Transcript Highlights:

• So they release two notices regarding the payment policy.
• And this tells what they anticipate the MA rate funding will be, which is payments for every single county
• final rate notice that comes out the first Monday in April so that they will know what the final payment
• instead of paying carriers on the back end for high claims, the federal government sends an upfront payment
• D plan so that we can take advantage of that differential on the Part D side so that we get more payment

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• When our family member has life insurance, it's really important that those life insurance payments continue
• Family members rely on those payments to sustain themselves or take care of their health care concerns
• home and unable to make that payment, or may miss getting the notice in the mail that they may be late
• It's really important that those life insurance payments continue when family members rely on those to
• That payment, or may miss getting it in the mail, to notify that they may be lapsing their life insurance

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2107 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2531 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2360 , HB2471 , HB2478 , HB2525 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1710 , HB1750 , HB1903 , HB1941 , HB1974 , HB1982 , HB1983 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2215 , HB2223 , HB2239 , HB2247 , HB2297 , HB2303 , HB2322 , HB2329 , HB2334 , HB2338 , HB2345 , HB2348 , HB2350 , HB2353 , HB2355 , HB2363 , HB2367 , HB2379 , HB2388 , HB2399 , HB2418 , HB2420 , HB2428 , HB2441 , HB2462 , HB2464 , HB2467 , HB2495 , HB2505 , HB2534 , HB2539 , HB2544 , HB2551 , HB2554 , HB2557 , HB2575 , HB2577 , HB2588 , HB2594 , HB2604 , HB2636 , HB2714

Summary: The House convened with a quorum, recited the Pledge of Allegiance, and heard a prayer before approving the previous day’s minutes and taking caucus breaks. Members were reminded that the three-minute rule for debate had begun and would remain in effect through House of Origin cutoff. The chamber then moved through second- and third-reading action on a series of bills, mostly on capital, consumer, labor, and professional licensure topics. Several bills were advanced and passed with broad or unanimous support. House Bill 2338 would expand low-income weatherization work to community-scale and multifamily projects; House Bill 2353 raises the threshold for requiring pre-design on public projects; Substitute House Bill 2363 allows music therapy students to practice under supervision while exam scores are pending; Substitute House Bill 2525 creates a Heritage Orchard Program to preserve rare apple varieties; Substitute House Bill 2420 increases small works roster thresholds; Substitute House Bill 2428 prevents unintended lapses in life insurance by allowing a third-party designee to help maintain coverage; House Bill 2604 allows electronic signatures for transferring a vehicle to an insurer; and Substitute House Bill 2107 makes permanent a requirement that L&I provide written notice to employers/contractors when hazards are identified. Each of these bills passed by large margins, generally 94 yeas and no nays, except HB 2338, which passed 93-1. The House also adopted Amendment 1517 to Engrossed Substitute House Bill 2247, a striker that revised the veterinary client-patient relationship bill to require annual veterinarian visits for certain animal production, commercial, and breeding operations and to align the measure with federal law. Supporters said it would allow veterinarians to use telehealth between physical exam visits and improve access for rural and agricultural communities. After the amendment, the bill passed 94-0. The session ended with more caucus announcements and the House at ease.

Transcript Highlights:

• TARGET RATE OF 6 PERCENT ON THE DEBT RATIO WHICH IS CALCULATED BY USING THE CURRENT DEBT SERVICES IS PAYMENT
• THE EMERGENCY DOES OCCUR IT CLEARLY LAYS OUT HOW WE CAN IF WE HAVE A REVENUE SHORTFALL CAN SUSPEND PAYMENTS
• AT ONE TIME THAT NUMBER CAPPED AT 10 PERCENT AND I THINK THIS YEAR, AS A SIDE NOTE, I THINK YOUR PAYMENT
• THE FIRST TWO PAYMENTS ON I UNDERSTAND THAT 750 MILLION EACH WOULD TECHNICALLY HAPPEN BEFORE VOTERS WOULD
• GENERAL REVENUE IT DOES NOT SAY 10 PERCENT IT SAYS IF THERE IS A DECLINE IN GENERAL REVENUE THAT PAYMENT

Transcript Highlights:

• </c><00:16:01.680><c> um</c> actuarial sound capitated payments um actuarial sound capitated payments
• Payments that are made to county nursing homes.
• </c> incentive adjustment, uh, payment. incentive adjustment, uh, payment. payments<01:25:21.040><c>
• I don't know how you could payments.
• </c> ProShare uh payments uh into the rate. ProShare uh payments uh into the rate.

