Video & Transcript Research : 'reimbursement program'
Page 121 of 500
NH
Transcript Highlights:
- So, grant reimbursements, that's where the districts gets reimbursed for certain projects by federal
- the reimbursements, that's where the reimbursements, that's where the districts<00:21:14.559>
- the statutory name is a reimbursement the statutory name is a reimbursement anticipation<00:31:10.559
- There's less programs. It could be less reading programs or it could be less math problems.
- There's less programs. It classrooms. There's less programs.
NH
Transcript Highlights:
- >
the The reimbursement comes from the The reimbursement comes from the taxpayers<00:03:48.879 - because they're being re reimbursed because they're being re reimbursed through<00:04:44.160>
- reimbursed in its entirety. reimbursed in its entirety.
- >> And did an hourlong program. >> And did an hourlong program.
- participate in this program. participate in this program. >> Fascinating.
MN
Minnesota 2025 1st Special Session
Remembering Senator Kari Dziedzic / The First Day of Session / Fraud, Waste, and Abuse in Minnesota Jan 20th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- I think, you know, there are a lot of really great programs out there—programs that have really good
- And when people take advantage of those programs and those dollars, it's not just the fact that we've
- I think, you know, there are a lot of really great programs out there—programs that have really good
- regarding Minnesota's Medicaid Program regarding Minnesota's Medicaid Program what<00:13:14.560>
- away so they can get more reimbursement away so they can get more reimbursement mileage<00:13:47.760
Summary:
The program covered the start of the 94th Minnesota Legislature, where the evenly split Senate adopted a bipartisan power-sharing agreement, Senate Resolution 1, by unanimous support. The agreement, reached in honor of the late Sen. Kari Dziedzic, sets up co-presiding officers, co-chairs and evenly split committees, and will remain in place until one party gains a majority. Republican Sen. Jeremy Miller and DFL Sen. Bobby Joe Champion were elected as co-presiding officers under the arrangement.
A major segment focused on fraud, waste, and abuse in Minnesota and proposals to strengthen oversight. DFL Sen. Gerson discussed a bill to create an independent Office of Inspector General to oversee public and private entities receiving taxpayer dollars, arguing it would fill a gap and work alongside existing agencies such as the Office of the State Auditor, the attorney general, and the BCA. He said the issue has bipartisan concern and that the bill is intended to protect taxpayer money and the people who rely on public programs.
Republican Sen. John Jasinski also said fraud is a serious problem, citing cases such as Feeding Our Future, child care assistance, and Medicaid-related fraud, and arguing that every dollar matters and stronger checks and balances are needed. He expressed support for anti-fraud efforts if they are independent and bipartisan, and pointed to the House’s new fraud oversight committee as a promising step. State Auditor Julie Blaha added that her office focuses on local government accountability, said workforce shortages are a major challenge, and emphasized that tips from the public and public employees are often the best way fraud is detected.
NH
New Hampshire 2025 Regular Session
House Ways and Means (02/12/2025)
Transcript Highlights:
- the voucher program.
- like our school voucher program.
- Again, as a participant in the program, you're reimbursed up to the adequate education grant, so I know
- >
to <01:34:18.920>the the program you're reimbursed up to the the program you're reimbursed - form of a reimbursement so understanding how<01:35:03.679>
the <01:35:03.920>program <01
Summary:
The committee held a public hearing on HB 402, a bill to repeal a provision in RSA 194-F:2 stating that Education Freedom Account (EFA) funds “shall not constitute taxable income” to the parent or student. The bill sponsor argued the current language is misleading because the state cannot determine federal tax liability, and said the bill would simply remove inaccurate tax advice from state law. He cited IRS guidance and prior federal legislation, including a Ted Cruz proposal, to suggest some EFA uses may be taxable under federal law, while others may not, and said the bill could be amended if needed to avoid confusion.
Testimony was sharply divided. Py Campbell opposed the bill, arguing it would unfairly single out EFA students and could amount to a tax on education funds, including for self-employed families, and recommended it be voted inexpedient to legislate. Stephen Matthew French, a tax preparer, also opposed the bill, saying IRS Publication 970 already makes clear that scholarship-type payments used for tuition and related expenses are not taxable, and that the bill addresses a problem that does not exist. He warned that adding tax reporting requirements could create administrative costs for families and the program administrator.
