Standing Committee on Appropriations and Revenue met to consider House Bill 500, the executive branch budget bill, and House Bill 504, the judicial branch budget bill. The chair explained that the committee substitute for HB 500 was a starting point in the budget process and that a committee amendment was needed to correct a numbers discrepancy. The amendment to PHS1 was adopted, and the committee then adopted HB 500 as amended, with one no vote and several passes; the bill was reported favorably. The committee also voted to roll the committee amendment into PHS1 so it would be considered as a single unified version. The chair gave a broad overview of HB 500, describing funding for statewide costs, a 2% salary increase in each fiscal year for executive branch employees and elected officials, and broad percentage cuts of 4% in FY27 and 3% in FY28 with many exemptions. He highlighted funding changes for education, Medicaid, health insurance for state and school employees, public safety, corrections, health and family services, postsecondary education, fire programs, tourism and parks, and several capital projects. He also noted language changes or removals that were intended to clean up the bill rather than eliminate programs, and said some items were held steady or fully funded based on current estimates. Members asked about SEEK transportation funding, the budget reserve trust fund, and why Medicaid benefits were funded below the governor’s request. The chair said the reserve included general fund and Department of Insurance restricted funds as a safeguard, with some of that money available if Medicaid costs exceed expectations. He said Medicaid benefits were held flat at FY26 levels because eligibility and utilization have declined, but the committee added reporting requirements and oversight to monitor trends. A member expressed appreciation for the SEEK increase and KEPH stability, while another voted no on HB 500 because they were still reviewing the document and believed some items were missing. The chair then said the committee would move on to HB 504, but no action on that bill is included in the excerpt.
KY
KY

Kentucky 2026 Regular Session

House Standing Committee on Local Government (2-23-22)

KY
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Appropriation and Revenue. (3-18-26)

Transcript Highlights:
  • , Next up, we will take up House Bill 504, Next up, we will take up House Bill 504, which<00:02:55.400
  • I have a motion from Senator Bill 504.
  • that permitted district facility plan that permitted district facility plan modifications. modifications
  • plan year 27<00:18:31.880> and<00:18:32.000> plan<00:18:32.240> year<00:18:32.320
  • for plan years 2023 through 2028.
Keywords: Meeting Start 00:00:00 Roll Call 00:00:23 HB 503 Discussion 00:01:00 HB 503 Vote 00:02:17 HB 504 Discussion 00:02:53 HB 504 Vote 00:04:48 HB 500 Discussion 00:05:19 HB 500 Vote 00:29:18 HB 900 Discussion 00:32:02 HB 900 Vote 00:33:00, 958, all
Summary: The Kentucky Senate Appropriations and Revenue Committee met with a quorum and first took up House Bill 503, the legislative branch budget, adopting a committee substitute and reporting it favorably. The chair said the Senate version fully funds defined calculations, provides 2% raises in each fiscal year for legislative employees, removes a paragraph on operating expense reductions, and includes $1 million in the first year for a judicial branch salary study. House Bill 504, the judicial branch budget, was then amended and reported favorably; changes included 2% annual raises for judicial employees, revised operating expense language, $1 million each year for county current services, retention of Boyle County fit-up language, reporting requirements for smaller capital projects, full funding for nine judges added in 2022, and removal of furlough prohibitions and certain budget implementation language. Both bills passed the committee unanimously with favorable expressions to the floor. The committee then considered House Bill 500, the executive branch budget, adopting a committee substitute before hearing a lengthy summary of major spending and policy changes. The chair described statewide 2% annual employee raises, agency base reductions with many exemptions, increased school safety and 911 funding, veterans and military funding, local government and severance-related changes, attorney general and auditor funding, pension and retirement system support, education funding changes including SEEK, postsecondary and scholarship provisions, public safety and corrections funding, and multiple capital projects. The chair also highlighted Medicaid-related provisions, including added waiver slots, increased state-directed payments, a 2.5% reduction in managed care vendor payments for plan years 2027 and 2028 with savings redirected to fee-for-service rates, and additional funding for behavioral health and public health programs. The bill was reported favorably after members explained their votes, with several noting they had only recently received the full 228-page bill and wanted more time for detailed review. Finally, the committee adopted a committee substitute for House Bill 900, an appropriation measure for government agencies, and reported it favorably. The chair said the bill remains a work in progress and that one-time funding requests from across the Commonwealth and across party lines would continue to be addressed as the process moves forward. All measures considered during the meeting passed the committee with unanimous or near-unanimous favorable votes, and the meeting adjourned after no further business.
TX
TX

