Transcript Highlights:

• only allowed for reimbursement of PEBB, not Medicare.
• So they went from being fully reimbursed to not being reimbursed for their Medicare premium.
• So they went from being fully reimbursed to not being reimbursed for their Medicare premium.
• And so basically, even though they suspended the payment, it still is a 15-year payment obligation, is
• However, that reimbursement does not cover any payments paid for Medicare, since that's not a state-administered

Committee: Joint Select Committee on Pension Policy

Keywords: 904, all

Transcript Highlights:

• </c><00:06:53.759><c> rates</c> are the the federal reimbursement rates are the the federal reimbursement
• </c> page five um these are the reimbursement page five um these are the reimbursement rates<00:09:06.079
• rate—there's a column for federal reimbursement rate, there's a column for state reimbursement rate—and
• Thank you. provides the same reimbursement for any provides the same reimbursement for any type<00:20
• </c> the meals were then being um reimbursed the meals were then being um reimbursed at<00:28:55.120>

Keywords: 928, house, all

Summary: The Department of Education’s Bureau of Wellness and Nutrition presented an overview of the school meal and child nutrition programs it administers, including the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility Provision (CEP), After School Snack Program, Child and Adult Care Food Program, Summer Food Service Program, and Special Milk Program. Staff explained which programs are federally funded through USDA, which have state matching funds, and how reimbursement rates are set for different programs and fiscal years. They also walked the committee through a packet showing reimbursement tables, state and federal funding totals, and eligibility data. Members focused much of their questioning on how state and federal reimbursements work for lunch and breakfast, why lunch is shown as a state match while breakfast has meal-based breakdowns, and how the department allocates funds in the budget. The department explained that lunch uses a set state match tied to federal requirements, while breakfast reimbursement is based on meals served. They also reviewed FY 22-24 funding trends, noting higher federal spending during COVID-era waivers and lower amounts as those waivers ended. A committee member asked for the data in Excel and the department agreed to provide it. The discussion also covered summer meal programs and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved open or closed sites, while Summer EBT is a separate DHHS-run benefit program that provides funds to families; the two programs coordinate through data sharing but are not the same. Members also discussed CEP, with staff explaining that New Hampshire currently has three schools participating, that the qualifying threshold was reduced from 40% to 25% identified students, and that districts must cover the non-federal share with non-federal funds. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• And then directed payments are ways that the state can direct payments And they effectively function
• like supplemental payments.
• And then the directed payments are ways that the state can direct payments through the managed care system
• through state-directed payments.
• those payments more quickly.

Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.

Transcript Highlights:

• Bill 638 by Representative Jacob Landry [member_2994] is an act in Title 9 relative to the prompt payment
• It requires timely payment from owners to contractors and from contractors to subcontractors and suppliers
• , while establishing penalties when payments are wrongfully withheld without a good-faith dispute.
• Municipalities across the state of Louisiana are being sued for payment of police officers that weren't
• House Bill 478 by Representative Knox is an act to amend Title 51 relative to reimbursement for utility

Bills: SR134 , SR135 , SR136 , SR137 , SR140 , SR141 , SR142 , SCR75 , SCR77 , SCR12 , HB75 , HB1199 , HB221 , HCR89 , HCR96 , HCR103 , HCR108 , HCR58 , HB9 , HB177 , HB181 , HB198 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB797 , HB895 , HB906 , HB950 , HB975 , HB1028 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1222 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR31 , HCR47 , HCR41 , HB363 , HB368 , HB377 , HB380 , HB386 , HB392 , HB431 , HB441 , HB559 , HB664 , HB685 , HB715 , HB741 , HB822 , HB856 , HB908 , HB980 , HB990 , HB999 , HB1010 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB17 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB271 , HB324 , HB337 , HB351 , HB399 , HB571 , HB712 , HB723 , HB726 , HB750 , HB759 , HB844 , HB966 , HB1006 , HB1018 , HB1036 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149

Keywords: SR134, Senate Resolution 134, Isaac Herzenberg, Metairie Park Country Day School, Country Day, javelin, track and field, Class 2A, state championship, high school athletics, student athlete, Louisiana Senate commendation, honorary resolution, sports recognition, University of Nebraska, Baton Rouge, LSU Bernie Moore Track Stadium, sportsmanship, collegiate athletics, condolence resolution

