Transcript Highlights:

• AA U and those are the prompt payment AA U and those are the prompt payment clean<01:21:04.360><
• Once again, lining out starting on 23: provided that no covered individual shall have a co-payment for
• for ground Ambulance Service co-payment for ground Ambulance Service provided<01:26:14.320> that<
• a co-payment for ground emergency<01:26:50.480> ambulance<01:26:50.920> service<01:26:
• statute on this, and it probably shouldn't say R; it should say the prompt payment requirements.

Keywords: 1191, senate, all

Transcript Highlights:

• So the entire idea of allowing these installment payments over time for claims was so that we can go
• over time for installment payments over time for claims<00:37:05.760> was<00:37:06.079> so
• or structured payments and that kind of thing.
• <00:39:45.359> or<00:39:45.599> structured<00:39:45.920> payments onetime payment
• or structured payments onetime payment or structured payments and<00:39:46.400> that<00:39:46.560

Keywords: 928, house, all

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• This is very, very crucial because our base Medicaid payments are well below the actual cost of what
• So this is bringing those payments up to 95% of the average commercial rate.
• <00:51:36.760> above<00:51:37.040> these increase our payment above these increase
• <00:52:16.720> below government dictated their payment below government dictated their payment
• <00:52:32.680> is that amount of commercial payment is that amount of commercial payment is

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• rates, and how to get payment rates really fair.
• In this bill is the first-ever hospital directed payment program.
• State-directed payments are not new.
• Alongside that, there's a direct payment program for our hospitals.
• Directed payments—that's going to make a huge difference.

Transcript Highlights:

• And that is the number one concern of mine, that if we do not get directed payments and support for HCMC
• And that is the number one concern of mine, that if we do not get directed payments and support for HCMC
• And that is the number one concern of mine, that if we do not get directed payments and support for HCMC
• And that is the number one concern of mine, that if we do not get directed payments and support for HCMC
• that if we do not get directed payments that if we do not get directed payments and<00:13:02.600

Keywords: 1187, senate, all

Transcript Highlights:

• this fiscal year, I believe that the number was $26 million, which was what was obligated in the payments
• Um, and then the Senate allowed us to go back in and do more aggressive payments.
• And that is why when we the payments.
• Um, and again, just because payments.
• Additionally, the commission should establish a rental payment formula as part of its retail store plan

Keywords: 1189, house, all

Summary: The Joint Fiscal Committee met on March 20, 2026, approved the minutes, and adopted the consent calendar after removing two items for separate discussion: FIS 26048 from the Department of Safety and FIS 26053 from the Department of Environmental Services. The committee then adopted both of those items after brief questioning. Safety explained that a $2 million transfer would reduce its lapse, though it still expected a lapse of just under $4 million. Members, especially Senator Gray, emphasized concern about lapses and the need to track them closely given prior-year shortfalls. On the Environmental Services item, members discussed the Heavy Falls dam removal. The commissioner said the dam is old, not grounded in bedrock, and does not meet current safety standards, so removal was the practical option because replacement funding was unavailable. He said the aquatic resource mitigation fund and Army Corps of Engineers support made the removal feasible, and that the town had been involved in discussions for years. The committee adopted the item. The committee also adopted a Department of Transportation item, with staff noting high snowfall and a roughly 25% vacancy rate but saying contractors and bonus incentives had allowed plowing operations to continue. A Judicial Council item was then adopted, with the director saying it would likely be his last appearance this fiscal year. The committee next reviewed information materials on YDC claims administration, where DOJ staff said current spending would leave about a $10 million buffer into the next fiscal year and described reduced staffing and ongoing claims work; no action was taken. The committee then heard audit presentations for the Liquor Commission and Lottery Commission. The Liquor Commission audit reported seven findings, including a material weakness on reconciliations, issues with NextGen data/reporting, gift and promotional card controls, procurement and leasing practices, and one nonconcurrence on whether certain purchases were exempt from bidding requirements; members discussed whether attorney general review or legislation might be needed. The commission said it had completed a year-end reconciliation and was about 70% reconciled through February. The Lottery Commission audit reported three internal control comments, all concurred with by the lottery, focused on written procedures, filling the controller position, annual risk assessments, disaster recovery testing, user access controls, and training compliance; the lottery said it was hiring to reduce reliance on one employee and had no unresolved findings. The committee took no vote on the audit materials and adjourned after setting the next meeting for April 17 at 11:00 a.m.

