Transcript Highlights:

• That is beyond my mortgage payment.
• The average home in New Mexico costs $54,000 for a down payment.
• So the risk pool is different than an employer-covered one.
• I believe we talked a little bit about the risk pool, right?
• A higher, bigger pool of individuals who are indeed in this pool.

Transcript Highlights:

• We have $205 million for HCMC and an uncompensated care pool of $30 million for other distressed hospitals
• ><00:02:51.240> of<00:02:51.360> $30<00:02:51.640> million uncompensated care pool
• of $30 million uncompensated care pool of $30 million for<00:02:52.840> other<00:02:53.080>
• So, if you look at HCMC's funding chart, you will see this area where their directed payments coming
• <00:13:12.480> withhold, you know, related to payment withhold, you know, related to payment

Keywords: 918, senate, all

Summary: A Minnesota Senate leader discussed the end-of-session budget deal and said the Senate had passed a comprehensive budget that addresses several recent crises and federal policy changes. He highlighted funding to respond to gun violence, Metro Surge, and the effects of a federal Republican budget bill, saying the package includes retroactive medical assistance coverage, support to keep SNAP functioning, $10 million for food banks and shelves, rental assistance, and aid for counties and property taxpayers. He also said the Senate secured $205 million for HCMC, a $30 million uncompensated care pool for other distressed hospitals, and a $500 million health care stabilization reserve, along with a one-year license tab fee reduction and a $1.2 billion bonding bill. He said some priorities were left out or rejected in negotiations, including small business relief, low-income rent, energy assistance, rural EMS stabilization, a manufactured home bill of rights, a social media platform data collection tax, and proposals to block private equity from nursing homes and single-family homes. He also said the House Speaker had promised but not brought a gun vote to the floor, and he expressed disappointment that immigration-related action and some gun control measures did not advance further. He defended the rental assistance as available to Minnesotans regardless of documentation status and said it was not tied only to Operation Metro Surge. The leader also addressed concerns about payment withholding and program integrity in human services, saying the goal was to fight fraud without cutting services. He said hospitals seeking access to the stabilization reserve would need to show distress and financial need, and that both the governor and a legislative advisory committee would have to approve. He closed by saying the process had been difficult and too much negotiation had moved into backroom settings, but that the chambers were working toward an orderly conclusion and that he expected the remaining bills to be finalized and sent to the governor.

Transcript Highlights:

• So that will be cleaned up before that pooling piece would potentially take place.
• , once they've exhausted their allocation, can access that pool.
• It would be more about what's pupil payment.
• So that's the base pool. You go to the next grouping of the incentive pool.
• Is this over-inclusive in this incentive pool?

Summary: The committee met to discuss higher education funding and capital building policy. Members first heard an update from NDUS Deputy Commissioner Lisa Johnson on low-producing academic programs. She described a proposed board policy using a five-year rolling window and thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, with programs flagged for three consecutive review periods going to the board. Possible outcomes would include continuation, continuation with modifications, inactivation, or termination. Members asked about how the review would account for program costs, service to other students, workforce demand, and the difference between inactivation and termination. Johnson said the board would consider broader factors and that campuses already do detailed program analysis. Several members also asked about cost savings and staffing impacts from program terminations, and Johnson said the board would try to provide more information later. The committee then received a report on the Capital Building Fund from Jamie Wilkie. He reviewed the program’s history, matching requirements, and recent uses, noting that about $334 million in state and matching dollars has been invested overall, with most going to deferred maintenance and extraordinary repairs. Members discussed whether the program is reducing deferred maintenance and requested updated systemwide data on deferred maintenance and campus space utilization. Wilkie said the board is considering a new study to update deferred maintenance figures, which are based on information more than 12 years old. He also reported that several institutions have used current biennium funds for projects such as residence hall renovations, health sciences housing, generators, and building repairs. Later, the committee began a detailed walkthrough of a draft bill that would replace the current higher education funding formula with an FTE-based model and also revise the capital building fund structure. The draft would use fall enrollment FTEs, add completion incentives for degrees in in-demand fields, and create a separate research funding component for UND and NDSU tied to doctoral completions and external research expenditures. Members raised concerns about the use of older data in the formula, the treatment of waivers, the weighting of professional and health sciences programs, and the use of CIP codes to define CTE and education incentives. The bill draft would also combine capital building fund tiers, broaden eligible uses for deferred maintenance and legislatively authorized projects, change matching requirements, repeal the old formula chapter and the capital pool, and transfer funds from the Strategic Investment and Improvements Fund into the capital building fund. No final votes were taken during the portion provided; the meeting was primarily discussion and review.

