Transcript Highlights:

• which said any supplemental payments which said any supplemental payments that<00:05:22.639>
• It gets payments gets all of the credit.
• university directed payment program. university directed payment program.
• <00:15:24.320> for directed payments are essential for directed payments are essential for
• And because of the 20% of the payments And because of the 20% of the payments are<00:16:08.639><

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• The first finding, using data analytics, we identified a duplicate payment of almost $3,700.
• Using data analytics, we identified a duplicate payment of almost $3,700 issued to a vendor providing
• The duplicate payment was issued within a day of the original payment in April 2024.
• After notifying the vendor, the agency received and deposited recoupment of the duplicate payment in
• The first finding: in our review of 35 career service payments, we noted one payment made by the Division

Summary: The committee first approved the minutes and then heard audit reports from Tom Bullington. For the Department of Public Safety FY24 audit, two findings were presented: a duplicate vendor payment of nearly $3,700 that was later recouped, and a $2.5 million collateral deficiency tied to bank deposits that exceeded FDIC coverage because securities were not properly pledged to the State Police. Agency representatives from Arkansas State Police and the Department of Public Safety answered questions, and members discussed how the collateral requirement works before the report was filed without objection. The committee then reviewed the Department of Transformation and Shared Services FY24 audit, which contained five findings. These included an $800 career service overpayment caused by incorrect rehire data, delayed deactivation and inaccurate listing of fixed assets including stolen cameras, a double count of more than $940,000 in year-end cash records, $10.3 million in health claims that should have been recorded as fiscal year 2024 payables, and repeated deficiencies in vehicle mileage logs. Agency officials said the stolen cameras were recovered through restitution, and they described corrective steps for asset tracking, cash reporting, and vehicle logs. Members asked detailed questions about the vehicle log issues and the planned statewide GPS/telematics rollout. Shared Administrative Services said it is negotiating a vendor contract, expects to implement the system first in its own department, and aims to use GPS, geofencing, alerts, and WEX fuel-card data to improve oversight while preserving privacy. The committee also discussed possible future vehicle sharing across agencies, but no action was taken beyond filing the report. The meeting adjourned after announcing the next meeting date.

Transcript Highlights:

• toward TRS liabilities began in payments toward TRS liabilities began in 2016<00:05:01.160> with<
• <00:05:11.199> for budget Cycles projected payments for budget Cycles projected payments for
• are projected to continue to payments are projected to continue to increase<00:05:30.880> more
• beyond the expected two billion in annual payments for unfunded liability.
• there's also some additional payments there's also some additional payments that<00:30:31.320>

Keywords: Meeting Start: 00:44 Attendance Roll Call: 00:55 SB 193 (Sen. Girdler): 01:53 SB 9 (Sen. Higdon): 03:22 SB 257 (Sen. Tichenor): 34:14 Adjournment: 50:57, 958, all

Summary: The Senate Standing Committee on State and Local Government first took up Senate Bill 193, a simple measure described as restoring wallet cards for jailers to carry when they are outside the jail. The sponsor noted the fiscal impact was essentially zero, there were no questions, and the committee approved the bill 9-0 for passage to the Senate floor. The committee then heard Senate Bill 9, sponsored by Senator Higdon, which would change how the Teachers Retirement System (TRS) treats sick leave, personal leave, and annual leave in retirement calculations. The sponsor argued the bill is intended to address TRS’s financial challenges by standardizing leave rules statewide, limiting TRS retirement credit to 10 sick days and 2 personal days per year, preventing annual leave from being rolled into sick leave, requiring districts to pay the actuarial cost for any leave beyond the cap, and adding reporting and oversight requirements for participating agencies. He also said the bill would add 30 days of maternity leave, allow voluntary district contributions for tier four teachers, and direct the state auditor to audit TRS and report on agencies. Committee members asked about how overages would be audited and billed, the cost of a sick day, and how the bill would interact with local leave policies, including paid parental leave in some districts. The sponsor clarified that existing accumulated leave would not be affected, that the bill applies going forward, and that districts could still offer more leave but would bear the added cost. Members also discussed whether the maternity leave language set a cap or a minimum, and one senator noted the bill was intended to preserve personal days while stopping annual leave from being converted into pension credit. No vote on Senate Bill 9 was shown in the transcript excerpt.

Transcript Highlights:

• This bill does not change the reimbursement rates or create new payment obligation. Thank you.
• This bill does not change the reimbursement rates or create new payment obligation.
• It simply ensures that providers have access to the information necessary to understand why a payment
• These are incredibly skilled, highly educated... ...why payment was reduced.
• Meanwhile, retirees' pension payments haven't increased since 2008.

