Transcript Highlights:

• Each one of these programs is a tool in a tool chest, right?
• These are programs that parents choose.
• With regards to tribal services or tribal programs, do we have any... ...or tribal programs, do we have
• It’s called a voucher program. That’s what it is.
• We should not be supplanting federal programs.

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• And again, I think those programs.
• Two more to take a serious look at are the FEMA programs, the FEMA post-disaster funding programs.
• , the National Flood Insurance Program, the National Flood Insurance Program, which<00:23:31.520>
• together to to tighten federal programs. together to to tighten federal programs.
• . programs. programs.

Keywords: 958, all

Summary: The interim task force on disaster prevention and resiliency met for its fourth meeting and focused heavily on insurance markets, affordability, and mitigation. Cochairs noted they are working toward recommendations for a later fall meeting. The main presentation came from David Snyder of the American Property Casualty Insurance Association, who said the insurance industry sees itself as part of the problem and part of the solution because it ultimately pays for losses created by natural conditions, development choices, and construction practices. Snyder described rising losses from natural catastrophes, inflation-driven increases in rebuilding and repair costs, more development in disaster-prone areas, wildfire exposure, severe convective storms, hail, and roof damage. He argued that Kentucky should avoid the mistakes he attributed to California, where regulatory responses contributed to a strained insurance market and greater reliance on the FAIR Plan. He said Kentucky’s private market appears to be functioning better, with relatively few FAIR Plan policies, and urged lawmakers to preserve that market through risk-based rates and policies that do not worsen availability. He recommended a broad mitigation strategy involving stronger building codes, land-use decisions, stormwater infrastructure, public access to risk data, and incentives for resilient construction. He highlighted programs such as the Insurance Institute for Business and Home Safety, fortified-home standards, wildfire-prepared community practices, and examples from Alabama, Louisiana, and Florida showing that mitigation can produce quick returns and insurance discounts. He also suggested catastrophe savings accounts, flexible coverage options, and a whole-of-government approach that includes the insurance department, building-code agencies, first responders, FEMA, NFIP, and NOAA. In questions, a legislator asked about the prognosis if carriers continue exiting markets and if nothing is done to address affordability and accessibility. Snyder said he could not predict market exits but stressed that regulators should monitor the market closely, use available data, and focus on loss prevention and mitigation. He said insurers want to do business in Kentucky and that the long-term solution is coordinated action among public and private stakeholders to reduce risk and keep coverage available.

Transcript Highlights:

• it is a private program.
• it is a private program.
• Uh, yes, so our program is an online program.
• programs were actually if your program programs were actually if your program or<00:42:59.839>
• > any<00:43:00.079> program<00:43:00.800> was or any program was or any program was

Keywords: 928, house, all

Summary: The committee heard testimony on SB 69, including a germane amendment about local school boards’ acceptance or rejection of gifts and donations and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Rep. Cordelli said the early literacy proposal was a modified version of an earlier kindergarten readiness bill, would rely on gifts and donations rather than state appropriations, and would include reporting requirements. Members questioned the shift from a broader technology program to an online-only model, the lack of detailed evaluation metrics, how long children would use the program, and whether it was appropriate for very young children. Cordelli said the change was intended to avoid government dependence and still allow the program to be offered next school year. Several members raised concerns about the gift-acceptance language on the underlying bill, including whether school boards would need to vote on small donations, whether gifts could be handled in blocks or at regular meetings, and how anonymous donations would work under right-to-know laws. Rep. Han noted that some gift discussions might belong in non-public session under RSA 91-A, while Rep. Cornell said acceptance or rejection of gifts could be handled at regular meetings and suggested a dollar threshold could be added later. The New Hampshire School Boards Association said it was not taking a position but wanted clearer guardrails, policy guidance, and clarification on timing, anonymity, and public-meeting requirements. Supporters of the early childhood program, including Waterford.org, said the proposal would provide an evidence-based, adaptive online literacy program with family engagement for four- and five-year-olds, and that it could help close early learning gaps. Waterford said it could work collaboratively with school districts and IEP teams, and that it would provide devices and internet access for families who need them. Committee members pressed on how the program would interact with existing special education services and whether districts could use it as part of an IEP; the response was that it would be supplementary and not an approved special education service. No votes were taken during the hearing; the chair indicated the committee would later executive the bills and try to get reports filed promptly.

