Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920, SR40

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Transcript Highlights:

• House Bill 3904 simply changes prenatal delivery and postpartum services from being a global payment
• So I'm just curious to get a better understanding by unbundling the payments for labor and delivery services

Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Transcript Highlights:

• The word may because there wasn't a must stop payment, a shall stop payment when you have concerns.
• , a shall stop wasn't a must stop payment, a shall stop payment<00:24:31.279> when<00:24:31.520
• <00:24:33.039> So,<00:24:33.279> can payment when you have concerns.
• So, can payment when you have concerns.
• The current bundled payment reimbursement system did not anticipate one-time curative treatments that

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• Madam Chair, Senate Bill 1333 requires DES, by December 30, 2030, to reduce the SNAP payment error rate
• That includes an analysis of why the targets were not met, splitting the cost of any federal liabilities
• , by December 30, 2013, to complete a forensic audit to determine what factors contributed to the payment
• .. ...the legislature to allocate additional funding for program improvements if DES corrects the payment
• You lead, and you should not settle for a high SNAP payment error rate while other states are maintaining

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Summary: The Senate Health and Human Services Committee opened with approval of the January 28 and 29 minutes and a welcome to Arizona Physical Therapy Day at the Capitol, including remarks from physical therapy advocates and students. The committee then took up several bills related to SNAP, health care oversight, child welfare, dementia planning, and safe haven newborn surrender. On SNAP, SB 1334 would bar DES from seeking or renewing federal waivers of work requirements for able-bodied adults without dependents unless authorized by law; it passed 4-1. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with regular reporting, corrective action plans, and possible funding penalties; an amendment changed the reporting to quarterly and required a special audit, and the bill passed 4-1 as amended. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; testimony split between supporters citing work incentives and opponents warning of administrative burden and impacts on families and food banks, and it passed 4-2. The committee also advanced SB 1162, which clarifies DHS as the lead licensing and monitoring agency for health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to identify duplicative oversight and report back periodically; it passed unanimously. SB 1017, requiring signatures on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, dealing with DCS periodic review hearings and notice/reporting requirements, including for tribal parties, passed 5-1. SB 1249, which designates DHS as the lead agency on Alzheimer’s and dementia planning and creates a dementia services program funded through lottery monies under the adopted amendment, passed unanimously after emotional testimony from advocates and family members. Finally, SB 1253, clarifying that a parent may surrender a newborn at the hospital of birth without leaving and returning, passed 5-0. The committee then adjourned.

Transcript Highlights:

• So our requests typically come in now by mail, and there's a check or money order mail payment.
• And that is done with that, and it's processed by the Comptroller's office, the payment.
• With the payments that were coming in, our agency, our program was accepting credit card information
• To accepting all of the payments by mail until we could have an online process.
• So, why do you think in the past there was a split between the residency PT and the regular PT?

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Constitution says states can make gold and silver legal tender, so we would be saying this is good payment
• passed a bill, Missouri passed a bill, and their bill says that the state will accept gold and silver payment
• Would there be some payment into the DIF? So, Senator, thank you.

Bills: SB524, SB782, HB42, HB1056, HB2894, HB3033, HB3474, HB3594, HB4738, HB5246, HB42

Keywords: SB 524, Texas franchise tax, veteran-owned business, new veteran-owned business, business tax exemption, filing fee exemption, Tax Code Chapter 171, Business Organizations Code, Comptroller, small business, veterans, entrepreneurship, tax repeal, privilege tax, beginning date, franchise tax exemption, severance tax, oil, gas, restimulation wells

Transcript Highlights:

• relating to an alternative volumetric tax on natural gas throughput, relating to agreements and a payment
• gas throughput, relating to a municipal impact grant program and fund, relating to agreements and a payment
• relating to an alternative volumetric tax on natural gas throughput, relating to agreements and a payment
• The House version gave a 93 to 7 split favoring municipalities hosting the treatment plant and the LNG
• export plant and a 50-50 split for the pipeline portion.

Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and approved the journal and the prayer for the record. The clerk read gubernatorial messages calling the legislature into a third special session and describing the call around House Bill 381, a major natural gas project bill addressing property taxes, municipal taxes, AGDC, reporting requirements, contract approval, an alternative volumetric tax, municipal impact grants, and related provisions. Messages from the Senate reported passage of a Senate-amended version of HB 381 and transmission of Senate Concurrent Resolution 203 to suspend certain rules related to the bill. The House introduced HCR 301 and HCR 302. HCR 301, which suspends rules on carryover of bills into a special session, passed 40-0. The House then took up the Senate amendments to HB 381. The Majority Leader outlined the Senate changes, including new school funding provisions, reorganization and oversight of AGDC funds, a public project dashboard, stricter bond approval requirements, a heating fuel assistance fund, changes to the alternative volumetric tax structure and distribution of revenues, a permanent rather than sunsetted tax break, new deadlines tied to final investment decision and construction, and a new graduated income tax on certain pass-through entities. He urged members to vote no on concurrence, and the House rejected concurrence 12-28. Because the House did not concur, the Speaker appointed a conference committee on HB 381 consisting of Representative Schrage, the Majority Leader, Representative Edgmon, and Representative Ruffridge. HCR 302, authorizing the House and Senate to recess for more than three days, passed 40-0 after members stated the recess was intended to allow conference negotiations to continue and that the body would return on a time certain. The House also received two governor-request bills, HB 3001 and HB 3002, both referred to the Finance Committee. The House then excused several members for specified absences and adjourned until July 1 at 10:30 a.m.

Transcript Highlights:

• <00:22:01.760> total city's municipal road aid payments total city's municipal road aid payments
• , government split, government split, >> right?
• You submit the payment to the prefer.
• There's online payment.
• Are there any other situations payment.

Keywords: Meeting Start: 00:00:13 Roll Call 00:00:24 Approval of Minutes from September Meeting 00:02:10 Presentation of Special Purpose Governmental Entities Report 00:03:19 Presentation of Kentucky League of Cities Legislative Platform for the Upcoming 2026 Session of the General Assembly 00:15:37 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 00:37:05 Adjournment 00:55:53, 958, all

Summary: The committee received reports on special purpose governmental entities from the Department for Local Government and the Fire Commission. DLG staff described SPGEs as limited-jurisdiction political subdivisions and reviewed the department’s registry, reporting portal, compliance monitoring, and planned system upgrades such as a two-way message center, automated noncompliance notices, and tracking for new entities and board expirations. They reported that, as of October 10, 2025, 69% of SPGEs were active and discussed compliance data by cycle, fiscal year, and district type. The Fire Commission reported that fire department mergers have reduced the number of departments by 16 since last year, largely because of volunteer staffing shortages, while financial disclosure compliance had risen to 94%. The commission also noted 509 compliance reviews, 19 in-house inquiries, seven referrals to outside agencies, and one recent federal prison sentence in a theft case. Members asked whether DLG advises SPGEs on tax rates; staff said it only performs calculations and the entities set their own rates. Questions to the Fire Commission focused on whether department reductions meant station closures; officials explained that most changes were mergers that keep physical buildings in place while combining personnel and finances to meet minimum staffing requirements. They said the trend is spread across the state but is especially pronounced in rural areas. The Kentucky League of Cities then presented its 2026 legislative agenda. Its priorities included modernizing city revenue options, increasing equity in road funding, fixing tax increment financing issues, addressing transient room tax collection from web-based platforms, strengthening emergency response coordination, clarifying massage parlor regulation preemption, correcting unintended consequences of House Bill 606, improving newspaper publication rules, and modernizing procurement statutes. KLC also said it supports allowing all cities to collect restaurant tax revenue, wants cities to receive a larger share of road funds and EV-related revenues, and seeks state collection and remittance of any future local sales tax to comply with the Streamlined Sales and Use Tax Agreement. Members asked about best-value bidding, road-fund equity, Airbnb tax litigation, EV prevalence, and disaster funding applications; KLC said cities currently must accept the lowest bid, the road split should better reflect city street costs, the Airbnb tax case remains pending, EV data by locality has not been studied, and allowing cities to apply directly for disaster funds would reduce reliance on county officials. No votes or formal actions were taken beyond approving the September meeting minutes.

