Video & Transcript : 'DFPS budget' :
Page 389 of 500
WA
Transcript Highlights:
- Both these programs have been funded through proviso and the state budget for some time, the one with
- Lakewood since 2002, the one with the City of Medical Lake since 2017, a particularly good operating budget
- City of Medical Lake since 2017, a particularly good operating budget that year.
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 Apr 30th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- calendar for the day, is an act relating to corrections, appropriating money for deficiencies in the budget
- approval to reallocate approximately $10 million in previously appropriated funds to address the budget
- We needed to take the budget.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-03-04 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- I'm challenging our budget subcommittee. We can do better.
- I'm challenging our budget subcommittee chairs to dive into the budget and find real savings in recurring
Summary:
The Florida House convened for the opening day of the 2025 regular session with prayer, moments of silence honoring Senator Geraldine Thompson and Congressman Lincoln Diaz-Balart, a quorum call, presentation of colors, the Pledge of Allegiance, and the national anthem. The chamber also recognized Miami-Dade County Sheriff Rosie Cordero-Stutz as law enforcement officer of the day and approved the journal. Numerous guests were introduced, including members of the Florida Cabinet, Supreme Court justices, former House speakers, former legislative leaders, former members, and Speaker Perez’s family.
Speaker Daniel Perez delivered the opening address, emphasizing that the session should focus on meaningful reforms, strong committee work, and bipartisan engagement rather than personal priorities. He highlighted property insurance as a major issue and said the insurance and banking subcommittee would investigate possible misconduct by insurers, including the use of subpoenas, sworn testimony, and outside experts. He also pointed to housing, health care, public education, public safety, government accountability, and budget savings as key areas for legislative work.
The House received a letter from Governor Ron DeSantis requesting a joint session on March 4 at 11 a.m. for the State of the State address. The chamber adopted Senate Concurrent Resolution 1294 to authorize the joint session, and the related House concurrent resolution was laid on the table. The House then adjourned to conduct committee and other business and to reconvene for the joint session at 11 a.m. or upon call of the Speaker.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 31 March, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- </c><00:06:03.960><c> and</c> governing body to take the budget and governing body to take the budget
- </c> from somewhere else in the budget. from somewhere else in the budget.
- </c> we just passed a $7 billion budget. we just passed a $7 billion budget.
- </c><03:39:11.560><c> by</c><03:39:11.720><c> budget</c> I've refrained from a budget by budget I've
- </c> in your budget. in your budget.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 01:00 pm
Joint Committee on State Administration and Regulatory Oversight
Transcript Highlights:
- $2-plus billion a year in outside contract spending, you know, within our proportionally handsome budget
- is an excellent question, and I think it goes to some of the fundamentals of state and municipal budgeting
- So I do think that there's not as much, in my opinion, in the budgeting process about value and where
- They get millions of dollars every year through this direct appropriation through the state budget, and
- resolution last year to not Councilors out of 24 who voted for a budget resolution last year to not
Summary:
The Joint Committee on State Administration and Regulatory Oversight heard testimony on several procurement-related bills. Senator Lovely and steel industry witnesses supported S. 2167/H. 3411, which would require preference for U.S. manufacturers on public construction projects using steel and other materials. They argued that Canadian and other foreign fabricators underbid Massachusetts firms because of exchange rates, subsidies, and different labor-cost structures, causing local job losses and economic leakage. Committee members asked about tariffs, market share, and whether the bill should be folded into broader municipal legislation; the witnesses said public work should stay in Massachusetts and that the bill would help preserve local industry and jobs.
The committee also heard strong support for S. 2107, a bill to increase employment opportunities for people with disabilities in state and municipal contracting. Work Inc. testified that a preference for contractors employing people with disabilities would expand competitive employment, reduce reliance on public assistance, and generate net savings for taxpayers. Members asked about the estimated savings and whether recent federal changes to benefits would affect the numbers; the witness said the figures may need updating but that the underlying employment opportunity remains important. Another bill, H. 3339/S. 2187, would prohibit state and municipal contracts for new artificial turf fields containing zinc, plastic, or intentionally added PFAS. Sponsors and supporters cited health risks, heat retention, injuries, and PFAS contamination, while committee members discussed local bans, disposal problems, and whether indoor facilities or alternative materials could be used.