Transcript Highlights:

• And dependence in our programs.
• Investment program.
• the premier programs in the country.
• But now we We ended that program; we're in a market rate program, and this has the capacity to provide
• Managers in our New Mexico-focused venture capital program; the program, throughout most of its life,

Transcript Highlights:

• First to testify on under the program.
• We feel like the under this program.
• statewide leave program. statewide leave program.
• outreach programs? outreach programs?
• <01:03:59.200> to federal workforce PEL grant program to federal workforce PEL grant program

Bills: SB2198, SB2140, SB3055, SB3090, SB3091, SB3092, SB2761

Keywords: workforce development, craftspersons, skilled trades, artisan, craftsmanship, trade recognition, award program, DLIR, Department of Labor and Industrial Relations, Meilleur Ouvrier de France, vocational education, career pathways, cultural preservation, workforce excellence, apprenticeship, Hawaii trades, economic diversification, public nominations, governor awards, historically significant venue

Transcript Highlights:

• Program integrity. So we have a robust program integrity.
• Program integrity. So we >> one more. Okay. Program integrity.
• have a robust u program integrity. have a robust u program integrity.
• We thank you for the program that you do. Uh, I think it's a good program. you do.
• Uh I think it's good program. you do. Uh I think it's good program.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• newly produced Legacy funded programming newly produced Legacy funded programming reaching<00:04
• Members sh dues to acquire programming Members sh dues to acquire programming but<00:17:02.560> we
• <00:24:13.360> and Who's vice president of programs and Who's vice president of programs and
• and interactive exhibits and programming and interactive exhibits and programming in<00:25:09.960
• able to afford it one of our programs able to afford it one of our programs the<00:29:31.640>

Keywords: 1187, senate, all

Transcript Highlights:

• <00:18:44.720> The program spends in this bill. The program spends in this bill.
• <00:19:36.160> This<00:19:36.400> program payment assistance program.
• This program payment assistance program.
• So you love a program, hate a program, we should still have the metrics in place to make sure the program
• , grant programs, and loan programs to that.

Keywords: 1187, senate, all

Transcript Highlights:

• 53 agencies. and programs.
• Our dental programs, our vision programs, we go out to bid.
• the SNAP Program.
• We also have a program that we call the lock-in program.
• But do you all have a reward program, like a Crimestoppers type reward program?

Keywords: 1184, house, all

Transcript Highlights:

• increase the percentage of SNAP program increase the percentage of SNAP program administrative<00
• of this program. of this program.
• uh program. That was one aspect of it. uh program. That was one aspect of it.
• that that program continues. Thank you. that that program continues. Thank you.
• <00:50:12.240> by<00:50:12.400> those programs that are overseen by those programs

Keywords: 1189, house, all

Transcript Highlights:

• Department of Energy State Energy Program.
• timber grading program, supporting one FTE.
• program.
• fully committed to the purchase program.
• And the leasing program, have you made any offers in the leasing program currently?

Keywords: 996, all

Transcript Highlights:

• . in the program.
• Each one of these programs is a tool in a tool chest, right?
• New contracts are being served in our four- and five-star programs.
• Then we are going to have to look at what other programs are cut.
• We should not be supplanting federal programs.

Keywords: 996, all

Transcript Highlights:

• New York's three-year program is $3 billion, or $149 per capita.
• New York's three-year program is $3 billion, or $149 per capita.
• be the highest program per capita in the nation.
• The programs that are run by public benefits like Mass Save are large programs.
• A decade later, that program has cost $6.2 billion.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and then took up several procedural matters, including adopting a resolution recognizing the work of Ukraine Forward and suspending Joint Rule 12 for a number of petitions. The chamber also scheduled several bills for later consideration, including measures on unemployment insurance for fluctuating work schedules, the Medical Society mission statement, a youth training wage, bridge and intersection namings, handicapped parking fines, public-way safety, excavation restoration, motor vehicle safety, and a Newton police age requirement. Two engrossed local bills were passed to be enacted: one authorizing retired police officers as special police in Plainville and another allowing Orange to increase its Board of Selectmen membership. The main policy debate centered on House No. 5151, An Act relative to energy affordability, clean power, and economic competitiveness. Supporters described it as a broad affordability and clean-energy package that would cut costs for ratepayers, reform Mass Save, speed clean-energy procurement and interconnection, return a portion of alternative compliance payments to customers, and address biomass and other energy issues. Opponents argued the bill relied too heavily on long-term programs and new administrative structures while offering little immediate relief, and raised concerns about costs being shifted to consumers, impacts on natural gas, and the pace of implementation. Several amendments were debated and rejected, including proposals to shift public benefit charges away from peak hours, pause public benefit charges for a year, require greater utility disclosure before rate increases, and add a forest-clearing penalty for solar development. One amendment to the energy bill was adopted: a consolidated amendment that included budget-billing consumer protections for gas customers, requiring notice and conservation recommendations when usage rises significantly. The House also adopted an amendment to a separate conservation-restriction bill for Hanson, changing a figure in the underlying law, and passed that bill to be engrossed as amended. The energy bill’s consolidated amendment passed by roll call, while several other amendments failed by roll call votes. The House observed multiple moments of silence honoring Jaden Booker, Thomas Skip Karam, former Freetown Police Chief Carlton Abbott, and former Representative and Senator William Q. “Biff” McLean, Jr.

