Transcript Highlights:

• to the fee schedule.
• of the update to the fee<00:34:50.240> schedule.
• fee schedule. fee schedule.
• reimbursement updates.
• the fee schedule rate setting. the fee schedule rate setting.

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.

Transcript Highlights:

• statute references and remove obsolete fees including fees for paper application copies, written requests
• amendment. 2011 KR 2240 amends to update amendment. 2011 KR 2240 amends to update statute<00:32:
• fees including fees for paper fees including fees for paper application<00:32:44.080> copies,
• the fee schedule name to the Kentucky Medicaid audiology fee schedule, including a website link where
• references a newly created 1915i fee references a newly created 1915i fee schedule.<00:43:21.040

Keywords: 958, all

Summary: The committee met with a quorum, approved the minutes, and then took up several administrative regulations. The first was an Office of the Attorney General regulation creating an online submission process for an annual certification report to replace prior quarterly notarized certification forms; there were no amendments or questions. The main discussion centered on Personnel Cabinet regulations 101 KAR 2:034, 2:102, 3:015, and 3:045, which include staff-suggested technical amendments and address state employee compensation and leave. The compensation provisions clarify salary and rehiring/demotion rules, increase critical position premiums from one to three, and update weekend premium and ACE award practices. The leave provisions would provide up to six weeks of paid leave per 10-year interval for birth, adoption, foster placement, or a serious health condition, and allow one paid adverse-weather day per year with supervisor approval. Staff explained that annual and sick leave already accrue and roll over, and that the new six-week benefit was intended as an additional enhancement tied to the 10-year and 20-year sick-leave milestones.

Transcript Highlights:

• House Bill 1417 really deals with those indigent defense fees and probation supervision fees, and also
• has a study to look at all fees.
• supervision fees.
• supervision fees.
• And then it was updated in 2023. So all of the— Yeah. And then it was updated in 2023.

Keywords: 908, all

Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.

Transcript Highlights:

• Does every hospital pay an assessment fee?
• So the fees are used as the state share.
• So the fees are used as the state share.
• We had no current updates, but I do need to update you that one assisted living has announced its closure
• We had no current updates, but I do need to update you that one assisted living has announced its closure

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• , and a $250 renewal fee, revise auditing requirements, and update incorporated material. 40 KAR 12:600
• language regarding fees that must be waived, and update language to require school districts to meet
• Update language breakfast program.
• Update language regarding fees records.
• Update language regarding fees that<00:11:42.640> must<00:11:42.840> be<00:11:42.960>

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• And we are also updating...
• four different fees into one fee that charges hazardous waste generators on a per-ton basis.
• So, fees are not paid on the waste generated.
• they did raise the fee rate.
• The fee hasn't been adjusted in a long period of time, etc.

Keywords: 988, house, all

Transcript Highlights:

• That’s the virtual inspection fee.
• <00:06:47.160> I fees and our elevator inspection fees I fees and our elevator inspection
• The shipment label fee and the resale decal fee are both new.
• That fee that you'd pay, that same fee, to have the home inspected.
• That fee that you'd pay, that same fee, to have the home inspected.

Keywords: 1187, senate, all

Transcript Highlights:

• The other fees associated with this were, with their lawyer fee, $1,250.85.
• And then the fee for the newspaper publication was $2,046.65. The other fees are was $2,046.65.
• The other fees associated with this was, with our lawyer fee, was $1,250.85.
• The next, we have one update to the...
• The update to Section 3 of 71-08-11 is similar to the update we made on 71-02-06, where employees just

Keywords: 908, all

Transcript Highlights:

• So three types of content changes were needed: updating exemptions, updating definitions, and incorporating
• <00:16:22.360> ensure assessments these updates ensure assessments these updates ensure consistency
• There was no fee allowed involved in that.
• There was no fee allowed involved in that.
• <00:43:21.880> allowed um there there was no fee allowed um there there was no fee allowed

