Transcript Highlights:

• <00:04:21.720> program compensation support payment program compensation support payment program
• payment payment um<00:07:49.440> I<00:07:49.560> can<00:07:49.759> give<00:07:49.919
• payment payment if<00:08:00.720> the<00:08:00.960> provider<00:08:01.759> is<00
• <00:47:39.400> if can withhold or end CCAP payments if can withhold or end CCAP payments if
• <00:49:03.200> in payments in payments in 2024<00:49:04.960> and<00:49:05.119> there

Keywords: 1183, house

Transcript Highlights:

• They said the next payment we'll send you will deduct $5 million.
• , whatever it happens to be, you can be making a payment for a travel voucher, you can be making a payment
• Now, we have to make a payment by date certain.
• Now we have to make a payment by date certain.
• eligibility prior to each payment.

Summary: The Senate Appropriations Committee on Pre-K-12 Education met for its first meeting of the 2025 session to hear the Auditor General’s operational audit on 2024-25 school funding accountability challenges, focused largely on the Family Empowerment Scholarship and its interaction with the FEFP. Deputy Auditor General Matthew Tracy described rapid growth in scholarship enrollment, timing mismatches between scholarship payments and public-school funding calculations, delayed membership survey processing, weak cross-check and recoupment procedures, inconsistent handling of parent survey responses, and limited documentation for withholding and returning funds. The audit said these issues contributed to funding inequities, duplicate-payment risks, and an unexpected draw on state education funds, and it recommended separating scholarship funding from the FEFP, aligning application windows with budget timing, strengthening controls and staffing, and creating clearer, documented recoupment and balance-limit processes. Committee members questioned whether current law gives the department and scholarship funding organizations enough authority and whether the system is effectively a pay-and-chase model. Several senators expressed concern about the lack of timely reconciliation, the size of the funds involved, and the absence of clear records showing how money was recovered or withheld. Adam Emerson, executive director of the Office of School Choice, said the department is working more closely with school districts and scholarship funding organizations, including pausing payments when districts identify students still enrolled in public schools, and said the office wants to improve the process. President Gates then previewed legislation he said would address the audit’s findings by funding Family Empowerment Scholarships as a separate FEFP categorical, expanding the Education Stabilization Fund, setting clearer application and acceptance deadlines, moving to monthly payments with eligibility verification before each payment, assigning student IDs for scholarship assistance, lowering SFO management fees, requiring annual audits, and requiring prompt return of audit-related funds. Public comment included a private-school attorney describing losses from unpaid scholarship amounts. Members generally supported the need for reform, with several senators saying the program should be preserved but better structured and more accountable. The committee adjourned after the discussion, with no vote taken on the legislation.

Transcript Highlights:

• payments.
• payments.
• payments.
• payments.
• payments.

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.

Transcript Highlights:

• THE FIRST FINDING HAD TO DO WITH UNTIMELY TUITION AND TRANSPORTATION PAYMENTS.
• PAYMENTS.
• TO TEST THE TIMELINESS WE THE 27 FCC SCHOLARSHIP PAYMENTS AND 11 FSPO PAYMENTS.
• AND WE FOUND THREE OF THE FTC TUITION PAYMENTS WERE PROCESSED FROM 15 TO 35 DAYS AFTER RECEIVING PAYMENT
• HAVE EVERYTHING SQUARED OFF BEFORE ANY PAYMENT GOES OUT THE DOOR.

Transcript Highlights:

• Payments are made on a quarterly basis.
• This is the Low-Income Pool Program supplemental payment, or LIP.
• share of these payments.
• and the public hospital payment programs.
• Support the distribution of these payments. Mr. Chair, that is the amendment.

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:

• <00:02:46.080> for The employees can receive payment for The employees can receive payment
• the overall statewide overtime payments. the overall statewide overtime payments.
• And these shift bonus payments are in addition to the regular payments or the overtime payments that
• for all overtime payments.
• for all overtime payments.

