Transcript Highlights:

• So our ask is not as big as that because we're using the proper method, which is that the state does
• /c> as big as that because we're using as big as that because we're using proper<00:52:55.119> method
• 55.680> is<00:52:55.839> that<00:52:56.079> the<00:52:56.319> state proper method
• which is that the state proper method which is that the state does<00:52:56.960> 34%<00:52:58.000

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Um, so those are some of the typical common methods.
• ><00:52:35.760> common of the kind of the typical common of the kind of the typical common methods
• :52:37.440> kind<00:52:37.680> of<00:52:37.760> what<00:52:38.000> is methods
• And so knowing kind of what is methods.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• a half hour work schedules, which obviously the state government employees and in other creative methods
• :48:43.440> creative uh employees and in other creative uh employees and in other creative methods
• 45.040> it<00:48:45.359> absolutely<00:48:46.000> has<00:48:46.559> uh methods
• Uh but it absolutely has uh methods.

Keywords: Meeting Start: 00:00:00 Roll Call 00:00:11 Discussion of County Clerks’ Land Records Update 00:02:42 Discussion of Area Development Districts 00:22:48 Discussion of Legislative Measures 00:50:09 Discussion of Local Taxing Sources 01:02:33 Adjournment 01:29:16, 958, all

Summary: The committee first took up an update from the Kentucky County Clerks Association on the transition to electronic recording and land records modernization. Testimony explained that legislation from the 2021 task force created funding and deadlines for counties to provide online search portals and complete a 30-year property record search, with a later move to a 60-year standard. Speakers said the money has been awarded to counties, but much of the work is still in progress because records must be scanned, indexed, and manually verified. They said only a handful of counties are fully compliant with electronic recording so far, while many are still working through staffing and vendor issues. They also noted that the 60-year standard may ultimately be easier and more efficient to complete than the 30-year standard, and that compliance is expected to improve by next summer. The clerks’ representatives also raised related issues, including deed fraud, the county document storage fee, and KDLA digitization grants. They said online recording can make deed fraud easier to attempt, so they expect to seek legislation next session to address it. They described an existing notification service available in many counties that alerts property owners when a document is recorded, which can help detect suspicious activity quickly. They also said the storage fee and separate county account structure has generally worked well, but that two recent KDLA grant cycles have not released money for clerks, limiting support for digitization work. Another topic was whether, once records are fully digitized and verified, some permanent records should remain publicly accessible or be moved to a safer archive under KDLA control. Members asked about the balance in the KDLA fund, what the General Assembly could do to help lagging counties, and how much of the $25 million modernization funding had been spent. Witnesses said they did not have the current fund balance but would try to get it, that the main obstacle now appears to be staffing rather than additional money, and that the funds have been awarded but not fully expended because work is still ongoing. They emphasized that counties are helping one another and asked members to alert association leadership if any county is struggling. The committee then heard a presentation from Dan London, executive director of the Lincoln Trail Area Development District, who described area development districts as regional staff extensions and technical resources for cities and counties, and highlighted their role in coordinating regional services and partnerships across county lines.

Transcript Highlights:

• I support the basic intent, but I don't support the method of doing it.
• basic intent, but I don't<01:02:50.880> support<01:02:51.200> the<01:02:51.440> method
• don't support the method of doing it. don't support the method of doing it.

Keywords: 1187, senate, all

Transcript Highlights:

• increase, and it's a, these two tables were made by two different people who. use sort of different methods
• Currently, tax collection methods vary widely among sexist municipalities leading to inefficiencies.
• reimbursement on cards and digital payments, allowing today's, trying to remedy and today's payment payment methods
• Can you speak to why we took that method? Yes.

