Video & Transcript : 'claims adjustment' :

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ID

Idaho 2026 Regular Session

Agenda Mar 27th, 2026

State Affairs

Transcript Highlights:
  • And the reason for that is because of the insurance potential claims that we may have.
  • The reason for that is because of the insurance potential claims that we may have.
  • She's not claiming credit for the successes there, but it was fun to hear that story.
Summary: The Senate State Affairs Committee heard several bills and resolutions. House Bill 835, presented by Rep. Jason Monks, would place limits on spending non-cognizable funds above $10 million annually, with exceptions for declared emergencies, Gowen Field construction, and tuition revenue; at the sponsor’s request, the committee sent it to the 14th order for a possible amendment. The committee also recognized page Drew Brown, who spoke about his experience and future plans, and members offered comments and encouragement. The committee introduced RS 33834, a measure authorizing local governments to address rat infestations as an invasive species while protecting private property rights, and RS 33839, the Senate concurrent resolution to approve pending rules. House Bill 930, presented by Sen. Harris and Rep. McCann with Secretary of State Phil McGrane, would require campaign funds to be kept in a separate checking account, prohibit commingling, limit investments to cash-equivalent accounts, and require personal loans over $1,000 to be deposited into the campaign account; supporters said it would improve transparency, while some senators argued it was unnecessary because campaigns already follow those practices. The committee voted to send H.B. 930 to the floor with a do-pass recommendation, with Senators Den Hartog, Taves, and Shippy recorded as no votes. House Concurrent Resolution 35, honoring Idaho’s Olympic and Paralympic athletes, was also sent to the floor with a do-pass recommendation. Finally, Senate Bill 1436, presented by Sen. Anthon, would clarify that state agencies may use cooperative purchasing agreements with limited modifications when piggybacking on another entity’s competitive bid, while preserving legal remedies if the process is misused; the committee approved it for the floor with a do-pass recommendation, with Senator Ruchti recorded as voting no.
ID

Idaho 2026 Regular Session

Agenda Mar 27th, 2026

State Affairs

Transcript Highlights:
  • And the reason for that is because of the insurance potential claims that we may have.
  • The reason for that is because of the insurance potential claims that we may have.
  • She's not claiming credit for the successes there, but it was fun to hear that story.
Keywords: 989, all
ID

Idaho 2026 Regular Session

Agenda Mar 25th, 2026

Transcript Highlights:
  • provided by one or more vendors, as long as that total curriculum provided to the eligible student and claimed
  • provided by one or more vendors as long as that total curriculum provided to the eligible student and claim
  • clarification there in the middle of page three says if a tax credit pursuant to this section has not been claimed
Summary: The committee heard House Bill 897, which revises Idaho’s data center sales tax exemption. The sponsor said the bill adds new eligibility criteria tied to electricity service agreements that fully recapture costs and to efficient water use, narrows the exemption so it applies only to internal server equipment rather than construction materials, limits the exemption to 20 years instead of indefinitely, and requires annual Tax Commission reporting on foregone revenue. He also noted the bill’s property tax provisions may need more work because they could affect existing entities not involved in drafting, and he asked that the bill be sent to the 14th order for possible amendment. The committee agreed and adopted that motion. The committee then heard House Bill 926, which expands the community infrastructure district tool so counties can create CIDs outside a city’s comprehensive plan. The sponsor said the goal is to ensure infrastructure is built before growth and that new development pays its own costs rather than shifting them to existing property owners. A representative from Tamarack Resort testified in support, explaining that the change would allow a large development outside city planning areas to finance roads, utilities, and other off-site improvements through district bonds and special assessments. After questions about how CID financing works and how obligations are allocated over time, the committee voted to send the bill to the floor with a due pass recommendation. Finally, the committee heard House Bill 934, a technical cleanup bill for last year’s education tax credit law. The sponsor explained that the changes clarify student age eligibility, define tutoring as academic instruction, allow curriculum from multiple vendors, prevent families from combining the advance payment with a prior-year look-back credit, and clarify that students participating only in non-credit extracurricular activities such as sports are not considered enrolled for purposes of the credit. Members asked about impacts on public schools and extracurricular fees, and the sponsor said sports fees are not reimbursable under the credit and that the bill is intended to avoid double payment. The committee then voted to send the bill to the floor with a due pass recommendation. Afterward, the committee approved several sets of minutes and thanked its page, Grace Louder, for her service.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Transcript Highlights:
  • audit work, which generally includes a review of the following: eligibility of clients and providers, claims
  • The federal clearinghouse is a public portal through which CMS, the federal grantor, Claims paid on behalf
  • Then our non-claim-based payments—this is my least fun category—are where we pay our contracts.
Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026

LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE

Transcript Highlights:
  • audit work, which generally includes a review of the following: eligibility of clients and providers; claims
  • Claims paid on behalf of clients. Fulfillment of the state's expenditure matching obligations.
  • And then our non-claim-based payments, this is my least fun category.
Keywords: 1204, all
FL

Florida 2026 4th Special Session

February 11, 2026 - 09:30 AM

Transcript Highlights:
  • And that's probably the number one reason why malpractice claims against naturopathic doctors—one-tenth
  • of one percent— Claims against naturopathic doctors are one-tenth of 1% in the nation, versus medical
  • A lack of licensure leaves patients vulnerable to individuals who claim naturopathic credentials without
Summary: The Health Professions and Program Subcommittee met with a quorum and considered seven bills, all of which were reported favorably. HB 497 would create a neurofibromatosis research grant program within the Department of Health; an amendment removed automatic recurring funding and made the program subject to annual appropriations. Proponents described the disease burden and the need for Florida-based research support. The bill passed 14-0. The committee also approved HB 223, which creates a licensing and regulatory framework for naturopathic medicine, including a Board of Naturopathic Medicine under the Department of Health. Supporters argued licensure would improve patient safety, transparency, and access, while the Florida Osteopathic Medical Association and Florida Medical Association waived in opposition. The bill passed 15-0. HB 683 modernizes physician assistant and APRN prescribing rules by removing certain administrative notice and prescription-labeling requirements and allowing a 30-day course of psychotropic medication; an amendment removed language that would have allowed practice without physician supervision during declared emergencies. It passed 15-0. The committee then approved CS for HB 121, which updates Florida’s seizure action plan law by extending protections to charter school students, requiring schools to accept physician-submitted plans, clarifying training duration, expanding training to regular bus drivers, and requiring seizure-response posters in schools. HB 353 adds sickle cell disease education to existing pain-management continuing education for health professionals, prompted by extensive testimony from patients and advocates about bias, delayed treatment, and lack of provider knowledge; it passed 15-0. HB 1175 directs the Florida Building Commission and State Fire Marshal to develop updated safety design standards for office surgery suites, with an amendment delaying the effective date to January 1, 2027; it passed 14-0. Finally, HB 251 creates a public records exemption for current emergency physicians and their families, narrowed by amendment to current physicians and children up to age 26 and made subject to sunset review; it passed 15-0. The meeting adjourned after all agenda items were completed.
WA
Transcript Highlights:
  • But claiming that they’re going to help others be charitable, I think, is pretty ridiculous, in my opinion
  • But claiming that they're going to help others be charitable, I think is pretty ridiculous, in my opinion
  • I mean, and folks are kind of claiming that, well, you know, some states have said the income is not
Summary: House and Senate Republican leaders held a press availability focused on the late-session legislative agenda, with repeated criticism of Democratic proposals they said would raise costs and expand state control. Their main targets were a proposed state income tax on high earners, which they described as an unconstitutional income tax likely to expand over time, and an anti-initiative bill they said would make it harder for voters to use direct democracy. They also objected to bills they said would restrict local authority over camping bans and housing permits, and to a series of tax and fee increases affecting bottles, tires, groceries, food, health care, energy, labor, and licensing costs. The Republicans said the income tax proposal drew more than 60,000 opposition sign-ins and argued that the level of opposition showed Washingtonians broadly reject it. They said any legal challenge would likely come from outside the Legislature, not from caucuses, and cited former Attorney General Rob McKenna’s testimony as support for their view that the measure violates the state constitution. They also discussed capital flight and said prior tax increases, including the estate tax and capital gains tax, were already prompting businesses and wealthy residents to leave the state. The caucus highlighted several Republican-backed affordability bills they said remain alive, including a diaper tax exemption, a prepared-food tax exemption, repeal of last year’s services tax, and sales tax exemptions for certain continuing education and licensing fees. They also said they had helped block or weaken several Democratic bills, including proposals involving grocery stores, wildfire utility costs, college encampments, plastic bag fees, and a juvenile justice bill they said would have allowed earlier release of violent offenders. On child welfare, members criticized a bill addressing the Keeping Families Together Act as insufficient and said they would keep pushing to change the “imminent harm” standard, while also supporting a separate bill to add fentanyl exposure to the child endangerment statute. No formal votes were taken in the press event itself.
FL

