Video & Transcript Research : 'split payment'
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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 directed payments and dish payments to directed payments and dish payments to um<01:31:01.199
- 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.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (7-30-25)
Transcript Highlights:
- It limits state flexibilities related to eligibility determinations and payments to providers through
- state-directed payment limits.
- payments which are payments<00:09:24.720>
to <00:09:25.040>providers <00:09:26.000> - <00:10:13.680>
So payments particularly for hospitals. - So payments particularly for hospitals.
Summary:
At its second meeting on July 30, 2025, the Medicaid Oversight and Advisory Board approved the minutes from its June 25 meeting and received housekeeping materials, including follow-up information on provider taxes, mandatory and optional Medicaid services, and the 1115 community engagement waiver. The chair noted that members should hold general questions until the end of the meeting.
The main presentation came from Katherine Castanza of the National Conference of State Legislators, who gave a nonpartisan overview of Medicaid provisions in HR1. She explained that the bill contains more than 20 Medicaid-related provisions, with major changes affecting provider taxes, state-directed payments, eligibility and enrollment rules, work or community engagement requirements, and the frequency of eligibility redeterminations for expansion populations. She emphasized that five provisions account for most of the federal savings, that the fiscal effects are backloaded into the final years of the 10-year window, and that expansion states and provider payment changes make up a large share of the impact.
Castanza also highlighted that the Medicaid provisions would take effect either upon enactment or before October 1, 2029, creating roughly a five-year implementation period. She noted that some states may not realize the same savings as the federal government because of financing changes and implementation responsibilities, and she cited estimates that the enacted Senate provisions could reduce hospital payments by 18.2%, or more than $660 billion over 10 years. The transcript provided does not show any votes or final actions beyond adoption of the minutes.
MN
Transcript Highlights:
- is made and then for advanced payment is made and then for advanced payments<00:20:04.559>
and sent to try to recover those payments sent to try to recover those payments our<00:32:24.159> - have asked us why don't we stop payment have asked us why don't we stop payment as<00:57:09.760>
- one next slide if we had stopped payment one next slide if we had stopped payment immediately<00
- if the invoicing being sent for payment if the invoicing being sent for payment is<01:08:38.080>
Summary:
The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings.
OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff.
The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.
MN
Transcript Highlights:
- Those payments totaled $2.1 million. Those payments totaled $2.1 million.
- 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
Summary:
The Legacy Finance Committee met to approve the prior meeting minutes and then heard a presentation from the Office of the Legislative Auditor on its performance audit of the Department of Natural Resources’ administration of Outdoor Heritage Fund grants. OLA explained that the DNR generally complied with the criteria tested, but the audit identified two main problem areas: grant payments and grant monitoring. The audit covered 13 grants, mostly legislatively named grants awarded in fiscal year 2020, and reviewed agreements, amendments, payments, monitoring, and some site visits.
OLA reported that for three grantees, totaling about $400,000, invoices lacked enough detail to determine whether costs were allowable, and about $5,000 was paid to two grantees without sufficient supporting documentation. The auditors also said DNR lacked policies defining allowable costs and what “directly related to and necessary” means under state law. On monitoring, DNR missed required annual visits for six grants, made payments on current progress reports that were missing or not on file, and had weaknesses in closeout evaluations, including missing required elements, late completion, and two grants with no closeout evaluation at all. OLA recommended stronger documentation, clearer guidelines with the Lessard-Sams Outdoor Heritage Council, timely monitoring and closeout, obtaining progress reports before payment, and improved internal controls.
Members reacted strongly to the findings, especially the repeated failures to follow grant procedures and the risks of legislatively named grants and advance payments. Representative Heintzeman and Vice Chair Skraba questioned whether the issues reflected broader problems in state grant oversight and asked about prepayments, follow-up, and whether more legislative action was needed. OLA officials said they do not rely on self-attestation, but instead retest agencies after 2 to 3 years, and noted a new annual update-report process that will track whether agencies implement prior recommendations. Judy Randall, the Legislative Auditor, said the laws and policies already exist and emphasized that the issue is ensuring agency staff follow them; she also said most recommendations in the recent update report had been implemented. No further committee action or vote was taken on the audit during this portion of the meeting.
MN
Minnesota 2025-2026 Regular Session
House Housing Finance and Policy Committee 3/25/25
Housing Finance and Policy
Transcript Highlights:
- rental assistance and Utility payments rental assistance and Utility payments this<00:09:23.000>
- mortgage lending and down payment mortgage lending and down payment assistance<01:02:55.839>
- 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>
is <01:18:29.560 - <01:25:06.679>
it opportunity to put a down payment it opportunity to put a down payment it
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm
Joint Committee on Health Care Financing
Transcript Highlights:
- direct payments by Medicaid.
- direct payments by Medicaid.
- The payment structure I certainly understand.
- Although other states have increased payments for commercially insured primary care, none linked payments
- to monthly prospective payment.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access.
The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms.
The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, June 10, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- program integrity and improper payment program integrity and improper payment tools<02:20:39.600
- During the four years of payment.
- payment infrastructure.
- separate from the payment system. separate from the payment system.