Bills: HF2543, HF2566, HF2627

Keywords: garnishment, wage garnishment, earnings levy, bank levy, execution, judgment debtor, judgment creditor, exemption notice, exempt property, bank account freeze, financial institution levy, employer disclosure, garnishee, writ of execution, debt collection, consumer debt, collections, bankruptcy exemptions, public benefits, means-tested benefits

Transcript Highlights:

• These updates became effective just recently on January 1, 2026.
• We'll look forward to seeing the updates. Yes, Ms. Gonzalez.
• fees.
• privilege fees.
• Thank you. fees that's taxes under our regulated environment privilege fees okay thank you but you did

Keywords: 1182, all

Summary: The committee first heard the Arizona Auditor General’s sunset review of the Arizona Barbering and Cosmetology Board. The audit found some strengths, including timely licensing and complaint resolution in the sample reviewed and rules that matched statutory curriculum requirements, but it also identified a major finding that the board had imposed inconsistent discipline for similar violations and lacked documentation for deviations from its disciplinary guidelines. Other issues included missing reciprocity education requirements, weak application quality control, incomplete school and establishment oversight, and compliance concerns involving open meeting law, public records, and conflicts of interest. The report made 25 recommendations total, including two tied to the disciplinary finding and three suggested statutory changes on esthetics scope of practice, cease-and-desist authority, and eyelash technician training. The board’s executive director said the board agreed with the findings, had already implemented several recommendations, updated disciplinary policies and conflict-of-interest procedures, and was working on legislation and rule changes. After questions about enforcement consistency, licensing verification, cash handling, complaint volume, and conflict disclosures, the committee voted 7-0 to recommend the board be continued for six years, until July 1, 2032. The committee then took up the Arizona Department of Gaming, the Arizona Racing Commission, and the Arizona Boxing and Mixed Martial Arts Commission together. The Auditor General reported that the department correctly distributed more than $158 million in tribal contributions in fiscal year 2024 and issued event wagering licenses to reviewed applicants, but found several problems: the department did not consistently obtain and review independent audit reports for event wagering and fantasy sports operators, did not fully comply with conflict-of-interest disclosure requirements, and lacked comprehensive complaint-handling processes. The review also found delays in distributing Compact Trust Fund payments to some tribes, gaps in IT security and horse-racing license checks, and incomplete fee-setting and public-records practices. The report made 36 recommendations to the department, six to the Racing Commission, and 13 to the Boxing and MMA Commission, and all three entities said they agreed and would implement them. In response, the Department of Gaming director said the agency was already making changes, including a historical look-back on operator audits, updated guidance to operators, a new constituent services unit and complaint-tracking process, and improved conflict-of-interest training and forms. She also explained the Compact Trust Fund dispute, saying the department administers the fund but the beneficiary tribes must agree on the revenue baseline formula, which has been complicated by COVID-era closures; no Category Three distributions had yet been made. Committee members asked about possible revenue losses, penalties, and the status of 2024-2025 audits, as well as prediction markets and whether they are legal under Arizona’s event wagering framework. The director said the department had issued cease-and-desist letters to unlicensed prediction-market operators, would review licensed operators for suitability if needed, and would continue to enforce Arizona law. The transcript ends while questioning on prediction markets is still underway, before any vote on the gaming-related reviews is shown.

Transcript Highlights:

• fees for this part of the CalRecycle program.
• It replaced, in essence, and streamlined four different fees into one fee that charges hazardous waste
• So fees are not paid on the waste generated.
• raise the fee rate.
• I do have a comment, and that's about the mill fee.