Florida 2026 4th Special Session

February 5, 2026 - 04:00 PM

Transcript Highlights:
  • They're left guessing whether the increases are driven by reinsurance, claims, litigation costs, or something
  • So who are these 'we' and who's bringing up this problem that you're claiming to address?
  • If a teacher gets in trouble for something, some claim, or gets fired, the union steps in.
ID

Idaho 2026 Regular Session

Agenda Feb 2nd, 2026

State Affairs

Transcript Highlights:
  • It could open them up for tort claims.
  • It could open them up for tort claims.
  • They are no longer eligible to claim that prize.
Committee: House State Affairs
Keywords: 989, all
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jan 15th, 2026

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • Numerous Massachusetts voters claim that they were fraudulently misled to put their...
  • Numerous Massachusetts voters claimed that they were fraudulently misled to put their signatures on this
  • Many of the voters claimed that they would never have signed if they had not been misled by the paid
Summary: The Senate took up Senate Bill 2898, a campaign finance transparency bill for state ballot question committees, and considered a series of amendments. Several amendments offered by Senator Tarr were rejected, including proposals on safety-based redactions, standardized reporting definitions, contribution limits, municipal ballot question reporting, post-election audits for all statewide elections, and tax-exempt entities in ballot campaigns. Amendments by Senators Rausch, DiDomenico, and Finegold were adopted, including late contribution reporting, retroactive reporting with an emergency preamble, regulations for preliminary costs, and a ban on pay-per-signature arrangements for signature gathering. One amendment by Senator Edwards on stronger penalties for violations was withdrawn. The Ways and Means amendment, as amended, was then adopted, the bill was ordered to third reading, and it ultimately passed to be engrossed by a 38-0 roll call vote. The Senate then considered Senate Bill 2903, an act honoring Blue Star families, which would provide specialty license plates at no charge to the parent, child, or spouse of a law enforcement officer killed in the line of duty. Senators spoke in strong support, citing the recent funeral of Officer Stephen LaPorteur of Uxbridge and the continuing grief of families of fallen officers. The bill was ordered to third reading and passed to be engrossed unanimously by a 38-0 roll call. Later, the Senate adopted several committee extension orders. These extended deadlines for the Committees on Aging and Independence, Education, Public Service, and Economic Development and Emerging Technologies, with members and committee chairs explaining the need for additional time to complete work on pending bills, review commission recommendations, and finish cost analyses. The Senate also adopted an order to adjourn to the following Tuesday at 11 a.m., and the chamber adjourned in memory of Stuart H. Altman.
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jan 15th, 2026

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • Numerous Massachusetts voters claim that they were fraudulently misled to put their...
  • Numerous Massachusetts voters claimed that they were fraudulently misled to put their signatures on this
  • Many of the voters claimed that they would never have signed if they had not been misled by the paid
Keywords: 1212, all
KY

