Video & Transcript : 'payment suspension' :
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KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (7-30-25)
Transcript Highlights:
- It limits state flexibilities related to eligibility determinations and payments to providers through
- state-directed payment limits.
- payments which are payments<00:09:24.720><c> to</c><00:09:25.040><c> providers</c><00:09:26.000><c>
- </c><00:10:13.680><c> So</c> payments particularly for hospitals.
- So payments particularly for hospitals.
Summary:
At its second meeting on July 30, 2025, the Medicaid Oversight and Advisory Board approved the minutes from its June 25 meeting and received housekeeping materials, including follow-up information on provider taxes, mandatory and optional Medicaid services, and the 1115 community engagement waiver. The chair noted that members should hold general questions until the end of the meeting.
The main presentation came from Katherine Castanza of the National Conference of State Legislators, who gave a nonpartisan overview of Medicaid provisions in HR1. She explained that the bill contains more than 20 Medicaid-related provisions, with major changes affecting provider taxes, state-directed payments, eligibility and enrollment rules, work or community engagement requirements, and the frequency of eligibility redeterminations for expansion populations. She emphasized that five provisions account for most of the federal savings, that the fiscal effects are backloaded into the final years of the 10-year window, and that expansion states and provider payment changes make up a large share of the impact.
Castanza also highlighted that the Medicaid provisions would take effect either upon enactment or before October 1, 2029, creating roughly a five-year implementation period. She noted that some states may not realize the same savings as the federal government because of financing changes and implementation responsibilities, and she cited estimates that the enacted Senate provisions could reduce hospital payments by 18.2%, or more than $660 billion over 10 years. The transcript provided does not show any votes or final actions beyond adoption of the minutes.
FL
Florida 2026 Regular Session
Joint Legislative Auditing Committee Oct 13th, 2025
Transcript Highlights:
- From our vendor payee payments page, this is primarily how a user is going to search for payment information
- Again, this is state agency payments.
- You may want to view payments that are made to a specific vendor.
- View payments that are made to a specific vendor.
- in between, you're going to be able to see that payment information.
Summary:
The Joint Legislative Auditing Committee met to receive updates on Transparency Florida and related transparency tools. The Governor’s Office and the Department of Financial Services described the Transparency Florida website, the state payment and contract systems, and the local-government financial reporting system (Logger X/XBRL), emphasizing public access, searchable payment and contract data, downloadable reports, and ongoing upgrades. Members asked whether school districts and the Department of Corrections are included in these systems; staff explained that state agencies like Corrections are covered through Transparency Florida, FACTS, and the state financial reports, while Logger X is for local governments. Committee staff reported that the Transparency Florida Act’s requirements have been met and noted that any new recommendations would need legislative action; members were invited to submit recommendations by October 30.
The committee then reviewed repeated audit findings for local governments and educational entities. Staff explained the statutory process for “three-peat” findings: first requesting an updated written corrective-action status, then possibly requiring an appearance before the committee, and finally taking further action if findings remain uncorrected. Most entities were recommended for written updates, while the City of Daytona Beach was singled out for an in-person appearance because of a repeated finding involving unexpended building permit balances. Members also raised questions about specific entities, including McIntosh, White Springs, Pahokee, and the Fred R. Wilson Memorial Law Library special district, with staff explaining the nature of the findings and noting that some entities may warrant further review.
The committee adopted a motion to accept staff’s recommendations and to send letters to entities with uncorrected audit findings in late-filed 2023-24 audit reports. It also approved a motion directing the Auditor General and OPPAGA to conduct the required audit of the Department of the Lottery for fiscal year 2025-26, with the Auditor General handling financial, internal control, and compliance work and OPPAGA preparing operational recommendations. The meeting concluded with notice that the next meeting was tentatively scheduled for November 3 at 3:30 p.m., followed by adjournment.
MN
Transcript Highlights:
- </c> payments business? payments business?
- </c> payments by DHS. payments by DHS.