Keywords: 987, senate, all

Transcript Highlights:

• <00:04:31.840> of collecting rent that included payment of collecting rent that included payment
• <00:04:35.840> of<00:04:36.000> those failing to remit payment of those failing to
• remit payment of those utility<00:04:36.720> bills<00:04:37.040> to<00:04:37.199> the
• Um but we did get a utility payments in.
• <00:17:51.360> for is intentionally collecting payment for is intentionally collecting payment

Keywords: Judiciary, Division B - Room 409, 25 February, 2026; 9:00 A.M., 925, all

Summary: The committee first took up House Bill 611, which would require the Mississippi Board of Law Enforcement Standards and Training to provide discovery to an officer facing suspension of certification. Representative Burch said officers currently may receive only a brief notice of alleged misconduct without access to the underlying information, and the bill would give them the materials related to the infraction. There were no questions, and the committee approved the motion by voice vote. The next measure, House Bill 1142, would modernize notice requirements for judgment nisi and bench warrants by allowing clerks to notify bail agents electronically or by personal notice instead of certified mail. Representative Owen said the change would reduce county costs, align bail-agent notice with the electronic notice already used for attorneys, and had support from the clerks’ association. Senators asked whether notice would still appear on MEC, and Owen said attorneys already receive notice there and bail agents could receive it electronically as well. The committee then adopted the motion by voice vote. The committee then heard House Bill 1404, sponsored by Representative Yates, creating the crime of fraudulent utility conversion. Yates explained the bill was aimed at apartment complexes and other landlords that collect utility payments from tenants as part of rent but fail to remit those funds to the utility provider, citing large unpaid water bills and similar legislation in Louisiana. Senators raised concerns about intent, possible criminal liability for landlords or LLCs when utility bills are delayed, faulty, or disputed, and the severity of penalties, which could reach 20 years in prison for higher amounts. Yates said she was open to adding intentional-conduct language and clarified the bill targets those who collect tenant utility money and do not remit it, not tenants themselves. Members discussed possible amendments, including adding mens rea language and a defense for disputed bills, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• and other types of uh welfare payments and other types of uh welfare payments<02:12:47.760> and
• > the payments and other payments from the payments and other payments from the state<02:12:49.640
• So, if a government employee is making payments while they know that those payments are illegal, this
• And so, I can't withhold payments.
• That they would want us to um make payments intentionally, payments intentionally, um, um, um, make payments

Keywords: 1187, senate, all

Transcript Highlights:

• But, what we're seeing over payment.
• establish a comprehensive pre-payment establish a comprehensive pre-payment pre-payment<00:34:46.520
• <00:35:00.120> review,<00:35:00.560> post-payment inform pre-payment review, post-payment
• inform pre-payment review, post-payment review,<00:35:01.760> our<00:35:01.920> program
• payment of services for the FEP model. payment of services for the FEP model.

Keywords: 1183, house

Transcript Highlights:

• And and New Hampshire's had a payments.
• Um, and New Hampshire's payment rate.
• be a 30% increase in benefit payments. be a 30% increase in benefit payments.
• And we'd be sending you the payment, and you'd keep that payment.
• you'd keep that you the payment and you'd keep that payment.<01:18:39.440> You'd<01:18:39.679>

Keywords: 1189, house, all

Transcript Highlights:

• and then 10% of the cleanup payment.
• and then 10% of the cleanup payment.
• and then 10% of the cleanup payment.
• and then 10% of the cleanup payment.
• and then 10% of the cleanup payment.

Bills: HF51, HF1161, HF2201, HF2786, HF1053

Keywords: HF51, Sibley County, State-Aid Highway 21, capital investment, bonding bill, general obligation bonds, transportation infrastructure, road improvements, sanitary sewer, water main, storm sewer, local infrastructure, county grant, Minnesota Department of Transportation, bond proceeds fund, public works, utility infrastructure, education finance, school district funding, tax base adjustment

Transcript Highlights:

• Over the weekend, Elon Musk and the Doge team physically seized control of a critical payment system
• And propose to start cutting off payments based on random tweets or messages.
• Payments to Musk's competitors, given his company's unfair competitive advantage.
• And more likely, they will accidentally shut off payments that are critical for Americans to afford:
• Before last week, it might have seemed absurd to pass legislation to limit access to Treasury's payment

Bills: SB161, SB195, SB216, SB245, SB246, SB257, SB258, SB260, SB278, SB281, SB283, SB93, SB98, SB99, SB306, SB314, SB315

Keywords: vehicle safety, crash test, crashworthiness, NHTSA, National Highway Traffic Safety Administration, New Car Assessment Program, NCAP, motor vehicle safety standards, 49 CFR parts 571 and 572, THOR dummy, THOR-50M, THOR-05F, WorldSID, female crash test dummy, male crash test dummy, occupant protection, frontal impact, side impact, vehicle ratings, automotive safety