Inspector General Jeffrey Shapiro testified in favor of H. 12 and H. 13, which would update Chapter 30B procurement thresholds and allow municipalities to bundle snow hauling and removal with plowing contracts. He said the changes would give local governments more flexibility, reduce confusion between school and municipal procurement rules, and make snow contracts more attractive to vendors. Members questioned whether quasi-public agencies and state entities should also be subject to 30B, and Shapiro said many public entities have their own procedures but that transparency and fairness should apply across the board. The committee also heard support for S. 2150, a software licensing bill aimed at preventing vendor lock-in by ensuring state agencies can run purchased software in the infrastructure that best fits their needs; the witness said restrictive licensing can drive up costs and create cybersecurity and modernization problems, and that similar laws have already passed in several other states.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- Fairhaven, like many other towns, is experiencing a lot of budget challenges, and the opportunity to
- The Haven, like many other towns, is experiencing a lot of budget challenges, and the opportunity to
- We're also proud to the House last session and again as an amendment to the House FY26 budget.
- I can think of the systemic challenges that Wellesley is facing right now with our budget.
- Thank you. through NCLB, MCAS, budget cuts, and a pandemic.
Summary:
The Joint Committee on Public Service held a hearing focused first on teacher retirement legislation, especially H. 2932 and S. 1884, which would give long-serving educators a one-time opportunity to enroll in Retirement Plus after the program’s 2001 rollout was described as confusing and inconsistently communicated. Legislators, union leaders, and many teachers testified that some educators missed the opt-in window because of faulty notices, leave status, transfers, or misinformation about payroll deductions, and that many have had to work several extra years as a result. Supporters said the bills would correct an unfair administrative error, provide a buyback option with interest, and could also save local school districts money by allowing earlier retirements. Representative Mark Sylvia also testified for H. 4234, a Fairhaven-specific bill to raise the age limit for special police officers from 65 to 70 and clarify appointing authority, citing experience and budget needs.
The committee then heard testimony on several pension investment and divestment bills. Supporters of H. 2811 and related climate-risk measures argued that PRIM should assess, disclose, and address climate-related financial risk in the state pension fund, warning that fossil fuel investments could threaten long-term returns and public finances. Environmental advocates and financial experts said climate risk is systemic and urged transparency, divestment planning, and alignment with the Commonwealth’s climate goals. Another set of speakers supported H. 2984, which would divest pension investments from companies selling weapons to Israel; they argued the state should not be complicit in violence in Gaza and cited humanitarian and human rights concerns. Additional testimony supported H. 2900 and S. 1869 to divest from the firearm industry, with speakers saying pension investments should not undermine Massachusetts gun laws.
No votes were taken during the hearing. The chairs repeatedly thanked speakers, limited testimony time, and noted that written testimony could be submitted later. The hearing concluded with the committee moving through the sign-up list and hearing extensive public testimony on the teacher retirement and divestment proposals.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on HF1141 5/12/26
Transcript Highlights:
- your packets you should have a four-page spreadsheet titled Housing Finance and Policy Supplemental Budget
- neutral over the budget forecast window.
- </c><00:04:35.840><c> neutral</c><00:04:36.320><c> over</c><00:04:36.640><c> the</c> proposal is budget
- neutral over the proposal is budget neutral over the budget<00:04:37.240><c> forecast</c><00:04:37.760
- And that, Madam budget forecast window.
Summary:
The conference committee on House File 1141, the Omnibus Housing Finance and Policy Bill, reviewed the fiscal spreadsheet and policy language for the agreement. Staff explained the major funding items, including appropriations for greater Minnesota workforce housing, manufactured home park infrastructure grants, family homelessness prevention, supportive housing, a tenant hotline, and housing infrastructure bonds, along with a cancellation of unused Tyler settlement funds and a reallocation of Housing Development Fund earnings. Staff said the package was budget neutral over the forecast window. The policy walk-through also covered provisions on livestreaming Housing Finance Agency board meetings, limits on administrative retentions for new grant programs, restrictions and reporting on Housing Development Fund transfers and earnings, clarifying language for local public housing, an exemption related to lived-experience engagement, and access for legislative fiscal staff to agency accounting information.
Members then considered several amendments. The A12 amendment, allowing certain local governments to invest long-term funds in housing-related investments, was adopted after a roll call showed support from all three caucuses. The A16 manufactured housing bill of rights amendment, which would have addressed park-owner practices, purchase opportunities, enforcement, and rent increases, was not adopted. The A18 amendment to allow additional flags in HOAs and other areas was also not adopted. The A17 amendment to limit private equity ownership of single-family homes to 100 units was not adopted. The A13 amendment to preempt local rent control was not adopted. Members on both sides said some of the rejected issues warranted further discussion in future sessions, while supporters argued they were needed to address housing affordability and ownership pressures.
