Transcript Highlights:

• every instance to disclose a payment every instance to disclose a payment withhold,<00:03:07.519
• <00:15:18.720> is reduce suspend or withhold payments is reduce suspend or withhold payments
• So reduced suspend or withheld payments.
• <00:15:33.040> have actually doesn't know that payments have actually doesn't know that payments
• I still to this day do not know if payment has been suspended.

Keywords: 919, house, all

Summary: House File 3542 was heard in committee and moved forward with a recommendation to be re-referred to the Children, Families, Finance, and Policy Committee. The bill would change current law so that the commissioners of Human Services and Children, Youth, and Families must disclose the existence of an investigation, rather than may disclose it, with the stated goal of increasing transparency to the public and legislature. Members and agency officials discussed concerns that mandatory disclosure could tip off subjects of investigations, especially in fraud cases, allowing them to destroy evidence, coordinate stories, or otherwise interfere. The Department of Human Services and the Inspector General said disclosure can compromise investigations and noted that providers are typically notified when payments are reduced, suspended, or withheld, though federal law can sometimes require delayed notice. Representative Pinto offered an A2 amendment to require disclosure within 30 days unless it would compromise an investigation, but it was rejected. Representative Hudson then offered an oral amendment stating that disclosure would be required if the commissioner has taken action to reduce, suspend, or withhold payments to the subject of the investigation. The chair waived the rule to allow the oral amendment, and it was adopted. Staff clarified that the bill would only require disclosure of the existence of an investigation, not underlying details, and would not address trade secret redactions. After the amendment, the committee approved the motion to re-refer the bill.

Transcript Highlights:

• And in addition to the regular fee-for-service payments, we do make hospital access payments.
• And in addition to the regular fee-for-service payments, we do make hospital access payments.
• Our UPL payment, or upper payment limit payment, is $473 million for state fiscal year 25.
• upper payment limit payments.
• So the hospitals fund their upper payment limit payments.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• And as your call, the state director payment programs consist of the various supplemental payment programs
• within 180 days of enactment of the act and then also any payment state-directed payments for preference
• on each of these supplemental payment program, state-directed payment programs.
• If if the physician supplemental payment program and then hospital directed payment program, if it's
• So that's the information that drives the low income pool payments and then for the DPP payments that

Transcript Highlights:

• And in addition to the regular fee-for-service payments, we do make hospital access payments.
• Our UPL payment, or upper payment limit payment, is $473 million for state fiscal year 25.
• upper payment limit payments.
• That sets your upper payment limit.
• So the hospitals fund their upper payment limit payments.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• In addition to the regular fee-for-service payments, we do make hospital access payments and cost settlements
• Our UPL payment, or upper payment limit payment, is $473 million for state fiscal year 25.
• upper payment limit payments.
• Medicare is considered the upper payment. So the difference is the total payment that can be paid.
• So the hospitals fund their upper payment limit payments.

Keywords: 1204, all

Transcript Highlights:

• session, Senate Bill 490, requiring health care providers to provide an itemized bill when requesting payment

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• This prohibition includes receiving NIL... payments, or even a promise of future compensation.

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• Payment of ad valorem taxes. Senator Cook, you're recognized for a motion. Thank you, Mr.
• House Bill 2742, relaying the split payment of ad valorem taxes.

Bills: SB128, SB203, SB317, SB393, SB397, SB731, SB781, SB801, SB867, SB1071, SB1086, SB1087, SB1232, SB1262, SB1444, SB1483, SB1782, SB1798, SB1861, SB1897, SB1944, SB2023, SB2082, SB2215, SB2309, SB2497, SB2549, SB2566, SB2603, SB2607, SB2617, SB2688, SB2797, SB2799, SB2841, SB2891, SB2919, SB2928, SB2969, SB2994, SB3070, HB11, HB12, HB26, HB33, HB34, HB45, HB48, HB130, HB148, HB198, HB210, HB303, HB647, HB668, HB677, HB762, HB791, HB1022, HB1041, HB1188, HB1240, HB1242, HB1261, HB1318, HB1397, HB1465, HB1520, HB1535, HB1729, HB1778, HB1950, HB2003, HB2027, HB2029, HB2559, HB2596, HB2607, HB2692, HB2712, HB2742, HB2768, HB2775, HB2788, HB2802, HB2894, HB3474, HB3594, HB3611, HB3698, HB3699, HB3700, HB4187, HB4753, HB4804, HB4850, HB4885, HB5061, HB5238, HB5560, HCR90, SJR34, SB529, SB541, SB693, SB963, SB1173, SB1646, SB1734, SB1833, SB1968, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB2308, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2309, SB1861, SB2617, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1782, SB1944, SB1232, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, SB524, SB2233, SB2683, HB1393, HB2559, HB26, HB2607, HB3810, HB388, HB12, HB2712, HB2692, HB1633, HB1318, HB685, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR90, HCR98, SJR60, SB1319, SB1978, SB3038, SB3045, SB1633, HB3126, HB2856, HB3114, HB3041, HB3505, HB4205, HB5652, HB3687, HB5424, HB4506, HB3370, HB2025, HB4273

