Transcript Highlights:

• Members, the committee substitute to House Bill 3712 resolves a payment issue that affects subcontractors
• delivered early in the project, come with a manufacturer's warranty, and are approved for use, yet payment
• once specially fabricated materials are delivered approved and warranted ensuring fair and timely payment
• our shop is that they often have to play their first full season before we're going to see final payment
• To conclude, HB 3712 provides increased protections, provides 100% payment for the specially fabricated

Bills: HB2963, HB3005, HB3287, HB3288, HB3289, HB3290, HB3344, HB3712, HB3862, HB3874, HB4196, HB4308, HB4901, HB4984

Keywords: digital equipment, repair rights, manufacturers, maintenance, consumer rights, construction contracts, payment regulations, public works, dispute resolution, audit procedures, construction, trust funds, mechanic's lien, contractor, subcontractor, residential properties, disputes, payment obligations, accountability, payment disputes

Summary: The committee heard testimony on HB 3862, which would restrict social media app use for minors and limit smartphone/social media access in classrooms. Supporters, including representatives from Champions for Childhood, argued that smartphones and social media are linked to addiction, distraction, cyberbullying, and worsening youth mental health, and said the bill would help parents and schools protect children. After testimony, the committee left HB 3862 pending. Members then heard HB 3712, a construction retainage bill that would stop owners from withholding reserved funds on specially fabricated materials once they are delivered, approved, and warranted, while still allowing retainage for labor and installation. Witnesses from the precast concrete industry said current retainage practices delay payment for years and create financial risk for subcontractors and suppliers. The bill was left pending after closing. The committee also heard HB 2963, a right-to-repair bill requiring manufacturers to provide parts, tools, and information for owners and independent repair providers, with carve-outs for medical devices, vehicles covered by existing repair agreements, trade secrets, and security protections. Support came from consumer, environmental, repair, and policy groups, while one witness from Safelite was neutral and urged removal of the MOU reference for auto manufacturers. HB 2963 was left pending. The committee also heard HB 4308, which would create county industrial development districts to attract industrial employers and finance infrastructure through local elections and a board structure. Supporters, including the Fort Bend County commissioner, said the bill would help counties diversify tax bases and create jobs; the bill was left pending. Later, the committee took up several pending bills and voted to report HB 74, HB 112, HB 2214, HB 3016, HB 3133, HB 3173, HB 3807, HB 4063, HB 4115, HB 5008, and HB 2652 favorably to the full House, with some sent to the Local and Consent Calendars. The committee also heard HB 3874 on construction contract transparency and HB 4196 on creating a task force to modernize manufacturing, both of which were left pending. Finally, the committee heard HB 3344, which would create a licensing and regulatory framework for re-roofing contractors; supporters said it would curb storm-chasing and protect homeowners, while one roofing contractor opposed it as too restrictive and argued existing fraud laws are sufficient. HB 3344 was also left pending.

Transcript Highlights:

• So we came from being an agency that administered our first-time homebuyer program, some down payment
• In addition to that, we have a down payment assistance program, or several down payment assistance programs
• Can take 4% of the sales price of the house as down payment assistance.
• So, on a $300,000 house, they would get $12,000 in down payment assistance.
• Payments at a 0% interest from the folks that purchase those homes.

Transcript Highlights:

• Currently in year 26 of, which offers annually just north of $500,000 a year as PILOT payments in the
• As part of that PILOT payment, any additional property that we purchase outside of our core zone, we
• Currently in year 26 of, which offers annually just north of $500,000 a year as PILOT payments in the
• He worked for two solid years, paid a lot of car payments, a lot of mortgage payments, raised his family
• So the impact on the larger community—I already talked about mortgage payments, rent payments, purchasing

