Transcript Highlights:

• So, for example, for me, Hawaiiana and Porter McGuire, they just forgot to apply my $4,000 payment to
• to my account, and they >> $4,000 payment to my account, and they sent<00:37:43.280> me
• And so payments received from an owner under the current statute cannot be applied to a judgment.
• applying payments first to a money judgment.
• applying payments first to a money judgment.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 2294, which would require condominium associations, boards, and managing agents to comply with declarations, bylaws, county ordinances, and state and federal laws, including mortgage lending requirements. The Community Associations Institute opposed the bill as redundant, arguing existing law already requires compliance and provides penalties. Supporters, including condominium owners and board members, said the measure would clarify that associations are not “self-governing” in a way that exempts them from outside laws, and cited examples where local officials or police told residents to take issues back to their boards. Several supporters said the bill would reinforce board responsibility for permits, safety, and legal compliance. The committee noted 27 pieces of testimony, with 10 in support and 17 in opposition, and then moved on without taking a vote on the measure in the transcript provided. The committee also took up SB 2298, which would require common interest community proxy forms to include additional language explaining proxy selection options. The Community Associations Institute opposed the bill, saying the proposed language was inaccurate and would not improve consumer clarity unless significantly revised. Supporters argued that proxy forms are confusing and that clearer instructions would help homeowners understand how their votes are being used. Opponents said the added language would make the forms longer and more confusing, and suggested a separate instruction sheet or other educational material instead. Testimony also raised broader concerns about proxy voting being misused in some associations, with one witness urging that proxy voting be eliminated altogether. The committee reported 29 written testimonies, including seven in support, 19 in opposition, and three with comments, and again did not record a final vote in the excerpt. For SB 2300, which would shorten condominium reserve cash-flow projections from 30 years to 25 years, the Community Associations Institute opposed the bill, saying it would not make housing more affordable, would reduce transparency, and would increase the annual burden by giving associations less time to save for long-life components. The group suggested that if affordability is the goal, lawmakers should consider allowing future loans or special assessments with guardrails. Supporters of the bill said the shorter projection period would better reflect practical budgeting and help associations plan more realistically, though some supporters also warned against relying too heavily on loans and emphasized accountability and fiduciary responsibility. Other testimony stressed that the impact of changing the projection period would vary by association and that many owners are already struggling with rising fees. The discussion remained focused on testimony and policy concerns, with no final action on SB 2300 shown in the transcript.

Transcript Highlights:

• to pick up 15% of the programmatic costs. the payment error rate is 8 to 10%, the the payment error rate
• But we are examining all of the reasons for our payment error rate.
• factor that that impacts our payment factor that that impacts our payment error<01:00:38.240>
• disconcerting about that is the payment disconcerting about that is the payment error<01:01:08.319
• That's all that's in there is the child care payment program.

Keywords: Appropriations - Room 216, 28 January, 2026; 8:15 AM, 925, all

Summary: The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy. MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency. A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.

Transcript Highlights:

• The uh the fee is subject to payment by the taxpayers.
• It's, it's based off of, as I understand it, it's based off of whatever their tax payment is.
• If they do it as like a 2%, then it's gonna be if your tax payment was $1000 then 2% of that is what,
• And again, this is a, uh, just an option of payment, right?
• So you still have the payment right now that you can do by regular check, uh, with, with no fee.

Transcript Highlights:

• through the supplemental payments.
• for SHIP hospitals. and the Level One payment for OU Health.
• They calculate our payment typically in January or February.
• We have a lot of payments that are quarterly payments, and so we traditionally carry over money to pay
• that fourth quarter payment.

Keywords: 914, all

Transcript Highlights:

• All of my payments went toward the interest.
• If I was running behind on a payment, there were late fees in addition to compounded interest.
• <00:33:39.919> the borrowers missing a monthly payment the borrowers missing a monthly payment
• She trusted him, and after the paperwork went through, her payments went up again.
• Fargo a few years ago had a payment Fargo a few years ago had a payment scheme<00:56:05.960>

Keywords: 1187, senate, all

Transcript Highlights:

• plan, actually a different type of payment plan for interconnection payments so that developers ...for
• interconnection payments so that developers can secure their spot for interconnection, particularly
• But it comes at a cost, and we think there should be a payment plan there.
• And we think there should be a payment plan there.
• Right now, projects need to make those payments in cash.