Bills: HB19, HB30, HB851, HB1663, HB1681, HB1769, HB1937, HB1979, HB2428, HB2433, HB2825, HB3159, HB3424, HB3486, HB3487, HB3504, HB3605, HB3879, HB3994, HB4382, HB4752, HB5444, HB5446, HB5447, HB3199, HB4847, HB19

Keywords: local government debt, property tax, ad valorem tax, bond election, certificate of obligation, anticipation note, school district tax rate, voter-approval rate, debt service cap, municipal finance, county bonds, flood control district, hospital district, public works, tax transparency, property tax notice, November uniform election date, general obligation bonds, local debt reform, taxpayer notice

Transcript Highlights:

• evidence that this complicated and costly process saves us any money relative to our best value RFP method
• c><01:14:11.679> best<01:14:12.000> value<01:14:12.400> RFP<01:14:13.040> method
• relative to our best value RFP method relative to our best value RFP method used<01:14:13.880>

Keywords: 1187, senate, all

Transcript Highlights:

• reducing the impact on health, but it is saving the state within the same budget cycle to use healing methods
• c><00:04:06.159> to<00:04:06.400> use<00:04:06.640> healing<00:04:07.120> methods
• same budget cycle to use healing methods same budget cycle to use healing methods to<00:04:08.159

Keywords: 1187, senate, all

Transcript Highlights:

• what I did is I removed the repealer that was in the original bill language and instead outlined a method
• and instead the original Bill language and instead outline<00:42:22.800> a<00:42:22.960> method
• <00:42:23.280> for<00:42:23.559> collecting<00:42:24.040> the outline a method
• for collecting the outline a method for collecting the objective<00:42:24.640> statements<00:

Bills: HF1833, HF148, HF1127, HF1227, HF1681, HF1974, HF1106, HF1016, HF2197

Keywords: sales tax, education funding, construction, Aitkin Public Schools, tax exemption, refundable credit, HF148, use of force training, deadly force, peace officer training, police training, law enforcement, POST Board, Board of Peace Officer Standards and Training, scenario-based training, de-escalation, defensive tactics, force-on-force training, stress management, officer wellness

Transcript Highlights:

• will come online as soon as the moratorium ends, and has always been doing it according to proper methods
• :15:53.880> according<00:15:54.279> to<00:15:55.279> proper<00:15:56.000> methods
• <00:15:57.000> um doing it according to proper methods um doing it according to proper methods

Keywords: 1187, senate, all

Transcript Highlights:

• She said they are working with MNSure on the fiscal note to make sure the assumptions and the method
• c><01:32:56.719> the assumptions they're making and the assumptions they're making and the method
• 58.000> would<01:32:58.159> use<01:32:58.320> to<01:32:58.480> implement method
• that they would use to implement method that they would use to implement it<01:32:59.440> that

Keywords: 1187, senate, all

Transcript Highlights:

• is a little concerned about the jurisdictional issues in the departments, and says maybe a more methodical
• maybe<01:47:02.000> a<01:47:02.119> little<01:47:02.360> more<01:47:03.080> methodical
• <01:47:04.080> um<01:47:04.280> front maybe a little more methodical um front maybe
• a little more methodical um front end<01:47:04.880> into<01:47:05.239> this<01:47:05.760

Bills: HF44, HF2102, HF2279, HF2280, HF2281

Keywords: HF44, Casey Jones State Trail, Pipestone Trailhead, Currie Loop, Minnesota bonding bill, capital investment, state bonds, bond proceeds fund, Department of Natural Resources, DNR, trail rehabilitation, trail reconstruction, recreational trail, bike trail, hiking trail, infrastructure, state trail, Pipestone, Currie, bonding authorization

Transcript Highlights:

• Yeah, it's very difficult, if not impossible, to calculate, and I think it's more so just a method of
• <00:10:54.040> a and I think it's more so um just a and I think it's more so um just a method
• calculation<00:10:55.600> how<00:10:55.880> exactly<00:10:56.240> we method
• of calculation how exactly we method of calculation how exactly we would<00:10:56.519> be<00:

Keywords: 912, senate, all

Summary: The joint committees first heard House Bill 229, which would establish a statewide speed restriction for motor vehicles under certain circumstances. Testimony on the bill was limited and came in support from the City and County of Honolulu’s transportation services, the Department of Parks and Recreation, and the Oahu Metropolitan Planning Organization. No one testified in opposition, and there were no questions. The committees then took up House Bill 860, which would grant immunity from liability to the state or counties when they repair or maintain a street whose ownership or jurisdiction is disputed between them. The Department of Transportation and the Department of Land and Natural Resources submitted written testimony, and the Hawaii State Association of Counties, Maui County Council Chair Alice Lee, Hawaii County Council member Heather Kimble, and the Iolani Homestead Community Association for Justice testified in support. The Ho Association for Justice opposed the bill, arguing the immunity was too broad and that the issue had already been addressed by prior legislation. In discussion, members raised concerns about liability and asked whether a different approach, such as extending the 2017 law transferring Oahu roads in limbo to the counties, would be acceptable; county representatives said that path could be considered if immunity were removed. House Bill 1161, which would authorize counties to use a road usage charge mechanism similar to the state’s, drew support from the Department of Transportation, the Energy Office, the Hawaii State Association of Counties, several county and city offices, and the Oahu Metropolitan Planning Organization. Rental car companies and industry groups supported the concept but asked for amendments, including a flat fee instead of a per-mile charge, relief for plug-in hybrid vehicles, and a delayed implementation date. The Tax Foundation of Hawaii also supported relief for hybrids. Members questioned the rental car representatives about the flat-fee proposal, and they said a per-mile charge would be difficult to calculate and pass on to customers. At the end of the joint agenda, the committees deferred decision-making on HB 1161 to Tuesday, March 18 at 3:00 p.m., and the Energy and Intergovernmental Affairs committee also deferred the three measures to that date and time. The Transportation and Culture and the Arts committee then began hearing House Bill 925, which would create a Performing Arts Special Fund, and House Bill 1378, which would establish a Performing Arts Grants Program and Special Fund and revise the State Foundation on Culture and the Arts’ responsibilities and funding sources. HB 925 received support from the State Foundation on Culture and the Arts and written support or comments from DBEDT, the Hawaii Arts Alliance, and others. HB 1378 drew extensive testimony and discussion focused on preserving arts funding while addressing concerns about the use of Works of Art Special Fund dollars for positions and programming. The Governor’s office said it supported the intent but had concerns; the Attorney General warned that the bill’s cap and transfer provisions were unclear and could affect the tax-exempt status of bond-funded dollars; and the State Foundation on Culture and the Arts opposed the measure, urging an audit, tracking of deposits, and a shift of positions and programs to general funds instead of changing the law. The chair explained that the bill was intended to protect arts funding while tightening the legal guardrails around bond-financed dollars and preserving federal support, and asked testimony to focus on new points as the hearing continued.

Transcript Highlights:

• and a lot of people, and everyone wants to be inclusive, and that we are all having an inclusive method
• that we we are we all having<01:25:25.520> an<01:25:25.679> inclusive<01:25:26.239> method
• ><01:25:26.679> here<01:25:26.960> but<01:25:27.440> you having an inclusive method
• here but you having an inclusive method here but you know<01:25:27.840> there<01:25:28.440>

Keywords: 1187, senate, all

Transcript Highlights:

• This is a method by which a trustee is already vested with a power to be able to make certain changes
• decanting<00:20:31.039> this<00:20:31.200> is<00:20:31.360> a<00:20:31.520> method
• <00:20:31.919> by trust decanting this is a method by trust decanting this is a method by

Bills: HF747, HF360

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, trusts, Uniform Trust Code, probate, estate planning, trust protector, directed trust, investment trust advisor, distribution trust advisor, excluded fiduciary, decanting, power of appointment, revocable trust, irrevocable trust, uneconomic trust, rule against perpetuities

Transcript Highlights:

• establishment of self-imposed limits on daily wagering unless waived, a charge to the commissioner to develop methods
• 55.720> commissioner<00:03:56.120> to<00:03:56.280> develop<00:03:56.640> methods
• <00:03:56.959> to the commissioner to develop methods to the commissioner to develop methods

Keywords: 1187, senate, all

Transcript Highlights:

• That meant that 60% were using other kind of ad hoc methods.
• other kind<00:13:41.839> of<00:13:42.079> ad<00:13:42.360> hoc<00:13:42.680> methods
• > so<00:13:43.720> just<00:13:43.959> as<00:13:44.079> an kind of ad hoc methods
• so just as an kind of ad hoc methods so just as an example<00:13:44.839> during<00:13:45.199>