Transcript Highlights:

• So there's also the issue—it's not only cost, but it's payments.
• Lumpsome payments, especially from the patient compensation fund, are harmful for patients in the long
• And again, that's on medical supplies, coinsurance, copays, deductibles, any kind of cash payments.
• Lump sum payment?
• And they contribute quite a bit of money in tax payments. a bit of money in tax payments—162 billion—because

Keywords: 996, all

Transcript Highlights:

• We go ahead and move on to HB 11174, relating to the procedure for payment under protest lawsuits.
• It allows for the interest earned on payments under protest and the litigated claims fund to be paid
• We go ahead and move on to HB 11174, relating to the procedure for payment under protest lawsuits.
• <00:29:20.120> under interest earned on payments under interest earned on payments under protest
• <00:29:28.480> under refiling and actions the payment under refiling and actions the payment

Keywords: 912, senate, all

Summary: The Judiciary Committee continued hearing several bills. HB 399 would create an additional district court judgeship in the First Circuit; it drew support from the Judiciary, Public Defender, State Bar, Financial Services Association, and others, and there was no opposition. HB 560 would appropriate funds for Judiciary contracts with community-based organizations; many service providers and coalition representatives testified in support, emphasizing the growing gap between contract payments and the actual cost of services, especially for domestic violence, youth, legal aid, and other vulnerable populations. HB 648 would establish a two-year pilot program in the First Circuit probate and family court for guardianship and conservatorship-related resources; the Office of the Public Guardian and disability advocates supported it, while suggesting amendments to clarify that the bill refers to professional evaluations, including psychological, neurocognitive, or functional evaluations, rather than just physicians’ letters. The committee also heard HB 990, which appropriates funds for claims against the state, with the Attorney General noting 21 claims totaling about $6.5 million plus two additional resolved claims and requesting corrections to identify two matters as judgments rather than settlements. HB 991 would clarify that the Attorney General may conduct FBI fingerprint-based background checks on contractors and employees; it was supported by the Hawaii Criminal Justice Data Center and others, with an amendment to include subcontractors. HB 998 would provide that omissions or errors in citations do not require dismissal or reversal if they do not prejudice the defendant; the Attorney General and Honolulu Prosecutor supported it, while one testifier opposed it, and members discussed whether the language adequately protects due process and how it would apply when identifying information is unavailable. Finally, HB 1174 would address payment-under-protest lawsuits by allowing interest earned on certain funds to be paid in non-taxation cases if the claimant prevails and by setting procedures for premature filings. After testimony, the committee moved into decision-making and recommended passage of HB 399, HB 560, HB 648, HB 990, HB 991, HB 998, and HB 1174, generally with amendments where noted, including effective-date changes and the requested clarifications. The measures were adopted, and the meeting adjourned.

Transcript Highlights:

• This Legislature also passed last year a way for us to at least make payment adjustments to scholarship
• If we made payments to the scholarship funding organizations, if we made payments to the scholarship
• This legislature also passed last year a way for us to at least make payment adjustments to scholarship
• If we made payments to the scholarship funding organizations, if we made payments to the scholarship
• funding organizations, ...to scholarship funding organizations along the way, that if we made payments

Summary: The Pre-K through 12 Budget Subcommittee held its first interim meeting, took roll, and established a quorum. Members introduced themselves, many noting backgrounds in education, school boards, local government, or parenting, and Chair Jenna Persons-Mulicka outlined the committee’s goal of building the fiscal year 2025-26 Pre-K-12 budget. She also reviewed the fiscal year 2024-25 education budget, noting that the Pre-K-12 portion totals about $21 billion, with the Florida Education Finance Program (FEFP) as the largest driver, along with major funding for VPK, school readiness, and school recognition. She explained that federal COVID relief funds have ended and that recent school choice legislation has affected budget structure. Commissioner Manny Diaz and department leaders then gave overviews of their divisions. Diaz highlighted Florida’s education rankings, record graduation rate, progress monitoring, expanded school choice participation, charter school growth, and teacher salary investments, while emphasizing a focus on literacy, math, and early learning. Carrie Miller described the Division of Early Learning’s school readiness and VPK programs, their funding, eligibility, accountability systems, and the importance of kindergarten readiness. Paul Burns outlined the Division of Public Schools’ work on educator quality, literacy, standards, certification, family outreach, federal programs, and school improvement. Suzanne Pridgen reviewed finance and operations functions, including budget management, FEFP calculations, grants, procurement, transportation, and emergency management. Adam Emerson described parental choice programs, including scholarships, charter schools, schools of hope, virtual education, and home education. Darren Norris detailed the Office of Safe Schools’ responsibilities for risk assessments, compliance inspections, threat management, grants, and training created after the Marjory Stoneman Douglas tragedy. Members asked questions about several issues, including whether the Safe Schools office recommends changes to the school safety grant distribution formula, whether early learning eligibility should shift from federal poverty level to state median income, how scholarship payments are verified to avoid funding students who return to public school, and whether daily attendance systems could improve funding accuracy. Other questions addressed hurricane-related survey disruptions, VPK provider reimbursement rates and instructional hours, teacher salary increases, school start time costs, and how voucher schools handle IEP accommodations. Department officials generally said some issues remain under review, supported moving school readiness eligibility to SMI, noted that scholarship and enrollment data are cross-checked and adjusted when needed, and said progress monitoring now helps schools support mobile students. On school safety, officials said exemptions are allowed in statute for some items but not for classroom doors, and that district-specific conditions matter. No votes were taken and no formal actions were reported beyond receiving presentations and discussion.