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• , Public Safety Services, the Office of Management and Finance administers payments to police officers
• This next section will provide funding updates on the current correctional debt service payments.
• The current payments are for energy services company, OJ Swanson at Monroe, and LCIW.
• The current payment which were sold for construction, improvement, and facility purchases.
• The current payments are for energy services company, OJ Swanson at Monroe, and LCIW.

Committee: House Appropriations

Summary: The committee heard FY27 budget presentations for the Department of Public Safety and Corrections, beginning with Public Safety Services. House Fiscal Division staff reviewed the department’s recommended budget of $645.9 million, including supplemental pay, State Police, Motor Vehicles, and the State Fire Marshal. Officials explained that the overall budget reflects a net decrease from FY26, driven largely by shifts in funding sources, removal of one-time statutory dedications, and adjustments tied to undercollections in fees and self-generated revenues. State Police was recommended at $459.7 million, OMV at $86.7 million, and the Fire Marshal at $41.1 million. Department leaders also described ongoing modernization efforts, staffing vacancies, and the use of efficiencies identified internally. Lieutenant Colonel Robert Burns and agency heads testified about State Police operations, including increased cadet graduations, improved Mardi Gras security, progress on APHIS and OMV modernization, and the new crime lab under construction. Members asked about undercollections, vacancies, the role of public tag agents, and whether the agency could expand counter-drone capabilities. Burns said the department has identified about $11 million in efficiencies, but warned that counter-drone work would require additional funding, citing a $4.5 million fiscal note for HB 940 and roughly $9 million more for a robust unit. OMV officials said staffing and retention remain difficult, but modernization should improve service and reduce lines; they also said the agency continues to rely on public tag agents and is working through reinstatement fee collection issues. The committee then reviewed the Department of Corrections FY27 budget, recommended at $902.3 million, with most funding from State General Fund and a large increase tied to higher incarceration costs, medical needs, overtime, and added capacity at Louisiana State Penitentiary. DOC officials said the department remains under pressure from vacancies, turnover, contraband, and medical costs, and that the budget includes funding to add 150 correctional officers at Angola and to house ICE detainees at Camp J. They also discussed criminal justice reinvestment savings, prison enterprises, and reentry programs funded through the Second Chance Act. Members asked about staffing, inmate deaths at Elaine Hunt, work-release pay, and whether the department is tracking the true long-term cost of incarceration. Officials said they are pursuing pay increases, recruitment, expanded training and reentry programs, and more data-driven workforce alignment, while acknowledging that many budget pressures remain unresolved.

Transcript Highlights:

• That's the usual rhythm for corporate filings outside of quarterly payments.
• They're also running up their credit card payments.
• So this is looking at minimum credit card payments or their credit card balances.
• So this includes transfer payments like Social Security.
• I've got government payments forecasted flat, and that's going to depend a lot on payment timing.

Summary: The committee was convened to review Idaho’s economic outlook and general fund revenue projections for fiscal years 2025-2028, with members instructed to submit “homework” revenue estimates by noon the next day so staff could compile committee averages and medians for deliberations and a final recommendation to JFAC. Opening remarks emphasized the committee’s constitutional charge, the use of the binder materials and online packet, and that the committee would meet again the next day to discuss and vote on the revenue projection recommendation. Staff and agency presentations focused on the state’s budget and revenue picture. Legislative Services Office staff described structural imbalance concerns, noting that statutory spending changes and earmarked sales tax distributions have crowded out flexibility, while cash reserves remain substantial. The Division of Financial Management’s economist explained the official revenue forecast, including revised treatment of sales tax and tax relief fund accruals, and said the forecast largely held steady overall even as corporate and individual income tax categories shifted. She also discussed the impact of the federal One Big Beautiful Bill Act on SALT deductions and said recent corporate collections had rebounded sharply, suggesting timing and behavior changes rather than a broad economic downturn. Outside economists and labor experts painted a generally stable to positive economic picture. Zions Bank’s economist said the Federal Reserve is likely near the end of major rate cuts, long-term rates and mortgage rates remain elevated, tariffs have risen sharply, but inflation has not yet shown broad tariff-driven acceleration; he described the national labor market as slowing but not contracting and said 2026 could be a rebuilding year. The Idaho Department of Labor reported that Idaho’s unemployment remains historically low, job growth is steady, wage growth is moderating from overheated pandemic-era levels, and the state’s labor market remains healthier and more balanced than the national picture. The committee also heard from Idaho Power’s economist, who began a presentation on broader economic conditions and utility-related demand trends before the transcript ended.

