Transcript Highlights:

• In 2022, we expanded to full adult coverage with no additional funding provided for that expansion.
• Ohio uses driver's license data and uh they also will move individuals over to the fee-for-service coverage
• individuals over to the fee<01:18:58.880> for<01:18:59.120> service<01:18:59.440> coverage
• <01:19:00.239> They<01:19:00.480> also<01:19:00.719> do fee for service coverage
• They also do fee for service coverage.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• The more government mandates that we put on employers, such as those, the more likely we're going to
• When you start mandating stuff, you're going to see more of this happening.
• You have proponents of mandating paid family leave.
• in favor... mandating stuff, you're going to see more of this happening.
• You have proponents of mandating paid family leave.

Bills: LB815A, LB838A, LB912A, LB972A, LB1126A, LB962A, LB1114, LB921, LB937, LB803, LB803A, LB1032, LB1032A, LB1075, LB1075A, LB889, LB878, LB933, LB304, LB304A, LB1096, LB1096A, LB1165, LB1165A, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787

Keywords: LB815A, LB815, appropriation, appropriations bill, Nebraska Department of Revenue, Motor Fuel Tax Enforcement and Collection Cash Fund, motor fuel tax, gas tax, fuel tax, tax enforcement, tax collection, cash fund, budget, state spending, per diem, salaries, fiscal year, enrollment and review, final reading, Nebraska

Bills: HB2139, HB1892, HB1893, HB1890, HB2335, HB2468, HB2091, HB2092, HB1878, HB2297, HB2127, HB1785, HB2345, HB2344, HB1780, HB1891, HB2398, HB1764, HB2564, HB1783, HB2567, HB1934, HB1778, HB1781, HB2621, HB2019, HB1803, HB2454, HB1811, HB1943, HB1589, HB1607, HB1851, HB2490, HB2546, HB2568, HB1972, HB2391, HB2575, HB1896, HB2399, HB2004, HB1894, HB2397, HB2498, HB2560, HB2310, HB2214, HB2167, HB2197, HB2116, HB1879, HB1596, HB2096, HB2298, HB2343, HB2566, HB1518, HB2044, HB2336, HB1603, HB1718, HB1740, HB1616, HB2171, HB2022, HB2347, HB1882, HB1708, HB2086, HB2154, HB2027, HB2179, HB1620, HB1913, HB2159, HB1597, HB2121, HB1864, HB2305, HB2576, HB1713, HB1729, HB1756, HB2122, HB2559, HB1743, HB1733, HB1868, HB1723, HB1711, HB1812, HB2515, HB1724, HB1604, HB2270, HB1722, HB1727, HB1920, HB1593

Keywords: invasive species, Queensland longhorn beetle, agriculture, environmental impact, University of Hawaii, Board of Education, Hawaii public schools, teacher representative, nonvoting member, bargaining unit 5, HSTA, teachers union, education governance, school board, executive session, collective bargaining, public school teacher, policy-making body, student representative, military representative

Transcript Highlights:

• competitive, because, again, there are obstacles that we have to deal with as a state academy and state coverage
• deal with as a state academy<00:24:03.960> and<00:24:04.120> state<00:24:04.480> coverage
• <00:24:05.560> that<00:24:05.800> locals academy and state coverage that locals academy
• and state coverage that locals or<00:24:06.720> sheriff's<00:24:07.040> departments<00

Keywords: 958, all

Transcript Highlights:

• It requires Medicaid coverage of biomarker testing and incorporates Senate Bill 137 relative to coverage
• It requires Medicaid coverage of biomarker testing and incorporates Senate Bill 137 relative to coverage

Keywords: LBA Briefing on Budget, 928, house, all

Summary: The presentation was an LBA overview of Senate changes to the House-passed state budget, with Michael Kane explaining how Senate Finance updated revenue and spending estimates after April revenue figures and agency discussions. He said the Senate’s revenue outlook was higher than the House’s in some areas, but lower in others, especially video lottery terminal revenue, and that the biggest differences also came from changes to revenue splits between the general fund and education trust fund, lapse estimates, and several policy changes in House Bill 1 and House Bill 2. Kane highlighted several major revenue and policy differences: the Senate changed the business tax, tobacco tax, and real estate transfer tax splits; adjusted liquor revenue dedication; removed the House’s meals-and-rooms distribution cap; delayed the Lakes Region facility proceeds plan; altered the PECARD fund treatment; added a granite patron of the arts tax credit; and changed the treatment of unique funds and video lottery terminal revenue. On spending, he noted Senate changes to judicial, corrections, HHS, human rights commission, and other budgets, including additional settlement costs, higher lapse assumptions, and a different approach to Medicaid premium revenue and retirement savings. He also described Senate additions such as a nursing home bed fee, Hampstead Hospital transition funding, and changes to the YDC claims settlement fund. The presentation focused on comparing House and Senate surplus statements across fiscal years 2025 through 2027, including projected ending balances and rainy day fund transfers. Kane repeatedly emphasized that the numbers were still dependent on final revenues and lapse amounts, and that some balances would be carried forward and trued up later in the biennium. No committee vote or final action was described in the excerpt; it was an informational budget briefing and comparison of the two chambers’ proposals.

