Video & Transcript : 'payment suspension' :

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MN

Minnesota 2025-2026 Regular Session

House Legacy Finance Committee 3/4/26

Legacy Finance

Transcript Highlights:
  • Those payments totaled $2.1 million. Those payments totaled $2.1 million.
  • </c> and 790 days after final payment. and 790 days after final payment.
  • I will note that um there was one payment uh for a project. It was an advanced payment.
  • I will note that um there was one payment uh for a project. It was an advanced payment.
  • . payment. payment.
Bills: HF3564
MN

Minnesota 2025-2026 Regular Session

House Housing Finance and Policy Committee 3/25/25

Housing Finance and Policy

Transcript Highlights:
  • </c> rental assistance and Utility payments rental assistance and Utility payments this<00:09:23.000>
  • </c> mortgage lending and down payment mortgage lending and down payment assistance<01:02:55.839><c>
  • </c> Community it's a mouthful down payment Community it's a mouthful down payment assistance assistance
  • but the down payment is home available but the down payment is the<01:18:29.199><c> is</c><01:18:29.560
  • </c><01:25:06.679><c> it</c> opportunity to put a down payment it opportunity to put a down payment it
FL

Florida 2025 Regular Session

October 8, 2025 - 03:00 PM

Transcript Highlights:
  • If the state's payment error rate is below 6%, there is no state share of benefits.
  • A payment error rate between 6% and 7.99% means the state share of benefits would be 5%.
  • The federal requirement is that the state's payment error rate is to be below 6%.
  • The federal requirement is that the state's payment error rate is to be below 6%.
  • The federal fiscal year 2024 payment error rate is 15.13%.
Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.
NH

New Hampshire 2025 Regular Session

House Ways and Means (04/29/2025)

Transcript Highlights:
  • The federal match for DISH payments is 50% and is up to 90% for rates and directed payments.
  • > to</c> directed payments and dish payments to directed payments and dish payments to um<01:31:01.199
  • </c> those tax payments April 15th. those tax payments April 15th.
  • The small their uh dish payments.
  • . payments. payments.
Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • You know, $250 a month can be a car payment.
  • About payment error rates.
  • The first is the SNAP payment error rate.
  • It's really clear that it's not for payment rates.
  • To address the payment error rate.
MO

Missouri 2026 Regular Session

Health and Mental Health Mar 5th, 2026

Health and Mental Health

Transcript Highlights:
  • We can't make those payments.
  • Our primary concern has to do with the definition of payment for anesthesia services on how the units
  • and payment are calculated.
  • It's specifically about a concern that there be some limitation on the payment of the agreed rates.
  • Concern because it's the definition that's proposed for payment of services that says you have to use
Summary: The committee first heard public testimony on House Bill 2570, which would prohibit health insurers from limiting payment for anesthesia services based on the length of a surgical procedure. The bill sponsor said the measure was prompted by a prior Anthem policy that would not cover all anesthesia time if a surgery ran long, and argued that insurers should not create pressure to stop or rush procedures. Supporters from physician and nurse anesthetist groups said the bill would protect patients and providers from unfair time-based payment limits. An insurance industry witness raised concerns about unclear definitions, possible internal contradictions in the bill’s language, the use of time-based billing formulas, and whether dental anesthesia should be excluded; the sponsor responded that the bill was aimed at medical, not dental, anesthesia and that any wording issues could be worked out later. After the hearing, the committee moved into executive session on a combined committee substitute for House Bills 1945 and 2570. Members discussed an amendment rolling HB 2570 into the larger substitute and noted minor changes to the anesthesia language, including adding modifiers and clarifying billing terms, while also adjusting unrelated pathology language to make it workable with the department and possible Medicaid waiver requirements. Questions from members focused on whether the insurance industry’s concerns were addressed and whether dental anesthesia should be exempted; the sponsor said some concerns could be handled later and that dental situations involving separate anesthesia providers might still need careful drafting. The committee adopted the amendment and substitute and then voted the combined committee substitute do pass by roll call, with the motion approved unanimously by those present.
MO

Missouri 2026 Regular Session

Health and Mental Health Mar 5th, 2026

Health and Mental Health

Transcript Highlights:
  • We can't make those payments.
  • Our primary concern has to do with the definition of payment for anesthesia services.
  • What is included is a formula. on how the units and payment are calculated.
  • It's specifically about a concern that there be some limitation on the payment of the agreed rates.
  • And again, if the language that mandates the definition of payment of anesthesia services is altered
MN

