Transcript Highlights:

• These are not fees on normal ACH payments.
• It requires the holder to maintain an option for the buyer to make an ACH payment without incurring a
• It distinguishes an ACH payment from other types of electronic payments. That is the amendment.
• So let's just say if the auto payment is $500 and you're at three percent, now you're looking at a $15
• And your payment is due on the 15th, and all of a sudden it is the 15th, you haven't mailed your payment

Transcript Highlights:

• Anything or a royalty payment, you know, from, uh, um.
• Um, and now imagine that those payments just stop and you have not received any notification, the payment
• The bill is intended to address if and when regular royalty payments are stopped.
• The payments still need to be made.
• If you suspend or stop payment, just provide a reason why.

Transcript Highlights:

• A declining student enrollment payment.
• We create a monthly system, a monthly payment system.
• And during that period of time, they receive a quarterly payment.
• They re CRA monthly payment, rather, they receive frontloaded monthly payments and that money goes into
• I do have a question when it comes to the monthly payments, if in a while the monthly payments or be

Keywords: 999, senate, all

Transcript Highlights:

• payments? payments?
• So, we're getting close to $2 payments.
• through NIL payments. Is that correct? through NIL payments. Is that correct?
• Uh that payments to student athletes.
• <00:36:47.200> scheme committee to look at the payment scheme committee to look at the payment

Bills: HB2384

Keywords: student-athletes, compensation, name image likeness, NCAA, Title IX, transparency, education, Hawaii, athletic programs, 910, house, all

Summary: The joint committees heard HB 2384, relating to student athlete compensation, with testimony largely in support from the University of Hawaiʻi at Mānoa Athletics, University of Hawaiʻi at Hilo Athletics, and several other supporters. UH Mānoa said the bill would create a framework for name, image, and likeness (NIL) policies, including education, financial literacy, agent regulation, transparency, and reporting. Supporters argued NIL is now a necessary part of college athletics to recruit and retain athletes, keep Hawaiʻi talent in-state, and remain competitive, while also helping student athletes develop as future leaders. One supporter also emphasized the need for financial guidance so young athletes do not mishandle NIL income. Committee members questioned why the bill would direct public funds to NIL payments rather than broader athletic operations or other student groups, whether other states are funding NIL directly, and whether the approach could create a bidding war. UH representatives said the university already has NIL contracts in place, but the bill would strengthen and formalize policies. They said the requested funding model includes about $5 million for NIL and $10 million for athletics operations, with the NIL amount intended to supplement private fundraising; they also noted UH has raised roughly $1.5 million to $2 million for NIL since July 1 and is targeting $3 million this fiscal year. Members also raised concerns about fairness, public spending priorities, and whether the university’s policies adequately protect student athletes. The committees voted to pass HB 2384 HD1 with amendments. The chair said the bill should be amended to explicitly state that allocated funds may be used by UH for NIL payments to student athletes, and asked the next committee to examine whether a different payment scheme, similar to those used elsewhere, might be more appropriate for public funds. One member announced a no vote, citing concerns about direct public funding of NIL and unequal treatment of student athletes versus other students. The JHA committee adopted the same recommendation, with some members voting with reservations. Afterward, the meeting moved on to HB 644 HD1 on single-use plastics, where the first testimony was in opposition from the Hawaii Food Industry Association and the Biodegradable Products Institute, both arguing the bill as drafted would improperly exclude certified compostable products and should better align with composting and certification standards.

Transcript Highlights:

• Thank you. of upper payment limits are known. of upper payment limits are known.
• There was a review process more recently that led to there not being an upper payment limit set.
• The establishment of this upper payment The establishment of this upper payment limit<00:50:34.080
• limit on one on one on an upper payment limit on one on one on one<01:09:14.040> drug.
• <01:09:45.920> limit that has an upper payment limit that has an upper payment limit that<

