Transcript Highlights:

• approved payment plan.
• I have also made the payment for... So if you took over in 25, why were payments still late?
• I have also made the payment for June already, and going forward, we should have those payments made.
• So we haven't actually—and both of those payments were a property tax relief payment that was deposited
• The board has authorized the director to issue any payments less than $1,000, and any payments over $1,000

Summary: The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review. Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well. The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action. The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.

Transcript Highlights:

• approved payment plan.
• with the payment plan.
• making your payments.
• making your payments.
• I have also made the payment for June already, and going forward, we should have those payments made.

Keywords: 1204, all

Summary: The committee heard multiple audit and compliance reports involving Arkansas municipalities and a regional solid waste district. Several small towns were discussed for repeat findings involving delinquent water and sewer audits, municipal accounting noncompliance, and misuse of street funds, including Fargo, Lead Hill, Alma, Jericho, Haynes, Biggers, Gilmore, and Holly Grove. In several cases, staff noted that turnback escrow was already being withheld because required water audits had not been filed, and some entities were reported to be current on payment plans only after staff updated the records through May 2026. The committee also reviewed a special report on the Pulaski County Regional Solid Waste Management District, which included findings on payroll approvals, contracts, credit card documentation, vehicle and cell phone use, bidding, advertising costs, and the sale of trailers and other equipment. A separate report on municipal accounting noncompliance was presented for towns including Denning, Gum Springs, Fargo, Lead Hill, and Alma, with staff recommending some be removed from the 60-day list while others remained under review. Several local officials appeared and explained the findings. Fargo’s mayor said the town was understaffed and had begun improving records, while Lead Hill’s mayor said the town had hired more office help and was working to complete overdue water audits. Alma’s officials said they were trying to catch up on audits and accounting issues. Jericho’s police chief defended the town’s traffic enforcement and said the town had adjusted speed limits and enforcement practices to avoid the speed-trap threshold, while staff clarified that the prosecutor decides whether to pursue penalties. Haynes officials said revenue losses and the loss of their police department had made it difficult to keep up with required street-fund payments, and Gilmore officials said they were working on IRS and other debts. The Pulaski County district director said the board had authorized many of the questioned practices and that some issues, such as advertising and vehicle use, were tied to public education and operational needs. The committee took several actions. It approved minutes, accepted or filed some reports without objection, removed Denning and Gum Springs from the 60-day list, and deferred action on several matters, including Fargo, Lead Hill, Alma, Haynes, and the Pulaski County solid waste district, generally until the September or August meeting. Motions to defer or file reports were adopted in multiple cases, and the committee also noted that some matters had been referred to the appropriate prosecuting attorney for further review. The meeting ended with recognition of visiting accounting students who were attending as part of summer internships.

Transcript Highlights:

• Upon substantial completion, UK will make semi-annual availability payments, availability payments for
• All payments are conditioned on meeting performance standards. There'll be no upfront payments.
• All payments are conditioned on meeting performance standards. There'll be no upfront payments.
• payments for annual availability payments for optimization<00:09:58.000> services.
• One question on the payments that are, I think, 47 million in availability payments over 30 years.

Keywords: 958, all

Summary: The committee first handled routine business, including a quorum call, approval of the April 27 minutes, and a report of informational items. Those informational items included University of Kentucky medical equipment purchases, UK’s planned use of restricted funds for a public-private partnership, school district debt notices, UK’s use of construction management at risk for five projects, Kentucky Communications Network Authority capital project reporting, and UK lease improvements. The main action item was University of Kentucky’s request for approval of a $600 million central plants and utility infrastructure P3 tied to the Chandler expansion and other campus facilities. UK said the project would modernize and expand utility capacity, improve redundancy and efficiency, and support 24/7 hospital operations. UK explained that the financing would combine private equity and nonprofit debt, with no UK or Commonwealth debt or upfront payment, and that future availability payments would come from UK Healthcare funds. Members asked about the financing stack, the source of the restricted funds, and whether existing units would be replaced or modernized. The committee then approved the P3 agreement by roll call vote. The committee also considered and approved a lease renewal for a 20,000-square-foot College of Medicine facility near the Bowling Green Medical Center. UK said the lease would cost $38 per square foot, or $912,000 annually, and supports its long-running partnership with Bowling Green Hospital and planned medical student growth in the region. Members spoke favorably about the local impact of the program, and the lease renewal passed by roll call vote. Finally, the Finance and Administrative Cabinet reported three items requiring no action, including a $2.103 million Transportation Cabinet Department of Aviation project for two medium box hangars at Capital City Airport. Cabinet staff said the project would be funded by federal aviation money and restricted aviation funds, and later explained that the restricted funds come from a jet fuel tax deposited into the Aviation Economic Development Fund.