Transcript Highlights:

• <00:52:28.960> are so from the way the payments are so from the way the payments are currently
• Currently, we recover payments to pay the IPPs.
• <00:53:34.520> or month of the covered PPA payments or month of the covered PPA payments or
• <00:54:18.000> to ensure that there's enough payments to ensure that there's enough payments
• of a termination provides for payment of a termination payment<01:13:27.840> after<01:13:28.560

Keywords: 912, senate, all

Summary: The joint Senate hearing focused primarily on SB 1201, a wildfire measure that would create a wildfire recovery fund and allow securitization for electric utilities. Hawaiian Electric strongly supported the bill, saying it would help protect customers, property owners, insurers, and the broader economy from future catastrophic wildfire liability while improving the utility’s credit profile and lowering financing costs. Support also came from DCCA Consumer Advocacy, the Attorney General’s office on written comments, Ulupono Initiative, Clearway Energy Group, IBEW Local 1260, Par Hawaii, KIUC, the Chamber of Commerce Hawaiʻi, Plus Power, and numerous organizations and individuals. Opponents or commenters raised concerns about the liability cap, victim compensation process, and fund structure, including the Hawaiʻi Association for Justice, the Hawaiʻi Regional Council of Carpenters, and the Hawaiʻi Insurance Council; Henry Curtis of Life of the Land supported the concept of a fund but questioned the catastrophe threshold and whether the fund would be empty without a prudency finding. Much of the discussion centered on whether the proposed fund would actually help restore Hawaiian Electric to investment grade, with senators comparing the proposal to California’s wildfire fund. Hawaiian Electric said the bill was only one part of a broader process, alongside physical risk reduction and settlement finalization, and argued that without the bill the utility would not regain investment grade. Senators also questioned the proposed $1 billion fund size, the fairness of ratepayer contributions versus shareholder contributions, and whether customers should pay for consulting and administrative costs; Hawaiian Electric said its proposed amendment would remove those consulting-related charges. The company also said the fund would accrue interest and, if unused, could be returned to customers, and that there would be replenishment and supplemental contribution mechanisms if the fund were exhausted. The Attorney General’s office said it still had further amendments to discuss, and the departments had not yet resolved where the fund should reside administratively, though Hawaiian Electric said it believed DCCA was the appropriate place but was open to alternatives. KIUC requested two amendments. No vote or final committee action was taken during the hearing, and the measure remained under discussion with questions and proposed amendments still outstanding.

Transcript Highlights:

• <00:04:08.800> or payments or payments or program<00:04:10.800> integrity,<00:04:11.520
• service disruption due to payment service disruption due to payment withholds,<00:15:31.560>
• Importantly, the bill prohibits payment Importantly, the bill prohibits payment withholds<00:15:
• That is a new limit payment withhold.
• jeopardized by a payment suspension. jeopardized by a payment suspension.

Keywords: 1187, senate, all

Transcript Highlights:

• It creates two separate pools out of that.
• , this bill essentially is a five-year incentive period which an employee may receive additional payments

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Transcript Highlights:

• ,<00:04:54.880> and Medicaid transportation payments, and Medicaid transportation payments
• requirements for billing and payment. requirements for billing and payment.
• that did not occur, and received payment that did not occur, and received payment from<00:19:35.760
• c><00:19:46.680> allowed<00:19:46.960> to payments than they were allowed to payments than
• fraud out of their capitated payments? fraud out of their capitated payments?

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• steps: the government entity issues the bonds, the investors purchase the bonds, and they receive payments
• <00:05:07.080> with the bonds and they receive payments with the bonds and they receive payments
• to Minneapolis and St separate payment to Minneapolis and St Paul<00:42:24.400> related<00:42
• Paul Port Authority, and I think these are the last year of payments for those two buildings.
• 47:37.040> in schedule of the the interest payments in schedule of the the interest payments in