Minnesota 2025-2026 Regular Session

Committee on Housing and Homelessness Prevention - 03/04/25

Housing and Homelessness Prevention

Transcript Highlights:
  • It updates the loan structure to not require payments or interest over the 5-year forgivable period.
  • </c><00:11:10.920><c> assistance</c> generation down payment assistance generation down payment assistance
  • </c><00:15:26.199><c> programs</c> distinction most down payment programs distinction most down payment
  • </c><00:21:30.960><c> assistance</c> generation down payment assistance generation down payment assistance
  • The median PITI payment statewide in Minnesota right now is $2,551 per month.
NH

New Hampshire 2025 Regular Session

House Ways and Means (05/27/2025)

Transcript Highlights:
  • In terms of the hospitals, it has an enhanced payment to them satisfactorily to the level where they're
  • Um, what we're utilizing in this agreement is a form of payment called directed payments, which reflect
  • and it had a uh across the payments and it had a uh across the board<00:15:56.320><c> 50%</c><00:15:
  • On these direct payments instead of the 50, 65...
  • </c><00:18:00.559><c> instead</c> German on these direct payments instead German on these direct payments
Summary: The committee first went into executive session on SB 83, which concerns an elderly, disabled, blind, and deaf property tax exemption reimbursement fund, lottery-related changes, and a voluntary statewide self-exclusion database. Representative Ulery moved to retain the bill, saying more work was needed to make the bill clear. The motion passed 17-0 with three members absent, and SB 83 was retained in committee. The committee then took up SB 249FN, a bill relative to the uncompensated care and Medicaid fund. Representative Ulery offered House Amendment 2025-2465H, which was described as incorporating a recent agreement between the state and hospital parties into state law and setting the stage for future action. Medicaid Director Henry Litman explained that the agreement keeps the Medicaid enhancement tax at 5.4%, uses directed payments rather than traditional DSH payments, and is intended to be budget-neutral for the state while increasing hospital payments through a higher federal match. He also said critical access hospitals would continue under the existing directed-payment approach, and that the agreement includes a mechanism to revisit the arrangement if federal law changes substantially. New Hampshire Hospital Association President Steve Hearn said the association supports the amendment and the bill as amended, calling the settlement fair and beneficial to hospitals and the Medicaid program. The amendment and the subsequent ought-to-pass-as-amended motion both passed 18-0. At the end of the meeting, the chair said the committee had now gone through all of its bills and had retained nine in total, with a future meeting planned in September or October to review retained bills. Members briefly discussed possible future committee of conference work and noted there would be no House session that Thursday. The meeting then adjourned.
LA
Transcript Highlights:
  • We currently accept all forms of payment through check, the regular means, but we would like to offer
  • Right, this is going to be an optional fee or an optional online payment for the Safe Drinking Water
  • It is a cost applied to all of the card services as a convenience to process the payment.
  • We process payments both in Louisiana and in several other states where very similar legislation has
  • We're excited to offer the option and convenience of online payments for our constituents, and happy
Summary: The Senate Committee on Revenue and Fiscal Affairs met on May 28, 2026, approved the May 19 minutes, and then considered three third-party convenience fee schedules for online payments. The first was for the Department of Agriculture and Forestry, presented by Rebecca Dupree with Louisiana Interactive; members confirmed the online payment option would be voluntary and approved the fee schedule without objection. The second was for the Department of Health’s Safe Drinking Water Program, presented by Karen Benjamin, and generated extended discussion about a $2.50 flat fee plus a 2.5% card-processing charge, especially whether that charge would violate recently passed Senate Bill 254 regarding debit card surcharges. Senators Mizell, Lambert, and Luneau questioned the structure, and department representatives said they believed the fee was not a surcharge and that ACH payments would avoid the percentage charge; the committee approved the fee schedule but urged the department to review it for compliance with SB 254. The third fee schedule was for the Louisiana Office of State Fire Marshal, presented by Lindsay Savoy and Garrett Lee, covering online payments for the conveyance program and the Fire Emergency Training Academy. Senators again raised concerns about the 2.5% card charge in light of SB 254, and the presenters said they intended to comply with the new law and would discuss the issue further. The committee approved this fee schedule as well, with a similar reminder to consider the bill’s impact going forward. The meeting then adjourned.
FL