Transcript Highlights:

• We have secured the financial coverage to cover our clinical operations.
• We have secured the financial<00:15:51.920> coverage<00:15:52.240> to<00:15:52.399>
• cover<00:15:52.560> our<00:15:52.800> clinical financial coverage to cover our clinical
• financial coverage to cover our clinical operations.<00:15:54.000> This<00:15:54.240> includes

Bills: HF568, HF433, HF1689, HF3135, HF3137, HF3145, HF2887, HF2819, HF2802, HF2664, HF2267, HF799, HF800, HF3049, HF296, HF580, HF1438, HF1237

Keywords: special education, education funding, construction, Minnesota, regional educational programs, HF433, Cloquet Area Fire District, fire station, capital investment, bonding bill, state bonds, general obligation bonds, public safety, emergency services, fire protection, local infrastructure, Minnesota capital budget, DEED grant, municipal facilities, station construction

Transcript Highlights:

• and the old lady engineer from my insurance company went out, looked at it, and said, “Cancel the coverage
• she said, out looked at it and said, she said, "Cancel<01:14:43.360> the<01:14:43.640> coverage
• <01:14:44.640> They<01:14:44.960> don't<01:14:45.120> know "Cancel the coverage
• They don't know "Cancel the coverage.

Keywords: 1189, house, all

Transcript Highlights:

• And then also language clarifying that the health maintenance organizations would provide coverage after
• maintenance organizations would provide<00:03:49.280> it<00:03:49.840> uh<00:03:50.000> coverage
• /c><00:03:50.319> after<00:03:50.560> a<00:03:50.720> certain provide it uh coverage
• after a certain provide it uh coverage after a certain date<00:03:51.840> and<00:03:52.080>

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.

Transcript Highlights:

• read through all of these, but, you know, the first page has the same description for all of them: coverage
• to support difficult-to-fill unexpected critical coverage needs.

Keywords: 908, all

Transcript Highlights:

• read through all of these, but, you know, the first page has the same description for all of them: coverage
• to support difficult-to-fill unexpected critical coverage needs.

Summary: The Budget Section met to approve prior minutes and receive a series of budget, revenue, and program updates from OMB, the Tax Department, DOT, DMR, and DPI. OMB reported that general fund revenues through May were about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls, though the biennium is still projected to end with a positive balance. OMB also reviewed oil price and production assumptions, the budget stabilization fund transfer above its cap, Legacy Fund performance, federal grant applications, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, vacancy savings, and the DAPL settlement, noting that most of the settlement funds had been deposited but a small amount of accrued interest would require a future deficiency request. The committee then considered Emergency Commission requests. It approved requests for Public Service Commission abandoned mine lands federal authority, an Attorney General FTE and related funding for criminal investigator work tied to the Office of Guardianship and Conservatorship, and a DPI transfer for bridge software costs. After discussion, the committee also approved DPI’s request for a $500,000 transfer for the food vendor program, despite questions about the program’s savings and cash-flow structure. Later, the Tax Commissioner presented the primary residence credit program, reporting that current biennium costs are expected to exceed the appropriation by about $22 million and explaining how the credit interacts with homestead and disabled veteran credits and the 3% property tax levy cap. The Legacy and Budget Stabilization Fund Advisory Board reported strong returns for both funds, and DOT sought and received approval for two flexible fund highway projects on ND 49 and ND 31. DOT also updated members on Highway 85 construction and said remaining flex fund dollars were essentially fully allocated. DMR reported on the abandoned well plugging and site reclamation fund, noting North Dakota’s relatively small orphan well inventory, current and projected fund balances, rising remediation costs, and a possible need to adjust the fund cap in future sessions. Finally, DPI outlined the new integrated formula gap funding program, explaining that it compensates school districts that cannot reach the assumed 60-mill local contribution because of the 3% levy cap; the first year’s gap funding totaled about $1.8 million, with future costs expected to grow.