- what's taking place in the payment what's taking place in the payment system<02:38:03.760>
to
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.
- <00:11:10.920>
assistance generation down payment assistance generation down payment assistance - <00:15:26.199>
programs distinction most down payment programs distinction most down payment - <00:21:30.960>
assistance generation down payment assistance generation down payment assistance - The median PITI payment statewide in Minnesota right now is $2,551 per month.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jan 8th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- If they failed to ever make that payment, it automatically defaults in.
- So I'm hoping that at the end of this year, 2024, it will show that it will reflect those payments.
- Who approved the payment is what I'm asking.
- The receipt books in which these payments were recorded could not be located.
- The town council minutes indicated Ordinance No. 1001 was adopted to authorize these payments.
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/24/2025)
Transcript Highlights:
- It's about state-directed payments and the phase-out under OB3.
- It's about state-directed payments and the phase-out under OB3.
- payments are expressly Supplemental payments are expressly prohibited<00:12:37.920>
by <00:12: - <00:14:14.000>
Okay, the input payments. Okay, the input payments. - <00:14:32.000>
and It's about state directed payments and It's about state directed payments
Summary:
The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care.
The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers.
The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.
US
US Federal 2025-2026 Regular Session
Organizational business meeting to consider an original resolution authorizing expenditures by the committee during the 119th Congress; to be immediately followed by hearings to examine the real impacts of debanking in America. Feb 5th, 2025 at 09:00 am
Banking, Housing, and Urban Affairs Committee
Transcript Highlights:
- If America had instituted real-time payments when England did.
- This is about the kind of payment system we're going to have in our country.
- To be clear, the HCU's responsibility is for making the payments, always drives...
- The payment process.
- From accessing the payment system, and that chart puts my hair on fire.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25) - Reupload
Transcript Highlights:
- That is due to directed payments, the growth in state-directed payments, the additional directed payments
- We've just paid one quarter's payment. We've just paid one quarter's payment.
- <00:53:20.880>
So 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.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 3/11/25
Human Services Finance and Policy
Transcript Highlights:
- are also established in statute payment are also established in statute payment rates<00:02:16.959
- <00:08:26.759>
that serving and um the the payments that serving and um the the payments that - Managed care payments are also growing.
- 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.
MN
Transcript Highlights:
- And so, have payments gone out? When are you expecting payments to come out?
- We have a plan for payment pauses.
- >> ICS units had their payments frozen? >> ICS units had their payments frozen?
- payments before dollars go out the door. payments before dollars go out the door.
- Payment delays become care happening. Payment delays become care delays. delays. delays.
MN
WY
Transcript Highlights:
- I think everyone would have to get the 8.3 reduction most likely, and then or I guess you’d split that
- then or<00:44:38.480>
I <00:44:38.720>guess <00:44:38.880>you'd <00:44:39.200>split - <00:44:39.520>
that <00:44:39.760>the <00:44:40.000>3 Or I guess you'd split
MN
Minnesota 2025 1st Special Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 4/2/25
Workforce, Labor, and Economic Development Finance and Policy
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - Part 2 - 04/02/25
Jobs and Economic Development
Transcript Highlights:
- year of biennium one-time money to Community Action Partnerships of Pennington County, and then splitting
- the past, in fiscal year 24-25, Community Action Partnership received $6 million, and again that was split
- In fiscal year 24-25, Community Action Partnership received $6 million, and again that was split between
NH
New Hampshire 2025 Regular Session
House Finance Division I (03/25/2025)
Transcript Highlights:
- DAS for, um, where can we find cuts in their budget, and they gave me several, and so they're all split
- Um, but I would support splitting this out for that one position that has been unfilled for several years
- Um, splitting this out for that one position that has been unfilled for several years.
Summary:
The committee worked through a series of budget amendments, mostly to House Bill 2 and related House Bill 1 changes, with members discussing whether to reduce or preserve funding for various programs. Early actions included approving an amendment to House Bill 219 that delays implementation of renewable energy-related provisions to 2027, and approving an amendment that removes a $150,000 appropriation tied to a housing-related database while allowing use of housing fund money for the project. The committee also approved an amendment affecting magistrates so they could continue pretrial and other judicial support work, while noting they would not handle bail and that the change reflected separate legislation already signed by the governor.
Members then approved a series of administrative savings items in the Department of Administrative Services, including eliminating a long-vacant computer analyst position and reducing overtime and recruiting/subscription-tool budgets. They also approved an amendment cutting marketing and administrative support for the paid family leave program, with members emphasizing that the program itself would continue. A proposed cut to the WorkInvest NH program was discussed at length, with some members arguing it benefits workers and employers and others noting the cost is borne by employers; the committee ultimately set that item aside without taking action. The committee also debated and then approved a modest reduction to a BEA regional planning grant, despite objections that regional planning commissions provide valuable municipal support.
The most extended discussion centered on the State Library. Representative Sweeney said he did not want to pursue a full cut of the library and instead favored a more targeted approach, noting that some federal funding for library services such as interlibrary loans and the Libby system may be at risk. Members discussed alternatives, including unfilled positions and other partial reductions, but no final action on the full library cut was taken in the portion provided. The committee also paused on some other items to gather more information before voting.
MN