Video & Transcript : 'uncompensated care' :

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MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/22/26

Human Services

Transcript Highlights:
  • </c> investigations in the health care fraud. investigations in the health care fraud.
  • </c> assure continuity of care. assure continuity of care.
  • </c><01:17:59.960><c> with</c> No, I just I I want to be careful with No, I just I I want to be careful
  • </c> people that have the most complex care people that have the most complex care needs<01:32:32.600
  • </c> going to impair people's access to care. going to impair people's access to care.
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 3/24/26

Children and Families Finance and Policy

Transcript Highlights:
  • Cindy Cunningham, family child care provider in St.
  • </c><00:25:12.720><c> funding</c> significant rural healthc care funding significant rural healthc care
  • </c> together to demand better health care together to demand better health care for<01:01:14.480><c>
  • </c><01:03:37.119><c> of</c> generally people are taking care of generally people are taking care of
  • And um you know in some of child care.
AZ

Arizona 2026 Regular Session

02/25/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • So hopefully you guys can take good care of them.
  • All right, would you care to offer an explanation? Mr.
  • But I would ask if you would care for me to just go ahead and rule germane. we go. would care for me
  • We all cared about refugees, was what it used to be.
  • Helping our children with kids' care, child care, and education, including ESAs, these require more revenue
Summary: The Senate met in multiple Committee of the Whole sessions and considered a large number of bills, many related to digital assets and cryptocurrency, including SB 1042, SB 1043, SB 1044, SB 1045, SB 1432, SCR 1003, SCR 1033, and SCR 1028. Members discussed whether the state should accept cryptocurrency for payments, tax or exempt virtual currency, ban central bank digital currency, and support digital assets in retirement systems. Senator Epstein repeatedly argued against the measures and tried to offer amendments targeting data center tax exemptions, but one such amendment was ruled not germane and the ruling was upheld on a division vote. The bills and resolutions in that group generally advanced with do-pass recommendations, with SB 1043 and SB 1044 amended before advancing. The Senate also advanced several bills on family law, public records, scholarship organizations, property conveyances, underground facilities, and environmental and energy issues, including SB 1039, SB 1139, SB 1147, SB 1148, SB 1328, SB 1078, SB 1142, SB 1184, SB 1254, SB 1278, SB 1281, SB 1418, SB 1445, and SB 1566. Some measures drew discussion and amendments: SB 1254 received a clarifying amendment for deeds handled by title and escrow professionals; SB 1278 had a floor amendment withdrawn; SB 1281 was amended by committee and floor changes; SB 1418 prompted questions about small modular reactors and concerns about uranium mining and health impacts; and SB 1566 was amended to address malicious delay enforcement and judicial review. Most of these bills received do-pass recommendations. In the health and human services calendar, the Senate advanced SB 1052, SB 1115, SB 1149, SB 1193, SB 1233, SB 1345, SB 1346, and SB 1631, with SB 1124 retained on the calendar. Debate centered on ACCESS and remote work, administrative deficiency cure periods, anonymous complaints, fee-for-service claims, and DCS-related hearings and investigations. Senator Gonzales opposed several ACCESS-related bills, arguing they lacked appropriations, could disrupt services, or conflicted with federal Medicaid law, while sponsors said the bills addressed agency performance and provider complaints. SB 1115, SB 1149, SB 1193, SB 1233, and SB 1345 were amended before receiving do-pass recommendations, and SB 1345’s sponsor said ACCESS was removed from the bill. The final calendar included regulatory and veterinary-related bills such as SB 1137, SB 1144, SB 1205, and SB 1286. SB 1205, dealing with motor vehicle booting fees, received a floor amendment requiring an appeals process for private parking lots. SB 1286, on veterinary telemedicine and prescriptions, drew the most extended debate, with a committee amendment and a Kavanagh floor amendment restoring a 14-day prescription extension and adding flea and tick treatment; Senator Leach opposed the floor amendment, describing prior stakeholder negotiations and changes in committee support. The transcript ends while that debate is still underway, after several bills have already been reported out with do-pass recommendations.
KY

Kentucky 2026 Regular Session

House Standing Committee on Health Services (1-22-26)