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, student privacy, numerical class rank, education policy, academic programs, high school, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 393, Sparks, Middleton

Transcript Highlights:

• state-directed payment limits.
• , expansion enrollment, provider payments, expansion enrollment, provider payments, particularly<
• payments which are payments<00:09:20.720> to<00:09:21.040> providers<00:09:22.000>
• Combined effects on provider payments Combined effects on provider payments are<00:13:51.440>
• Medicaid state directed payment program. Medicaid state directed payment program.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• <00:03:09.040> And service for non-payment in 2025. And service for non-payment in 2025.
• , or natural gas service for non-payment, or natural gas service for non-payment, um<00:04:03.519
• typically um set up a payment typically um set up a payment arrangement<00:04:20.639> of<
• Reconnection fees for non-payment.
• Reconnection fees for non-payment. Reconnection fees for non-payment.

Keywords: 1183, house

Summary: The committee heard House File 3912, as amended, and the author moved that the bill be laid over for consideration in a future omnibus bill. The amendment was adopted without objection. Representative Holland described the bill as an energy affordability measure that would bar utilities from charging certain fees during the cold weather rule for customers above 50% of state median income, prohibit reconnection fees after shutoff for nonpayment, and create a framework for regulating late fees. He argued that late fees are often high, compound monthly, and disproportionately burden low-income households, citing utility debt and disconnection figures and noting that the need for relief is concentrated in greater Minnesota. Annie Levenson Faulk of the Citizens Utility Board supported the bill, saying reconnection fees and late fees fall on households already struggling to pay for essential service. She said reconnection fees should be treated as part of the cost of doing business and that late fees should be limited to a reasonable approximation of actual carrying costs, with protections for low-income customers. She also said the issue is already being considered in utility rate cases before the Public Utilities Commission, but that legislative action is still appropriate. Nick Martin of Xcel Energy and Katherine O'Donnell of CenterPoint Energy opposed the bill in its current form while emphasizing their companies’ commitment to affordability and customer assistance. Xcel said the bill would shift reconnection costs to other customers and could undermine a proposed arrears management program funded by late payment charges; Xcel also noted that the PUC is already reviewing these issues in its rate case. CenterPoint said it already offers extensive outreach, payment plans, and assistance programs, does not charge late fees once a customer is on a payment plan, and that its reconnection fee does not fully cover costs. After testimony and brief discussion, the chair noted the helpful information from utilities, the author said he was open to further work on the bill, and the bill was laid over.

Transcript Highlights:

• It is a state-specific rate of payment operations.
• The payment system works the exact same way.
• or other participants in the payment system.
• And that's all because of electronic payments.
• All of that is enabled by electronic payments.

Keywords: 995, all

Summary: The Special Commission on the future of payments and sales transactions by credit card heard extensive testimony from credit union, banking, retail, restaurant, and payments-industry representatives about proposals to limit interchange fees, especially on the tax and tip portions of transactions. Several witnesses opposed state-level restrictions, arguing they would create a patchwork of rules, burden state-chartered institutions, raise compliance complexity, and ultimately reduce resources for fraud prevention, cybersecurity, rewards, and access to credit. Others, including retail and merchant advocates, said swipe fees are a significant and growing cost for small businesses and that states should consider reforms such as limiting fees on taxes and tips, allowing surcharging, improving transparency in merchant contracts, and studying collection costs more closely. Witnesses also discussed recent legal and regulatory developments, including Illinois’s interchange-fee law, OCC and NCUA interim rules, and the ongoing Visa/Mastercard antitrust settlement. Industry representatives said the Illinois law has been delayed and is likely preempted for most transactions, while merchant advocates argued the state efforts and court rulings show that networks and banks do not set fees competitively. The proposed antitrust settlement was described by some as a meaningful but limited merchant victory, with temporary fee reductions and expanded surcharge/steering rights, while others said it still falls short of structural reform. The commission members pressed witnesses on the practical effects of fees, the cost of cash, whether merchants can pass costs through, and whether small businesses are actually seeing benefits from the current system. Members repeatedly emphasized the need for a fair middle ground that protects both small businesses and the payment system. No substantive votes or policy actions were taken beyond accepting testimony, and the meeting ended with adjournment after all scheduled witnesses had spoken.