Transcript Highlights:

• We are proposing to limit payments for our PACE providers.
• These managed care payment increases are in addition to those payment rates that existed at that time
• These payments will support the non-federal share as fixed dollar supplemental payments for primary care
• This is a directed payment, like our targeted rate increases.
• You are not proposing any new programs or payments, correct?

Keywords: 988, house, all

Transcript Highlights:

• and public hospital payment programs.
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and
• This program provides fee-for-service and supplemental payments and directed payment program for physicians
• This program provides fee-for-service and supplemental payments and directed payment program for physicians

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• Those are some of the five payments.
• , provider taxes, and state payments, provider taxes, and state directed<00:16:10.480> payments,
• have limits on state directed payments. have limits on state directed payments.
• 27:52.960> to additional payments that states make to additional payments that states make to
• in state directed payments.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• directed payment directed payment programs<01:09:49.159> directed<01:09:49.679> payment
• payment gaps.
• implementing the directed pay payment implementing the directed pay payment program<01:13:26.120
• with their own directed payment with their own directed payment programs<01:13:44.639> we
• of the new directed payments of the new directed payments program<01:15:18.159> paragraph

Keywords: 1183, house

Transcript Highlights:

• of this quarterly payment schedule.
• Quarterly payment schedule.
• 1.8 million individual tuition payments to these schools, with an average payment period of 8.2 days
• What outstanding payments are yet to be processed.
• Ability to approve or reject that payment.

Summary: The Pre-K through 12 Budget Subcommittee met to continue reviewing how Family Empowerment Scholarship students are funded through the FEFP and the role of scholarship funding organizations. Staff gave a statutory overview of parent, SFO, and Department of Education responsibilities, including application deadlines, eligibility verification, quarterly payment timing, cross-checks to prevent duplicate funding, and the 99% district FEFP limitation for certain awards. The committee then heard demonstrations from Step Up for Students and AAA Scholarship Foundation showing their parent portals, application workflows, reimbursement systems, school enrollment/invoice processes, and marketplace tools for tuition, tutoring, and approved goods and services. Step Up reported major growth since HB 1, saying its scholarship population expanded from about 260,000 to more than 440,000 students, with application processing averaging about 10 days. It also highlighted faster tuition, provider, and reimbursement payments, multilingual support in English and Spanish, and resources such as videos and a call center. Members asked about support for Creole speakers, optional Florida ID numbers, student identifiers, marketplace pricing, tutor qualifications, background screening, and how awards differ from funded status. Step Up said it does not currently support Creole, does not do background screenings for tutors, sets no marketplace prices itself, and uses a unique internal student ID separate from the state ID. AAA demonstrated its revised software for the 2025-26 school year, including an eligibility screener, household and student application steps, messaging with staff, reimbursement requests, and administrative review and payment batching. AAA said the new system is custom-built, more transparent about award value versus available balance, and designed to better handle quarterly funding for UA students. Members questioned AAA and Step Up about student ID numbers, public-school cross-checks, fraud controls, school fee schedules, whether schools must participate, and reimbursement timing. Both organizations said they report quarterly to DOE, receive public-school cross-checks, and recover funds when students return to public school; AAA said its average reimbursement turnaround is about 14 business days, while Step Up said its reimbursement approvals have improved significantly. The committee also requested follow-up information, including one-pagers, data on income levels and demographics, and additional details on forecasting and system costs.