Keywords: 981, all

Summary: The Senate met with a quorum, approved the journal, and then proceeded out of order to consider Senate Joint Resolution 20, recognizing April 9, 2026, as Home Education Day in Colorado. Senator Pelton spoke in strong support of home education, describing it as a parent-led choice that benefits students and families. The resolution was adopted on a 30-0 vote, and the current roll was added as co-sponsors. The chamber then took up the consent calendar and passed House Bill 1229, House Bill 1244, and Senate Bill 153. HB 1229, which concerns the human-animal bond as a social determinant of health, drew three no votes from Senators Pelton, Zamora Wilson, and Baeza; the other two measures passed unanimously. The Senate also laid over third reading of bills until Friday, April 10. In Committee of the Whole, senators considered Senate Bill 72, which increases criminal penalties for assaultive conduct involving a motor vehicle and adds causing death with a motor vehicle to criminally negligent homicide. The committee adopted the report and advanced the bill on second reading. Later, the chamber laid over Senate Bill 134 and House Bill 1084 until April 10, and then took up Senate Bill 140, which would exempt certain rare disease and plasma therapies from review by the Prescription Drug Affordability Review Board. Sponsors and supporters argued the bill protects access for patients with rare diseases and prevents harm to treatment development, while opponents said it would weaken the PDAB’s affordability work and was too broad. Senators Weisman and Gonzales spoke against the bill, with Weisman citing concerns about the federal definition used and Gonzales defending the PDAB’s role in lowering drug costs; the debate continued in the transcript without a final vote shown.

Transcript Highlights:

• call an educational opportunity payment. call an educational opportunity payment.
• Note that it is opportunity payment.
• opportunity payment. opportunity payment.
• opportunity payment. opportunity payment.
• <00:42:15.920> for local bus system there's payments for local bus system there's payments

Keywords: 926, house, all

Summary: The meeting was a high-level walkthrough of Act 73, with staff from Legislative Council and the Joint Fiscal Office summarizing major education policy, governance, tax, and fiscal changes. The presentation covered class-size minimums and related enforcement, creation of a state aid for school construction program, narrowed tuition eligibility for approved independent schools, changes to State Board of Education appointments, special education reporting and staffing, and a new report on standards for schools deemed small or sparse by necessity. It also noted that some provisions take effect immediately or in 2025, while the major funding and tax changes are contingent on new school districts being operational and a foundation formula report being received, with most of those changes targeted for July 1, 2028. The central fiscal change described was a move from the current locally voted budget and varying homestead tax system to a foundation formula. Under that model, districts would receive an educational opportunity payment based on a base amount per pupil, adjusted by student weights for factors such as pre-K, economic disadvantage, English learner status, and special education, with small-school and sparsity weights replaced by support grants. Districts could still seek limited supplemental district spending above the foundation amount, subject to a cap and a uniform method for raising the funds, with excess collections recaptured at the state level. The presenters also described transition mechanisms to phase in the new system over several years. The tax section explained that Act 73 would replace the current property tax credit with a homestead exemption and create a new non-homestead residential classification intended for second homes and short-term rentals, though further statutory or regulatory work would still be needed to implement it. The JFO presentation emphasized that the act also creates regional assessment districts for reappraisals and includes a transition to smooth changes in education tax rates. No committee vote or formal action was taken during the presentation; it was informational only.

Transcript Highlights:

• Because if you don't, then I don't think we can proceed with payments.
• Because if you don't, then I don't think we can proceed with payments.
• at least one visit before final payment at least one visit before final payment on<01:06:28.279>
• for payment for payment um<01:08:56.560> checking<01:08:56.880> out<01:08:57.040><
• grantees must submit their final payment grantees must submit their final payment request<01:09:

Keywords: 1183, house

Transcript Highlights:

• The payment error rate is not a measure of fraud.
• We did receive our final payment error rate for this year.
• So we do now know that our 2025 payment error rate is 9.89. Okay.
• The payment errors are divided into two categories.
• So how are they involved in the payment error rate discussions?

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• And these three categories are what made up the dental directed payment.
• These are monthly fixed payments for OHA to pay to CCOs for OHP member care.
• Guests, would you say that's part of our directed payment?
• I mean, that makes sense based on the direct-to-payment increase.
• For the state-directed payments, no.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• with the payment you gave us.
• , uh, payment.
• expense, they have to issue uh payment. expense, they have to issue uh payment.
• challenge um when issuing that payment. challenge um when issuing that payment.
• authorized to get those payments back. authorized to get those payments back.

Keywords: 1189, house, all

Transcript Highlights:

• do is it has the state funding payments do is it has the state funding payments oh<00:29:04.760>
• So there are payments that are scholarship payments that are not taxable under federal law.
• So there are payments that are scholarship payments that are not taxable under federal law.
• questions about whether those payments questions about whether those payments would<00:34:46.119
• receives the benefit of the EFA payment receives the benefit of the EFA payment can<00:42:53.559

