Transcript Highlights:

• It's been up and running now for several months.
• We typically pay out like $5 to $7 million a year for those claims.
• For example, in May of last year, Tallahassee was hit by several tornadoes.
• And there are several moving pieces.
• They have been on site at several association meetings at the end of 2024.

Summary: The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations. Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system. The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.

Transcript Highlights:

• They do not get overtime pay.
• . ...and pay.
• We pay according to your rates. Thank you.
• Our pay plan still shows $47,000 as the minimum. Our pay plan still shows $47,000 as the minimum.
• We don’t pay anybody $47,000. We couldn’t; we can’t even pay interns that, frankly enough.

Summary: The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting. The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases. The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.

Transcript Highlights:

• Yeah, same 24 pay grades.
• They pay for those claims.
• So generally, we have done several different rate increases.
• paying too much?
• That is way above my pay grade. Thank you.

Transcript Highlights:

• But taxpayers still do, in fact, pay the rest of that bill, too.
• I've had several conversations on a whole bunch of issues throughout the last several years. pertaining
• So teachers, public school employees� have a payroll tax obligation to pay into TRS.
• they receive and then schools pay for some of that by not paying for it at all you do it on their behalf
• I have several questions, but I think there's one that he could answer pretty quickly.

Keywords: 1184, house, all

Transcript Highlights:

• We always pay below the upper payment limit, and that's actually a CMS regulatory requirement.
• And I think one of the reasons that accounts for the growth over the past several years is that, several
• There are several ways that the individuals served by our agency are accessing dental services.
• Whether that be a Medicaid pay or the department pays, that's probably one reason why there is such a
• So we don't want to; our Medicaid dollars should pay for that first.

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• Recruiting and retention has picked up in several different areas after the pay plan, and so we are trying
• That fund, in combination with several funds listed below, is how we pay for all of our claims throughout
• But let me end my comments with this remark: something's wrong when we're paying the salaries we're paying
• the teachers and we can pay six to eight, nine million dollars for a football coach, or we can pay one
• We pay the roughly $6,000 EBD money.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• Severance tax revenues, we issue a large amount of severance tax bonds every year, but that's not an
• Severance tax bonds are also issued based on severance tax—taxes from severing oil and minerals and other
• That goes through several drafts.
• They'll pay whatever their rate is.
• It'll be treated like ordinary income, and you'll pay whatever rate on that income that you would pay

Transcript Highlights:

• severe problems in this program. severe problems in this program.
• c> competitors<00:31:34.920> in Yeah, are there several competitors in Yeah, are there several
• pay you $25 a day." pay you $25 a day."
• usually claims run out for several usually claims run out for several months<00:51:49.760> into
• begging us to stop ignoring it and pay begging us to stop ignoring it and pay attention,<01:44:31.000

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• Deserve a place to come by, to visit, to pay respects, and reconnect with loved ones lost.
• Paradoxically, Massachusetts is seeing both increases in severe drought and severe flooding because of
• Endowment funds simply cannot be diverted to pay a tax.
• Endowment funds simply cannot be diverted to pay a tax.
• So four of the six Massachusetts colleges that were paying it are now exempt from it.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a hearing on 25 tax and administrative bills, with opening remarks explaining the hearing process and noting that House-filed matters must be reported by December 6. The first major topic was funding for the Massachusetts Law Enforcement Memorial and related support for families of fallen officers. Police representatives, memorial fund advocates, and family members gave emotional testimony urging favorable action on S. 1934 and related bills, emphasizing the need for a permanent revenue stream to maintain the memorial and honor officers killed in the line of duty. Committee members and legislators responded with personal remarks of support and appreciation for law enforcement families. The committee then heard testimony on a proposed Commonwealth Bitcoin Strategic Reserve, including S. 1967 and related bills. Senator Peter Durant and later Dennis Porter argued that the state should be allowed to invest a limited share of stabilization or other funds in Bitcoin or other regulated digital assets as a hedge against inflation and fiscal risk, with strict caps, custody rules, and audits. They described the proposal as a forward-looking, non-mandatory framework for diversifying state reserves. No vote was taken during the hearing. Another major topic was disaster resilience funding. Dr. Paul Biddinger of Mass General Brigham supported S. 1936/H. 3030, saying climate-driven flooding, drought, and wildfire risks are increasing and that the State Disaster Relief and Resiliency Trust Fund needs a dedicated revenue source. Senator Comerford also testified in favor, explaining that the fund was created in the prior session, that recent floods showed the need for quick state response, and that the bill would dedicate a portion of capital gains revenue to the fund. Committee members asked about how the fund would accrue and be used. The committee also heard testimony on PILOT and endowment-related bills: AICUM opposed H. 3122/S. 2013 and H. 3264/S. 2016, arguing that an endowment tax and mandatory PILOTs would harm private nonprofit colleges, students, and research; and a representative from Peru supported reform of PILOT formulas for state-owned land, saying rural towns need higher reimbursements and hold-harmless protections. The hearing concluded after testimony on the digital asset bills, with no recorded votes or final actions.