Keywords: 995, all

Summary: The committee held an informational hearing on the economic impact of Massachusetts higher education institutions, with opening remarks noting the significance of September 11 and the role colleges and universities play in the state’s economy, workforce, and research ecosystem. UMass leaders testified first, describing UMass as a major employer and economic driver that educates large numbers of Massachusetts residents, supports thousands of jobs, and generates billions in annual economic activity. They emphasized the importance of research funding, warned that federal grant cancellations, suspensions, and slowdowns were harming research operations and talent retention, and voiced strong support for Governor Healey’s proposed DRIVE initiative as bridge funding to protect research capacity and jobs. Committee members focused heavily on workforce preparation in emerging fields such as AI, cyber, quantum computing, and engineering. UMass leaders said AI is being embedded across curricula and research, but also warned that financial constraints forced reductions in PhD admissions, especially in computer science and engineering, which could weaken the future workforce pipeline. They also described the practical effects of grant uncertainty, including reduced graduate admissions and concerns about losing researchers to institutions abroad. Members asked for more detailed data on grant timing, funding gaps, and where students and researchers were going. A second panel from private colleges and universities, including AICUM, Suffolk, Smith, and Clark, highlighted the broad economic and civic contributions of private higher education. Testimony cited large annual economic impacts, job creation, tax revenue, community service, legal clinics, dual enrollment, entrepreneurship support, sustainability investments, and access programs. Speakers also discussed enrollment pressures, COVID-related social and mental health challenges, student visa and federal policy concerns, and the need to preserve liberal arts alongside career-focused training. The committee then heard from MIT, where testimony focused on research commercialization, biotech spinouts, and the role of federal, philanthropic, and industry funding in sustaining innovation; members pressed for more data on funding sources and asked what state policy could do to keep talent and businesses in Massachusetts. The hearing continued with additional public higher education testimony, including Bridgewater State, Bristol Community College, and Northeastern, which emphasized workforce-aligned programs, social mobility, apprenticeships, co-op education, and the need for better coordination between higher education, employers, and state workforce systems.

Transcript Highlights:

• to the Leech Lake band payments.
• So in actuality, the bands have been receiving a payment in FY 24 and 25, approximately $6 million a
• <00:58:24.559> Lake<00:58:24.799> band<00:58:25.200> payments<00:58:26.160><
• c> so off to the Leech Lake band payments so off to the Leech Lake band payments so in<00:58:26.720
• <00:58:50.079> if calculate the 1854 treaty payments if calculate the 1854 treaty payments

Keywords: 1183, house

Transcript Highlights:

• MDE received complaints that Feeding Our Future had demanded kickback payments from vendors to serve
• payments.
• <00:59:02.319> in precluded from issuing a stop payment in precluded from issuing a stop payment
• that if MDA were to issue a stop payment that if MDA were to issue a stop payment that<00:59:07.640
• <00:59:25.280> and issue on on trying to stop payments and issue on on trying to stop payments

Keywords: 1183, house

Summary: The Education Policy Committee met to hear a delayed presentation from the Office of the Legislative Auditor on MDE’s oversight of Feeding Our Future, a report released in June 2024. The chair framed the hearing as an oversight review of how the Minnesota Department of Education handled the nonprofit’s participation in the Child and Adult Care Food Program and the Summer Food Service Program, emphasizing that the hearing was not about criminal charges against agency staff. Legislative Auditor Judy Randall and Director of Special Reviews Katherine Tyson explained that their review focused on state oversight, not the underlying federal fraud case, which involved an alleged $250 million scheme and ongoing criminal proceedings. The auditors concluded that MDE’s oversight was inadequate and created opportunities for fraud. They said MDE failed to act on warning signs before the pandemic, did not effectively use its authority to hold Feeding Our Future accountable, and was ill prepared to respond to problems. Examples included approving applications despite concerns about internal controls and staffing, failing to follow up on earlier review findings, not adequately investigating at least 30 complaints, and in one case referring a complaint back to Feeding Our Future for resolution rather than conducting an independent investigation. They also said MDE deferred serious deficiencies without enough evidence that problems had been fully corrected and approved meal claims despite records showing major inconsistencies. Tyson said MDE had made progress on all eight recommendations in the report, though one recommendation to the legislature had not yet been addressed because the session had not convened since the report’s release. The auditors recommended that the legislature establish clearer statutory criteria or give MDE rulemaking authority for sponsor applications, and that MDE strengthen verification of sponsor information, focus more on high-risk sponsors, improve complaint procedures, and emphasize program integrity if waivers reduce oversight in the future. In response to member questions, the auditors said MDE’s reported progress was partial in some areas and that further review would be needed to fully confirm implementation. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• mechanisms and how MCOs's came payment mechanisms and how MCOs's came to<00:03:50.319> birth<
• Either through reduced payments or no payments.
• <00:17:53.360> or<00:17:53.520> no >> either through reduced payments or no &
• gt;> either through reduced payments or no payments.<00:17:54.559> So<00:17:54.720> you're
• So you're not taking any more payments.