In closing discussion on the bill as a whole, members from both chambers praised the bipartisan process, the staff work, and the Minnesota Housing Finance Agency’s collaboration. Supporters said the agreement would help build thousands of homes across the state, assist vulnerable Minnesotans, and improve transparency and accountability in housing programs. They also noted the bill’s mix of single-family, multifamily, manufactured housing, homelessness prevention, and policy reforms. The committee expressed intent to move the agreement forward to the House floor and ultimately to the governor.
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026
Labor, Public Employment and Retirement
Transcript Highlights:
- It's not in the budget to pay more wages because CEQA is one of the biggest disasters our farmers have
- A school district in Montecito, 60 percent of their budget was a settlement.
- A school district in Montecito, 60 percent of their budget was a settlement.
- I was just the keynoteer at the Budget Center's conference, Was just the keynote speaker at the Budget
- In response, Senate leadership and the Senate budget chair committed to revisiting the definition for
CA
California 2025-2026 Regular Session
Senate Rules Committee Apr 15th, 2026
Transcript Highlights:
- And when I first came to the Legislature the first time, it was 23 years ago, and I was named Budget
- And it was only at the end of my Assembly service that there was even a hint in legislation or a budget
- So budgeting has always been my background.
- I had always been in the public safety realm or in the budgeting realm.
- And the only other question that I had, one of the two, is obviously the 2020 budget request, AB 134,
Summary:
The committee first handled routine actions, including quorum, governor’s appointments not required to appear, references to bills, and floor acknowledgments, with those items approved on 3-1 or 4-0 votes and left open for add-ons where noted. It then heard testimony on several CDCR appointments: Kathleen Ratliff and Joseph Tuggle as associate directors for adult institutions, and later Jason Johnson as Undersecretary of Operations. All three nominees emphasized long careers in corrections, support from family and colleagues, and a commitment to public safety, rehabilitation, and improving staff and institutional culture.
Much of the questioning focused on the California model, staff safety, sexual abuse prevention, use-of-force incidents, visitation, and rehabilitation. Ratliff and Tuggle said the California model was poorly communicated at rollout but is intended to improve both staff wellness and rehabilitation, not weaken security. They described training, root-cause reviews, statewide calls, and direct engagement with staff and incarcerated people. On a widely criticized pepper-spray incident at Central California Women’s Facility, Ratliff said staff were disciplined, some terminated, and the facility received additional training on de-escalation, communication, use of force, and report writing. On sexual abuse and retaliation concerns, both nominees pointed to PREA training, multiple reporting channels, anti-retaliation monitoring, and a zero-tolerance policy.
Members also pressed the nominees on visitation consistency, family reunification, contraband, and the San Quentin transition program. CDCR leaders said visitation is essential to rehabilitation and that the department is working toward more consistent statewide rules and a more family-friendly visiting environment. They also said contraband interdiction is being strengthened through K-9 searches, drone interdiction, and information sharing. Johnson, whose confirmation drew late opposition letters and a lawsuit alleging retaliation and workplace culture problems, said he was driving culture change, had improved reentry and community partnerships, and viewed rehabilitation as central to CDCR’s mission. After public support from former incarcerated people, advocates, and nonprofit leaders, the committee voted 4-0 to advance the appointments to the Senate floor.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Fifty Two - Wednesday, April 15 - Afternoon Session
Missouri House Floor Meeting
Transcript Highlights:
- And I understand, too, in this environment with these budget constraints, people's thoughts overall,
- But it’s being authorized in this chamber, not in the budget room. I believe that would be correct.
- If you continue and you actually read it, it's devastating to our budget.
- Any significant changes will be reflected in future budget requests. So look out next year.
- There's no way to quantify how devastating this is going to be to our budget.
Summary:
The House first established a quorum after a quorum call, then moved into House Bills for Perfection. House Bill 2297, a fence-law bill, was presented as a way to let livestock owners enter up to 10 feet onto neighboring property to repair fence lines and remove brush or debris on the fence line without being treated as trespassers. Supporters said the current law leaves livestock owners responsible for fences but without a practical way to fix them, creating safety and liability problems; the bill was described as a long-running issue in rural areas. Members discussed property-rights concerns, but the substitute was adopted and the bill was ordered perfected and printed. House Bills 2142 and 2058, dealing with the Missouri film tax incentive program, were then taken up. Sponsors said the program has produced strong economic returns, more productions, jobs, and spending in Missouri, and the bill would modernize the program by combining separate film and TV funding buckets while removing the proposed sunset extension. An amendment to keep the original sunset was adopted, and the bill as amended was perfected and printed after debate over tax credits, workforce development, and whether the incentives should be expanded or curtailed.
