Transcript Highlights:

• make the 2026 school year because we would need to have the program in place and be ready to take applications
• There was a discussion on the application deadline, or rolling application.
• Application period or? I guess I'd leave it as is.
• But you're talking the application deadline of the—yeah, implementation date.

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The division first discussed Senate Bill 1540 and related amendments involving implementation mechanics, procurement exemptions, and an emergency clause. Bank of North Dakota representatives explained that, based on a timeline review with DPI, the project would be very difficult to implement for the 2026-27 school year without exemptions from state purchasing and IT oversight rules and without an emergency clause; they said the normal procurement process could take about 240 days and that a 15-month implementation window would likely push the start to 2027-28 if those changes were not adopted. Members also raised a separate policy question about a criminal penalty placeholder in the bill, and the committee agreed that the sentence was unnecessary and should be removed. The committee deferred means-testing questions and fiscal-note issues to the next morning, with the understanding that the bill would be drafted in a way that made it workable if it advanced. The committee then turned to the water budget bill and reviewed the latest amended version, which included changes to the Water Topics process, Southwest Pipeline line of credit provisions, Red River supply funding, Mouse River project amounts, general water funding, studies on Missouri River intakes and water governance/finance, and a carryover/transfer adjustment. Chris Cattermas of the Department of Water Resources said most of the carryover funds were already obligated, with the largest unobligated amount in flood control. After review, Senator Thomas moved a do-pass recommendation on the bill as amended, the motion was seconded, and the committee approved it unanimously. The chair noted that other bills would be taken up the next morning, including 1013, 1014, and 1540.

Transcript Highlights:

• THERE IS NO APPLICATION IN PALM BEACH COUNTY.
• NO APPLICATION IN THE STATE OF FLORIDA TO BUILD ANYTHING. I OWN THE LAND.
• NOTONE APPLICATION IN FRONT OF ANY GOVERNING BODY. >> Sen.
• Harrell: HAVE THERE BEEN APPLICATIONS IN THE PAST BY YOU FOR THAT LAND?
• Harrell: THERE WAS NEVER AN APPLICATION? >> NEVER. >> Sen.

Keywords: 999, senate, all

Transcript Highlights:

• Criminal history background checks as a condition of eligibility for licensure, requiring that an application
• for cannabis activity licensure be completed and signed by the applicant, adding definitions to the
• to disabilities, enacting the Accessibility Act to require each state agency's website, mobile application
• It requires a qualifying entity to conduct a housing study prior to submitting an application for public
• support, adding definitions and amending application and evaluation requirements.

Transcript Highlights:

• The application processes are different. The documentation that is required is different.
• It requires a single statewide application and a uniform list of acceptable verification documents.
• Another key provision is that debt collection activity must stop while a financial assistance application
• HFAC reviews the applications, makes recommendations, and the Joint Finance Committee acts on those recommendations
• something it has never had: a formal rubric, a consistent and fair way to evaluate and compare applications

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• The bill includes definitions, applicability, exemptions, consumer...
• Applicability, exemptions, consumer personal data rights, duties of controllers and processors, data
• Um The applicability section is the next section, and this was amended by the House.
• Applicability defines which...
• of a child, it must be processed in accordance with COPPA, which is federal regulation, and if applicable

Keywords: 927, senate, all

Transcript Highlights:

• So I'm just trying to understand how the application using the language is specified in here and says
• The application using the language is specified in here and says remove the prohibition on a building
• So what this says is that applicant can appeal, come back to the zoning board to have that prohibition
• So what this says is that applicant<00:29:00.240> can<00:29:00.400> appeal,<00:29:01.280
• appeal, come back to the applicant can appeal, come back to the zoning<00:29:02.560> board<00

Keywords: 1189, house, all

Summary: The Conference Committee on House Bill 244 met to resolve remaining drafting issues in the bill updating and recodifying municipal enforcement of building and fire codes. The chair explained that the measure is largely a technical recodification, moving statutory references and correcting broken cross-references after review by the subcommittee, the Senate, AI-assisted checking, and the Building Code Review Board. Members emphasized that Amendment 2026-1923H contains no policy changes, only reference updates and language cleanup to ensure the bill points to the correct current RSA sections. The committee then discussed a few specific drafting questions, including a reference on page one and language on page two concerning the phrase “remove the prohibition on a building permit.” Some members questioned whether that wording should instead describe a variance or exception, but the chair and Representative Darji explained that the language is intended to allow an applicant to return to the zoning board to remove a prohibition attached to a specific building permit, not to broadly eliminate the underlying rule. The committee also noted a corrected reference to current statutory language because the underlying law had changed since the bill was introduced. After the explanation, the House receded from its position of non-concurrence and concurred with the Senate amendment as further amended by 2026-1923H. Members agreed to place the measure on the House consent calendar, and the committee adjourned.