Summary: The subcommittee heard presentations on the administration’s Proposition 4 spending plans for extreme heat mitigation and outdoor access, then took up SB 54 implementation, SB 707 textile producer responsibility, and recovery needs related to the Los Angeles fires at state parks. For the extreme heat chapter, agencies described funding for the Extreme Heat and Community Resilience Program, urban greening, urban forestry, fairground upgrades, and technical assistance for community-based climate programs. Witnesses emphasized that these are existing programs with strong demand, that technical assistance is important for reaching disadvantaged and tribal communities, and that the proposed funding would expand outreach and implementation capacity. Members asked for more detail on where funds have gone geographically, examples of successful projects, tree-planting totals, and how fairgrounds could better support fire staging and emergency preparedness. The LAO said the timing of the administration’s proposed funding generally made sense because the programs are already established, and no votes were taken. For outdoor access, State Parks, Fish and Wildlife, and Natural Resources described funding for new parks in underserved communities, deferred maintenance, state lands access, and several new or pending programs. State Parks said the park development program would fund roughly 48 projects and that deferred maintenance funding would address high-priority health, safety, and access needs. Fish and Wildlife said its lands program would improve visitor amenities and access on properties that often lack basic facilities. The Natural Resources Agency also outlined three newer outdoor-access proposals: expanding recreation in disadvantaged communities, enhancing natural resource values and trail access, and a nature/climate/education facilities grant program. The LAO distinguished between existing programs, which are ready to move forward, and the newer proposals, where the Legislature may want more input before funds are allocated. Members also raised concerns about park police vacancies, the need to track outcomes for accessibility investments, and whether Prop. 4 could help with wildfire-related recovery at state parks. CalRecycle then presented on SB 54, the plastics and packaging producer responsibility law, and members pressed hard on the delay in regulations. CalRecycle said it has held workshops, formed an advisory committee, selected the producer responsibility organization, and completed required baseline and covered-material reports, but needs more time to address complex comments and novel features such as source reduction and eco-modulated fees. Members expressed frustration that a statutory deadline was missed and asked for a concrete timeline; CalRecycle said it expects regulations in place by 2026, ahead of the PRO’s January 1, 2027 plan deadline. Finance said the Beverage Container Recycling Fund is currently healthy enough to support short-term loans for implementation. The committee also reviewed SB 707, the textile EPR law, which would create the nation’s first textile producer responsibility program; staff said the proposal would add positions and loan authority, and members noted the statutory deadlines for PRO approval, needs assessment, and later regulations. The hearing ended with discussion of the January Los Angeles fires’ damage to Topanga State Park and Will Rogers State Historic Park, where State Parks described extensive losses, emergency response work, and ongoing damage assessment. Members asked about FEMA eligibility, state funding sources, and community engagement in rebuilding, and the department said it is still assessing costs and will work with the public on reimagining the parks.

Transcript Highlights:

• judicial branch collects: civil filing fees, master commissioner fees.
• Court technology fees, criminal background checks, expungement fees. There's a range of them.
• These are the SaaS fees.
• These are the SaaS fees.
• These are the SaaS fees.

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Justice and Judiciary met without a quorum and heard an update from the Administrative Office of the Courts on the judicial branch budget. AOC Director Zach Ramsey and budget director Carol Henderson outlined the branch’s current funding structure, noting that fiscal year 2026 general fund support is about 2.77% of the state general fund, below the National Center for State Courts’ typical 2% to 4% range. They emphasized Kentucky’s unusual responsibility for courthouse facilities, with the judicial branch directly involved in construction, maintenance, and operations across 229 facilities in all 120 counties. AOC said nearly 91% of its general fund is spent on personnel and other non-discretionary costs, and that the branch has long relied on agency revenue, restricted fund carryforwards, and vacancy credits to balance court operations. Members were told that Senate Bill 25 required a $34.5 million transfer into a reserve account, part of which was used to purchase the Chamberlain Avenue building in Frankfort. AOC reported that only $11.9 million remains in restricted funds, while it projects needing about $13.5 million to cover fiscal year 2026 obligations, not including roughly $9 million in flood-related remediation costs for Hardin and Franklin counties, much of which it expects to recover through insurance and FEMA. Looking ahead to the next biennium, AOC said it will seek full funding of court operations at $341 million annually, a $13.5 million increase to bring current services into the base appropriation rather than relying on reserves. It also previewed additional requests, including a 15% across-the-board pay parity plan for Kentucky Court of Justice personnel, replacement of declining master commissioner fee revenue tied to 141 deputy circuit court clerk positions, funding for technology subscription and case management system costs, JAV audiovisual system upgrades, AEDs and medical kits for courthouses, and other staffing and operational needs. Senator Funky Frommeyer asked whether the 15% salary proposal was included in the $13.5 million increase; AOC said it was not, and that it would be an additional request. No votes or formal actions were taken.

