Transcript Highlights:

• for children, and adoption is permanency.
• So that was four months that meant he was not going to get permanency at 14 years old.
• So we know that it's really important to get that information timely because it means permanency for
• for children and adoption is permanency.
• So that was 4 months that meant he was not going to get permanency at 14 years old.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

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.

Transcript Highlights:

• What we need to remember is that we're looking for permanency for children, and adoption provides that
• permanency.
• This meant that for four months, he was not going to get permanency at 14 years old.
• We know that it's really important to get that information in a timely manner because it means permanency
• On both ends are looking for permanency for that child, and they're not just sitting in the system.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• So that young woman is stuck in foster care with no option for a permanent home.
• It changes HHSC's review of plans to on-site reviews in order to reduce agency workload, and it also
• It requires HHSC to work with TDEM to develop and post model emergency preparedness plans.
• HHSC to work with TDEM to develop and post model emergency preparedness plans.
• So how does he complete his plan?

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• The bill will strengthen the state's planning by requiring a rural hospital financial needs assessment
• So the original plan was for him to age out of care.
• So the original plan was for him to age out of care.
• We looked at their service plans.
• Currently, Four Kids has 110 budgeted permanency specialists.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

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

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.

Bills: HB2293, HB3176, HB3545, HB3546

Keywords: broadband, Oklahoma Broadband Office, broadband access, statewide broadband plan, internet connectivity, funding, grant programs, expansion council, termination plan, Oklahoma, Gas Hub, artificial intelligence, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development, state agencies, high-risk AI decisions, deepfakes

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

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

Bills: SB 1194, SB 1215, SB 1253, SB 1268, SB 1302, SB 1484, SB 1532

Keywords: water management, bond issuance, eminent domain, regional authority, fee structures, local governance, environmental quality, oyster cultivation, coastal management, natural resources, marine ecosystems, Texas Parks and Wildlife, Texas Water Development Board, guidance principles, flood plan, state water plan, rule review, infrastructure, water discharge, general permit

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.

Transcript Highlights:

• I will work on... plan. Right now, if you only have 30 plan.
• days to work your reunification plan days to work your reunification plan while<00:11:54.079>
• plan.
• plan.
• plan.

Bills: HF1918, HF2305, HF897, HF2191, HF2617, HF2551, HF2137

Keywords: HF1918, Department of Children Youth and Families, DCYF, child welfare, foster care, out-of-home placement, permanency planning, relative search, noncustodial parent, kinship care, family preservation, African American Child and Family Well-Being, racial disproportionality, maltreatment reporting, educational neglect, truancy, school attendance, Great Start compensation, child care provider payments, TEACH early childhood program

Transcript Highlights:

• This bill eases permanency and prevents extra unnecessary placements for young people simply through
• This<00:24:07.360> bill<00:24:07.720> eases<00:24:08.080> permanency<00:24:08.720
• > and<00:24:08.880> prevents This bill eases permanency and prevents This bill eases permanency
• The plan today be before the committee.
• The plan today members<00:57:33.320> is<00:57:33.480> to<00:57:33.600> lay<00:57

Bills: HF3877, HF3714, HF3750, HF3024

Keywords: public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact

Transcript Highlights:

• And 7,144 children have moved to either permanency through reunification or adoption in the last year

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.

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.

Transcript Highlights:

• So she's had that planned for a while, but she does hope to be with you for future meetings.
• road plan. road plan.
• with a game plan with a game plan that<00:31:37.240> we<00:31:37.360> can<00:31:37.520
• I was going to give just a brief plans.
• , the General Assembly provided an plan, the General Assembly provided an additional<00:48:43.920>

