Transcript Highlights:

• I believe the figure that's being thrown around, it'll automatically rise by 2% a year.
• I believe the figure that's being thrown around, it'll automatically rise by 2% a year.
• I believe the figure that's being thrown around, it'll automatically rise by 2% a year.
• It won't automatically increase by inflation. Nope.
• It won't automatically increase amount.

Keywords: 981, all

Transcript Highlights:

• Maybe some do, but for the most part it's done digitally and so it would automatically have it as a record
• have it as a record of the automatically have it as a record of the the<00:21:38.240> date<00
• Also, if a new military installation came in, that wouldn't automatically put it on this list.
• <01:46:12.560> put<01:46:12.719> it that that wouldn't automatically put it that that
• wouldn't automatically put it on<01:46:13.040> this<01:46:13.119> list,<01:46:13.360><

Keywords: 928, house, all

Summary: The committee first discussed a budget-related issue involving liquor commission enforcement staff and tobacco enforcement funding. A member explained that proposed cuts to “group two” enforcement positions at the liquor commission could jeopardize the tobacco enforcement money that flows to Health and Human Services, and expressed confidence that the enforcement division would ultimately be preserved. The main hearing was on Senate Bill 19, which would modernize hotel and motel statutes by repealing outdated requirements. The sponsor and the New Hampshire Lodging and Restaurant Association said the bill would remove obsolete rules such as the old guest book/card system and antiquated posting requirements for room rates and motel signs. Members questioned whether the bill would eliminate the requirement to record guest departure dates or affect inspection rights, and the witnesses said the intent was only to remove the book-and-card reference while leaving the rest of the recordkeeping requirement in place. Supporters argued the rate-posting rules are widely ignored, hard to enforce, and outdated in an era of digital reservations and variable pricing; the committee also discussed whether any consumer-protection purpose remained. The public hearing on SB 19 was then closed. The committee then heard Senate Bill 280FN, which would require food delivery services to have an agreement with a restaurant or food retail store before offering delivery from that business. The sponsor said the bill restores a prior law that had sunset and was intended to prevent third-party platforms from listing restaurants without consent. Restaurant industry testimony strongly supported the bill, describing problems with unauthorized listings, delayed deliveries, and reimbursement disputes, and saying the agreement requirement protects restaurant brands and consumer expectations. Members shared examples of delivery problems and voiced support for reinstating the safeguard.

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:

• 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:

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

Keywords: 958, all

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

Transcript Highlights:

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

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

Transcript Highlights:

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

Summary: The Legislative Budget Commission met to consider 21 budget amendments, beginning with the Department of Education’s request for $14.751 million in federal grant authority for the Preschool Development Grant. Members asked whether any funds would support VPK or provider payments; the department said the money is for birth-to-kindergarten early learning work, including IT modernization, workforce credentialing, training, and streamlining director certification. The amendment was adopted without objection. The commission then approved amendments for the Department of Veterans Affairs to shift $2.2 million within its trust fund to cover higher nursing home occupancy and reduce staffing agency use, and for the Department of Health to realign about $9.1 million for disability determinations amid a backlog of roughly 140,000 cases. The Agency for Health Care Administration presented multiple Medicaid-related amendments, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for KidCare, hospitals, physicians, cancer hospitals, nursing IME, and public hospital payments. Members questioned network adequacy, rural access, and the KidCare surplus and expansion; the KidCare realignment drew debate, with some members objecting because the 2023 eligibility expansion has not been implemented, but the amendment passed on a roll call vote. Other amendments adopted included FDLE’s $16.3 million for counter-UAS detection and mitigation equipment, DJJ’s $1.6 million for Florida Scholars Academy and a Social Services Block Grant realignment, and emergency management pass-throughs for FIFA World Cup security and counter-drone funding to the Miami host committee. The Department of Commerce received $148.4 million for disaster recovery under the CDBG-DR program, with questions about the split between housing, infrastructure, and administrative costs. The Department of State also received $408,377 for arts and culture grant authority. Most amendments were adopted without objection, and the commission adjourned after completing the agenda.

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:

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

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

Transcript Highlights:

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

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

Transcript Highlights:

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

Keywords: 958, all

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

Transcript Highlights:

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

Keywords: 1183, house

Transcript Highlights:

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

Keywords: 958, all

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

Transcript Highlights:

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

Keywords: 999, senate, all

Transcript Highlights:

• basically, however that could be worded to be more specific about what, where it's pretty much an automatic
• basically, however that could be worded to be more specific about what, where it's pretty much an automatic
• basically, however that could be worded to be more specific about what, where it's pretty much an automatic
• However that could be worded to be more specific about what, where it's pretty much an automatic denial
• <01:13:51.760> known that or is that just automatically known that or is that just automatically

Keywords: 928, house, all

Summary: The meeting covered two main items. First, the solid waste subcommittee reviewed draft language for HB 707, focusing on landfill siting and permitting standards. Members and the Department of Environmental Services discussed replacing repeated references to “aquifer” with “drinking water well,” clarifying that aquifer is a broad term, and considering whether a statutory definition was needed. They also debated the bill’s setback and time-of-travel provisions, including the 10^-5 standard, a 1,500-foot distance, and whether the bill should rely more on performance-based criteria than prescriptive distances. Another major topic was permit denial language tied to applicants with significant histories of repeated serious violations or landfill-related litigation; the department said it already has related authority in current rules, but noted some wording was still too vague and could be tightened. No vote was taken, and the chair closed the hearing with plans to continue work later. The second item was a work session on HB 424, which would direct the Department of Agriculture, Markets and Food to create forms for businesses to request information about service animals and establish a study committee on fraudulent or untrained service animals. Several members said the problem raised by the bill was real but expressed concern that the legislature may be limited by the federal Americans with Disabilities Act. Others argued that a study committee would likely not produce a workable solution and might conflict with leadership’s direction to avoid unnecessary study committees. Members discussed whether the bill should be retained, amended, or instead replaced with a letter or resolution to the federal delegation. The committee appeared to lean toward ITL and possibly pursuing a letter to federal officials, but no final vote is reflected in the transcript.

Transcript Highlights:

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

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

Transcript Highlights:

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

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