Bill Ardinger, a tax attorney, supported the repeal of the statutory language, saying the state should not place potentially incorrect tax advice into law. He explained that under federal tax law, only certain scholarship-like uses are exempt, while many EFA-eligible expenses may not be, especially for families using the program for homeschooling or other nontraditional expenses. He said the current statute could mislead families into thinking all EFA payments are tax-free and could expose the state to future legal problems. The hearing ended after questions from committee members; no vote or final action was taken in the transcript.
MN
Minnesota 2025 1st Special Session
Committee on Commerce and Consumer Protection - 01/30/25
Commerce and Consumer Protection
Transcript Highlights:
- Our program reimburses 80% of those claims that are between $50,000 and $250,000, and in 2022 the coinsurance
- <00:03:18.200>
reimburses on that one um our program reimburses on that one um our program - For example, some programs only reimburse for claims associated with certain medical conditions.
- This is because the so-called reinsurance programs lowered the premium rates on which federal reimbursement
- program when we implemented this program program when we implemented this program every<01:20:30.800
Summary:
The committee heard a reinsurance overview from Deputy Commissioner Julia Dryer of the Minnesota Department of Commerce on the Minnesota Premium Security Plan. She explained that reinsurance helps stabilize premiums in the individual market by reimbursing insurers for high-cost claims, and said Minnesota’s program has lowered premiums, preserved carrier participation, and helped maintain consumer choice. She warned that without continued funding, the program would be depleted and individual-market premiums could rise by about 25%, with potential losses in coverage and access to care. She also described the program’s structure under a federal 1332 waiver, the role of MCHA in administering the program, and the state’s receipt of more than $650 million in federal pass-through funds to date.
Dryer said the current program is funded through the end of 2025, though the federal waiver authority runs through 2027. The governor’s proposal would create a new assessment on insurers, estimated at roughly 2% to 3%, to fund the state share of the program and avoid another full waiver submission. She noted that the proposal assumes MinnesotaCare funding would be held harmless and that the program would be reduced if federal basic health plan funding were negatively affected. She also said projected costs changed because individual-market enrollment has grown and enhanced federal subsidies were removed from the estimate.
Members raised concerns about the proposal’s impact on premiums and the history of the fund. Senator Rasmusson argued the new assessment amounts to a large tax increase on health insurance and questioned who would be assessed and whether the surcharge would be capped. Dryer responded that the assessment would be based on annual claims experience and market conditions, with final amounts determined at the end of each year, not monthly. Senator Duckworth and Senator Frentz supported reinsurance as a way to keep premiums lower, while also questioning how the program should be financed. Senator Green asked about the mechanics of the assessment and the role of the department in setting it, and Senator H questioned why the fiscal note assumed 12% annual growth for program costs when general premium growth was lower. No vote or formal action was taken in the meeting.
MN
Minnesota 2025-2026 Regular Session
Representatives Zeleznikar, Baker and Bierman Press Conference 5/12/26
Transcript Highlights:
- 340 uhb drug pricing program 340 uhb drug pricing program at<00:01:19.119>
their <00:01:19.439 - And this program is a bridge delivered.
- >
workforce of reimbursement cuts, workforce of reimbursement cuts, workforce shortages,<00:08 - federal program or a federal acronym. federal program or a federal acronym. 340B<00:20:36.480>
important program that we can't let end. important program that we can't let end.
Summary:
House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival.
Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access.
In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.
OK
Oklahoma 2026 Regular Session
Appr/Sub-General Government and Transportation 2ND REVISED Jan 12th, 2026 at 09:00 am
Transcript Highlights:
- We have the public assistance program, which is FEMA's infrastructure program.
- We also managed the A program and the seed program that came through Oklahoma.
- The Ocamp program was also a program that was really awkward. The language was inconsistent.
- It's a great program.
- So, I have there's in the program grew out of a federal program that was called GAP.
SC
South Carolina 2025-2026 Regular Session
Healthcare and Regulatory Subcommittee Jun 24th, 2026
Transcript Highlights:
- All program income received by the VR program is to report it as federal program income earned.
- We have a pre-EDS program.
- It's a very successful program.
- However, the program is in a hiatus until Congressional renewal of the program has passed.
- It is a structured program.
Summary:
The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance.
