Transcript Highlights:

• choosing service. choosing service.
• history of service in the US military. history of service in the US military.
• ceaseless gratitude for your service. ceaseless gratitude for your service.
• all service members. all service members.
• Development services supports this. Development services support<03:25:01.760> this.

Keywords: 981, all

Summary: The House convened for Military Appreciation Day with a color guard presentation, the national anthem, the Pledge of Allegiance led by military veterans, and a quorum call. The journal from the prior day was approved, and the chamber then moved out of order to consider a series of resolutions honoring military service and veterans. All of the resolutions taken up in this segment were adopted by recorded vote, generally with unanimous support and no opposing votes, with several members named as co-sponsors after passage. The first resolutions recognized military service broadly and by community: HJR 1004 honored military members, veterans, POWs, MIAs, and Gold Star families; HJR 1005 recognized African-American veterans; HJR 1006 recognized Latina and Latino veterans; HJR 1007 honored Native American veterans and communities; HJR 1008 honored women veterans and women serving in the armed forces; HJR 1009 focused on veterans mental health awareness and proclaimed Military and Veterans Appreciation Day; HJR 1010 honored Colorado veterans of the Vietnam War; HJR 1011 marked the 81st anniversary of the end of World War II and honored Colorado veterans who served in that war; and HJR 1012 honored Korean War veterans. Each was adopted with overwhelming support, typically 59 or 60 ayes and no no votes. The chamber also adopted HJR 1013 honoring Persian Gulf War veterans, HJR 1014 honoring post-9/11 veterans, HJR 1015 recognizing the 58th anniversary of the capture of the USS Pueblo and calling for its return, and HJR 1016 honoring the 10th Mountain Division and Camp Hale. After the votes, the House recessed for sponsor remarks. Speakers from both chambers and invited guests gave tributes emphasizing sacrifice, family service, historical discrimination faced by African-American and Latino veterans, the contributions of Native American code talkers and tribal communities, the importance of mental health support for veterans, and remembrance of Gold Star families and those lost in war.

Transcript Highlights:

• I'm Dan Ryan, Chair of the Public Service Committee, and I would like to welcome you all to the 13th
• hearing of the Joint Committee on Public Service.
• hearing of the Joint Committee on Public Service and the 194th General Court.
• of public health services for our member communities.
• Seeing none, we appreciate your testimony and your service. Thank you.

Keywords: 995, all

Summary: The Joint Committee on Public Service heard testimony on a wide range of retirement, municipal workforce, and public employee labor bills. Early testimony focused on H. 2749, a Plymouth home rule petition to classify Plymouth harbormaster employees as Group 4 for retirement purposes. Supporters, including local officials and retirement board representatives, argued the employees perform law-enforcement and rescue duties comparable to police and fire personnel, that the change would be fair, and that it would have little or no fiscal impact on the town. A separate harbormaster-related bill, H. 2743, was also introduced later in the hearing. The committee also heard testimony on provisions of the Municipal Empowerment Act (H. 56), including a temporary critical-shortage exemption allowing retired state or municipal employees to return to work in hard-to-fill positions, and a renewed OPEB commission to study retiree health care costs. Administration and municipal officials said the measures were needed to address staffing shortages and rising benefit liabilities, while emphasizing the shortage exemption would be time-limited and require proof of recruitment efforts. Related retirement bills drew support and caution: advocates for higher COLA bases and enhanced COLA benefits urged relief for retirees, but some asked the committee to wait for recommendations from the special COLA commission before acting. A major portion of the hearing concerned labor rights at the Massachusetts Water Resources Authority and the Committee for Public Counsel Services. Union representatives and employees backed bills to extend just-cause protections, promotional rights, and collective bargaining rights to MWRA and CPCS workers, arguing they currently lack protections available to most other public employees. Testimony described unfair discipline, delayed promotions, and high turnover, and committee members indicated prior favorable action on similar MWRA bills and expressed support for addressing CPCS labor rights. The committee also heard from representatives of the Massachusetts Municipal Association and public higher education employees in support of H. 2820, which would require timely funding of ratified state employee contracts, with witnesses describing long delays in receiving negotiated raises and back pay. No votes were taken during the hearing, and the chair repeatedly invited written testimony and closed each panel after questions.