Transcript Highlights:

• And, you know, with 25% of the applicants of Girls State being denied access to Girls State, we feel
• Hudson and Senator Davis indicated, in years past, it's been a fairly common practice that the application
• Boy State, on the other hand, has continued to take applicants.
• Preventing students from attending due to an application error undermines that purpose of the program
• , I think that any of the girls that have been approved—about the 610 girls that did get their applications

Keywords: 1204, all

Transcript Highlights:

• The application process is open right now, but the $309 million does cover what the two restricted reserve
• And what’s— is there an increase in the application so far? Have you seen that?
• And so I just encourage all of us to look at the facts of what is going on right now in terms of applications
• thousand people or students would be involved this year, 44,000, and you're still working on the applications
• To Representative, I'm sorry, Senator Davis's point, we prioritize the applications based on the amount

Summary: The committee first considered the Lieutenant Governor’s Office budget and personnel request. Office representatives said they wanted to move the office to the state pay plan to better align salaries with other constitutional offices and remain competitive, noting that OPM had approved the positions and grades. Senators questioned the size of the requested increases and the office’s workload, and after discussion the motion to adopt the proposal failed on an 8-8 tie. The committee then voted to expunge that vote and returned to the regular agenda. The committee approved a series of Governor’s letters involving position transfers and appropriation adjustments across several agencies. These included changes for AETN, the Department of Health and Nursing Board/Dietetics Board, multiple DHS divisions, DFA shared services and budget management, and the Department of Public Safety shared services division. Most of these items involved moving positions and associated salary appropriations between divisions, with no major opposition and motions passing. A lengthy discussion followed on the transfer of child nutrition and related nutrition programs from the Department of Education to the Department of Agriculture. Education and DFA officials explained that the programs fit better under Agriculture because the funding and commodities are tied to USDA programs, and they clarified that both state and federal funding and all related positions would move. Senators raised concerns about the math in the letters, the split between state and federal funding, and whether all program resources were being transferred. After the explanation, the committee approved the Education side of the transfer and then approved the Agriculture companion letter. The committee also discussed the Educational Freedom Account program budget. Officials said the $309 million request matched current participation and included a $70 million reserve in case applications increase. Several senators expressed concern about the program’s growth and its effect on public education funding and adequacy, while others noted that the program’s rules and funding levels could be adjusted through the State Board and future legislative action. The committee then approved a Public Safety classification change and a member amendment changing a title at East Arkansas Community College from assistant to the president to assistant to the chancellor, with no change in positions or appropriation.

Transcript Highlights:

• The application process is open right now, but the $309 million does cover what the two restricted reserve
• “And what’s— is there an increase in the application so far? Have you seen that?”
• And so I just encourage all of us to look at the facts of what is going on right now in terms of applications
• thousand people or students would be involved this year, 44,000, and you're still working on the applications
• To Representative, I'm sorry, Senator Davis's point, we prioritize the applications based on the amount

Summary: The committee first considered the Lieutenant Governor’s Office budget and personnel request to move that office onto the state pay plan and increase salaries for its positions. Office representatives said the request was intended to make pay competitive with other constitutional offices and state agencies, that OPM had approved the grades, and that the office did not plan to max out any positions. Members questioned the size of the increase and the office’s workload. A motion to adopt the proposal failed on a tie vote, and the committee then voted to expunge the vote before moving on. The committee then approved a series of Governor’s letters and related personnel transfers, including cuts for Arkansas Educational Television Network, transfers within the Department of Health and several DHS divisions, and a DFA shared services reorganization. The committee also approved moving child nutrition and related nutrition programs from the Department of Education to the Department of Agriculture, with department officials explaining that the programs fit better under Agriculture because the grants come from USDA and the transfer would include the positions and funding tied to the programs. Members raised questions about how the appropriations and positions were split between state and federal funding, and about the broader implications of the transfer, but the committee ultimately approved both the Education and Agriculture sides of the move. The meeting also included extended discussion of the Educational Freedom Account program. Members questioned the $309 million appropriation, whether it matched current participation, and whether future demand could require additional funding. Department officials said the amount covered current participation and that the governor had set aside an additional $70 million in case applications increased, but that any amount beyond the appropriation would require returning to the committee. Some members argued the program’s growth could threaten funding for public schools and adequacy, while others noted that the program is governed by rules under the LEARNS Act. The committee also approved a technical title change at East Arkansas Community College from assistant to the president to assistant to the chancellor.