The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments.
Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
CA
California 2025-2026 Regular Session
Assembly Floor Session May 19th, 2025
California House Floor Meeting
Transcript Highlights:
- He's proposing cutting Medi-Cal dental reimbursement rates by 43 percent.
- Yeah, thank you so much. 340B, like many programs, is not perfect.
- the federal level, as they should be, as it's a federal program.
- Who are not intended to use the program, cannot use the program.
- Disabled Communications Program, and the Transportation Network Company Access for All Program.
TX
Transcript Highlights:
- disputes by duplicating the same fraud fraud enforcement provisions that apply to government health programs
- There, there are certainly actors out there, and we've seen many examples in government healthcare programs
- The big three PBMs control over 80% of the market for prescription drug reimbursements in the country
- Meaning ones that increase administrative costs or reduce reimbursement during a contract term unless
- In addition, it has no impact on the existing 340B drug program.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- government is particularly interested in the Medicaid program and the DTA program and the Medicaid program
- , the adult foster care program, and the adult day health program.
- The personal care attendant program, the adult foster care program, and the adult day health program
- programs, I am.
- Programs on that campus, which includes substance use disorder treatment programs, residential programs
Summary:
The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs.
EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle.
MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/28/25
Public Safety Finance and Policy
Transcript Highlights:
- <00:16:00.600>
for um we also have a grant program for um we also have a grant program for - theft of government funds and programs theft of government funds and programs and<01:11:30.280><
- Intervention Program grant program that will be going underneath the Youth Justice Office.
- <01:27:58.880>
be <01:27:59.080>going Program grant program that will be going Program - or education programs higher ed programs or education programs generally<02:00:08.760>
uh <02:
Bills:
HF2432
Keywords:
HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board
TX
Transcript Highlights:
- In the importance of this program to continue in 2022, we had the freeze in Texas.
- The scheduled sunset of this program in 20- threatens to reverse our progress.
- Texas cannot afford for this program to go away.
- Not one city has reimbursed landowners, farmers, or ranchers for that. overreach.
- Now, you know, the next one is going to be, how do you start making the CDs reimburse?
TX
Transcript Highlights:
- This prevents artificially low Medicaid reimbursement rates.
- The PASS program is one of the four comprehensive transition and post-secondary programs in Texas.
- as the program coordinator at Texas A&M.
- This legislation will repeal the Texas Research Incentive Program, also known as the TRIP Program.
- And in this bill, we are not touching the major events reimbursement fund.
Summary:
The House convened with a quorum, heard the invocation and pledges, and then took up a series of memorial resolutions and recognitions. Members adopted memorial resolutions honoring former President Jimmy Carter and Dr. Alice Gail Hudgens, with remarks highlighting their public service and community impact, and adopted resolutions recognizing Victoria College’s 100th anniversary and May 2025 as Mental Health Awareness Month. The chamber also recognized Texas A&M system interns and later granted permission for several committees to meet while the House was in session.
The House then moved through a long third-reading calendar, passing a number of bills on wide margins. Measures approved included SB 304 on municipal court jurisdiction over nuisance abatement ordinances, SB 608 on reporting evidence collection kits, SB 2312 creating a Texas Advisory Committee on Geopolitical Conflict, SB 494 creating a petroleum theft task force, SB 530 on postsecondary accreditation, HB 45 giving the Attorney General a role in prosecuting human trafficking cases, HB 35 on peer support for first responders, HB 47 and HB 3073 on sexual assault policy and prosecution, HB 318 and HB 3000 creating rural sheriff and ambulance grant programs, HB 554 on Juneteenth fireworks sales with county opt-in authority restored, HB 705 and HB 932 joining licensure compacts for cosmetology and occupational therapy, HB 849 allowing county park boards to meet by video conference, HB 1119 on mental health bed reporting, HB 3041 on students with nontraditional secondary education, HB 713 on maternal mortality review reporting, HB 3104 on Webb County bailiff appointments, HB 3970 on electricity planning for large loads, HB 4042 on Railroad Commission safety provisions for gas distribution pipelines, HB 4490 protecting next-of-kin information, HB 1731 on the physician assistant compact, HB 2607 on Walker County Hospital District governance, HB 3689 on Texas Windstorm Insurance Association funding, HB 1788 on continuing education for barbers and cosmetologists about abuse and trafficking, HB 1612 on hospital direct payments for uninsured patients, and HB 138 on health impact cost and coverage analysis.
