Transcript Highlights:

• is really capping the amount state directed payments at 100 to 210% of Medicare as the upper payment
• But about 9 billion and supplemental payments associated with these 5 state directed payments.
• is payments under Medicaid.
• Every 3 years we have a payment.
• Supplemental payment is at 213%.

Transcript Highlights:

• <00:04:21.720> program compensation support payment program compensation support payment program
• payment payment um<00:07:49.440> I<00:07:49.560> can<00:07:49.759> give<00:07:49.919
• payment payment if<00:08:00.720> the<00:08:00.960> provider<00:08:01.759> is<00
• <00:47:39.400> if can withhold or end CCAP payments if can withhold or end CCAP payments if
• <00:49:03.200> in payments in payments in 2024<00:49:04.960> and<00:49:05.119> there

Keywords: 1183, house

Transcript Highlights:

• They said the next payment we'll send you will deduct $5 million.
• , whatever it happens to be, you can be making a payment for a travel voucher, you can be making a payment
• Now, we have to make a payment by date certain.
• Now we have to make a payment by date certain.
• eligibility prior to each payment.

Summary: The Senate Appropriations Committee on Pre-K-12 Education met for its first meeting of the 2025 session to hear the Auditor General’s operational audit on 2024-25 school funding accountability challenges, focused largely on the Family Empowerment Scholarship and its interaction with the FEFP. Deputy Auditor General Matthew Tracy described rapid growth in scholarship enrollment, timing mismatches between scholarship payments and public-school funding calculations, delayed membership survey processing, weak cross-check and recoupment procedures, inconsistent handling of parent survey responses, and limited documentation for withholding and returning funds. The audit said these issues contributed to funding inequities, duplicate-payment risks, and an unexpected draw on state education funds, and it recommended separating scholarship funding from the FEFP, aligning application windows with budget timing, strengthening controls and staffing, and creating clearer, documented recoupment and balance-limit processes. Committee members questioned whether current law gives the department and scholarship funding organizations enough authority and whether the system is effectively a pay-and-chase model. Several senators expressed concern about the lack of timely reconciliation, the size of the funds involved, and the absence of clear records showing how money was recovered or withheld. Adam Emerson, executive director of the Office of School Choice, said the department is working more closely with school districts and scholarship funding organizations, including pausing payments when districts identify students still enrolled in public schools, and said the office wants to improve the process. President Gates then previewed legislation he said would address the audit’s findings by funding Family Empowerment Scholarships as a separate FEFP categorical, expanding the Education Stabilization Fund, setting clearer application and acceptance deadlines, moving to monthly payments with eligibility verification before each payment, assigning student IDs for scholarship assistance, lowering SFO management fees, requiring annual audits, and requiring prompt return of audit-related funds. Public comment included a private-school attorney describing losses from unpaid scholarship amounts. Members generally supported the need for reform, with several senators saying the program should be preserved but better structured and more accountable. The committee adjourned after the discussion, with no vote taken on the legislation.

Transcript Highlights:

• legislature can do, since if this gets passed in May, is you could say, "Okay, the first estimated payment
• in Rapids but in the surrounding county area, and without that revenue we really just don't have a method
• in Rapids but in the surrounding county area, and without that revenue we really just don't have a method
• through tax base and increase revenue through more<02:47:35.600> traditional<02:47:36.160> methods
• more traditional methods. more traditional methods.

Transcript Highlights:

• We're really worried about the impact on commerce if we did this in a state-by-state method.
• but we're not against it if it's done the right way without damaging and doing it in a piecemeal method
• <00:46:36.800> peace<00:46:37.280> peace<00:46:37.599> meal<00:46:37.839> method
• doing it in a peace peace meal method. doing it in a peace peace meal method.
• Um, and when you're taking payment for sexual gratification, that is prostitution.

Keywords: 1189, house, all

Transcript Highlights:

• payments.
• payments.
• payments.
• payments.
• payments.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a 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 with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• THE FIRST FINDING HAD TO DO WITH UNTIMELY TUITION AND TRANSPORTATION PAYMENTS.
• PAYMENTS.
• TO TEST THE TIMELINESS WE THE 27 FCC SCHOLARSHIP PAYMENTS AND 11 FSPO PAYMENTS.
• AND WE FOUND THREE OF THE FTC TUITION PAYMENTS WERE PROCESSED FROM 15 TO 35 DAYS AFTER RECEIVING PAYMENT
• HAVE EVERYTHING SQUARED OFF BEFORE ANY PAYMENT GOES OUT THE DOOR.

Transcript Highlights:

• Payments are made on a quarterly basis.
• This is the Low-Income Pool Program supplemental payment, or LIP.
• share of these payments.
• and the public hospital payment programs.
• Support the distribution of these payments. Mr. Chair, that is the amendment.

Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.

Transcript Highlights:

• <00:02:46.080> for The employees can receive payment for The employees can receive payment
• the overall statewide overtime payments. the overall statewide overtime payments.
• And these shift bonus payments are in addition to the regular payments or the overtime payments that
• for all overtime payments.
• for all overtime payments.