Transcript Highlights:

• Get that slot before you can actually receive the services, so you can't retroactively apply those services
• “The pediatric rate increase for children's dental services.
• pay for anesthesia services for all adults?”
• Do we have something similar to that within fee-for-service Medicaid?
• Lab services are a mandatory service by CMS. Every Medicaid state has to offer them.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. It approved without objection an Insurance Department amendment implementing Act 261’s holding company system requirements, two State Board of Election Commissioners rules on poll watchers/provisional voting and certified election monitors, and a Treasurer of State rule removing DEI-related membership requirements to comply with Act 938. The committee also held over for a month a Department of Education request related to excluding a rule from reporting requirements so it could be discussed further with the Department of Commerce. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from rulemaking for Acts 567, 568, 967, and 1025. DHS said federal CMS guidance created comparability and other issues for the Medicaid-related dental and diagnostic lab provisions, making it difficult to implement the acts as written by their effective dates. DHS outlined possible paths, including broader adult dental coverage, waivers, or splitting the dental rate increase from the special-needs cap increase. The Arkansas State Dental Association disputed DHS’s approach, arguing Act 1025 is workable, that the pediatric rate increase should move forward separately, and that DHS should continue pursuing the law rather than stop rulemaking. Committee members questioned both sides extensively about CMS correspondence, waiver timelines, fiscal impact, and whether the acts could be severed. After testimony from DHS, the Dental Association, and a public commenter, the committee adopted a motion not to exclude DHS from reporting requirements for Acts 567, 568, 967, and 1025, meaning DHS must continue the normal rulemaking/reporting process. The committee then accepted the Division of Higher Education’s report, which recommended repealing three of its 32 rules and keeping the remaining 29 in effect. It also received routine written updates on older and newer rulemaking items and filed the monthly updates without further action.

Transcript Highlights:

• is to provide the investment services is to provide the investment services for<00:03:05.680>
• service service they<00:53:54.800> performed.
• . services. services.
• So, we look at years of service, right? So, we look at years of service, okay?
• service um and so thank you. service um and so thank you.

Keywords: 1187, senate, all

Transcript Highlights:

• But thank you, all veterans, for your service.
• She was one of the six service members to die The most recent among the more than 1.3 million US service
• We need to respect that and service to this country.
• Obviously, the service you provide to this House cannot.
• I appreciate her service to the House over the past eight years.

Bills: HCR1030, HB1370, SB893, SB2, SB1589

Keywords: legislative procedure, session calendar, deadline schedule, bill deadlines, joint resolution, Oklahoma Legislature, 61st Legislature, regular session, adjourn sine die, floor deadline, third reading, committee deadlines, bill drafting, appropriations, budget bills, ethics commission, agency rules, administrative procedures act, local and special laws, pension legislation

Transcript Highlights:

• Most of our locals that we represent provide an ambulance service.
• That goes for the fireground and emergency medical services.
• It was a full-service, acute care hospital.
• It was a full service, acute care hospital. standard inpatient care.
• It was a full-service acute care hospital.

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• some tertiary services offered by hospitals. ...and then some tertiary services offered by hospitals
• You enhance statutory provisions around access to care services.
• And services are available 24-7, 365 days a year.
• But now when you cut patient services, you are cutting the providers.
• We really are cutting frontline staff as we're cutting services.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• <00:02:01.640> and re-referred to the human services and re-referred to the human services
• families receive benefits and services families receive benefits and services in<00:03:49.560>
• House File 1662 is re-referred to the Human Services Committee.
• investment bonding our our debt service investment bonding our our debt service limit<00:08:49.279
• > including has free health services at VA including has free health services at VA including

Keywords: 1183, house

Transcript Highlights:

• Um, this bill that is before the committee today allows service dog trainers to house service dogs in
• c> dog, service dog and you use a service dog, service dog and you use a service dog, they<00:07:
• Services. And we'll move to your next Services.
• Managerial services.
• Managerial services.

Keywords: 1187, senate, all

Transcript Highlights:

• management services for families. management services for families.
• identifying gaps in any services. identifying gaps in any services.
• incorporated into um our service array. incorporated into um our service array.
• pro um, service to our other service pro um, service areas<02:13:52.079> within<02:13:52.400>
• services to our residents. services to our residents.

Keywords: 1183, house

Transcript Highlights:

• Welcome to the Health and Human Services Interim Committee meeting.
• , mental health services, and all of that.
• of Correctional Health Care Services.
• behavioral health services, and one that addresses opioid treatment.
• And so they have interpreted that to mean their medical services.

Keywords: 985, all

Transcript Highlights:

• Department of Children and Family Services.
• It is their standard measures where we look at preventive services, any services, and... ...standard
• measures where we look at preventive services, any services, and treatment services.
• services rates.
• Blue is treatment services. Goldenrod or yellow is prevention services.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• Adult Mental Disability Services.
• Adult Mental Disability Services.
• Leslie Fiske, Secretary of Shared Administrative Services.
• The Division of Services for the Blind is a little different.
• with the Division of Services for the Blind.

