Video & Transcript Research : 'W.S. 18-9-201'

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WY

Wyoming 2026 Regular Session

Senate Revenue Committee, February 27, 2026

Revenue

Transcript Highlights:
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Bills: HB0147, HB0127
WY

Wyoming 2026 Regular Session

House Revenue Committee, February 17, 2026

Revenue

Transcript Highlights:
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KY
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Summary: The Interim Joint Committee on Health Services met to approve the June 18 minutes and hear introductory remarks from new Cabinet Secretary for Health and Family Services Dr. Steven Stack and new Department for Public Health Commissioner Dr. John Langfeld. Both described their backgrounds and emphasized a shared focus on using health data to improve quality, coordination, and outcomes across Kentucky. They highlighted the Kentucky Health Information Exchange (KHI) as a central tool for connecting hospitals, labs, providers, public health systems, Medicaid, and other state and federal data sources, and said the system supports notifications, immunization records, surveillance, and care coordination. They also outlined priorities such as continued investment in KHI, stronger interoperability, privacy protections, and expanded analytic capacity to turn data into action. Committee members then asked about COVID-19 vaccine recommendations and informed consent, particularly for pregnant women and children. Dr. Stack said informed consent should come through a licensed health care provider, that Kentucky did not mandate the COVID vaccine, and that the evidence still supports vaccination for high-risk groups, including pregnant women, citing professional medical guidance. A follow-up exchange focused on concerns about past vaccine policies and the need for patients to receive full information before making decisions. Senator Heron asked how KIPRC/KIPR could be used to address firearm injuries. Dr. Langfeld said the key opportunity is to make data more real-time and usable for day-to-day response, while Dr. Stack said the department would continue its long-standing partnership with KIPRC and noted his view that gun violence is a public health emergency. He added, however, that because firearms are a deeply divided issue, the Department for Public Health’s current role is mainly to make data available for authorized research rather than to take a broader policy role. No votes or formal actions beyond approving the minutes were taken.
KY
Transcript Highlights:
  • Boards and Commissions, Board of Veterinary Examiners, 201 KAR 16:767.
  • Boards and Commissions, Board of Physical Therapy, 201 KAR 22:010 and 22:070. 201 KAR 22:010 has staff-suggested
  • amendments. 201 KAR 22:010 is being amended to update language for consistency and uniformity.
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Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.
KY
Transcript Highlights:
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Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.
KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (2-26-26)

Health Services

Transcript Highlights:
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Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.
KY
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Summary: The House Standing Committee on Economic Development and Workforce Investment met with a quorum and first considered Senate Bill 3, relating to student athletes and NIL. Senator Max Wise said the bill would modernize Kentucky’s NIL framework so universities remain competitive and student-athletes can benefit, noting the state’s earlier NIL law and the need to act before a pending national settlement. Several members supported the bill but expressed concern that NIL has changed college athletics and could eventually affect high school sports. The committee reported Senate Bill 3 favorably. The committee then took up Senate Bill 15, relating to minimum wage exceptions for minor league baseball players. Senator Amanda Bledsoe and MLB representative Josh Allen explained that the bill would align Kentucky law with the players’ collective bargaining agreement, treating the players as salaried rather than hourly workers and addressing overtime issues. Members discussed the minimum weekly salaries at Single-A and Triple-A, along with housing, meals, and health benefits under the agreement. The committee adopted a committee substitute, passed a title amendment, and reported Senate Bill 15 favorably. Finally, the committee heard Senate Bill 103, which concerns the Office of Vocational Rehabilitation and services for people with disabilities. Senator Danny Carroll and provider advocates said the bill would add regulatory oversight, require reporting to the legislature and governor, and give preference to in-state services when available, while preserving access to out-of-state services when needed. Testimony focused on Kentucky’s low employment ranking for people with disabilities, unused federal funds, provider funding concerns, and an OVR order of selection that would limit services to the most severe cases. The committee adopted a committee substitute and reported Senate Bill 103 favorably after supportive comments from members about the program’s impact on employment and quality of life.
KY
Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met and first took up SB 129, with a committee substitute adopted before testimony. The bill would allow certain qualified third-party entities in Louisville Metro, including public bodies and long-standing nonprofits, to purchase certificates of delinquency on vacant and abandoned residential properties after 90 days, with the goal of returning blighted property to productive use and back on the tax rolls. Several members supported the measure as a tool for housing and economic development, while Senator Boswell and Chair Willer noted concerns about protecting vulnerable property owners, such as widows, the elderly, and people with disabilities. SB 129 was approved by the committee with favorable expression. The committee then heard SB 178, which updates statutes related to the Education and Labor Cabinet by moving the Office of Vocational Rehabilitation’s Division of Program Policy into statute, renaming Business and Apprenticeship to Industry and Apprenticeship, and making related organizational changes. Testimony from cabinet staff said the changes reflect work already being done and that a floor amendment would be needed for one additional correction. The bill was advanced unanimously with favorable expression. Next, the committee considered SB 151, which would bar state tax dollars from being used to pay persons not legally present in the United States. The sponsor argued the bill was needed to prevent Kentucky funds from going to undocumented workers on state job sites, while Senator Wheeler questioned what the bill would change beyond existing law and how such payments would occur through contracts or appropriations. Senator Yates said he was not opposed to the premise but wanted more time to review the bill’s mechanics, and Senator Thomas voted no for the same reason. Despite those concerns, SB 151 passed with favorable expression. Finally, the committee heard SB 2011, a workers’ compensation bill that would delay newly appointed administrative law judges from taking office until Senate confirmation, extend current ALJ terms through June 1 of next year, and allow retention votes for board members to improve stability and attract more applicants. The sponsor said the bill addresses a loophole that can discourage qualified candidates from applying because they may have to leave private practice before confirmation. After a question about whether the bill would affect salaries, the sponsor explained compensation is set by statute and caseload need is separately reviewed. The bill received favorable expression and the meeting concluded with no further business.