Transcript Highlights:

• You know, $250 a month can be a car payment.
• About payment error rates.
• The first is the SNAP payment error rate.
• It's really clear that it's not for payment rates.
• To address the payment error rate.

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.

Keywords: 958, all

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.

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.

Keywords: 1183, house

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.

Keywords: 1187, senate, all

Transcript Highlights:

• payment assistance, and so...
• For VA loans for down payment assistance. Mr.
• make their mortgage payments.
• annually just to make the payment on that house.
• and not only make that payment.

Bills: HB111, HB108, HB145, HB164, HB291, HJR6, HR1, HB63, HB64, HB165, HB184, HB200, HB4, HB7, HB20, HB65, HB66, HB80, HB88, HB96, HB166, HB285, HB295, HB306, SB29, SB37, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM11, HM14, HM21, HM34, HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• That payment often just goes uncompensated.
• Disproportionate share hospital payments are payments that hospitals receive for uncompensated care,
• Red, um, DSH payments, disproportionate share, so that's a payment that only a handful of our hospitals
• And bundling payments is a great way to do... Bundling payments is a great way to do that.
• Um, and I am speaking... ...payment agreement.

Keywords: 916, all

Transcript Highlights:

• consumer payment applications. consumer payment applications.
• accept payments from their customers. accept payments from their customers.
• Let that payment for an important rent or mortgage payment proceed.
• Let that payment for an important rent or mortgage payment proceed.
• ,<01:15:22.400> rent<01:15:22.719> payment, mortgage payment, rent payment, mortgage

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 9, 2025, 1012, house, all

Transcript Highlights:

• We tested grant payments, amendments.
• with payments made to 11 out of those 18 grantees, and we questioned almost $296,000 in those payments
• <00:13:37.160> made and we found issues with payments made and we found issues with payments
• after final payment was issued. after final payment was issued.
• So, DHS can withhold or reduce payments So, DHS can withhold or reduce payments to<01:35:07.600>

Keywords: 1183, house

Transcript Highlights:

• If the state's payment error rate is below 6%, there is no state share of benefits.
• A payment error rate between 6% and 7.99% means the state share of benefits would be 5%.
• The federal requirement is that the state's payment error rate is to be below 6%.
• The federal requirement is that the state's payment error rate is to be below 6%.
• The federal fiscal year 2024 payment error rate is 15.13%.

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• <00:08:50.040> partial<00:08:50.440> payments<00:08:50.760> on so partial payments
• partial payments on so partial payments partial payments on invoices<00:08:52.800> we<00:08:53.279
• <00:09:10.360> so able to pay those partial payments so able to pay those partial payments
• existing statute around late payments existing statute around late payments and<00:10:19.880>
• > the<00:10:22.040> um and prompt payments and then the um and prompt payments and then

Keywords: Meeting start 00:00:00 Roll Call 00:00:02 HJR 53 Discussion 00:00:35 HJR 53 Vote 00:03:52 HB 622 Discussion 00:06:52 HB 622 Vote 00:12:55 HB 775 Discussion 00:13:50 HB 775 Vote 00:22:15, 958, all

Summary: The committee first reconsidered House Joint Resolution 53, which concerns releasing previously appropriated funds for Kentucky State University. Kentucky State University President Kofi Aapo testified in support, describing significant enrollment growth, a balanced budget, and a $5 million fund balance since his arrival, and asking for continued support. Members praised his leadership while noting the institution still has work to do. The motion to reconsider passed, and the resolution then received favorable expression by a 9-2 vote. The committee next took up House Bill 622, a compromise bill involving the Kentucky Nonprofit Network and the Finance and Administration Cabinet. Testimony explained that the bill is intended to improve prompt payment practices for grants and contracts, including partial payments on undisputed invoice items within 30 days and a process for disputed items. The bill also included several appropriation-related corrections and adjustments, including a fix to an allocation for Elizabethtown water and sewer projects, a change in an economic development recipient, revisions to school resource officer language, and additional contingency authority for the Capitol renovation. The committee adopted a title amendment and passed the bill with favorable expression by a 10-1 vote. House Bill 775 was then discussed as a broad tax and economic development measure. The bill covers TIF districts, electronic filing for craft brewers, pipeline property tax treatment, bourbon barrel tax cleanup, staged income tax reductions, extension of the Metropolitan College incentive, tourism and lodging incentives, reauthorization of an expired TIF, taxation and licensing of cannabis-infused beverages, alternative fuels and jet fuel tax credit review, entertainment event incentives, the selling farmer tax credit, IRC conformity, data center incentives, the first audit of the Kentucky Horse Racing and Gaming Corporation, and limits on additional electronic charity gaming locations until regulations are adopted. Members raised questions about the beverage tax structure, TIF impacts, and the income tax reduction provisions; some expressed concern about making future tax cuts easier, while others supported the bill’s TIF and agriculture provisions. The bill passed with favorable expression by a 7-2 vote with two pass votes, and the committee then adjourned.

