Transcript Highlights:

• They handle our IT services.
• victim services.
• And I have. ...those contingency fee contracts.
• for F-CORPS and $69,000 for IT services for F-CORPS as well.
• Food service contract price level increase of $13 million, and then back to the population increase,

Summary: The committee met to hear fiscal year 2026-2027 legislative budget requests from several justice-related agencies. The Florida Commission on Offender Review requested funding for investigator and revocation staff salary increases to address turnover, plus nonrecurring funds for Wi-Fi, seven vehicles, technology support, and commissioner salary adjustments. The State Courts Administrator presented a broad judicial branch request focused on trial court case-management technology, additional case managers, trust fund authority for child support hearing officers, courthouse furnishings, district court flexibility in staffing, a future courthouse for the Sixth District Court of Appeal, Supreme Court elevator replacement, POM accounting implementation support, judicial security liaison positions tied to the Florida Fusion Center, expanded senior management service authority, and judicial salary adjustments. The Office of the Attorney General outlined pay and operating requests for consumer protection, citizen services, ethics, crime compensation, victim services, vehicle replacement, IT and cybersecurity, lease and operating costs, and PALM-related expenses, while several senators questioned the office about outside counsel contracts, contingency-fee arrangements, transparency, and the use of private law firms. The Department of Corrections made the largest presentation, describing severe staffing shortages, high turnover, rising inmate populations, increased assaults, and heavy overtime use. Secretary Ricky Dixon said the agency’s request was driven by constitutional and public safety needs and included funding for operations, security equipment, inflationary costs, vehicle replacement, offender information system modernization, technology restoration, inmate health services, drug and food cost increases, staffing pilots, maintenance, security infrastructure, Florida PALM, recruitment and retention, and $56 million for new correctional housing units. Members asked about inmate labor, prison safety, overtime, vehicle breakdowns, and whether more National Guard support was needed; Dixon said the agency needed more staffing and pay competitiveness rather than a long-term military presence. A correctional officers’ union representative also urged support for pay raises, citing low pay and staffing concerns. No votes were taken on the budget requests. The chair allowed extended questioning, especially for the Department of Corrections, but noted time constraints and asked agencies to return in a later committee meeting, including FDLE, which was deferred because of a House site visit.

Transcript Highlights:

• It all boils down to the contracts, and, you know, as a state, we've got to tighten those contracts up
• It all boils down to the contracts, and, you know, as a state, we've got to tighten those contracts up
• It all boils down to the contracts, and, you know, as a state, we've got to tighten those contracts up
• Contracts and, you know, as a state, we've got to tighten those contracts up.
• This bill cleans it up for all parties involved. for those contracts to be for those contracts to be

Keywords: 958, all

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• One of the major ways we deliver services to our clients is through contracts.
• service center.
• for us and how you procure your services and how you in your procurement process your contracting process
• It concerns me that if you contract out some of these services that people need to up or down there these
• Through contract.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• So that's why we did it according to this Schedule 19 that's in our contract. contract that requires
• determine if our present uh service determine if our present uh service provider<00:24:03.360> or
• this schedule 19 that's in our contract. this schedule 19 that's in our contract.
• that is the wholesale contract.
• there's so been so many service outages. there's so been so many service outages.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:27 Legislative Research Commission 00:01:15 KentuckyWired Operations Company 00:17:30 Wireless Internet Service Providers Association 00:40:15 Administrative Office of the Courts 01:08:55 Kentucky Auditor of Public Accounts 01:33:00, 958, all

Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.

Transcript Highlights:

• and other for ABA services um and other intervention<00:31:28.480> services<00:31:28.880> it
• <00:31:45.279> with state level and in our contracts with state level and in our contracts
• services to your to your point, Senator. services to your to your point, Senator.
• And that is my understanding: so all the services you listed, your contract is around $34 million, or
• cabinet for health and family services. cabinet for health and family services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• as a major part of their services?
• as a major part of their services?
• as a major part of their services?
• of their services I think major part of their services I think it's<00:25:53.679> pretty<00:25
• as well as title 9's healthc Services as well as title 9's healthc Care<01:16:06.639> Service

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• CONTRACTUAL SERVICE FINDINGS AND SATISFACTORY RECEIPT OF GOODS AND SERVICES.
• EXCUSE ME, RECORDS OF COMPETITIVE PROCUREMENT FOR THE BENEFIT OF A CONSULTING SERVICE CONTRACT TOTALING
• THEY AMENDED THE CONTRACT FOR WHAT THEY CALLED ADMINISTRATIVE SERVICES OR ADMINISTRATIVE BURDEN.
• THEY WERE HIRED FOR STRATEGY SERVICES. >> Sen.
• ON CONSULTING CONTRACTS?

Keywords: 999, senate, all

Transcript Highlights:

• Thank you for your service. My name is Amy Sky.
• Thank you for your service. My name is Amy Sky.
• Veterans possess tremendous skills from their service.
• Veterans possess tremendous skills from their service that are invaluable.
• The truth is their service doesn't end. It evolves. They're still active.