Keywords: 1204, all

Transcript Highlights:

• She said it might be good to hear what... and Human Services and might also be um and Human Services
• Services. Services.
• with Medicaid in billing for services with Medicaid in billing for services rendered<00:16:04.639
• <00:17:00.959> work bureau of developmental services work bureau of developmental services
• and Human Services. and Human Services.

Keywords: 1189, house, all

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• This is health services. We >> Thank you. This is health services.
• <00:10:52.480> Um, uh for foot and ankle services. Um, uh for foot and ankle services.
• pediatric therapy services. pediatric therapy services.
• those services that aren't EPSDT. those services that aren't EPSDT.
• Kentucky are receiving these services. Kentucky are receiving these services.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• And often denials happen services.
• <00:15:59.040> and Services Office of Youth Services and Services Office of Youth Services
• Uh so we through community service.
• services from Northshore Mental Health. services from Northshore Mental Health.
• <01:14:49.600> The cuts with Medicaid services. The cuts with Medicaid services.

Keywords: 910, house, all

Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.

Transcript Highlights:

• Milton, within its borders, has the Mattapan trolley service and bus line service.
• So each community pays into the service. that have MUTA service are assessed a fee.
• Milton within its borders has the manned trolley service and bus line service.
• Bus service, subway and the red line, commuter rail, and ferry service.
• those contracted services.

Keywords: 995, all

Summary: The Senate took up Senate House No. 4010, a fiscal year 2025 supplemental appropriations bill funded largely by surplus Fair Share revenues. The Ways and Means chair described the bill as a $1.28 billion package, with major investments in education and transportation, including special education circuit breaker aid, higher education deferred maintenance, career technical education capital grants, school construction relief, high-dosage tutoring, English language learning grants, MBTA reserve replenishment and safety training, commuter rail maintenance, Chapter 90 local road aid, regional transit authority support, ferry and micro-transit funding, and a small World Cup transportation appropriation. Members from both parties generally praised the bill’s one-time, regionally balanced approach while emphasizing fiscal discipline and the limited, surplus-based funding source. The minority leader and others questioned the fund balances and the use of the education and transportation innovation and capital fund, the Student Opportunity Act trust fund, and the transitional escrow account; the chair said the bill would zero out the innovation and capital fund, leave about $430 million in the SOA trust, and about $200 million in the escrow account. Several members highlighted specific priorities. Senator Cronin and Senator Feeney strongly supported the $100 million career technical education investment, arguing it would expand vocational opportunities in comprehensive high schools and help meet workforce needs. Senator Feeney also emphasized MBTA funding, special education, local road repairs, English language learning tied to workforce needs, and World Cup preparations in Foxborough. Senator Comerford praised the bill’s regional equity, higher education maintenance funding, special education support, and transportation investments, while also noting the need for broader future work on Chapter 70 and school finance. Senator Tarr supported the bill but repeatedly stressed that the spending was a unique one-time opportunity and that the Commonwealth should preserve fiscal reserves and continue to address school funding inequities and MBTA finances more broadly. The chamber then considered numerous amendments. Amendment 1 on tariff pricing transparency was withdrawn after brief remarks, and Amendment 14, proposing a DESE study on educational outcomes for young men and boys, was rejected. Amendment 182, funding Worcester Regional Transit Authority capital expenses, was adopted. Amendment 228, adding $500,000 for Free Period to expand access to menstrual products in schools, was adopted. Amendment 257, funding Springfield Public Schools communication and safety systems, was also adopted. Other amendments, including Tarr amendments on supplemental district aid, MBTA reporting, and the Foundation Budget Review Commission, were rejected. Amendment 308 concerning MBTA Communities and Milton was withdrawn, after which Senator Driscoll began a presentation arguing Milton was being misclassified under the MBTA Communities Act and should be treated fairly under the law.

Transcript Highlights:

• The first one was in 2017 relating to telehealth services.
• We also went to the Job Service database and did the same thing.
• or payment for specified providers of services.
• an option to apply for prior service credit for volunteers.
• This is a length-of-service plan established for volunteers.

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• rather than fee for service dollars. rather than fee for service dollars.
• and peer support services 80038. and peer support services 80038.
• fee for service. fee for service.
• <01:01:05.200> are services to determine if services are services to determine if services
• medically necessary services. medically necessary services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• Medicaid waiver services. So that's Medicaid waiver services.
• cabinet for health and family services cabinet for health and family services and<00:08:04.800><
• services to Medicaid enrolles. services to Medicaid enrolles.
• So non-service non-benefit stuff.
• care services are covered by Medicaid. care services are covered by Medicaid.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.