Kentucky 2026 Regular Session

House Standing Committee on Banking and Insurance (1-14-26)

Banking & Insurance

Transcript Highlights:
  • Then we had to make allowances for those claims that were still going on in the future because workers
  • ' comp claims have a long tail.
  • don't have the reserves they once had or they don't have money in escrow to cover possibly future claims
FL

Florida 2026 Regular Session

Governmental Oversight and Accountability Dec 9th, 2025

Governmental Oversight and Accountability

Transcript Highlights:
  • How do you justify designating a state remembrance day for someone who publicly claims Black women lack
  • How do you justify designating a state remembrance day for someone who publicly claims black women lack
  • part of Florida's history, and it is also a product of systemic racism, the racism that Charlie Kirk claims
Summary: The Committee on Governmental Oversight and Accountability heard three bills and reported all three favorably. First, the committee took up Senator Gates’ employee protection bill, which was amended with a delete-all to create whistleblower protections for people who file ethics complaints based on personal knowledge. Gates and the Florida Commission on Ethics said the measure would reduce retaliation against insiders who report misconduct, while the commission said it supported the proposal and expected low implementation costs. The committee adopted the amendment and then passed the bill as amended. The committee next considered Senator McClain’s bill to reclassify certain district assistant regional counsel supervisor positions in the Florida Retirement System to the senior management class. Supporters said the change would align those positions with comparable attorneys in public defender and state attorney offices and help with recruitment and retention. A late-file technical amendment aligning class codes with statute was adopted, and the committee then reported the bill favorably. The final bill, Senator Martin’s SB 194, would designate October 14 each year as Charlie Kirk Day of Remembrance in Florida. Martin argued the day would honor Kirk’s advocacy for free speech, civic engagement, and debate, and said it would not create a state holiday or require closures. The bill drew strong opposition from Senator Polsky and Senator Bracy Davis, who cited Kirk’s public statements on race, women, guns, and systemic discrimination and argued he was divisive and unworthy of a state honor. Supporters, including representatives from the Venezuelan American Republican Club and the Christian Family Coalition, backed the measure. After debate, the committee voted to report the bill favorably. The meeting then adjourned.
CA

California 2025-2026 Regular Session

Assembly Banking and Finance Committee Jul 7th, 2025

Banking and Finance

Transcript Highlights:
  • In 2020, we affirmed the DFPI Commissioner's ability to bring a UDAP claim against state licensees by
  • You know, the CFPB has basically dismissed all pending claims across the board, including claims that
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Assembly Budget Committee Apr 10th, 2025

Transcript Highlights:
  • expenditures up to $2 million from the Foster Family Home and Small Family Home Insurance Fund to address claims
  • I couldn't speak to any sort of specific stakeholder claims, but generally, you know, Medi-Cal is a sizable
  • And so, you know, we've heard stakeholders and others throwing out claims about what we're doing or we're
Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.
MN
Transcript Highlights:
  • 00:08:40.039><c> uh</c><00:08:40.200><c> cyber</c><00:08:40.519><c> security</c><00:08:40.880><c> claims
  • </c><00:08:41.599><c> due</c><00:08:41.880><c> to</c> in uh cyber security claims due to in uh cyber
  • security claims due to ransomware<00:08:42.640><c> attacks</c><00:08:42.959><c> we're</c><00:08:43.080
Keywords: 1183, house
US
Transcript Highlights:
  • In another social media post, Vice President Vance falsely claimed, Judges aren't allowed to control
  • These claims by the president, the vice president, Elon Musk, are not amusing, they are a danger to our
  • No one can seriously claim that President Trump is taking care to faithfully execute the law.
Bills: SB331
Summary: In this committee meeting, the focus was primarily on S-331, the Halt All Lethal Trafficking and Fentanyl Act, aimed at addressing the fentanyl crisis. The bill's key components include making permanent the class scheduling of fentanyl-related substances, confirming existing sentencing penalties, and easing registration requirements for scientific research on Schedule I substances. Numerous parents shared heartbreaking testimonies about their losses due to fentanyl, which fueled an urgent call to pass the legislation without alterations. The committee members engaged in passionate discussions highlighting the urgency of the situation as overdoses continue to claim American lives.
ND

