KY

Kentucky 2026 Regular Session

Medicaid Oversight and Advisory Board - (6-24-26) - Reupload

Transcript Highlights:

and other supplemental kinds of payments?
13.120> payments?
What that's going kinds of payments?
still allowed to have separate payment still allowed to have separate payment terms.<00:20:06.000
can still keep it at separate payment can still keep it at separate payment term.<00:20:55.360><

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

KY

Kentucky 2026 Regular Session

Senate Standing Committee on State and Local Government. (2-11-26)

State & Local Government

Transcript Highlights:

The length of this annual incentive payment shall not exceed seven years for new construction and 15
39.040> incentive developer an annual housing incentive developer an annual housing incentive payment
00:13:41.360> be<00:13:41.519> based<00:13:41.920> on<00:13:42.160> a payment
, which would be based on a payment, which would be based on a percentage<00:13:43.120> of<00:
:53.519> incentive The length of this annual incentive The length of this annual incentive payment

Keywords: Meeting Start: 00:04 Attendance Roll Call: 00:08 SB 141 Discussion 00:58 SB 141 Vote 07:03 SB 9 Discussion 09:10 SB 9 Vote 19:47 Adjournment: 21:20, 958, all

Summary: The Senate State and Local Government Committee first took up Senate Bill 141, sponsored by Senator Given, which revises Kentucky’s public notice laws. Senator Given said the bill was the product of negotiations among the Kentucky Press Association, the Kentucky League of Cities, and the Kentucky Association of Counties, aiming to balance transparency with the cost of publication. Testimony described changes to clarify which newspapers may publish legal notices, address publication errors, ensure fair and reasonable rates, update ad size requirements, and provide more practical hearing timelines. Committee members praised the compromise and the bill’s modernization, including expanded online access to public notices. SB 141 passed 10-0 with favorable expression. The committee then considered Senate Bill 9, sponsored by Senator Mills, and first adopted a substitute that addressed concerns from Farm Bureau and the Kentucky Bankers Association. Senator Mills said Kentucky faces a significant housing shortage and that the bill would give local governments two tools to encourage development without direct state cost: a residential infrastructure development district and a housing development district. He explained that the first tool would help finance infrastructure within a district through bonds repaid by special assessments, while the second would allow local governments to negotiate incentives and streamlined review for larger housing projects. Members asked about public participation, local control, infrastructure financing, and whether the bill required affordable housing set-asides; Mills said the bill leaves those decisions to local governments. SB 9 passed 9-0 with one pass and favorable expression.

MN

Minnesota 2025-2026 Regular Session

Environment Committee Meeting - 2025-04-03

Environment and Natural Resources Finance and Policy

Transcript Highlights:

How these treaty payments are calculated.
We take that amount, subtract it from 1.5 million to calculate the 1854 treaty payments.
So in actuality, the bands have been receiving a payment.
Basically, the payment hasn't been adjusted, but the agreement also talks about an arbitration clause
So we could discuss a payment, but we would still have to come back to the legislature to have those

NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 28th, 2026 at 02:54 pm

House Appropriations & Finance

Transcript Highlights:

that starts with the field group gets pushed into our finance area for them to be um dispersing payments
Without them, the state will only be able to give one-time payments.
Without them, the state will only be able to give one-time payments.
This would include $1 million of that $20 million to be earmarked for down payment assistance for UNM
A response noted that this is part of the program that MFA has for down payments and related assistance

Keywords: 996, all

WY

Wyoming 2026 Regular Session

House Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:

The last JAC change occurs on page 14, section 3, for major maintenance payment payments.
section 3 for major maintenance payment section 3 for major maintenance payment payments.<00:10:
And this is not the component payments.
level major maintenance payments. level major maintenance payments.
Page four establishes payment dates.

Bills: HB0105, HB0107, SF0002

Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem

VT

Vermont 2025-2026 Regular Session

House Caucus of the Whole - 2026-05-29 - 11:15AM

Vermont House Floor Meeting

Transcript Highlights:

The Senate came up with a construct to increase payments to primary care providers who used to get payments
Who used to get payments from the accountable care organization that went away, and we were able to find
the CLA. ...in terms of what is voted locally because you are receiving the education opportunity payment
Section 17 was extending tax credits for a down payment assistance program with...
Section 17 included a down payment assistance program with the Vermont Housing Finance Agency.