Transcript Highlights:

• system in the form of a pension payment system in the form of a pension adjustment<00:05:05.360><c>
• are responsible for making the payments.
• So, in total, they'll be making a $20 million payment.
• Um, it's just that the payments back to the school districts from the state is at a lower number.
• </c><00:32:35.600><c> will</c> that the the direct aid payments will that the the direct aid payments

Committee: Senate Finance

Transcript Highlights:

• SB 878 strengthens California's existing prompt payment insurance laws by imposing automatic interest
• In the aftermath of a disaster, policyholders depend on these prompt payment protections enforced by
• consensus that prompt payments must be enforced, not just expected.
• It's been over 15 months, and we still haven't received all of our personal property payments.
• from dishonest contractors and force accelerated payments based on incomplete information.

Summary: The committee heard three major insurance-related bills. SB 1209 by Senator Allen would give the Insurance Commissioner new authority to require insurers to implement corrective actions found in market conduct and financial exams, with penalties for failure to comply. Supporters, including Commissioner Ricardo Lara and his deputies, said current law leaves CDI without a direct way to compel remediation of repeated violations or obtain needed financial information, while opponents argued the bill expands CDI authority too far, could duplicate existing penalties, and should be limited to legal violations rather than recommendations. After discussion, members and the author agreed to narrow the bill through amendments, including tying it to legal violations, applying penalties per exam rather than per policy, and clarifying accounting language; the committee then passed the bill 5-1 to Appropriations, with one member on call. SB 1301, also by Senator Allen, would reform residential property insurance non-renewals by requiring clearer written explanations, giving homeowners a chance to mitigate correctable issues, and prohibiting certain unfair non-renewal bases such as claims below deductible or claims not paid by the insurer. The author and supporters said Californians face unusually high non-renewal rates and often receive vague notices that make it hard to keep coverage, while opponents warned the bill’s original 180-day notice period and reporting requirements were too burdensome and could worsen availability. Senator Richardson said he would support the bill after the author agreed to reduce the notice period to about three months and continue working on a mitigation-based process; the committee then approved the bill 4-1, with one member on call. The committee also considered SB 1026 by Senator Gonzalez, which would strengthen regulation of bail fugitive recovery agents by allowing CDI to suspend or revoke licenses without a criminal conviction, expanding prohibited conduct, and tightening insurance and appointment requirements. Supporters, including Commissioner Lara, said the 2022 licensing law left loopholes that allow misconduct to continue and that the bill would improve public safety and accountability. Opponents from the bail industry and crime victims groups argued the bill requires unavailable or impractical insurance coverage, including coverage for willful acts, and could reduce the number of recovery agents and delay justice. Members raised concerns about the insurance language and availability, and the author said the bill was still being worked on with opposition; the committee passed it 4-1, with one member on call. Finally, the committee heard SB 982 by Senator Wiener, the Affordable Insurance and Recovery Act, which would let the Attorney General seek recovery from fossil fuel companies for climate-related costs affecting the Fair Plan and private policyholders. The author said Californians are paying rising insurance and disaster costs while fossil fuel companies that contributed to climate change are not, and witnesses from flood and wildfire communities and climate policy experts supported the bill as a way to fund recovery and resilience. Opponents, including business and labor representatives, argued the bill would impose broad liability, invite litigation, and harm jobs and energy affordability. The hearing included extensive testimony, but no vote was taken on SB 982 in the portion provided.

