Transcript Highlights:

• uh program a very also uh popular uh uh program where<00:58:11.160> we<00:58:11.440> distribute
• <00:58:11.920> funds<00:58:12.839> to<00:58:13.119> the where we distribute
• funds to the where we distribute funds to the implementing implementing implementing agencies<00:58:15.520
• of that 3.8 million, this is kind of how the, uh, in the slide you can see how it would be, uh, distributed
• on a on a formula distributed on a on a formula basis<00:59:43.039> so<00:59:43.440> that<

Keywords: 1183, house

Transcript Highlights:

• to bills, and then our office also does modeling of tax proposals so we can sort of estimate distributional
• <00:07:19.400> effects<00:07:20.039> uh<00:07:20.280> sometimes um distributional
• effects uh sometimes um distributional effects uh sometimes do<00:07:20.599> back<00:07:20.759
• of people by income um so distribution of people by income um so the<01:24:50.119> suits<01:24
• Tax incidence is a way of describing how the burden of tax falls across the distributions, as I mentioned

Keywords: 1183, house

Summary: The House Tax Committee met for an organizational and orientation session. Members and staff introduced themselves, with several lawmakers noting their districts, business backgrounds, and interest in tax policy. Chair Greg Davids then opened the committee’s first substantive item: a presentation from House Research and House Fiscal staff on how the committee works and on basic tax concepts. House Research staff Sean Williams and Chris Clayman explained their roles in drafting bills and amendments, writing bill summaries, answering legal and policy questions, and modeling tax proposals. They also described the committee’s key documents, including partisan and nonpartisan bill summaries, revenue estimates, fiscal notes, and supporting materials. Their presentation covered core tax concepts such as tax bases, rates, deductions, exemptions, credits, tax revenues, and tax expenditures, emphasizing that tax expenditures function like spending through the tax code and are reviewed by a legislative commission. The staff then reviewed Minnesota’s major taxes, focusing on the individual income tax and business taxation. They explained that Minnesota’s individual income tax starts with federal adjusted gross income, then applies state additions, deductions, subtractions, and credits, and that the state’s income tax brackets and rates are set separately from federal law. They also outlined the difference between corporate franchise taxes for C corporations and individual income tax treatment for pass-through entities, and discussed how the federal SALT cap led Minnesota and other states to adopt pass-through entity taxes so businesses could preserve federal deductibility of state taxes. Members asked questions about a duplicate “marriage penalty” entry on a slide, the purpose of Minnesota’s marriage penalty credit, comparisons with other states, and the timing and effect of the pass-through entity tax; staff answered that the duplicate was a mistake, the credit offsets bracket-related marriage penalties, and the pass-through entity tax was adopted in response to the federal SALT cap.

Transcript Highlights:

• So when people are needing the money, how does that get distributed? Mr.
• The Rural Health Care Delivery Fund has... distributed a lot of funding that has expanded services in
• The HCA, it was a little bit, I want to know how those funds were distributed and how many hospitals
• Speaker and gentlelady, I'm sorry I misspoke before, it will be a fair distribution. Mr.
• Speaker, gentlelady, what is a fair distribution? Distribution defined as? Mr.

Transcript Highlights:

• safety provisions and regulatory fees administered by the Railroad Commission of Texas to gas distribution
• Section 43.24 relates to the cell distribution or display of harmful materials to a minor.
• the General Land Office on the establishment and implementation by the General Land Office of the distributed
• HB 4960 by Phelan, relating to political advertising distributed abroad, text message campaigns, and
• political advertising by amending Section 45101 of the Election Code to include communications distributed

Bills: HB1520, HB1545, HJR110, HJR203, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, SB304, SB608, SB2312, SB494, SB530, HB45, HB2520, HB35, HB47, HB318, HB349, HB554, HB1359, HB1373, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1119, HB3041, HB713, HB3104, HB3970, HB4042, HB4490, HB1731, HB2607, HB3689, HB1788, HB1612, HB138, HB15, HB1971, HB1338, HB2989, HB267, HB 1201, HB2954, HB5265, HB1804, HB5061, HB1520, HB1545, HJR110, HJR203, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• letter in front of me, but honestly, I haven't had a chance to read it or, as you said, to have it distributed
• as you said chance to uh to read it or as you said to<00:05:41.759> you<00:05:42.000> distributed
• We<00:05:43.039> we<00:05:43.440> brought<00:05:43.600> the to you distributed
• We we brought the to you distributed.
• And so one of the things this office hopes to do is to be able to help provide a more equitable distribution

