Transcript Highlights:

• support that's how that reimbursement support that's how that reimbursement yeah<00:36:39.760>
• funded Disability Services reimbursement funded Disability Services reimbursement system<00:42:53.200
• <00:54:44.839> open ...to keep any of these programs open.
• The cost of property damage is not reimbursed to the provider.
• The cost of property damage is not reimbursed to the provider.

Keywords: 1187, senate, all

Transcript Highlights:

• the work of this bill and expanding the program.
• the work of this bill and expanding the program.
• I appreciate the work of this bill and expanding the program.
• <00:29:28.279> this<00:29:28.399> is reimbursement this is reimbursement this is 7267<00
• Chair, for hearing the bill today. grant program 90 Acres for snas and 5.7 grant program 90 Acres for

Keywords: 1183, house

Transcript Highlights:

• <00:09:43.440> And policy program in labor markets. And policy program in labor markets.
• <00:37:41.200> on insurance, they get reimbursed on insurance, they get reimbursed on average
• more and more government reimbursement more and more government reimbursement uh<00:37:52.400>
• <00:40:26.160> the reimbursement is decreasing. the reimbursement is decreasing. the solution
• Department of Health but not reimbursed Department of Health but not reimbursed under<01:16:55.400

Keywords: 1187, senate, all

Transcript Highlights:

• Energy Assistance Program, which is a federal program.
• after the-fact program for wastewater treatment<00:33:48.399> facility<00:33:49.039> reimbursements
• Program to a fee-based program.
• Program to a fee-based program.
• Program to a fee-based program.

Keywords: 1191, senate, all

Transcript Highlights:

• Um, so this bill will ensure program.
• And that is exactly the reason why programs like PSO matter. Programs like PSO matter.
• actually keep this uh, worthy program actually keep this uh, worthy program even<00:32:16.399>
• students being successful is the program students being successful is the program intentional<00
• What we program leaders have phones.

Keywords: 1187, senate, all

Transcript Highlights:

• So a lot of general cleanup, new program, and repeal of two rules and combining of some rules.
• The vaccination is provided and paid for by the Vaccines for Children program.
• The vaccination is provided and paid for by the Vaccines for Children program.
• So that is not related to the reimbursement rate itself. That is related to the limit.
• So that is not related to the reimbursement rate itself. That is related to the limit.

Keywords: 1204, all

Transcript Highlights:

• the state university teaching program. the state university teaching program.
• 28.880> ATRIP<00:07:29.520> program university programs, the ATRIP program university programs
• program in 2019 to 2025. program in 2019 to 2025.
• university directed payment program. university directed payment program.
• Um, it's not to replicate programs already supported by other federal programs.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• The first program was our COVID-19 lending program, which was for businesses impacted by the pandemic
• What is the NCRN, the NORES program?
• The Job Training Incentive Program is simply a reimbursement to the employer of wages paid to an employee
• Again, it's a reimbursement program; the company has to make the investment, and then they get reimbursed
• One of the best social programs is the job.

Transcript Highlights:

• program that the state has regarding tidal waters.
• So, in place the state's freshwater wetlands program.
• This creates the state's new freshwater wetlands program and it combines it with a current wetlands program
• , including 38 before- and after-school programs, with ...licensed programs, including 38 before-and-after-school
• programs, with nearly 2,000 school-age children.

Bills: SB219, SB9

Keywords: military pension, military retirement pay, veterans, retiree tax relief, income tax exemption, pension exclusion, Delaware income tax, retirement income, state tax subtraction, armed forces retirement, National Guard, Space Force, Coast Guard, NOAA, Public Health Service, taxable income, Title 30, Section 1106, wetlands protection, nontidal wetlands

Summary: The House Appropriations Committee met to hear several bills, with members repeatedly reminded to focus on fiscal impacts rather than policy merits. The committee first considered SB 9 on freshwater wetlands, which would combine tidal and non-tidal wetlands programs into one permitting framework; supporters said the bill resulted from a two-year consensus process and that the governor’s office and DENREC would absorb a significant share of the cost. Public testimony was largely supportive, emphasizing flood control and ecosystem services, though one speaker opposed the spending. The committee voted to release SB 9. The committee then heard SB 278 on child care assistance, which would preauthorize summer camp for eligible school-age children and create a separate lower co-payment for half-day care. The sponsor and the YMCA of Delaware said the change would better align family co-pays with provider reimbursement and make before- and after-school care more affordable for working families. The committee also released SB 278, SB 168 on alcohol delivery for package stores, SB 120 on health insurance coverage for certain testing and treatment, and HB 4, a pilot program for artificial intelligence and extended reality in schools; HB 4 was described as having a near-$3 million fiscal note and a one-year implementation delay because it was not funded in the budget. Later, the committee approved SB 219, which gradually increases the military pension income tax exclusion from $12,500 to $25,000 over three years and includes related joint-filing and residency changes. Supporters argued it would help attract and retain military retirees and bring federal dollars into the state. The committee also released SB 1, a major primary care reform bill that would increase primary care spending and implement hospital payment reforms, with projected long-term savings to the state employee health plan, and SB 325, which expands background checks and wrap-back monitoring for fire service personnel and adds an investigator position for the Fire Prevention Commission. In each case, public commenters and committee members generally supported the bills, and all were released from committee by recorded vote.

Transcript Highlights:

• It's a provider designing a program that has an end to it.
• One can design a program so that it continues to have a benefit, or design a program where it's literally
• This will be a program all of its own. We won't even... Right.
• But it does appear that it most likely will be reimbursement.
• So if, for example, we had a grant program or you set up a grant program for rural districts to apply

Keywords: 908, all

Summary: The Appropriations Division met in a work session on the draft Rural Health Transformation appropriations bill, 25.1392.01000, with no public testimony taken. Legislative Council and the Department of Health and Human Services walked through the bill, which would appropriate about $397.8 million in federal grant funds over two federal fiscal years, provide transfer authority, allow certain federal funds to be used for salaries and wages without counting against existing transfer limits, and authorize OMB to adjust other agencies’ spending authority if they receive grant awards through HHS. The bill also includes several temporary statutory exemptions to help implement the program, plus recipient acknowledgement/reporting requirements, periodic reports to Legislative Management, and an immediate effective date upon filing. Committee discussion focused heavily on how the federal rural health transformation money can be used and administered. Department officials explained that CMS will review projects for allowability and sustainability, that the state has flexibility to move funds among categories, and that the grant is limited to 10% administrative costs. Members asked about whether the funding could support renovations, equipment, ambulances, bulk purchasing, food distribution, and other rural health ideas, and were told many details will depend on CMS approval and the eventual applications. Questions also addressed cash flow, timing of obligations and reimbursements, FTE funding, and whether grant recipients should be told the program will not continue beyond the federal period; officials said the language is meant to prevent expectations of automatic continuation, not to bar future legislative action. The committee also discussed the bill’s use of a two-year appropriation amount, with staff explaining that the state must appropriate enough authority to cover the federal grant cycle and that unused authority would lapse if the full amount is not received or spent. Members raised concerns about whether the bill’s language could limit creativity or future program design, but department officials and several members emphasized the need for flexibility because CMS may reject overly specific directives. After discussion, the committee voted to recommend the bill draft to the full committee; the motion carried on a roll call vote, and the chair said the full Joint Appropriations Committee would take up the bill at the special session next week.

Transcript Highlights:

• We need proven programs. Well, this SNAP-Ed is a proven program.
• We need proven programs. solutions. We need proven programs.
• the federal program the federal program any<04:12:11.000> longer.
• rates for administration of the SNAP program and other programs.
• program and other programs. programs. programs.

Keywords: 916, all

Transcript Highlights:

• This is the case where the paid family leave program was completely manual, and we modified that program
• Again, with the larger of the two programs under the SDI umbrella being the DI program, I mean, it's.
• The larger of the two programs under the SDI umbrella being the DI program, it's really event-driven,
• This program is sometimes referred to as COYA.
• I don't have any questions, but just wanted to comment that I think the DROP program is a great program

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• and **$8.3 billion** matching federal funds for the Medi-Cal program.
• **$6.24 billion** was to meet cash flow needs, so the Medi-Cal program, unlike many other programs, runs
• I would say that Medi-Cal is one of those programs, and we are looking at several programs that are also
• This is for program costs. And again, cash flow needs.
• Changes to the program were occurring at the same time.

Keywords: 988, house, all

Transcript Highlights:

• :43.439> was the state aid grant program program was the state aid grant program program was not
• program.
• <04:34:13.400> grants program program there's no new grants program program there's no new
• that we operate that safe tank program that we operate that provides<04:48:12.558> reimbursement<
• Next program that I'll go over is the Shoreland program.

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• in the New Hampshire Medicaid program. in the New Hampshire Medicaid program.
• , you've seen one Medicaid program.
• , you've seen one Medicaid program.
• one Medicaid program, you've seen one<00:25:09.279> Medicaid<00:25:09.760> program.
• It's kind of one Medicaid program.

Keywords: 1191, senate, all

Transcript Highlights:

• So the operating budget, 25% comes from federal reimbursements.
• So potentially increased demand on state programs.
• Changes to programs at the federal level are impacting state programming, municipalities, and organizations
• , and some of it came through the mega program.
• , and some of it came through the mega program.

Keywords: 995, all

Summary: The inaugural hearing of the newly named House Committee on Federal Funding, Policy and Accountability focused on how federal policy changes could affect Massachusetts, especially in education, health care, research, infrastructure, climate, and business conditions. Chair LaNatra said the committee was created to monitor federal funding decisions and their impacts on state programs and services. Members introduced themselves, then heard testimony from Doug Howgate of the Massachusetts Taxpayers Foundation, Sarah Mills of Associated Industries of Massachusetts, and Quentin Palfrey, the governor’s Director of Federal Funds and Infrastructure. Howgate argued that the Trump administration and new Congress pose ideological, practical, and process-related risks to Massachusetts, citing proposed cuts to Medicaid, education, research, and other domestic programs. He said federal dollars make up about a quarter of the state operating budget and capital plan, warned against using one-time reserves to backfill ongoing federal cuts, and urged the state to prioritize core services while protecting areas where Massachusetts is especially strong, such as higher education and research. In response to committee questions, he said the House Medicaid proposal would still cost Massachusetts hundreds of millions and that international student and NIH-related changes could harm the state’s labor force and innovation economy. He also advised that the state communicate clearly without overreacting to daily federal developments. Mills testified that AIM members are most concerned about uncertainty, tariffs, Medicaid cuts, and NIH reductions. She said tariffs are raising costs, disrupting supply chains, and hurting small and medium-sized businesses, housing construction, and exporters, with AIM’s business confidence index falling to its lowest level since the pandemic. She said Medicaid cuts would raise employer health costs, reduce productivity, and strain the health care system, while NIH cuts would threaten Massachusetts’ life sciences and academic research ecosystem. In questions, she said AIM has increased federal outreach, is coordinating with the U.S. Chamber and the Massachusetts delegation, and is hearing concerns from employers about immigration compliance and workforce disruptions. Palfrey described the Healey-Driscoll administration’s efforts to maximize federal funding, including a biweekly interagency council, a municipal partnership effort, and a statewide roadshow. He said Massachusetts has secured nearly $9 billion from major federal laws for projects such as the Cape Cod bridges, Allston Multimodal, grid modernization, clean-energy school buses, and broadband. He also said the administration launched a public website to track federal impacts and is working with municipalities, nonprofits, and the Attorney General on grant changes, legal issues, and litigation. In response to questions, he warned that cuts to NOAA, NSF, Medicaid, SNAP, and other programs could affect services and the state budget, and said the administration is tracking changes to federal grant applications and conditions. No votes were taken; the hearing was informational only.

Bills: HR42, HR43, HR44, HR45, HCR22, HCR23, HCR24, HCR25, HCR26, HCR27, HCR28, HCR29, HCR30, HB894, HB983, HB984, HR39, HR40, HR41, HCR19, HCR20, HCR21, HB2, HB3, HB15, HB441, HB976, HB977, HB978, HB979, HB980, HB981, HB982, HB129, HB130, HB287, HB489, HB521, HB545, HB553, HB555, HB570, HB670, HB672, HB797, HB854, HB952, HB207, HB300, HB331, HB428, HB464, HB587, HB618, HB629, HB801, HB853, HB891, HB474, HB487, HB503, HB606, HB633, HB707, HB720, HB728, HB733, HB846, HB852, HB856, HB868, HB875, HB112, HB657, HB221, HB149, HB901, HB148, HB354

Keywords: women, chemistry industry, Louisiana, recognition, workforce, commendation, leadership, faith, community service, Bishop Weidner, log truck drivers, transportation safety, log industry, pastor, Church of Pentecost, forestry, tree farming, W.H. Ward Properties, community support, Louisiana Forestry Association

Transcript Highlights:

• So we have a member rewards program.
• So we have a member rewards program.
• Griminger not know the background on the program? I don't know the background on the program.
• This is a federal program.
• The program has doubled in size.

Keywords: 1184, house, all

Transcript Highlights:

• We need to identify programs available beyond those we know about in Albuquerque.
• This CSG West program, the Justice Center, has been very valuable to us.
• Getting results out of these programs by the time they become legally adults.
• So patients get reimbursed in exact proportion to what they're out.
• So, we're at 150% of the Medicare reimbursement. We use that for Medicaid patients.

Transcript Highlights:

• literacy program sponsor education. literacy program sponsor education.
• Senate file 60, K12 school program.
• Thank you, Senator. increasing the rate of reimbursement for increasing the rate of reimbursement for
• <01:46:36.560> Um to be a part of the program. Um to be a part of the program.
• program, and continue administration of the state energy performance program.

Keywords: 916, all