Transcript Highlights:

• Property Law in relation to prohibiting residential landlords from charging tenants fees for the payment
• of rent through an automated clearing house or online payment system.
• Do you have any concerns that we're diluting the jury pool and not having a jury of someone's peers if
• they happen to be a defendant of someone who is older and wanted to have a jury pool that included contemporaries
• A jury pool that included contemporaries, that we are artificially limiting it, not based on health,

Keywords: 993, senate, all

Summary: The Judiciary Committee chair opened by emphasizing that the committee would consider bills from any member, regardless of party, so long as they would make the judiciary more streamlined, efficient, and accessible. The committee then took up Senate Print 410, which would change how judges review jury awards in employment discrimination cases. The sponsor argued the bill would curb consistently low awards and reduce pressure on plaintiffs to settle, while a member raised concerns about limiting judicial review. After discussion, the bill was moved and reported to the floor, with one member recorded without rights. The committee next advanced Senate Bill 548, authorizing the sale of a specific parcel of Forest Preserve land associated with Camp Gabriels Correctional Facility, and Senate Print 887A, a Surrogates’ Court filing bill, with a suggested amendment clarifying that initial filings may not yet have a file number. It also reported Senate Print 947, barring residential landlords from charging fees for rent payments made by ACH or online systems, and Senate Print 1142, extending the statute of limitations for employment discrimination actions. Other measures reported included the homeowner protection program bill (2627A), skier and snowboarder duties bill (3209), a constitutional amendment on voter qualifications allowing eligible 17-year-olds to vote in primaries if they will turn 18 by the general election (3231), and a bill increasing county court judges in certain jurisdictions (4836A), which was referred to Finance. Additional bills advanced were Senate Print 5089 creating a residential condominium owner bill of rights, Senate Print 5288 on the proper form of exhibits in civil practice, and Senate Print 9037 exempting senior citizens from jury service, with discussion noting the bill’s opt-in feature for seniors who wish to continue serving. Most measures were approved by voice vote with little or no opposition, and the meeting concluded after all listed bills were reported onward.

Transcript Highlights:

• <00:51:38.680> and<00:51:38.800> Support pool list with Facilities and Support pool
• And there's other things that come out of that pool of funds as well.
• And there's other things that come out of that pool of funds as well.
• pool of funds. pool of funds.
• <01:06:03.960> are enrollment which is how the payments are enrollment which is how the payments

Keywords: 958, all

Summary: The committee first approved the March 10 minutes and then moved through a large agenda of contract reviews, including a deferred Kentucky Transportation Cabinet item tied to Louisville bridge tolling and RiverLink. Transportation officials explained that the contract was part of a bi-state arrangement with Indiana: Indiana Finance Authority held the main contract with HNTB, while Kentucky needed a mirror contract to pay its 50% share under the bi-state management agreement. Members questioned why the work was treated as effectively no-bid, how much input Kentucky had in vendor selection, RiverLink’s collection performance, and when tolls might end. Transportation said Kentucky had equal representation in selection, HNTB served as a toll services advisor, collections and customer service had improved, and tolls are expected to remain until debt obligations are paid off in 2058. Several members criticized the company’s past performance and voted no as a statement of concern, but the contract still moved forward. The committee then deferred a Kentucky State University item because the vendor was not registered with the Secretary of State. It also approved the overall agenda and contract review lists. A Board of Optometric Examiners contract drew significant discussion: board representatives said they had previously relied on the Public Protection Cabinet for legal services, but that office lacked staff and advised them to seek outside counsel. Some members argued the committee could not approve a contract that appeared to conflict with statute, while others said the board should not be left without legal counsel and that the Attorney General should be brought in to resolve the issue. The committee ultimately voted to defer the optometric contract for one month and requested the Attorney General appear at the next meeting. Finally, the committee reviewed an Administrative Office of the Courts amendment for the Court of Appeals building project. Staff explained that the General Assembly had authorized the project, the design contract had already gone through multiple approved phases, and the current item was only an administrative correction to a prior modification amount. Members approved the amendment, with one member noting appreciation that the project costs had been reduced when an error was found.

