Transcript Highlights:

• It's a coordinated effort across the country to talk about the collective Medicaid anti-fraud actions
• Medicaid fraud is about fighting for working families, protecting vulnerable Oregonians, and holding
• Our Medicaid fraud unit was founded in 1986.
• to fighting fraud and protecting Medicaid patients.
• for day support program services that were not provided to Medicaid recipients.

Summary: Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud. The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided. In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.

Transcript Highlights:

• For Medicaid, there is no monthly premium.
• Title 19 of the Social Security Act is Medicaid.
• House Bill 121 did not impact Medicaid.
• Okay, so I believe it also has to do with continuous coverage of Medicaid, or does Medicaid have continuous
• There's no payment of premium in Medicaid. Okay. All right.

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• Medicaid tends to, every year, we set a Medicaid budget.
• Medicaid tends to, every year we set a Medicaid budget.
• But our largest one still is Medicaid. Our largest one still is Medicaid and education.
• I want to ask about Medicaid.
• I want to ask about Medicaid.

Committee: House State Affairs

Transcript Highlights:

• </c><00:07:12.080><c> Program</c> funded by the the the Medicaid Program funded by the the the Medicaid
• ><c> which</c> Medicaid Federal Medicaid outlays which Medicaid Federal Medicaid outlays which if<00:
• We do have reductions in Medicaid.
• on Medicaid if people are people on Medicaid if people are healthier<00:48:40.440><c> and</c><00:48:
• </c><01:08:31.359><c> so</c> weight loss drugs through Medicaid so weight loss drugs through Medicaid

Committee: House Human Services Finance and Policy

Transcript Highlights:

• </c> representative of the total Medicaid representative of the total Medicaid Program<00:06:05.520><
• </c> slide four um which is the Medicaid slide four um which is the Medicaid enhancement enhancement
• </c> just a a quick question the Medicaid just a a quick question the Medicaid expansion<00:22:01.320
• </c><02:46:26.960><c> filing</c> Medicaid or one Medicaid rate filing Medicaid or one Medicaid rate filing
• Medicaid is a lifeline for nearly 200,000 Granite Staters through Medicaid coverage.

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• It improves efficiency within Medicaid and ultimately helps control costs without expanding Medicaid,
• :55.679><c> receive</c><00:17:56.080><c> certain</c> Medicaid recipients to receive certain Medicaid
• :29.280><c> helps</c><00:18:29.679><c> control</c> Medicaid and ultimately helps control Medicaid and
• Our employees in billion on Medicaid.
• </c> really think for Kentucky our Medicaid really think for Kentucky our Medicaid burden<00:31:07.360

Transcript Highlights:

• Access for Medicaid. why this matters? Access for Medicaid.
• </c> population in Kentucky is on Medicaid. population in Kentucky is on Medicaid.
• Medicaid covers 46% of children.
• </c> Medicaid covers 46% of children. Medicaid covers 46% of children.
• </c> of the total Medicaid spending budget. of the total Medicaid spending budget.

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• This bill also reforms Delaware's drug paraphernalia law to align with public health best practices,
• It creates a presumptive eligibility pathway for patients already enrolled in programs such as Medicaid
• It creates a presumptive eligibility pathway for patients already enrolled in programs such as Medicaid

Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.

Transcript Highlights:

• Every budget has cuts, except for K-12 and Medicaid.
• Cuts except for K-12 and Medicaid from the JFAC folks, but the governor has tried to do his thing on
• Senators, before discussing provisions of the proposed housing reforms, I want to take a moment to put

Transcript Highlights:

• Murphy, I'll let Representative Nelson and the committee know that yesterday in our Tax Relief and Reform
• federal CMS, and the upgrades would allow HHS to track work requirements and determine eligibility for Medicaid
• I guess there is. to track work requirements and determine eligibility for Medicaid expansion, which

