Transcript Highlights:

• And the distribution of PPE directly to these workers.
• What are sort of your average annual distributions for that fund?
• Generally, state employees who have a payroll deduction and they are...
• total including $283.3 million general fund.
• Our general salary increases will have. We love this state.

Keywords: 988, house, all

Transcript Highlights:

• <00:03:29.760> education keep the linking the general education keep the linking the general
• This created unexpected distortions in the distribution of compensatory aid.
• <00:18:14.799> of distortions in the distribution of distortions in the distribution of compensatory
• Is is that they have a direct impact on our future generations.
• for the next generation to come. for the next generation to come.

Keywords: 1183, house

Transcript Highlights:

• Um, I don't know if we'll have a chance to distribute it, but to start with, um, the BCA can already
• it, but to start with, um, to distribute it, but to start with, um, the<00:08:30.639> BCA<00:
• Attorney General Keith Ellison is on tape encouraging people to quote, "Put their bodies on the
• American kids born here who've lived here, whose families have been here for generations, are walking
• families have been here for generations families have been here for generations are<00:31:51.279

Keywords: 1183, house

Transcript Highlights:

• Attorney General.
• Attorney General. Have you proceed? Thank you, Mr. Attorney General. Have you proceed.
• Attorney General Ellison, yeah, Mr.
• Attorney General Ellison, yeah, Mr.
• > you<01:15:18.040> thank general General Ellison thank you thank general General Ellison

Keywords: 1183, house

Transcript Highlights:

• government distributions government distributions respectfully<00:38:43.520> report<00:38
• So, we've generated failure for us.
• obviously revert back to the general obviously revert back to the general fund,<01:00:39.599>
• , general obligation paragraph, general obligation indebtedness<01:06:15.440> shall<01:06:15.839
• generally for the most part, maybe two. generally for the most part, maybe two.

Keywords: 916, all

Transcript Highlights:

• Um, unless you tell us otherwise, we are not going to distribute any agenda materials when we do our
• to work with some key sponsor legislators, Representative Banta [questionable], in the last recent General
• Distributed back to the local markets within the market in order to fund these workforce programs.
• of the just the general theory of the application<00:16:04.560> of<00:16:04.720> building<
• What's your general profit margin and what are you losing on starter homes?

Keywords: 958, all

Summary: The committee first heard a presentation from Northern Kentucky building industry representatives Brian Miller and Matt Mains on housing affordability and construction workforce issues. They argued that regulatory and code requirements add significant cost to new homes, citing an estimate of nearly $94,000 per home nationally and $15,000 to $20,000 per home in Boone County over the past decade. They recommended reforms to building code adoption, architectural design mandates, permit fees and delays, and setback/land dedication rules, saying these changes could reduce costs by $25,000 to $35,000 per home without affecting public safety. They also discussed workforce training efforts through the Enzwe Building Institute, dual-credit programs, apprenticeship incentives, and workforce grants, saying these efforts have helped hold wage growth below regional trends and improve housing affordability. Committee members asked about the breakdown of regulatory costs, the effect of energy codes, and ways to speed up permitting. The presenters said the costs were roughly split among federal, state, and local requirements, with local regulations adding about $25,000 to $35,000 and some energy-code changes adding about $19,000 per home. They said faster plan review, coordination with the Kentucky Division of Water, and addressing municipal staffing shortages could cut 30 to 45 days from approvals. Members also discussed the difficulty of building starter homes under about $350,000 and the need for more missing-middle housing, with the presenters saying such homes are hard to produce without sacrificing quality. The committee then took up Representative Kim Moer and Dr. Dale Bertram’s discussion of marriage and family therapist licensing and healthcare workforce data reporting. They explained that the bill would allow Kentucky to recognize out-of-state marriage and family therapists who meet licensure requirements, have no disciplinary history, and have passed the national exam, in order to reduce barriers and address provider shortages, especially in rural areas. They also described a separate workforce data reporting section that would require licensure boards to collect consistent information on where licensees practice and whether they are actively seeing patients, including through telehealth, so the state can better understand its healthcare workforce. Members supported the portability idea, noted that some qualified applicants are currently working in Indiana instead of Kentucky, and asked whether the data collection could be handled administratively; the sponsors said the bill would create consistency across boards. The committee also briefly discussed occupational board updates and the need for stronger communication between legislators and licensing boards, including architecture licensure issues and efforts to recruit more professionals.