Transcript Highlights:

• It says school districts must pay at least, which is why we actually have some districts who are paying
• It would set a floor and would still allow districts potentially to pay more.
• We do not require that these programs pay for benefits.
• And the first several that are on my...
• Brandt was the father of several of my students.

Transcript Highlights:

• They do pay their 25%. They pay a 75% reduction in their assessment.
• None of them pay property taxes.
• This is the user-pays principle.
• I have to pay taxes to use that electricity, so based on this I will pay taxes for that, and then I have
• to pay extra taxes to use my car.

Keywords: 995, all

Summary: The hearing opened with remarks from the co-chairs explaining committee procedures, testimony limits, submission instructions, and the new deadlines for acting on House and Senate bills. The committee then heard testimony on several bills related to agriculture, land use, environment, housing, transportation, and taxation, with legislators often taken out of turn. No votes were taken during the hearing. The first major topic was H. 3206, a bill to allow fossil fuel-free 529 college savings plans to qualify for the state tax deduction if MEFA does not offer a comparable option. Representative Steve Owens said the bill would not force MEFA or Fidelity to change existing plans, but would create a definition for fossil fuel-free funds and extend the deduction to qualifying out-of-state plans. The committee also heard strong local testimony on a Belmont home-rule petition, H. 3970, to change tax treatment for the Belmont Country Club under Chapter 61B. Belmont residents and officials argued the private golf course receives an unfair tax break that shifts costs to other taxpayers, while Senator Brownsberger and Representative Rogers supported the measure as a way to help the town recover revenue. Committee members asked about town meeting support, the club’s lack of payment in lieu of taxes, and the size of the tax savings. The committee next heard testimony on a vehicle miles traveled tax proposal, S. 1925, from Senator Barrett and economists Gilbert Metcalf and Christopher Knittel. They argued that declining gas-tax revenue and rising fuel efficiency, especially with electric vehicles, require a more stable transportation funding source; they also said a VMT tax could be designed to be revenue-neutral and mildly progressive, though members raised concerns about administration, fairness, EV disincentives, and the possibility of annual tax shocks. The largest block of testimony focused on the Ahead Act, H. 3194/S. 1973, which would double the deed excise fee and dedicate the new revenue to affordable housing and climate adaptation. Supporters from MACDC, MAPC, FICC, Boston Climate Action Network, CLF, 350 Mass, CHAPA, and a tenant advocate said the bill could generate about $300 million annually for housing production, vouchers, weatherization, resilience, and environmental justice communities, and that it links two urgent crises with a stable funding stream. The committee also heard testimony on the Conservation Land Tax Credit bills, H. 3147/S. 2083, which would raise the annual cap on the credit from $2 million to $5 million for three years and then sunset back down. Conservation groups and a landowner said the program has conserved thousands of acres and that the higher cap would reduce delays and help meet state conservation goals. Finally, the committee took testimony on the Fairness for Farm Workers bills, S. 2011/H. 3107 and S. 2012, which would extend overtime, minimum wage, breaks, and paid time off protections to farm workers and include a refundable tax credit to help farmers offset overtime costs. Senator Gomez and advocates described the bills as overdue civil rights and public health measures, citing low wages, long hours, dangerous conditions, and the racial history behind farm labor exclusions. The hearing also included testimony on H. 3240, a bill to give municipalities a local option vacancy tax on chronically vacant shopping malls, with the sponsor arguing it would help towns address blight, encourage redevelopment, and potentially create housing and tax revenue.

