Video & Transcript Research : 'payment methods'

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CO

Colorado 2026 Regular Session

Colorado Senate 2026 Legislative Day 086 Apr 10th, 2026

Colorado Senate Floor Meeting

Transcript Highlights:
  • Thank you. of upper payment limits are known. of upper payment limits are known.
  • There was a review process more recently that led to there not being an upper payment limit set.
  • The establishment of this upper payment The establishment of this upper payment limit<00:50:34.080
  • limit on one on one on an upper payment limit on one on one on one<01:09:14.040> drug.
  • <01:09:45.920> limit that has an upper payment limit that has an upper payment limit that<
Keywords: 981, all
Summary: The Senate met with a quorum, approved the journal, and then proceeded out of order to consider Senate Joint Resolution 20, recognizing April 9, 2026, as Home Education Day in Colorado. Senator Pelton spoke in strong support of home education, describing it as a parent-led choice that benefits students and families. The resolution was adopted on a 30-0 vote, and the current roll was added as co-sponsors. The chamber then took up the consent calendar and passed House Bill 1229, House Bill 1244, and Senate Bill 153. HB 1229, which concerns the human-animal bond as a social determinant of health, drew three no votes from Senators Pelton, Zamora Wilson, and Baeza; the other two measures passed unanimously. The Senate also laid over third reading of bills until Friday, April 10. In Committee of the Whole, senators considered Senate Bill 72, which increases criminal penalties for assaultive conduct involving a motor vehicle and adds causing death with a motor vehicle to criminally negligent homicide. The committee adopted the report and advanced the bill on second reading. Later, the chamber laid over Senate Bill 134 and House Bill 1084 until April 10, and then took up Senate Bill 140, which would exempt certain rare disease and plasma therapies from review by the Prescription Drug Affordability Review Board. Sponsors and supporters argued the bill protects access for patients with rare diseases and prevents harm to treatment development, while opponents said it would weaken the PDAB’s affordability work and was too broad. Senators Weisman and Gonzales spoke against the bill, with Weisman citing concerns about the federal definition used and Gonzales defending the PDAB’s role in lowering drug costs; the debate continued in the transcript without a final vote shown.
ND
Transcript Highlights:
  • The payment error rate is not a measure of fraud.
  • We did receive our final payment error rate for this year.
  • So we do now know that our 2025 payment error rate is 9.89. Okay.
  • The payment errors are divided into two categories.
  • So how are they involved in the payment error rate discussions?
Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.
MN

Minnesota 2025 1st Special Session

House Fraud Prevention and State Agency Oversight Policy Committee 3/3/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • Because if you don't, then I don't think we can proceed with payments.
  • Because if you don't, then I don't think we can proceed with payments.
  • at least one visit before final payment at least one visit before final payment on<01:06:28.279>
  • for payment for payment um<01:08:56.560> checking<01:08:56.880> out<01:08:57.040><
  • grantees must submit their final payment grantees must submit their final payment request<01:09:
Keywords: 1183, house
NH

New Hampshire 2026 Regular Session

Senate Election Law and Municipal Affairs (03/31/2026)

Election Law and Municipal Affairs

Transcript Highlights:
  • If a town prefers transparency and audibility of a hand count, this same method can be served.
  • The ballots belong to the people, and the method of counting them will be decided by the people, not
  • official ballot process. ballots belong to the people and the ballots belong to the people and the method
  • of counting them will be decided method of counting them will be decided by<02:19:59.520> the
  • be voted on by the same method be voted on by the same method broadening<04:46:39.440> participation
Keywords: 1191, senate, all
VT