Several bills drew extended debate or amendments. HB 353, creating a trespass offense near schools and daycares, prompted questions about constitutional concerns and property rights before passing. HB 3211 on optometrists in managed care plans received a perfecting amendment and a Medicaid-related amendment setting a minimum payment level. HB 1056 on gold and silver specie and a state-based currency prompted detailed questioning about its mechanics and fees, followed by a point of order challenging the caption. The House also adopted or postponed a number of items, including postponing HB 2520 and HB 1359 until later in the calendar before later passing both, and laying several bills on the table subject to call. Many measures passed overwhelmingly, while a few, including HB 3326 on loan forgiveness for adjunct professors and HB 3237 on energy consumption goals, passed with narrower margins.
MN
Minnesota 2025-2026 Regular Session
Lessard-Sams Outdoor Heritage Council 5/27/26
Transcript Highlights:
- 00:16:11.519>
were Um eligible recommended programs were Um eligible recommended programs were - <01:49:28.880>
expenses eligible and reimburseable expenses eligible and reimburseable expenses - So that is kind of our reimbursed.
- legacy program coordinator.
- And we do have a program coordinator.
Summary:
The Lessard-Sams Outdoor Heritage Council met on May 27, 2026, approved the January 7 minutes and the day’s agenda, and reported no conflicts of interest. The executive director gave staff updates, including introductions of new staff member Cara Castanza and DNR liaison Jason Co., both of whom were welcomed by the council. Members were also informed about three minor easement/conveyance matters in the packet, including a small Bowser easement impact with about $1,600 returned to the Outdoor Heritage Fund, a Minnesota Land Trust easement request involving a DNR trout stream easement, and an access easement revision in Itasca County. The council also noted several upcoming dedication events and a June field tour in southeast Minnesota beginning in Winona on June 16, with visits to Whitewater WMA, bluff prairie and stream sites, and a river segment if a boat is secured.
A major agenda item was a legislative session recap on the Outdoor Heritage Fund portion of Senate File 2077, the omnibus Outdoor Heritage Fund, Legacy, and Lands bill. Staff reported that all council recommendations were incorporated into the bill, which passed both chambers on May 17 and was expected to be signed by the governor. The fiscal year 2027 Outdoor Heritage Fund recommendations covered 53 programs totaling about $188.9 million, with the February forecast increasing the appropriation slightly so the final total was about $191.16 million; eligible programs were proportionately increased. Staff also highlighted a few changes made during the legislative process, including adjustments to the Roso Lake rehabilitation phase three project, the conservation partners legacy grant language, and statutory provisions affecting the council.
The recap also covered policy changes in the bill: a public member term limit of eight years, with a short vacancy exception and transition rules for current members; a revised executive director hiring process allowing the Legislative Coordinating Commission to provide support while preserving the council’s final hiring authority and permitting closed meetings for candidate discussions; and an extension of the Upper Mississippi River invasive carp deterrent design deadline to June 30, 2027. Members discussed the Roso Lake amendment at length, with Senator Lang and Representative Burkel explaining that the added delay and injunction-related language were intended to address local concerns and preserve the council’s process while litigation proceeds. The meeting ended without any additional formal action beyond receiving the updates and discussion.
NH
Transcript Highlights:
- So, um, are the programs—how are they distinguished in one CTE program from another program?
- Those are supplemental funds that are used to support... program by program because there are program
- . program. program.
- any CTE program. any CTE program.
- cosmetology program. cosmetology program.
LA
Transcript Highlights:
- Senate Bill 221 would allow EMS providers to be reimbursed for responses to emergency calls when they
- Senate Bill 221 would allow EMS providers to be reimbursed for responses to emergency calls when they
- And so right now, in the current statute, there's no mechanism for them to get reimbursed for going to
- Which, you'll have to credential anything to, I guess, code or file for your reimbursement, or are you
- And I've met hundreds and hundreds and hundreds of people that have gone through this program.
Summary:
The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments.
The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably.
A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss.
Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.
KY
Kentucky 2026 Regular Session
House Budget Review Sub. on General Government (2-12-26)
Transcript Highlights:
- And they authorized somewhere around $160 million in grants to launch these programs in the states.