Transcript Highlights:

• Normal withholding, normal estimated payments, that type of thing.
• These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
• These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
• As soon as we can, we'll make that payment of $13.6 million.
• As soon as we can, we'll make that payment of $13.6 million.

Summary: The Budget Section approved the March 18 minutes and received an OMB update showing the general fund is still ahead of the budgeted starting point, but revenues through May are now about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls. OMB also reported the budget stabilization fund is above its cap, meaning a transfer to the general fund is expected, and reviewed oil price/production assumptions, noting continued volatility. Members asked about the income tax netting process, the sales tax decline, oil price discounts/premiums, natural gas taxation, and when the executive branch would present its revenue forecast. The committee then acted on several Emergency Commission requests. It approved, as a group, requests for federal mine reclamation funds for the Public Service Commission, an additional criminal investigator FTE and funding for the Attorney General’s office, and a DPI transfer for bridge software costs. It separately approved DPI request 2164 for $500,000 to support the food vendor program after debate over whether the program’s savings were known and whether the money was simply a pass-through. OMB also reported on federal grants, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, FTE pool usage, vacancy savings, and the DAPL settlement, noting the settlement funds had been deposited and that a deficiency appropriation may be needed later to cover remaining accrued interest. Tax Commissioner Brian Kroshus presented on the primary residence credit program, saying participation has grown sharply and that the current biennium will likely need about $431 million, roughly $22 million above the appropriation. He explained how the credit interacts with homestead and disabled veteran benefits, how the 3% property tax cap works, and why county valuations and mill rates vary. The committee also received a Legacy Fund/Budget Stabilization Fund report showing strong returns, and DOT Director Ron Henke received approval for two Flex Fund highway projects on ND 49 and ND 31. Henke also explained remaining Highway 85 funding and said the department is exploring uses for leftover state dollars. Finally, the Department of Mineral Resources reported on abandoned well plugging and site restoration, noting North Dakota remains in relatively strong shape compared with other states, and DPI began a presentation on gap funding tied to the 3% levy cap, reporting 24 districts received $1.8 million in the first year and projecting higher future needs.

Transcript Highlights:

• AB 428 would permit water corporations to participate in joint powers authorities, or JPAs, for pooled
• We've consulted with two other existing JPAs on options for joining their pooled programs.
• Without the passage of this bill, there is no way for me or members to participate in a JPA for pooled
• Our pool is fully reinsured, so we don't have joint or several...
• Our pool is fully reinsured, so we don't have joint or severable liability for any of the people that

Summary: The Assembly Insurance Committee met as a subcommittee and heard several bills focused on insurance transparency, wildfire mitigation, market access, and workforce issues. AB 75 would require insurers to give homeowners 30 days’ notice before collecting aerial images of their property and allow homeowners to review those images; supporters said it would improve privacy and prevent inaccurate non-renewals, while consumer and industry groups both sought amendments. AB 234 would add the Assembly Speaker and Senate President pro Tem, or designees, as non-voting members on the California FAIR Plan governing committee; the Department of Insurance supported it as an oversight measure, while Consumer Federation of California said it was only a small first step toward broader transparency reforms. AB 428 would let water corporations join joint powers authorities for pooled insurance, with supporters citing rising insurance costs for small water systems and no remaining opposition after amendments. AB 943 would streamline producer pre-licensing education by removing the 20-hour per-line requirement while keeping ethics training; industry sponsors said it would reduce barriers to entry, while consumer advocates warned it could lower professional standards. AB 1209 would create a pathway for cannabis employers to secure workers’ compensation coverage and related services through a state-coordinated network; supporters said it would help bring the industry into compliance, while one member raised concerns about creating a special carveout for a federally restricted industry. AB 1 would require periodic review of the state’s Safer from Wildfire regulations every five years, and it drew broad support from the department, insurers, local governments, and industry groups as a way to keep wildfire mitigation incentives current. The committee also took up a consent calendar including AB 69, AB 487, and AB 570, all of which were sent to Appropriations. The committee approved AB 75 to Privacy and Consumer Protection, AB 234 to the Assembly Floor, AB 428 to Local Government, AB 943 to Appropriations, AB 1209 to Business and Professions, and AB 1 to Appropriations. Most measures passed on strong or unanimous votes after members added coauthor requests and expressed support for the bills’ consumer protection, transparency, or wildfire-related goals.