The House also perfected House Bill 3004, a truth-in-labeling measure for wood products. The sponsor said the bill would protect Missouri’s hardwood industry by requiring products sold in the state to be labeled accurately if they are actually laminate, plastic, rubber, or other non-wood materials. Supporters called it a consumer-protection and industry-preservation bill, while one member questioned how it would apply to online and out-of-state sellers and expressed some reservations. The substitute was adopted and the bill was ordered perfected and printed.
House Bills 3283 and 3306 were taken up together and described as a framework for resolving municipal public-employee contract disputes, especially for firefighters and other public employees under the State Board of Mediation. The bill sets a timeline for bargaining, mediation, and arbitration and defines good faith in negotiations; an amendment clarified that teachers and law enforcement are excluded under existing statutory definitions. Supporters said it would prevent years-long contract stalemates and save taxpayer money, while one member raised concerns about whether it would alter existing authority of public governing boards. The amendment and substitute were adopted, and the combined bill was perfected and printed.
Finally, House Bill 2536, a restroom and private-space designation bill, drew extensive debate. The sponsor said it would require government-controlled multi-occupancy restrooms, changing rooms, and sleeping quarters to be designated by biological sex, with exceptions for custodial work, emergencies, law enforcement, and adults assisting children or people with disabilities. An amendment was adopted to clarify duties for the Department of Corrections and public safety officers. Supporters framed the bill as a privacy and safety measure for women and girls, citing incidents at schools and Kansas City International Airport; opponents argued it would not prevent crime, could lead to intrusive enforcement, and would harm transgender people and families. The transcript ends with the bill still under discussion, with no final vote shown on the underlying measure.
FL
Transcript Highlights:
- So I hope we, you know, have the money for that as we do the budget.
- To be respectful of your time, I wanted to share an update on the budget and briefly outline next steps
- Passover holidays, we'll save the traditional hanky drop ceremony for our special session on the budget
- I respect the priorities of each party because we all have a role to play in a balanced budget that keeps
- productive discussions on joint allocations in the coming weeks and to resuming our work on this budget
Summary:
The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills.
Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package.
The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-03-12 (1:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- So I hope we, you know, have the money for that as we do the budget.
- To be respectful of your time, I wanted to share an update on the budget and briefly outline next steps
- We'll save the traditional hanky drop ceremony for our special session on the budget.
- I respect the priorities of each party because we all have a role to play in a balanced budget that keeps
- amendment requires that the Florida Digital Service submit to the Executive Office of Policy and Budget
MO
Missouri 2026 Regular Session
Special Committee on Intergovernmental Affairs Mar 4th, 2026
Special Committee on Intergovernmental Affairs
Transcript Highlights:
- A lot of the municipalities, the majority of their budgets, their general fund, would come from traffic
- I saw another one, like $24 million in another budget book. Like, why not?
- As we go into the budget season and we're talking about the importance of knowing English to get a job
- committee, and everybody knows we're in tough times, but agencies are coming to the budget committee
- So by that, we are simply part of the Secretary of State’s budget.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 30 (2-19-26)
Kentucky House Floor Meeting
Transcript Highlights:
- House Bill 672, Representative Petrie, an act relating to branch budget bills.
- </c><00:51:43.760><c> House</c> relating to branch budget bills.
- House relating to branch budget bills.
- </c><00:51:48.960><c> House</c> relating to branch budget bills.
- House relating to branch budget bills.
Keywords:
Convene 00:00
Senate Message 05:49
Calendar/2nd Readings 06:27
Report of Committees 08:12
Orders of the Day/HB 485 09:40
HB 43 23:13
HB 139 25:09
HB 414 31:49
HB 297 36:16
Motions, Petitions, and Communications 41:08
Introduction of New Bills and Resolutions 51:25
Recess for ConC/Rules Meeting 53:41
ConC/Rules Report 56:40
Floor Amendments 57:54
Adjournment 58:17, 958, all
HI
Hawaii 2026 Regular Session
House Chamber - Wed Jan 21, 2026, 10:00AM HST - Day 1 Opening Day
Hawaii House Floor Meeting
Transcript Highlights:
- We are in receipt of Governor's Message No. 1 informing the House that certain budget documents have
- ><00:37:05.839><c> that</c><00:37:06.079><c> certain</c><00:37:06.480><c> le</c><00:37:06.880><c> budget
- </c> the house that certain le budget the house that certain le budget documents<00:37:07.680><c> have
- Even with the challenges ahead, an uncertain federal budget and a possible mild recession, we can all
- ><01:37:55.760><c> and</c><01:37:56.000><c> a</c><01:37:56.159><c> possible</c> uncertain federal budget
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jul 22nd, 2025
Transcript Highlights:
- For this fiscal year, $41.8 million is budgeted for contracted services and operating costs to support
- So we're super excited and want to look at that for this upcoming budget.