- </c> happened to be caught in the payment happened to be caught in the payment withhold<01:20:21.040>
- </c> well as the temporary payment withhold. well as the temporary payment withhold.
- </c> And unfortunately, the temporary payment And unfortunately, the temporary payment withhold<01:32
Committee:
Senate Human Services
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- And apparently those payments for those bags were being received.
- I spoke with the chairman of their board, and he explains. those payments.
- two extra payments each year.
- I was just thinking, as many of you know, our state has gone from 24 payments a year to 26 payments a
- It has accrued two interest payments at the end of September and the end of December.
TX
Texas 89th Regular
Pensions, Investments & Financial Services Apr 7th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- motor vehicle payments.
- card instead of getting behind on their payments due to wait times or slower payment methods.
- Clay Shotsak: To be clear, a Clay Shotsak: one-time payment, they could be making a one-time payment
- of multiple payments if they were behind by multiple months.
- Are you asking like a recurring payment, like an autopay?
Keywords:
HB 3803, Texas Health and Safety Code, Chapter 712, perpetual care cemetery, perpetual care trust fund, cemetery regulation, financial confidentiality, confidential records, regulatory examination, Texas Department of Banking, commissioner disclosure, interagency information sharing, state agency enforcement, federal agency disclosure, trust fund oversight, burial services, cemetery trust, consumer protection, state banks, Texas Finance Code
LA
Transcript Highlights:
- managed care payments have decreased.
- And then we're able to set up payment arrangements with them.
- This is payments toward the private providers.
- case mix index to a patient-driven payment model.
- How much supplemental payment? 4.4-ish billion. Okay.
Committee:
House Appropriations
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-09-17
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- Payments will be shut off immediately at the first signs of fraud.
- We've suspended payments to 115 providers.
- We are proactively suspending payments at the first sign of fraud.
- They saw payments to dead people, fake meetings, and four signatures.
- I'm really glad to stop the payment.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/24/26
Health and Human Services
Transcript Highlights:
- </c><00:44:45.839><c> error</c> seeing our inner our uh payment error seeing our inner our uh payment
- </c> in managing um and improve our payment in managing um and improve our payment error<00:45:00.319
- </c> integrity statutes to strengthen payment integrity statutes to strengthen payment control<01:08:
- We can discontinue payments.
- The stop payment is tied to the investigation.
Committee:
Senate Health and Human Services
TX
Texas 89th Regular
Senate Committee on Business and Commerce (Part II) Apr 3rd, 2025
Business & Commerce
Transcript Highlights:
- I lead the payments team at Racetrack.
- The payment system, including our own technological costs.
- We promote a secure, efficient, and electronic payments ecosystem.
- Your convenience will accept the form of payment you want to present.
- the Electronic payment system.
Bills:
SB231 , SB584 , SB600 , SB668 , SB841 , SB986 , SB1003 , SB1244 , SB1625 , SB1960 , SB1963 , SB1964 , SB2026 , SB2056 , SB2368
Committee:
Senate Business & Commerce
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/5/26
Human Services Finance and Policy
Transcript Highlights:
- </c> payment left DHS a few days after. payment left DHS a few days after.
- . the final payment.
- </c> reviewed before payments are issued. reviewed before payments are issued.
- </c> before we disburse payments. before we disburse payments.
- And why was the uh payment."
Committee:
House Human Services Finance and Policy
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Mar 12th, 2026
Special Committee on Property Tax Reform
Transcript Highlights:
- This allows counties to get away from doing payments under protest.
- This allows counties to get away from doing payments under protest.
- They can pay a partial payment, which is last year's amount.
- Then they make the rest of that payment within 30 days of it being resolved.
- And then, lastly, if you either didn't make the first payment or didn't make the final payment within
Summary:
The Special Committee on Property Tax Reform met in executive session and considered three measures. House Bill 3354 was amended to clarify language concerning the blind pension fund rate, with members discussing whether the revised rate would be 2.75 cents and whether the fund would remain adequately supported. The committee adopted the amendment, rolled it into a substitute, and then voted the House Committee Substitute for HB 3354 do pass by a 13-0 roll call.