Transcript Highlights:

• hand to where we can't afford to pay hand to where we can't afford to pay have<00:07:19.840>
• You know, if we pay a set amount for that roof, we're going to pay that claim.
• Uh several of the Kentucky court.
• You don't get any to pay that claim.
• So, the PPO is paying it.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:02 Discussion HB 144 00:00:58 Vote HB 144 00:02:40 Discussion HB 169 00:03:21 Vote HB 169 00:05:02 Discussion HB 568 00:05:56 Vote HB 568 00:28:27 Discussion HB 627 00:32:26 Vote HB 627 01:00:26, 958, all

Transcript Highlights:

• them pay for their education. them pay for their education.
• money to pay for the sign-up for that? money to pay for the sign-up for that?
• You could pay you could pay for both.
• Does they have to pay that back? Does the state pay that? The state recoups that money.
• several of these areas that are written. several of these areas that are written.

Keywords: 1191, senate, all

Transcript Highlights:

• Um, the federal government pays a lot more, frankly. They pay all costs.
• They pay all costs. They more, frankly. They pay all costs.
• They pay<00:09:43.640> all<00:09:43.880> medical, pay all medical, pay all medical, uh,
• just had to have it to pay our bills. just had to have it to pay our bills.
• going to pay for it? going to pay for it?

Keywords: Meeting Start: 00:00:07 Roll Call 00:00:13 Approval of Minutes from August Meeting 00:01:55 Discussion of County Jails 00:03:31 Discussion of Centralized Collection of Net Profits and Occupational License Taxes 01:02:12 Adjournment 01:54:56, 958, all

Summary: The committee met with a quorum, approved the August 26 minutes, and then took up a discussion of county jail funding. KACO representatives and county officials said jail operations are an ongoing strain for counties because they must pay for inmate care, facilities, and mandated standards, while many counties also rely on jail revenue to offset costs. They described Kentucky’s jail system, including 77 jails, 43 closed counties without jails, and the mix of county, state, federal, and controlled-intake inmates. KACO emphasized that counties remain financially responsible for inmates even when they must contract with other jails, often at costs above the state’s per diem rate, and said it is developing a broader proposal to present later. The testimony focused on rising expenses and shrinking revenue. KACO said counties spent about $374 million on jail operations in FY24, up 24% from FY19, and about $41 million on jail medical costs, up 40%. General fund support for jails was said to total $147 million in FY24, more than double pre-COVID levels. Speakers also noted that state inmate populations in county jails have fallen from about 11,500 in 2019 to 7,212 in 2025, while federal inmates have increased because they are more lucrative for counties. The state jail per diem of $35.34 was described as insufficient to cover actual costs, especially medical care. County judges from Webster, Knox, and Hardin counties gave examples of local budget pressure. Webster County said it now houses 114 state prisoners, 47 county prisoners, and 24 out-of-county prisoners, and that it transferred $512,000 from its general fund to the jail last year, about $77 per taxpayer. Knox County said its jail budget has grown from an initial $2.8 million projection to $5.7 million, with $3 million coming from occupational tax revenue. Hardin County said its jail has an approximate $11 million expense budget against $5 million in revenue, creating a $6 million deficit, driven by higher payroll, medical, and insurance costs and a 29% drop in state prisoner revenue. The judge said the county has responded with property tax increases and an expanded occupational tax district, but still uses reserves to cover other county services. A Grant County magistrate then began speaking from the perspective of magistrates and commissioners, describing her background working at a local jail before serving in county government. The discussion remained centered on the fiscal burden of jails and the need for counties and the legislature to work together on a long-term solution.