Health Services

Transcript Highlights:
  • So the focus on this is to improve rural health care, but if you improve rural health care, you're probably
  • going to improve health care in Kentucky in general, right?
  • </c> people can actually have in-person care. people can actually have in-person care.
  • I have taken care of hundreds of survivors, and this is more important than you can imagine.
  • I have taken care of is is astronomical.
CA
Transcript Highlights:
  • Or dangerous air quality from a wildfire closes child care centers or schools.
  • When the children are sent home, who's going to take care of them? Most likely mothers.
  • So during these climate-driven events, women are most likely to pick up the slack on care.
  • Nurses, doctors, and home health care... Most likely mothers.
  • are mothers or caring for elderly family members.
Summary: The committee considered several coastal, climate, and air quality measures. Senator Laird presented SCR 136 marking the 50th anniversary of the Coastal Act and Coastal Conservancy Act, and SJR 12 opposing the federal offshore oil and gas leasing program; both drew broad support from environmental groups, local governments, and other advocates, with no opposition heard. Senator Padilla presented SB 10, requiring state climate plans to include gender impact assessments, with supporters arguing climate harms fall disproportionately on women and LGBTQ+ people; the bill also drew no opposition in the hearing. Senator Padilla also presented SB 675 to restructure the Imperial County Air Pollution Control District board and expand public transparency, while supporters cited severe air quality problems and opponents raised concerns about unfunded mandates, consultation, and impacts on local permitting and economic development. Senator Allen presented SB 1229 to limit disaster-rebuild coastal permit exemptions when replacement structures would newly impede coastal access or sensitive protections, with supporters saying it would prevent investor abuse of post-disaster rebuilding rules. After testimony, the committee took up the measures and recorded votes. SCR 136, SJR 12, SB 10, SB 675, and SB 1229 all advanced on party-line or near-party-line votes, with some members voting no on the more regulatory measures. The consent calendar was also approved, including ACR 157, SB 899, SB 949, SB 963, SB 1008, SB 1207, SB 1428, and SJR 5. All of the listed measures were sent onward, generally to Appropriations, and the committee concluded its hearing after the roll calls.
CA

California 2025-2026 Regular Session

Assembly Natural Resources Committee Jun 8th, 2026

Natural Resources

Transcript Highlights:
  • Or dangerous air quality from a wildfire closes child care centers or schools.
  • When the children are sent home, who's going to take care of them? Most likely mothers.
  • Nurses, doctors, and home health care... Most likely mothers.
  • Nurses, doctors, and home health care... ...of the state's effective climate action.
  • are mothers or caring for elderly family members.
LA

Louisiana 2026 Regular Session

Local and Municipal Affairs May 21st, 2026

Local & Municipal Affairs

Transcript Highlights:
  • They would rather earn a decent living so that they can take care of themselves.
  • It's people we see every single day: retail workers, child care professionals, home care assistants,
  • It's people we see every single day: retail workers, child care professionals, home care assistants,
  • It's people we see every single day, retail workers, child care professionals, home care assistance,
  • They want to be able to take care of their families.
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 May 19th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • In many provisions that we have from The personal care attendant to folks who get services in nursing
  • He cares about this place and he cares about the pensions, and he really did good work.
  • The first comment you made when you came to the commission was that you're here to take care of your
  • care about themselves. I care about our friends and family serving now or in the future.
  • workers and also take care of Minnesota.
TX

Texas 89th Regular

S/C on Juvenile Justice Apr 23rd, 2025

S/C on Juvenile Justice

Transcript Highlights:
  • Yeah, I close and would appreciate your careful consideration and... I have a question. Mr.
  • I'm the Director of Child Protection Policy at Texans Care for Children, and we support this bill.
  • in foster care facilities.
  • But more... foster care youth who spent 12 years in the system in Texas.
  • This happened because I was in foster care and there were no homes for me to go to.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Government Operations Division Apr 16th, 2025 at 02:00 pm