Transcript Highlights:

• <00:04:21.720> program compensation support payment program compensation support payment program
• payment payment um<00:07:49.440> I<00:07:49.560> can<00:07:49.759> give<00:07:49.919
• payment payment if<00:08:00.720> the<00:08:00.960> provider<00:08:01.759> is<00
• <00:47:39.400> if can withhold or end CCAP payments if can withhold or end CCAP payments if
• <00:49:03.200> in payments in payments in 2024<00:49:04.960> and<00:49:05.119> there

Keywords: 1183, house

Transcript Highlights:

• is really capping the amount state directed payments at 100 to 210% of Medicare as the upper payment
• But about 9 billion and supplemental payments associated with these 5 state directed payments.
• is payments under Medicaid.
• Every 3 years we have a payment.
• Supplemental payment is at 213%.

Transcript Highlights:

• They said the next payment we'll send you will deduct $5 million.
• , whatever it happens to be, you can be making a payment for a travel voucher, you can be making a payment
• Now, we have to make a payment by date certain.
• Now we have to make a payment by date certain.
• eligibility prior to each payment.

Summary: The Senate Appropriations Committee on Pre-K-12 Education met for its first meeting of the 2025 session to hear the Auditor General’s operational audit on 2024-25 school funding accountability challenges, focused largely on the Family Empowerment Scholarship and its interaction with the FEFP. Deputy Auditor General Matthew Tracy described rapid growth in scholarship enrollment, timing mismatches between scholarship payments and public-school funding calculations, delayed membership survey processing, weak cross-check and recoupment procedures, inconsistent handling of parent survey responses, and limited documentation for withholding and returning funds. The audit said these issues contributed to funding inequities, duplicate-payment risks, and an unexpected draw on state education funds, and it recommended separating scholarship funding from the FEFP, aligning application windows with budget timing, strengthening controls and staffing, and creating clearer, documented recoupment and balance-limit processes. Committee members questioned whether current law gives the department and scholarship funding organizations enough authority and whether the system is effectively a pay-and-chase model. Several senators expressed concern about the lack of timely reconciliation, the size of the funds involved, and the absence of clear records showing how money was recovered or withheld. Adam Emerson, executive director of the Office of School Choice, said the department is working more closely with school districts and scholarship funding organizations, including pausing payments when districts identify students still enrolled in public schools, and said the office wants to improve the process. President Gates then previewed legislation he said would address the audit’s findings by funding Family Empowerment Scholarships as a separate FEFP categorical, expanding the Education Stabilization Fund, setting clearer application and acceptance deadlines, moving to monthly payments with eligibility verification before each payment, assigning student IDs for scholarship assistance, lowering SFO management fees, requiring annual audits, and requiring prompt return of audit-related funds. Public comment included a private-school attorney describing losses from unpaid scholarship amounts. Members generally supported the need for reform, with several senators saying the program should be preserved but better structured and more accountable. The committee adjourned after the discussion, with no vote taken on the legislation.

Transcript Highlights:

• payments.
• payments.
• payments.
• payments.
• payments.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• of care, and what happens when there's a payment dispute?
• , more efficient, and create additional payment options.
• to U.S. dollars, processing them like any other payment method.
• to U.S. dollars processing them like any other payment method.
• I was given a couple different options on making payments.

Summary: The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support. The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted. Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.

Transcript Highlights:

• THE FIRST FINDING HAD TO DO WITH UNTIMELY TUITION AND TRANSPORTATION PAYMENTS.
• PAYMENTS.
• TO TEST THE TIMELINESS WE THE 27 FCC SCHOLARSHIP PAYMENTS AND 11 FSPO PAYMENTS.
• AND WE FOUND THREE OF THE FTC TUITION PAYMENTS WERE PROCESSED FROM 15 TO 35 DAYS AFTER RECEIVING PAYMENT
• HAVE EVERYTHING SQUARED OFF BEFORE ANY PAYMENT GOES OUT THE DOOR.

Transcript Highlights:

• Payments are made on a quarterly basis.
• This is the Low-Income Pool Program supplemental payment, or LIP.
• share of these payments.
• and the public hospital payment programs.
• Support the distribution of these payments. Mr. Chair, that is the amendment.

Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.

Transcript Highlights:

• <00:02:46.080> for The employees can receive payment for The employees can receive payment
• the overall statewide overtime payments. the overall statewide overtime payments.
• And these shift bonus payments are in addition to the regular payments or the overtime payments that
• for all overtime payments.
• for all overtime payments.

Keywords: 1183, house