Keywords: 995, all

Summary: The hearing focused on ways Massachusetts can accelerate solar deployment, lower costs, and preserve reliability as electricity demand rises and federal support for solar and other renewables changes. Chair Creem opened by emphasizing solar’s role in meeting climate mandates and peak demand, citing June heat-wave data showing behind-the-meter solar reduced wholesale prices and saved ratepayers money. Commissioner Elizabeth Mahoney of DOER said Massachusetts has grown from 3 MW of solar in 2008 to 3.5 GW today, highlighted SMART 3.0 as a flexible, evergreen incentive program, and said DOER is working on updated rates, interconnection reforms, flexible interconnection, net crediting, and a petition to the DPU to speed implementation. She also said Massachusetts joined the lawsuit over canceled federal Solar for All funding. Committee members and witnesses discussed several policy changes to speed projects before federal tax credits expire, including automated permitting, remote inspections, faster interconnection, and changes to caps on municipal and regional solar development. Senator Barrett pressed Mahoney on whether the 10 MW municipal cap and regional caps should be lifted, and on whether the state should increase its solar tax credit to offset the loss of the federal residential credit. Mahoney said the municipal cap should be revisited and that interconnection cost allocation and other market issues need to be worked out before lifting broader caps. She also said DOER is open to automated permitting and is already developing a permitting portal under the 2024 climate law. Industry and advocacy witnesses largely supported streamlining measures. Sunrun’s Bronte Payne urged removal of a proposed requirement that all net-metered facilities enroll in SMART, and recommended automated permitting, remote inspections, flexible interconnection, better hosting-capacity information, consumer protections, and continued support for Connected Solutions and virtual power plants. Permit Power’s Hannah Bernbaum and Solar App’s Matthew McAllister argued that smart permitting and remote inspections can significantly reduce soft costs and delays, with McAllister saying Solar App now operates in over 320 jurisdictions and saves about three weeks on average. They said remote inspections are already common and can be done safely with photos, video, and qualified third parties. Community solar and clean energy advocates, including CCSA’s Kate Daniel and Vote Solar’s Lindsay Griffin, supported a 10 GW solar target by 2035, a higher refundable state tax credit for low-income households, interconnection reforms, flexible interconnection, and preserving the option to build outside SMART so projects can retain renewable energy certificates. No votes were taken; the hearing was informational, and members requested follow-up materials and draft language from witnesses.

Transcript Highlights:

• , and how payments will be processed.
• , and how payments will be processed.
• In another case, staff requested reimbursement documentation before issuing additional payments.
• Staff requested reimbursement documentation before issuing additional payments.
• This action violated the contract, which prohibits payments before proper documentation is received.

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee subcommittee held a hybrid hearing to receive three State Auditor’s Office performance audits. The first audit examined implementation of the Law Enforcement Training and Community Safety Act. Auditors said the Criminal Justice Training Commission had developed most required training, but six community/cultural topics were still unfinished, the patrol tactics curriculum was incomplete in one area, and the agency lacked a systematic project management approach. They reported that most officers had not completed the 40 required hours, with low participation in patrol tactics training, weak communication, limited data to track compliance, and ineffective incentives or consequences. Committee members questioned staffing, liability, and enforcement, and the Commission said it generally agreed with the findings and had begun implementing recommendations, including improving training development and communication. The second audit reviewed Washington’s digital equity planning. Auditors concluded the state lacked a comprehensive, unified digital equity strategy, a designated lead, and reliable funding. They said the existing PEAR/Impact Plan, BEAD five-year plan, and NTIA-approved digital equity plan each addressed parts of the issue but none provided a full statewide framework with clear authority across agencies. The Department of Commerce’s Broadband Office and the Office of Equity said they agreed with the findings and were open to working with the legislature and the Digital Equity Forum on a more structured approach. A public witness described local and regional digital equity planning efforts and emphasized the importance of coordination and community-based work. The third audit focused on Commerce’s management of the Digital Navigator Program. Auditors said Commerce did not consistently use a competitive process, did not adequately vet grantees and subgrantees, wrote contracts that lacked clear deliverables and monitoring requirements, failed to enforce reporting, and paid $10.7 million without sufficient documentation to verify reimbursement eligibility. They said agency staff had raised concerns that were ignored and that some payments and contract expansions occurred despite warnings. Commerce officials said new leadership had already begun major contract-management reforms, including centralized oversight, risk assessments, clearer documentation standards, and staff training, and they said they would pursue recapture where appropriate. Committee members expressed strong concern about accountability, and the hearing ended after public testimony and committee discussion.