Transcript Highlights:

• the fee.
• the fee.
• And this modified stormwater utility fee would explain And this modified stormwater utility fee would
• Just curious about the sidewalk utility fee. I'm curious about the sidewalk utility fee.
• This is an update, the 2025 update, to a...

Keywords: 904, all

Transcript Highlights:

• Uh broker dealer examiners fee revenue.
• This is the cannabis licensing fee.
• Um this is a the cannabis licensing fee. Um this is a the cannabis licensing fee.
• Uh an inspection fee will be equipment.
• to<00:24:05.039> the<00:24:05.280> ASM update cross references to the ASM update cross

Keywords: 1187, senate, all

Transcript Highlights:

• We're going to update the phlebotomist certification fee from a biannual to an annual fee and make technical
• The fees have not been updated in quite some time, and our revenues do not meet the expenditures that
• That's the laboratory field sciences fees.
• We wouldn't have to do it every time we needed to increase fees.
• Is the treatment program also something that there's a fee update or any trailer bill on that?

Keywords: 988, house, all

Transcript Highlights:

• Um, the revised governor's budget updates that to 2% per year.
• record and present the updated budget. record and present the updated budget.
• /c><00:03:59.840> that revised governor's budget updates that revised governor's budget updates
• into the Medicaid program through fees. into the Medicaid program through fees.
• Under this program, parents pay a fee Under this program, parents pay a fee based<00:04:41.759><

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Bills: SB1432, SB2024, SB2043, SB2060, SB2069, SB2153, SB2259, SB2319, SB2321, SB2338, SB2360, SB2396, SB2405, SB2407, SB2544, SB2550, SB2552, SB2578, SB2580, SB2607, SB2614, SB2671, SB2800, SB2805, SB2816, SB2835, SB2877, SB2892, SB2928, SB2934, SB3063, SB3199, SB3233, SB3325, HCR8, HCR10, HCR11, HCR13, HCR14, HCR18, HCR19, HCR22, HCR24, HCR31, HCR32, HCR33, HCR35, HCR54, HCR62, HCR63, HCR66, HCR67, HCR82, HCR83, HCR85, HCR91, HCR93, HCR94, HCR96, HCR98, HCR102, HCR104, HCR105, HCR106, HCR110, HCR111, HCR116, HCR117, HCR118, HCR121, HCR122, HCR123, HCR124, HCR125, HCR127, HCR128, HCR137, HCR139, HCR140, HCR141, HCR144, HCR146, HCR162, HCR165, HCR166, HCR173, HCR178, HCR179, HCR180, HCR181, HCR182, HCR185, HCR189, HCR191, HCR192, HCR193, HCR194, HCR200, HCR202, HCR6, HCR36, HCR42, HCR43, HCR44, HCR53, HCR57, HCR61, HCR64, HCR69, HCR84, HCR101, HCR103, HCR107, HCR112, HCR126, HCR136, HCR154, HCR161, HCR175, HCR186, HCR187, HCR188, HCR197, HCR203, HCR204, HCR206, HB1870, HB1588, HB2429, HB2386, HB2583, HB2361, HB2270, HB2137, HB1643, HB1682, HB1692, HB2078, HB1553, HB1667, HB1700, HB1728, HB2293, HB2096, HB1959, HB1511, HB1961, HB1858, HB1897, HB2088, HB2093, HB2279, HB2314, HB2505, HB2433, HB963, HB1705, HB1550, HB469, HB1334, HB1710, HB1737, HB1753, HB1881, HB2309, HB1713, HB1741, HB2062, HB463, HB1839, HB1664, HB2455, HB2417, HB1898, HB1573, HB1768, HB1962, HB2101, HB1782, HB2033, HB1518, HB1642, HB1752, HB2097, HB2282, HB1696, HB1823, HB1886, HB2152, HB2413, HB2503, HB1875, HB1519, HB1509, HB1628, HB1810, HB1990, HB2023, HB2540, HB1679, HB1888, HB2576, HB2592