Transcript Highlights:

• <00:14:08.560> Tom she led after Attorney General Tom she led after Attorney General Tom Udall
• She generous with her time and talent.
• As a fourth generation farmer raising the fifth generation, I know firsthand the importance of ensuring
• As a fourth generation farmer raising the fifth generation, I know firsthand the importance of ensuring
• <02:46:02.160> stay how we help the next generation stay how we help the next generation stay

Keywords: U.S. House of Representatives Floor Proceedings on Monday, December 15, 2025, 1012, house, all

Transcript Highlights:

• Our FY27 general fund base request is 2.2 billion.
• On slide 20, our general fund base request is for new general fund of $12.9 million.
• Senator Trujillo, generally the answer is yes.
• They get distributed among many staff.
• So it's a general fund request of $9.8 million. Mr.

Keywords: 996, all

Transcript Highlights:

• public on these with the general public on these agricultural<00:56:43.599> lands.
• <01:04:26.400> Our<01:04:27.039> coalition resources for generations.
• Our coalition resources for generations.
• You know, there's revenue generation that happens right there and it stays right there.
• There is revenue generation that happens right there, and it stays right there.

Keywords: 910, house, all

Summary: The committee heard testimony on several agriculture-related bills. HB 1602 HD1 drew support from the Department of Agriculture and Biosecurity, the Ulupono Initiative, and others, with testimony emphasizing the value of a dedicated grant writer who had secured nearly $9 million in federal funds and was pursuing additional grants. Members discussed how much time grant applications take and how the position helps position projects for implementation. The committee then moved on without objection. HB 1832, relating to aquaculture, received support from state agencies and industry groups, with one individual opposed. HB 1707 HD1, relating to agriculture, also drew broad support. A committee question focused on the bill’s definition of “necessary supplies,” and the Hawaii Farm Bureau said the language was broad enough to cover the inputs farmers need, including transportation-related costs, and would help reduce production costs and food prices. HB 2155 HD1, relating to agricultural statistics, prompted testimony in support of better data collection to help Hawaii compete for federal agriculture funding. The Department of Agriculture and Biosecurity explained that its role would focus on production, import, and export data, distinct from the scientific data collected by another unit, and said it wanted an electronic system tied to existing manifest and GIS tools to avoid duplicative clipboard-based collection. HB 1831 HD1, relating to agricultural lands, was heard with support and no questions. HB 1650 HD1, relating to environmental assessments, drew opposition from several individuals who argued it would weaken environmental protections and resident input; no action was taken. The committee then heard HB 1652 HD1, relating to storm water management systems. The engineering industry supported clarifying that low-risk green stormwater infrastructure such as rain gardens, bioswales, and permeable pavement should not be treated like detention or retention ponds subject to fencing and other safety requirements. Opponents, including family members affected by a drowning and other residents, argued the bill would weaken Act 281’s safety protections and increase liability. The Hawaii Farm Bureau questioned whether agricultural water infrastructure should be exempted from the fencing requirements and said the costs would vary by system, but the committee did not take final action during the hearing.

Transcript Highlights:

• But the Auditor General, I speak for them.
• Matthew Tracy, the Deputy Auditor General, will be presenting today.
• Approximately $12.7 billion in the FEFP funds, including $11.7 billion in general revenue.
• transportation funds in a general revenue fund.
• The Auditor General... Right students at the right times. No wonder there are problems.

Summary: The Senate Appropriations Committee on Pre-K-12 Education met for its first meeting of the 2025 session to hear the Auditor General’s operational audit on 2024-25 school funding accountability challenges, focused largely on the Family Empowerment Scholarship and its interaction with the FEFP. Deputy Auditor General Matthew Tracy described rapid growth in scholarship enrollment, timing mismatches between scholarship payments and public-school funding calculations, delayed membership survey processing, weak cross-check and recoupment procedures, inconsistent handling of parent survey responses, and limited documentation for withholding and returning funds. The audit said these issues contributed to funding inequities, duplicate-payment risks, and an unexpected draw on state education funds, and it recommended separating scholarship funding from the FEFP, aligning application windows with budget timing, strengthening controls and staffing, and creating clearer, documented recoupment and balance-limit processes. Committee members questioned whether current law gives the department and scholarship funding organizations enough authority and whether the system is effectively a pay-and-chase model. Several senators expressed concern about the lack of timely reconciliation, the size of the funds involved, and the absence of clear records showing how money was recovered or withheld. Adam Emerson, executive director of the Office of School Choice, said the department is working more closely with school districts and scholarship funding organizations, including pausing payments when districts identify students still enrolled in public schools, and said the office wants to improve the process. President Gates then previewed legislation he said would address the audit’s findings by funding Family Empowerment Scholarships as a separate FEFP categorical, expanding the Education Stabilization Fund, setting clearer application and acceptance deadlines, moving to monthly payments with eligibility verification before each payment, assigning student IDs for scholarship assistance, lowering SFO management fees, requiring annual audits, and requiring prompt return of audit-related funds. Public comment included a private-school attorney describing losses from unpaid scholarship amounts. Members generally supported the need for reform, with several senators saying the program should be preserved but better structured and more accountable. The committee adjourned after the discussion, with no vote taken on the legislation.

