Video & Transcript Research : 'split payment'
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VT
Transcript Highlights:
- Battery electric vehicles will have multiple payment options. Those are all in the bill.
- Battery electric vehicles will<00:03:46.200>
have <00:03:46.760>multiple <00:03:47.080>payment - will have multiple payment options. will have multiple payment options.
Summary:
The House took up the Committee of Conference report on House Bill 944, the fiscal year 2027 transportation program and related transportation law changes. The Speaker first suspended the rules to consider the report immediately. A member from Swanton then outlined the conference committee’s main agreements, saying the House Transportation Committee was pleased with the result.
The report’s major provisions included a mileage-based user fee for battery electric vehicles beginning January 1, 2027, at 1.4 cents per mile, with multiple payment options and a directive for the Agency of Transportation to return with recommendations on eventually adding plug-in hybrid vehicles. The member also highlighted shifting $1.7 million from town highway aid to state paving, an additional $300,000 from the general fund for volunteer driver and mobility programs, a recommendation to study bonding as a way to advance transportation projects, consumer-protection style rules for EV charging price transparency, and changes to dates related to the Caledonia airport sale. The member noted the conference committee accepted the Senate’s position on making obsolete Connecticut River log-drive rules obsolete.
After brief remarks, the House voted on the conference report. The chair called for a voice vote, the ayes appeared to have it, and the report of the committee of conference was adopted. The House then noted that additional Senate bills might come over later and recessed until 4:00 p.m.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-02-25 (5:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- must receive a Before a municipal utility is required to connect a property, they must receive full payment
- 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.
DE
Delaware 2025-2026 Regular Session
House of Representatives Legislative Session - Session 2 - 42nd Legislative Day- REASSEMBLE Part 1 Jun 30th, 2026 at 02:00 pm
Delaware House Floor Meeting
Transcript Highlights:
- payment models, exploring publicly sponsored coverage options, and identifying new opportunities for
- They have a mortgage payment on that house, and their tenant is not paying the rent.
- But in the meantime, the landlord has got to make those payments to the bank.
- payments?
- If the landlord cannot make the payments without the rent payments, and he gets foreclosed on, what happens
DE
Delaware 2025-2026 Regular Session
House of Representatives Legislative Session - Session 2 - 42nd Legislative Day- REASSEMBLE Part 1 Jun 30th, 2026
Delaware House Floor Meeting
Transcript Highlights:
- payment models, exploring publicly sponsored coverage options, and identifying new opportunities for
- They have a mortgage payment on that house, and their tenant is not paying the rent.
- But in the meantime, the landlord has got to make those payments to the bank.
- payments?
- If the landlord cannot make the payments without the rent payments, and he gets foreclosed on, what happens
Summary:
The House met on June 30, 2026, with opening ceremonies, guest introductions, a prayer, the Pledge of Allegiance, and a moment of silence for two deceased community members. Members also adopted Consent Calendar 29, which included House Concurrent Resolutions 153, 154, and 156, and passed House Concurrent Resolution 157 directing the State Lottery to report on iLottery options to support traditional lottery retailers, as amended to set a February 15, 2027 reporting deadline.
The chamber then considered several bills on agriculture, telecommunications, health, fire service standards, corrections, elections, and education. Among the measures passed were Senate Bill 53 on the Delaware Farm to Community Program, Senate Bill 307 on PSC authority for Lifeline telecom carriers, Senate Bill 339 clarifying advance health care directives, Senate Bill 235 extending manufactured home rent increase rules, Senate Bill 325 updating firefighter/EMS background check and membership standards, Senate Bill 309 discharging incarceration-related balances, Senate Bill 324 on constable-related handgun purchase exemptions, Senate Bill 94 on respiratory care practitioners and ECMO medication access, and Senate Bill 293 creating a licensure pathway for summer camp providers in the Purchase of Care program.
The House also passed Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry regardless of race or gender while explicitly preserving religious freedom. The bill drew extended debate, with supporters framing it as a safeguard against future rollbacks of marriage equality and opponents raising concerns about constitutionalizing an issue already in statute; several members explained changed votes and personal reflections before the final roll call, which passed 28-12. House Bill 188, which would allow unaffiliated voters to choose a party primary, also passed after amendment, despite some opposition over party-system effects.