Keywords: 1183, house

Summary: The committee heard a presentation from State Auditor Judy Randall and Deputy Legislative Auditor Jody Mason Rodriguez on the Office of the Legislative Auditor’s 2023 report, “Oversight of State-Funded Grants to Nonprofit Organizations.” Randall explained that the report takes a broad look at how Minnesota manages grants, building on earlier work that helped lead to the Office of Grants Management (OGM) in 2007. She emphasized that the new recommendation-tracking booklet in members’ packets is meant to help the legislature see which audit recommendations have been implemented, partially implemented, or not implemented, and to support oversight rather than assign blame. Rodriguez summarized the report’s findings: Minnesota’s grants management policies contain many important practices, but they often lack enough detail for agencies to implement them consistently. The office found pervasive noncompliance in recent years and identified weak statutory enforcement as a major reason. She reviewed how grants flow from the legislature to agencies and then to nonprofit grantees and subgrantees, and noted that state agencies spent an average of about $514 million annually on nonprofit grants from fiscal years 2018 through 2022, awarding grants to about 2,400 nonprofits. The report found OGM policies partially reflected 17 of 24 recommended grant-management practices, but examples of missing detail included no required risk-based monitoring, no minimum standards for progress reports, telephone-only monitoring visits allowed, and no deadline for closeout reviews. The auditors said some recommendations have been acted on since the report, including 2023 statutory changes that led OGM to revise its pre-award financial review policy and set a timeline for closeout reviews, though other recommendations remain only partially implemented. They also discussed repeat compliance problems across agencies, including conflict-of-interest documentation, and said agencies are beginning to improve by automating checklists and disclosure processes. In response to member questions, the auditors said training is important and should likely be required for grants staff, though not necessarily with highly specific statutory language; they also said grant managers vary widely across agencies, making baseline training especially useful. No votes or formal committee actions were taken during the presentation, and the chair noted that OGM would be invited for a future presentation.

Transcript Highlights:

• There are people that do that, so we are looking at a regional method of doing this as well.
• /c><00:30:49.600> a<00:30:49.799> regional<00:30:50.799> um<00:30:51.600> method
• <00:30:51.960> of at looking at a regional um method of at looking at a regional um method

Keywords: 910, house, all

Transcript Highlights:

• Ultimately, I think that the prudent method to move forward with this is certainly through the budget
• 08:03.279> prudent ultimately I think that the prudent ultimately I think that the prudent method
• 05.159> forward<04:08:05.479> with<04:08:05.600> this<04:08:05.760> is method
• to move forward with this is method to move forward with this is certainly<04:08:06.159> through<

Keywords: 1189, house, all

Summary: The committee first heard House Bill 180, which concerns critical incident stress management teams. Representative Mark PR, the bill sponsor, proposed an amendment to add a definition of “team leader” and to clarify that teams may or may not be affiliated with a municipality. He argued that a certification test offered by the International Critical Incident Stress Foundation is unnecessary and too expensive at $400, since team members are volunteers who already receive training and continuing education. Committee members asked about the training structure and certification language, and the sponsor explained that the teams are self-certified and that the amendment was intended to clean up the bill’s language. The committee then voted on HB 180 in executive session. Amendment 0261H was adopted 11-0, and the bill was then moved as amended and passed 11-0. The committee placed the bill on consent. Later, the committee heard House Bill 438, sponsored by Representative Timothy Horan, dealing with immigration detention and related state policy. Horan described the bill as an update to earlier legislation and said it would codify best practices, prohibit state cooperation with mass deportation efforts, bar for-profit operation of immigration detention facilities, and require Executive Council approval before the governor could deploy the National Guard for immigration deportation activities. Committee members questioned whether the bill could be read as authorizing detention facilities and discussed the relationship between the state and Strafford County Jail. An amendment presented on behalf of Representative Patrick Long was described as a technical rewrite that removed several sections and changed language, but the hearing ended before any vote was taken on HB 438.

Transcript Highlights:

• somebody's likeness, somebody's copyrighted information, and then transformed using AI or any other methods
• This approach has the potential to become one of the most environmentally responsible methods of critical

Keywords: 987, senate, all

Transcript Highlights:

• be experimental and therefore there should be a valid experiment with a hypothesis to test and a method
• So by default, there basically will be no method on treatment outside of these areas.

Keywords: 908, all