Transcript Highlights:

• Poole? Senator Dwyer.
• Poole? Senator Dwyer.
• Poole. Senator Weber. Yes. One more question, Dr. Poole. Senator Weber.
• Poole, one more question. Dr. Poole, one more question.
• Poole.

Keywords: 908, all

Transcript Highlights:

• One consisting of a payment of $8,32 on One consisting of a payment of $8,32 on July 1, 2027, and two
• of 2,00 $17 on July 1, 2027, and two payments of $17 on July 1, 2027, and two payments of $1,800 on
• And what I see in here, the percentage of income tax payments, is that this falls after Tax payments,
• The CSD pool has 55 fire districts, The CSD pool has 55 fire districts, which provides work comp for
• Olympic size swimming pools.

Keywords: 981, all

Transcript Highlights:

• So seeing Normal withholding, normal estimated payments, that type of thing.
• These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
• Can see that we did receive payments in April of this year.
• As soon as we can, we'll make that payment of $13.6 million.
• As soon as we can, we'll make that payment of $13.6 million.

Keywords: 908, all

Transcript Highlights:

• So seeing Normal withholding, normal estimated payments, that type of thing.
• These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
• These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
• And so you can see that we did receive payments in April of this year.
• As soon as we can, we'll make that payment of $13.6 million.

Summary: The Budget Section met to approve prior minutes and receive a series of budget, revenue, and program updates from OMB, the Tax Department, DOT, DMR, and DPI. OMB reported that general fund revenues through May were about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls, though the biennium is still projected to end with a positive balance. OMB also reviewed oil price and production assumptions, the budget stabilization fund transfer above its cap, Legacy Fund performance, federal grant applications, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, vacancy savings, and the DAPL settlement, noting that most of the settlement funds had been deposited but a small amount of accrued interest would require a future deficiency request. The committee then considered Emergency Commission requests. It approved requests for Public Service Commission abandoned mine lands federal authority, an Attorney General FTE and related funding for criminal investigator work tied to the Office of Guardianship and Conservatorship, and a DPI transfer for bridge software costs. After discussion, the committee also approved DPI’s request for a $500,000 transfer for the food vendor program, despite questions about the program’s savings and cash-flow structure. Later, the Tax Commissioner presented the primary residence credit program, reporting that current biennium costs are expected to exceed the appropriation by about $22 million and explaining how the credit interacts with homestead and disabled veteran credits and the 3% property tax levy cap. The Legacy and Budget Stabilization Fund Advisory Board reported strong returns for both funds, and DOT sought and received approval for two flexible fund highway projects on ND 49 and ND 31. DOT also updated members on Highway 85 construction and said remaining flex fund dollars were essentially fully allocated. DMR reported on the abandoned well plugging and site reclamation fund, noting North Dakota’s relatively small orphan well inventory, current and projected fund balances, rising remediation costs, and a possible need to adjust the fund cap in future sessions. Finally, DPI outlined the new integrated formula gap funding program, explaining that it compensates school districts that cannot reach the assumed 60-mill local contribution because of the 3% levy cap; the first year’s gap funding totaled about $1.8 million, with future costs expected to grow.

Transcript Highlights:

• which at minimum must include the increased risk of drowning for infants and toddlers in bathtubs, pools
• But I just think that these bipartisan efforts to enhance safety around swimming in pools, especially
• Senate Bill 1594, a bill to be entitled an act relating to veteran benefit payments to minor clients.
• Senate Bill 1594, a bill to be entitled an act relating to veteran benefit payments to minor clients.
• Senate Bill 1594, a bill to be entitled an act relating to veteran benefit payments to minor clients.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a moment of silence honoring former Senator Charlie Dean. Senators also introduced guests, including family members, church leaders, and visiting students. The chamber then moved to the special order calendar, where several bills were temporarily postponed, including measures on Citizens Property Insurance, artificial intelligence, public records, and data centers. The Senate passed a series of bills focused on consumer protection, transportation safety, health, and financial regulation. CS/HB 505 on virtual currency kiosks passed 37-0 after being substituted for SB 198 and amended to adopt Senate language aimed at limiting fraud and setting transaction controls. SB 382 on electric bicycles passed 37-0 after amendment to broaden the task force to micro-mobility devices. SB 844 on sickle cell disease continuing education passed 37-0, requiring certain health professionals to complete training on care management. SB 1014 on municipal utility service outside city limits passed 37-0, and SB 428 on the swimming lesson voucher program passed 36-0 after amendments expanding the program to ages 1 through 7 and adding drowning-prevention education for new parents. The Senate also passed CS/CS/CS/SB 540 on the Office of Financial Regulation, which creates cybersecurity program requirements for certain licensees, expands oversight of some investment advisers, and updates credit union and anti-money-laundering provisions; it passed 36-0. CS/CS/SB 1440 on public records passed 35-1 after technical amendments tied to related cybersecurity exemptions and reporting requirements. SB 1594 on veteran benefit payments to minor clients passed 36-0, directing certain benefits for foster youth toward post-secondary education or aftercare rather than agency reimbursement. At the end of the session, the Rules Chair moved to certify all passed bills to the House and retain postponed bills on the special order calendar, and the Senate adjourned until the next day.

Transcript Highlights:

• So that's the claim payments.
• Now hitting more than your mortgage payments.
• UNM pays about 9 million into the pool, right?
• pool of money that has been built up.
• And so, are you running a deficit in that pool every year?

Transcript Highlights:

• And the pool of people to pull from gets very small when these regulations are upheld to their current
• And the pool of people to pull from gets very small when these regulations are upheld to their current
• And the pool of people to pull from gets very small when these regulations are upheld to their current
• And the pool of people to pull from gets very small when these regulations are upheld to their current
• I would want them to receive payment I would want them to have<00:26:58.240> to<00:26:58.399>

Keywords: 1183, house

Transcript Highlights:

• the conservation capacity, is that, is that the reservoir at at it's, at it's, is that the normal pool
• Texas Water Development Board, where they've determined what this is going to be, or what the normal pool
• of providing parental leave benefits for working mothers and fathers by creating a parental leave pool
• similar to like a vacation pool, a sick pool, but we created a parental leave pool where we allowed
• , situations such as towing or gas bills that have, uh, uh, fuel bills that have a, uh, uh, uh, a payment

Transcript Highlights:

• You know, there's to offer secondary payments outside of the agreement that don't necessarily lead to
• Something Representative Bosch was talking about is that, like, secondary payments, exactly what do you
• that suggestion would provide any agency or institution an ability to create a pre-qualified vendor pool
• the Department of Health and Human Services also received authority to create a pre-approved vendor pool
• you're not locking out local people, just if they have to meet the qualifications for that vendor pool

Summary: The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion. OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated. The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.

Transcript Highlights:

• And again, we manage around $160 billion of assets across many pools of capital.
• And again, we manage around $160 billion of assets across many pools of capital.
• <00:48:18.480> In<00:48:18.720> that many pools of capital.
• In that many pools of capital.
• receipts or payments to uh the pupils. receipts or payments to uh the pupils.

Keywords: 1187, senate, all

Transcript Highlights:

• people into the the negotiating pool people into the the negotiating pool when<01:22:53.280>
• they award grants and those type things, they do partial payments, 30-day payments, CDBG, ARC, USDA.
• payments, CDBG, ARC, USDA.
• ,<01:24:12.080> 30-day uh they do partial payments, 30-day uh they do partial payments, 30
• > USDA, payments, uh CDBG, ARC, USDA, payments, uh CDBG, ARC, USDA, uh<01:24:17.440> even

Keywords: Voter List Maintenance - State Board of Elections -- 05:38 State Employee Health Insurance Plan – 44:18 Discussion of HB 622 (2025 RS) – 01:01:43, 958, all