Vermont 2025-2026 Regular Session

House Session - 2026-01-15 - 3:00PM

Vermont House Floor Meeting

Transcript Highlights:
  • S60 will establish a farm and forestry operations security special fund to provide payments for farm
  • Payment payments are capped at 5% of funds appropriated in a given year, up to $150,000 per application
  • applicants who could receive payments applicants who could receive payments within<00:31:05.600>
  • Payment<00:31:23.919> payments<00:31:24.320> are<00:31:24.480> capped<00:31:24.799
  • > at<00:31:25.039> 5%<00:31:25.520> of Payment payments are capped at 5% of Payment
Keywords: 926, house, all
Summary: The House opened with devotional remarks from Representative Greer focused on perspective, kindness, and the idea that people “earn” respect and love through shared humanity. After that, the chamber suspended rules to introduce 17 House bills by number only, and adopted JRS 3 in concurrence, setting a joint assembly for Tuesday, January 20, 2026 at 1:00 p.m. to receive the governor’s budget message. Several announcements followed, including birthday wishes, a note about the new federal whole milk for schools law, guest introductions, and caucus notices. The House also approved committee transfers for H.393, an act relating to the prohibition of requiring face masks in schools, moving it from Education to Healthcare, and H.334, an act relating to limiting employer restrictions on individuals separating from employment, moving it from General and Housing to Commerce and Economic Development. The chamber then took up H.649 on captive insurance companies. The Commerce and Economic Development Committee explained that the bill, based on Department of Financial Regulation proposals, would prohibit risk retention groups from lending to or investing in members or affiliates, require annual and quarterly filings in NAIC form with a jurat page and actuarial certificate, and create new filing requirements for sponsored captive protected cells. The committee reported unanimous support, and the House amended the bill and ordered third reading. The House next considered S.60, establishing a Farm Security Special Fund. The Agriculture, Food Resiliency, and Forestry Committee and Appropriations described the bill as a response to repeated weather-related losses affecting farms and forestry operations, including flooding, freezes, drought, and other extreme events. The House version adds forestry and changes assistance from grants to payments to make aid faster and less cumbersome. The program would be administered by the Agency of Agriculture, Food and Markets, with a review board and payments of up to 50% of uncovered losses, capped at 5% of annual appropriations and $150,000 per application. The committee testimony emphasized the need for a permanent, predictable state relief mechanism, and the bill was advanced with strong support.
ND

North Dakota 2026 1st Special Session

Human Services Committee May 27th, 2026

Human Services Committee

Transcript Highlights:
  • Senate Bill 2399 from just last year required the department to amend the payment rates for, or the payment
  • And the first transitions of payment mechanisms are painful.
  • And the first transitions of payment mechanisms are painful.
  • Well, the payment goes to the provider. I know.
  • Thank you. overview of our DD Payment System Steering Committee.
Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.
CA
Transcript Highlights:
  • As you probably know, each hospital had an initial 18 months with no payments due.
  • Most loan recipients continue to experience Payments on their loan.
  • , what we call transformative payments for rural hospitals.
  • So the second part of that was a cap on provider payments.
  • So the second part of that was a cap on provider payments.
Keywords: 988, house, all
NM