Keywords: 1183, house

Transcript Highlights:

• approved payment plan.
• they're not complying with the payment plan.
• I have also made the payment for June already.
• So we haven't actually, and both of those payments were a property tax relief payment that was deposited
• We selected 10 dates during 2023 and 2024 that we requested payment tape reports, which detailed payments

Summary: The committee approved the prior meeting minutes and then received updates on delinquent water and sewer reports, including seven new reinstatements and a reduction to four remaining delinquent filers. Staff also reported on municipal accounting code noncompliance, removing Denning and Gum Springs from the 60-day clock after improved records were verified, and presenting repeat findings for Fargo, Lead Hill, Alma, Jericho, and Haynes. Members discussed repeated audit problems, the length of time some issues had persisted, and whether towns should be given additional time or face stronger action; motions were made and adopted to place some entities on a 60-day clock or defer action to later meetings. For Fargo and Alma, staff described extensive repeat accounting deficiencies, including missing budgets, bank reconciliations, financial statements, receipts, journals, and supporting documentation. Fargo’s mayor said the town had been understaffed and was beginning to improve its office systems; the committee voted to defer the matter for 60 days and file the report. Alma’s officials said they were trying to correct water audit and accounting issues, and the committee likewise deferred the matter to the August meeting while warning that water-audit delays could jeopardize turnback funds. The committee then reviewed misuse-of-street-funds findings for Jericho and Haynes. Jericho’s police chief and officials explained that traffic fines, drug-related arrests, and other citations had pushed the town over the statutory threshold, while staff clarified that the speed-trap calculation excludes certain add-on fines and is referred to the prosecuting attorney for any action. Haynes officials said repayment problems stemmed from lost revenue and staffing changes, including the loss of the police department, but staff reported the town remained behind on its repayment plan and also owed the IRS. The committee voted to defer the Haynes matter to September and to defer Jericho as well, with members emphasizing the need for consistency and possible broader legislative review of small-town viability. A special report on the Pulaski County Regional Solid Waste Management District drew substantial discussion. Staff cited findings involving board approval of payroll and contracts, credit card documentation, car allowances and personal vehicle use, competitive bidding, and unusually high advertising spending, as well as the sale of trailers and other equipment at low prices. The district director said the board had delegated authority for many expenditures, that personal use was reported for tax purposes, and that advertising was necessary to educate the public about recycling. Members questioned the procurement and disposal decisions and the size of the advertising budget; after discussion, the committee deferred the report to September and asked the director to return. The meeting also included brief deferred reports on Biggers, Gilmore, and Holly Grove, which were filed after local officials described ongoing efforts to resolve long-standing audit and tax issues.

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
• But that's already been approved, and we're able to move forward with issuing those payments.
• Meyer, I would say similar to essentially every supplemental payment program, state-directed payment
• supplemental payment models. Any other questions? See no debate.

Keywords: 999, senate, all

Transcript Highlights:

• buyers come up with a down payment. buyers come up with a down payment.
• down payment can be very difficult. down payment can be very difficult. 20<00:39:57.480> is
• And we wanted to get a payment in lieu And we wanted to get a payment in lieu of taxes.
• I think around the pilot payments.
• And that split was the pilot payment. payment. payment.

Keywords: 927, senate, all

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

Transcript Highlights:

• of of payment integrity focused action. of of payment integrity focused action.
• It will just be payment from the prior payment cycle, the two-week payment cycle, and that's what the
• payment will reflect.
• payment holds on residential settings? payment holds on residential settings?
• payment withholds in place. payment withholds in place.

Keywords: 1187, senate, all

Transcript Highlights:

• And then we kind of parcel this out to meet your payments.
• And then we kind of parcel this out to meet your payments.
• And from your uh payment plan, tranches.
• So, my understanding is that payments.
• Let me off in four installment payments.

Keywords: 912, senate, all

Summary: The joint committees heard House Bill 344 HD1, which would require new buildings to include electric vehicle charger-ready parking stalls. Testimony was overwhelmingly in support from the State Energy Office, Department of Accounting and General Services, the Disabilities and Communication Access Board, and others. Members asked about cost and infrastructure impacts; the State Energy Office said the added cost would likely be modest if planned from the start, but that electrical capacity remains a key challenge for expanding EV charging. The chairs proposed two amendments: extending the bill to cover on-grade parking lots and adding language for Level 1 or Level 3 charging when appropriate. After discussion, both committees voted to pass HB 344 HD1 with amendments. In the Energy and Intergovernmental Affairs committee, the chair voted aye, one member voted with reservation, and excused members were noted; the Government Operations committee also passed the measure, with one aye vote and one vote with reservations. The committees also heard House Bill 10001 HD1 SD1, relating to the Maui wildfire settlement trust fund. The Governor’s Office, Attorney General’s Office, Maui County, and the Tax Foundation testified in support. Members questioned Hawaii Electric Industries’ ability to fund its share of the settlement and whether the state should pay first or in tranches. The chair proposed amendments requiring all defendant parties to submit payment plans and proof of ability to pay, and requiring non-state defendants to fund their shares into escrow before the state releases its share. The committee adopted the amendments and passed the bill unanimously by the members present. Later, the committee deferred action on House Bill 229 HD1 until March 20 for clarification on amendments, then passed House Bill 860 HD1 with amendments addressing liability for limited resurfacing of disputed roads, and passed House Bill 1161 HD2 with amendments concerning highway fund use, formula calculations, and EV-related county fees.

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:

• 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:

• 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.