Transcript Highlights:

• , excuse me, the guarantee association to be able to make sure that those who are in need get the payment
• and not just making payments and then having to claw them back for persons who they later find out have
• and um not just making the payment and um not just making payments<00:19:05.360> and<00:19:05.520
• and then having to claw them payments and then having to claw them back<00:19:06.640> for<00:
• This deals with establishing medical assistance payment, and I talked to the chair of Human Services,

Keywords: 1183, house

Transcript Highlights:

• IS OF REFERRED TO AS UPL AND REALLY IS THE MAXIMUM UPPER PAYMENT LIMIT FOR PACE ORGANIZATION.
• WE ALWAYS PAY BELOW THE UPPER PAYMENT LIMIT AND THAT IS A CMS REGULATION REQUIREMENT LABOR FIRST WE CALLED
• UPPER PAYMENT LIMIT THEY CALL IT THE AMOUNT THAT OTHERWISE WOULD HAVE BEEN PAID AND REALLY IF THESE
• TO BE BELOW THAT AND AGAIN THE OTHER PAYMENT METHODOLOGY IS OUTLINED IN THE THREE WAY AGREEMENT THAT
• FACILITY PAYMENT OF $1,722.43 TO APPROPRIATELY COVER DENTAL PROCEDURES.

Keywords: 999, senate, all

Transcript Highlights:

• <01:08:37.520> to estimating a loss of payments to estimating a loss of payments to hospitals
• So, combined that would be payments.
• <01:15:41.040> program the Medicaid directed payment program the Medicaid directed payment
• <01:15:59.199> levels phased down to Medicare payment levels phased down to Medicare payment
• Out of pocket premium payments coverage.

Keywords: 1187, senate, all

Transcript Highlights:

• That's when they receive grant payment.
• <00:36:26.880> And and vendor payments are due. And and vendor payments are due.
• They will receive the last payment of the adequacy payment in April.
• only have two two adequacy payments only have two two adequacy payments left.<01:43:54.400> Are
• So they would payment back to the state.

Keywords: 1191, senate, all

Transcript Highlights:

• If you worked, uh, in sales and you don't know how the formula or the algorithm or the methods or the
• If you worked, uh, in sales and you don't know how the formula or the algorithm or the methods or the
• If you worked, uh, in sales and you don't know how the formula or the algorithm or the methods or the
• 05.599> that<02:14:05.760> is<02:14:05.920> how<02:14:06.079> we that method
• that system that is how we that method that system that is how we all<02:14:06.960> we<02:14:

Keywords: 1183, house

Transcript Highlights:

• The abstract 34% cut across PILT payments to counties will do serious harm.
• <00:10:47.920> for calculation of incentive payments for calculation of incentive payments
• But reducing these payments risks the participation of landowners who are dependent on these payments
• And then we get to PILT payments. broadening the base on the pain.
• Um, majority of the public payments.

Keywords: 1187, senate, all

Transcript Highlights:

• resources, but as we really make that transition to quality and how do we define quality and align payment
• And meanwhile, we've got to make payments to providers.
• When we look at projected fund balance and reserves, we're payment to payment.
• If you don't have someone enrolled, you don't get that payment.
• but the way it's been with ABC if I'm understanding you don't get that payment, but the way it's been