Transcript Highlights:

• And you see there, the mid-year payment totaling up, without the OAB payment that’s now zero, is the
• $565 million total projected UAL payment.
• Now, that’s just the UAL payment.
• But now that’s just the UAL payment.
• Right, but now that's just the UAL with payment, that's just the UAL payment, which if you want to get

Summary: The Public Retirement Systems Actuarial Committee met on June 22 and approved the minutes from the February 23, 2026 meeting. There was no public comment. The main discussion focused on Louisiana State Employees’ Retirement System (LASERS) and how appropriations from House Bill 312 of 2026 affect the system’s actuarial valuation and employer contribution rate for fiscal year 2027. Staff explained that HB 312 provided about $145 million in appropriations to LASERS, with roughly $87.6 million applied to the original amortization base and about $57.9 million applied to the experience account amortization base. As a result, the projected aggregate employer contribution rate for the fiscal year beginning July 1, 2026 was revised from 32.51% to 30.05%, a reduction of 2.46%, and the required projected employer contribution was updated to about $738.7 million. The presentation also noted that the June 30, 2025 valuation itself did not change, only the projected 2026 rate, and that the original amortization base would be paid off by June 30, 2026. Committee members asked about the longer-term effect of the changes, including a projected 2036 payment reduction. Staff explained that later-year UAL payments would be lower, but that the exact savings would depend on future actuarial experience and investment performance. The committee then adopted the motion to revise the projected fiscal year 2027 LASERS aggregate contribution rate to 30.05%, subject to the appropriation, and later adjourned without opposition.

Transcript Highlights:

• <00:42:17.040> uh have uh eliminated payment uh have uh eliminated payment uh backlogs<00:
• can backlogs duplicate payments requests can backlogs duplicate payments requests can now<00:
• for timely payments.
• <00:45:59.559> for fal one form to request payment for fal one form to request payment for
• <00:47:23.640> process payments so that's the payment process payments so that's the payment

Keywords: 958, all

Summary: The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees. Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases. Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers. The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.

Transcript Highlights:

• SHARE OF THESE PAYMENTS.
• AND THE PUBLIC HOSPITAL PAYMENT PROGRAMS.
• IN THE PREPAID HEALTH PLAN HOSPITAL DIRECT PAYMENT PROGRAM APPROPRIATION.
• >> HOW DO YOU EXPLAIN THE MISSING OF THE PAYMENT?
• >> WE ARE A COUPLE MONTHS EFFECTIVELY IN THE REAR FOR THOSE PAYMENTS? >> Rep.

Keywords: 999, senate, all

Transcript Highlights:

• A lot of these state-directed payments, a lot of these supplemental payments, have just come under additional
• Florida's Directed Payment Program for Hospitals provides payments to hospitals for both inpatient and
• Meyer, I would say, similar to essentially every supplemental payment program and state-directed payment
• Supplemental payment models. Any other questions? I see no debate.
• Thank you, everyone. supplemental payment models. Any other questions? See no debate.

Summary: The Legislative Budget Commission met with a quorum present and considered two Agency for Health Care Administration budget amendments related to Medicaid supplemental payments. The first amendment, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers with uncompensated charity care. Members asked about the timing of AHCA’s submission to CMS and whether the program addressed hospital shortfalls for insured patients and CHIP-related concerns. AHCA said approvals have generally been slower under the current federal review process, and the amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for Hospitals pending final CMS approval. Senators and representatives questioned the role of hospital attestations regarding hold harmless agreements, whether any agreements had to be unwound, and how long final approval might take. AHCA said all hospitals had submitted attestations, no unwinding was known to be necessary, and approval was expected soon. Members also raised concerns about cancer hospitals, including Moffitt and the University of Miami, not participating in the directed payment program. AHCA responded that those institutions participate instead in a separate Florida Cancer Hospital supplemental payment program, which had already been approved. Both amendments were adopted without objection, and the commission then adjourned.

Transcript Highlights:

• and public hospital payment programs.
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and
• This program provides fee-for-service supplemental payments and directed payment program for physicians
• This program provides fee-for-service supplemental payments and directed payments for physicians and

Keywords: 999, senate, all

Transcript Highlights:

• First, delayed payments.
• We had to stop operating this contract as the payments had been delayed.
• payment as an option.
• So it's really about finding a way to stop delaying payments to our agencies.
• One is the timeliness of payments, both advance and just timely payment as per agreement.