Two measures were tabled or amended after debate: Senate Bill 233 on removing snow and ice from vehicles was initially tabled to consider a truck-driver exemption amendment, then the amendment failed and the bill later passed as amended; and Senate Joint Resolution 19 on studying health care costs was tabled briefly pending legal clarification. House Substitute 1 for House Bill 404, creating a three-year pilot program for AI and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, data privacy, and teacher oversight. The transcript ends as House Bill 478 is being read in, but no final action on that bill appears in the provided text.
NH
Transcript Highlights:
- We have received about 40% of the payments we’ve invoiced.
- We have received about 40% of the payments we’ve invoiced. Dr.
- We have received about 40% of the payments we’ve invoiced.
- So in New Hampshire, we have RSA 194-D and these bills and payments among school districts.
- In New Hampshire, we have RSA 194-D and these bills and payments among school districts.
TX
Transcript Highlights:
- The doctor never intended to seek full payment.
- There are some that take health insurance but cannot accept a cash payment if you have both.
- , no payments, whatever; it's a horrible thing to get in that situation.
- The doctors and the hospitals also have to accept that as full payment.
- So that's a very reasonable basis for payment. Thank you very much. Thank you for being here.
Bills:
SB 30, SB 517, SB 1313, SB 1314, SB 1316, SB 1541, SB 1698, SB 1845, SB 1860, SB 2420, SB 2429
Keywords:
gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections
Summary:
The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights.
The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-06 - 11:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- So, I can provide the interest payment to the state, also." "Senator from Essex."
- <00:56:15.840>
The payment that we get with interest. - The payment that we get with interest.
- can I I can provide the interest payment can I I can provide the interest payment to<00:56:22.320
- The creditor may then move to pursue payments from the perpetrator of the coerced debt.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-14
Human Services Finance and Policy
Transcript Highlights:
- PACE operates on a capitated payment model with programs receiving fixed monthly payments for each enrolled
- PACE operates on a capitated payment model with programs receiving fixed monthly payments for each enrolled
- must in aggregate<01:34:52.320>
prospectively <01:34:53.199>reduce <01:34:53.760>payment - aggregate prospectively reduce payment aggregate prospectively reduce payment rates<01:34:54.960
- to medically uh mandatory payments to medically uh mandatory medical<01:37:42.719>
assistance
Keywords:
county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services
MN
Minnesota 2025-2026 Regular Session
Committee on Human Services - 03/11/26
Health and Human Services
Transcript Highlights:
- The current environment for constant audits, unclear expectations, and unpredictable payment holds has
- Not only did the abrupt 30-day delay in payment that happened in December negatively affect our cash
- And now we're faced with the threat that there could be a 90-day delay in payment.
- Not only did the abrupt 30-day delay in payment that happened in December negatively affect our cash
- And now we're faced with the threat that there could be a 90-day delay in payment.
WY
Transcript Highlights:
- ,<00:58:14.319>
knowingly fraudulent claim for payment, knowingly fraudulent claim for payment - or overpayment by inadvertent payment or overpayment by the<00:59:58.960>
state <00:59:59.119> - fails to repay the inadvertent payment fails to repay the inadvertent payment or<01:00:03.359>
- of sales taxes. regarding the payment of sales taxes.
- of sales tax to regarding the payment of sales tax to include<01:35:01.120>
all <01:35:01.360>
Keywords:
felony, law enforcement, police officer, criminal penalties, public safety, sex offender, child care facility, residency restrictions, criminal law, sex offenders, child care facilities, legislation, false claims, civil penalties, state accountability, whistleblower protection, fraud prevention, 916, all
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (11-12-25) - Part 2
Transcript Highlights:
- The state pays an MCO a fixed monthly amount per enrollee, called a capitation payment.
- The MCO takes on the financial risk if care costs more than the capitation payment; the MCO covers the
- payment, the MCO covers the difference. payment, the MCO covers the difference.
- payments shut down. payments shut down.
- Yeah, and Senator Carroll, I mean, I do think the payments are on a monthly basis.
Summary:
The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant.
Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care.
Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1.
Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 22nd, 2025
Transcript Highlights:
- Established in 2022, the Workforce and Quality Incentive Program provides state payments to in-network
- , causing delayed payments to these facilities.
- We call them W-Equip payments.
- Lastly, it will ensure that insurance payments go directly to the dentist, so patients aren't burdened
- Direct payment from a dental plan, a benefit allowed for in-network dentists and one of the strongest
Summary:
The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting.