Transcript Highlights:

• assistance to pair with down payment assistance to pair with this<00:08:31.080><c> product.
• </c><00:15:42.959><c> is</c> know, 800 buck a month payment is know, 800 buck a month payment is oftentimes
• And so, there able to make the payments.
• And those valid reasons are non-payment of rent, repeat late payments of rent.
• ,</c><00:57:01.520><c> but</c> and not renew for non-payment, but and not renew for non-payment, but

Committee: Senate Housing and Homelessness Prevention

Transcript Highlights:

• Uh, 457 allows the department to look at various value-based payment models.
• Same thing in line 766, 769, and in removing that language we also allowed for an alternative payment
• payment uh models. models. models.
• Section 6, line 2177, allows for supplemental payments to hospitals.
• The section 6, line 2177, allows for supplemental payments to hospitals.

Committee: Joint Medicaid

Transcript Highlights:

• And in continuation, they collaborated with me to locate the funds to facilitate payment.
• And she hasn't received any payments since the 2019 determination that she is owed wages.
• While payment in that case is positive, the employer did pay for some of the wage theft.
• plan and put a down payment of $10,000.
• However, a few months later... ...and put a down payment of $10,000.

Committee: House Labor and Employment

Transcript Highlights:

• effectuate a 2 and 1/2%<00:18:29.360><c> reduction</c><00:18:29.800><c> in</c><00:18:29.880><c> payments
• for plan year 1/2% reduction in payments for plan year 27<00:18:31.880><c> and</c><00:18:32.000><c>
• . payments. payments.
• We also increase general fund by $13 million each year to support a one-time supplemental payment to
• in aid payments for each qualified volunteer fire department.

Summary: The Kentucky Senate Appropriations and Revenue Committee met with a quorum and first took up House Bill 503, the legislative branch budget, adopting a committee substitute and reporting it favorably. The chair said the Senate version fully funds defined calculations, provides 2% raises in each fiscal year for legislative employees, removes a paragraph on operating expense reductions, and includes $1 million in the first year for a judicial branch salary study. House Bill 504, the judicial branch budget, was then amended and reported favorably; changes included 2% annual raises for judicial employees, revised operating expense language, $1 million each year for county current services, retention of Boyle County fit-up language, reporting requirements for smaller capital projects, full funding for nine judges added in 2022, and removal of furlough prohibitions and certain budget implementation language. Both bills passed the committee unanimously with favorable expressions to the floor. The committee then considered House Bill 500, the executive branch budget, adopting a committee substitute before hearing a lengthy summary of major spending and policy changes. The chair described statewide 2% annual employee raises, agency base reductions with many exemptions, increased school safety and 911 funding, veterans and military funding, local government and severance-related changes, attorney general and auditor funding, pension and retirement system support, education funding changes including SEEK, postsecondary and scholarship provisions, public safety and corrections funding, and multiple capital projects. The chair also highlighted Medicaid-related provisions, including added waiver slots, increased state-directed payments, a 2.5% reduction in managed care vendor payments for plan years 2027 and 2028 with savings redirected to fee-for-service rates, and additional funding for behavioral health and public health programs. The bill was reported favorably after members explained their votes, with several noting they had only recently received the full 228-page bill and wanted more time for detailed review. Finally, the committee adopted a committee substitute for House Bill 900, an appropriation measure for government agencies, and reported it favorably. The chair said the bill remains a work in progress and that one-time funding requests from across the Commonwealth and across party lines would continue to be addressed as the process moves forward. All measures considered during the meeting passed the committee with unanimous or near-unanimous favorable votes, and the meeting adjourned after no further business.

Transcript Highlights:

• I'm an attorney, and I worked on payments policy for about 18 years for U.S.
• amount, and the bill would only apply to 10% of the financial marketplace in California, will the payment
• Right now, the U.S. has about 25 percent of the payment card volume worldwide, but we have...
• Right now, the U.S. has about 25% of the payment card volume worldwide, but we have about 40% of the
• It is not a part of the payment processing system at all.