Summary: The joint Senate and Assembly select committee hearing focused on the challenges facing California nonprofits in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance, the impact of federal funding disruptions and tax policy changes, and the need for stronger public-private partnerships, especially in disaster response and recovery. Witnesses from community foundations, food banks, Cal OES, long-term recovery groups, CalNonprofits, and nonprofit finance organizations described funding uncertainty, delayed reimbursements, reduced indirect cost coverage, staffing strain, and the effects of climate disasters and immigration-related fear on service delivery. Testimony highlighted several policy ideas, including advance payments for state grants and contracts, prompt payment standards, sustainable indirect cost rates, contract flexibility in emergencies, streamlined registration and reporting, and a possible new Office of Nonprofit Empowerment to serve as a central point of contact and coordination within state government. Speakers also described how nonprofits and VOAD networks support wildfire response and long-term recovery, but noted that recovery groups often lack stable operating funding even when they are recognized as best practice. A food bank leader described federal food aid cuts and disruptions to deliveries, while other witnesses stressed that nonprofits are increasingly forced to use reserves, loans, or service reductions to manage cash flow gaps. Committee members generally expressed support for the sector and asked how the state could better partner with nonprofits during both disasters and budget crises. Several members raised the possibility of incremental steps if full legislative changes are not immediately feasible, and witnesses suggested pilots, better sharing of best practices, and stronger state leadership on payment timelines. Public commenters echoed the need for better contracting practices, support for community-based organizations, and attention to nonprofit worker compensation and protections. No formal votes or committee actions were taken in the hearing, which concluded with adjournment.

Transcript Highlights:

• <00:14:56.000> for<00:14:56.959> uh payments on behalf payments and for uh payments
• on behalf payments amount of uh payment on behalf payments for<00:15:10.800> uh<00:15:11.120>
• So on-behalf payments are payments that are reflected on a district's books but are not payments that
• So on-behalf payments are payments that are reflected on a district's books but are not payments that
• About the on-behalf payments.

Keywords: Meeting Start 00:00:00 History of SEEK 00:02:15 Summary of On-Behalf Payments 00:12:40 Discussion on Collection of University Debt Department of Revenue 00:32:40 Northern Kentucky University 00:57:10, 958, all

Summary: The committee met with a quorum, approved the minutes from the September 17 meeting, and heard a presentation from Kentucky Department of Education staff on SEEK school funding and KDE on-behalf payments. KDE explained recent SEEK changes, including the guaranteed base per-pupil amount, attendance-based calculations, second-month and January growth, the 2022 change funding kindergarten at 100% instead of 50%, and the existing add-ons for at-risk students, exceptional children, limited English learners, home/hospital instruction, and transportation. Staff also reviewed tier one funding, noting the 2024 increase from 15% to 17.5% and explaining that eligibility depends on local tax effort and property wealth. They also described Senate Bill 6 from the 2025 session as a reporting proposal to include on-behalf costs in education spending totals. KDE staff then outlined on-behalf payments made for districts, including roughly $458 million for Teachers Retirement System contributions, $942 million for health insurance, about $12 million for technology costs, and additional SFCC debt service outside KDE’s appropriation, for a total of about $1.5 billion. Members asked how a future Senate Bill 6 would affect local contributions and whether folding on-behalf payments into SEEK would shift costs among districts. KDE and Senator Gibbons clarified that the bill was intended only as a reporting mechanism and would not change local contribution or district payments; it would simply present a broader total of state education investment. The discussion also noted that Kentucky’s reported SEEK amount alone does not capture all state education spending. Members raised questions about home and hospital instruction data, saying local concerns suggest growth in some communities even if statewide numbers appear stable. KDE said the statewide figure has been relatively consistent but offered to provide district-level trend data. Co-Chair Petrie also asked about the accuracy of SEEK projections and on-behalf calculations, referencing prior concerns from the Office of Education Accountability. KDE responded that it works with the state budget director’s office in a consensus forecasting process and has been reviewing demographic and property-assessment data, including exceptional child counts, to improve forecast accuracy.

