EDUCATION -- Adds to existing law to allow public schools to display only certain flags and banners on school property and to prohibit schools from displaying certain flags and banners.

MEDICAL ETHICS DEFENSE ACT -- Adds to existing law to establish the Medical Ethics Defense Act.

MEDICAID -- Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

EDUCATION -- Amends existing law to revise provisions regarding parental rights in education.

BOISE STATE VOLLEYBALL -- States findings of the Legislature and provides for commendation of the Boise State University women's volleyball team.

TRANSPARENCY IN FINANCIAL SERVICES -- Adds to existing law to provide for transparency in financial services.

Create new sections of KRS Chapter 164 to define terms; prohibit a public postsecondary education institution from providing differential treatment or benefits on the basis of an individual's religion, race, sex, color, or national origin; from influencing the composition of the student body or scholarship recipients on the basis of religion, race, sex, color, or national origin; from implementing a student housing assignment plan on the basis of religion, race, color, or national origin with designated exceptions; from expending any resources on diversity, equity, and inclusion, the promotion of discriminatory topics, or bias incident investigations; from soliciting statements on an applicant's experience with or views on religion, race, sex, color, or national origin; from requiring a course dedicated to discriminatory concepts; or disseminating or profiting from any research, work product, or material that promotes or justifies discriminatory concepts; prohibit a public postsecondary education institution from requiring any individual to endorse or condemn a specific ideology or viewpoint; prohibit the Council on Postsecondary Education from providing differential treatment or benefits on the basis of an individual's religion, race, sex, color, or national origin or from expending any resources on diversity, equity, and inclusion or discriminatory topics; establish exclusions for legal compliance; require each governing board of a public postsecondary education institution to ensure compliance with specific sections of this Act no later than June 30, 2025; authorize the Attorney General to bring an action for a writ of mandamus to compel the council or a public postsecondary education institution to comply; create a cause of action to permit a qualified individual to file a civil action against council or a public postsecondary education institution for injunctive relief and limited damages arising from a violation of certain sections of this Act; waive sovereign and governmental immunity for the limited purpose of bringing this claim; prohibit retaliation; require each public postsecondary education institution to submit and publish a certified annual report on governmentally mandated discrimination to the Legislative Research Commission by October 1 each year; provide that a public postsecondary education institution or the council cannot claim a federal, state, judicial, contractual, or accreditation mandate as a defense to a civil action filed under this Act unless the policy, practice, or procedure upon which the complaint is founded is listed and clearly and accurately described in the public institution's annual report filed in accordance with this Act; require each public postsecondary education institution to provide the Personnel Cabinet and State Treasurer the name, job title, duty station, and salary or wages of each employee each month beginning January 1, 2025, and to post its itemized annual budget; amend KRS 164.020 to prohibit the Council on Postsecondary Education from approving a degree, certificate, or diploma program that includes discriminatory concepts or diversity, equity, and inclusion iniatives; amend KRS 164.011, 164.131, 164.321, and 164.821 to conform; direct the Council on Postsecondary Education to consider certain enumerated conditions when considering the elimination of an existing program; direct each public postsecondary education institution and the Council on Postsecondary Education to discontinue designated programs and follow designated procedures when implementing this Act; provide specific instructions for public postsecondary education institutions and the Council on Postsecondary Education to follow in implementing this Act; direct public postsecondary education institutions and the council to submit a report on implementation of this Act.

Create new sections of KRS Chapter 344 to define terms; prohibit discrimination against mental health care professionals, mental health care institutions, and ordained ministry for providing protected counseling services; prohibit discrimination against individuals for offering information, training, and referrals for protected counseling services; prohibit discrimination against parents and guardians who consent to their child receiving protected counseling services; prohibit reporting of a mental health care professional or mental health care institution to a hiring or licensing authority solely on the basis that it provides protected counseling services; prohibit a hiring or licensing authority from investigating a mental health care professional or mental health care institution solely on the basis that it provides protected counseling services; establish a civil cause of action for a person injured by a violation; provide that the Act may be cited as the Mental Health Counseling Protection Act; EMERGENCY.

Amend KRS 156.070 to require child dependency, neglect, and abuse information to be included in any interscholastic athletics participation consent form; require any training for interscholastic athletics administrators and coaches to include information about mandatory reporting duties for child dependency, neglect, and abuse.

Create new section of KRS Chapter 197 to define terms; prohibit hormone treatment or elective surgery for gender reassignment.