Keywords: 00:00 - Call to Order/Roll Call 01:38 - Discussion of 26RS SCR 9 22:00 - Roll Call Vote on 26RS SCR 9 23:15 - Discussion of 26RS SJR 23 33:20 - Roll Call Vote on 26RS SJR 23 35:18 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.

Transcript Highlights:

• So, previous to my time at the board, we were receiving a lot of mail-in payments.
• We receive far less mail and those cash receipt payments.
• However, the department has not timely made payments to some of these tribes.
• Agreement can be resolved and payments can be distributed to these Category Three tribes.
• So That payment gets deducted from that fund.

Keywords: 1182, all

Transcript Highlights:

• But in committee, you described it so simply in that um at times when having a down payment is difficult
• This allows people to roll certain fees into their payment over time so they can finance the closing
• 00:02:41.599> down that um at times when having a down that um at times when having a down payment
• This allows people payment is difficult.
• to roll certain fees into their payment to roll certain fees into their payment over<00:02:45.920

Keywords: 918, senate, all

Summary: The discussion focused on two Minnesota Senate bills authored by the senator: Senate File 4168 and Senate File 4652. SF 4168 would give buyers of investment properties more flexibility in financing, including the ability to roll certain closing costs and lender fees into the loan, with the senator emphasizing that the measure is limited to investment properties and is not intended for primary residences. He stressed that the bill is meant to provide options, not force borrowers into any particular structure, and repeatedly distinguished it from predatory lending, saying it has nothing to do with fraudulent or abusive mortgage practices. SF 4652 addresses fraud prevention at banks by allowing account holders to designate an additional contact person who can be notified if a bank suspects suspicious activity and cannot reach the account owner. The senator described it as a common-sense, no-cost, anti-fraud measure aimed at early detection and protecting both banks and customers. He said fraud is a widespread problem and that the bill would help institutions act quickly when something appears wrong. The senator said both bills moved quickly because he wanted to get them heard and passed this session, and he noted that he was the sole author on each. He said the bills passed unanimously in both the Senate and the House. In broader comments, he credited bipartisan relationships and committee cooperation for helping the bills advance, and said the session showed House-Senate collaboration on practical legislation, with more political items being pushed toward compromise and further discussion.

Transcript Highlights:

• current law, a homeowner that experiences a total loss—so 100% of your property gone—can receive a payment
• This formula can be confusing for policyholders and often leads to insufficient payments for properties
• SB 495 offers a compassionate, practical solution: allow payments of contents coverage without inventory
• Allow payments of contents coverage without inventory and total loss during declared emergencies.
• So yes, if you receive an advance payment for inventory, you would then be required to submit a proof

Summary: The Assembly Insurance Committee met to hear several bills related to insurance coverage, wildfire risk, workers’ compensation, and paid family leave. SB 8 by Senator Ashby would extend workers’ compensation and disability protections to Sacramento County park rangers, with testimony emphasizing that they perform law-enforcement-like duties and should receive the same protections as comparable officers. SB 429 by Senator Cortese would create a public wildfire catastrophe model and related wildfire safety program, with support from the Department of Insurance and consumer advocates who said public access to modeling data would improve transparency and help evaluate private insurance risk models. The committee also heard SB 525 by Senator Jones, which would require the FAIR Plan to offer coverage options for manufactured and mobile home owners, including replacement cost coverage. Supporters said the bill would help lower-income residents obtain meaningful insurance protection, while no opposition testified. SB 495 by Senator Allen, as amended, would require insurers to provide a larger contents-coverage advance after a total loss during a declared emergency without requiring an immediate itemized inventory, extend proof-of-loss deadlines, and require insurers to provide catastrophe modeling and reinsurance data to the Department of Insurance. Several insurers withdrew opposition after amendments, and the Department of Insurance and United Policyholders supported the measure. SB 590 by Senator Durazo would expand paid family leave to cover care for designated persons or chosen family members, with strong support from AARP, labor, civil rights, caregiving, and health organizations, and testimony from a parent describing the need to care for a non-legal family member during surgery recovery. The committee also took up consent items SB 230 and SB 854. After roll calls, SB 8, SB 429, SB 495, SB 525, and SB 590 all received do-pass votes, with SB 429 sent to the Committee on Emergency Management, SB 495 to Judiciary, and SB 525 and SB 590 to Appropriations. The consent calendar bills were also approved, and the committee adjourned.

