Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:05 25 RS HB 534 - AN ACT relating to actions for forcible entry and detainer: 00:01:45 25 RS SB 111 - AN ACT relating to juvenile justice: 00:23:46 Children's Advocacy Centers of Kentucky: 01:13:26 Opioid Use Disorder (OUD) Treatment in State and County Correctional Facilities: 01:25:28, 958, all

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• disorder, otherwise known as OUD. disorder, otherwise known as OUD.
• opioid use disorder, or OUD. opioid use disorder, or OUD.
• So if this is strictly for OUD, that's great.
• Buprenorphine is indeed life-saving for those with OUD.
• So if this is strictly for OUD, that's great.

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• The cost that's not being factored here is when you compare these numbers with the cost of the OUD
• The annual health care costs of treating a Medicaid patient with OUD averages over $16,000 per year,
• with the cost you compare these numbers with the cost of<00:24:49.279> the<00:24:49.520> OUD
• of the OUD, that's opioid use disorder. of the OUD, that's opioid use disorder.
• ><00:24:58.799> averages<00:24:59.360> over<00:24:59.760> $16,000 patient with OUD

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• five of every 100 Medicaid beneficiaries who get a prescription for acute pain will go on to develop OUD
• Those that go on to develop OUD are estimated to cost Medicaid on average nearly $10,000 more in annual
• go<00:05:05.520> on<00:05:05.680> to<00:05:05.919> develop<00:05:06.320> OUD
• <00:05:06.960> are Those that go on to develop OUD are Those that go on to develop OUD are

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• opioid use disorder or OUD. opioid use disorder or OUD.
• And so, what I wanted to know is who would make the diagnosis of OUD?
• An OUD is absolutely there. It's when it's used for pain management.
• An OUD is absolutely there. it. An OUD is absolutely there.
• Uh many pain diagnosed with OUD.

Keywords: 1187, senate, all

Transcript Highlights:

• This inhibits individuals with Opioid Use Disorder (OUD) from living normal lives, which may include
• Greater access is needed to ensure that New Mexicans with OUD can access life-saving treatment in a timely
• Though 38 of these offer OUD treatment using buprenorphine, another FDA-approved MOUD.

Transcript Highlights:

• Madam Whip, members, I’m Zain Oud. I’m a majority research intern.
• Madam Whip, members, I’m Zain Oud. I’m a majority research intern.

Keywords: 1182, all

Summary: The meeting covered a long list of House bills, mostly on third-read consent calendars, spanning appropriations, elections, education, public safety, water, taxation, and criminal law. Early discussion focused on HB 2148, which would give the legislature authority to appropriate non-custodial federal funds, described by the sponsor as a transparency measure. Other measures discussed included HB 2091 on insurance-related assessment limits, HB 2122 on reciprocity for BTR-related professions, HB 2138 clarifying firefighter workers’ compensation coverage, and HB 2008 barring public school libraries from using public money to pay library professional associations. HB 2110, removed from consent, would allow school governing body members to pray at meetings, with members noting Supreme Court precedent supporting such prayer. Several bills addressed school safety and parental rights. HB 2142 would create a School Safety Center at the Arizona Department of Education and allow up to 10% of school safety program funds for administration, with supporters citing an audit and lack of oversight. HB 2249 would expand the Parents’ Bill of Rights to require notice if a school employee facilitates social transitioning of a minor and to provide broader access to educational records, with penalties discussed for violations. HB 2074 would add mandatory reporting for anyone in a medical facility who knows a partial-birth abortion is occurring, and HB 2144 would allow child support calculations to begin during pregnancy based on a confirmed pregnancy test and related DNA testing provisions. The committee also took up election-related measures. HB 2022 would make permanent changes tied to the federal Electoral Count Act, including moving Arizona’s primary earlier to preserve military and overseas voting access, while keeping petition dates valid and preserving existing deadlines for candidates. HCM 2001 urged federal designation of the Muslim Brotherhood as a foreign terrorist organization, and HCM 2002 supported a separate congressional effort involving CARE and related federal review and designation processes; members debated the distinction between direct designation and a request for federal investigation. HCR 2001 proposed a constitutional amendment to limit voting to U.S. citizens, require government ID to register, prohibit foreign contributions, and end early voting by the Friday before an election. Water, land use, and tax bills were also reviewed. Measures included HB 2024 on snowpack augmentation as a water supply development project, HB 2029 and HB 2030 tightening how Water Conservation Grant Fund money is used, HB 2053 appropriating $100,000 for updated stormwater recharge mapping, HB 2096 expanding revolving fund uses to address cesspools, HB 2097 capping groundwater withdrawal in irrigation non-expansion areas, and HB 2116 funding potential Colorado River litigation. On the tax side, HB 2016 would remove late-filing penalties when no tax is due, HB 2104 and HB 2105 would protect agricultural property owners from repeated reclassification and require notice of inspections, and HB 2289 would update truth-in-taxation examples to reflect higher home values. The committee also heard bills on criminal penalties and other matters, including HB 2043 on felony murder involving an unborn child, HB 2045 on discharging a weapon near a vehicle, HB 2131 and HB 2132 on weapons trafficking and fentanyl penalties, and HB 2062 authorizing a Buffalo Soldiers memorial in Wesley Bolin Plaza.