Florida 2025 Regular Session

October 8, 2025 - 01:00 PM

Transcript Highlights:
  • THE NURSING FACILITY PAYMENT INCREASE HAD A TARGET DATE OF OCTOBER 1. THIS WAS INCLUDED.
  • 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 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.
WY

Wyoming 2026 Regular Session

Health Insurance Affordability Task Force, June 18, 2026

Health Insurance Affordability Task Force

Transcript Highlights:
  • That payment often just goes uncompensated.
  • Disproportionate share hospital payments are payments that hospitals receive for uncompensated care,
  • Red, um, DSH payments, disproportionate share, so that's a payment that only a handful of our hospitals
  • And bundling payments is a great way to do... Bundling payments is a great way to do that.
  • Um, and I am speaking... ...payment agreement.
KY
Transcript Highlights:
  • That is due to directed payments, the growth in state-directed payments, the additional directed payments
  • </c> We've just paid one quarter's payment. We've just paid one quarter's payment.
  • </c><00:53:20.880><c> So</c> quarters worth of that payment. So quarters worth of that payment.
  • We've expanded directed payments.
  • We've expanded directed payments.
Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Part 2 Feb 12th, 2026 at 12:58 pm

New Mexico House Floor Meeting

Transcript Highlights:
  • payment assistance, and so...
  • For VA loans for down payment assistance. Mr.
  • make their mortgage payments.
  • annually just to make the payment on that house.
  • and not only make that payment.
Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Part 2 Feb 12th, 2026

New Mexico House Floor Meeting

Transcript Highlights:
  • places have down-payment assistance.
  • make their mortgage payments.
  • Because I've done balloon payments before, and when that balloon payment comes up, you're either going
  • ACD offering funding payment for child care, right?
  • ACD offering funding payment for child care, right?
Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50
Summary: The House spent much of the meeting on recognitions and tributes, including remarks supporting New Mexico’s dairy industry, honoring Gadsden Independent School District educators and students, recognizing Broadband Day at the Capitol, and celebrating the retirement of Representative Susan Herrera. Members from both parties praised Herrera’s long public-service career, especially her work on water, acequias, land grants, rural communities, modernization, early childhood, and predatory lending reform. Herrera thanked colleagues and said she was leaving to spend more time with family, grandchildren, and personal pursuits. The chamber also received a Senate message on House amendments to Senate Bill 3, with the Senate concurring in most items and asking the House to recede from two provisions. Committee reports were then adopted on a series of bills and resolutions, including House Bills 99, 206, 213, 250, 267, 270, 322, and 323; Senate Bills 17, 48, 55, 104, and 193; House Joint Resolution 5; and House Memorial 39. Most reports were adopted without objection, while some bills were advanced with committee substitutes or referrals to other committees. On third reading, the House passed several measures. House Bill 63, funding New Mexico Finance Authority water projects, passed 66-0; House Bill 64, appropriating about $13.25 million for PPRF-related funds, passed 67-0; House Bill 285, refining the disabled veteran property tax exemption, passed 67-0; House Bill 165, expanding C-PACE economic development uses, passed 67-0; House Bill 184, consolidating legacy fund investment accounts, passed 67-0; and House Bill 200, appropriating $10 million for the New Homes for New Mexico starter-home program, was debated at length and then passed. House Bill 291, the tax cleanup bill, drew a failed floor amendment that was tabled 41-24 before the bill passed 59-8. The debate on HB 200 focused on whether the program would help smaller builders and rural communities, while the HB 291 amendment debate centered on adding broader tax provisions and concerns about fiscal impact and policy scope.
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Mar 26th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • And again, this declining student enrollment payment.
  • The bill aligns the scholarship payment installments from quarterly to monthly and aligns the payments
  • , or a monthly payment, rather, they receive front-loaded monthly payments, and that money goes into
  • I do have a question when it comes to the monthly payments.
  • So they're the ones that are making the payments.
Summary: The committee first heard the proposed Pre-K-12 education budget for fiscal year 2025-26, totaling $34.7 billion. The chair highlighted major increases for the FEFP, including $29.6 billion for public schools and K-12 scholarships, a $984 million year-over-year increase, along with higher per-FTE funding, $4 billion for the Family Empowerment Scholarship, $431.4 million for VPK, funding for school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. With no public comment, the committee adopted a motion for staff technical corrections and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee. The committee then considered SB 1402 on dropout retrieval programs. The bill expands eligibility so any individual who has withdrawn from high school may enroll in dropout retrieval services and clarifies how school grades are calculated for virtual instruction providers that offer those services. An amendment clarifying the grading calculation was adopted, and the committee reported the bill favorably. Next, the committee took up SPB 7030 on educational scholarship programs, a broad measure addressing school choice funding and administration. The bill would fund the Family Empowerment Scholarship as a separate categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, standardize payment timing to monthly installments, require continued eligibility verification, and add Level 2 background checks for providers receiving state funds. Members raised questions about background-check enforcement, payment timing, data sharing, and the impact on homeschool and private-school families. Public testimony included support from school-choice advocates and concerns from private-school representatives about added regulatory burdens and deadlines. The committee adopted the bill as a committee bill and reported it favorably, with Senator Osgood voting no. Finally, the committee considered SB 508 on the Family Empowerment Scholarship Program, which requires private schools to disclose in writing what accommodations, modifications, and services they will provide to students with existing plans such as IEPs, EEPs, 504 plans, or ELL plans before enrollment. An amendment was adopted to require public schools to consult with private schools about equitable services. Testimony was mixed: supporters said the bill would give parents needed information for informed choice, while private-school representatives said the language could be burdensome and vague. The committee reported the bill favorably.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/11/25