Appropriations - Government Operations Division

Transcript Highlights:
  • services that way is outdated and ineffective, and the real solutions for providing mental illness care
  • When I first got into mental health care, when somebody was problematic, you had three big guys, you
  • What happened, and then the other thing that happened in the care of people, is it has changed.
  • Modern medicine and psychiatric care basically says get somebody into acute care, find out what the issue
  • $900 a day for someone in general psychiatric care. The costs are dramatic.
Bills: SB2012
Summary: The Government Operations division met to consider House Bill 1015, the OMB budget, with several amendments already in hand. A major portion of the discussion centered on Senator Mathern’s concerns about the proposed new state hospital in Jamestown. He argued the project is outdated, too expensive, and should be delayed or reduced in favor of local behavioral health services and deferred maintenance at the existing LaHogue facility. Other members questioned him about staffing, capacity, constitutional issues, and the relationship between the hospital proposal and broader mental health investments in other bills. The committee also reviewed budget mechanics, including the transfer of up to $240 million from the Social Services Fund to the Human Services Finance Fund, a $40 million deferred maintenance fund, a $3 million deficiency appropriation for the new and vacant FTE pool, and other OMB-related items. Members discussed whether OMB should have managerial control over the Jamestown project and generally agreed that OMB oversight could help manage costs, though concerns about the hospital remained. The committee then considered two funding items that drew the most debate: guardianship grants and a pro-life education campaign. After testimony from a representative supporting the campaign, members agreed to reduce that item by $500,000 and add $1 million for guardianship grants, while leaving the overall bill to be finalized in conference. The committee adopted Amendment Version 2006 with those changes and then passed HB 1015 as amended on a roll call vote, with all members voting aye except Senator Burckhard on the amendment vote; he later voted aye on the bill itself. The chair indicated the bill would move to conference committee.
FL

Florida 2025 Regular Session

March 25, 2025 - 04:00 PM

Transcript Highlights:
  • members, we have three bills on the agenda, and we are going to take up HB 1013 relating to crisis care
  • We are taking up HB 1013 relating to crisis care coordination.
  • The Florida Legislature has made improving the mental health of our citizens and providing care to those
  • who does not meet Baker Act criteria but needs mental health assistance, they can call the crisis care
  • who does not meet Baker Act criteria but needs mental health assistance, they can call the crisis care
Summary: The Human Services Subcommittee considered three bills and reported all of them favorably. HB 1013, relating to crisis care coordination, would create a pilot program in Polk and Volusia counties to connect people who have had Baker Act-related crises with follow-up counseling, assessments, and outpatient services through partnerships between law enforcement and community providers. The sponsor said the program has reduced repeat Baker Act commitments in Polk County, and the committee adopted a strike-all amendment moving the pilot to a different statute, formalizing partnerships, and requiring an independent DCF evaluation due in January 2029. The bill drew support from mental health and justice advocates and passed unanimously. The committee then heard PCS for HB 511, which addresses child protective investigations involving specific medical diagnoses. Sponsors and several parents, attorneys, and advocates described cases in which children were removed after injuries were initially treated as abuse but later linked to conditions such as Ehlers-Danlos syndrome, metabolic bone disease, or other medical fragility. They argued the bill would require notice of the right to a second medical opinion, better consideration of preexisting conditions and medical records, and more coordination before reports are sent to law enforcement, while still preserving protections for abused children. Members expressed sympathy for the families and emphasized the need for fairness and accurate medical review; the bill passed 17-0. Finally, HB 1439, based on recommendations from the 2025 Commission on Mental Health and Substance Use Disorder, was presented as a broader mental health and substance use disorder measure focused on crisis response, access to care, and workforce development. An amendment aligned the bill more closely with commission recommendations, including assessment tools, trauma-informed practices, school-based behavioral health access, telehealth, discharge planning, and long-acting injectable treatment access. The commission chair testified that the bill reflected a vetted set of recommendations from subject matter experts and commissioners, and the committee adopted the amendment and then reported the bill favorably by unanimous vote. The meeting then adjourned.
FL