Transcript Highlights:

• State directed payments, or SDPs, are provider payment arrangements through managed care.
• However, existing approved payments and those payments currently under review by CMS must phase down
• enactment July 4, 2025 for new payments. enactment July 4, 2025 for new payments.
• 04.559> review<00:30:04.880> by those payments currently under review by those payments
• HR1 limits CMS's payment errors.

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• schedules or um or um create new payment schedules or um or um create new payment methodologies<
• payment error rate exceeds 6%. payment error rate exceeds 6%.
• <00:36:05.280> error currently in Kentucky our payment error currently in Kentucky our payment
• <00:37:51.680> The impacting payment error rates. The impacting payment error rates.
• we seen some increase in the payment we seen some increase in the payment error<00:38:12.800>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• 1999, the total amounts deposited into the judicial fund by statutory probate courts and the total payments
• If deposits exceed... ...courts and the total payments made to counties have been calculated at the end
• Well, many times if you're late, the landlord won't accept payment for that next month.
• And that's what Harold is alluding to: what if they don't want to take the payment?
• And that's what Harold is alluding to: what if they don't want to take the payment?

Bills: SB1015, SB2933

Keywords: statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary, revenue distribution, SB 2933, elder abuse, neglect, judicial training

Transcript Highlights:

• <00:08:48.519> from especially governmental payments from especially governmental payments
• <01:17:58.800> program it's called a directed payments program it's called a directed payments
• > through quarterly supplemental payments through quarterly supplemental payments through the<
• new or untested idea uh directed payment new or untested idea uh directed payment programs<01:19
• this directed payment this directed payment program<01:36:20.000> um<01:36:20.199> I

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• <00:28:46.799> as follow the evidence, stop payments as follow the evidence, stop payments
• > whenever<00:56:10.880> our suspending payments um whenever our suspending payments um
• Those overlapping payments just years. Those overlapping payments just stopped. stopped. stopped.
• The US attorney and the OA payment.
• And so payments from being stopped.

Keywords: 1183, house

Transcript Highlights:

• One more interest payment was made right at the end, so there were two interest payments made in the
• So converting those borrower payments from the annual payments to the monthly payments is where we're
• So it looks like the smaller payments and smaller borrowers are the ones that are maintaining their payment
• to convert folks from the annual payment cycle to a monthly payment cycle and put out for bid a loan
• So they send out the invoices, collect the payments, and apply the payments to the loan.

Transcript Highlights:

• nicotine use can harm developing brains, that nicotine is an addictive chemical, and that most delivery methods

Keywords: 974, senate, all

Transcript Highlights:

• nicotine use can harm developing brains, that nicotine is an addictive chemical, and that most delivery methods

Summary: The Senate Judiciary B Committee met on May 27 and first approved the minutes from the May 21 meeting. The committee then took up House Bill 75, as amended, which would increase the promotional play tax deduction for gaming facilities from $5 million to $7 million and apply the change to racetracks and other brick-and-mortar casino properties on a phased-in basis. The bill’s author and gaming industry witnesses said the measure would help Louisiana compete with neighboring states, drive visitation, and support horse racing purses and tourism. The committee adopted the amendments and reported HB 75 favorably. The committee next considered House Bill 623, which creates a three-tier system for vapor products and includes related technical changes, including a provision allowing in-person delivery of vapor, alternative nicotine, or smokeless tobacco products by third-party contractors from licensed Louisiana retailers with age verification. Amendments were adopted to correct language and address an effective-date issue tied to another bill. The committee then reported HB 623 with amendments. House Bill 302, which would prohibit the sale of vapor products near schools, was also amended and heard with testimony from the New Orleans Health Department and the American Lung Association. Both witnesses supported youth protections but urged clarifying language to ensure local governments can keep or adopt stricter rules and to avoid conflicts with existing local ordinances; the health department also noted concerns that the bill focuses only on vapor products while youth nicotine use is broader. After discussion, the committee reported HB 302 with amendments. The meeting ended with thanks to staff and members, and the committee adjourned without objection.