Keywords: 1183, house

Transcript Highlights:

• approved payment plan.
• they're not complying with the payment plan.
• I have also made the payment for June already.
• So we haven't actually, and both of those payments were a property tax relief payment that was deposited
• We selected 10 dates during 2023 and 2024 that we requested payment tape reports, which detailed payments

Summary: The committee approved the prior meeting minutes and then received updates on delinquent water and sewer reports, including seven new reinstatements and a reduction to four remaining delinquent filers. Staff also reported on municipal accounting code noncompliance, removing Denning and Gum Springs from the 60-day clock after improved records were verified, and presenting repeat findings for Fargo, Lead Hill, Alma, Jericho, and Haynes. Members discussed repeated audit problems, the length of time some issues had persisted, and whether towns should be given additional time or face stronger action; motions were made and adopted to place some entities on a 60-day clock or defer action to later meetings. For Fargo and Alma, staff described extensive repeat accounting deficiencies, including missing budgets, bank reconciliations, financial statements, receipts, journals, and supporting documentation. Fargo’s mayor said the town had been understaffed and was beginning to improve its office systems; the committee voted to defer the matter for 60 days and file the report. Alma’s officials said they were trying to correct water audit and accounting issues, and the committee likewise deferred the matter to the August meeting while warning that water-audit delays could jeopardize turnback funds. The committee then reviewed misuse-of-street-funds findings for Jericho and Haynes. Jericho’s police chief and officials explained that traffic fines, drug-related arrests, and other citations had pushed the town over the statutory threshold, while staff clarified that the speed-trap calculation excludes certain add-on fines and is referred to the prosecuting attorney for any action. Haynes officials said repayment problems stemmed from lost revenue and staffing changes, including the loss of the police department, but staff reported the town remained behind on its repayment plan and also owed the IRS. The committee voted to defer the Haynes matter to September and to defer Jericho as well, with members emphasizing the need for consistency and possible broader legislative review of small-town viability. A special report on the Pulaski County Regional Solid Waste Management District drew substantial discussion. Staff cited findings involving board approval of payroll and contracts, credit card documentation, car allowances and personal vehicle use, competitive bidding, and unusually high advertising spending, as well as the sale of trailers and other equipment at low prices. The district director said the board had delegated authority for many expenditures, that personal use was reported for tax purposes, and that advertising was necessary to educate the public about recycling. Members questioned the procurement and disposal decisions and the size of the advertising budget; after discussion, the committee deferred the report to September and asked the director to return. The meeting also included brief deferred reports on Biggers, Gilmore, and Holly Grove, which were filed after local officials described ongoing efforts to resolve long-standing audit and tax issues.

Transcript Highlights:

• have somebody talk about a pilt payment have somebody talk about a pilt payment in<00:52:26.559>
• I'll talk a little bit about each of these payment land classes and the related payment rate.
• I'll talk a little bit about each of these payment land classes and the related payment rate.
• I'll talk a little bit about each of these payment land classes and the related payment rate.
• The payments are countywide and not based on like a per-parcel payment.

Keywords: 1187, senate, all

Transcript Highlights:

• .settlement payment varies.
• suggest that the growth of the cost of this upfront payment, The growth of the cost of this upfront payment
• non-monthly payments for those homeowners.
• over that upfront payment.
• There's no partial payments.

Summary: The committee first heard a work session on cryptocurrency kiosks from the Department of Financial Institutions and Spokane City Councilmember Paul Dillon. DFI described crypto kiosks as licensed money transmission terminals that allow cash purchases of virtual currency, and said the main concern is fraud: scammers often pressure victims, especially older adults, to deposit cash into kiosks and send it to wallets controlled by organized crime. DFI cited a sharp increase in kiosk volume, nationwide fraud complaints and losses, and said Washington currently has licensing and disclosure rules but lacks transaction and fee limits. The department said it is seeking stronger disclosures, a $1,000 daily transaction limit, and a fee cap. Spokane described its unanimous ordinance banning new kiosks and removing existing ones after local scam reports, and members asked about how the machines work, whether the fraud is in the hardware or the transaction, and whether stronger warnings or screening could help. The committee then reviewed home equity sharing agreements, or CHISAs, based on a report by Mariana Amaram and testimony from DFI and industry representatives. The report found that CHISAs provide homeowners a lump sum in exchange for a share of future home value or appreciation, with no monthly payments, but that consumers often struggle to understand the products and settlement calculations. The report said the market has grown quickly in Washington, that costs can be hard to predict, and that early uncapped contracts could produce very high settlement amounts, especially during periods of rising home prices. DFI said it views these products as mortgage loans and is moving forward with rulemaking, including counseling and clearer disclosures, while industry witnesses said the products are equity-based rather than debt-based and asked for tailored regulation. Members discussed the need for better consumer education, clearer payoff schedules, and whether the products should be treated as mortgages or a separate category. The final panel focused on Washington’s space economy, with presentations from Amazon Leo, Blue Origin, Stoke Space, Space Northwest, and Green River College. Speakers highlighted major in-state investments in satellite manufacturing, launch systems, and workforce training, including Amazon Leo’s Redmond and Kirkland facilities, Blue Origin’s Kent headquarters, and Stoke Space’s Kent manufacturing and Moses Lake test site. Space Northwest presented data showing the sector’s growing economic footprint, high-wage jobs, and regional clusters in Kent and Redmond, and urged more workforce programs, incentives, infrastructure support, and a state space commission. The companies emphasized local hiring, apprenticeship and certification programs, and the role of Washington’s aerospace supply chain in supporting the broader space industry. No votes were taken during the transcript excerpt.

