Transcript Highlights:

• On line 314 and below, this is where the governor's nursing facility payment system changes items come
• Line 482 is a no-cost item that to direct payments to tribal nations and counties, which is included.
• Related to nursing facility payment rates, on line 558, House File 2406, one-time costs for mid-choices
• It subjects DWRS payments to MA sanctions and monetary recovery requirements.
• From receiving behavioral health fund payments.

Bills: HF2434

Committee: House Human Services Finance and Policy

Transcript Highlights:

• And if they're successful— ...reimbursed enough to go through this process.
• rates and payment denials from health plans.
• And I think we're talking about reimbursement, which is, if you read the conversation about the doctors
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement

Bills: HB12 , HB145 , HB222 , HB291 , HB430 , HB821 , HB874 , HB909 , HB951 , HB979 , HB1193

Committee: Senate Finance

Transcript Highlights:

• That's the lottery payment there. Page 51, state road fund.
• Some of it will be used to reimburse some state expenses.
• That would also be a 75% reimbursement.
• That would also be a 75% reimbursement.
• We will not get reimbursement on that.

Committee: House Budget

Transcript Highlights:

• All families to verify continued eligibility prior to each payment.
• As you'll see, we are talking about a payment cycle of every six weeks.
• We do monthly payments, but we frontload and give a two-month payment on the front end to homeschooling
• Give a two-month payment on the front end to homeschooling families.
• It requires the Department to develop a reimbursement invoicing system.

Transcript Highlights:

• They control pricing, reimbursement, and access. They do it behind a curtain.
• , to require the Louisiana Department of Health to establish a minimum trip and mileage reimbursement
• So if they can't be reimbursed properly, how can they stay in business?
• Amendments are wanting to relate to clarifying statements relative to the payment of funds.
• And provides that the department will withhold any payments until those obligations are satisfied.

Bills: HB689 , HB742 , HB926 , HB946 , HB948 , HB1028 , HB1095 , HB1114 , HB1121 , HB1155 , HB1185 , HB1217 , HB1220 , HB1227 , HCR76

Committee: House Health and Welfare

Transcript Highlights:

• This instrument provides relative to the method of dental reimbursement or payments, to provide for definitions
• This instrument provides relative to the method of dental reimbursement or payments, to provide for definitions
• The dentist has to opt into that payment method.
• no less than it would reimburse for that same service if personally performed by a physician.
• Pharmacies can't predict reimbursement. It masks underpayment and makes auditing difficult.

Committee: House Insurance

Transcript Highlights:

• The revised rule now allows for additional payment methods to team members, such as payroll adjustments
• of medical expenses made. where a provider who has been denied reimbursement of medical expenses may
• of medical expenses and to specify when payment on a request for reimbursement of the medical expenses
• The section also provides that the department shall issue a payment for reimbursement of medical expenses
• and payment complies with this section and is within the limits of appropriated funds.

Committee: Joint Administrative Rules Committee

Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.

Transcript Highlights:

• There must be criteria and proof of attendance for payment to providers.
• payments.
• payments.
• Are we making sure we're verifying those attendance and those payment procedures, that payment validation
• And then a payment can be made out based on that verified attendance.

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.

Transcript Highlights:

• Public hospitals rely heavily on supplemental payments.
• Health centers will continue to provide care, but without reimbursement.
• Second, supplemental payments are not mere bonuses for rural hospitals.
• Those mechanisms are how California stabilizes Medi-Cal reimbursement.
• My quick, quick answer is a payment...

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• we did not want any provider to receive a reduction in reimbursement, so we chose the higher reimbursement
• so we we chose the higher reimbursement so we we chose the higher reimbursement<00:15:49.000><c> rate
• </c> in my practice but the reimbursements in my practice but the reimbursements are<00:22:27.320><c>
• </c><00:22:47.440><c> to</c> trend on what reimbursements to trend on what reimbursements to Providers
• So we do pay that capitation payment, and out of that capitation payment all of the non-emergency transportation

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• The revised rule now allows for additional payment methods to team members, such as payroll adjustments
• of medical expenses made. where a provider who has been denied reimbursement of medical expenses may
• of medical expenses and to specify when payment on a request for reimbursement of the medical expenses
• The section also provides that the department shall issue a payment for reimbursement of medical expenses
• if the request and payment complies with this section and is within the limits of appropriated funds

Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.