Transcript Highlights:

• These are all General Funds. The Senate is all General Funds.
• These are all General Funds. The Senate is all General Funds.
• These are all General Funds. Yeah, okay. The Senate is all General Funds.
• <01:19:16.639> fund<01:19:16.960> versus general fund versus general fund versus HHS<01
• So we are distributing a letter.

Keywords: 928, house, all

Summary: The committee first reviewed House Bill 1, focusing on the legislative branch budget, especially the Senate and House lines. Members discussed that the Senate’s fiscal year 2025 adjusted authorized amount was higher than 2024 actual spending, largely due to personnel, benefits, and travel, and one member proposed a $500,000 annual cut. Staff explained that any reduction would need to be allocated across specific line items such as personnel, benefits, and travel, and noted that the Senate budget is entirely General Funds. After discussion of how the adjusted authorized figures were calculated and why the branch no longer staffs some joint committees as it once did, the committee moved on without taking a vote on that section. The committee then heard a detailed presentation from the New Hampshire Retirement System. NHRS officials described their statutory administrative budget, which is funded through the retirement trust rather than the General Fund, and said the FY 2026-2027 increase is driven by IT modernization, cybersecurity, a new strategic plan, and additional staff positions. They also reviewed the system’s funding progress, clean audit opinions, investment performance, and changes to asset allocation, while noting that several recent pension-related laws required major database changes. Members questioned the large increase in salaries and benefits, the need for new employees versus contractors, the purpose of training costs, and the source of the Group Two benefit funding. NHRS said the governor’s budget includes General Funds for Group Two benefit changes, with $5 million in FY 2026 and $27.9 million in FY 2027, and that the figures reflect the governor’s recommendation and related HB 2 provisions. Committee members also asked about employer and employee contribution rates for Group Two police and fire members, which NHRS said were not included in the budget document but were about 31.2% for police and 30.35% for fire, with employee shares around 11.55% and 11.8%. The committee did not make a decision on the NHRS budget during this exchange and indicated it would review the details further before returning to it later. The committee then heard from the Community Development Finance Authority on the State Treasury Department budget line for the required state match to administer the federal Community Development Block Grant program. CDFA explained that its $280,000 annual request for FY 2026 and FY 2027, totaling $560,000, supports administration, technical assistance, contracting, and monitoring of roughly $19 million in annual federal CDBG funds. Members asked about the leverage of the state match, oversight of projects, staffing, and grant prioritization. CDFA said it has 18 employees, uses public hearings and a scoring system to prioritize awards, and conducts both desk and on-site monitoring, with annual audits to ensure compliance. No vote was taken on the CDFA item in the portion provided.

Transcript Highlights:

• Thank you, and my understanding is that there is no impact to the general fund on this, but there is
• Thank you, and my understanding is that there is no impact to the general fund on this, but there is
• So it's got an emergency clause attached to it, since we can't wait until the general effective date.
• It's got an emergency clause attached to it, since we can't wait until the general effective date.
• the primary because the general effective date is 90 days after sine die, and therefore it would go

Keywords: 1182, all

Summary: The meeting covered a long list of House bills, mostly on third-read consent calendars, spanning appropriations, elections, education, public safety, water, taxation, and criminal law. Early discussion focused on HB 2148, which would give the legislature authority to appropriate non-custodial federal funds, described by the sponsor as a transparency measure. Other measures discussed included HB 2091 on insurance-related assessment limits, HB 2122 on reciprocity for BTR-related professions, HB 2138 clarifying firefighter workers’ compensation coverage, and HB 2008 barring public school libraries from using public money to pay library professional associations. HB 2110, removed from consent, would allow school governing body members to pray at meetings, with members noting Supreme Court precedent supporting such prayer. Several bills addressed school safety and parental rights. HB 2142 would create a School Safety Center at the Arizona Department of Education and allow up to 10% of school safety program funds for administration, with supporters citing an audit and lack of oversight. HB 2249 would expand the Parents’ Bill of Rights to require notice if a school employee facilitates social transitioning of a minor and to provide broader access to educational records, with penalties discussed for violations. HB 2074 would add mandatory reporting for anyone in a medical facility who knows a partial-birth abortion is occurring, and HB 2144 would allow child support calculations to begin during pregnancy based on a confirmed pregnancy test and related DNA testing provisions. The committee also took up election-related measures. HB 2022 would make permanent changes tied to the federal Electoral Count Act, including moving Arizona’s primary earlier to preserve military and overseas voting access, while keeping petition dates valid and preserving existing deadlines for candidates. HCM 2001 urged federal designation of the Muslim Brotherhood as a foreign terrorist organization, and HCM 2002 supported a separate congressional effort involving CARE and related federal review and designation processes; members debated the distinction between direct designation and a request for federal investigation. HCR 2001 proposed a constitutional amendment to limit voting to U.S. citizens, require government ID to register, prohibit foreign contributions, and end early voting by the Friday before an election. Water, land use, and tax bills were also reviewed. Measures included HB 2024 on snowpack augmentation as a water supply development project, HB 2029 and HB 2030 tightening how Water Conservation Grant Fund money is used, HB 2053 appropriating $100,000 for updated stormwater recharge mapping, HB 2096 expanding revolving fund uses to address cesspools, HB 2097 capping groundwater withdrawal in irrigation non-expansion areas, and HB 2116 funding potential Colorado River litigation. On the tax side, HB 2016 would remove late-filing penalties when no tax is due, HB 2104 and HB 2105 would protect agricultural property owners from repeated reclassification and require notice of inspections, and HB 2289 would update truth-in-taxation examples to reflect higher home values. The committee also heard bills on criminal penalties and other matters, including HB 2043 on felony murder involving an unborn child, HB 2045 on discharging a weapon near a vehicle, HB 2131 and HB 2132 on weapons trafficking and fentanyl penalties, and HB 2062 authorizing a Buffalo Soldiers memorial in Wesley Bolin Plaza.