Summary: The Committee on Veterans Affairs heard several bills related to veterans and military installations. Senator Birdwell presented SB 1197, which would extend existing drone restrictions over military bases and airports to Texas spaceports, with exceptions for authorized operators; there was brief supportive testimony and the bill was left pending. Chairman Hancock presented SB 1271, allowing Texas to accept concurrent jurisdiction over military installations to improve handling of juvenile offenses through state and local involvement; no public testimony was offered, and the bill was left pending. SB 390, by Senator Middleton and explained by Senator Menendez, would expand the definition of historically underutilized businesses to include veteran-owned businesses certified by the SBA, regardless of disability rating, to increase veteran participation in state contracting. The bill drew extensive supportive testimony from veterans and business advocates, while Senator Eckhardt raised concerns that broadening the category might not satisfy the disparity-study basis typically used for HUB programs. The committee also took up pending bills later in the meeting. SB 651 was advanced after adoption of a committee substitute and received a unanimous committee vote to do pass and be recommended for the local and uncontested calendar. SB 897 likewise had a committee substitute adopted and was reported favorably by a unanimous vote, with a recommendation for the local and uncontested calendar. SB 1814 was reported favorably and recommended for the local and uncontested calendar by a unanimous vote. SB 1197 was also voted out favorably and recommended for the local and uncontested calendar. SB 1271 and SB 390 were left pending at the end of the meeting, and the committee then recessed subject to the call of the chair.

Transcript Highlights:

• When we contract for road construction, IT services, facilities management, or consulting services, we
• When we contract for road construction, IT services, facilities management, or consulting services, we
• When we contract for road construction, IT services, facilities management, or consulting services, we
• When we contract for road construction, IT services, facilities management, or consulting services, we
• When we contract for road construction, IT services, facilities management, or consulting services, we

Keywords: 1191, senate, all

Transcript Highlights:

• we're not offering more contracts. we're not offering more contracts.
• insurance contract barriers. insurance contract barriers.
• ridiculousness of contracting. ridiculousness of contracting.
• rates and mental health services. rates and mental health services.
• We are a small service.

Keywords: 1187, senate, all

Transcript Highlights:

• contract.
• contract.
• contract.
• Phase 1 services versus Phase 2 services.
• Phase 1 services versus Phase 2 services.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• That is specific to food services only.
• And it is specific to food services, food purchases, delivery of food for seniors in the senior service
• I'm not exactly sure when that contract is up, but we will be negotiating the contract with them You
• I'm not exactly sure when that contract is up, but we will be negotiating the contract with them based
• There’s just one item: the Department of Human Services, Division of Children and Family Services.

Summary: The committee met to review a large slate of fiscal year 2026 and 2027 appropriation, transfer, and continuation requests across multiple sections. Early items included temporary appropriations for agencies such as Health, DHS, Education, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, and Game and Fish, covering items like maternal health outreach, energy assistance repayments, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim reparations, aviation grants, conservation incentives, and emergency tower maintenance. Members asked questions on several items, including DHS aging carry-forward funds and Treasury custodial banking fees tied to COVID-era balances; the committee also approved a disclosure by the chair on the Game and Fish-related item before voting to approve the section. The committee then approved continuation requests, CARES Act and ARPA reallocations, and federal grant appropriations. Notable discussion included the Boonville developmental disability project, ALIGN program reallocations at several universities, a small business technical assistance grant at UA Little Rock, and a Department of Public Safety highway safety grant, for which members requested more detail on operating expenses and professional fees. Additional approvals covered a transfer to the Merit Teacher Incentive program, restricted reserve fund transfers for military medical command and university projects, and a state central services deduction held at 2%. The Department of Commerce also received approval for a reallocation of positions and spending authority tied to its organizational realignment. Later sections included shared technology and higher education transfers, cash fund appropriations for school Medicaid reimbursements, corrections, youth mental health, narcotics detection canines, bike safety equipment, a state motor pool pilot, and law enforcement safety costs. The committee also reviewed budget classification transfers, including a Governor’s Office legal fee transfer related to a California lawsuit, and heard explanations about E-Rate reimbursements affecting the Office of State Technology. Members asked about VOCA funding levels for crime victim services and about the National Security Grant Program for nonprofits and faith-based organizations; officials said federal funding had declined from prior highs but appeared to have stabilized, and that the nonprofit security grant is an annual federal program. The meeting concluded with review of pay plan requests, DHS overtime funding for child protection caseloads, and a year-end adjustment request allowing DFA to make up to $1 million in transfers to close the books, after which the committee adjourned.