Transcript Highlights:

• The KETFA STE program is one of the few incentive programs in California that encourages clean energy
• The program is one of the few incentive programs in California that encourages clean energy manufacturing
• My program is the answer to that.
• The STE program is popular.
• Since 2021, Ametis has utilized the KETFA STE program as a critical part of our capital expansion program

Summary: The Assembly Committee on Revenue and Taxation heard several bills focused on transit funding, veterans’ tax relief, clean energy incentives, housing development costs, and tax conformity. SB 63 would authorize a Bay Area regional sales tax measure for transit agencies facing fiscal shortfalls; supporters said it was needed to avoid major service cuts, while the California Taxpayers Association opposed it on Proposition 13/218 concerns. SB 56 would exclude veterans’ disability compensation from income calculations for the disabled veterans’ property tax exemption, and SB 296 would expand property tax relief for 100% disabled veterans and certain surviving spouses; both drew broad veterans’ support. SB 86 would extend and expand the California Alternative Energy and Advanced Transportation Financing Authority sales and use tax exemption program, including fusion energy, and SB 302 would conform state tax law to federal clean energy credit monetization provisions; both were backed by industry, labor, and clean energy advocates. SB 328 would cap Department of Toxic Substances Control fees on contaminated-soil remediation for infill and master-planned housing projects, with housing groups arguing the current fee structure can make projects infeasible. SB 711 would update California’s tax conformity date to January 1, 2025 to reduce complexity and inconsistencies with federal law, and was supported by tax professionals and business groups. Several bills were held or sent to suspense, while others advanced with amendments. After quorum was established, SB 63 passed the committee 4-2 and SB 86, SB 302, SB 328, and SB 711 were referred to suspense, with SB 86 and SB 302 later approved out of suspense with amendments. SB 56 was held in committee, SB 296 was made a two-year bill, and SB 284 and SB 723 were held. The committee also approved a number of additional suspense-file bills, including SB 293, SB 359, SB 419, SB 587, SB 603, SB 663, SB 710, and SB 785, while SB 591 was approved with amendments and SB 353 was made a two-year bill. The hearing concluded with the committee adjournment after final roll calls and bill actions.

Transcript Highlights:

• going to attend this treatment program. going to attend this treatment program.
• preventive programming.
• and outreach and community programming and outreach and preventive<01:22:05.679> programming.
• Statewide program.
• establishing the uh, Kun Aloha program. establishing the uh, Kun Aloha program.

Bills: SB2175, SB2410, SB2080, SB2276, SB2277, SB2282, SB2413, SB2425, SB2491, HB2315, HB2562, HB1532, HB1857, HB2209, HB1961, HB2343, HB2160, HB2505, HB1537, HB1562, HB1731, HB1853, HB1973, HB1974

Keywords: environmental protection, waste management, disposable electronic smoking devices, plastic pollution, lithium-ion batteries, public health, electronic smoking devices, e-liquids, certification, FDA compliance, penalties, directory, mental health, telepsychology, interjurisdictional compact, psychology regulation, LGBTQ+ youth, access to care, professional licensing, surgical assistant

Summary: The committee opened a hearing on multiple health-related bills and first took up HB 2315, which would create a Department of Health pilot program allowing eligible employees to defer unused vacation leave in exchange for a payout to help with home purchase assistance. The Department of Health testified in support, saying the proposal could aid recruitment and retention, and United Public Workers also supported it as a creative, cost-effective benefit that could help employees become first-time homebuyers. The chair likewise praised the department’s effort, and there were no questions or opposition before the committee moved on. The committee then heard HB 2562 on workplace violence in health care settings. The Department of Health said it preferred requiring licensed hospitals to adopt workplace-violence prevention policies and public reporting rather than creating a new state program. The Department of Labor and Industrial Relations said it appreciated the intent and explained that, absent a specific standard, enforcement would rely on OSHA’s general duty clause, guidance, and inspections. Nurses and the Hawaii Nurses Association gave emotional testimony describing harassment, threats, doxxing, and fears for patient and worker safety, arguing that existing processes were too slow and that hospitals needed immediate, enforceable requirements. The committee discussed current hospital alarm systems and OSHA enforcement, and Labor said it does inspect hospitals and can receive complaints from employees. HB 1532, concerning importation of large cigars and pipe tobacco, was announced as deferred at the request of the bill’s author so it could be refined with proponents and the Attorney General. The committee also discussed HB 1857, a very large measure redefining qualified health care provider and making extensive changes to health care law; the chair said the House would likely pass it without substantive changes and instead defer the effective date while using the Senate companion bill as the vehicle. Testimony on HB 1857 was generally supportive, including from the Hawaii Association of Nurse Anesthesiology and a certified genetic counselor, though both referenced proposed amendments. Finally, the committee heard HB 2209, which would require insurers to honor a patient’s written assignment of benefits to a substance use disorder treatment provider. The Insurance Division and HMSA opposed the bill as drafted, arguing it would create a special class of providers, raise fraud and litigation concerns, and potentially increase premiums. Treatment providers and advocates strongly supported the measure, saying insurers often refuse direct payment even when patients assign benefits, forcing families to front large sums and delaying access to residential treatment; they argued the bill would improve access and help keep care in Hawaii. A psychiatrist testified that he had not seen fraud in Hawaii and that the bill could help address long wait times for life-saving treatment. The committee also received written support from multiple individuals and organizations, and members began asking questions about HMSA’s network size and wait times, with follow-up information requested."}】【。final json to=commentary 天天中彩票出票 to=commentary code 彩神争霸邀请码 to=commentary 彩票平台招商 to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary ುತ್ತಾರೆ to=commentary