An Act To Create The "dignity And Safety For Incarcerated Women Act"; To Define Certain Terms As Used Under This Act; To Provide That Every Restroom And Changing Room Within A Correctional Facility That Is For Use By Incarcerated Individuals Shall Be Designated For Use By Members Of One Sex; To Prohibit Any Incarcerated Individual From Entering A Restroom Or Changing Room That Is Designated For One Sex Unless He Or She Is A Member Of That Sex; To Provide That Every Multi-occupancy Restroom, Changing Room And Sleeping Quarter Within A Correctional Facility Shall Be Designated For Exclusive Use Of Males Or Females; To Provide Certain Remedies For Violations Of This Act; And For Related Purposes.

To amend sections 3335.02, 3335.09, 3337.01, 3339.01, 3341.02, 3343.02, 3344.01, 3345.45, 3350.10, 3352.01, 3356.01, 3359.01, 3361.01, 3362.01, 3364.01, 4117.14, and 4117.15; to enact new section 3333.045 and sections 3345.029, 3345.0216, 3345.0217, 3345.0218, 3345.0219, 3345.382, 3345.451, 3345.452, 3345.453, 3345.454, 3345.455, 3345.456, 3345.591, 3345.80, and 3345.88; and to repeal section 3333.045 of the Revised Code to enact the Advance Ohio Higher Education Act regarding the operation of state institutions of higher education.

As introduced, requires all residential educational programs in this state, regardless of type or duration, that allow minors to participate or to access residential facilities to segregate all restrooms, changing areas, and showers by immutable biological sex. - Amends TCA Title 49.

Riley Gaines

The purpose of this bill is to define and preserve single-sex spaces in this state.

AN ACT relating to common law, statutes and rules of construction; specifying definitions and standards for the application of a person's biological sex in law, rules or regulations; providing for the law to distinguish between accommodations for males and females; requiring the collection of vital statistics and other data to identify persons as male or female at birth; and providing for an effective date.

AN ACT relating to the administration of the government; specifying requirements for the use of sex-designated restrooms, showers, sleeping quarters and locker room facilities at public facilities; providing for complaints and civil actions; specifying duties for public entities; providing definitions; making conforming amendments; and providing for an effective date.

AN ACT relating to the administration of government; prohibiting governmental entities from engaging in any diversity, equity or inclusion program, activity or policy; prohibiting governmental entities engaging in institutional discrimination; prohibiting required attendance for certain programs or trainings; providing definitions; requiring rulemaking; providing applicability; and providing for effective dates.

AN ACT relating to professions and occupations; authorizing prescribers to prescribe medications for off-label indication as specified; authorizing pharmacists to dispense medications for off-label indication as specified; providing prescribers and pharmacists immunity from disciplinary action as specified; providing definitions; requiring rulemaking; and providing for an effective date.

AN ACT relating to religious freedom; creating the Religious Freedom Restoration Act; providing definitions; limiting specified governmental actions that burden religious freedom; authorizing claims and defenses against governmental action that burden religious freedom; providing exceptions; and providing for an effective date.

AN ACT relating to education; requiring students at the University of Wyoming and Wyoming community colleges to compete in intercollegiate athletic competitions based on their biological sex; providing definitions; and providing for an effective date.

AN ACT relating to school districts; requiring public school children to use restrooms, sex‑designated changing facilities and sleeping quarters that align with their sex at birth; requiring reasonable accommodations; providing exceptions; providing penalties; providing definitions; and providing for an effective date.

AN ACT relating to the administration of government; prohibiting the state and its political subdivisions from requiring the use of preferred pronouns; authorizing a civil remedy; and providing for an effective date.