Transcript Highlights:

• Because the rule split them. We agreed on the rule last summer and it split them.
• And now you're still splitting them with this rule.
• I'm not going to let this rule go through as long as it splits them.
• “They can delay, but their payments are not delayed.
• Basically, they have to elect to continue to receive payment, but yes, ma’am, they can.” “Got it.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• THE SAME OF THE SUPPLEMENTAL PAYMENTS FOR THE CANCER HOSPITALS ALL THESE SUPPLEMENTAL PAYMENTS ALSO HAVE
• THE CHILDREN SPECIALTY HOSPITAL SUPPLEMENTAL PAYMENTS ARE TO PAYMENTS HERE. ONE FOR GE.
• THE GE PROGRAM HERE IS ALSO BEING ADDED INTO THE SPLITTING OFF.
• THE KICK PAYMENT WOULD BE BASED PAYMENT PLUS A PERCENTAGE OF COST THAT THE PLANS HAVE INCURRED FOR THOSE
• WE ARE STILL UNDER OUR UPPER PAYMENT LIMIT THAT IS NOT AN ISSUE OR CONCERN.

Transcript Highlights:

• 13, and 24 relative to travel by state government officers and employees to provide a maximum for payments
• exemplifies resilience, strength, and determination, and reminds us that anyone's life can change in a split
• Organizations like the Split Second Foundation and the Governor's Advisory on Disability Affairs work
• Members, today we have the executive director of the Split Second Foundation, who works with people with
• Members, today we have the executive director of the Split Second Foundation, Mr.

Bills: SR107, SCR53, SCR54, SCR55, SCR12, HB167, HB181, HB243, HB316, HB321, HB335, HB492, HB578, HB624, HB708, HB864, HB906, HB968, HB969, HB978, HB985, HB1005, HB1032, HB1077, HB1095, HB1104, HB1118, HB1157, HB1187, HB1189, HB1195, HB1198, HB1220, HB221, HCR58, SB283, SB338, SB488, SB520, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, SB68, SB76, SB149, SB191, SB196, SB318, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB119, HB129, HB677, HB850

Keywords: condolence resolution, memorial resolution, tribute, sympathy, Joel Parker Sr., Louisiana Senate, rodeo, cowboy, horse trainer, stock and rodeo producer, black cowboy, African American history, community recognition, funeral resolution, celebration of life, Lottie Stampede Arena, Easter Sunday Rodeo, ranching, plantation work, faith community

Transcript Highlights:

• So we've actually split those two.
• Because the rule split them. We agreed on the rule last summer and it split them.
• And now you're still splitting them with this rule.
• Last year that split them out. Yes, sir. And they're not.
• To receive payment, but yes, ma'am, they can. Okay, got it.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• On the first page, Section 1 appropriates funding to government units for the county seat, or the payment
• How about you take the other million and give it equally split between Kent and Sussex?
• But I don't think it's more fair if we split that. And I think it would be recognized today.
• Recognized today if we split it today. Just my input. Thank you. Senator, Representative Postal's.
• But I don't think it's more fair if we split that. And I think it would be recognized today.

Keywords: 1064, all

Transcript Highlights:

• That's the only double-digit growth in withholdings payments that I think I've seen.
• Withholdings payments that I think I've seen are on the charts that I've got.
• You can see the splits that the governor's budget proposes as it relates to...
• close to the traditional direct budget splits between K-12 and education.
• The percentages are very close to the traditional splits, and the FY25 splits show other funding is actually

Keywords: 924, joint, all

Transcript Highlights:

• Granted, in that divorce, there's going to be a split or whatever of these funds that you've grown.
• Chair, Senator Rogers, this speaks more to the out years and not the split of something that they jointly
• So this speaks to an allowance, if you will, and not the split of, say, a business that the judge and
• Such as payment card networks and financial institutions, from maintaining firearm registries or using
• It simply says the payment card networks and processors operating in Arizona may not assign or require

Bills: SB1049, SB1053, SB1058, SB1093, SB1160, SB1211

Keywords: spousal maintenance, court guidelines, self-sufficiency, financial support, marriage dissolution, concealed carry, gun permits, firearms training, public safety, criminal history checks, local recognition, firearms, merchant codes, financial privacy, Second Amendment, data protection, riot, planning, racketeering, criminal conspiracy