Transcript Highlights:

• We receive about 1.3 million in loan repayment payments each year. 89.5 million has been of the principal
• <00:04:34.000> repayment<00:04:35.120> uh<00:04:35.680> uh<00:04:35.919> payments
• <00:04:36.720> each in loan repayment uh uh payments each in loan repayment uh uh payments
• <00:16:21.120> made<00:16:21.440> to<00:16:21.759> a child for a direct payment
• made to a child for a direct payment made to a licensed<00:16:22.560> child<00:16:22.959>

Keywords: Finance - Room 216, 19 February, 2026; 1:30 PM, 925, all

Summary: The committee first heard testimony from Dr. Edney on the state revolving fund program for rural community water associations. He explained that the program has operated since 1997 using EPA grant funding and a state match, with low-interest loans, emergency funding, and loan forgiveness. He said the state match has risen in recent years because of increased federal infrastructure funding, but is expected to decline again as that enhanced funding ends. Members asked where repayment money goes, and he said it stays in the revolving fund rather than going to the general fund. He also discussed EPA pressure for consolidation of small water associations, minimum operational standards, and the possibility of using loan forgiveness incentives to encourage consolidation. No votes were taken on this presentation. The committee then took up Senate Bill 2824, which extends the eligibility dates for certain energy projects to qualify for ad valorem tax exemptions, moving the relevant deadlines from 2026/2027 to 2031. The committee adopted the committee substitute and passed it by voice vote. Next, Senate Bill 2867 revised an earlier employer child care tax credit program. Senator Boyd said the bill simplifies the program, allows a 50% income tax credit for employers providing dependent care during work hours or making at least $2,000 per child direct payments to licensed child care entities, and caps the credit at $3,000 per child per year. A committee substitute also placed a $1 million cap on the overall credit program. Members discussed the need for child care support, the role of federal and state funding, and whether the bill would increase employer participation. The committee adopted the substitute and passed the bill by voice vote. Finally, the committee considered Senate Bill 3109, a simple bill affecting Lafleur's Bluff State Park. Senator Blount explained that the park is managed under a lease with a nonprofit and that the bill would exempt the nonprofit from paying property taxes on the leased state park land. The committee adopted the committee substitute and passed the bill by voice vote, then rose and reported the measure out of committee.

Transcript Highlights:

• Since the Attorney General took office in January, he's made enforcing state laws regarding payment of
• This is a rapidly growing area of today's world of how money flows and the ability to track payments.
• The cash payments piece, we did—there was a lot of discussion about this.
• , there's also plenty of legitimate uses of cash payments.
• I'm going to specifically mention cash payments. There was a lot of discussion about this.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• HB 557 prevents individuals from being held in contempt or jailed for non-payment of child support if
• It adds subsection D to allow courts to consider payment records and extenuating circumstances before
• That means he was not current on his payment. Right.
• His payment record wouldn't show that he was current; it would show that he was in arrears.
• They all need to be. separated so that the payment can apply properly.