Bills: HF2233, HF1524, HF1893, HF1396, HF2456, HF2959, HF2300, HF2412, HF3022, HF2825, HF1862, HF1373, HF1039, HF3070

Keywords: Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money

Transcript Highlights:

• the Dr. told me to change the interest and dividend to something else, so I changed it to market distribution
• Chang<00:53:58.480> it<00:53:58.599> to<00:53:58.760> Market<00:53:59.240> distribution
• <00:54:00.200> Revenue Chang it to Market distribution Revenue Chang it to Market distribution
• Bill 531-FN, setting the annual limits on the amount of charitable gaming revenue which may be distributed
• The motion is ITL on HB 588-FN, an act relative to the distribution of revenues generated from historic

Keywords: 928, house, all

Summary: The committee first met in a revenue estimate work session to approve an LSR codifying the committee’s revenue estimates. Members reviewed the process for turning the LSR into a House Resolution and discussed how the adopted estimates would be used to amend House Bill 1. After a brief question-and-answer about current revenue splits and the governor’s proposed video lottery and tax-split changes, the committee voted 19-0 to approve the revenue estimates. The committee then moved into executive session on HB 669, which would require all revenue from the statewide education property tax to be deposited into the education trust fund and set an equalized statewide tax rate. Supporters argued the bill would better direct education funding, while opponents said it was unnecessary or duplicative. The committee voted 12-7 to retain the bill (ITL), and a minority report was noted. Next, the committee considered HB 290, which would raise cigarette and electronic cigarette taxes and create a study committee on tobacco and nicotine taxes. Testimony focused on revenue needs, inflation, public health, and concerns that a higher tax could reduce sales or drive purchases across state lines. The committee voted 11-8 to ITL the bill, with a minority report. The committee also ITL’d HB 402, dealing with whether Education Freedom Account payments are taxable income, after debate over unintended consequences and whether the bill’s language was misleading; that vote was 11-8 with a minority report. Finally, the committee opened HB 483, and Representative Tierney moved ITL, arguing the bill’s requirement that the scholarship organization be incorporated in New Hampshire would likely violate the Commerce Clause; the transcript cuts off before the vote on that bill.

Transcript Highlights:

• Written material may be distributed to the committee members as exhibits only while testimony is being
• Please have at least 12 copies and hand them to the page or clerk for distribution when you come up to
• Please have at least 12 copies and hand them to the page or clerk for distribution when you come up to

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• ways and means, with their leadership in the House and Senate, to promote an equitable and fair distribution
• We're not going to distribute resources among sheriffs by formula.
• We're not going to distribute resources between the sheriffs and DOC by formula.

Keywords: 995, all

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on union and correctional staff testimony. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Union representatives from KOUF, NCEU, AFSCME, and local county correctional unions described the daily realities of correctional work, emphasizing staff safety, staffing shortages, retention problems, mental health impacts, and the need to preserve local sheriff’s offices and collective bargaining agreements. Testimony centered on several recurring concerns: violence inside facilities, the spread of synthetic drugs such as K2, inmate suicides and suicide attempts, and the strain these issues place on officers, EMS, and local resources. Speakers also raised concerns about gender-identity housing policies, arguing they can create safety and workplace issues for staff, and urged more support for officer wellness, debriefing, and programs like OnSide Academy. Several witnesses argued that county facilities should remain locally controlled and that consolidation with the Department of Correction would weaken programming, staffing, and community-based reentry work. One witness described the Norwegian correctional model as a possible source of ideas for more rehabilitative approaches. Commission members responded with support for correctional staff and asked questions about K2 detection, paperless systems, EMS transports, and possible metrics to quantify incidents and facility needs. Members also discussed the importance of individualized assessments of each facility rather than a one-size-fits-all approach. The commission voted to seek an extension of its reporting deadline from September 30 to November 30, and agreed to continue site visits, including the upcoming Barnstable visit and a June 15 hearing. The meeting adjourned after the motion passed.