Transcript Highlights:

• buyers come up with a down payment. buyers come up with a down payment.
• down payment can be very difficult. down payment can be very difficult. 20<00:39:57.480> is
• And we wanted to get a payment in lieu And we wanted to get a payment in lieu of taxes.
• I think around the pilot payments.
• And that split was the pilot payment. payment. payment.

Keywords: 927, senate, all

Transcript Highlights:

• of of payment integrity focused action. of of payment integrity focused action.
• It will just be payment from the prior payment cycle, the two-week payment cycle, and that's what the
• payment will reflect.
• payment holds on residential settings? payment holds on residential settings?
• payment withholds in place. payment withholds in place.

Keywords: 1187, senate, all

Transcript Highlights:

• A lot of these state-directed payments, a lot of these supplemental payments, have just come under additional
• Florida's Directed Payment Program for Hospitals provides payments to hospitals for both inpatient and
• But that's already been approved, and we're able to move forward with issuing those payments.
• Meyer, I would say similar to essentially every supplemental payment program, state-directed payment
• supplemental payment models. Any other questions? See no debate.

Keywords: 999, senate, all

Transcript Highlights:

• approved payment plan.
• I have also made the payment for... So if you took over in 25, why were payments still late?
• I have also made the payment for June already, and going forward, we should have those payments made.
• So we haven't actually—and both of those payments were a property tax relief payment that was deposited
• The board has authorized the director to issue any payments less than $1,000, and any payments over $1,000

Summary: The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review. Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well. The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action. The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.

Transcript Highlights:

• approved payment plan.
• with the payment plan.
• making your payments.
• making your payments.
• I have also made the payment for June already, and going forward, we should have those payments made.

Keywords: 1204, all

Summary: The committee heard multiple audit and compliance reports involving Arkansas municipalities and a regional solid waste district. Several small towns were discussed for repeat findings involving delinquent water and sewer audits, municipal accounting noncompliance, and misuse of street funds, including Fargo, Lead Hill, Alma, Jericho, Haynes, Biggers, Gilmore, and Holly Grove. In several cases, staff noted that turnback escrow was already being withheld because required water audits had not been filed, and some entities were reported to be current on payment plans only after staff updated the records through May 2026. The committee also reviewed a special report on the Pulaski County Regional Solid Waste Management District, which included findings on payroll approvals, contracts, credit card documentation, vehicle and cell phone use, bidding, advertising costs, and the sale of trailers and other equipment. A separate report on municipal accounting noncompliance was presented for towns including Denning, Gum Springs, Fargo, Lead Hill, and Alma, with staff recommending some be removed from the 60-day list while others remained under review. Several local officials appeared and explained the findings. Fargo’s mayor said the town was understaffed and had begun improving records, while Lead Hill’s mayor said the town had hired more office help and was working to complete overdue water audits. Alma’s officials said they were trying to catch up on audits and accounting issues. Jericho’s police chief defended the town’s traffic enforcement and said the town had adjusted speed limits and enforcement practices to avoid the speed-trap threshold, while staff clarified that the prosecutor decides whether to pursue penalties. Haynes officials said revenue losses and the loss of their police department had made it difficult to keep up with required street-fund payments, and Gilmore officials said they were working on IRS and other debts. The Pulaski County district director said the board had authorized many of the questioned practices and that some issues, such as advertising and vehicle use, were tied to public education and operational needs. The committee took several actions. It approved minutes, accepted or filed some reports without objection, removed Denning and Gum Springs from the 60-day list, and deferred action on several matters, including Fargo, Lead Hill, Alma, Haynes, and the Pulaski County solid waste district, generally until the September or August meeting. Motions to defer or file reports were adopted in multiple cases, and the committee also noted that some matters had been referred to the appropriate prosecuting attorney for further review. The meeting ended with recognition of visiting accounting students who were attending as part of summer internships.