- We'll push out there needing to be some potential budget impact in this next budget cycle, but you'll
- But there is a provision in federal law that allows basically CBO to forward requested budget cuts or
- But this is going to consume really a bunch of our work with budget building.
HI
Transcript Highlights:
- Do you have a budget or a proposed budget appropriation for you folks to be able to do this, not for
- , but at this time there are no budget requirements and the study can be done without any additional
- Also, we appreciate the funds to convene the task force, but we do have a Governor's executive budget
- Also, we appreciate the funds to convene the task force, but we do have a Governor's executive budget
- Also, we appreciate the funds to convene the task force, but we do have a Governor's executive budget
Summary:
The House Committee on Health heard testimony on several measures. On HB 1233 relating to storm water management, the Attorney General’s office said the state may need to share costs with counties for any new inspection or regulatory program. Testifiers strongly supported the bill, including the Hawaiian Lifeguard Association and a community member who described her daughter’s death in a poorly maintained detention pond and urged statewide inspections and a comprehensive approach. A member asked the Attorney General about the cost-sharing issue, and the office said state appropriations would be needed if counties are required to take on new duties.
The committee then heard HB 245 on student heat exposure safety. The Department of Education, Department of Health, and the Hawaii State Council on Developmental Disabilities supported the measure. A physician testifying for the Climate Change and Health Working Group described children’s vulnerability to heat and cited examples from other states that adopted stronger heat guidelines after school heat deaths. The Department of Education said it could do the feasibility study without additional funding and preferred to wait for the study before deciding on equipment needs. The Attorney General’s office later testified on HB 903, authorizing schools to maintain bronchodilators, supporting the concept but warning that the bill’s definition of school was broad and that DOE may not have jurisdiction over all covered entities; it suggested changing “protocol” to “guidelines” and involving the Public Charter School Commission.
On HB 1314 relating to youth mental health, the Department of Education testified in opposition, though no additional testimony was offered. The committee also heard HB 1334 on meat donation, with DLNR and the Hawaii Farm Bureau supporting the measure. HB 799 on health care drew support from HMSA and the Hawaii Association of Health Plans, while the Department of Health said it supported the intent but wanted amendments, including limiting the bill to Maui, adding a sunset, and requiring a study of quality and access impacts. On HB 952 relating to Parkinson’s disease research, the Department of Health said the proposal would require additional appropriations and staffing and suggested a public-private partnership approach; the Hawaii Parkinson Association, Queen’s clinicians, and other supporters testified that a registry would help identify the number of patients and improve care. Finally, SHPDA strongly supported HB 1431 establishing an oral health task force, saying the state lacks sufficient dental oversight and that both keiki and kūpuna need better access to services.
VT
Transcript Highlights:
- These positions operate within<01:32:09.240><c> budgets</c><01:32:09.800><c> set</c><01:32:10.240><c>
- by</c><01:32:10.480><c> the</c><01:32:10.600><c> voters,</c><01:32:11.200><c> and</c> within budgets
- Now moving on to section 7 on page 1003, uh, requires the director to submit a proposed budget to the
- </c><01:56:05.160><c> of</c> budgeting, in our in the budgeting of budgeting, in our in the budgeting
- So, there are examples in the world where people are using AI to help them craft budgets.
HI
Transcript Highlights:
- We do recommend an amendment to allow the Department of Budget and Finance to administer the program
- The budget is basically just going to be part of the budget, but when we do go over the budget bill,
- we will be flagging those additions to the budget.
- ><c> we</c><02:09:59.280><c> will</c> we do go over the budget bill, we will we do go over the budget
- So there will be transparency budget.
Bills:
HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049
Keywords:
maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-9-25)
Transcript Highlights:
- </c><00:36:45.680><c> and</c><00:36:46.000><c> potentially</c><00:36:46.560><c> save</c> state budget
- </c> received in the new budget received in the new budget appropriation.<00:59:06.240><c> Then</c><00
- </c> general assembly has already budgeted general assembly has already budgeted that<01:07:33.520><c
- We want to greatly appreciate, again, I've been doing budget stuff for a long time.
- I've been doing budget appreciate again.
Summary:
The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings.
A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting.
Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.