Summary: The Senate met with 23 members present, opened with prayer and the pledge, and then took up a long calendar of resolutions and House bills. Early action included adopting numerous Senate resolutions, such as studies on the Upper Pontchartrain Basin, economic development boards, remote notarization, retirement system investments in China, and several commendations. The chamber also concurred in House Concurrent Resolutions on the Louisiana Maneuvers museum/trail study, roundabout education, plumbing code review, and economic ties with Taiwan, with most of these adopted unanimously or near-unanimously. A special recognition was also held for 2025-26 Teachers of the Year from Senate District 15. On the bill calendar, the Senate advanced a wide range of measures. Several bills dealt with education, public safety, and local government, including allowing virtual school students to participate in school activities, requiring mayoral training, updating rules for justice of the peace jurisdiction, and increasing penalties or fees in certain local matters. Other measures addressed health and human services, such as suicide prevention signage and 988 hotline placement on school IDs, Medicaid and provider payment rules, medical records fees for veterans, mental health protective custody procedures, and housing support for trafficking survivors. The chamber also passed bills on insurance, insurance-related venue rules, prompt payment to contractors, hazardous waste cleanup funding, and motor vehicle insurance requirements for out-of-state vehicles. The Senate also approved several criminal justice and public safety measures, including school threat penalties, autopsy photographs as evidence, impaired driving-related provisions, and restrictions on cell-cultured food products and labeling. Additional bills covered economic development and business regulation, such as wood pellet and brick manufacturing incentives, digital asset custody, CPA licensure pathways, and licensing for motor vehicle/recreational product dealers. Most bills were passed by wide margins, though a few drew notable opposition, including the constitutional and policy measures on gender/sex terminology, child custody arbitration, and the out-of-state vehicle insurance bill. Many bills were amended on the floor before final passage, and motions to reconsider were routinely laid on the table.

Transcript Highlights:

• House Bill 638 by Representative Jacob Landry is an act in Title 9 relative to the prompt payment to
• , while establishing penalties when payments are wrongfully withheld without a good-faith dispute.
• House Bill 478 by Representative Knox is an act to amend Title 51 relative to reimbursement for utility
• House Bill 478 by Representative Knox is an act to amend Title 51 relative to reimbursement for utility
• Members, this law provides that a utility provider that has overcharged a customer shall reimburse the

Bills: SR134 , SR135 , SR136 , SR137 , SR140 , SR141 , SR142 , SCR75 , SCR77 , SCR12 , HB75 , HB1199 , HB221 , HCR89 , HCR96 , HCR103 , HCR108 , HCR58 , HB9 , HB177 , HB181 , HB198 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB797 , HB895 , HB906 , HB950 , HB975 , HB1028 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1222 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR31 , HCR47 , HCR41 , HB363 , HB368 , HB377 , HB380 , HB386 , HB392 , HB431 , HB441 , HB559 , HB664 , HB685 , HB715 , HB741 , HB822 , HB856 , HB908 , HB980 , HB990 , HB999 , HB1010 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB17 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB271 , HB324 , HB337 , HB351 , HB399 , HB571 , HB712 , HB723 , HB726 , HB750 , HB759 , HB844 , HB966 , HB1006 , HB1018 , HB1036 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149

Keywords: SR134, Senate Resolution 134, Isaac Herzenberg, Metairie Park Country Day School, Country Day, javelin, track and field, Class 2A, state championship, high school athletics, student athlete, Louisiana Senate commendation, honorary resolution, sports recognition, University of Nebraska, Baton Rouge, LSU Bernie Moore Track Stadium, sportsmanship, collegiate athletics, condolence resolution

Transcript Highlights:

• </c><00:06:53.759><c> rates</c> are the the federal reimbursement rates are the the federal reimbursement
• </c> page five um these are the reimbursement page five um these are the reimbursement rates<00:09:06.079
• Those are the reimbursement rates.
• rate—there's a column for federal reimbursement rate, there's a column for State reimbursement rate,
• > that</c> school districts for Bond payments that school districts for Bond payments that they<01:33