Keywords: 00:01 Call to Order and Roll Call 01:22 Overview/Impact of Executive Order 47:02 General Funds in Road Plan 50:37 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met for its first meeting and received an overview from Transportation Cabinet officials on the governor’s executive order responding to high gas prices. Deputy Secretary Mike Hancock and budget director Shawn McKiernan explained that the order declared a state of emergency, reduced the state motor fuels tax by 10 cents per gallon, froze the tax rate for FY27, and urged Congress to suspend the federal gas tax. They said the emergency regulation would remain in effect until the war in Iran ends or Kentucky gas prices fall below $3 per gallon, and that any transportation budget shortfalls could be covered by the state budget reserve trust fund if requested later by the governor. McKiernan estimated the 10-cent reduction would reduce the road fund by about $26.8 million per month, with roughly 44% flowing to county road aid, rural secondary, and municipal road aid. He said the immediate impact to counties and cities would be about $11.8 million for one month, while the cabinet would see about $15 million per month less available for its own use. He also said the freeze on the FY27 motor fuels tax rate would prevent a scheduled increase and, compared with the budget assumption, would produce about $42 million in net additional revenue, split between local governments and the cabinet. He added that if the reduction lasted through December, the major transportation programs could be down about 16.9% from budgeted levels. Members focused on the effect on local governments, the road fund, and the cabinet’s cash management process. Several senators and representatives criticized the executive order as short-sighted or political, while others emphasized the need for a long-term solution to transportation funding. Questions were raised about how make-whole payments to counties and cities would be handled, how the cabinet manages cash flow, and whether the state should continue relying on general fund transfers to support the road plan. Cabinet officials said they would work with lawmakers, explained that project authorizations are managed based on cash flow and seasonal spending patterns, and noted that construction and maintenance costs have risen sharply, making revenue adequacy a continuing concern.

Transcript Highlights:

• administrators on behalf of the plan administrators on behalf of the plan both<00:46:59.760>
• rebates are helpful to plan financials. rebates are helpful to plan financials.
• Uh but we uh we're plan would have.
• So, the plan is of that savings.
• We are a data-driven organization. plan value but also keep premiums as low plan value but also keep

Keywords: Voter List Maintenance - State Board of Elections -- 05:38 State Employee Health Insurance Plan – 44:18 Discussion of HB 622 (2025 RS) – 01:01:43, 958, all

Summary: The Interim Committee on State Government met on July 29, established a quorum, approved the June 24 minutes unanimously, and heard an update from the State Board of Elections on voter list maintenance. Taylor Brown, the board’s general counsel, explained the federal NVRA requirements and Kentucky’s statutory process for maintaining voter rolls, including use of USPS change-of-address data, ERIC reports, and agreements with non-ERIC states. He said Kentucky has entered or discussed agreements with several states, and that the board sends postcards to voters believed to have moved; if a voter does not respond to an 8D2 postcard and does not vote over two federal election cycles, the registration may be removed. He also described other removal categories such as death, felony conviction, incompetency, duplicate registrations, and self-requested cancellations. Brown reported that between July 1, 2024, and June 30, 2025, the board removed 284,381 registrations from the rolls, including 42,675 for death, 5,940 for felony conviction, 5,527 for registration in another state, 578 for incompetency, 223 based on jury questionnaires indicating non-citizenship, 746 self-removals, and 3,381 duplicates, along with 225,311 removals through the address-maintenance program. He said Kentucky’s total registrations decreased by roughly 169,000 over the year and are now below the Census Bureau’s estimate of the state’s voting-age population. Brown emphasized that receiving a postcard does not mean a voter has been purged and that failure to vote alone does not trigger removal. Members asked about the 223 non-citizen-related removals, the availability and effectiveness of alternatives to ERIC, the partisan criticism of ERIC, and how duplicate registrations are identified. Brown said the non-citizen jury questionnaire cases had been referred to the Attorney General for further review, that Kentucky currently has no organized alternative to ERIC but is pursuing reciprocal agreements with states such as Florida, and that ERIC recently changed bylaws to remove a postcard requirement that had been costly for member states. On duplicates, he said the board uses multiple data points, not just name and address, and noted that fuller Social Security data could improve accuracy. Committee leaders praised the board’s work and said they wanted to meet before session to discuss possible statutory changes to improve voter list maintenance.

Transcript Highlights:

• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• The EIPA is not nationally certified; it's more of a specialty plan.
• <00:54:32.559> their that's what they use to plan their that's what they use to plan their

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• They actually did a business plan for the medical school that dives into a lot of this information and
• Those are primarily from the land grant permanent fund.
• With that, I would like to turn it... ...from the land grant permanent fund.
• At this point, we've introduced our new strategic plan for 2026-2030, a forward-looking map that reflects
• This plan was the result of months of thoughtful collaboration, data analysis, and stakeholder engagement

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach