Transcript Highlights:

• We reimburse those as those numbers arise.
• There's a reimbursement to the Department of Corrections for $84,986 for reimbursing them for medical
• The there's a reimbursement to the with.
• Um, of these human services programs.
• services programs are are very complex. services programs are are very complex. the<00:21:30.480

Keywords: 1187, senate, all

Transcript Highlights:

• It's a one-year program, and they are all occupying the back-center row.
• And Airbnb offers a host damage protection program.
• on the prices that each milestone would yield to a program participant.
• Today I'm here to present a rule for the SNAP program.
• appropriately for Medicaid reimbursements; is that correct?

Summary: The Administrative Rules Subcommittee met to review a series of agency rules and related requests. The Department of Corrections and Post-Prison Transfer Board reported quarterly updates and had no questions, so both were filed. The Department of Commerce sought repeal of rules tied to the minority and women-owned business enterprise programs and the Consolidated Incentives Act, explaining the rules were repealed by implication or duplicative of statute; all were reviewed and approved. The Insurance Department presented a new rule implementing Act 426 of 2025 for online marketplace guarantee providers, using Airbnb-style host damage protection as an example, and it was approved. The Department of Education updated the Arkansas Adult Diploma Program rule to reflect statutory payment amounts for milestones and diplomas, and it was approved. DFA presented a rule creating a reporting method for the Arkansas rice beer and sake excise tax credit; members asked about verification of Arkansas rice use, and the rule was approved. DHS presented a SNAP rule implementing federal changes to work requirements and energy assistance counting, including raising the able-bodied adult without dependents age limit to 64 and removing some exemptions; it was approved after questions about terminology and waiver-related issues. The committee also approved DHS Medicaid rules allowing rehab hospitals to bill for psychiatric units and exempting Arkansas from the federal recovery audit contractor requirement, citing other program integrity measures already in place. The State Board of Public Accountancy, under Labor and Licensing, presented rules implementing Act 428 of 2025, including a new CPA licensure pathway with a bachelor’s degree plus two years’ experience, substantial equivalency for out-of-state CPAs, and removal of the government not-for-profit accounting requirement; despite some negative comments, both rules were approved. The committee then granted the Department of Education’s request to be excluded from certain reporting requirements, and approved its request to retain all 18 Division of Public School Academic Facilities and Transportation rules under Act 781 review. Remaining outstanding 2023-session rulemaking and monthly updates were noted in packets with no questions, and the meeting adjourned.

Transcript Highlights:

• This is a program for the retirees. This is a program for life.
• This is a program for the retirees.
• Uh, financial planning program.
• Uh financial planning program. Okay. Uh financial planning program.
• > financial program with certified financial program with certified financial planners,<00:10:

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• Admissions are more easily reimbursed.
• Admissions are more easily reimbursed.
• What if all these programs were consolidated into one? Wouldn't we save money?
• new revenue streams to support expansion of existing social programs.
• who are suffering most because they get the programs whose people are being cut.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• <00:05:14.880> for need to clarify is this a program for need to clarify is this a program
• authorizes the agricultural Loan program authorizes the agricultural Loan program to<00:21:35.520
• SP 504 establishes a local agricultural transportation cost reimbursement program within the Department
• SB 504, relating to agriculture, establishes a local agricultural transportation cost reimbursement program
• Transportation cost reimbursement Transportation cost reimbursement program<00:45:16.160> with

Keywords: 912, senate, all

Summary: The committees heard several agriculture and food-system bills. SB 1562 would create a Combined Housing Operational Agricultural Mobilization Program to help bona fide farmers live and farm on agricultural lands and provide a tax credit for donated land. Testimony generally supported the goal of housing for farmers and farm workers, but raised concerns about placing the program within the Department of Agriculture, possible constitutional and drafting issues, land-quality standards, lease structure, and whether another agency might be better suited. The committees recommended passing SB 1562 with amendments, including clarifying DOA authority to acquire agricultural lands and establishing an advisory committee within the department; the recommendation was adopted. The committees also heard SB 1171 on providing monofilament netting through hardware stores to help slow coconut rhinoceros beetle spread, SB 1186 on creating a statewide interagency food systems coordination team and working group, SB 1250 on a Farm to Families program, SB 1303 on agricultural loans, SB 1395 on a climate mitigation and resiliency special fund, SB 504 on a local agricultural transportation cost reimbursement program, SB 1185 on reviewing and repealing obsolete agricultural laws, and SB 187 on funding permanent agricultural biosecurity positions. Most testimony on these measures was in support, with some suggested refinements: for SB 1186, a youth advisory seat and clearer performance benchmarks; for SB 1250, broader eligibility for food pantries, cold storage, and staffing support; for SB 1303, support for lower interest rates and expanded loan tools; for SB 1395, debate over the fund’s structure and revenue source; for SB 504, clearer eligibility for small and beginning farmers, cooperatives, and food hubs; and for SB 1185, interest in joining the working group but concern about overbroad deregulation. No roll-call votes were taken on the other measures in the excerpt, but the chair reported testimony counts on some bills, including 89 in support and none opposed for SB 1250, 13 in support and one opposed for SB 504, and 14 in support with one comment for SB 1395. SB 1303 and SB 187 also drew supportive testimony from the Department of Agriculture, farm groups, food banks, and industry organizations, with SB 187 emphasizing the need to make Act 231 biosecurity positions permanent and fully funded.

Transcript Highlights:

• 42.240> in<00:02:42.360> 1994 This program originally created in 1994 This program originally
• Murphy Construction Grants Program.
• I I too am a Grant Program today.
• language in other MnDOT run programs. language in other MnDOT run programs.
• reimbursed from the Port Development<00:36:14.120> Assistance<00:36:14.600> Program<00

Keywords: 1187, senate, all

Transcript Highlights:

• It is a massive program.
• It is a abuse in the Medicaid program. It is a massive<00:26:45.679> program.
• are enrolled in the program.
• been involved in your program? been involved in your program?
• national health program. national health program.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• rates. individual service reimbursement rates.
• Uh, the House kept language that we had regarding reimbursement rates on high reimbursement...
• What's on a high reimbursement Medicare reference-based pricing. So we had the number 500%.
• President, this is a spending bill that has about 93 programs, $6 million in program spending.
• Fiscal year 2027 transportation program. H9. Sorry about that.

Keywords: 927, senate, all

Transcript Highlights:

• Medicaid program.
• <01:47:03.520> that program and and that is a program that program and and that is a program
• and the progress of the program.
• and the progress of the program.
• program and the progress of the program program and the progress of the program it<01:58:02.079>

Keywords: 928, house, all

Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.

Transcript Highlights:

• We also establish a directed payment program which would raise medical assistance reimbursement rates
• got a program.
• Let's keep the program got a program.
• public health programs? public health programs?
• program. Not encouraged at all. program. Not encouraged at all.

Keywords: 1187, senate, all

Transcript Highlights:

• HB 185, by N.D., relating to the establishment and administration of certain programs and services providing
• HB 1201, by Manuel, relating to the pilot program to provide Medicaid coverage for doula services.
• intervention programs.
• care costs in the state employees group benefits program.
• care costs in the state employees group benefits program.

Summary: The House met to read a large slate of newly filed bills and resolutions and refer them to committees. The measures covered a wide range of topics, including health care and insurance, public education, elections, criminal justice, public safety, taxes, transportation, agriculture, environmental regulation, higher education, housing, and local government. Several proposals focused on abortion and reproductive health, firearms, voter registration and ballot access, school curriculum and accountability, property tax and homestead issues, and state contracting and agency oversight. A number of constitutional amendments were also filed, including proposals on initiative and referendum, veto override authority, vaccination refusal, parental rights in education, gun rights, Medicaid expansion, and various tax exemptions. No substantive debate, testimony, or votes occurred during this portion of the meeting; the clerk simply read the bills and resolutions and announced their committee referrals. The list included both general legislation and joint resolutions, with many items sent to standing committees and several to subcommittees. The House then adjourned without objection until 2 p.m. on Tuesday.

Transcript Highlights:

• There's a program with the division of.
• So, just a couple of things, the family infant toddler program, the program through ECECD um, back when
• That we don't have A good comparison of the reimbursement rates.
• Risk factors in using models similar to drug court programs.
• One last reminder for members, uh, don't forget to turn in your reimbursement, reimbursement forms, and

Transcript Highlights:

• "Now this term to balance the budget, some government programs and initiatives have been scaled back.
• "Now this term to balance the budget, some government programs and initiatives have been scaled back.
• So after they provide the services, then they can apply for a reimbursement. And I like that.
• So, after they reimbursement grant.
• And I like apply for a reimbursement.

Keywords: 1187, senate, all

Transcript Highlights:

• We want to make sure that the hospitals are reimbursed for that.
• That's what this program here does; it covers uncompensated care.
• Meyer, there's a separate supplemental funding program for the Florida Cancer Hospital program.
• all of our state-directed payment programs.
• And certainly looking at the cancer program, and I'm very familiar with the supplemental program that

Summary: The Legislative Budget Commission met with a quorum present and considered two Agency for Health Care Administration budget amendments related to Medicaid supplemental payments. The first amendment, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers with uncompensated charity care. Members asked about the timing of AHCA’s submission to CMS and whether the program addressed hospital shortfalls for insured patients and CHIP-related concerns. AHCA said approvals have generally been slower under the current federal review process, and the amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for Hospitals pending final CMS approval. Senators and representatives questioned the role of hospital attestations regarding hold harmless agreements, whether any agreements had to be unwound, and how long final approval might take. AHCA said all hospitals had submitted attestations, no unwinding was known to be necessary, and approval was expected soon. Members also raised concerns about cancer hospitals, including Moffitt and the University of Miami, not participating in the directed payment program. AHCA responded that those institutions participate instead in a separate Florida Cancer Hospital supplemental payment program, which had already been approved. Both amendments were adopted without objection, and the commission then adjourned.

Transcript Highlights:

• there's a couple of different programs there's a couple of different programs that<01:50:53.400>
• program that insurers can do often use. program that insurers can do often use.
• We ran a hot spotting type program<01:52:17.480> and program and program and we<01:52:18.560><
• you're below 100%, there's a program you're below 100%, there's a program called<02:19:03.120>
• And the initial Medicare program was a cost-based reimbursement system. It was cost plus.

Keywords: 916, all

Transcript Highlights:

• authority to hold, but also reminds them you can get paid for this if you just don't apply to the program
• authority to hold, but also reminds them you can get paid for this if you just don't apply to the program
• authority to hold, but also reminds them you can get paid for this if you just don't apply to the program
• authority to hold, but also reminds them you can get paid for this if you just don't apply to the program
• authority to hold, but also reminds them you can get paid for this if you just don't apply to the program

Keywords: 1191, senate, all

Transcript Highlights:

• We know how essential these preschool programs are to the very functioning of our these preschool programs
• universal preschool programs.
• of these programs.
• program.
• Which matches the CDSS program.

Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.

Transcript Highlights:

• <00:03:16.560> uh an existing program uh an existing program uh with<00:03:17.440> a
• assistance program. assistance program.
• in federal reimbursement. in federal reimbursement.
• medical assistance program. medical assistance program.
• ed reimbursement as well.

Bills: HF3425

Keywords: supportive housing, grants, housing assistance, funding, Minnesota Statutes, 1183, house

Transcript Highlights:

• It will reimburse participants for travel-related expenses.
• And in Medicaid, the only place that we really reimburse 100% is rural hospitals.
• I'm not sure they would be there without that program, and HB 18 extends that.
• Our Medicaid managed care reimbursement was also $1.1 million.
• , and then the program later recommended that the daughter be hospitalized.

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

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

Transcript Highlights:

• A real challenge with that program.
• Program within our Department of Veterans Affairs that pays minimum wage.
• So individuals in our independent program pay a program fee, and that's based on a percentage of their
• You're responsible to reimburse the federal VA for that medication.
• We get some reimbursement on the domiciliary side.

Keywords: 962, all

Summary: The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display. The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents. The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.