Transcript Highlights:

• Allows prospective and current agency personnel to receive certification through remote training methods

Keywords: 993, senate, all

Summary: The Senate Finance Committee, chaired for the day by Senator John Liu, took up a long agenda of bills covering labor and benefits, corrections, health, taxation, government transparency, and public services. Early measures included increasing short-term disability benefits, adjusting a poverty-level-related earned income disregard, expanding correctional health staffing review, and authorizing the Inspector General to investigate sexual assault complaints in correctional facilities; each of these advanced to the floor. The committee also advanced bills on ovarian cancer screening access, retirement system membership changes, a trail stewardship program, live agency representative access, FOIL/open meetings fee awards, a Harriman campus development plan, court data reporting, educator conventions, park water testing, an energy storage tax abatement, a Native American Affairs office, adult changing tables in public facilities, Medicaid Inspector General audit standards, remote training certification for agency personnel, newborn Gaucher disease testing, electronic self-exclusion requests for gambling, and child daycare inspections and opioid antagonist requirements. Several bills drew discussion. The prescription drug transparency bill (Print 488A) prompted questions about possible overlap with federal Hatch-Waxman/FTC oversight and whether a New York notice requirement could slow generic-drug settlements; sponsors and staff said it was intended as a supplemental transparency measure for consumers. The court reporting bill (Print 1849A) raised concerns about mandates on local governments, but supporters said it mainly required OCA to compile data in one format. The Medicaid local-share phaseout bill (Print 5519) generated the most debate, with supporters arguing it would provide major property tax relief and should be addressed in the budget, while opponents emphasized the need to curb Medicaid fraud, waste, and abuse first. Two major fiscal oversight proposals were defeated. Print 8661, which would have required the Comptroller to hire an independent private auditing firm to review state-funded programs for fraud and abuse, was opposed despite support from some members who argued outside auditing was overdue; it failed by one vote. Print 5519 was also ultimately defeated after a recount confirmed it lacked the required majority of the full 22-member committee. Most other bills were approved and sent either to the floor or, in the case of the drug transparency bill, to the Rules Committee.

Transcript Highlights:

• None of us generally like to pay taxes regardless of the method that we're paying it.

Summary: The Committee on Local Government held a public hearing on Senate Substitute No. 2 for Senate Committee Substitute for Senate Bill 1023, sponsored by Senator Justin Brown. Brown explained that the bill would expand existing authority for certain public library districts to seek voter approval for a sales tax, with property tax reductions tied to the sales tax in some cases. He noted special provisions for Cass and Johnson counties, where the sales tax rate would be capped at 0.33% and would replace real and personal property taxes, and also described a separate provision allowing circuit courts to collect a civil case filing surcharge of up to $15 for law library maintenance. Library representatives and supporters testified in favor. They argued that libraries rely heavily on property tax revenue, that the bill would let local voters choose a more diversified funding mix, and that it would help libraries respond to growth and facility needs. Witnesses from Scenic Regional Library, St. Charles City-County Library, Marshall Public Library, the Missouri Library Association, and the Kansas City Public Library described local circumstances, including St. Charles County’s three-year phase-out and rollback requirement, Marshall’s voter-approved sales tax and concerns about county reclassification, and Kansas City’s request for fiscal-year flexibility. Committee members raised questions about the fairness of shifting library funding to sales tax, especially for nonresidents, and one member objected to the tone of the senator’s questioning during the hearing. No one testified in opposition, and the chair closed the public hearing. The committee announced it planned to executive the bill on Monday, with notice to follow. The meeting then adjourned.