Transcript Highlights:

• So to increase the participation rate, the bill reduces barriers by not requiring payment of a significant
• license reinstatement fee before interlock, though the payment is still required before one completes
• of a significant license payment of a significant license reinstatement<00:04:11.680> fee<00:
• <00:04:14.159> is<00:04:14.319> still<00:04:14.560> required though the payment
• is still required though the payment is still required before<00:04:15.280> one<00:04:15.519>

Keywords: 1183, house

Transcript Highlights:

• They will provide needed funds to ensure that hospitals and providers can receive timely payment and
• So you're saying because of the trends that we're seeing right now and the increase in payments, changes
• through June, is any of this current payment going back to pay that loan that we took out just a month
• So you're saying because of the trends that we're seeing right now and the increase in payments that
• through June, is any of this current payment going back to pay that loan that we took out just a month

Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.

Transcript Highlights:

• administers the Medicaid program, which here is DHS, so we can prosecute it, but we can't turn off payments
• on the front end or bar a certain provider from enrolling with Medicaid or continuing to receive payments
• ><00:04:33.560> off prosecute it but we can't turn off prosecute it but we can't turn off payments
• on the front end or bar a payments on the front end or bar a certain<00:04:35.560> Provider<00
• we also can't investigate or payments we also can't investigate or prosecute<00:04:41.440> fraud<

Keywords: 1183, house

Transcript Highlights:

• putting pressures on people as they try to become homeowners, whether they come up with that down payment
• to get a loan or whether they come up with the money month over month for the mortgage payment.
• > get<00:02:39.879> a<00:02:40.000> loan<00:02:40.280> or with that down payment
• to get a loan or with that down payment to get a loan or whether<00:02:40.680> they<00:02:40.840
• so we know these costs are payment so we know these costs are rising<00:02:47.640> what<00:02

Keywords: 1187, senate, all

Summary: Senator Eric Lucero testified about Minnesota’s housing affordability challenges, arguing that rising interest rates, insurance costs, property taxes, and construction expenses are being passed on to renters and homeowners. He said the core problem is supply and demand: demand has risen while supply has not kept pace, in part because fewer homeowners are selling or downsizing. Lucero said the legislature should look for ways to reduce costs without creating major new state expenses, especially in a budget year with a projected deficit. Lucero highlighted several policy ideas and bills. He said he has introduced a bill to exempt sales tax on building materials, which he argued would lower the final cost of new homes. He also said he is interested in reducing permit costs and examining other factors that affect construction costs, including materials and labor. On insurance and property taxes, he suggested lawmakers should consider reforms or relief measures, while noting that interest rates are largely beyond state control. The discussion also focused on homeowners associations and common interest communities. Lucero said he has been part of a bipartisan work group for about six months that reviewed public testimony and expert input, and that the group has now issued recommendations. He said he and other legislators plan to turn those recommendations into one or more bipartisan bills aimed at improving transparency, accountability, and reducing costs for homeowners. He closed by saying housing affordability affects everyone and that he believes there is momentum this year for reforms that support homeownership and generational wealth.

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.