Transcript Highlights:

• Very few take any other payment source because cash payment is really hard to get right.
• Very few take any other payment source because cash payment is really hard to get right.
• Very few take any other payment source because cash payment is really hard to get right.
• reduction of payments before a hearing. reduction of payments before a hearing.
• So if there's a payment 180 days.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• A lot of these state-directed payments, a lot of these supplemental payments, have just come under additional
• I do know that there are a lot of supplemental payments on the Medicaid side that cover uncompensated
• I do know that there are a lot of supplemental payments on the Medicaid side that cover uncompensated
• Florida's Directed Payment Program for Hospitals provides payments to hospitals for both inpatient and
• I would say, similar to essentially every supplemental payment program, state-directed payment for 38.6

Summary: The Legislative Budget Commission met with a quorum present and considered two budget amendments for the Agency for Health Care Administration. The first, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers for uncompensated charity care. Members asked about the timing of CMS approval and whether the program addressed hospital shortfalls for insured patients and children; AHCA said the program is for uncompensated care and would follow up on specific questions. The amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for hospitals, pending final CMS approval. Discussion focused on hospital attestations that no hold harmless agreements were in place, the meaning of those federal requirements, and whether any agreements had to be unwound; AHCA said attestations had been received from all hospitals and submitted to CMS. Members also asked about the approval timeline and whether another amendment would be needed after final approval, and AHCA said approval was hoped for soon but could not confirm the budget process. Representative Woodson raised concerns about cancer hospitals not participating in the DPP; AHCA responded that those hospitals participate instead in a separate Florida Cancer Hospital supplemental program, which had already been approved. This amendment was also adopted without objection, and the commission then adjourned.

Transcript Highlights:

• And if those payments are not increased, a district like mine, my own If those payments are not increased
• We are proposing to eliminate the prospective payment system, or what we call PPS, the RAP payments that
• These managed care payment increases are in addition to those payment rates that existed at that time
• These managed care payment increases are in addition to those payment rates that existed at that time
• The workforce quality incentive payments for nursing facilities, which are essential payments that are

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Bills: HB11, HB12, HB21, HB26, HB30, HB33, HB37, HB45, HB210, HB303, HB630, HB879, HB1041, HB1188, HB1261, HB1318, HB1465, HB1535, HB1593, HB1778, HB2559, HB2596, HB2692, HB2703, HB2712, HB2742, HB2809, HB2890, HB3012, HB3526, HB5061, HB5092, HB5238, HCR92, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1250, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2309, SB2497, SB2532, SB2549, SB2566, SB2617, SB2639, SB2696, SB2717, SB2747, SB2751, SB2790, SB2797, SB2799, SB2841, SB2850, SB2857, SB2891, SB2919, SB2928, SB2994, SB3051, SJR34, SB529, SB541, SB693, SB963, SB1968, SB2308, SB2544, SB1173, SB1646, SB1734, SB1833, SB1, SB17, SB260, SB509, SB1506, SB1637, HB1393, HB2559, HB26, HB3012, HB1593, HB2607, HB3526, HB3810, HB388, HB879, HB12, HB2703, HB30, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2043, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB2994, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2639, SB2459, SB2655, SB2251, SB1884, SB2617, SB2928, SB2566, SB1897, SB1749, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB1232, SB2850, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR98, SB3070, SB835, SB524, SB2233, SB2683

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, Medicaid, nutrition support, maternal health, chronic conditions, pilot program, disaster relief, tax rates

Bills: HB11, HB12, HB21, HB26, HB30, HB33, HB37, HB45, HB210, HB303, HB630, HB879, HB1041, HB1188, HB1261, HB1318, HB1465, HB1535, HB1593, HB1778, HB2559, HB2596, HB2692, HB2703, HB2712, HB2742, HB2809, HB2890, HB3012, HB3526, HB5061, HB5092, HB5238, HCR92, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1250, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2309, SB2497, SB2532, SB2549, SB2566, SB2617, SB2639, SB2696, SB2717, SB2747, SB2751, SB2790, SB2797, SB2799, SB2841, SB2850, SB2857, SB2891, SB2919, SB2928, SB2994, SB3051, SJR34, SB529, SB541, SB693, SB963, SB1968, SB2308, SB2544, SB1173, SB1646, SB1734, SB1833, SB1, SB17, SB260, SB509, SB1506, SB1637, HB1393, HB2559, HB26, HB3012, HB1593, HB2607, HB3526, HB3810, HB388, HB879, HB12, HB2703, HB30, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2043, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB2994, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2639, SB2459, SB2655, SB2251, SB1884, SB2617, SB2928, SB2566, SB1897, SB1749, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB1232, SB2850, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR98, SB3070, SB835, SB524, SB2233, SB2683

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, Medicaid, nutrition support, maternal health, chronic conditions, pilot program, disaster relief, tax rates