Bills: HB557, HB732, HB1892, HB1954, HB2301, HB3180, HB3405, HB3650, HB3758, HB4035, HB4621, HB4795, HB4870, HB5069, HB5137, HB5149

Keywords: child support, arrears, court enforcement, contempt, legal protections, healthcare, insurance, cost reduction, accessibility, regulations, impotency, marriage annulment, Family Code, Texas law, family law, Texas legislation, dissolution of marriage, annulment, marriage, child custody

Transcript Highlights:

• It increases the maximum payment amount from the Mobile Home Relocation Fund from $12,500 to $22,500
• So it's the maximum payment amount that you can receive when relocating.
• law that directs unrestricted federal monies to be deposited into the state general fund for the payment
• law that directs unrestricted federal monies to be deposited into the state general fund for the payment
• of operating expenses and... ...district is it states that after the payment of operating expenses and

Keywords: 1182, all

Transcript Highlights:

• It increases the maximum payment amount from the Mobile Home Relocation Fund from $12,500 to $22,500
• Madam Whip and members, so this provision is just increasing the payment amount for a mobile home to
• So it's the maximum... ...payment amount that you can receive when relocating, and members, the way we
• law that directs unrestricted federal monies to be deposited into the state general fund for the payment
• of operating expenses and... ...district, it states that after the payment of operating expenses and

Summary: The meeting covered a series of fiscal year 2027 budget and budget-related bills, beginning with the general appropriations and tax package. Staff and the chair highlighted a budget built around about $1.4 billion in tax cuts, a one-time 2.5% agency reduction, major funding for state employee health insurance, corrections, flood and wildfire relief, and other supplemental appropriations. The chair repeatedly urged support for the package, emphasizing the size of the tax cut and noting that the committee’s joint vote had only three no votes out of 28 members. Members then reviewed several smaller budget implementation bills affecting racing and gambling, capital outlay, commerce and defense innovation, corrections, environment and water policy, higher education, human services, K-12 education, county finance, tax administration, state data governance, and state office rent rates. Key provisions included extending or modifying funds and fee structures, transferring surplus or unneeded monies, creating or revising oversight boards and pilot programs, increasing K-12 funding by 2% for inflation, adjusting university retention limits, expanding SNAP and housing-related requirements, and changing tax conformity and credits. Several members asked clarifying questions about specific items such as electric vehicle charging funds, mobile home relocation payments, university funding, and the new health insurance oversight board. The chair also explained the tax bill’s major changes, including conformity to federal tax law, a larger dependent tax credit, changes to deductions, repeal of certain tax credits, veteran property tax relief, limits on data center tax incentives, and provisions affecting manufacturing infrastructure and unemployment insurance administration. The committee discussed the Budget Stabilization Fund, debt repayment, and education rollover balances, with the chair arguing for using surpluses to pay down debt. The final item discussed was a behavioral health bill creating a home and community-based services program for adults determined to be seriously mentally ill, with a stated FY 2027 total fund appropriation of $7.8 million contingent on federal approval and matching funds. The meeting ended with a reminder that floor action would begin the next day at 10 a.m.

Transcript Highlights:

• unlimited access to Americans' personal financial information, as well as the power to block any payment
• As the world's largest health insurer, CMS sets health care coverage and payment policies for tens of
• And I'm also interested in how you might reform our payment programs to become more efficient to serve
• We have doctors moving over the border. to take advantage of better payments.
• They know about the payment issues. but they don't appreciate that the incentives around the payments

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• CS for HB 175, payment stable coins. You're recognized to explain the bill.
• , more efficient, and create additional payment options.
• to U.S. dollars, processing them like any other payment method.
• If there are no regulated payment stable coins, DFS will accept federally compliant out-of-state payment
• Employers may contribute $1,000 towards an employee's down payment or closing costs.

Transcript Highlights:

• UIL rules continue to prohibit high school students from receiving NIL payments.
• If they take an NAL payment, they will become ineligible to compete in high school.
• My bill does not authorize the use of public funds for NAL payments.
• So how these payments were structured and by from what booster? I'm just not advised.
• Student athletes have been receiving payment.