Transcript Highlights:

• So all this does is require an insurer to provide a payment to an athletic trainer within 30 days of
• Providers in the subsequent third-party reimbursement that may come with that.
• But they will only get reimbursed if they get identified as being a credentialed provider within that
• This bill basically says you shouldn't be allowed to decide where the patient gets their co-payment.
• You shouldn't be allowed to decide where the patient gets their co-payment from.

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• “Reimbursements.
• Instead, some schools utilize portions of their support unit dollars for those payments.
• Instead, some schools utilize portions of their support unit dollars for those payments.
• That included $28 million in trustee and benefit payments.
• Chairman, Senator Cook, right now the reimbursements are capped at $150 for LEAs.

Summary: The committee heard a lengthy presentation on the K-12 public school support budget, including how support units, career ladder funding, health insurance, discretionary funding, transportation, facilities, and the Public Education Stabilization Fund (PSIF) work. Legislative Services explained that FY 2026 support units were revised downward, creating a $22.3 million ongoing general fund reduction, and walked through the FY 2027 agency request and governor’s recommendation. The governor recommended no increase for population forecast adjustments, but did recommend some statutory and policy changes, including shifting certain interest earnings to the general fund and reducing funding for some virtual school and IDLA-related items. The agency request also included one-time proposals for a high-needs special education fund and a regional service model for related services. Members asked extensive questions about how career ladder dollars are distributed, how health insurance and discretionary funds interact, why the health insurance increase in the budget differed from current plan estimates, and how facilities money under House Bill 292 is used. There were also questions about the size and use of the Idaho Career Ready Students fund, the maintenance-of-effort implications of special education funding, and whether some special education costs are being used for student housing or other noninstructional expenses. The superintendent and budget staff emphasized that many of the budget lines are formula-driven or statutorily required, that local districts determine actual staffing and spending within those formulas, and that special education costs continue to outpace available funding. Superintendent Debbie Critchfield then framed the budget request around enrollment trends, shifting demographics, and the need for more flexibility in how districts use existing dollars. She highlighted proposed categorical flexibility for some funds, changes to digital content and curriculum distribution, continued literacy gains, growth in career technical education programs funded through Idaho Career Ready Students, and the importance of endowment and Millennium Fund support. She also described the special education proposals as a temporary bridge while the state considers larger formula changes and noted a near $100 million gap between special education spending and funding. She further outlined planned federal waiver requests on assessments and flexibility, and said the department is seeking more state control over testing and reporting requirements. The committee did not take final action on the budget during this portion of the meeting. Members raised concerns about interest transfers from dedicated funds, the complexity of the funding formula, special education accountability, and whether the state should revisit the overall school funding model. Several follow-up data requests were made, including information on health insurance participation, regional special education service needs, and school contingency fund balances.

Transcript Highlights:

• Effectively, the care hospitals provide for which they are not fully reimbursed.
• Effectively, the care hospitals provide for which they are not fully reimbursed.
• Effectively, the care hospitals provide for which they are not fully reimbursed.
• Effectively, the care hospitals provide for which they are not fully reimbursed.
• </c> has some federal ties on reimbursement has some federal ties on reimbursement rates,<00:04:46.000

Transcript Highlights:

• And then another is provider payments.
• For example, if a payment is to be made related to... if a payment is to be made related to uncompensated
• And is there reimbursement part of this plan? >> Yeah.
• And so in terms of reimbursement, the way most of these are structured is the grants will be on a reimbursement
• get reimbursement, maybe incur the cost.

Committee: Joint Public Health and Welfare

Transcript Highlights:

• </c> on that one um our program reimburses on that one um our program reimburses 80%<00:03:19.360><c>
• This includes breakdowns on reinsurance payments by health plans and their products.
• They cannot receive reimbursement for their overhead and administrative costs.
• Minnesota took a $500 million hit to federal reimbursement.
• Minnesota took a $500 million hit to federal reimbursement.