New Mexico 2025 Regular Session

IC - Tobacco Settlement Revenue Oversight Nov 14th, 2025

Tobacco Settlement Revenue Oversight Committee

Transcript Highlights:
  • So I usually begin Giving a brief update on the actual MSA payment for 2025.
  • This year, the payment in 2025 is for. Sales during the calendar year of 2024.
  • The MSA payment was calculated to be the base amount at about $5.5 billion.
  • We have five remaining payments on the JUUL settlement.
  • So the last payment will be in 2030.
ND
Transcript Highlights:
  • as lease payments for building projects.
  • The lease payments to do the bonding and structure as lease payments for building projects.
  • , interest payments, Federal Reserve line access, correspondent services, bond payments, bond splits,
  • Our payment rails are not fast, cheap, and integrated. Banking needs a new set of payment rails.
  • So it's three years of no interest, no payments, two years of low-interest payments, and then it's due
Keywords: 908, all
Summary: The committee received a compliance and status update on Industrial Commission programs and the Bank of North Dakota. Staff reviewed appropriations and spending for several Industrial Commission funds and grant programs, including lignite research, oil and gas research, clean sustainable energy, grid resiliency, salt cavern analysis, and the new NDSU research and technology park grant. Members discussed the timing of reimbursements, uncommitted balances, and the structure of the pipeline capacity and enhanced oil recovery funding. The Industrial Commission also reported on its administrative budget, grant management system project, and recent leadership transitions across several agencies. Karen Tyler of the Industrial Commission described active grant rounds and the status of major projects. She said the Clean Sustainable Energy Authority approved three projects in its sixth round, with remaining uncommitted cash and loan capacity still available, though no new funding was appropriated this session. She also said the Oil and Gas Research Council approved six enhanced oil recovery projects and expects additional funding after a federal Department of Energy award replaces one project’s state funding. For grid resiliency grants, she said some projects have been funded, some commitments were returned or reallocated, and some DOE funds remain pending. She also updated the committee on the salt cavern business case study, which replaced an earlier larger development proposal, and on the NDSU research park grant, where the nonmatching portion was paid and the matching portion has moved slowly because the match must be in cash. Ron Ness then gave an extended presentation on enhanced oil recovery and North Dakota oil and gas trends. He said production remains steady, but future growth depends on infrastructure, especially gas takeaway and projects like the Bakken East pipeline. He argued that enhanced oil recovery using CO2, natural gas, surfactants, and other methods could extend Bakken production for decades, but that the state needs more CO2 supply, better storage, and updated tax and regulatory incentives. Members asked about lateral lengths, CO2 availability, pipeline impacts, and the role of the Strategic Petroleum Reserve, and Ness emphasized that the projects are intended to share technical learning across operators and attract follow-on investment. The Bank of North Dakota then presented its compliance report and strategic update. President Don Morgan said the bank’s mission remains to support North Dakota agriculture, commerce, and industry while cooperating with the state’s financial sector. He reviewed the bank’s main business lines: participation lending with community institutions, student loans, disaster lending, mission-based programs, and a new fintech-focused effort. Morgan said deposits are flattening, so the bank is managing balance sheet growth carefully, while still reporting improved net income and strong efficiency. He also introduced Rough Rider Coin as a bank-to-bank payment rail, not a public cryptocurrency, intended to speed and modernize payments within North Dakota’s banking and credit union system. Committee members asked about student loan eligibility, disaster program use, and how credit lines and liquidity would be affected if deposits shrink.
MN

Minnesota 2025-2026 Regular Session

Housing Committee Meeting - 2025-04-08

Housing Finance and Policy

Transcript Highlights:
  • Then on the following page, page 9, line 1, that section would authorize payment or appropriate money
  • For the purposes of the down payment assistance program.
  • Lastly, down payment assistance for first-generation homebuyers ensures more families can purchase a
  • We are proud to be part of this community-based approach to down payment assistance (DPA), targeting
  • It's essential that we pair it with down payment assistance.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/25/26

Human Services Finance and Policy

Transcript Highlights:
  • That's the bi-weekly payment cycle.
  • But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
  • But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
  • Um, we are is a payment withhold.
  • Claims for payment.
Bills: HF3378
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/16/26

Human Services

Transcript Highlights:
  • <00:07:31.560> withhold services a result of a payment withhold services a result of a payment
  • that were on that we issued a payment that were on that we issued a payment suspension<00:25:58.440
  • business So, when we suspend payments business So, when we suspend payments to<00:26:03.600>
  • Oh, payment suspensions. Okay, fine.
  • The resident notification of a payment The resident notification of a payment hold<01:08:45.960>
Keywords: 1187, senate, all
FL

Florida 2026 4th Special Session

January 20, 2026 - 01:00 PM

Transcript Highlights:
  • The language, particularly on lines 40 to 43, the last sentence—'any policy authorizing payment by booster
  • There must be criteria and proof of attendance for payment to providers.
  • Are we making sure we're verifying those attendance and those payment procedures, that payment validation
  • And then a payment can be made out based on that verified attendance.
  • Lastly, coalitions themselves, they are the entities that are responsible for payment accuracy.
Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.
MN