Florida 2025 Regular Session

February 19, 2025 - 01:00 PM

Transcript Highlights:
  • We will now hear HB 4007 by Representative Snyder, entitled Compensation for Health Care Services for
  • In the case of an emergency situation or care that is greater than the scope that the primary care provider
  • And then ultimately end up as basically charity care.
  • Representative Daly, do you care to answer or comment further? Thank you, Mr. Chair.
  • Would you care to share or elaborate on any of that story?
Summary: The Intergovernmental Affairs Subcommittee heard and passed two measures before receiving a staff presentation on the local bill process and local delegation meetings. HB 4007, by Rep. Snyder, would cap reimbursement for certain inmate emergency medical services in Martin County at 110% of the Medicare rate, with a higher cap if a provider shows it is operating at a loss. Snyder said the bill is intended to create predictability and save taxpayer dollars; members asked about fiscal effects and whether other counties could adopt similar language. Public testimony came in support from Martin County and related local officials, and the bill was reported favorably by a 17-0 vote. The committee also passed HM 4005, by Rep. Daly, which urges Congress to increase Florida National Guard force structure. Daly argued Florida’s troop allocation is outdated and inadequate for the state’s population and disaster demands, contributing to burnout and recruiting problems. Members asked about the basis for the current allocation, possible budget and infrastructure impacts, and the National Guard’s needs; there was no opposition or public testimony, and the memorial was reported favorably by a 17-0 vote. After the votes, Reps. Holcomb and Kendall gave a detailed presentation explaining how local bills differ from general laws, constitutional limits on local legislation, required local delegation meetings and notice, certification and economic impact forms, and amendment procedures. Members asked several process questions, including about multi-county delegations and Miami-Dade’s special status. The meeting ended with a few recognitions and adjournment before session.
CA
Transcript Highlights:
  • But they've got to be pretty top-notch students, even the ones who are from foster care.
  • Yeah, and obviously our budget is reflective of their care, maintenance, and their future.
  • Campus child care support.
  • This pilot is about ensuring that the home care and child care workforce, who are predominantly women
  • Gabrielle Chavez with UDW, representing over 225,000 home care providers and child care providers, in
Summary: The subcommittee heard May Revision proposals for higher education, beginning with the Bureau for Private Postsecondary Education. Finance proposed a one-time $10 million General Fund backfill to repay a special fund loan used to cover litigation costs, plus provisional language to allow budget flexibility for a remaining legal expense and to repay the loan without interest. The LAO opposed shifting the litigation costs to the General Fund and raised legal concerns about waiving interest on the loan, noting that special fund loans have historically been repaid with interest. Members asked about the litigation amount and the estimated interest savings, which Finance said would be about $245,000. The committee then discussed University of California funding, including the Governor’s proposed compact funding and a $1.5 million one-time increase for the First Star foster youth program at UC campuses. UC said the program has strong outcomes at UCLA, including a 100% college-going rate and high college completion rates, and that the new funding would expand the program to additional campuses and eventually be self-supporting through fundraising. The LAO recommended rejecting the proposal, arguing that UC already has overlapping outreach programs, including the Early Academic Outreach Program, and that the new initiative would duplicate existing services. Several senators questioned whether the state should expand a new program instead of strengthening existing ones, while UC and Finance emphasized the program’s focus on foster youth and its high success rates. For the California Community Colleges, Finance outlined the May Revision’s increase to the Student-Centered Funding Formula COLA from 2.41% to 4.31%, along with enrollment growth funding, categorical COLAs, deferred maintenance, and other ongoing and one-time investments. The Chancellor’s Office supported the flexible “super COLA” approach and asked for more enrollment growth funding, arguing that many districts are already above current targets and that unfunded growth restricts access. The LAO recommended funding at least the statutory COLA, redirecting some ongoing funds to enrollment growth or one-time priorities, and rejecting the $9.7 million Adult Learner Demonstration Project because districts already have incentives to do similar work. Senators pressed Finance and the Chancellor’s Office on the use of COLA funds to cover the new paid pregnancy disability leave requirement, the impact on hold-harmless and basic-aid districts, and whether the state should fund actual enrollment growth rather than a flat COLA. The committee also reviewed California Student Aid Commission proposals, including adjustments to Cal Grant and Middle Class Scholarship funding, continued Golden State Teacher Grant funding, and implementation of the federal Workforce Pell program. Finance said the Middle Class Scholarship changes reflected updated caseload estimates and that the higher 35% unmet-need level had been one-time funding, while CSAC urged continued support and noted the importance of financial aid for student success. The LAO recommended rejecting additional Golden State Teacher Grant funding as not well-targeted and urged caution on Workforce Pell trailer bill language, citing uncertainty about federal rules, ongoing administrative workload, and the need for clearer implementation planning. Members also raised concerns about declining CADAA applications and the need to better promote state aid for undocumented and mixed-status students. No votes were taken during the transcripted portion, and the committee moved through the agenda items with questions and testimony.
CA
Transcript Highlights:
  • and child care to workforce training, small business assistance, and more.
  • As you can see, child care, health care, and housing.
  • As you can see, childcare, health care, housing, broadband.