Texas 89th Regular

Senate Committee on Education K-16 (Part I) Mar 11th, 2025

Education

Transcript Highlights:
  • plans, ensuring safety during mandatory school drills or emergencies, and during a pandemic.
  • plan.
  • During the cap, it was far too easy for 504 plans to.
  • plan as a reasonable accommodation.
  • What this Senate bill does is create a carve out out for students with IAPs or 504 plans with the school
Bills: SB568, SCR5, SB57, SB1447, SB27, SB24
Keywords: special education, funding, individualized education program, visual impairments, accessibility, support services, state education code, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame
TX
TX

Texas 89th Regular

Senate Committee on Education K-16 (Part II) Mar 11th, 2025

Education

ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations Apr 3rd, 2025 at 08:30 am

Appropriations

Transcript Highlights:
  • House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
  • And that was requested by PERS because of when their plan renews each year.
  • plan like a thousand... ...deductible plan.
  • Well, hopefully forever, but it also covers a small group outside of the PERS plan.
  • And it doesn't cover ERISA plans, is that correct? Okay.
Bills: SB2271, HB1216
Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program
Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.
MN
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/4/25

Commerce Finance and Policy

Transcript Highlights:
  • another insurance plan.
  • talking about how it affects other plans talking about how it affects other plans and<00:12:58.160
  • five I I say different competing plans five I I say different competing plans that<00:13:51.480>
  • <00:19:30.480> taxes portion of existing Health Plan taxes portion of existing Health Plan
  • under this plan?
Bills: HF837
Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, 1183, house
MN
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/5/26

Commerce Finance and Policy

Transcript Highlights:
  • And the individual plans.
  • Once approved by commerce, health plans Once approved by commerce, health plans are<00:09:15.279
  • uh policy from the plans? uh policy from the plans?
  • . plans. plans.
  • c> type, health plan, metal level, plan type, health plan, metal level, plan type, exchange<00:57
Bills: HF3388, HF400
Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400
Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.
OK
OK

Oklahoma 2026 Regular Session

Government Modernization and Technology Feb 9th, 2026 at 03:00 pm

Government Modernization and Technology

TX
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • benefit manager is Express Grips for all of our plans.
  • We would continue to... develop the cost estimates for our plans, for the TRS plans, but I think...
  • the teacher retirement system plan, the employee's retirement system plan.
  • plans, etc., not the ERISA plans, etc., which is, you know, 50% of the market give or take in Texas.
  • To the plans. Yes, sir. Well, whatever their cost, it should be in there.
Bills: HB138, HB335, HB388, HB138
Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
TX
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • and have that plan ready to go when session comes instead of being working through the on a tight and
  • . issuers or administrators, and expenses for enrollees, health plans, and policy makers.
  • We're reviewing and I will plan to come back with a committee substitute. Thank you very much.
  • as if their family members are covered by a plan.
  • In today's world, each plan or carrier, if you will, had its own unique questionnaire form.
Bills: HB138, HB335, HB388, HB138
Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
TX
TX

Texas 89th Regular

Water, Agriculture, and Rural Affairs Mar 17th, 2025

Water, Agriculture and Rural Affairs

KY
KY

Kentucky 2026 Regular Session

House Budget Review Sub. on Transportation. (1-29-26)