Keywords: Medicaid - Room 210; 2 February, 2026: 2:30 PM, 925, all

Summary: The committee first took up a placeholder bill related to the Medicaid “L tax” for long-term acute care hospitals. The sponsor explained that these hospitals pay into Medicaid but do not receive Medicaid reimbursement, and said members had reached a general consensus that a solution is needed. The bill was described as a dummy bill with no firm language yet, and the committee adopted a motion for title sufficient do pass; the bill was reported despite one opposing vote. Members then heard a detailed explanation of the committee’s Medicaid technical bill. The sponsor said it was much lighter than in prior years because of uncertainty around federal Medicaid conditions and the lack of a signed bill in recent years. Most changes were described as federal-language updates, cleanup, or department-requested revisions, including changes from “shall” to “may” to give the department more flexibility, shortened notification and care-period timelines, and removal of outdated provisions. Substantive items mentioned included allowing the department to review value-based payment models, adding pediatricians to a covered list, increasing ambulatory surgery center reimbursement from 80% to 85%, approving “treat in place” for ambulances, allowing supplemental payments to hospitals, and reestablishing the Medical Advisory Council. After brief questions, the committee adopted a motion for title sufficient do pass on the tech bill and reported it, again with one opposing vote. The chair then announced a follow-up hearing for the next day at 1:30 p.m. in Room 216 on the L tax, the hospital bed tax, a Medicaid 101 overview on hospital financing, and a briefing on nonopioid medications and a device intended to prevent or reduce epilepsy seizures.

Transcript Highlights:

• This bill simply requires tax assessors to make electronic payment options available for citizens to
• The fee is subject to payment by the taxpayers, I understand. It is a convenience charge.
• It's based off of, as I understand it, whatever their tax payment is.
• My understanding is it's going to be treated like any other payment to a governmental body right now
• And again, this is just an option for payment, right?

Bills: SB1277, SB1531, SB2452, SB2520, SB2521, SB2529, SB2538, SB2539, SB2541, SB2873

Keywords: municipal sales tax, street maintenance, local option tax, Tax Code Chapter 327, sales and use tax, street repair, sidewalk maintenance, water infrastructure, wastewater system, stormwater system, local election, ballot language, reauthorization, municipal finance, infrastructure funding, Texas municipalities, street and sidewalk tax, special district tax, public works, property tax

Transcript Highlights:

• We did note one duplicate payment.
• You mentioned that there was one duplicate payment. Yes. And I think I missed it.
• The contractor noted the duplicate payment, notified the city, and they did refund them.
• The duplicate payment notified the city, and they did refund them.
• Well, some of these issues went back to involve debris removal payments, so presumably that went back

Summary: The Joint Legislative Auditing Committee heard the Auditor General’s operational audit of the City of Mexico Beach, which identified nine findings. The audit cited significant turnover in key management positions, late filing of required annual financial reports, weaknesses in competitive procurement and purchase approval controls, a duplicate payment on stormwater repairs that was later largely refunded, issues with the city accountant’s contract and IRS classification, IT access control problems, and the lack of fraud-reporting policies. Committee members asked about corrective action, and the Auditor General said a follow-up audit is required by statute within 18 months, with no enforcement authority beyond reporting progress back to the committee. Mayor Rich Wolf and city staff responded that the city had experienced major turnover and was rebuilding its finance and administrative team. He said the city had hired a city administrator, financial director, city clerk, and accounting firm, and was working to create policies, procedures, forms, and review processes to address the findings. Members discussed whether the turnover and hurricane-related workload contributed to the problems, and city officials said some of the larger purchases were storm-related and tied to FEMA or emergency work. The committee then received a staff update on enforcement for local governments that have not filed required financial reports. Staff said 400 entities had been notified, and as of the meeting two counties, 33 municipalities, and 48 special districts still owed reports or audits. The committee adopted a motion to proceed under section 11.42, Florida Statutes, including possible withholding of state funds for municipalities and enforcement actions for special districts, with authority for the chair and vice chair to delay action if new information warranted it. Finally, the committee unanimously directed the Auditor General and OPPAGA to conduct the required 2024-2025 audit of the Department of the Lottery, with the Auditor General handling financial, internal control, and compliance issues and OPPAGA developing operational recommendations. Members also briefly discussed whether the committee had reviewed transportation surtaxes and expressed interest in improving the timeliness and transparency of the audit and enforcement process before adjourning.

Transcript Highlights:

• , our Migrant Alternative Payment Program, CMAP, and the Emergency Child Care Bridge Program.
• It needs to be free: no co-payments, no barriers, just like we treat K-12 education.
• , so COC plus payments.
• We need payment rates that reflect the full cost of providing care.
• We need payment rates that reflect the full cost of providing care.

Keywords: 987, senate, all

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.