  • All right, that is going to...” “...take care of item. Is that 10 and 11?
  • Access to child care is essential for working families and for a functioning economy, but child care
CA
Transcript Highlights:
  • and child care to workforce training, small business assistance, and more.
  • As you can see, child care, health care, and housing.
  • As you can see, child care, health care, housing, broadband.
  • All right, that is going to take care of item... Is that 10 and 11?
  • Access to child care is essential for working families and for a functioning economy, but child care
Summary: The hearing focused on the Governor’s Office of Business and Economic Development (Go-Biz) and several related budget proposals. Director D.D. Myers described the California Jobs First economic blueprint, regional planning efforts across 13 regions, and the state’s strategy to target sectors such as ag tech, space, life sciences, semiconductors, and emerging technologies. She also discussed the California brand campaign, export promotion, film tax credits, and the California Civic Media Fund, emphasizing job creation, regional equity, and business attraction/retention. Members raised questions about support for journalism, arts and creative industries, AI’s impact on jobs, foreign direct investment, manufacturing, tariffs, and how the Jobs First framework is being implemented across regions. Go-Biz then presented trailer bill language to extend the encumbrance deadline for remaining Jobs First administrative funds and to codify the Office of Regional Economic Development Initiatives. The department said $95 million of the $100 million Jobs First appropriation had already been deployed to grants for counties and tribes, and members asked for more information on regional outcomes, including Orange County and the North State. Public comment supported Jobs First and the Small Business Development Centers’ role in helping businesses access capital and create jobs. The committee also heard a request for ongoing CalExport funding to replace uncertain federal STEP support; the LAO noted the Legislature may want to weigh whether to backfill federal reductions, while Go-Biz argued the state program is needed because federal support appears unlikely to continue and demand exceeds available funding. The committee next heard the film and television tax credit staffing request. Go-Biz asked for funding for three permanent positions to manage the expanded program, and the LAO recommended approval given the increased workload. The Film Commission reported a sharp rise in applications after AB 1138 and the program expansion, with productions taking place both inside and outside the Los Angeles 30-mile zone and activity spread across the state. Finally, Go-Biz presented a request for one permanent position and one graduate student assistant to support innovation and emerging technologies, including quantum and fusion. Members asked about the use of the state’s quantum funding, and staff explained it would support microgrants, state capacity-building, and workforce education. No formal votes were taken in the portions provided, and the chair indicated some items would be moved and heard later in the agenda.
CA
Transcript Highlights:
  • of each other and take care of community... ...to do what we do best as far as how we take care of each
  • other and take care of community.
  • I've been taking care of myself since I was 14 years old.
  • We all grew up in systems where we have to take care of ourselves.
  • , man. ...and take trips, have health care, man.
Summary: The Assembly Select Committee on the Status of Boys and Men of Color held its first meeting of the session at the Youth Justice Coalition’s former courthouse space in Los Angeles, after members spent the morning visiting Los Padrinos Juvenile Hall. Chair Isaac Bryan framed the hearing around hope and healing, youth justice reimagined, youth perspectives, and multisector supports for boys and men of color. Several members, including Assembly Members Mike Fong, Mia Bonta, and Jasmeet Bains, emphasized the need to repair harms from mass incarceration, reverse underinvestment, and expand education, apprenticeship, and community-based opportunities. The first panel featured advocates from the Young Women’s Freedom Center, Students Deserve, the Social Justice Learning Institute, the California Youth Justice Project, and the Youth Justice Coalition. They argued that probation and incarceration are harmful, costly, and ineffective, and pointed to alternatives such as the Liberation Fund, Beloved Village, the Department of Youth Development, Measure J-funded community programs, and the Black Student Achievement Plan. Speakers described successful efforts to divert money from policing to restorative justice, counseling, mentorship, ethnic studies, and other supports, while warning that these gains are under attack or slow-walked by county systems. Committee members asked for concrete examples of cost-effective alternatives and implementation models that could be replicated statewide. The second panel was made up entirely of youth and young adults with lived experience. They described how Hoops for Justice, the Young Women’s Freedom Center, and the Youth Justice Coalition provided safety, mentorship, sponsorship, counseling, internships, education, and leadership opportunities that probation did not. Testimony focused on the need for youth-centered spaces, long-term jobs, mental health care, family support, and staff who understand lived experience. Speakers also criticized probation’s training and conditions in juvenile facilities, and several said the state should invest more in community-based organizations and put youth in leadership roles. Committee members responded that the testimony underscored the need to divest from probation and elevate youth voices in policymaking. The hearing then moved toward a third panel on supporting boys and men of color across sectors.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-02-11 (4:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • And so we need to be really careful here.
  • And you're also giving them the ability to understand that people do care.
  • This local bill enables child care home owners to expand responsibly.
  • This local bill enables child care home owners to expand responsibly and increases child care options
  • We have to be careful of that.
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Thu Mar 20, 2025 @ 10:15 AM HST