Keywords: Kalaupapa, Kalawao, Molokai, Maui County, county consolidation, Hansen's disease, leprosy, Department of Health, DOH, patient residents, former patients, public health, transition planning, jurisdiction transfer, county governance, historical preservation, cultural preservation, environmental remediation, community input, Kalaupapa Settlement

Bills: SB1432, SB2024, SB2043, SB2060, SB2069, SB2153, SB2259, SB2319, SB2321, SB2338, SB2360, SB2396, SB2405, SB2407, SB2544, SB2550, SB2552, SB2578, SB2580, SB2607, SB2614, SB2671, SB2800, SB2805, SB2816, SB2835, SB2877, SB2892, SB2928, SB2934, SB3063, SB3199, SB3233, SB3325, HCR8, HCR10, HCR11, HCR13, HCR14, HCR18, HCR19, HCR22, HCR24, HCR31, HCR32, HCR33, HCR35, HCR54, HCR62, HCR63, HCR66, HCR67, HCR82, HCR83, HCR85, HCR91, HCR93, HCR94, HCR96, HCR98, HCR102, HCR104, HCR105, HCR106, HCR110, HCR111, HCR116, HCR117, HCR118, HCR121, HCR122, HCR123, HCR124, HCR125, HCR127, HCR128, HCR137, HCR139, HCR140, HCR141, HCR144, HCR146, HCR162, HCR165, HCR166, HCR173, HCR178, HCR179, HCR180, HCR181, HCR182, HCR185, HCR189, HCR191, HCR192, HCR193, HCR194, HCR200, HCR202, HCR6, HCR36, HCR42, HCR43, HCR44, HCR53, HCR57, HCR61, HCR64, HCR69, HCR84, HCR101, HCR103, HCR107, HCR112, HCR126, HCR136, HCR154, HCR161, HCR175, HCR186, HCR187, HCR188, HCR197, HCR203, HCR204, HCR206, HB1870, HB1588, HB2429, HB2386, HB2583, HB2361, HB2270, HB2137, HB1643, HB1682, HB1692, HB2078, HB1553, HB1667, HB1700, HB1728, HB2293, HB2096, HB1959, HB1511, HB1961, HB1858, HB1897, HB2088, HB2093, HB2279, HB2314, HB2505, HB2433, HB963, HB1705, HB1550, HB469, HB1334, HB1710, HB1737, HB1753, HB1881, HB2309, HB1713, HB1741, HB2062, HB463, HB1839, HB1664, HB2455, HB2417, HB1898, HB1573, HB1768, HB1962, HB2101, HB1782, HB2033, HB1518, HB1642, HB1752, HB2097, HB2282, HB1696, HB1823, HB1886, HB2152, HB2413, HB2503, HB1875, HB1519, HB1509, HB1628, HB1810, HB1990, HB2023, HB2540, HB1679, HB1888, HB2576, HB2592

Keywords: Kalaupapa, Kalawao, Molokai, Maui County, county consolidation, Hansen's disease, leprosy, Department of Health, DOH, patient residents, former patients, public health, transition planning, jurisdiction transfer, county governance, historical preservation, cultural preservation, environmental remediation, community input, Kalaupapa Settlement

Transcript Highlights:

• There's a specific fee on facilities in that area.
• There's a specific fee on facilities in that area.
• It is required under updated federal guidance released in September.
• And in doing so, the administration... ...to fee-for-service as well.
• I would note our updated HR1. shortfall and out years.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• fees at two basis points.
• And then the fee savings would be, and we were very conservative about these fee savings because we're
• Our fees are somewhere around seven basis points, and we calculate the fee savings as being a combination
• If there's been an update to any Century Code or anything, you've also incorporated that into these updated
• updated policy statements?

Keywords: 908, all