Keywords: 926, house, all

FL

Florida 2025 Regular Session

Community Affairs Jan 14th, 2025

Transcript Highlights:

5% OF THE FIRST MORTGAGE LOAN AMOUNT WITH A MINIMUM OF $10,000 AND A MAXIMUM OF 35,000 IN A DOWN PAYMENT
THE LOAN IS FOR 30 YEARS BUT IS 0% INTEREST AND THERE'S NO PAYMENTS.
Leek: HOW MUCH OF THE DOWN PAYMENT ASSISTANCE WE RETRIEVE OR HAVE COLLECTED BACK FROM FOLKS WHO NO LONGER
OR OTHER UNEXPECTED THINGS LIKE THAT THAT CAN LEAD TO THOSE FAMILIES STRUGGLING WITH THE MORTGAGE PAYMENT
WE ALSO HAVE THE HOMEOWNER LOAN PROGRAMS AND HOMETOWN HEROES THAT PROVIDE DOWN PAYMENT AND CLOSING COST

Keywords: 999, senate, all

MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/08/26

Taxes

Transcript Highlights:

<00:09:12.160> Um cash payments like the MFIP program.
Um cash payments like the MFIP program.
There were the economic impact payments There were the economic impact payments that<00:40:32.360
> also<00:40:42.320> were Um unemployment uh payments also were Um unemployment uh payments
42:47.600> which those economic impact payments which those economic impact payments which were

Keywords: 1187, senate, all

MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 2/18/26

Commerce Finance and Policy

Transcript Highlights:

As an aside, this is my bit of payments.
and not allowing pro rata payments.
and making and not allowing pro payments and making and not allowing pro prata<01:30:45.199> payments
Um as you can see from prata payments.
a a lesser payment than something full. a a lesser payment than something full. >> Okay.

Keywords: 1183, house

AZ

Arizona 2026 Regular Session

01/21/2026 - House Appropriations

Appropriations

Transcript Highlights:

Grass was referring to: those are the payments on the bonds. The $35 million that Mr.
Grass was referring to, those are the payments on the bonds. Correct.
And then the payments—principal and interest. Correct.
But that $35 million of payments includes interest that we are now paying to the bondholders.
Higher payments a year? Well, obviously, the 10-year bond, yeah.

Bills: HB2053, HB2116, HB2148

Keywords: stormwater, recharge mapping, water resources, groundwater, appropriation, Arizona, HB2116, Colorado River, litigation fund, water rights, Arizona water law, general fund appropriation, state budget, interstate water compact, Colorado River Compact, water litigation, A.R.S. 45-119, natural resources, water policy, river management

NM

New Mexico 2026 Regular Session

IC - Revenue Stabilization and Tax Policy Dec 15th, 2025

Transcript Highlights:

So there's also the issue, it's not only costs, but it's payments.
Its payments.
Lump-sum payments, especially from the patient compensation fund, are harmful for patients in the long
And again, that's on medical supplies, co-insurance, co-pays, deductibles, any kind of cash payments.
Lump sum payment.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 4/9/25

Human Services Finance and Policy

Transcript Highlights:

that uh transitions to direct payments that uh transitions to direct payments to<00:08:41.200>
On line 558, facility payment rates.
It subjects DWRS payments to MA sanctions and monetary recovery requirements.
These are the behavioral health fund payment reforms.
<01:00:57.440> as combination of the facility payments as combination of the facility payments

The benefit is that performance-based pathways can result in construction methods that are more cost-effective
performance-based pathways can result in performance-based pathways can result in construction<01:31:13.760> methods
<01:31:14.159> that<01:31:14.320> are<01:31:14.480> more construction methods
that are more construction methods that are more cost-effective<01:31:15.280> and<01:31:15.600
As codes have advanced, so have methods for determining compliance, including performance-based

Bills: HF3004, HF3663

Keywords: workforce development, youth employment, internships, mentoring, job opportunities, digital platform, online portal, career pathways, youth workforce, employment and economic development, DEED, general fund appropriation, nonprofit grant, social media outreach, digital outreach, workforce opportunities, teen jobs, young adults, career exploration, Minnesota youth

MN

Minnesota 2025-2026 Regular Session

House Transportation Finance and Policy Committee 2/23/26

Transportation Finance and Policy

Transcript Highlights:

valuable tool to prevent people with this tendency to drive at excessive speeds with a really robust method
<00:44:05.200> really<00:44:06.240> uh<00:44:06.640> robust<00:44:07.359> method
<00:44:07.760> to speeds with a really uh robust method to speeds with a really uh robust
method to make<00:44:08.160> sure<00:44:08.319> that<00:44:08.560> they<00:44:08.800
There is no other method of reducing these dangerous situations that is better than speed cameras that