Minnesota 2025-2026 Regular Session

Agencies acting on OLA recommendations 3/10/26

Minnesota House Floor Meeting

Transcript Highlights:
  • This adds a section in 16A which makes all appropriations, allocations, payments, or other transfers
  • payment oversight. payment oversight.
  • This adds a section in 16A which makes all appropriations, allocations, payments, or other transfers
  • <00:07:31.080> And<00:07:31.200> so, like procurement payments.
  • And so, like procurement payments.
Keywords: 1183, house
Summary: The committee heard House File 3672, authored by Representative Quam, and the bill was laid over. Quam said the measure is based on findings from past Legislative Audit Commission audits and is intended to clarify state requirements, strengthen agency compliance, and address gaps such as conflicts of interest in grant administration. He said he wants the auditor to work directly with the revisor and agencies so the rules are clearer and less likely to be misunderstood. Betsy Hayes, Assistant Commissioner with the Department of Administration, testified that sections 5 through 11 of the bill would strengthen grants management authorities, reporting, monitoring, training, and conflict-of-interest limits, and said those changes are generally supported and in some cases already reflected in policy. She raised concern about section 3, saying it could sweep too broadly by applying chapter 16B grants-management requirements to all state payments to non-state entities, including procurement payments, which could create fiscal impact and regulatory overlap. She said the department is working with the author, the Office of the Legislative Auditor, and Auditor Randall to refine the language. Chair Clayburn asked for clarification on the difference between grants and procurement contracts and on the relationship between chapters 16B and 16C. Hayes explained that grants are typically reimbursement-based payments to third parties under chapter 16B, while procurement contracts are inward-facing state purchases under chapter 16C. She said section 3 could unintentionally capture procurement and apply grants rules to it. Clayburn said the bill’s intent is good and welcomed continued work on the language before the bill moves forward.
KY
Transcript Highlights:
  • Uh, there's no cash payments ever made to households, and payments are made directly to vendors and/or
  • 00:04:23.440> to<00:04:23.680> households cash payments ever made to households cash payments
  • payments are made directly to vendors<00:04:27.600> andor<00:04:28.320> utility.
  • services uh with needed energy payment services uh with needed energy payment assistance. assistance
  • based on the fuel type and no payments based on the fuel type and no payments again<00:07:41.599
Keywords: 958, all
Summary: The Interim Joint Committee on Natural Resources and Energy met for a public hearing and presentation on the Low-Income Home Energy Assistance Program (LIHEAP). After approving the minutes, members heard from Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky, who explained that LIHEAP is a 100% federally funded block grant used in Kentucky to help low-income households pay home energy bills, prevent utility disconnects, and support weatherization and crisis assistance. Hall outlined the program’s income eligibility limits, the fact that payments go directly to vendors or utilities rather than households, and the program’s funding levels, including $43.4 million spent in federal fiscal year 2025 and an anticipated $58 million for federal fiscal year 2026. The presenters described LIHEAP’s main components: fall and spring subsidy programs, winter crisis assistance, and weatherization. They gave participation figures for recent program cycles, including tens of thousands of households served in each component, and explained that weatherization prioritizes elderly, disabled, households with children, and high-energy-burden homes. They also noted that weatherization is carried out in partnership with the Kentucky Housing Corporation and includes repairs and efficiency measures such as insulation, air sealing, and safety checks. Rick Baker described Community Action Kentucky’s role as the statewide administrator through 23 local community action agencies, emphasizing their presence in all 120 counties and their local board structure. Members praised Baker’s long service and the program’s importance for families facing high energy costs, especially in coalfield areas. One member asked for clarification on a slide reference to “Assurance 16,” but the transcript cuts off before the answer is completed. No votes or other committee actions were taken beyond approving the minutes.
MN