Transcript Highlights:

• I won’t read through all of these, but the first page has the same description for all of them: coverage
• to support difficult-to-fill unexpected critical coverage needs.

Summary: The Budget Section approved the March 18 minutes and received an OMB update showing the general fund is still ahead of the budgeted starting point, but revenues through May are now about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls. OMB also reported the budget stabilization fund is above its cap, meaning a transfer to the general fund is expected, and reviewed oil price/production assumptions, noting continued volatility. Members asked about the income tax netting process, the sales tax decline, oil price discounts/premiums, natural gas taxation, and when the executive branch would present its revenue forecast. The committee then acted on several Emergency Commission requests. It approved, as a group, requests for federal mine reclamation funds for the Public Service Commission, an additional criminal investigator FTE and funding for the Attorney General’s office, and a DPI transfer for bridge software costs. It separately approved DPI request 2164 for $500,000 to support the food vendor program after debate over whether the program’s savings were known and whether the money was simply a pass-through. OMB also reported on federal grants, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, FTE pool usage, vacancy savings, and the DAPL settlement, noting the settlement funds had been deposited and that a deficiency appropriation may be needed later to cover remaining accrued interest. Tax Commissioner Brian Kroshus presented on the primary residence credit program, saying participation has grown sharply and that the current biennium will likely need about $431 million, roughly $22 million above the appropriation. He explained how the credit interacts with homestead and disabled veteran benefits, how the 3% property tax cap works, and why county valuations and mill rates vary. The committee also received a Legacy Fund/Budget Stabilization Fund report showing strong returns, and DOT Director Ron Henke received approval for two Flex Fund highway projects on ND 49 and ND 31. Henke also explained remaining Highway 85 funding and said the department is exploring uses for leftover state dollars. Finally, the Department of Mineral Resources reported on abandoned well plugging and site restoration, noting North Dakota remains in relatively strong shape compared with other states, and DPI began a presentation on gap funding tied to the 3% levy cap, reporting 24 districts received $1.8 million in the first year and projecting higher future needs.

Transcript Highlights:

• and the work requirements that will force tens of thousands of people to lose their health care coverage
• We've estimated that at about 275,000 people potentially losing coverage.

Keywords: 995, all

Summary: The Senate and House Ways and Means chairs opened the FY 2027 consensus revenue hearing by emphasizing the need for a balanced, fiscally responsible budget amid federal funding cuts, health care cost pressures, and uncertainty around the federal tax law changes referred to as OB3. They also noted the state’s current revenue performance is slightly above benchmark and paid tribute to the late Representative Anne Margaret Ferranti. Secretary of Administration and Finance Matthew Gorkowitz echoed the call for caution, saying Massachusetts has protected core services while building reserves and that the FY27 budget process begins with a careful revenue estimate. Department of Revenue Commissioner Jeff Snyder, along with DOR staff, presented FY26 and FY27 tax forecasts and identified major drivers and risks: OB3’s negative impact on state revenue, surtax collections, labor market conditions, capital gains, and corporate/business excise taxes. DOR estimated OB3 would reduce FY26 revenue by about $664 million and FY27 by about $282 million, while surtax and capital gains were expected to remain strong in FY26 but soften in FY27. Members questioned the outlook for surtax, capital gains, and the potential fiscal effect of a ballot question reducing the income tax rate from 5% to 4%; DOR said that proposal could cost roughly $4.2 billion to $4.8 billion annually, with a smaller but still significant impact in FY27 because of phase-in timing. Treasurer Deb Goldberg testified next on the stabilization fund, lottery, PRIM, unclaimed property, and the Alcoholic Beverages Control Commission. She reported the rainy day fund at about $8.1 billion, said the lottery was on track for $1.5 billion in FY26 net profit and projected $1.25 billion in FY27, and highlighted that iLottery is expected to launch in summer 2026 with revenue beginning in FY27 and dedicated to child care initiatives. She also described strong PRIM performance and record unclaimed property returns, while members asked about the child care use of iLottery revenue, multilingual outreach, and the economic impact of expanded liquor licensing. Mass Taxpayers Foundation President Doug Howgate and Tufts’ Evan Horowitz then offered differing revenue outlooks and policy warnings. Howgate projected modest growth, cautioned against overusing reserves for ongoing obligations, and urged caution on federal tax conformity changes and health care spending pressures. Horowitz projected higher FY26 and FY27 revenues than other witnesses, warned that the surtax and capital gains make the tax system more volatile, and said a 4% income tax ballot question could reduce FY27 revenues by roughly $800 million to $1 billion. He also flagged the rent control ballot question as a potential risk to municipal finance and suggested the state consider giving a permanent home to the independent revenue model used by Alan Clayton-Matthews.