Transcript Highlights:

• Upon substantial completion, UK will make semi-annual availability payments, availability payments for
• All payments are conditioned on meeting performance standards. There'll be no upfront payments.
• All payments are conditioned on meeting performance standards. There'll be no upfront payments.
• payments for annual availability payments for optimization<00:09:58.000> services.
• One question on the payments that are, I think, 47 million in availability payments over 30 years.

Keywords: 958, all

Summary: The committee first handled routine business, including a quorum call, approval of the April 27 minutes, and a report of informational items. Those informational items included University of Kentucky medical equipment purchases, UK’s planned use of restricted funds for a public-private partnership, school district debt notices, UK’s use of construction management at risk for five projects, Kentucky Communications Network Authority capital project reporting, and UK lease improvements. The main action item was University of Kentucky’s request for approval of a $600 million central plants and utility infrastructure P3 tied to the Chandler expansion and other campus facilities. UK said the project would modernize and expand utility capacity, improve redundancy and efficiency, and support 24/7 hospital operations. UK explained that the financing would combine private equity and nonprofit debt, with no UK or Commonwealth debt or upfront payment, and that future availability payments would come from UK Healthcare funds. Members asked about the financing stack, the source of the restricted funds, and whether existing units would be replaced or modernized. The committee then approved the P3 agreement by roll call vote. The committee also considered and approved a lease renewal for a 20,000-square-foot College of Medicine facility near the Bowling Green Medical Center. UK said the lease would cost $38 per square foot, or $912,000 annually, and supports its long-running partnership with Bowling Green Hospital and planned medical student growth in the region. Members spoke favorably about the local impact of the program, and the lease renewal passed by roll call vote. Finally, the Finance and Administrative Cabinet reported three items requiring no action, including a $2.103 million Transportation Cabinet Department of Aviation project for two medium box hangars at Capital City Airport. Cabinet staff said the project would be funded by federal aviation money and restricted aviation funds, and later explained that the restricted funds come from a jet fuel tax deposited into the Aviation Economic Development Fund.

Transcript Highlights:

• And then we kind of parcel this out to meet your payments.
• And then we kind of parcel this out to meet your payments.
• And from your uh payment plan, tranches.
• So, my understanding is that payments.
• Let me off in four installment payments.

Keywords: 912, senate, all

Summary: The joint committees heard House Bill 344 HD1, which would require new buildings to include electric vehicle charger-ready parking stalls. Testimony was overwhelmingly in support from the State Energy Office, Department of Accounting and General Services, the Disabilities and Communication Access Board, and others. Members asked about cost and infrastructure impacts; the State Energy Office said the added cost would likely be modest if planned from the start, but that electrical capacity remains a key challenge for expanding EV charging. The chairs proposed two amendments: extending the bill to cover on-grade parking lots and adding language for Level 1 or Level 3 charging when appropriate. After discussion, both committees voted to pass HB 344 HD1 with amendments. In the Energy and Intergovernmental Affairs committee, the chair voted aye, one member voted with reservation, and excused members were noted; the Government Operations committee also passed the measure, with one aye vote and one vote with reservations. The committees also heard House Bill 10001 HD1 SD1, relating to the Maui wildfire settlement trust fund. The Governor’s Office, Attorney General’s Office, Maui County, and the Tax Foundation testified in support. Members questioned Hawaii Electric Industries’ ability to fund its share of the settlement and whether the state should pay first or in tranches. The chair proposed amendments requiring all defendant parties to submit payment plans and proof of ability to pay, and requiring non-state defendants to fund their shares into escrow before the state releases its share. The committee adopted the amendments and passed the bill unanimously by the members present. Later, the committee deferred action on House Bill 229 HD1 until March 20 for clarification on amendments, then passed House Bill 860 HD1 with amendments addressing liability for limited resurfacing of disputed roads, and passed House Bill 1161 HD2 with amendments concerning highway fund use, formula calculations, and EV-related county fees.

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
• This is a directed payment, like our targeted rate increases.
• You are not proposing any new programs or payments, correct?

Keywords: 988, house, all

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:

• Those are some of the five payments.
• , provider taxes, and state payments, provider taxes, and state directed<00:16:10.480> payments,
• have limits on state directed payments. have limits on state directed payments.
• 27:52.960> to additional payments that states make to additional payments that states make to
• in state directed payments.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• directed payment directed payment programs<01:09:49.159> directed<01:09:49.679> payment
• payment gaps.
• implementing the directed pay payment implementing the directed pay payment program<01:13:26.120
• with their own directed payment with their own directed payment programs<01:13:44.639> we
• of the new directed payments of the new directed payments program<01:15:18.159> paragraph

Keywords: 1183, house