An Act To Amend Section 43-13-115, Mississippi Code Of 1972, To Make Certain Technical Amendments To The Provisions That Provide For Medicaid Eligibility And To Modify Age And Income And Eligibility Criteria To Reflect The Current Criteria; To Require The Division Of Medicaid To Submit A Waiver By July 1, 2025, To The Center For Medicare And Medicaid Services (cms) To Authorize The Division To Conduct Less Frequent Medical Redeterminations For Eligible Children Who Have Certain Long-term Or Chronic Conditions That Do Not Need To Be Reidentified Every Year; To Provide That Men Of Reproductive Age Are Eligible Under The Family Planning Program; To Conform With Federal Law To Allow Children In Foster Care To Be Eligible Until Their 26th Birthday; To Eliminate The Requirement That The Division Must Apply To Cms For Waivers To Provide Services For Certain Individuals Who Are End Stage Renal Disease Patients On Dialysis, Cancer Patients On Chemotherapy Or Organ Transplant Recipients On Antirejection Drugs; To Amend Section 43-13-117, Mississippi Code Of 1972, To Make Certain Technical Amendments To The Provisions That Provide For Medicaid Services To Comply With Federal Law; To Eliminate The Option For Certain Rural Hospitals To Elect Against Reimbursement For Outpatient Hospital Services Using The Ambulatory Payment Classification (apc) Methodology; To Require The Division To Update The Case-mix Payment System And Fair Rental Reimbursement System As Necessary To Maintain Compliance With Federal Law; To Authorize The Division To Implement A Quality Or Value-based Component To The Nursing Facility Payment System; To Require The Division To Reimburse Pediatricians For Certain Primary Care Services As Defined By The Division At 100% Of The Rate Established Under Medicare; To Require The Division To Reimburse For One Pair Of Eyeglasses Every Two Years Instead Of Every Five Years For Certain Beneficiaries; To Authorize Oral Contraceptives To Be Prescribed And Dispensed In Twelve-month Supply Increments Under Family Planning Services; To Authorize The Division To Reimburse Ambulatory Surgical Care (asc) Based On 90% Of The Medicare Asc Payment System Rate In Effect July 1 Of Each Year As Set By Cms; To Authorize The Division To Provide Reimbursement For Devices Used For The Reduction Of Snoring And Obstructive Sleep Apnea; To Direct The Division To Allow Physicians At Any Hospital To Participate In Any Medicare Upper Payment Limits Program (upl), Allowable Delivery System Or Provider Payment Initiative Established By The Division, Subject To Federal Limitations On Collection Of Provider Taxes; To Provide That The Division May, In Consultation With The Mississippi Hospital Association, Develop Alternative Models For Distribution Of Medical Claims And Supplemental Payments For Inpatient And Outpatient Hospital Services; To Update And Clarify Language About The Division's Transition From The Medicare Upper Payment Limits Program (upl) To The Mississippi Hospital Access Program (mhap); To Provide That The Division Shall Maximize Total Federal Funding For Mhap, Upl And Other Supplemental Payment Programs In Effect For State Fiscal Year 2025 And Shall Not Change The Methodologies, Formulas, Models Or Preprints Used To Calculate The Distribution Of Supplemental Payments To Hospitals From Those Methodologies, Formulas, Models Or Preprints In Effect And As Approved By The Centers For Medicare And Medicaid Services For State Fiscal Year 2025; To Authorize The Division To Contract With The State Department Of Health To Provide For A Perinatal High Risk Management/infant Services System For Any Eligible Beneficiary That Cannot Receive Such Services Under A Different Program; To Authorize The Division To Reimburse For Services At Certified Community Behavioral Health Centers; To Extend To July 1, 2027, The Date Of The Repealer On The Provision Of Law That Provides That The Division Shall Reimburse For Outpatient Hospital Services Provided To Eligible Medicaid Beneficiaries Under The Age Of Twenty-one Years By Border City University-affiliated Pediatric Teaching Hospitals, Which Was Repealed By Operation Of Law In 2024; To Limit The Payment For Providing Services To Mississippi Medicaid Beneficiaries Under The Age Of Twenty-one Years Who Are Treated By A Border City University-affiliated Pediatric Teaching Hospital; To Require The Division To Develop And Implement A Method For Reimbursement Of Autism Spectrum Disorder Services Based On A Continuum Of Care For Best Practices In Medically Necessary Early Intervention Treatment; To Require The Division To Reimburse For Preparticipation Physical Evaluations; To Require The Division To Reimburse For United States Food And Drug Administration Approved Medications For Chronic Weight Management Or For Additional Conditions In The Discretion Of The Medical Provider; To Require The Division To Provide Coverage And Reimbursement For Any Nonstatin