Transcript Highlights:

• 69,000 providers that deliver services 69,000 providers that deliver services to<00:04:37.919>
• <00:04:43.919> were<00:04:44.360> 18.5 Benefit Services were 18.5 Benefit Services
• Integrity contract Integrity contract ctor<00:30:29.600> um<00:30:29.720> third<00
• and also the FFS PBM contract.
• that it's an appropriate service that it's an appropriate service likewise<00:46:33.280> for<

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• health care services.
• I have personally called Adult Protective Services, and services are very limited.
• services and contraband.
• When they did so, they ended up contracting with an Administrative Service Agency (ASA).
• They had shifted again back to... fee-for-service payments for the behavioral health contract, and they

Transcript Highlights:

• You sign a contract.
• But again, you read that contract.
• In your contract, every contract can be different. Am I correct on that? You are correct.
• It was pure contract law. It was pure contract law.
• We did everything with the contracts, gestational contracts.

Keywords: 1185, senate, all

Transcript Highlights:

• , not just those youth-centered services through contract or agreement, so the amendment is just to clean
• , not just those youth-centered services through contract or agreement, so the amendment is just to clean
• , not just those youth-centered services through contract or agreement, so the amendment is just to clean
• He said they can only get records as they specifically relate to contracted and agreed-upon services.
• to those contracted or agreed upon<00:28:00.760> services upon services upon services so<00:28

Keywords: 1191, senate, all

Transcript Highlights:

• On the medical contracts, it appears the actual was 139 for this fiscal year and has the contract—the
• it appears the actual was 139 for this fiscal year and has the contract the medical contract for the
• And then the non-tax revenue receipts is their phone service. The residential services program?
• services for departments.
• services for departments.

Summary: The committee first considered revisions to the JBC rules, which staff said were all prompted by acts passed in the 2025 legislative session. The rules were adopted without objection. Members then received a balanced budget presentation from DFA Secretary Jim Hudson on the governor’s FY27 proposal, which he said was built around three priorities: limiting state government growth, continuing investments in education, and advancing income tax cuts. He highlighted major additions for education funding, EFA growth, pay plan costs, higher education productivity funding, drug task forces, corrections medical costs, the governor’s 1033 initiative, SNAP error-rate reduction, and Medicaid sustainability, while also explaining a new A/B funding category structure intended to prioritize recurring costs and preserve room for tax cuts. Members questioned Hudson about the cost of income tax reductions, the constitutional balanced-budget requirement, education funding, the Educational Adequacy Fund, Medicaid trust fund balances, and the impact of federal changes on Medicaid and SNAP. Hudson said each tenth of a percent income tax cut would cost about $58 million, the budget remained balanced, public education would still receive historic increases, and the Medicaid trust fund would be monitored closely with additional set-asides proposed. He also said the FY27 SNAP administrative cost increase would be about $18 million. The committee then heard from the Division of Higher Education, which reported institutions were 2.61% more productive overall and that the budget recommendation followed the statutory productivity formula. Questions focused on why some institutions were receiving decreases or large increases, how the formula works, and how the new return-on-investment metric and committee composition would affect future funding. The committee approved several higher education-related actions, including personnel changes for nine institutions and special language for North Arkansas College’s move into the University of Arkansas system. Staff then walked members through the higher education appropriation summary, explaining large percentage increases at several institutions were tied to federal funds or corrected carry-forward issues, including the U of A School of Mathematical, Sciences and the Arts, South Arkansas College, SAU Tech, ASU Mountain Home, and ASU Newport. Members also discussed UAPB’s 1890 extension program and the University of Arkansas Division of Agriculture’s land-grant matching funds; officials said UAPB’s recommendation was being aligned with actual spending and that the Division of Agriculture’s Smith-Lever and Hatch matches were included within its overall appropriation. The committee ultimately adopted the Higher Education Coordinating Board’s recommendations for all institutions and then moved on to the Department of Corrections section, with the chair outlining how the committee would proceed through those appropriations by section.

Transcript Highlights:

• He said they did have a contract with United Healthcare prior to them not being allowed to service Medicaid
• He said they did have a contract with United Healthcare prior to them not being allowed to service Medicaid
• He said they did have a contract with United Healthcare prior to them not being allowed to service Medicaid
• He said they did have a contract with United Healthcare prior to them not being allowed to service Medicaid
• of social services contracts that some of social services contracts that some of these<00:30:

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• Long-standing contract law states that when your kid signs that term of service on the app, they're committed
• All of the content, all of the apps your kid can't make the contract... ...can't make the contract or
• Speaking of enforcing a contract or... ...terms of service that refers to what an app was also called
• But the whole point is that the youth cannot agree to those contracts or... ...terms of service that
• Because this is contract-focused and... ...harm because this is contract-focused.

Bills: HB285, HB317

Keywords: HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, law enforcement, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law, Section 12-12-56, Children and Senior Advocacy, House Judiciary, reasonable effort

Transcript Highlights:

• APD will reimburse for the waiver services on a fee-for-service basis.
• APD will reimburse for the waiver services on a fee-for-service basis.
• service network.
• And those services can consist of medical services or long-term care kind of home health services or
• services, residential services, a variety of things.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.