Transcript Highlights:

• officer is authorized to appoint review panel members to assist DFS in the grant review process of applicants
• Secondly, it requires the registered agent's address be included in a kiosk business application.
• Secondly, it requires the registered agent's address be included in a kiosk, businesses, application,
• And lastly, it provides that any false statement in an application, And lastly, it provides that any
• false statement in an application, rather than false statements as to the name, address, or location

Summary: The Senate Committee on Banking and Insurance met with a quorum present and took up a full agenda of bills, beginning with SB 1286 by Sen. Wright. That bill expanded the state recruitment bonus program to include newly employed firefighters, created a DFS grant review panel, and established a PTSD institute within DFS for first-responder behavioral health. Fire chiefs, the Florida League of Cities, and others supported the measure, and the committee reported it favorably. The committee then considered SB 198 on virtual currency kiosks by Sen. Rousan. A substitute amendment was adopted that clarified daily transaction limits, registration requirements, expiration rules, and OFR authority to deny registrations. Testimony focused on protecting seniors from crypto-ATM scams while giving the industry regulatory certainty. The committee also favorably reported CS/SB 198. Members next approved CS/SB 772, which allows portable electronics limited licensees to sell eyewear insurance, and CS/SB 1504, which updates insurance customer representative licensing pathways by allowing a high school insurance and personal finance course to count toward pre-licensure education. The committee also favorably reported Sen. Gruters’ CS/SB 1038 and CS/SB 1040, which together create the Florida Strategic Cryptocurrency Reserve and its trust fund framework, and CS/SB 1440, which expands public records exemptions and cybersecurity-related protections for financial institutions, loan originators, money service businesses, and credit unions. Sen. Burton’s SB 1668 on the NICA program drew extensive testimony from a NICA board member and family advocate, who urged stronger funding to preserve lifelong care for catastrophically injured children; the bill was reported favorably despite concerns from the Florida Justice Association about benefit restrictions and retroactivity. Finally, the committee approved CS/SB 570, creating a DFS task force on payment scams, after an amendment reduced FDLE’s required representation. At the end of the meeting, Sen. Burton requested to be recorded in the affirmative on SB 1286, and Sen. Passidomo requested affirmative votes on tabs 3, 5, and 9; the committee then adjourned.

Transcript Highlights:

• local governments have 15 business days to conduct an initial review of the ADU and junior ADU application
• and get back to the home builder so they have time to correct any problems in their applications.
• local governments have 15 business days to conduct an initial review of the ADU and junior ADU application
• and get back to the home builder so they have time to correct any problems in their applications.
• Specifically, SB 543 will make application review and appeal timelines, application completeness standards

Summary: The Assembly Housing and Community Development Committee met with a quorum and announced that SB 340 would be moved to a later hearing. The consent calendar included HR 44, SB 233, and SB 410, which were later approved. The committee then heard several housing-related bills, with testimony largely focused on streamlining accessory dwelling unit (ADU) rules, regional planning, and homelessness response. SB 9 would require local agencies to submit ADU ordinances to HCD within 60 days and respond to HCD findings within 30 days, or the ordinance would become null and void and state standards would apply. Supporters, including California YIMBY, Casita Coalition, UnidosUS, Housing Action Coalition, and Power California, argued the bill would strengthen enforcement of existing ADU law and reduce local barriers. The bill passed 7-0 with two abstentions and was sent to the Assembly Local Government Committee. SB 486 would exempt UC and CSU projects from having to analyze a no-project alternative under CEQA while requiring the universities to share enrollment forecasting data and participate in regional sustainable communities planning. It passed 9-0 and was referred to the Assembly Natural Resources Committee. SB 748, as amended, would expand funding and authority for safe parking sites and related services for people living in RVs or vehicles, using encampment resolution funding and requiring reporting by the California Interagency Council on Homelessness. The City of Compton, the Western Manufactured Housing Communities Association, and the League of California Cities supported the measure, emphasizing public health, neighborhood safety, and humane alternatives to displacement. The committee members discussed the limits of current encampment cleanup approaches and the need for services and temporary shelter; the bill passed 11-0 and was sent to the Assembly Human Services Committee. SB 543, a cleanup bill for ADU and junior ADU law, clarified review timelines, size standards, and consistency with existing ADU statutes; it also passed unanimously and was referred to the Assembly Local Government Committee.

Transcript Highlights:

• border county, otherwise exempt activities can be caught in the crossfire of interpretation and application
• Due to Cameron County's interpretation of the application of these statutes, one of my constituents was
• Unfortunately, the application of both the model subdivision rules and plat exemptions within statutes
• Committee members, last session the legislature passed HB 14, which established that an applicant—whether
• One of the largest issues was that my application skipped the desk of one of the reviewers, which added

Bills: SB1708, SB2523, SB1450

Keywords: county platting, subdivision platting, Local Government Code Chapter 232, Section 232.022, Section 232.0014, model subdivision rules, Water Code Section 16.343, Texas county subdivision law, residential subdivision, land conveyance, gift deed, family transfer, consanguinity, affinity, third degree relative, five acres or less, county land use, platting exemption, rural land division, property subdivision

Transcript Highlights:

• is current language in subdivision statute that already has fairly substantive provisions about application
• There is a paragraph that states that cities have to approve a preliminary plat that meets applicable
• determination of whether a development meets ordinance standards is generally determined in the application
• review process or in pre-application meetings.
• Those are just to name a few, but the applications in terms of just how those vary can be broad.

Transcript Highlights:

• And this bill does clarify that, and I think is important for the uniform application of the law in Texas
• And this bill does clarify that, and I think is important for the uniform application of the law in Texas
• to create a guardianship, contesting the appointment of a guardian, and contesting an application to
• restore... ...contesting the appointment of a guardian and contesting an application to restore the
• We have also suggested that the application of the training requirement be limited to any person who

Summary: The committee first adopted its rules, which were distributed in the same form as the prior session’s rules. Members then took up several bills, beginning with SB 711, an HOA/condominium association bill that would extend and conform property-owner protections to condominium associations; the bill’s author and a Community Associations Institute representative testified in support, and the bill was left pending. SB 942 would allow child support and certain prenatal/postnatal medical expenses to be calculated from the date of conception rather than birth; it drew supportive testimony from the Texas Public Policy Foundation and the Attorney General’s Child Support Division, and was also left pending after testimony. SB 1448, an estates and probate cleanup bill, would require transfer of original wills by qualified delivery, add notice and electronic-order requirements for statutory probate courts, and make other clarifications; it received supportive testimony from the Texas Real Estate and Probate Institute and was left pending. The committee also heard SB 1403, the Attorney General’s Title IV-D child support modernization bill, which updates notice, review, remote-hearing, and administrative-process provisions and clarifies several enforcement and evidence rules; the AG’s office testified that it would improve efficiency, and the bill remained pending. SB 1404 would allow courts to require an email address in final SAPCR orders when other contact information is nondisclosed and clarify service and judgment requirements; the Attorney General’s office described it as a good-government measure, and it was left pending. SB 1559 would require transfer of protective orders into divorce or custody cases to avoid conflicting orders; family-law practitioners and a family court judge testified that it would resolve longstanding conflicts identified by multiple courts of appeals, and the bill remained pending. Finally, the committee considered SB 746, a guardianship bill that would address conflicts of interest in guardianship proceedings, allow guardian ad litem appointment earlier in the process, and require timely court action on annual guardianship reports and accounts; a committee substitute would remove some provisions and extend a reporting deadline from 20 to 30 days. TREP supported the bill, and one practitioner suggested requiring courts to state reasons when rejecting annual accounts. SB 1536 would require dementia and Alzheimer’s training for certain family guardians, with a committee substitute narrowing the scope and reducing the training time from three hours to one; the Alzheimer’s Association supported the measure and the substitute, and the bill was left pending. No bills were voted out of committee during the meeting.

Transcript Highlights:

• THE DEPLOYMENT OF HYDROKINETIC OF A STRUCTURE AND HYDRO STATION APPLICATIONS HAVE THE POTENTIAL TO INCREASE
• IN 2023 WE RECEIVED 35 APPLICATIONS.
• LAST YEAR 44 APPLICATIONS FOR 12 SEATS, SIX OF WHICH WERE FROM FLORIDA AND ONE CANDIDATE WAS FROM FLORIDA
• WE DON'T HAVE THE CAPACITY FOR HUNDREDS AND HUNDREDS OF APPLICATIONS.
• THE APPLICATION OF THE WORK IS PROBABLY WELL KNOWN TO MANY MEMBERS OF THE LEGISLATURE BECAUSE FOR A NUMBER

Keywords: 999, senate, all

Transcript Highlights:

• The application is now being completed by the agent.
• You're presenting your driver's license and full application.
• You're presenting your driver's license and full application.
• And if the database is hacked... ...no bulk queries built into the application or to the process.
• that applicants oftentimes don't have.