Bills: HF3429, HF3418, HF3431, HF1597

Keywords: intelligent speed assistance, transportation, speeding offenses, public safety, license restrictions, speed control, pedestrian safety, traffic safety, roadway improvements, nonmotorized transportation, crosswalks, sidewalks, bike lanes, complete streets, Vision Zero, Toward Zero Deaths, MnDOT, Department of Transportation, Department of Public Safety, local road authority

HI

Hawaii 2025 Regular Session

PBS Info Briefing - Thu Sept 11, 2025 @ 1:30 PM HST

Hawaii House Floor Meeting

Transcript Highlights:

been a little more concerned with<01:17:30.400> um<01:17:30.560> our<01:17:30.880> methods
But<01:17:32.000> the<01:17:32.239> fact<01:17:32.400> that with um our methods
But the fact that with um our methods.
>> Um, whatever method. I mean, just to get... >> Um, whatever method.

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing with the City and County of Honolulu Department of Emergency Management on its hazard mitigation plan and recent emergency events on Oahu. Chair Dela Botti opened the meeting by explaining that the briefing was intended to review the mitigation planning process, the city’s hazard mitigation plan, and lessons learned from recent tsunami and wildfire threats, building on earlier briefings with state emergency management and transportation officials. Director Collins and hazard mitigation staff officer Ian Kio presented the plan, describing it as a five-year FEMA-required document focused on reducing long-term risk to people and property, not an operations plan for active disasters. Kio outlined how the plan was developed over roughly 18 months with a core team, steering committee, consultant support, and public input, and said it was formally adopted by the mayor’s office and approved by FEMA in July 2025. He said the updated plan was aligned more closely with the state hazard mitigation plan, expanded to cover 15 hazards including climate change and sea level rise, and organized around hazard risk rankings and mitigation strategies. He identified the highest-risk hazards as climate change and sea level rise, floods, health risks, hurricanes, tsunamis, and wildfires, and said the plan includes short-, medium-, and long-term actions such as education, Firewise community planning, flood mapping, and major infrastructure projects like tsunami walls and street elevation work. He also emphasized that the plan will be maintained with yearly updates and ongoing public feedback. Collins then discussed after-action findings from the July 6 Meli fire and the recent tsunami response, noting that reviews are still ongoing. He said the fire response showed strong initiative and teamwork, including police officers helping with fire suppression support and door-to-door evacuation efforts before firefighters arrived, and a staff duty officer who initiated a wireless emergency alert without waiting for higher-level direction. He said these actions reflected a culture of rapid decision-making when lives are at stake. Collins also urged residents to prepare by making family plans, gathering supplies, checking flood and tsunami risk maps, retrofitting homes, and obtaining insurance before disasters occur. No votes or formal committee actions were taken during the informational briefing.

NH

New Hampshire 2025 Regular Session

Senate Transportation (03/25/2025)

Transportation

Transcript Highlights:

The decal has been the preferred method approved by the legislature, able to be enacted by the nonprofit
The decal has been the preferred method approved by the legislature, able to be enacted by the nonprofit
The decal has been the preferred method approved by the legislature, able to be enacted by the nonprofit
The decal has been the preferred method approved by the legislature, able to be enacted by the nonprofit
The decal has been the preferred method approved by the legislature, able to be enacted by the nonprofit

Keywords: 1191, senate, all

Video & Transcript Research : 'payment methods'

Kentucky 2026 Regular Session

Kentucky 2026 Regular Session

State & Local Government

Minnesota 2025-2026 Regular Session

Environment and Natural Resources Finance and Policy

New Mexico 2026 Regular Session

House Appropriations & Finance

Wyoming 2026 Regular Session

Appropriations

Vermont 2025-2026 Regular Session

Vermont House Floor Meeting

Florida 2025 Regular Session

Minnesota 2025-2026 Regular Session

Taxes

Minnesota 2025-2026 Regular Session

Commerce Finance and Policy

Arizona 2026 Regular Session

Appropriations

New Mexico 2026 Regular Session

Minnesota 2025 1st Special Session

Human Services Finance and Policy

New Hampshire 2026 Regular Session

Energy and Natural Resources

New Hampshire 2026 Regular Session

Transportation

New Hampshire 2026 Regular Session

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New Hampshire 2026 Regular Session

Executive Departments and Administration

Minnesota 2025-2026 Regular Session

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Minnesota 2025-2026 Regular Session

Transportation Finance and Policy

Hawaii 2025 Regular Session

Hawaii House Floor Meeting

New Hampshire 2025 Regular Session

Transportation