Keywords: 928, house, all

Summary: The Finance Committee Division II met with the New Hampshire Department of Education to review school nutrition programs and related funding. Department staff Melissa White and Kelly Rambo walked through a packet covering the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility (CEP), After School Snack Program, Child and Adult Care Food Program, and Summer Food Service Program, explaining that these are federally funded USDA programs, with some state supplemental funding in certain areas. They also reviewed reimbursement rates for lunch, breakfast, child/adult care, and summer meals, noting that summer rates follow calendar-year timing while most others follow the state fiscal year. Members asked several questions about how the funding works, especially the difference between federal reimbursements and the state match. Staff explained that the state lunch line in the budget is a fixed match amount tied to federal participation, while breakfast funding is broken out by meal type and reimbursement category. They also discussed why FY 2022 federal spending was much higher during COVID, when USDA covered meals at the free rate for all students, and why FY 2023 and FY 2024 dropped as normal income-eligibility rules returned. A committee member also asked about the “severe need lunch” two-cent rate, and staff said they did not know USDA’s formula. A substantial portion of the meeting focused on summer meals and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved sites, which can be open or closed sites, while Summer EBT is a separate DHHS-operated benefit program that provides funds to families. They said some schools or sites may not qualify under USDA rules, but eligible children can often use another nearby open site, and the department posts an interactive map and phone line to help families find locations. The committee also discussed the Community Eligibility Provision. Staff said New Hampshire currently has three CEP schools, that the eligibility threshold had recently been lowered from 40% to 25% identified students, and that the program allows participating schools to offer free meals to all students while the local district covers the non-federal share. Members asked whether any districts in the 25% to 40% range had joined; staff said no. The department offered to provide the eligibility report in Excel and noted that the CEP intent is to reduce application burden, though the lower threshold can make the local cost share harder for some districts to absorb.

Transcript Highlights:

• </c> the 911 responses, the non-reimburseable the 911 responses, the non-reimburseable and<00:03:51.200
• </c><00:04:53.840><c> ambulance</c> reimburse or pay these ambulance reimburse or pay these ambulance
• That's what those payments are for.
• ><00:20:27.280><c> healthc</c><00:20:27.520><c> care</c> payments are for that healthc care payments
• . reimbursement. reimbursement.

Bills: HB0004

Committee: House Labor, Health & Social Services

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Transcript Highlights:

• </c><00:14:08.959><c> coin</c> payment the payment stable stable coin payment the payment stable stable
• We are a reimbursement consulting firm, so we get involved with reimbursement issues—Medicare, commercial
• </c><03:45:52.960><c> but</c> a lower be a lower reimbursement but a lower be a lower reimbursement but
• </c> problem whether it was the reimbursement problem whether it was the reimbursement rates<04:01:12.840
• </c> hardship whatsoever I worked out payment hardship whatsoever I worked out payment plans<05:13:34.320

Keywords: 928, house, all

Summary: The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops. Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight. Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.

Transcript Highlights:

• State agencies are also responsible for reviewing and approving claims for reimbursement and making payments
• claims and distributing reimbursement claims and distributing reimbursements<00:09:01.880><c> among<
• for reimbursement and making payments<00:09:30.560><c> to</c><00:09:30.760><c> sponsors</c><00:09:31.200
• payments.
• It seems to me that fraud or unstated reimbursement claims would certainly be a good reason to stop payments

Committee: House Education Policy

Keywords: 1183, house

Transcript Highlights:

• /c> we have to reduce those payment rates we have to reduce those payment rates uh<00:26:11.320><c> to
• </c> This has state directed payment changes. This has state directed payment changes.
• </c> reimbursement rate? reimbursement rate? &gt;&gt; Yeah. Thank<00:38:56.960><c> you.
• </c><00:56:00.040><c> I</c> adequacy, and reimbursement. I adequacy, and reimbursement.
• </c> network adequacy, and reimbursement. network adequacy, and reimbursement. &gt;&gt; Yes.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• the reimbursement.
• the reimbursement.
• , we're at about 25% in Medicaid payments, we're at about 25% in Medicaid payments,<00:47:58.800><c>
• reimbursed for non-transport.
• reimbursed for non-transport.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Providers are to be reimbursed up to their respective upper payment limit gap for inpatient and outpatient
• Payments are made on a quarterly basis.
• share of these payments.
• and the public hospital payment programs.
• By providing payments for the shortfall in physician Medicaid reimbursement for medical school faculty

Summary: The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program. The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design. The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.

Transcript Highlights:

• We are proposing to limit payments for our PACE providers.
• These managed care payment increases are in addition to those payment rates that existed at that time
• These payments will support the non-federal share as fixed dollar supplemental payments for primary care
• So, currently, we have some abortion reimbursement issues.
• payments?