Keywords: 928, house, all

Summary: The committee opened a public hearing on HB 402, a bill dealing with whether Education Freedom Account (EFA) payments should be described in state law as not constituting taxable income. The bill sponsor argued that the current statute is misleading because New Hampshire should not imply a federal tax result, and said the bill would remove that language and could also be amended to clarify that families should consult tax advisors. He emphasized that the measure was not intended to impose a state tax on EFAs, but to avoid giving inaccurate advice about possible federal tax liability. Testimony was divided. A retired representative and a tax preparer both opposed the bill, saying EFA payments are already treated consistently with IRS rules and that the bill would create confusion, administrative burden, and possible tax consequences for low- and moderate-income families. They argued the bill is a solution in search of a problem and warned that requiring 1099s could add costs for the scholarship organization and recipients. A tax attorney supported the bill’s repeal of the state language, saying New Hampshire should not put tax advice into statute and that the current wording is inaccurate because federal law, not state law, controls taxability. He cited IRS Section 117 and Publication 970, explaining that only some scholarship-like payments are tax-free and that many EFA-eligible expenses may not qualify for federal exemption. Members asked questions about what would be misleading, whether the bill was trying to tax EFAs, and the cost of issuing 1099s. The sponsor and witnesses repeatedly said the bill was not a state tax on voucher payments, but a clarification about federal tax treatment. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• Um these both exclude those payments.
• <00:21:03.039> and local government aid payments and local government aid payments and because
• to proportionally reduce a county's aid payment so that the sum of all aid payments equals the amount
• to proportionally reduce a county's aid payment so that the sum of all aid payments equals the amount
• equals the sum of all aid payments uh equals the sum of all aid payments uh equals the<00:58:30.480

Keywords: 1187, senate, all

Transcript Highlights:

• S60 will establish a farm and forestry operations security special fund to provide payments for farm
• Payment payments are capped at 5% of funds appropriated in a given year, up to $150,000 per application
• applicants who could receive payments applicants who could receive payments within<00:31:05.600>
• Payment<00:31:23.919> payments<00:31:24.320> are<00:31:24.480> capped<00:31:24.799
• > at<00:31:25.039> 5%<00:31:25.520> of Payment payments are capped at 5% of Payment

Keywords: 926, house, all

Summary: The House opened with devotional remarks from Representative Greer focused on perspective, kindness, and the idea that people “earn” respect and love through shared humanity. After that, the chamber suspended rules to introduce 17 House bills by number only, and adopted JRS 3 in concurrence, setting a joint assembly for Tuesday, January 20, 2026 at 1:00 p.m. to receive the governor’s budget message. Several announcements followed, including birthday wishes, a note about the new federal whole milk for schools law, guest introductions, and caucus notices. The House also approved committee transfers for H.393, an act relating to the prohibition of requiring face masks in schools, moving it from Education to Healthcare, and H.334, an act relating to limiting employer restrictions on individuals separating from employment, moving it from General and Housing to Commerce and Economic Development. The chamber then took up H.649 on captive insurance companies. The Commerce and Economic Development Committee explained that the bill, based on Department of Financial Regulation proposals, would prohibit risk retention groups from lending to or investing in members or affiliates, require annual and quarterly filings in NAIC form with a jurat page and actuarial certificate, and create new filing requirements for sponsored captive protected cells. The committee reported unanimous support, and the House amended the bill and ordered third reading. The House next considered S.60, establishing a Farm Security Special Fund. The Agriculture, Food Resiliency, and Forestry Committee and Appropriations described the bill as a response to repeated weather-related losses affecting farms and forestry operations, including flooding, freezes, drought, and other extreme events. The House version adds forestry and changes assistance from grants to payments to make aid faster and less cumbersome. The program would be administered by the Agency of Agriculture, Food and Markets, with a review board and payments of up to 50% of uncovered losses, capped at 5% of annual appropriations and $150,000 per application. The committee testimony emphasized the need for a permanent, predictable state relief mechanism, and the bill was advanced with strong support.

Transcript Highlights:

• So, while reviewing payments, LOIC staff noticed a few payments that may have been made late.
• Given those concerns, KSP should review its payment processes and controls to make sure payments are
• for overdue payments.
• any interest on late payments were paid. any interest on late payments were paid.
• , that payments have been late.

Keywords: Call to Order and Roll Call- 00:00:01 Staff Report on Statewide Emergency Responder Voice System- 00:01:09 Kentucky State Police and Finance and Administration Cabinet Response to Staff Report- 00:48:37 Adjournment-01:34:512, 958, all

Summary: The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025. The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements. Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.

Transcript Highlights:

• And again, this Declining student enrollment payment.
• The bill aligns the scholarship payment installments from quarterly to monthly and aligns the payments
• We create a monthly system, a monthly payment system.
• , or a monthly payment, rather, they receive front-loaded monthly payments, and that money goes into
• So they're the ones that are making the payments.