The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call.
The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.
NH
Transcript Highlights:
- <00:39:14.440>
from actually accept the rent payments from actually accept the rent payments - They have not yet had a rent payment due there.
- They have not yet had a rent payment due there.
- purposes—just say it's $4 million in rent payments.
- purposes—just say it's $4 million in rent payments.
MN
Transcript Highlights:
- Does it come from the secure payment system, SPS, or I think there's another one, the payment benefit
- that those expenditures are payment that those expenditures are entered<01:18:50.080>
into <01 - Am I going to get my Social Security payment? Is my kid going to have an IEP?
- Am I going to get my Social Security payment? Is my kid going to have an IEP?
- Am I going to get my Social Security payment? Is my kid going to have an IEP?
Summary:
The committee met to hear a Minnesota Department of Education presentation on federal education funding and the potential effects of federal actions on those dollars. Chair Kunesh framed the discussion around concerns about threats to the U.S. Department of Education and noted that federal funds make up about 10% of Minnesota’s education budget, or roughly $1.4 billion. Senator Lang pushed back, emphasizing that 90% of school funding comes from state and local sources and urging the committee to focus on state mandates and how to pay for them. New member Senator Clark introduced himself and said he would teach ethics or running if he were a teacher.
Department staff explained that federal education dollars are divided between entitlement/formula funds and competitive/discretionary grants. They said Minnesota receives federal money through established systems and that the department is seeking clarity about how federal changes might affect the flow of funds, oversight, and program administration. They also outlined Minnesota’s legislative review process for federal funds, which includes several pathways such as the governor’s biennial budget, supplemental budget submissions, legislative advisory committee review, and expedited review processes when needed.
The presentation then focused on ESEA Title funding, especially Title I. Staff said Title I is one of the largest federal education programs in Minnesota, with about $200 million in current funding, and supports 476 local education agencies. They described how funds are allocated through Minnesota’s North Star accountability system and Compass support structure, based on measures such as poverty, graduation rates, and state assessment performance. Examples of allowable supports included professional development, attendance initiatives, reading curriculum, training, and peer coaching. Senators asked whether executive action could affect these funds and whether the money flows directly to districts or through the state; staff responded that they would avoid speculation and would continue explaining the different funding streams and oversight structure.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - Part 1 - 04/24/26
Judiciary and Public Safety
Transcript Highlights:
- theft from another state or federal agency. payment to a provider if they are payment to a provider
- payment withhold was unjustified. payment withhold was unjustified.
- Um, and they ended up not withholding payments from any providers at all.
- So nobody actually lost payments.
- able to stop um payments able to stop um payments in<01:00:33.280>
a <01:00:33.440>way
CA
Transcript Highlights:
- AB 2511 would require health plans and insurers to submit highly detailed payment data across multiple
- payment pathways, including payments to providers, intermediaries, and health systems.
- The payment information subject to disclosure under AB 2511 is also highly sensitive and proprietary.
- Further, the primary plan may also apply the administrative fee on certain pass-through payments for
- programs like transitional rent and maternity care, where plans are supposed to pass through payments
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 090 Apr 14th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- Uh, but this bill prohibits HICKPUF from using multiple procedure payment reductions, compound billing
- using multiple procedure payments using multiple procedure payments reductions,<01:26:04.960>
- <01:30:20.800>
reduction <01:30:21.320>for procedure payment reduction for procedure - payment reduction for outpatient<01:30:21.960>
therapy <01:30:22.320>services. - for multiple procedure payment reductions.<01:32:33.560>
It <01:32:33.680>matches <01:32
HI
Hawaii 2026 Regular Session
HOU-WLA Public Hearing 02-17-2026
Transcript Highlights:
- Requires HPHA to award monthly rent supplement payments on behalf of qualified tenants under the state
- Authorizes HPHA to enter into memorandum of agreement for rent supplement payments with the counties
- Authorizes HPHA to enter into memorandum of agreement for rent supplement payments with the counties
- Authorizes HPHA to enter into memorandum of agreement for rent supplement payments with the counties
- agreement for rent supplement payments agreement for rent supplement payments with<00:04:48.160>
Summary:
The joint hearing covered several housing-related measures. On SB 2068, which would create an affordable housing land inventory task force within the Office of Planning and Sustainable Development to study how to maximize housing on transit-oriented development and other state and county lands, testimony was mostly supportive from agencies and housing groups, with one opposition witness. In response to questions, OPSD said it was already working on a list of potential parcels but could not yet identify unit counts or a timeline, and estimated about $250,000 would be needed for staffing and contractual support.