Medication Approved By The United States Food And Drug Administration That Has A Unique Indication To Reduce The Risk Of A Major Cardiovascular Event In Primary Prevention And Secondary Prevention Patients; To Require The Division To Provide Coverage And Reimbursement For Any Nonopioid Medication Approved By The United States Food And Drug Administration For The Treatment Or Management Of Pain; To Reduce The Length Of Notice The Division Must Provide The Medicaid Committee Chairmen For Proposed Rate Changes And To Provide That Such Legislative Notice May Be Expedited; To Require The Division To Reimburse Ambulance Transportation Service Providers That Provide An Assessment, Triage Or Treatment For Eligible Medicaid Beneficiaries; To Set Certain Reimbursement Levels For Such Providers; To Extend To July 1, 2029, The Date Of The Repealer On Such Section; To Amend Section 43-13-121, Mississippi Code Of 1972, To Authorize The Division To Extend Its Medicaid Enterprise System And Fiscal Agent Services, Including All Related Components And Services, Contracts In Effect On June 30, 2025, For Additional Five-year Periods If The System Continues To Meet The Needs Of The State, The Annual Cost Continues To Be A Fair Market Value, And The Rate Of Increase Is No More Than Five Percent Or The Current Consumer Price Index, Whichever Is Less; To Authorize The Division To Enter Into A Two-year Contract With A Vendor To Provide Support Of The Division's Eligibility System; To Reduce The Length Of Notice The Division Must Provide The Medicaid Committee Chairmen For A Proposed State Plan Amendment And To Provide That Such Legislative Notice May Be Expedited; To Amend Section 43-13-305, Mississippi Code Of 1972, To Provide That When A Third Party Payor Requires Prior Authorization For An Item Or Service Furnished To A Medicaid Recipient, The Payor Shall Accept Authorization Provided By The Division Of Medicaid That The Item Or Service Is Covered Under The State Plan As If Such Authorization Were The Prior Authorization Made By The Third Party Payor For Such Item Or Service; To Amend Section 43-13-117.7, Mississippi Code Of 1972, To Provide That The Division Shall Not Reimburse Or Provide Coverage For Gender Transition Procedures For Any Person; To Amend Section 43-13-145, Mississippi Code Of 1972, To Provide That A Quarterly Hospital Assessment May Exceed The Assessment In The Prior Quarter By More Than $3,750,000.00 If Such Increase Is To Maximize Federal Funds That Are Available To Reimburse Hospitals For Services Provided Under New Programs For Hospitals, For Increased Supplemental Payment Programs For Hospitals Or To Assist With State Matching Funds As Authorized By The Legislature; To Authorize The Division To Reduce Or Eliminate The Portion Of The Hospital Assessment Applicable To Long-term Acute Care Hospitals And Rehabilitation Hospitals If Cms Waives Certain Requirements; To Amend Section 43-13-115.1, Mississippi Code Of 1972, To Remove The Requirement That A Pregnant Woman Must Provide Proof Of Her Pregnancy And Documentation Of Her Monthly Family Income When Seeking A Determination Of Presumptive Eligibility; To Create New Section 41-140-1, Mississippi Code Of 1972, To Define Terms; To Create New Section 41-140-3, Mississippi Code Of 1972, To Require The State Department Of Health To Develop And Promulgate Written Educational Materials And Information For Health Care Professionals And Patients About Maternal Mental Health Conditions; To Require Hospitals Providing Birth Services To Provide Such Educational Materials To New Parents And, As Appropriate, Other Family Members; To Require That Such Materials Be Provided To Any Woman Who Presents With Signs Of A Maternal Mental Health Disorder; To Create New Section 41-140-5, Mississippi Code Of 1972, To Require Any Health Care Provider Or Nurse Midwife Who Renders Postnatal Care Or Pediatric Infant Care To Ensure That The Postnatal Care Patient Or Birthing Mother Of The Pediatric Infant Care Patient, As Applicable, Is Offered Screening For Postpartum Depression And To Provide Appropriate Referrals If Such Patient Or Mother Is Deemed Likely To Be Suffering From Postpartum Depression; To Amend Section 43-13-107, Mississippi Code Of 1972, To Establish A Medicaid Advisory Committee And Beneficiary Advisory Committee As Required Pursuant To Federal Regulations; To Provide That All Members Of The Medical Care Advisory Committee Serving On January 1, 2025, Shall Be Selected To Serve On The Medicaid Advisory Committee, And Such Members Shall Serve Until July 1, 2028; And For Related Purposes.

AN ACT relating to the administration of the government; generally prohibiting diversity, equity and inclusion efforts and mandates by state agencies and public educational institutions; conditioning the expenditure of appropriated funds as specified; specifying applicability; providing an appropriation; and providing for an effective date.