Summary: The Budget Section met with a quorum, approved the December 10, 2025 minutes, and received a general fund and revenue update from the Office of Management and Budget. OMB reported the state was about $2 million ahead of forecast biennium-to-date, with an estimated ending general fund balance of about $397.5 million. Joe Morset also reviewed balances in major funds, oil tax revenues, interest income, federal grant reporting, fiscal irregularities, the voluntary separation incentive program, vacancy savings, and the FTE pool. Members asked about the higher-than-forecast interest income, the effective oil tax rate and stripper-well production, the impact of temporary pay adjustments and vacancy savings, and whether the voluntary separation program could reduce institutional knowledge or shift duties to remaining staff. The committee then approved four Emergency Commission requests: $5.26 million for DPI to support an AI-enabled tutoring platform, $105,000 from the general fund contingency for Corrections GPS monitoring, about $1.963 million for HHS SPACES eligibility system upgrades tied to Medicaid work requirements, and about $1.2 million for SNAP eligibility IT improvements. Legislative Council reported remaining interim spending authority after those approvals, and NDIT gave an update on digital accessibility compliance efforts, saying the state has made substantial progress on websites and PDFs but that applications will take longer to remediate. NDIT also reported on the Infinite Campus student information system rollout, noting data migration remains the biggest challenge and that a supplemental vendor is being brought in to help get districts ready for summer go-live. Greg Hoffman then gave a brief update on NDIT’s operational fund, saying cash remains negative in PeopleSoft but accounts receivable keeps the fund functioning within federal limits. The Supreme Court reported on its new and vacant FTE funding pool, saying it has filled 7 of 10 new positions and has realized some vacancy savings, and Legislative Council provided a similar report for the legislative branch along with a reminder that budget action reports are available online. The Department of Transportation presented its Flexible Transportation Fund, explaining the fund’s allocation formulas and ranking process, and sought Budget Section approval for two projects over the $10 million threshold: a Medora city streets and sidewalk project and a Cass County bridge replacement. Members questioned whether funding Medora streets could set a precedent for city street reconstruction and whether the bridge application process fully reflects statewide needs. DOT said the projects were scored competitively and that the bridge list does not capture all deficiencies statewide.

Transcript Highlights:

• We do get Medicaid funds for that, but that's all included in our funds.
• It is part of our general programming, and we receive reimbursements for Medicaid for a portion of the
• And then I guess just my final comment would be if we put together a legislative bill that reforms the

Transcript Highlights:

• </c> supplemental reimbursement from Medicaid supplemental reimbursement from Medicaid because<00:04:
• I think Medicaid some of the credit.
• </c> It's a vital part of the Medicaid It's a vital part of the Medicaid program<00:13:10.399><c> in<
• </c> Medicaid and other insurance drop off. Medicaid and other insurance drop off.
• </c> denial to Medicaid staff first. denial to Medicaid staff first.

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

Transcript Highlights:

• It waives the uniform tax requirement for the Medicaid provider tax.
• for Medicaid expansion enrollees and two months prior for traditional Medicaid population enrollees.
• It requires state-imposed Medicaid coverage cost sharing of up to $35 per service on Medicaid expansion
• Medicaid funding is subject to sequestration, but cuts are capped at 4%.
• The second area is related to Medicaid program changes.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• Largely it's the Medicaid licensing, right?
• That people buy Medicaid licensings, Texas doesn't really have new Medicaid licenses.
• Well, then you add Medicaid on top.
• or not taking Medicaid. like a mix of Medicaid patients. aren't required to take a mix of Medicaid patients
• to a Medicaid patient.

Committee: Senate Health & Human Services

Transcript Highlights:

• Medicaid controls the budget.”
• Medicaid controls the budget.
• Again, that $10 million was not related to an actual claim of against Medicaid damages or Medicaid dollars
• Medicaid, as you stated, Mr.
• Medicaid, as you stated, Mr.

Committee: Senate Ethics and Elections

Transcript Highlights:

• </c><00:21:20.880><c> dollars</c> think that taxpayer Medicaid dollars think that taxpayer Medicaid dollars
• </c> services, but that do so with Medicaid services, but that do so with Medicaid taxpayer<00:27:04.080
• Chair, are all of the uh providers solely<00:32:27.600><c> Medicaid?</c> solely Medicaid?
• solely Medicaid?
• other payment but Medicaid.

Transcript Highlights:

• Medicaid is a primary payer in the behavioral health space.
• Medicaid controls the budget.”
• It was not related to Medicaid damages.
• Again, that $10 million was not related to an actual claim against Medicaid damages or Medicaid dollars
• Medicaid, as you stated, Mr.

Committee: Senate Ethics and Elections

Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.

Transcript Highlights:

• The Medicaid Oversight Advisory Board, the Medicaid Oversight Advisory Board, the sixth meeting, and
• </c> um is the date that CCBHC Medicaid um is the date that CCBHC Medicaid demonstration<00:05:10.440
• And if there's any Medicaid screen.
• for Medicaid and is attending<00:36:21.120><c> a</c><00:36:21.200><c> Medicaid</c><00:36:21.720><c>
• eligible</c> attending a Medicaid eligible attending a Medicaid eligible facility<00:36:23.560><c> or

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• this bill is to address what is this situation that we find ourselves in this year by offering a reform
• It's long overdue to look at reform in this formula.
• Like I said, we've made some reforms to try to not find ourselves in the situation again.
• We've also made some reforms.
• Where there may be some sliver of light where there's some collaboration is some of our Medicaid fraud

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• </c> could trim federal support for Medicaid could trim federal support for Medicaid by<00:50:55.520>
• Um, but we just wanted to emphasize the point that our Medicaid program, our state Medicaid...
• Our Medicaid program, our state Medicaid program, is going to require hundreds of millions of dollars
• </c> lose my Medicaid. lose my Medicaid.
• </c> money without losing Medicaid services. money without losing Medicaid services.

Bills: HB2488 , HB2456

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.