Keywords: 988, house, all

Summary: The committee heard several budget and policy items, beginning with the DMV’s proposal for the federal state-to-state verification system and the Digital Experience Platform (DXP). DMV officials said the state-to-state system is required for Real ID compliance and functions as a pointer system that shares only limited identifying information to help states verify whether an applicant has records in another jurisdiction. Members pressed hard on privacy, access, hacking, notification, and misuse concerns, including whether other states or federal actors could use the system to target Californians. DMV said access is limited to member jurisdictions, requests are transaction-based, records are encrypted, California can see when its data is requested, and legal remedies would include working through AAMVA and the Attorney General if misuse occurred. On DXP, DMV said the project has been reset, is on its revised schedule and budget, occupational licensing is complete, vehicle registration is targeted for completion by the end of the calendar year, and the full modernization is expected by fiscal year 2028-29. The committee then took up the High-Speed Rail Office of Inspector General trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a work-paper retention and disclosure framework, and that the trailer bill and AB 1608 would codify those powers, add access to needed job classifications and purchasing authority, and require public reporting with temporary confidentiality only in limited circumstances such as pending litigation, security vulnerabilities, or fraud-detection weaknesses. Members debated how broad the confidentiality language should be, whether reports could remain confidential too long, and whether the bill should define “proposed agreements” and require notice to the Inspector General when agreements are being reviewed. The Inspector General said he had already found at least one procurement-related state law violation involving an amendment that added services not in the original contract, and members discussed the project’s large cost growth and the need for stronger oversight. No vote was taken on the item in the portion provided. Finally, Caltrans began presenting a trailer bill proposal related to workforce development under SB 150, explaining that it would amend Government Code 14017, which governs use of federal highway formula funds and related workforce development efforts. The transcript cuts off as Caltrans starts its overview, so no further discussion, vote, or action on that item is shown in the provided text.

Transcript Highlights:

• We used $500,000 of that $5 million for the quantum regional innovations engine application.
• On the average time from application to determination of that permit.
• So, when we're scoring the grant applications.
• And when they're going to issue the actual grant application for whatever it is.
• Any type of government data, any type of blockchain application, very vulnerable.

Transcript Highlights:

• uniform application.
• subdivisions one and two on application subdivisions one and two on application to<01:43:35.040>
• This largely uniform application.
• Uh some of the application operation.
• uh the uh permit holders or applicants uh the uh permit holders or applicants to<01:48:51.840>

Bills: HF3676, HF3593, HF3785, HF3774, HF4111, HF3513

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Transcript Highlights:

• <00:12:01.680> It following information as applicable.
• It following information as applicable.
• That is, an applicant inside, outside, or partly within an environmental justice area.
• That is, an applicant inside, outside, or partly within an environmental justice area.
• ><00:25:53.520> or<00:25:53.679> partly an applicant inside, outside or partly an applicant

Keywords: 1183, house

Summary: The committee approved the March 3 minutes and then heard a presentation from the Office of the Legislative Auditor on state grant-management requirements. Deputy Legislative Auditor Katherine Tyson outlined the main controls agencies must follow, including pre-award risk assessments for grants of $50,000 or more, reimbursement as the preferred payment method, limits and documentation requirements for advance payments, and monitoring obligations for active grants. She emphasized that these controls are intended to reduce improper payments and fraud, but also require staff time and strong internal systems. In response to questions, she said advance payments are used in some grants but reimbursement is more common, and noted that agencies can add controls such as retaining a portion of funds, surprise visits, or audits. She also said surety bonds are required in some state programs, but not generally for grants, and that this could be a policy discussion for the executive branch. The committee then received a Department of Natural Resources presentation on the new Environment and Natural Resources Trust Fund community grant program created in 2023 law. DNR officials said the program is intended to expand access to ENRTF funding, especially for communities affected by pollution and environmental degradation, and to support projects such as environmental education, resource restoration, trail work, and aquatic invasive species management. They said the department will use the same grants team that handles Outdoor Heritage Fund and LCCMR grants, which already manages a large volume of grants, and that the advisory council application is open through April 10. DNR described its implementation plan as similar to the Conservation Partners Legacy program, with both standard and expedited grant rounds, technical assistance, and use of technical experts. Differences include no match requirement, allowance for fiscal agents to help smaller organizations, and more flexibility for administrative expenses to reduce barriers to participation. Officials said the program will follow state grant rules, including pre-award financial reviews and monitoring, and will use the 5 percent administrative allowance to support both oversight and grantee assistance. They also said the report’s suggestion of advance payments for grants under $50,000 was raised for discussion, but they did not dispute the auditor’s emphasis that reimbursement is the preferred approach.

Transcript Highlights:

• Um applications must include a rural Um applications must include a rural health<00:15:48.399> transformation
• It's all approved applications.
• And like Secretary Hicks application.
• So, It it's all approved applications.
• I was application isn't out there yet.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.