Summary: The Assembly Banking and Finance Committee heard several bills, beginning with AB 407, which would expand the California Pollution Control Financing Authority. The author said the measure would increase flexibility and access to resources, and the bill was approved 7-0 and sent to the Committee on Local Government. The committee also adopted the consent calendar, which included AB 76, by a 7-0 vote. A lengthy portion of the meeting focused on AB 1065, which would prohibit swipe fees on the sales tax portion of credit card transactions. Supporters, including small business owners, restaurant and grocery representatives, and a payments-policy expert, argued the bill would reduce costs for merchants and consumers and rein in dominant card networks. Opponents, including banks, credit unions, and payment industry groups, argued the bill is likely preempted by federal law, would be difficult to implement, and could disproportionately affect community banks and credit unions. After extensive questioning about preemption, fraud, implementation, and consumer impacts, the committee rejected the bill on a 6-0 vote, but then granted reconsideration by a 7-1 vote. The committee then heard AB 1365, which would create the Cal Account Program, a zero-fee, zero-penalty state banking account for unbanked and underbanked Californians. Supporters said the program would help low-income households, survivors of abuse, and others facing barriers to traditional banking, while opponents from community banks and credit unions argued existing low-cost accounts and the Bank On program already address the need and raised concerns about cost, feasibility, and duplication. The bill advanced on a 6-0 vote and later received enough votes on the reopened roll to move forward to the Committee on Labor and Employment. The committee also approved AB 1052, which would create a legal framework for digital assets and address unclaimed digital property and restrictions on public officials issuing or promoting digital assets, and AB 1180, which would create a pilot program for paying state fees with digital financial assets and require a report on broader adoption. Both bills passed with broad support after brief testimony and discussion. Final roll calls later confirmed AB 1052 and AB 1180, along with AB 407 and AB 1365, were moved out of committee.

Transcript Highlights:

• uh bof Fields infrastructure payments uh bof Fields infrastructure which<00:15:23.000><c> we</c><00:
• Clause C is for cost-share payments for the cost of organic certification.
• Within this appropriation there are specific carve-outs for incentive payments.
• Clause Q is for down payment assistance grants with the updated 2024 writer language.
• Thank you as well for the increased funding for wolf and elk depredation payments.

Bills: HF1704

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• </c><00:57:02.520><c> to</c> received the state makes payments to received the state makes payments to
• </c><00:57:08.319><c> is</c> claim now even though the payment is claim now even though the payment is
• </c><00:58:28.920><c> no</c> receiving reinsurance payments no receiving reinsurance payments no for-profit
• This would shrink the space that we currently need for that directed payment program.
• </c> currently need for that directed payment currently need for that directed payment program<01:27:

Bills: HF837 , HF1903 , HF499 , HF794

Committee: House Health Finance and Policy

Transcript Highlights:

• This is supported by workers' comp payments made by employers. Next item is B4.
• As we've said before, the payment distribution in this particular grant program is different from anything
• been completed in phases, and as that construction takes place and is certified to our office, then payments
• But we have the appropriation in that line to make those payments that we're talking about right now.
• Number nine is DHS with ERISA Health and amends an existing contract for board payment for children in

Committee: All JOINT BUDGET COMMITTEE

Transcript Highlights:

• So what are those lease payments? How much have we paid in lease since April of 2025?
• The bulk of the rest of the transfers are our weekly transfers for the nursing home payments.
• It also depends on some quarterly payments that will be made.
• It also depends on some quarterly payments that will be made. it changes almost every week.
• It also depends on some quarterly payments that will be made and some end-of-the-year payments.