- in in in the to launch these programs in in in the states.<00:03:30.799>
And <00:03:30.879> - But it also tied into that is the stagnant reimbursement rates.
- that is the stagnant reimbursement that is the stagnant reimbursement rates.<00:10:34.800>
What - <00:10:42.000>
rates happen now because reimbursement rates happen now because reimbursement
Keywords:
Meeting Start 00:00:00
Kentucky Board of Emergency Medical Services (KBEMS) 00:00:53
Approval of Minutes 00:23:37, 958, all
Summary:
The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs.
Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60.
Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments.
No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.
MN
Transcript Highlights:
- state agency provides art programming state agency provides art programming Arts<00:08:27.479>
spent uh summary information on programs spent uh summary information on programs and<00:11:52.040 - Over $100 million has gone to the CPL program, and again that's the small grants program that goes to
- that is we have an online program that is we have an online program management<00:35:43.040>
- <00:36:00.440>
managers they're required the program managers they're required the program
Summary:
The Legacy Finance Committee held its first meeting of the session, with members and staff introducing themselves and the chair emphasizing the committee’s role in overseeing Minnesota’s Legacy Amendment funds. The committee then received an overview of the Arts and Cultural Heritage Fund from Mary Davis. She explained that the fund receives 19.75% of the 1% sales tax, is constitutionally limited to arts education, arts access, and preserving Minnesota history and cultural heritage, and is not a guaranteed base for prior recipients. She reviewed major recipients and statutory requirements, including the Minnesota State Arts Board’s 47% share, funding for the Historical Society, libraries, humanities and cultural organizations, public media, and the Minnesota Indian Affairs Council. She also noted the 5% reserve requirement, reporting obligations, and a 2023 legislative directive to improve access through free or reduced admission and outreach to households regardless of income.
The committee next heard from Janelle Taylor on the natural resources funds, focusing on the Clean Water Fund and Parks and Trails Fund. She said the Clean Water Fund receives 33% of Legacy revenues and must be used to protect, enhance, and restore water quality and protect groundwater, with at least 5% dedicated to drinking water sources. She described the Clean Water Council’s recommendation process and said most of the money goes to Board of Water and Soil Resources projects, with additional funding for PCA and DNR monitoring. In response to a question about Hastings and PFAS contamination, she said the legislature could appropriate clean water money if the project fits the constitutional criteria and protects drinking water sources. For the Parks and Trails Fund, she explained it receives 14.25% of Legacy revenues and is allocated under the long-standing 40-40-20 split: 40% to state parks and trails, 40% to metropolitan regional parks and trails, and 20% to Greater Minnesota regional parks and trails.
House Fiscal Analysis staff then reviewed the reserve requirement and available balances, noting that each Legacy fund must keep a 5% reserve to protect against forecast changes. For the upcoming biennium, they cited approximately $327.229 million available for the Outdoor Heritage Fund, $184.73 million for the Arts and Cultural Heritage Fund, and $133.13 million for the Parks and Trails Fund, with the Clean Water Fund total discussed earlier at about $311 million. Members briefly discussed the importance of the reserve and the zero-base nature of the funds. The committee then moved on to an overview of the Outdoor Heritage Fund and Outdoor Heritage Council from Mark Johnson and Joe Pelco, who explained that the fund was approved by voters in 2008, lasts 25 years, receives about one-third of the 3/8 of 1% sales tax, and is used to protect, restore, and enhance wetlands, prairies, forests, and habitat for fish, game, and wildlife. They described the council’s statutory role, the small grants program for projects from $5,000 to $500,000, and the annual recommendation process, but no votes or formal actions were taken in the portion provided.
CT
Connecticut 2026 Regular Session
Transforming Children's Behavioral Health Policy and Planning Committee June 17th Meeting Jun 17th, 2026
Transcript Highlights:
- And make sure that all schools are able to bill for the most, to get back the most federal reimbursement
- We're going to research approaches to increasing schools claiming for federal reimbursement.
- Because the more federal reimbursement that comes through, the better.
- into as we do this work: compilation of incidents, interventions by the department on schools or programs
- legislation, whether it's administrators, educators, behaviorists, including folks in transition programs
Summary:
The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer.
The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing.
A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.