North Dakota 2025-2026 Regular Session

Water Topics Overview Committee Jun 10th, 2026

Transcript Highlights:
  • right now, and so that's been part of the conversation: do the cost-share percentages need to be adjusted
  • Do the cost-share percentages need to be adjusted?
  • And since we are special funded, hold even with our base budget adjustments, and we are limited to...
  • Adjust cost percentages to align to be a function of prioritization rather than bucket, meaning we have
  • From there to calculate the coverage, we take that adjusted net operating revenue, divide that by the
Summary: The Water Topics Overview Committee met to receive interim status updates on several water-related studies and Department of Water Resources projects. The committee approved the March 26, 2026 minutes, observed a moment of silence for the late Representative Conmy, and then heard updates on the watershed management study and the stormwater/wastewater study. Staff reported that the committee had already received the testimony contemplated in the study plans, including input from state agencies, local governments, and out-of-state entities, and that any further action would be at the committee’s discretion. The Department of Water Resources then provided project and budget updates on NAWS and the Southwest Pipeline Project. Reese reported NAWS is expected to serve about 81,000 users, with a total projected cost of about $571 million and about $96 million remaining, while the Southwest Pipeline Project is estimated at $1.06 billion total with about $409 million remaining. Members asked about funding sources, capacity needs, and whether current and future construction is being designed for increased demand; department staff said current work is designed for ultimate capacity, but some future components may need redesign based on new requests. The committee also discussed local cost shares, Minot’s role in NAWS funding, and whether the system is adequate for peak demand. A major portion of the meeting focused on the department’s cash management, carryover, and long-term water funding outlook. The department said Resources Trust Fund revenues are tied to oil extraction taxes and are affected by stripper well exemptions and future oil price declines. Members expressed concern about large carryover balances and whether the state is obligating more money than can realistically be spent in a biennium. The department reported about $340.6 million in remaining carryover and said it is trying to reduce that through a two-tier pre-construction/construction process and closer project vetting. The department also summarized the Deloitte studies on regional governance and finance and on cost-share policy. Stakeholders generally favored keeping the current governance structures for NAWS and Southwest with improvements, while Red River stakeholders leaned toward a different option; the department said it will bring an implementation plan back in September. On cost share, Deloitte’s recommendations would reduce some percentages, prioritize projects differently, and use other measures to close a projected long-term funding gap. Members debated affordability, local burden, deferred maintenance, and whether statutory changes may be needed to allow the commission more flexibility in prioritizing and funding projects. No formal votes or final actions were taken beyond approving the minutes and receiving the updates.
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 4/8/26

Children and Families Finance and Policy

Transcript Highlights:
  • </c><00:06:49.200><c> that</c><00:06:49.400><c> has</c> neutral technical adjustments that has neutral
  • technical adjustments that has no<00:06:49.840><c> net</c><00:06:50.080><c> cross</c><00:06:50.520><
  • </c> about the technical funding adjustments. about the technical funding adjustments.
  • And so we've been able to do adjustments within our existing system as far as we're able.
  • </c> And so we've been able to do adjustments And so we've been able to do adjustments within<00:36:13.600
Bills: HF4525 , HF3002 , HF3665 , HF4420
KY
Transcript Highlights:
  • , maybe three months sometimes, because they need to adjust to having people that care, having doctors
  • , maybe three months sometimes, because they need to adjust to having people that care, having doctors
  • , maybe three months sometimes, because they need to adjust to having people that care, having doctors
  • The right setting, or we took them literally off the streets, takes them about two months to adjust,
  • maybe three months sometimes, because they need to adjust to having people that care, having doctors
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.