Summary: The committee first heard the Pre-K-12 education budget proposal for fiscal year 2025-26 and voted to adopt it as the committee’s recommendation to the full Senate Appropriations Committee. The proposed $34.7 billion budget includes increases for the FEFP, Family Empowerment Scholarships, VPK, school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. Members asked no questions on the budget before it was advanced, and staff was authorized to make technical corrections. The committee then passed CS/SB 1402, which expands eligibility for dropout retrieval services to any individual who has withdrawn from high school and clarifies how school grades are calculated for virtual instruction providers that offer only dropout retrieval services. An amendment to clarify the grading calculation was adopted without objection, and the bill was reported favorably after a roll call vote. The committee also took up SPB 7030, a comprehensive scholarship-program bill sponsored by Senator Gates, which would separate Family Empowerment Scholarship funding as its own categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, change payments to a monthly schedule, require background checks for paid instructional providers, mandate annual FTE audits by the Auditor General, and standardize reimbursement and eligibility procedures. After extensive discussion and public testimony, the bill was adopted as a committee bill and reported favorably, with Senator Osgood voting no. Finally, the committee considered CS/SB 508, which requires private schools participating in the Family Empowerment Scholarship Program to disclose in writing what accommodations, modifications, and services they will provide for students with existing plans such as IEPs, 504 plans, or ELL plans. An amendment was adopted to require public schools to consult with private schools about equitable services, and the bill was reported favorably. Public testimony included support from parent-choice advocates and concerns from private-school representatives about administrative burden and the scope of the required disclosures. The meeting concluded after the final roll call votes and adjournment motion.

Transcript Highlights:

• **Senator Brent Webster**: Well, the payment of this case has been delayed.
• **Josh Reno**: ...and ultimately our payments have to be related to a border crime.
• If it's not associated to a border crime, we can't make a payment.
• There's some other way of receiving payment you've got to go there first.
• One was sexual assault exams, and the other was crime victims' compensation payments.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Senate Bill 2399 from just last year required the department to amend the payment rates for, or the payment
• And the first transitions of payment mechanisms are painful.
• And the first transitions of payment mechanisms are painful.
• Well, the payment goes to the provider. I know.
• Thank you. overview of our DD Payment System Steering Committee.

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• Genius Act is very clear that payment Genius Act is very clear that payment stable<00:26:34.720>
• If Wyoming is issuing what is a payment stablecoin but not a permitted payment stablecoin, can it be
• not permitted payment stablecoins.
• One is like programmable payments.
• And therefore, should that agent be able to recall the payment, or should the payment have been able

Keywords: 1189, house, all

Summary: The meeting began with roll call and introductions of commission members and guests, followed by approval of the agenda and a motion to approve the February 10 minutes with a correction clarifying that one quoted statement was misattributed. The commission then moved into presentations. The main presentation came from the Conference of State Bank Supervisors on implementation of the federal GENIUS Act for stablecoins. The speaker reviewed the OCC’s recent 367-page proposed rule, noting it raises many open questions and design choices for states, and discussed expected upcoming rulemaking from the FDIC, Federal Reserve, and Treasury. The presentation focused on six areas: permissible issuer activities, reserve assets and redemption, risk management and supervision, treatment of state-qualified issuers, capital/operational backstops, and foreign issuers. It also flagged unresolved issues around Bank Secrecy Act/AML requirements and the meaning of “digital asset service provider” activities. A substantial portion of the discussion addressed yield restrictions, with the presenter explaining the OCC’s broad definition of yield and its rebuttable presumption against issuer-affiliated or related third-party yield arrangements. The speaker said this likely forecloses many existing white-label structures but leaves some room for third-party payments depending on distance from the issuer, and noted ongoing Senate debate over similar provisions. The presentation also covered reserve valuation, liquidity and diversification requirements, redemption timing, and supervisory expectations such as third-party oversight, IT security, exam cycles, and reporting. No additional votes or formal actions were taken beyond approving the amended minutes.

Transcript Highlights:

• CMS makes the payment for most services. Medicaid also makes payments.
• So they're not only getting the payment from the nursing home service, they're also getting payment for
• improper payment rate.
• For your second question related to Supplemental payments, our opinion of supplemental payments is that
• The 4% diminished Medicare payment.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• required to do the prospective payment required to do the prospective payment methodology<00:53:
• Um, we do the state directed payments.
• state plan uh state directed payment state plan uh state directed payment preprints<00:58:44.319
• But we do know there was 836 duplicate payments, double payments made for individuals in Kentucky and
• <01:08:42.400> for payments uh double payments made for payments uh double payments made for

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.