Human Services & Homelessness

Transcript Highlights:
  • I currently have CIS services from CARE Hawaii.
  • Would anybody else care to support.
  • I'm sure CIS services from CARE Hawaii.
  • And we care for children in our state.
  • And meanwhile, this report has to care.
Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.
HI
Transcript Highlights:
  • </c> them much better for these longer care them much better for these longer care items<00:27:28.880
  • </c><00:32:29.679><c> in</c> necessarily a higher level of care in necessarily a higher level of care
  • </c> level of care, right? level of care, right?
  • And if any that they're caring for.
  • </c> population that we're taking care of. population that we're taking care of.
KY
Transcript Highlights:
  • Section 21 revises the section on Medicaid managed care contracting to establish that any entity that
  • and members, that one of the discussion points we had was the new language under long-term managed care
  • </c> section on Medicaid Managed Care section on Medicaid Managed Care Contracting<00:03:10.599><c> to
  • /c><00:03:37.120><c> in</c><00:03:37.200><c> the</c><00:03:37.319><c> waiver</c> long-term Managed Care
  • in the waiver long-term Managed Care in the waiver program<00:03:38.239><c> all</c><00:03:38.519><c>
Summary: The Appropriations and Revenue Committee met to consider House Bill 695 and first adopted a committee substitute. The substitute made a number of Medicaid-related changes, including adding the Medicaid Oversight Advisory Board, exempting federally required Medicaid changes from needing separate General Assembly authorization, revising the treatment of University Hospitals payment programs, clarifying that the community engagement program is mandatory, moving the Medicaid pharmaceutical rebate fund to the Cabinet for Health and Family Services, and narrowing reporting requirements. It also removed provisions on Medicaid coverage for psychoeducational services and replaced them with reporting on behavioral health and substance use disorder service utilization and expenditures. The substitute further added language allowing the Medicaid program to be administered through fee-for-service, managed care, or other federally permitted delivery systems, incorporated the Medicaid Oversight and Advisory Bill, authorized a state plan amendment if needed, and made entities that failed to comply with prior Medicaid managed care reporting requirements ineligible for new MCO contracts. It also shifted responsibility for a behavioral health and substance use disorder treatment scorecard from MCOs to the Department for Medicaid Services. The sponsor noted that all language related to long-term managed care in the waiver program had been removed. After the explanation, Senator Richardson moved to adopt the substitute and Senator Nunn seconded. The committee then voted to pass the measure favorably; the transcript reflects a roll call with no nays and the bill reported out with favorable expression.