Transcript Highlights:

• Furthermore, the bill's provision for... payments to programs in areas with limited child care access
• So there is this tremendous gap when families are facing student loan payments, car payments, rent, or
• , issue prospective payments to providers, which is actually a really critical piece of it.
• This expansion will just increase the decline in payments.
• So the payments still have to go to folks who are directly caring for children.

Bills: HF1367 , HF2732 , HF1897 , HF1424 , HF1383 , HF2728 , HF2863 , HF1685 , HF2929

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• Medicare co-insurance payments made by Medicaid, Medicare Part A and B service payments, and co-insurance
• Payments include patient coinsurance and non-insured payments.
• If you're structured under a coinsurance model, your payment is still taxable, while the insurance payment
• Sharon Clark discussed, deducts insurance payments to providers, as well as Medicare payments to healthcare
• payments. can't be billed to the patient.

Committee: House Revenue Stabilization & Tax Policy Committee

Transcript Highlights:

• So, while reviewing payments, LOIC staff noticed a few payments that may have been made late.
• Given those concerns, KSP should review its payment processes and controls to make sure payments are
• for overdue payments.
• </c> any interest on late payments were paid. any interest on late payments were paid.
• , that payments have been late.

Summary: The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025. The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements. Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.

Transcript Highlights:

• Um these both exclude those payments.
• </c><00:21:03.039><c> and</c> local government aid payments and local government aid payments and because
• to proportionally reduce a county's aid payment so that the sum of all aid payments equals the amount
• to proportionally reduce a county's aid payment so that the sum of all aid payments equals the amount
• equals</c> the sum of all aid payments uh equals the sum of all aid payments uh equals the<00:58:30.480

Committee: Senate Taxes

Transcript Highlights:

• with the payment you gave us.
• , uh, payment.
• </c> expense, they have to issue uh payment. expense, they have to issue uh payment.
• </c> challenge um when issuing that payment. challenge um when issuing that payment.
• </c> authorized to get those payments back. authorized to get those payments back.

Committee: House Labor, Industrial and Rehabilitative Services

Transcript Highlights:

• </c> do is it has the state funding payments do is it has the state funding payments oh<00:29:04.760>
• So there are payments that are scholarship payments that are not taxable under federal law.
• So there are payments that are scholarship payments that are not taxable under federal law.
• </c> questions about whether those payments questions about whether those payments would<00:34:46.119
• </c> receives the benefit of the EFA payment receives the benefit of the EFA payment can<00:42:53.559

Summary: The committee opened a public hearing on HB 402, a bill dealing with whether Education Freedom Account (EFA) payments should be described in state law as not constituting taxable income. The bill sponsor argued that the current statute is misleading because New Hampshire should not imply a federal tax result, and said the bill would remove that language and could also be amended to clarify that families should consult tax advisors. He emphasized that the measure was not intended to impose a state tax on EFAs, but to avoid giving inaccurate advice about possible federal tax liability. Testimony was divided. A retired representative and a tax preparer both opposed the bill, saying EFA payments are already treated consistently with IRS rules and that the bill would create confusion, administrative burden, and possible tax consequences for low- and moderate-income families. They argued the bill is a solution in search of a problem and warned that requiring 1099s could add costs for the scholarship organization and recipients. A tax attorney supported the bill’s repeal of the state language, saying New Hampshire should not put tax advice into statute and that the current wording is inaccurate because federal law, not state law, controls taxability. He cited IRS Section 117 and Publication 970, explaining that only some scholarship-like payments are tax-free and that many EFA-eligible expenses may not qualify for federal exemption. Members asked questions about what would be misleading, whether the bill was trying to tax EFAs, and the cost of issuing 1099s. The sponsor and witnesses repeatedly said the bill was not a state tax on voucher payments, but a clarification about federal tax treatment. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• CMS makes the payment for most services. Medicaid also makes payments.
• So they're not only getting the payment from the nursing home service, they're also getting payment for
• improper payment rate.
• For your second question related to Supplemental payments, our opinion of supplemental payments is that
• The 4% diminished Medicare payment.

Committee: Senate Health & Human Services

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• </c> required to do the prospective payment required to do the prospective payment methodology<00:53:
• Um, we do the state directed payments.
• </c> state plan uh state directed payment state plan uh state directed payment preprints<00:58:44.319
• But we do know there was 836 duplicate payments, double payments made for individuals in Kentucky and
• </c><01:08:42.400><c> for</c> payments uh double payments made for payments uh double payments made for

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:

• That's a one-time payment, right?
• You would like a projection based on the current payment methodology, which is payment based on attendance
• I think it's a work in progress, looking at how many days a month for payment, looking at the payment
• and payment on authorization?
• and payment on authorization in May?