Human Services Finance and Policy

Transcript Highlights:
  • </c> are also established in statute payment are also established in statute payment rates<00:02:16.959
  • </c><00:08:26.759><c> that</c> serving and um the the payments that serving and um the the payments that
  • Managed care payments are also growing.
  • </c> imds they were not and so those payments imds they were not and so those payments have<00:34:00.320
  • robots making payments each month.
MA
Transcript Highlights:
  • So, this is the first meeting, an organizational meeting today, regarding the future of payments and
  • This is a special initiative commission to study the future of payments and sales transactions by credit
  • So, this is the first meeting, an organizational meeting today, regarding the future of payments and
  • This is a special initiative commission to study the future of payments and sales transactions by credit
  • , credit card fees, mobile payments, buy now, pay later financing, and other aspects of the payments
Summary: The House and Senate chairs opened the first organizational meeting of the special initiative commission created by Chapter 238 of the Acts of 2024 to study the future of payments and sales transactions by credit card and the impacts on small businesses. They explained that no testimony would be taken at this meeting; instead, the commission would begin its work, introduce members, and prepare for future hearings and a final report with recommendations on credit cards and other payment methods. The chairs outlined the commission’s charge: to examine payment trends, cashless transactions, credit card fees, mobile payments, buy now, pay later financing, and the effects of section 28A of chapter 140D on small businesses. They said the commission would likely organize hearings around business and consumer impacts, the legal and regulatory landscape, and policy options such as transparency measures, reporting requirements, and possible limits. Members discussed the importance of hearing from retailers, restaurants, banks, small businesses, and possibly experts, and suggested considering cryptocurrency and whether hearings should be held outside the State House or include regional access. Several commissioners and stakeholders introduced themselves, including representatives from the Attorney General’s office, the House, the Executive Office of Economic Development, the Commissioner of Banks, retail and restaurant associations, a banking representative, and two small business owners. The chairs said interested parties could sign up to testify or receive notices, written testimony would be accepted, and the first hearing was tentatively set for April 8 in Gardner Auditorium. The meeting ended with a motion to close, which passed unanimously.
NM

New Mexico 2025 Regular Session

IC - New Mexico Finance Authority Oversight Aug 12th, 2025

New Mexico Finance Authority Oversight Committee

Transcript Highlights:
  • One more interest payment was made right at the end, so there were two interest payments made in the
  • So converting those borrower payments from the annual payments to the monthly payments is where we're
  • So it looks like the smaller payments and smaller borrowers are the ones that are maintaining their payment
  • to convert folks from the annual payment cycle to a monthly payment cycle and put out for bid a loan
  • So they send out the invoices, collect the payments, and apply the payments to the loan.
KY
Transcript Highlights:
  • </c> schedules or um or um create new payment schedules or um or um create new payment methodologies<
  • </c> payment error rate exceeds 6%. payment error rate exceeds 6%.
  • </c><00:36:05.280><c> error</c> currently in Kentucky our payment error currently in Kentucky our payment
  • </c><00:37:51.680><c> The</c> impacting payment error rates. The impacting payment error rates.
  • </c> we seen some increase in the payment we seen some increase in the payment error<00:38:12.800><c>
Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.