Transcript Highlights:

• Tiffany Brokaw, Deputy Attorney General, here on behalf of Attorney General Rob Bonta.
• Tiffany Brokaw, Deputy Attorney General, here on behalf of Attorney General Rob Bonta.
• About 98% of these deepfakes consist of AI-generated pornography.
• The Attorney General, who enforces the law now, The Attorney General, who enforces the law now, has announced
• it with the Attorney General.

Keywords: 988, house, all

Transcript Highlights:

• general register. Is that your motion? general register. Is that your motion?
• this to the general register. Thanks. this to the general register. Thanks.
• the general register. the general register.
• general register. general register.
• prior to even your general elections. prior to even your general elections.

Bills: HF4348, HF4186, HF4202, HF4455, HF3884, HF3883, HF3882, HF3881, HF2688, HF3295, HF3862, HF3362, HF4242, HF3798

Keywords: HF4186, Minnesota local government finance, housing and redevelopment authority, HRA, public investment authority, qualifying government, State Board of Investment, SBI, index mutual fund, multifamily housing development, long-term equity investment, investment-grade fixed income, federally insured securities, government-sponsored entities, municipal investing, local government investments, housing finance, public funds, investment policy, risk of loss

Transcript Highlights:

• energy generation and energy storage resources.
• general election ends in July?
• What could, but it doesn't afford the Attorney General the right of either body.
• They're specific to what the Attorney General can do within the authority of the Attorney General.
• She can't, or the Attorney General couldn't under the process within either House.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Summary: The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments. A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study. The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar. The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.

Transcript Highlights:

• to reconstruct and to reopen the General to reconstruct and to reopen the General Sullivan<01:22
• <01:32:17.040> Sullivan going on with the General Sullivan going on with the General Sullivan
• <01:32:26.960> Sullivan vehicles on the General Sullivan vehicles on the General Sullivan
• Uh what old General Sullivan Bridge.
• section of rail, but in but in general section of rail, but in but in general the<02:19:22.719><

Keywords: 1189, house, all

Transcript Highlights:

• This is a recast of the rate changes after the $30 million General Fund was added to 2025.
• Just Medicaid generally does not have any co-pays or anything related to that.
• Generally, we're looking at actuarial impacts of these changes.
• Oh, if we don't fund this through general fund, do we have any federal implications?
• So we have a really good geographic distribution of awards here.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• We have a hotline to the Office of Inspector General.
• So, if somebody suspects that General.
• I'm just trying to get a general idea.
• <01:43:55.520> has<01:43:55.760> access general general's office also has access general
• 01:48:23.119> among bucket will be distributed among bucket will be distributed among approved

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• Will the general counsel introduce this item? Yes, uh, thank you, Chair.
• Will the general counsel please address this item? Yes, thank you, Chair.
• Our new interim general counsel, Ms.
• Well, we are generally sworn complaint generated. People, third parties file complaints.
• So the general election as a tech.

Transcript Highlights:

• <00:34:54.599> um different views on taxes in general um different views on taxes in general
• My husband's first-generation American, the first one in their family to go to college of that generation
• My husband's first-generation American, the first one in their family to go to college of that generation
• Maybe they're the first generation, second generation, third, whatever it is, but they've got to the
• Maybe they're the first generation, second generation, third, whatever it is, but they've got to the

Keywords: 1183, house