Transcript Highlights:

• Their commission is through the commissioner of public safety with the recommendation and consent of

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Bills: HB2115, HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• Nathan Goan, Justice and Public Safety Cabinet Office of Legal Services.
• Safety cabinet office Legal Public Safety cabinet office Legal Services<00:56:37.079> Nathan<
• Nathan Goan, Justice and Public Safety Cabinet Office of Legal Services.
• Safety cabinet office of Legal Public Safety cabinet office of Legal Services<00:58:54.160> Mike<
• Cabinet for Health and Family Services, Department for Public Health, 902 KAR 1:120, 1:122, repealer

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• We do have the public hospitals.
• care services care services we<00:18:54.000> we<00:18:54.160> might<00:18:54.320><
• Hawaii Public Health Institute.
• You will hear later today, services.
• Mahalo for your service. Mahalo for your service.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• <00:33:26.399> We Hawaii Public Health Institute. We Hawaii Public Health Institute.
• services statutes. services statutes.
• Medical Services and Injury Prevention. Medical Services and Injury Prevention.
• Preventive Services Task Force.
• . services. services.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• crisis follow-up and stabilization services, and embedding social workers in local public safety agencies
• public service agencies.
• service response. service response.
• <00:19:06.240> Um, service. It's it's a safety element. Um, service.
• those services. those services.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Bills: SF0023, SF0057

Keywords: mental health, involuntary hospitalization, examiners, public safety, Wyoming legislature, hospital pricing, healthcare transparency, public health, civil penalties, shoppable services, 916, all

Transcript Highlights:

• Representative Clouston. public comment. Uh, if you'd like to public comment.
• <00:54:28.960> services.
• How not only can health care provide quality service, access to service, but also affordable services
• Any additional public comment? All right, seeing none, I'm going to close public comment.
• Any additional public comment? Any additional public comment?

Bills: SF0023, SF0057

Keywords: mental health, involuntary hospitalization, examiners, public safety, Wyoming legislature, hospital pricing, healthcare transparency, public health, civil penalties, shoppable services, 916, all

Transcript Highlights:

• safe, coordinated, and effective public safe, coordinated, and effective public safety<00:09:49.720
• a reminder to the members of the public a reminder to the members of the public non-partisan<00:
• The first report would be a public report, and the second would be a not public report.
• The first report would be a public report, and the second would be a not public report.
• The first report would be a public report, and the second would be a not public report.

Bills: HF4810, HF4597, HF1082, HF3230

Keywords: public safety, radio communications, infrastructure funding, county funding, interoperability, ARMER network, local jurisdictions, HF4597, Minnesota public safety, 911, emergency dispatch, emergency communications, public safety appropriation, Metropolitan Emergency Services Board, PSAP, dispatch interoperability, real-time coordination, emergency response coordination, cross-jurisdictional response, 911 center awareness platform

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• I do have a question about the Department of Public Safety.
• There are published reports that the Department of Public Safety has already received about $7 million
• the same level of operation once that money gets deposited into DOC or under the auspices of the public
• So, I was wondering whether this budget would Perhaps deduct $45 million from the Department of Public
• new granting structure that was structured two years ago and still had a contracts to provide that services

Bills: SB1177, SB1177

Keywords: education funding, mental health services, public safety, housing, state budget, 914, all

Transcript Highlights:

• So as I'm trying to understand health and human services, and that's the subcommittee that I sit on.
• There's been a public RFP that's been produced.
• No, it's not anticipated that the capacity will change by going from public to private.
• The Legal Services Revolving Fund is a separate Fund unrelated to the Extraordinary Litigation.
• request. scholars program and then an increase in their debt service request.

Bills: SB1177

Keywords: education funding, mental health services, public safety, housing, state budget, 914, all

Bills: HB462, HB8, HB8

Keywords: emergency medical services, military training, licensure, public health, veterans, tobacco regulation, vaping, sales restrictions, youth protection, tobacco compliance, education programs, electronic nicotine delivery systems, campus chaplain, chaplain, school chaplain, volunteer, public K-12 schools, public schools, public charter schools, education policy

Transcript Highlights:

• Very responsive to the public.
• It's very easy for the public.
• out in the general public.
• It's the use of public dollars and how do we use those public dollars?
• They want us to spend it on services, but they're not.

Bills: HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219

Keywords: state government, vendor contracts, subcontracting, public database, contract assessment, transparency, retirement, law enforcement, Oklahoma Law Enforcement Retirement System, school resource officers, public safety, public finance, contract management, service-driven contracts, state accounting, intangible assets, Oklahoma Police Pension, disability benefits, mental health, retirement system

Transcript Highlights:

• Services, 702 KAR 5130. Services, 702 KAR 5130.
• services in the child waiver. services in the child waiver.
• PDS services at this time. PDS services at this time.
• participant directed services. participant directed services.
• not a service delivery option. not a service delivery option.

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• And lastly, at the Department of Human Services.
• Line 1373 is a reduction to public health infrastructure pilot grants.
• This increases the MA rates for ambulance services by 13.6%.
• We will now move to testifiers from the public.
• That there will be ambulance services to arrive.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• I think probably the public and the members would like to understand better how this is going to work
• On the bill, we will walk through it, have testimony, and public discussion.
• have some interesting policy in our... ...committee, like other committees, so that is more for the public
• We are working hard on both sides of the aisle to come up with a bill that will be revealed to the public

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• Cabinet for Health and Family Services, Department for Medicaid Services, 907 KAR 1:0840, Emergency,
• The staff suggested an services.
• Department for Community Based Services, 922 KAR 1:360, with staff suggested amendment. very unusual
• talked about it. and I took it services talked about it. and I took it as<00:27:10.720> a<00:
• in a way that's in offer the services in a way that's in their<00:30:20.799> best<00:30:21.080

Keywords: 0:16 – CALL TO ORDER 0:20 – ROLL CALL 0:56 – ELECTION OF CO-CHAIRS 1:54 – APPROVAL OF MINUTES 2:10 – OFFICE OF THE ATTORNEY GENERAL 3:28 – PERSONNEL BOARD 4:30 – EDUCATION AND LABOR CABINET, BOARD OF EDUCATION, DEPARTMENT OF EDUCATION 5:18 – PUBLIC PROTECTION CABINET, OFFICE OF CLAIMS & APPEALS 12:03 – PUBLIC PROTECTION CABINET, DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 12:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 14:54 – CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR COMMUNITY-BASED SERVICES 31:44 – NEXT MEETING ANNOUNCEMENT/ADJOURNMENT, 958, all

Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.

Bills: HB24, HB950, HB 1228, HB24

Keywords: zoning, public notice, local government, residential development, protests, municipal services, annexation, disannexation, zoning regulations, full municipal services, municipal obligations, landowner rights, service provision, groundwater, conservation, water permits, sustainability, resource management, 1184, house

Transcript Highlights:

• don't undermine public health. don't undermine public health.
• maintain our current service levels. maintain our current service levels.
• public health in Minnesota.
• packet of um comments from the public. packet of um comments from the public.
• for services that I think are important. for services that I think are important.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house