Transcript Highlights:

• pays.
• pays.
• by going into the private-pay industry, where somebody comes in and pays them privately.
• And they can actually pay off their loans and do okay financially. I have never chosen to do that.
• we have done here in the last several we have done here in the last several years<00:42:44.920><

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• The Substance Use Program works with adolescent males who struggle with moderate to severe substance
• Over the past year, several concerns have been brought to our attention about the Whitehall campus.
• Fix issues such as flooding in the basements of several cottages.
• This flooding has posed safety risks to youth and staff during severe weather and creates the risk of
• Obviously, right now, again, we're paying rent, so we would not be paying the rent for those facilities

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• And not just what are you paying for it.
• up reserves to pay claim payments.
• In the past, we were able to pay public securities or repay them over several years through our ordinary
• If we know anything about insurances, how much you collect versus what you pay off or pay out plus your
• One thing I want to make sure we understand is several members, uh, here, we have dueling times for several

Transcript Highlights:

• So we use several different mechanisms.
• It was established several years ago.
• And we pay—Medicaid pays for up to 20 days at that rate.
• And we pay, Medicaid pays for up to 20 days at that rate.
• Medicaid pays weekly.

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• The $2 billion flow pay.
• And they're paying $5 million back per year using state taxpayer dollars in order to pay it back.
• Inadequate pay in a district...
• Nearly three times as much was spent on teacher pay as the next largest category of pay, which is for
• We have lost several wonderful teachers due to the low pay caused... by the little money the CAD has

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• It's open for anyone who receives merit pay.
• I had a first-year teacher ask me about merit pay, and I said, if you are concerned about merit pay,
• Well, congratulations on the merit pay.
• The ones who received merit pay and applied for it.
• We've had several go to the Department of Education.

Summary: The committee approved the March 9 and 10 minutes and then heard a presentation from the Arkansas Department of Education on the Arkansas Excellence in Teaching Fellowship, featuring three third-grade teachers from Cabot, Poyen, and Drew Central who are also teacher merit pay recipients. The teachers described the fellowship as a year-long Zoom-based collaboration with about 23 educators statewide, focused on sharing classroom strategies, data use, and professional support. Members asked about the teachers’ experience, how they share what they learn with their districts, the range of grades represented in the fellowship, and the relationship between the fellowship and merit pay. The teachers emphasized building relationships with students, using data to drive instruction, early intervention, and collaboration across grade levels, while the secretary said the program is intended to identify and elevate high-performing teachers and spread their practices. A major portion of the discussion focused on third-grade reading, retention, and the new ATLAS testing system. Teachers and the secretary said students are screened and progress monitored throughout the year, families are notified early if students are at risk, and schools are using interventions, tutoring, and individualized reading plans. They said ATLAS results are now available much faster than in the past, often within 24 hours or a few days, allowing teachers and parents to respond quickly. Members asked about the impact of poverty, trauma, foster care, DHS involvement, IEPs, and critical shortage areas; teachers said relationship-building, small-group instruction, and coordination with counselors and special education staff are key. The secretary said the fellowship is a small subset of a broader merit pay program, that participation was voluntary, and that the state is trying to build a coherent system with literacy coaches, high-impact tutoring, and clearer standards rather than teaching to the test. Members also discussed broader policy issues, including the need for more positive public messaging about public education, teacher input in decision-making, and support for early childhood education. Several legislators asked whether the state should expand funding for early learning and whether more literacy or academic coaches are needed in districts that improve and then lose eligibility for state support. The secretary said the state has committed literacy coaches to D and F schools and is still working through how to sustain support as schools improve. He also said the administration would look at data and return on investment before supporting additional funding, and he encouraged legislators to help recruit eligible teachers into future fellowship cohorts. After the teacher panel concluded, the committee moved on to the adequacy resource allocation study, where Bureau of Legislative Research staff began a presentation on state and local education funding sources, categorical funds, and district spending patterns.