Keywords: 988, house, all

Transcript Highlights:

• They don't get reimbursed for mileage. They don't get reimbursed for administrative assistance.
• </c><00:09:12.519><c> for</c> counties they don't get reimbursed for counties they don't get reimbursed
• </c> revers excuse me they're not reimbursed revers excuse me they're not reimbursed for<00:09:23.160
• for timely payments.
• </c><00:47:23.640><c> process</c> payments so that's the payment process payments so that's the payment

Keywords: 958, all

Summary: The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees. Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases. Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers. The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.

Transcript Highlights:

• So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
• So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
• So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
• I'm seeing the bridge payment part and I'm seeing the bridge payment part and or<01:20:50.320><c> or<
• </c> reimbursements to pharmacies. reimbursements to pharmacies.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• This would align payments with each center's Medicaid prospective payment system rate.
• see in reimbursements working in a hospital.
• And a recent HPC report from January 2025 detail that they also reimburse...
• It ensures fair and sustainable reimbursement.
• Stable, reliable payment is essential to health centers' funding.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• and public hospital payment programs.
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and
• This program provides fee-for-service and supplemental payments and directed payment program for physicians
• This program provides fee-for-service and supplemental payments and directed payment program for physicians

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• Edison would be fully reimbursed through the wildfire fund.
• And you'll be fully reimbursed from the Wildfire Fund.
• The orange area are payments to insurers.
• of their claim payments, and we'll come back to that later.
• . was that there is always going to be a balancing for the reimbursement of the reimbursement, that AB

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and broader options for reforming California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the scale of wildfire-related costs on utility bills, and the need to weigh trade-offs among survivors, ratepayers, utilities, insurers, and taxpayers. The first panel featured wildfire survivors William Abrams and Joy Chen, who described long delays in compensation, housing insecurity, and what they viewed as a system that protects utility shareholders more than victims. They urged greater transparency, clearer accountability for utility spending and safety performance, faster and fuller compensation for survivors, and reforms such as independent audits and better alignment of utility incentives with wildfire prevention and restitution. The second panel began with Tom Welsh of the California Earthquake Authority, who explained that the SB 254 report was intended as a broad inventory of policy pathways rather than recommendations. He described the report’s process, including stakeholder submissions, workstreams, and a convergence process, and outlined the current wildfire fund structure: utilities remain liable, the fund reimburses eligible claims after a covered wildfire, and the CPUC later determines prudency and possible reimbursement back to the fund. RAND’s Lloyd Dixon summarized compensation data, saying utilities paid about $38 billion between 2017 and 2024, with major shares going to injured parties, insurers, and public entities, while litigation costs and survivors’ own losses remain substantial. He noted that legal fees and delays reduce the amount survivors ultimately receive. Utility and public-interest witnesses offered differing views on the report’s pathways. PG&E’s Tyson Smith said the report shows inaction is the worst outcome and argued for community wildfire risk reduction, equitable allocation of catastrophe costs, and state-led resilience tools. LADWP’s Fernando Valero emphasized the vulnerability of municipal utilities and cities, and supported inverse condemnation reform, a state-sponsored liability insurance framework, damages and subrogation limits, and stronger insurance access. Consumer Attorneys of California’s John Fisk argued that IOU-caused fires are not natural disasters but the result of negligence and sometimes criminal conduct, and opposed reducing utility liability while supporting stronger oversight and audits. The Public Advocates Office’s Nathaniel Skinner focused on affordability, saying ratepayers already bear large and growing wildfire costs and warning against shifting more costs onto bills without measurable risk reduction and tighter accountability. Committee members then began questioning witnesses about what counts as measurable mitigation, how to define full and fair compensation, and how any fast-pay process should work.

Transcript Highlights:

• The other one is the Medi-Cal reimbursements. They're reimbursed at 74%.
• Is it the reimbursement? Is it the loan payments? What is it?
• Is it the reimbursement? Is it the loan payments? What is it?
• Anytime you have reimburse, I don't care who you are.
• The root cause is reimbursement rates.

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all

Transcript Highlights:

• </c> the largest jump in their reimbursements the largest jump in their reimbursements in<00:24:09.840
• </c><00:41:30.160><c> Um</c> submit a claim for reimbursement. Um submit a claim for reimbursement.
• Um, and payments to that provider.
• </c><01:19:42.320><c> We</c> I've done DHS withholds payments. We I've done DHS withholds payments.
• Members, these are payment is made.

Bills: HF3043 , HF2891

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud, 1183, house