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• There's also loss of reimbursement from Medicaid and this big, beautiful bill.
• So there's also the issue, it's not only costs, but it's payments.
• Its payments.
• And we have a very high Medicaid population that deserves care, but there's low reimbursement.
• Lump sum payment.

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

Transcript Highlights:

• Fair reimbursement will protect patient access.
• Fair reimbursement will protect patient access.
• I've watched reimbursements come in far below what the drug actually costs.
• It would be reimbursing them for their travel to meetings at ODAF.
• It would be reimbursing them for their travel to meetings at ODAF.

Bills: SB65 , SB248 , SB330 , SB378 , SB844 , SB1330 , SB1410 , SB1475 , SB1476 , SB1565 , SB1618 , SB1623 , SJR39 , SJR47 , SB2084 , SB1655 , SB1679 , SB2174 , SB1775 , SB1873 , SB1204 , SB1884 , SB1916 , SB1937 , SB1447 , SB1500 , SB2007 , SB2074 , SB1944 , SB2018 , SB1984 , SB2026 , SB2045 , SB2049 , SB2062 , SB2112 , SB2118 , SB2127 , SB2134 , SB2135 , SB2139 , SB2154 , SB1195

Summary: The Senate first considered Senate Bill 1623, a measure updating the state charter for state-regulated credit unions to make them more competitive with federal credit unions. Two amendments were adopted: one changing certain board authority language from “shall” to “may,” and another restoring the title. Supporters said the bill was the product of years of negotiation with bankers and credit unions and would not affect national banks; after questions about membership expansion and census-tract service areas, the bill passed 44-0. The chamber then took up Senate Joint Resolution 39, which would send to voters a constitutional amendment lowering annual caps on assessed-value growth for homestead and agricultural property from 3% to 1%, and for other property from 5% to 3%. Proponents argued it would slow property-tax growth, help seniors and fixed-income homeowners stay in their homes, and not reduce government revenue but only slow future growth; opponents warned it would reduce local revenue growth for schools, counties, infrastructure, and bonding capacity, and would disproportionately benefit higher-value property owners. The resolution passed 38-8, and the special-election referral also passed 38-8. Senate Joint Resolution 47, which would place current voter ID requirements into the Constitution, also advanced and passed 39-8, with the special-election provision passing by the same margin. Supporters said it simply constitutionalized existing law requiring proof of identity and would preserve election security; critics said Oklahoma already has voter ID rules, the measure was unnecessary, and the language could create uncertainty for absentee voters and future changes. Debate also touched on provisional ballots, military and overseas voting, and whether the measure would make future adjustments harder. Later, Senate Bill 2084 passed 35-7 and as an emergency measure. The bill limits wrongful-termination settlements for faculty members at higher education institutions to two times annual salary, including pay and accrued benefits. Supporters said it would provide certainty for universities and regents; questions focused on tenure, free-speech claims, and how the cap would interact with existing tort limits. The Senate also passed Senate Bill 1655 unanimously to allow Oklahoma Complete Health’s Children’s Specialty Program to contact adoptive parents and offer continued voluntary services for post-adoption children, and Senate Bill 1679 was introduced as the “Preserving Oklahoma Values Act,” aimed at codifying adherence to the U.S. and Oklahoma Constitutions and rejecting foreign law, with debate beginning over its enforcement and scope.

Transcript Highlights:

• So these payments will continue...
• analysis that has to go into the calculation of the payments.
• Madam Chair, members, we draw the federal funds at the time we make the payment.
• We draw the federal funds at the time the payment is made. All right. Thank you.
• , and this is why the TIP payments aren’t being made.

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Transcript Highlights:

• Are you talking about Medicaid reimbursement?
• The phased down or the reduced payments to the hospitals don't start to phase down until FY 28.
• In reimbursement to cover their operating costs.
• Chair, Senator Brandt, I'm typically talking about the hospital payment reductions that will go down
• of time by which we can phase those payments down.

Committee: Senate Senate Finance