Summary: The Judiciary Committee heard and advanced several bills. SB 1160 would make it a class one misdemeanor to fly a drone within one mile of a ticketed entertainment event, with exceptions for authorized personnel or written consent; NASCAR testified in support on public safety grounds, and the bill received a due pass recommendation by a 6-1 vote. SB 1093 would expand the definition of riot to include force or threats causing property damage and add riot as a predicate offense for conspiracy and racketeering; the Arizona Attorneys for Criminal Justice opposed it as overly broad, while the sponsor argued it would target organized, paid riot activity. The committee approved it 5-2. SB 1049 would place a finite limit on spousal maintenance awards and direct the Supreme Court to consider related guideline factors; the sponsor said it was intended to prevent open-ended maintenance, while members questioned the fairness of a four-year cap in long marriages. It passed 5-2. SB 1053 would require Arizona residents to pay 10% of the nonresident fee for concealed weapons permits, with the director able to adjust fees to keep the program revenue neutral; supporters said residents should not pay the same as nonresidents and that the bill could encourage training and background checks, while opponents argued it could reduce state revenue. It passed 6-2. The committee also approved SB 1058, which bars government entities and certain private financial actors from maintaining firearm registries or using merchant category codes to identify firearm retailers, with supporters framing it as a privacy and Second Amendment measure and opponents warning about tracking and debanking; it passed 6-2. Finally, SB 1211 would allow victims of felony aggravated harassment involving domestic violence to seek a lifetime injunction against the offender; domestic violence and victim advocacy groups supported it as closing a gap for repeat victims, and the bill passed unanimously 9-0 after discussion clarified that no amendment was offered.

Transcript Highlights:

• PILOT stands for payment in lieu of taxes.
• And then the property lessee makes their PILOT payment on an annual basis in lieu of paying property
• That is a way to schedule payments, but you ultimately...
• So by having stable payments and stable housing, households are stabilized.
• Payments and stable housing households are stabilized.

Summary: The Senate Housing Committee heard presentations on a range of housing finance, permitting, and affordability tools. Chattanooga described its affordable housing PILOT program, which uses a per-unit property tax abatement tied to the rent loss from providing affordable units, with a 15-year term and annual compliance monitoring. Committee members asked about the program’s structure, whether it had been used elsewhere, and who was participating; the presenter said the first mixed-income project would bring 278 units with 42 affordable units and that the model was attracting private market-rate developers. Shoreline then described its MFTE and inclusionary zoning approach, emphasizing that longer tax exemption periods and station-area zoning changes had helped spur development, with most current pipeline projects concentrated near light rail stations. The committee also heard from the Municipal Research Services Center and the Department of Commerce on tax increment financing, proportional impact fees, and permit timelines. Commerce explained that TIF can fund public improvements such as roads, utilities, broadband, and some affordable housing or child care facilities, while proportional impact fee guidance is intended to help jurisdictions charge fees more closely aligned with actual project impacts. On permit timelines, Commerce presented its first annual report under recent law changes, using 2024 as a baseline year and noting that reported timelines were generally longer than statutory goals; members asked about outliers, paper versus electronic processing, and whether back-and-forth between applicants and staff was driving delays. Commerce said it would follow up with more data, including on CHIP funding and permit reform practices. Several local governments then shared permitting process improvements. Auburn reported relatively short review cycles and described its move to fully electronic permitting, internal performance standards, and a stock plan program that speeds review for repeated home designs. Bellevue described an AI permitting pilot with a local startup to help with pre-application questions, document triage, and plan review, aiming to reduce incomplete applications and revision cycles. Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would help homeowners split lots, finance, build, and manage ADUs, with the homeowner eventually buying out the partner and retaining ownership; committee members asked about rent setting, management fees, and default risk, and staff said they would follow up. The committee also heard brief overviews of community land trusts and limited equity cooperatives as permanent affordability models, with presenters urging continued state and local funding support and policy recognition for these approaches.

Transcript Highlights:

• agreement a pilot agreement is a payment agreement a pilot agreement is a payment in<00:11:25.200
• <00:17:21.839> in that you quoted it says in a payment in that you quoted it says in a payment
• That payment and transfers that, or the taxpayer could make a pilot payment and then separately make
• They did a geographical split.
• They did a geographical split.

Keywords: 1189, house, all

Transcript Highlights:

• The graph here splits out the funds.
• State directed payments, or SDPs, are provider payment arrangements through managed care.
• However, existing approved payments and those payments currently under review by CMS must phase down
• enactment July 4, 2025 for new payments. enactment July 4, 2025 for new payments.
• HR1 limits CMS's payment errors.

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• It splits the general fund into three categories.
• for um uh the tribal improper payments for um uh the tribal residential<00:50:17.119> facilities<
• <00:51:21.160> between incorrect it's just the split between incorrect it's just the split
• <00:51:54.920> so<00:51:55.359> the because of that improper payment so the because
• of that improper payment so the the<00:51:56.680> settle<00:51:56.880> up<00:51:57.040

Keywords: 919, house, all

Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.