Minnesota 2025-2026 Regular Session

Fraud Committee Meeting - 2026-04-21

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • <01:25:49.280> should upon what guidance that payment should upon what guidance that payment
  • payments needed to return. payments needed to return.
  • authority to issue the stop payments. authority to issue the stop payments.
  • the authority to to do stop payments. the authority to to do stop payments.
  • But was that at the payments again.
NY

New York 2025-2026 Regular Session

New York State Senate Session - 05/07/2026

New York Senate Floor Meeting

Transcript Highlights:
  • And in this budget bill, this extender bill, we have WIC payment, workers' comp, unemployment insurance
  • , among other payments.
  • on the timing of when certain payments are due.
  • And we will get up to date on all of those payments, but at the moment, the bill before accounts for
  • ON THE TIMING OF WHEN CERTAIN PAYMENTS ARE DUE.
Keywords: 993, senate, all
Summary: The Senate met on May 6, 2026, approved the prior journal, and accepted a Rules Committee report advancing the government appropriations bill to third reading. The chamber then took up the tenth budget extender, which sponsor Senator Serrano said would keep state government operating through Monday, May 11 and contained $482 million in new spending, bringing the total across extenders to $20.3 billion. In questioning, Senator O’Mara and Senator Helming pressed Serrano for details on the reported $268 billion budget deal, policy outcomes, revenue raisers, and whether local governments, schools, and rural health programs would receive certainty; Serrano said final budget bills were not yet in print and declined to speculate on unresolved issues. The extender passed 60-1, with Senator Weik voting no. The Senate also adopted several previously adopted resolutions honoring the North Tonawanda High School girls varsity basketball team, the Tappan Zee High School girls basketball team, and SUNY student Chriss-Ann Pryce. Members praised the teams’ state championships and Pryce’s academic and leadership achievements through the Educational Opportunity Program. The chamber then returned to legislation and passed a bill designating May 9 as Overdose Awareness Day in New York; Senator Fernandez said it recognized the harm of overdose and the need to continue funding harm reduction and recovery services. Additional bills passed included a statewide domestic violence lethality assessment measure, with Senators Murray, Rolison, Webb, and Ramos describing it as a tool to identify dangerous situations and prevent fatalities; a mental health insurance bill limiting step therapy/prior authorization for serious mental health medications, supported by Senator Fahy; and measures on education, real property tax, election law, general business law, kitchen incubator economic impacts, public buildings, state finance, and mental hygiene. Several bills drew recorded opposition, including the real property tax bill and the election law and general business law measures. The Senate concluded by adjourning until Monday, May 11 at 3:00 p.m., with intervening days designated legislative.
MN

Minnesota 2025 1st Special Session

House Ways and Means Committee 5/7/25

Ways and Means

Transcript Highlights:
  • One of the most impactful bills in this omnibus is the directed payment program for hospitals.
  • One of the most impactful bills in this omnibus is the directed payment program for hospitals.
  • Chair Berman replied that the directed pharmacy payment will not need federal approval.
  • , directed pharmacy dispensing payment, directed pharmacy dispensing payment, how<00:14:14.240>
  • So, anything above that will not receive this direct payment.
Bills: HF2436, HF2435
KY
Transcript Highlights:
  • /c> we have to reduce those payment rates we have to reduce those payment rates uh<00:26:11.320> to
  • ,<00:26:43.720> start negative impact on our payments, start negative impact on our payments
  • So, is the final one payment changes.
  • This has state directed payment changes. This has state directed payment changes.
  • Um our state-directed payment issue.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.
TX

Texas 89th Regular

S/C on Family & Fiduciary Relationships Mar 31st, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • or non-payment, does that amount go to the minor or does that go to the AG's office?
  • The trouble is then they may not be able to afford to continue making the... payments.
  • Those child support payments could help meet that mortgage.
  • So that is a little bit concerning to us with the switch in the priority of payments.
  • The mortgage payment comes first and then the child support.