Transcript Highlights:

• We want to ensure we're in compliance with state law, number one, and that we are appropriately distributing
• We want to ensure we're in compliance with state law, number one, and that we are appropriately distributing
• our staff to the areas where they are needed most. distributing our staff to the areas where they are

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• new affordable housing, CAP is a partnership between the state and nonprofit lenders to quickly distribute
• new affordable housing, CAP is a partnership between the state and nonprofit lenders to quickly distribute
• CAP is a partnership between the state and nonprofit lenders to quickly distribute program funds at

Keywords: 988, house, all

Transcript Highlights:

• domestically, whether we have enough dock space in California to unload them, and finally, can you distribute
• and more is there is a real kind of congestion or an opportunity for us to work on around the distribution
• and the blending stocks, it's really important for us to think about how to move that within our distribution

Keywords: 987, senate, all

Transcript Highlights:

• It has been distributed, and I move for its adoption. The gentleman from St.
• House Committee Substitute for Senate Bills 1066 and 1088 is distributed, or until 12 a.m., whichever
• The gentleman from Greene has moved the House stand at recess until the distribution of House Committee

Keywords: 959, house, all

Transcript Highlights:

• He distributed over 300 American flags.
• He distributed over 300 American flags.
• HE DISTRIBUTED OVER 300 AMERICAN Thank you. Senator Ashby on the resolution.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.

Transcript Highlights:

• It has been distributed. I move for its adoption. The gentleman from St.
• It has been distributed, and I move for its adoption.
• ending in 07H that I have— I also have an amendment ending in 07H that I have filed and has been distributed

Keywords: 959, house, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the journal for the prior day by a vote of 131-2, and the Speaker signed several enrolled measures, including HB 1768, HB 1866, HB 1870, HB 2180, and HJR 173 and 174. Members also made a series of guest introductions and personal announcements, including remarks recognizing National Infertility Awareness Week and HCR 28, as well as notices about upcoming themed dress days. The chamber then received Senate messages returning a number of budget bills and other measures with Senate amendments, and the House budget chair moved to refuse the Senate versions and send HB 2002 through HB 2013 to conference. Members discussed major budget differences, including child care subsidies, transportation funding, higher education funding, and the shifting of broadband grant dollars, but all of the motions to go to conference were approved. The House also took up Senate Bill 975, relating to ambulance districts and emergency medical services. An amendment was adopted to restore compromise language on community paramedics and make a minor change to first responder mental health provisions. The bill passed 136-7. Later, the House considered a property tax reform package on Senate Bills 1066 and 1088. Amendments were adopted to correct technical drafting issues, require uniform levy increases across property classes and timely use of voter-approved tax increases, and add assessor training, electronic taxpayer notification, and changes to how disputed assessments are paid. Debate centered on local control, transparency, and the impact on schools and other local taxing districts. The combined bill passed 83-61. The House then adjourned until 4 p.m. Monday, April 27, 2026.

Transcript Highlights:

• According to the letter, it provides for the distribution of scholarships.
• But also remember, too, that medical expenses are not evenly distributed over the course of the fiscal
• But also remember, too, that medical expenses are not evenly distributed over the course of the fiscal

Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.

Transcript Highlights:

• they are actually accepted, we will be able to free up staff time and resources so that we can distribute
• meaning every dollar that has been invested into Round Table RX this fiscal year, we've been able to distribute
• would improve access for rural and mobility-limited patients, increasing efficiency of statewide distribution

Bills: HF3475, SF3832, HF3508, HF3917, HF3404, HF3593

Keywords: agriculture, education, leadership council, compensation, research institute, dairy assistance, investment relief, agriculture support, food production, economic relief, investment, relief initiative, farm support, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances

Transcript Highlights:

• had Originally, we hoped to secure 45 million dollars in funding that would be proportionately distributed
• We've redesigned the fund structures to not be distributed by proportion but by what is directed.
• The bill itself would not determine how it gets distributed.

Keywords: 914, all

Transcript Highlights:

• Medicaid, and it says, okay, now that's the sum and we're going to kind of divide that out and distribute
• Our argument to them is always, well, if you see Medicaid patients, you'll get distributions back because
• the money is distributed back to those hospitals based on their Medicaid patient load.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• Medicaid, and it says, okay, now that's the sum and we're going to kind of divide that out and distribute
• Our argument to them is always, well, if you see Medicaid patients, you'll get distributions back because
• the money is distributed back to those hospitals based on their Medicaid patient load.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• How do we take care of our aging water distribution systems that are out there?
• How do we take care of our aging water distribution systems that are out there?
• How do we take care of our aging water distribution systems that are out there?

Keywords: 1183, house