Transcript Highlights:

• Maybe not health systems are not seeing that directly, but societal cost does add up when it comes to OUD
• ..." "...are not seeing that directly, but societal cost does add up when it comes to OUD management
• addressed this, but I just..." are not seeing that directly, but societal cost does add up when it comes to OUD

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• authorization and step therapy requirements for FDA-approved medications for opioid use disorder, also known as OUD

Keywords: 1183, house

Transcript Highlights:

• Good afternoon, Sam Oud, with Capital Advocacy, on behalf of Bosch, in strong support today.

Summary: The Assembly Committee on Revenue and Taxation heard several bills focused on transit funding, veterans’ tax relief, clean energy incentives, housing development costs, and tax conformity. SB 63 would authorize a Bay Area regional sales tax measure for transit agencies facing fiscal shortfalls; supporters said it was needed to avoid major service cuts, while the California Taxpayers Association opposed it on Proposition 13/218 concerns. SB 56 would exclude veterans’ disability compensation from income calculations for the disabled veterans’ property tax exemption, and SB 296 would expand property tax relief for 100% disabled veterans and certain surviving spouses; both drew broad veterans’ support. SB 86 would extend and expand the California Alternative Energy and Advanced Transportation Financing Authority sales and use tax exemption program, including fusion energy, and SB 302 would conform state tax law to federal clean energy credit monetization provisions; both were backed by industry, labor, and clean energy advocates. SB 328 would cap Department of Toxic Substances Control fees on contaminated-soil remediation for infill and master-planned housing projects, with housing groups arguing the current fee structure can make projects infeasible. SB 711 would update California’s tax conformity date to January 1, 2025 to reduce complexity and inconsistencies with federal law, and was supported by tax professionals and business groups. Several bills were held or sent to suspense, while others advanced with amendments. After quorum was established, SB 63 passed the committee 4-2 and SB 86, SB 302, SB 328, and SB 711 were referred to suspense, with SB 86 and SB 302 later approved out of suspense with amendments. SB 56 was held in committee, SB 296 was made a two-year bill, and SB 284 and SB 723 were held. The committee also approved a number of additional suspense-file bills, including SB 293, SB 359, SB 419, SB 587, SB 603, SB 663, SB 710, and SB 785, while SB 591 was approved with amendments and SB 353 was made a two-year bill. The hearing concluded with the committee adjournment after final roll calls and bill actions.

Transcript Highlights:

• Maybe health systems are not seeing that directly, but societal cost does add up when it comes to OUD
• Are not seeing that directly, but societal cost does add up when it comes to OUD management and the productivity

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• Give them a chance to hunt an oud at in West Texas, and maybe they'll. Handle complications.

Bills: HB170, HB865, HB748, HJR112, HB 1110, HB1495, HB786, HB 1130, HB170

Keywords: civil liability, self-defense, force, deadly force, legal immunity, attorney's fees, criminal justice, firearms, liability, veterans, gun ownership, immunity, firearm hold agreement, sexual abuse, nondisclosure, confidentiality, public policy, Trey's Law, parental rights, child upbringing

Transcript Highlights:

• authorization and step therapy requirements for FDA-approved medications for opioid use disorder, also known as OUD
• authorization and step therapy requirements for FDA-approved medications for opioid use disorder, also known as OUD
• authorization and step therapy requirements for FDA-approved medications for opioid use disorder, also known as OUD

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• it applies to both seriously mentally ill individuals as well as individuals that are suffering with OUD

Transcript Highlights:

• The only thing that I want to continue to work with the sponsor on is the OUD and MAT treatment in prisons

Keywords: 985, all

Transcript Highlights:

• basically means is the eligibility criteria for this program is that someone has to have what we call an OUD

Transcript Highlights:

• Researchers evaluating Kentucky Medicaid beneficiaries with an OUD identified over 25,000 Medicaid recipients

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Bills: SB6, SB62, SB74, SB90, SB104, SB119, SB132, SB133, SB135, SB182, SB185, SB193, SB207, SB217, SB229, SB233, SB260, SB262, SB280, SB281, SB300, SB306, SB378, SB382, SB393, SB403, SB422, SB427, SB431, SB434, SB442, SB452, SB456, SB468, SB472, SB487, SB503, SB6

Keywords: cloud seeding, Nevada, water conservation, agriculture, Desert Research Institute, victim compensation, hate crimes, property remediation, criminal justice, vulnerable persons, elections, voter registration, mail ballots, candidate eligibility, cybersecurity, education funding, teacher grants, classroom supplies, instructional support, specialized personnel