Transcript Highlights:

• It's moving nutritional programs from all nutritional programs, correct? So all the...
• , which included commodities, some different adult feeding programs, different programs that came in,
• Can you assure this committee that all program assets involved in the nutritional program of the state
• and other nutritional programs that are transferring to it.”
• So the entire programs are transferring to the Department of Agriculture.

Keywords: 1204, all

Transcript Highlights:

• THE THREE PROGRAMS, OUR THESE THREE PROGRAMS THE ONLY ONES CURRENTLY EXEMPT FROM THE CIE, IF NOT WHAT
• OTHER EDUCATIONAL PROGRAMS ARE EXEMPT. >> Chair: YOU ARE RECOGNIZED. >> Rep.
• IT EXPANDS THE GUARDIAN PROGRAM TO ALLOW POST SECONDARY INSTITUTIONS TO OPT IN. OPT IN.
• IN THE UNIVERSITY AND COLLEGE SYSTEM TO PARTICIPATE IN THE GUARDIAN PROGRAM.
• THE SAME SCHOOL DISTRICT THAT WOULD ALLOW THEM TO BE PART OF THE GUARDIAN PROGRAM.

Transcript Highlights:

• I'm not going to vote to repeal the<00:18:28.640> program. the program. the program.
• Now, of the three programs, one of them is a straight training program.
• > and program, why not look at the program and program, why not look at the program and and<01
• advantage program. advantage program. Okay. Okay. Okay.
• advantage program. advantage program.

Keywords: 928, house, all

Summary: The committee worked through several HB 2 budget amendments, focusing first on energy-related transfers and then on judicial funding. For the energy item, members discussed moving remaining money from the renewable energy fund into the general fund for the biennium, with later-year amounts going to the general fund rather than ratepayers. They noted the proposal was based on prior House Bill 111 language, that the exact amount was still being worked out with the Department of Energy, and that some language about “incentive payments” was being removed or clarified. Amendment 1211H was moved and adopted on a 5-4 vote. The committee then considered amendment 1040 on the governor’s scholarship fund, which would eliminate the program and sweep uncommitted funds. Members supporting the program argued it helps New Hampshire students afford in-state college and should be reworked rather than repealed; opponents said the remaining balance was limited and the program should be ended. Amendment 1040 was defeated 4-5. The committee then turned to a judicial council request tied to a Franklin Pierce criminal justice clinic that had previously used ARPA funds. Supporters said the clinic cleared 323 cases in nine months, provided training for future attorneys, and could reduce more expensive assigned-counsel costs by helping the public defender system handle cases more efficiently. The amendment would add $100,000 to the judicial council line for that purpose. There was some confusion over the line item and whether the request should be attributed to the judicial branch or judicial council, which was corrected during discussion. Members also discussed a larger issue: the judicial council’s budget request appeared lower than intended because of a possible clerical error in how prior-year funding was calculated, especially after the last budget combined HB 1 and HB 2 funding. The committee compared the public defender line and assigned counsel line, noting that if public defender funding is cut, more cases would shift to assigned counsel, which is more expensive. No final vote on the judicial council amendment is shown in the excerpt.

Transcript Highlights:

• :52.480> not<00:02:52.640> a against public programs is not a against public programs is
• <00:08:45.600> where with respect to the wick program where with respect to the wick program
• Lines 1.12 to 1.22 program.
• In the Medicaid program, there is over a million Minnesotans who are enrolled in the programs.
• In the Medicaid program, there is over a million Minnesotans who are enrolled in the programs.

Keywords: 1187, senate, all

Transcript Highlights:

• program.
• cost of the program. cost of the program.
• . program. program.
• program like ATRIP. program like ATRIP.
• standard for how these programs work. standard for how these programs work.

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.