Summary: The committee met to review the minutes and then held a workshop-style discussion with Arkansas Department of Education early childhood officials about the state’s early learning programs, funding, and access. Officials explained that the state-funded ABC program has been largely flat for years, rising from $11 million to about $14 million in 2018, while the federally funded SRA/CCDF side is much larger. They described differences between the programs, including ABC’s 10-month school-year structure, current enrollment of about 23,000 children in ABC and about 14,871 in SRA, and a SRA wait list that has grown to roughly 2,971 children. Members raised concerns about rural access, school-based versus community-based providers, reimbursement rates, and the need to align early childhood funding with K-12 and kindergarten readiness goals. A major topic was the recent $14.741 million PDG B-5 competitive grant. Officials said it is a one-year systems-building grant, not a direct services grant, and will support local leads, CLASS observations, workforce efforts, and data systems while helping offset some costs that otherwise would have been paid through CCDF. Members also discussed the end of a federal pre-K funding stream in June, with children either moving into ABC slots or requalifying for SRA, and the state’s new enrollment-based payment approach, which officials said saved about $576,000. The committee also heard that the current cost-of-care study is about three years old and that a new market-rate survey is being planned. Several members questioned dual enrollment in home visiting/HIPPY and ABC, with officials saying about 1,200 children are enrolled in both and that limiting double enrollment could save about $2.4 million and affect roughly 470 children. Members also asked about provider closures after rate changes; officials said eight providers cited funding as a reason for closing, while 26 new providers have been added under the new rates. The discussion ended with broad agreement that the committee should continue regular updates, keep providers and families informed, and explore policy changes, waivers, and possible state investments to improve stability, access, and quality in early childhood education.

Transcript Highlights:

• IT WILL ALSO HELP US RESOLVE OUR CURRENT PAYMENT ERROR RATE FINDINGS THE AGENCY HAS HAD AROUND RISK BASED
• IT'S FOUNDATIONAL FOR CLAIMS PAYMENT MANAGED CARE AND COUNTER PROCESSING AND CAPITATION PAYMENTS AND
• THEN THAT HAS A CASCADING EFFECT ON THE TURNAROUND TIME AS FAR AS PAYMENT.
• AND THEN THAT HAS A CASCADING EFFECT ON THE TURNAROUND TIME ON INVOICE PAYMENT.
• AND SO IT WAS IMPORTANT WE WORK ON OUR INTERNAL PROCESSES TO MAKE SURE WE COULD GET PAYMENT OUT IN A

Transcript Highlights:

• > the<00:44:19.000> K12<00:44:19.680> Aid These tend to be paid on the K-12 aid payment
• Aid payment shift and those<01:02:34.079> Appropriations<01:02:34.799> are<01:02:34.960
• <01:02:47.160> so<01:02:47.480> after continue to make the payments so after continue
• any other questions or comments payments any other questions or comments Senator<01:03:07.000> um
• even though there's multiple payment even though there's multiple calculations<01:09:03.520> that

Keywords: 1187, senate, all

Summary: The Senate Education Finance Committee met on January 21 with a quorum present for the first meeting of the 2025 biennium. The co-chairs described the temporary power-sharing arrangement in the tied Senate, introduced committee staff and pages, and had members briefly introduce themselves and share what subject they would teach. After the introductions, the committee moved to a presentation from State Demographer Susan Brower. Brower reviewed Minnesota’s school-age population trends and projections, noting that the state had just under 1 million children ages 5 to 17 in 2023 and that, for the first time, the older adult population exceeded the school-age population. She said the school-age population is concentrated in the Twin Cities metro and other regional centers, and projected an overall decline of about 5% over the next 15 to 20 years, driven mainly by declining birth rates and long-running net outmigration of young adults. She also explained that growth is expected in some areas, especially along the I-94 corridor north of the metro, while northern regions are projected to see the largest declines. She clarified for members that her figures measure resident children, not school enrollment, and that boundary changes are not reflected in the district-level data. The presentation also covered demographic change among students. Brower said about 35% of Minnesota children ages 5 to 17 are children of color, with growing multiracial populations and increasing linguistic diversity. She reported that about 20% of school-age children have at least one foreign-born parent, and about 18% of enrolled students speak a language other than English at home, with Spanish, Somali, and Hmong the largest home languages. She also discussed child poverty, saying Minnesota’s rate is just under 10%, below the national rate of about 15%, and that poverty is concentrated in Minneapolis-St. Paul, some first-ring suburbs, and parts of northern Minnesota, including districts with larger Native populations. Members asked questions about whether the projections accounted for migration and whether open enrollment affected the figures; Brower said the data reflect where children live, not where they attend school, and that the projections are based on recent migration and birth patterns, with future changes more likely to come from international immigration than from domestic migration.

Transcript Highlights:

• the AOT ballots in one pile, the Craig ballots in another pile, count them up with the double-count method
• Then use the hand-count method we use, and add that together to make sure the total ballots were the
• It's methodical. There are guidelines. There are uniform standards that are used for that process.
• It's methodical. There are guidelines. There are uniform standards that are used for that process.

Keywords: 1189, house, all

Transcript Highlights:

• This bill sets up a pool payment system for rural EMS systems.
• This bill sets up a pool payment system for rural EMS systems.
• In 2024, Medicare payments were at about 25%.
• Medicaid payments were at about 21% of our gross charges.
• , we're at about 25% in Medicaid payments, we're at about 25% in Medicaid payments,<00:47:58.800>

Keywords: 1187, senate, all