Transcript Highlights:

• and contributed payroll taxes for the required number of years, who had been eligible for Medicare coverage
• and contributed payroll taxes for the required number of years who had been eligible for Medicare coverage

Keywords: 995, all

Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.

Transcript Highlights:

• So it was very important to us to maximize camera coverage both within the buildings as well as the surrounding
• There might be other elements within state government that we can find health care coverage for them,

Keywords: 914, all

Transcript Highlights:

• . >> Every year, Florida drivers pay an average of 37% more for full coverage.
• Auto insurance than the national average for minimal coverage. We're paying 45% more.

Keywords: 999, senate, all

Transcript Highlights:

• qualify for an additional six thousand dollars for non-tuition costs in addition to the tuition coverage
• This is compared to an estimated 35% coverage in 2024.

Keywords: 988, house, all

Transcript Highlights:

• can't afford it because you're having to give so much money back to the state, people are cutting coverage
• Keep charging you that amount of money, but don't provide coverage.

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• It gives blanket coverage for all the magistrates to just go ahead, just like Judge Stur said, to recall
• Such as these, and there's victims involved, then the magistrate should not have that blanket coverage

Bills: HB43, SB81, SB178, SB138, SB89, SB183, HB27, HB188, HB199, HB190, SB117, HB43, HB27

Keywords: criminal procedure, split sentencing, probation, Class A felony, Class B felony, minimum confinement, speedy trial, visiting judge, court administration, violent crimes, Alabama Supreme Court, employment, criminal record, certificate of employability, occupational licensing, negligent hiring, rehabilitation, limited relief, tribal police, law enforcement

Transcript Highlights:

• that our process for obtaining those new tower sites that are required to provide that adequate coverage
• things that could be corrected to help make their systems last longer and provide better, adequate coverage

Keywords: 958, all

Summary: The House Standing Committee on Justice, Public Safety, and Judiciary met to approve the February 18 minutes and then heard first from Kentucky State Police Commissioner Philip Burnett Jr. on recruitment, Trooper Academy classes, and the Kentucky Emergency Warning System (KQES) lease program. Burnett said KSP had submitted the House Bill 6 recruitment and retention reports, and he reviewed Cadet Classes 104 and 105, including application numbers, age ranges, and the mix of applicants by education, military, and law enforcement background. He said attrition is driven largely by physical fitness failures and homesickness from the resident academy model, but noted KSP has expanded recruiting and mentoring efforts, including college-credit partnerships and targeted recruiting in western Kentucky. Members asked about academy credit, the physical test, dropout reasons, whether applicants can reapply, and where recruits are coming from; Burnett said some do return successfully and that most candidates come from central and eastern Kentucky, while staffing remains hardest at posts in Mayfield, Madisonville, Henderson, Campbellsburg, and Dry Ridge. Burnett also updated the committee on KQES and the broader radio replacement effort. He described KQES as a 153-tower microwave backbone supporting state and local public safety communications, including DEMA, KET, and seismology equipment, and said KSP is renewing long-term private land leases that were set to expire in the coming years. He reported progress using master agreements and outside leasing firms, with eight leases out for bid and eleven more to follow, plus new interagency leases with the Transportation Cabinet and a site move in Wolf County to Forest Service land. He said about 997 leases still remain to be executed, though some tower sites involve multiple leases, and he expressed optimism that the new process will protect the system’s assets. In response to questions from Representative Sharp, Burnett said he could not give a firm completion date for the new radio system but estimated 18 to 36 months depending on tower construction, and said phase three equipment has already been procured for parts of Posts 8, 11, and 14, including Boyd and Lawrence counties. After KSP’s presentation and questions from Representatives Sharp, Carney, and Decker, the committee turned to the Kentucky Court of Justice. Zach Ramy, director of the Administrative Office of the Courts, introduced himself and began the court system’s budget overview, but the transcript provided cuts off before that presentation continued.

Transcript Highlights:

• What we at the League and through our insurance trust, which provides property-casualty coverage for
• What we at the League and through our insurance trust, which provides property-casualty coverage for

Keywords: 1187, senate, all