Committee: House Budget

Summary: The committee first heard the Office of the Governor’s FY 2027 budget request from Adam Gresham. He explained the office’s staffing and noted a $500,000 core reduction, along with a reallocation of three positions and about $168,000 from the governor’s office to the mansion operating fund to better reflect where those employees work. Members asked about the National Guard emergency line, which Gresham said had already spent about $63,457 in FY 2026 and could be used again for disaster activations, though he did not expect to use the full $4 million. He also said the agricultural resiliency transfer fund had not been used and had no current transfer plans. Several members commented on the size of the governor’s cut and whether the judiciary and other offices were also being asked to reduce budgets. No votes were taken. The committee then moved to the Department of Elementary and Secondary Education’s Office of Childhood and early childhood-related budget items. DESE staff described funding for the Office of Childhood, MoQPK child care provider grants, LEA pre-K grants, early childhood special education, Parents as Teachers, First Steps, preschool coordination, after-school programs, and child care subsidy. Members asked extensively about the MoQPK grants, including why Head Start providers were eligible, how curriculum approval works, and what safeguards exist against fraud or improper payments. DESE said it conducts physical inspections, desk reviews, payment-system checks, and investigations as needed, and that it had not had findings in this area. Some members questioned whether DESE or DSS was the right home for early childhood programs, while others defended the partnership and the role of early educators in identifying child needs. A major portion of the discussion focused on early childhood special education and the child care subsidy program. DESE explained that First Steps serves children birth to age three, while early childhood special education covers ages three to five and is driven by IEP eligibility; members asked for more data on diagnoses, trends, and how many children come off IEPs. The committee also discussed the child care subsidy budget and the governor’s proposed shift to paying providers based on authorization and at the beginning of the month. DESE said the change is being piloted, that a wait list is expected to begin around March 1, and that a May rollout is being considered, but only if software testing and fiscal projections show the system is sustainable. Members expressed frustration that promised changes had been delayed and that providers had been told different timelines, while DESE said the delay was driven by software issues, fiscal caution, and the need to avoid repeating prior payment problems. The hearing ended with the committee in recess before later resuming discussion of the subsidy program; no final votes or actions were taken in the portion provided.

Transcript Highlights:

• </c> Genius Act is very clear that payment Genius Act is very clear that payment stable<00:26:34.720>
• If Wyoming is issuing what is a payment stablecoin but not a permitted payment stablecoin, can it be
• not permitted payment stablecoins.
• One is like programmable payments.
• And therefore, should that agent be able to recall the payment, or should the payment have been able

Summary: The meeting began with roll call and introductions of commission members and guests, followed by approval of the agenda and a motion to approve the February 10 minutes with a correction clarifying that one quoted statement was misattributed. The commission then moved into presentations. The main presentation came from the Conference of State Bank Supervisors on implementation of the federal GENIUS Act for stablecoins. The speaker reviewed the OCC’s recent 367-page proposed rule, noting it raises many open questions and design choices for states, and discussed expected upcoming rulemaking from the FDIC, Federal Reserve, and Treasury. The presentation focused on six areas: permissible issuer activities, reserve assets and redemption, risk management and supervision, treatment of state-qualified issuers, capital/operational backstops, and foreign issuers. It also flagged unresolved issues around Bank Secrecy Act/AML requirements and the meaning of “digital asset service provider” activities. A substantial portion of the discussion addressed yield restrictions, with the presenter explaining the OCC’s broad definition of yield and its rebuttable presumption against issuer-affiliated or related third-party yield arrangements. The speaker said this likely forecloses many existing white-label structures but leaves some room for third-party payments depending on distance from the issuer, and noted ongoing Senate debate over similar provisions. The presentation also covered reserve valuation, liquidity and diversification requirements, redemption timing, and supervisory expectations such as third-party oversight, IT security, exam cycles, and reporting. No additional votes or formal actions were taken beyond approving the amended minutes.

Transcript Highlights:

• <c> accuracy</c><00:03:09.360><c> and</c> Uh increase SNAP payment accuracy and Uh increase SNAP payment
• </c> payment error rates. payment error rates.
• </c> establish a comprehensive post-payment establish a comprehensive post-payment review<01:07:40.000
• </c> statewide hospital directed payment statewide hospital directed payment program<01:17:18.240><c>
• </c> payment program. payment program.

Committee: Senate Health and Human Services

Transcript Highlights:

• That's the bi-weekly payment cycle.
• But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
• But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
• Um, we are is a payment withhold.
• Claims for payment.

Bills: HF3378

Committee: House Human Services Finance and Policy

Transcript Highlights:

• The changes include an $83,604 increase in other charges for an automated clearing house payment system
• And we expect for every person who accepts a payment of ACH versus a traditional check, it'll be 40%
• In fiscal year 25, they also refinanced... $67 million in debt service payments.
• So improvements in the payment process are really appreciated.
• The new minimum receive payment for that.