Committee: All ALC-PEER

Summary: The committee considered a series of appropriation, fund transfer, and reserve requests across multiple agencies. Section B temporary appropriations included funding for state technology upgrades, personnel management staffing and IT skills assessment, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, and higher education workforce grants and credentialing pathways. Additional items covered an ARPA grant for the University of Arkansas Fort Smith LPN program, an IIJA grant for the Oil and Gas Commission’s critical minerals work, a restricted reserve transfer for State Police vehicle purchases, a transfer to the Arkansas Heroes Program, and cash fund requests for the Real Estate Commission’s AV system and HVAC work. Most of these items were approved by voice vote. One budget classification transfer request from the Commissioner of State Lands drew extended questioning and was ultimately not approved. Members questioned the $250,000 transfer to operating expenses tied to the purchase of a West Little Rock office building, the ongoing lease costs at the prior location, and whether the agency had adequately planned for building-related expenses. After discussion, the motion failed, and members told the agency to tighten spending and return if needed. The committee then took up 15 pay plan appropriation requests totaling $25.7 million and approved them after discussion with DFA, DHS, Corrections, and the State Board of Election Commissioners. Members focused heavily on DHS staffing shortages at human development centers, where officials said vacancies and turnover were driven by overtime and burnout rather than pay alone; one member asked DHS to submit a written plan to address the issue. Corrections reported the pay plan had improved hiring and retention. The committee also approved overtime appropriations for Emergency Management and Military. Reports on reserve funds, the Budget Stabilization Trust Fund, tobacco settlement, State Central Services, Education Adequacy, Medicaid Trust, IIJA, and revenue transfer activity were received. The Medicaid Trust Fund report prompted significant concern about February’s $90 million draw; DHS said the month was unusually high because of cash-flow timing and that the fund should end the year with a balance between $150 million and $200 million, while lawmakers noted a second $100 million set-aside is planned for FY27. The final discussion centered on DHS’s state hospital damage claim and reconstruction funding, where members expressed disappointment that insurance reimbursement would likely return only about $1.8 million now and possibly about $97,000 more later, far less than the roughly $5 million initially expected. DHS explained the policy was based on actual cash value and depreciation for old buildings, and said the work would proceed on Unit 3 for secured restoration because it was the most cost-effective option.

Transcript Highlights:

• That's probably the terminology you're most familiar with is the per-pupil payment.
• And the purpose of deducting the Medicaid payment is not to... Of the situation.
• rather than the full payment.
• And even the payment models, or the per-pupil payment at the time, was just over 9,000.
• So as hopefully the legislature provides increases to the per-pupil payment, those transportation payments

Committee: Joint Special Education Funding Committee

Transcript Highlights:

• You're referring to an incremental payment. You're not referring to an annual payment every year.
• You're referring to an incremental payment. You're not referring to an annual payment every year.
• You're not uh to an incremental payment.
• </c><00:06:14.960><c> every</c> referring to an annual payment every referring to an annual payment every
• And at that time, we were payments.

Summary: The committee heard testimony on Senate Bill 118, as amended, which contains several unrelated provisions with a modest fiscal note. Nathan White of the Department of Health and Human Services explained that section 1 would change the personal needs allowance for Medicaid-eligible residents of private and county nursing homes from an adjustment every five years to an annual adjustment, increasing the state cost by about $50,000 per year. He also described section 2, a one-time appropriation of about $160,000 to make certain Hampstead employees whole for missed bonuses and lost leave during the state’s transition of the facility to Dartmouth management. White then outlined sections 3 through 5, which would create a dedicated fund for Hampstead lease revenue to cover the state’s contractual obligation to match Dartmouth capital improvements dollar-for-dollar up to $3 million. He said the state receives about $1.141 million in lease revenue in the first year, with a 3% annual escalator, and that the fund would hold lease revenue until needed for reimbursement. Members questioned how the matching arrangement would work, what happens if Dartmouth spends before the fund has enough money, and whether the state could refuse to match certain improvements. White said Dartmouth has final determination under the agreement if disputes arise, and that if the bill does not pass the state could face difficulty meeting the obligation without cutting services or finding other general funds. Several members also raised policy concerns about the personal needs allowance becoming an automatic cost driver. Brian Clark, attorney for the Bureau of Adult and Aging Services, clarified that current law requires the allowance to be updated at least every five years, but the legislature could change it in an off year if it chose. He also explained that the allowance is money residents retain from their own income, such as Social Security, as part of Medicaid cost-of-care calculations, and that the department does not regulate how residents keep those funds. No vote was taken during the discussion, and the committee paused to correct the bill copy before continuing testimony.

Transcript Highlights:

• So we have additional training and we also have payment for supervised visitation, which I think are
• Um, and as far as the um other payment.
• Just to make a comment, um first um to follow up on the payment of the supervised visits.
• on the payment of the supervised<00:13:57.199><c> visits.
• And then um responsible for the payment.

Committee: House Families & Children