The committees also heard SB 2227 on rental assistance, which would require HPHA to make monthly rent supplement payments, prioritize certain tenants including kupuna, allow agreements with counties and nonprofits, and create a special fund supported by a transaction fee on recordings. HPHA supported the bill, and the Department of the Attorney General said it recommended amending the measure to describe the fee as a tax. Additional testimony included support from elder and community organizations and one opposition witness.
For SB 2061, relating to residential condominiums and the 99-year leasehold program, HCDA and the project developer testified in support of amendments intended to preserve owner-occupant requirements while making the project more marketable and financially feasible. Members focused heavily on parking, affordability, and financing. HCDA and the developer said the parking stalls would be unbundled from the units, that the project would be a 99-year leasehold with 60% of units reserved for buyers at or below 140% AMI and 40% market-rate, and that the state’s $15 million equity contribution would cover only part of the parking garage and commercial component. The hearing then moved on to SB 3327, relating to HCDA and complete communities, but the transcript cuts off before that measure was fully discussed.
KY
Kentucky 2026 Regular Session
Information Technology Oversight Committee (1-12-26)
Transcript Highlights:
- Payments, availability payments, uh, etc.
- Payments, availability flow to them.
- Payments, availability payments,<00:27:55.360>
uh, <00:27:55.600>etc. - I can go through the payments, uh, etc.
- , to subordinate debt, equity payments, to subordinate debt, equity payments, etc.<00:28:10.640><
Keywords:
Meeting Start 00:00:00
KentuckyWired Communications Network Authority 00:01:20
Artificial Intelligence and Free Expression 00:38:40, 958, all
Summary:
The committee questioned KCNA officials about the Kentucky Wired network refresh, focusing on whether the equipment truly needed replacement now and what the vendor end-of-support dates were for the network’s layer 1, 2, and 3 equipment. Senators and representatives pressed for invoices, purchase orders, and vendor documentation, and KCNA staff explained that end-of-support dates vary by specific model and component, not just by broad product family. KCNA agreed to provide a detailed list of components, part numbers, and support dates, and acknowledged that some requested documentation had not yet been produced.
A major point of discussion was the timing of the system refresh. KCNA said the 10-year refresh schedule comes from the project agreement, specifically Schedule 19, Section 2.1B, which requires the first system refresh to be completed by September 3, 2026. Committee members argued the network equipment appears to remain in service life for at least the next two years and questioned why an upgrade would be needed immediately. KCNA responded that failing to complete the refresh could excuse the service provider from contractual obligations and could constitute a material breach or default under the project and bond documents.
Members also asked about network capacity and the impact on schools and state users. KCNA said it would need to check with Quark for an exact utilization figure, while the chair cited prior testimony that schools account for about 80% of traffic and KCNA about 20%. The committee raised concerns about schools not connected to the network and the effect of KCNA’s actions on continuity of service, while KCNA disputed that K-12 service had been put at risk. KCNA also explained the contract and payment structure: the Commonwealth’s project agreement runs through Kentucky Wired Infrastructure Corporation/Quark, with KEDA-issued bonds and funds flowing through Quark in a waterfall structure.
The meeting ended with KCNA agreeing to request underlying vendor invoices from Quark, provide the requested contract documents, and supply information on the status of the wholesaler replacement procurement and related litigation. No formal vote was taken.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (6-25-25)
Transcript Highlights:
- And I will say that most of that is, uh, from the latter part of it is related to directed payments,
- ,<00:35:49.200>
which <00:35:49.440>we've <00:35:49.680>heard directed payments - , which we've heard directed payments, which we've heard that<00:35:50.079>
over <00:35:50.240> - Uh, and then, as I said earlier, the directed payment programs really have been driving that increase
- So, can we kind of directed payments.
Keywords:
Call to Order and Roll Call – 00:00:00
Introduction of Board Members – 00:02:04
Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46
Medicaid Legislative Update - 00:20:26
Discussion of Next Steps and Future Meeting Dates – 01:04:06
Adjournment – 01:06:37, 958, all
Summary:
The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do.
Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board.
Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.