Committee: House Appropriations

Transcript Highlights:

• </c><00:46:09.960><c> for</c> fourth quarter estimated payments for fourth quarter estimated payments
• </c><01:04:52.160><c> um</c> payments and those estimated payments um payments and those estimated payments
• of make a payment to us.
• of make a payment to us.
• or dish payments share Hospital payments or dish payments is<02:10:09.719><c> sometimes</c><02:10:09.960

Summary: The committee received an overview from Chris of the Legislative Budget Assistance Office on how it will estimate unrestricted revenues for the General Fund, Education Trust Fund, Highway Fund, and Fish and Game Fund. He explained that the committee’s work is based on current law, not pending bills, and that the estimates will feed into a House resolution and an amendment to House Bill 1, the operating budget. He also described the broader budget process, including how House and Senate estimates are reconciled, how surplus statements account for revenue changes from enacted bills, and how a committee of conference could resolve differences later in the session. No votes were taken. Members then asked about why the Education Trust Fund was running below plan. Chris said the shortfall appeared to be driven largely by business taxes, including differences in the BET/BPT split and improved tax-processing systems that better track where business tax payments belong. Representative Orr also asked about tobacco tax collections and out-of-state sales; Chris said tobacco revenue was likely overestimated in 2023 based on COVID-era patterns, with more people smoking at home, and noted that e-cigarette tax revenue goes to the General Fund while cigarette taxes are split between the General Fund and Education Trust Fund. He said he did not have a specific estimate for cross-border sales. Commissioner Lindsay St. Pierre of the Department of Revenue then began a deeper dive into the department’s role and the taxes it administers. She reviewed the department’s mission, organizational structure, taxpayer services, and the tax policy and legislative analysis staff who prepare fiscal notes and testify on bills. She noted that the department administers about $2.9 billion in revenue across major taxes such as business taxes, meals and rooms, and utility property tax, and that the figures being discussed were preliminary because the annual report had not yet been issued. The discussion was informational only, with no formal action taken.

Transcript Highlights:

• They get a payment, and then they leave and go back home.
• And as you'll see, we're talking about a payment cycle of every six weeks.
• And as you'll see, we're talking about a payment cycle of every six weeks.
• It aligns the scholarship payment installments from quarterly to monthly, as I said, and aligns the payments
• give a two-month payment on the front end to homeschooling families.

Committee: Senate Appropriations

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• Well, there's quarterly payments that are made.
• For instance, if in between the October and November payment, if we do get a student payment file in,
• payment file.
• They're making quarterly payments to schools for a reason.
• They're making quarterly payments to schools for a reason.

Summary: The Pre-K through 12 Budget Subcommittee met to review how Florida’s Education Finance Program (FEFP) works, receive an update from the Department of Education on the October 2024 FTE survey and third FEFP calculation, and hear from three county superintendents about forecasting enrollment and reconciling scholarship students. The chair explained that FEFP is funded by both state and local dollars, is recalculated multiple times during the year, and is now closely tied to school choice policy. Department staff said the third calculation was still being rerun but should be completed soon, and described the forecasting process as collaborative among districts, DOE, and the Education Estimating Conference. Superintendents from Polk, St. Lucie, and Hendry counties said enrollment shifts, especially students moving to Family Empowerment Scholarships, homeschooling, or private schools, make budgeting and staffing difficult. They said districts often must hold back funds to protect against midyear losses, which affects collective bargaining, staffing, transportation, and classroom organization. Several members raised concerns about duplicate counting, transparency, and whether students receiving scholarship funds can also remain in district classrooms. DOE said districts can access scholarship information through a secure portal and that scholarship funding organizations are paid quarterly, with a new process requiring certification and possible future payment adjustments to reduce duplication. The superintendents urged better real-time tracking of students through a statewide ID or student information system and suggested scholarship students should be funded separately from district FEFP calculations. Members also discussed whether more frequent or daily attendance-based calculations would improve accuracy, though some warned that daily attendance could create new problems for high-poverty districts. The committee also briefly discussed categoricals, including mental health and ESE funding, with DOE saying it evaluates programs through studies, reporting requirements, and legislative direction. No votes were taken; the meeting ended with a motion to rise and adjourn.

Transcript Highlights:

• </c><00:03:13.080><c> but</c> would lower their monthly payments but would lower their monthly payments
• </c> prevent lenders from collecting payments prevent lenders from collecting payments from<00:10:39.360
• and $41 on subsequent late payments.
• and $41 on subsequent late payments.
• </c><00:14:07.120><c> are</c> they face um their payments are they face um their payments are mismanaged

Transcript Highlights:

• ambulance providers enhanced payments, or if you will, directed payments, and those have to be approved
• We do have some payment programs.
• or if you will or enhanced payments or if you will or directed<00:04:07.800><c> payments</c> directed
• payments directed payments and<00:04:09.440><c> those</c><00:04:09.800><c> have</c><00:04:10.000><c>
• </c> limitation on our directed payments. limitation on our directed payments.

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• decreased the average payment received by eligible dairy farms.
• decreased the average payment received by eligible dairy farms.
• decreased the average payment received by eligible dairy farms.
• So, on a theoretical payment received.
• </c><00:05:08.720><c> would</c> recognize that the payment would recognize that the payment would slightly

Committee: Senate Finance

Transcript Highlights:

• /c> we have to reduce those payment rates we have to reduce those payment rates uh<00:26:11.320><c> to
• ,</c><00:26:43.720><c> start</c> negative impact on our payments, start negative impact on our payments
• So, is the final one payment changes.
• </c> This has state directed payment changes. This has state directed payment changes.
• Um our state-directed payment issue.

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.