Summary: The Interim Committee on State Government met on July 29, established a quorum, approved the June 24 minutes unanimously, and heard an update from the State Board of Elections on voter list maintenance. Taylor Brown, the board’s general counsel, explained the federal NVRA requirements and Kentucky’s statutory process for maintaining voter rolls, including use of USPS change-of-address data, ERIC reports, and agreements with non-ERIC states. He said Kentucky has entered or discussed agreements with several states, and that the board sends postcards to voters believed to have moved; if a voter does not respond to an 8D2 postcard and does not vote over two federal election cycles, the registration may be removed. He also described other removal categories such as death, felony conviction, incompetency, duplicate registrations, and self-requested cancellations. Brown reported that between July 1, 2024, and June 30, 2025, the board removed 284,381 registrations from the rolls, including 42,675 for death, 5,940 for felony conviction, 5,527 for registration in another state, 578 for incompetency, 223 based on jury questionnaires indicating non-citizenship, 746 self-removals, and 3,381 duplicates, along with 225,311 removals through the address-maintenance program. He said Kentucky’s total registrations decreased by roughly 169,000 over the year and are now below the Census Bureau’s estimate of the state’s voting-age population. Brown emphasized that receiving a postcard does not mean a voter has been purged and that failure to vote alone does not trigger removal. Members asked about the 223 non-citizen-related removals, the availability and effectiveness of alternatives to ERIC, the partisan criticism of ERIC, and how duplicate registrations are identified. Brown said the non-citizen jury questionnaire cases had been referred to the Attorney General for further review, that Kentucky currently has no organized alternative to ERIC but is pursuing reciprocal agreements with states such as Florida, and that ERIC recently changed bylaws to remove a postcard requirement that had been costly for member states. On duplicates, he said the board uses multiple data points, not just name and address, and noted that fuller Social Security data could improve accuracy. Committee leaders praised the board’s work and said they wanted to meet before session to discuss possible statutory changes to improve voter list maintenance.

Transcript Highlights:

• Our managed care capitation payments, which includes our capitation payments made to our managed care
• :53.920> our<00:08:54.160> our payments which includes our our payments which includes
• :08:56.640> our<00:08:57.120> uh capitation payments made to our uh capitation payments
• We call it capitation payments. And what drives those premiums is the pool of people.
• And what drives capitation payments.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• It is for a pool project in excess of $1 million that's been approved by the Cabinet of Finance, the
• in the amount of $88,000 and also from the 2224 maintenance pool in the amount of $50,000.
• The state is participating in 7% of this with an average annual debt service payment of $249,73, just
• Uh, $38,646 is our average annual debt service payment.
• It looks like they did service payment.

Keywords: 958, all

Summary: The committee first approved the February minutes and noted there had been no March meeting. Staff then provided a series of information items, including quarterly capital project status reports from state agencies and postsecondary institutions, a University of Kentucky equipment purchase report, notice that the committee took no action on certain March transactions, school district debt notices for Fayette and Jessamine counties, lease-space advertisements due to building conditions, a Kentucky Asset/Liability Commission report, and asset preservation project reports from KCTCS and Eastern Kentucky University. The committee then heard and unanimously approved Murray State University’s request for interim authorization to use institutional revenues for a $1.5 million roof replacement at the Curs Center student center. University of Kentucky also received unanimous approval for a $115 million public-private partnership project to expand Parking Structure 7 and the Johnson Center recreation space; testimony emphasized the loss of parking from hospital expansion, increased student enrollment, a planned $21 per semester recreation fee increase, and the goal of improving student retention and campus capacity. Next, the committee received a report on a Kentucky State Police Post 11 renovation in London funded at $1.138 million, with members asking how long the repairs would extend the building’s useful life; KSP said the work was a long-term investment and replacement was still many years away. The committee also approved multiple real property lease actions, including a new CHFS lease in Scott County, several lease renewals for the Commonwealth’s Attorney, CHFS, Transportation Cabinet, and a Secretary of State relocation lease tied to a capital renovation project. Members questioned one Jefferson County lease rate and the witness said it had been in place since 2007. Finally, the Kentucky Infrastructure Authority presented three water loan items, which were rolled and then approved: an $841,383 East Clark County Water District loan for waterline upgrades, a roughly $6.13 million Oldham County Water District loan for US 42 improvements, and a $619,180 increase for Canonsburg Water District’s Schopes Road project due to higher-than-expected bids. The committee then approved eight K-12 school facility issuances, including projects in Clinton, Franklin, Fulton, Lincoln, McLean, Paris, Somerset, and Spencer counties, covering early childhood, new school construction, HVAC, energy conservation, and renovations. The meeting ended with notice of the next meeting date and adjournment.