Keywords: 1183, house

Summary: The Capital Investment Committee met on January 16 for an informational overview on state bonding and capital investment. House Research analyst Chelsea Griffin and House Fiscal analyst Andrew Lee explained the nonpartisan roles of their offices and then walked members through the basics of Minnesota bonding: how bonds are issued and repaid, how they are categorized, and the main legal authorities governing state general obligation bonds, including the state constitution, Minnesota statutes, and federal tax law. Griffin emphasized that state GO bond proceeds must be used for a public purpose, for a purpose authorized in the constitution, as specifically described in law, and must mature within 20 years. She also noted that state GO bonding is typically originated in the House and that capital projects financed with state GO bonds generally require a three-fifths vote in each chamber. The presentation also covered practical limits and requirements on bonding projects, including the distinction between state and local GO bonding, the role of bond counsel, restrictions on bond-financed property, the prohibition on reimbursing already-paid costs, and the full funding and non-state match requirements. In response to member questions, Griffin clarified that the full funding requirement in section 16A.502 means a project must be fully funded before the appropriation is available, while section 16A.86 reflects an expectation that local governments provide about half the financing for local projects, though the legislature can choose to fund more than half or waive a local match. She also said she did not believe a bill to make the 50 percent match requirement statutory passed last session. Lee then began a spreadsheet-based overview of the 2023 capital budget laws, explaining how capital investment spreadsheets are organized and how different fund types appear in the documents. He highlighted examples such as University of Minnesota projects funded with GO bonds and Minnesota State projects using user financing, where the system contributes a share of project costs from non-state sources such as tuition or system revenues. The committee did not take any votes or formal actions during this informational meeting.

Transcript Highlights:

• nursing facility payment system changes. nursing facility payment system changes.
• This increases nursing facility payment rates.
• <00:07:48.800> cap item and the 4% operating payment cap item and the 4% operating payment
• <00:30:54.080> methodology there's a a payment methodology there's a a payment methodology
• <00:37:31.440> methodology the ental nutrition payment methodology the ental nutrition payment

Keywords: 1187, senate, all

Transcript Highlights:

• Finally, the Housing Support Services Program provides payments on behalf of eligible persons to pay
• In order to be eligible for these payments, an individual must have county approval for residence in
• Finally, the Housing Support Services Program provides payments on behalf of eligible persons to pay
• In order to be eligible for these payments, an individual must have county approval for residence in
• <01:11:08.840> and<01:11:09.080> identify payments and identify payments and identify underpayments

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• I do not believe we have the automatic payments set up.
• This is the early payment. Yeah, so still working on it.
• The payment would be received by February 15th.
• And if we don't have a—if getting the payment, the PRC payment, by February 15th doesn't resolve this
• So we will be shorted as far as that payment.

Summary: The subcommittee of the Tax Reform and Relief Advisory Committee met to begin its study of whether the content of the real estate tax statement should be revised to improve transparency. Legislative Council staff reviewed the study directive from HB 1176 and the statutory requirements for tax statements, including required line items such as true and full value, mill levy, legislative tax relief, primary residence credit, legacy fund share, discounts for early payment, and special assessments. The Tax Department then explained how the current uniform statewide statement is prescribed and approved, and noted that changes are typically driven by statute and implemented collaboratively with counties and vendors. County officials from NDACO, including auditors from McKenzie and Richland counties, described the full annual property tax timeline from budgeting through mailing final statements. They explained how counties gather budgets, calculate levies, verify taxable values, handle centrally assessed property, and prepare required notices and statements. They also said public attendance at budget hearings is generally very low, though the notices and statements generate some calls, mostly about whether attendance is required or why taxes are changing. Several members questioned the usefulness of the legislative tax relief line and the complexity of the 5% discount calculation, and county officials said the current process can be confusing and depends on manual data entry and coordination among counties, vendors, and taxing districts. The committee also discussed assessment frequency, valuation equalization, the 3% cap, and whether more frequent reassessment would reduce large jumps in taxable value. County officials said they try to use rotating reassessments and sales-ratio reviews to keep values within statutory tolerance, but staffing, training, and local market changes make the work difficult. NDACO staff estimated, based on a small county survey, that tax statement preparation and mailing costs average about 74 cents per statement, with outsourcing generally cheaper than in-house printing, and said HB 1176 added some mailing and administrative costs even if the tax statement itself did not change dramatically. Software vendors from CPT and Tyler then began presentations showing how their systems handle budgeting, valuation notices, tax statement generation, primary residence credit processing, and levy worksheets, emphasizing that many of the required calculations and reports are still manually entered or verified by county staff.

Transcript Highlights:

• the 1st, 2026 with retroactive payments the 1st, 2026 with retroactive payments for<00:02:58.319
• <00:03:48.400> for receive enhanced Medicaid payments for receive enhanced Medicaid payments
• Payments<00:03:56.159> would<00:03:56.400> comply<00:03:56.799> with<00:03:57.040
• > federal<00:03:57.360> law Payments would comply with federal law Payments would comply
• He said that while that is happening on the payment side, the Medicare fee schedule has actually been

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• a full pension payment.
• We provide disability benefit payments within the plan.
• Payments go to the funeral service provider or to the claimant if they document full payment of funeral
• an application seeking this type of payment.
• The reason for that is that this is a non-taxable payment, and it has, That this is a non-taxable payment

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.