Transcript Highlights:
  • have that plan for just a minute. have that plan for just a minute.
  • , the governor's plan.
  • highway plans. highway plans.
  • > a strategic plan, "A good plan is like a strategic plan, "A good plan is like a road<00:42:25.760
  • 100%<00:50:42.720> budget<00:50:43.119> plan. 100% budget plan. 100% budget plan.
Keywords: 00:03 Call to Order and Roll Call 00:57 Capital Projects and Highway Plan 56:11 Adjournment, 958, all
Summary: The House Budget Review Subcommittee on Transportation met to hear the Kentucky Transportation Cabinet’s presentation on the governor’s 2026 capital projects budget and recommended highway plan. Secretary Gray and cabinet staff first thanked KYTC snow and ice crews, local road departments, first responders, utility workers, and others for their work during a major winter storm, then outlined the capital budget request. The cabinet said its facilities are aging, with about 35% at or beyond useful life, and that limited road fund revenues led it to focus mainly on maintenance, maintenance pools, aircraft maintenance, environmental compliance, AASHTOWare upgrades, state park road maintenance, truck parking, and reauthorization of several projects, including airport work and road projects. The cabinet said the governor’s budget includes about $22.8 million in state funds for the capital budget over the biennium, plus carry-forward language for maintenance pools and project reauthorizations to avoid losing federal funds. Members asked about repeated reauthorizations, cost increases, and whether projects should be restarted as new requests after carrying over for multiple budgets. The cabinet responded that budget office policy generally allows only one reauthorization before a project must be resubmitted, and said many delays are due to acquisition or other project issues. Members also questioned the basis for increased-cost line items and the $5 million request for commercial truck parking; cabinet staff said they could provide original project cost details and that many increases are inflationary, while the truck parking project is expected to use federal funds and is a cabinet priority. The committee also discussed the decline in road fund receipts, which the cabinet attributed largely to lower motor fuels tax revenue. The presentation then shifted to the 2026 recommended highway plan. Officials said the plan covers more than 1,300 projects over six years and anticipates about $9.5 billion in federal and state funding. They said the plan is intended to maintain existing assets, advance long-term priority projects, and honor prior commitments, including the Mountain Parkway, the Brent Spence Companion Bridge, and the I-69 Ohio River Crossing. About 40% of plan funds are dedicated to existing pavements, bridges, and guardrails, and officials cited a 61% rise in highway construction costs from 2020 to 2025 as a major challenge. To help offset those pressures, the cabinet is seeking $125 million from the budget reserve trust fund for the Brent Spence Bridge and release of a federal grant condition tied to the already appropriated $150 million for the I-69 crossing. No votes were taken at the meeting.
HI
HI

Hawaii 2026 Regular Session

AEN Public Hearing 02-01-2023 1:00pm

TX
TX

Texas 89th Regular

Public Education May 6th, 2025

Public Education

Transcript Highlights:
  • of school districts parents will fill out forms for their kids so you know what the transportation plan
  • I wanted to talk to you about making a plan for Maria's success in French."
  • From lesson planning to classroom management, to grading and communicating with parents and administration
Bills: HB1325, HB1655, HB3312, HB5526, SB13, SB57, SB207, HB441, HB591, HB5019, SB27, SB843, SB 13, SB 27, SB 57
Keywords: student transfer, public servants, education code, peace officer, servicemember, judicial officer, school security, volunteer program, retired law enforcement, veterans, public safety, school safety, criminal background check, school libraries, library advisory councils, parental rights, library materials, educational content, challenging materials, emergency operations plan
TX
TX

Texas 89th Regular

Public Education May 6th, 2025

Public Education

Transcript Highlights:
  • plan or IEP.
  • It says, in developing or modifying an IEP or a 504 plan, the student's committee or team, as applicable
  • within the IEP or 504 does create additional paperwork.
  • On any given day at school, my plan looked idyllic until it wasn't.
  • It requires that emergency accommodations be documented in a student's IEP or Section 504 plan, which
Bills: SB 13, SB 27, SB 57, HB1325, HB1655, HB3312, HB5526, SB13, SB57, SB207, HB441, HB591, HB5019, SB27, SB843
Keywords: lobbying, public funds, political subdivision, local government, county association, municipal lobbying, registered lobbyist, Texas Legislature, taxpayer lawsuit, injunctive relief, attorney's fees, government finance, county dues, state association of counties, sheriffs association, law enforcement officers, legislative advocacy, bill tracking, legislative alerts, Government Code Chapter 556
KY
KY

Kentucky 2026 Regular Session

Budget Review Subcommittee on Heath and Family Service. (6-3-26)

Transcript Highlights:
  • transformation plan. transformation plan.
  • I'll go over the plan, our activation, I mean the program overview and the activation plan.
  • I'll go over the plan, our activation, I mean the program overview and the activation plan.
  • I'll go over the plan, our activation, I mean the program overview and the activation plan.
  • I'll go over the plan, our activation, I mean the program overview and the activation plan.
Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all
Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.