Bills: HJR5, HB39, HB 102, HB 126, HB290, HB300, HB1330, HB2110, HB2143, HCR64, HCR101

Keywords: education funding, Texas State Technical College System, constitutional amendment, capital projects, workforce education, military education, early registration, ROTC, corps of cadets, higher education, military academy, student athletes, name image likeness, compensation, intercollegiate athletics, representation, tuition assistance, military, Texas State Guard, education

Transcript Highlights:

• And the legacy payment will adjust in order to do that. And then.
• And that plan has different benefit structure, different payments than the state.
• Those legacy payments are projected to save $8.5 billion for the state. in the HB1 is filed.
• as well as the investment experience that we had on that. and the continued legacy payments.
• There is an a the continuation of the legacy payments and an additional one billion dollar payment to

Keywords: infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations

Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.

Transcript Highlights:

• And if estimated payments are indicative of...
• And if estimated payments are indicative of their final payments, which happen in the second half of
• So the final payment is due for calendar year filers in May.
• So May is a big collection month, and the first and second estimated payments for the fiscal year...
• And the first and second estimated payments for the fiscal year are due in June.

Summary: The committee took up three tax-related bills and a staff presentation on the state revenue forecast and the federal One Big Beautiful Bill Act. SB 856, by Senator DeSigley, would require online real estate listing platforms to display estimated property taxes using state-prescribed methods rather than the current owner’s taxes. Supporters from county, city, and property appraiser groups said the bill would improve transparency for homebuyers, especially first-time buyers and those facing large tax increases after a homestead cap reset. Senators discussed ensuring the estimate appears directly on listing platforms. The bill was reported favorably. The committee then considered SB 110, by Senator Arrington, which clarifies that people holding 98-year-or-longer residential leases remain eligible for the homestead exemption even if the lease ends upon death, aligning such leases with life estates for estate-planning purposes. An amendment was adopted to clarify that leases terminating at the lessee’s death are valid under current law. The Florida Bar’s Real Property, Probate, and Trust Law Section supported the bill, and Senator Gates noted its importance for long-term leaseholders on barrier islands. The amended bill was reported favorably. SB 434, by Senator Leak, would prevent property tax assessments from increasing because of improvements made to harden homes against wind damage, such as stronger roof attachments, shutters, and secondary water barriers. The sponsor said homeowners should not be penalized for resilience upgrades, and the bill was also reported favorably. Staff director Mr. Khan then reviewed the latest general revenue forecast, noting collections were running about $230 million above prior estimates through November and that the new forecast added roughly $500 million in the first budget year, with a smaller increase in the second year. He said corporate income tax was the main weakness in the forecast, due to softer collections and uncertainty around tariffs, while other sources were generally stronger. In the second half of the presentation, he explained that the federal One Big Beautiful Bill Act would significantly affect Florida’s corporate income tax base if fully conformed to, with an estimated $3.5 billion general revenue impact in fiscal year 2026-27, largely because of retroactive provisions such as bonus depreciation and research expensing. Senators and the appropriations chair discussed the budget implications, including possible ways to limit the impact through decoupling or prospective treatment. No votes were taken on the forecast presentation, and the committee adjourned after members requested to be recorded as voting in favor on SB 856 and SB 110.

Transcript Highlights:

• , someone who was late with a payment, someone who was late with a payment, which<00:20:15.039>
• .<00:20:34.960> They<00:20:35.200> were<00:20:35.360> financially payment.
• They were financially payment.
• They're not able to discharge their patients for non-payment.
• They have to patients for non-payment.

Keywords: 1191, senate, all

Transcript Highlights:

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

Keywords: 928, house, all

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:

• individuals receiving certain residential waiver services following the commissioner withholding payments
• to a residential service payments to a residential service provider<00:02:44.200> that<00:02:
• <00:04:47.640> to account for each client's payments to account for each client's payments
• Section five makes two changes to the statute governing payment withholds.
• Section five makes two changes to the statute governing payment withholds.

Keywords: 1187, senate, all