The committee then took up House Bill 2925, which had been narrowed to standardized ballot language for property tax-related elections after removing the original November election scheduling requirement. Members discussed the purpose of the change, the different vote thresholds for bond issues in various election types, and concerns about whether the ballot language problem actually existed. The substitute was adopted, and House Committee Substitute Number Two for HB 2925 was voted do pass by 12-1, with Representative Hales voting no.
Finally, the committee considered House Bills 3253 and 3254 together, but the substitute focused on a smaller set of provisions: assessor training, monthly installment payments, partial payment during appeal, and electronic records/electronic communication options. The most detailed discussion concerned the revised appeal-payment process, which would let taxpayers pay last year’s amount while appealing, then settle the balance within 30 days after resolution, with interest tied to CPI or 5 percent and a $10 fee to offset revenue that would otherwise go to certain funds. The substitute was adopted, and the House Committee Substitute for HB 3253 and HB 3254 was reported do pass unanimously, after which the committee adjourned.
WA
Transcript Highlights:
- And this limits the reduction in bus depreciation payments for the grants and rebates to the 2025-26
- years beyond the outlook to offset the reduction, and normal payments would resume thereafter.
- so they may not reduce a depreciation payment for a school year below zero. ...reimbursement payments
- for federal grants and rebates may not reduce a depreciation payment for a school year below zero.
- It provides local effort assistance payments to charter schools using the same formula for LEA as is
Committee:
House Appropriations
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 086 Part 2 Apr 10th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- Payments to district attorneys: 5321; $17,532,175. Payments to coroners: $62,514,617.
- Vehicle Lease Payments.
- and service payments.
- Lease purchase payment for 9 payments for Colorado State University, $17,496,631.
- Lease purchase payment for 9 payments for Colorado State University, $17,496,631.
TX
Transcript Highlights:
- Recently, some wholesalers in our state are delinquent in their payments to Texas distillers. Mr.
- These late or sometimes non-payments are causing our smallest distillers, to have to lay off employees
- If the wholesaler violates the terms of payment, a distiller must send a man letter to the wholesaler
- unanswered requests for invoice payments became the norm.
- This distributor's poor payment history has irreparably damaged our small business.
Committee:
Senate State Affairs
NH
Transcript Highlights:
- to the Medicaid base payment.
- to the Medicaid base payment.
- and directed payments is that DSH payments are for uncompensated care of the uninsured and Medicaid.
- > is</c> payments and directed payments is payments and directed payments is through<00:43:56.480><c>
- </c><00:43:58.000><c> are</c> through dish you it dish payments are through dish you it dish payments
Committee:
Senate Finance
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jan 8th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- If they failed to ever make that payment, it automatically defaults in.
- So I'm hoping that at the end of this year, 2024, it will show that it will reflect those payments.
- Who approved the payment is what I'm asking.
- The receipt books in which these payments were recorded could not be located.
- The town council minutes indicated Ordinance No. 1001 was adopted to authorize these payments.
LA
Transcript Highlights:
- managed care payments have decreased.
- the Medicaid payments, are $2.5 billion.
- This is payments toward private providers.
- The medical vendor payments is the budget unit that payments for services come from, what most think
- case mix index to a patient-driven payment model.
Committee:
House Appropriations
Summary:
The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible.
The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services.
Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- It gives our EMS access to the national coordinated database with real-time alerts about suspensions
Committee:
Joint Joint Committee on Public Health
Summary:
The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives.
A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing.
There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.
AZ
Arizona 2026 Regular Session
06/11/2026 - Senate Director Nominations
Transcript Highlights:
- health agencies, but before they put that moratorium into place, we did the process of doing that suspension
Summary:
The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote.
Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations.
Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 52 (3-24-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- Under suspension of the rules solely for your motion, we are back in the orders of the day.