Transcript Highlights:

• I think part of the present us.
• Think about that.
• think is worthwhile? think is worthwhile?
• I think so. I think what you're saying is it's really they're really not counted.
• I I think so. I >> Madam Chair, thank you. I I think so.

Keywords: 916, all

Transcript Highlights:

• for many of us we don't really think for many of us we don't really think about<00:04:05.799>
• <00:08:10.759> about day where I don't think about day where I don't think about him<00:08
• I think about how much training I had before I was able to go into a fire, and I think about how much
• it was almost zero I am forced to think it was almost zero I am forced to think of<00:18:15.240>
• <00:43:41.319> including think we should think about including think we should think about

Keywords: 1183, house

Transcript Highlights:

• Yeah, I think with the comment.
• think he has a question again. think he has a question again.
• Was that a second from I think.
• <00:18:24.080> security my background is in computer security my background is in computer
• I think most of you it's a fraud issue. I think most of you it's a fraud issue.

Keywords: Meeting Start 00:00 Call to Order and Roll Call 00:29 Discussion SB 153 01:25 Vote SB 153 10:35 Discussion SB 118 11:36 Vote SB 118 12:48 Discussion HB 380 13:40 Vote HB 380 40:12, 958, all

Summary: The House Standing Committee on Banking and Insurance met with a quorum and took up three bills. Senate Bill 153, sponsored by Sen. Greg Elkins, aimed to combat insurance fraud tied to post-disaster contractor scams. Testimony from the Attorney General’s Office and committee members described problems involving roofing, siding, and debris-removal scams, including vandalism used to create claims and companies that disappear before victims can recover losses. The bill would expand enforcement tools by making certain vandalism-related conduct criminal, giving the Attorney General concurrent jurisdiction with local prosecutors, creating a post-disaster contractor registry, and banning door-to-door solicitation during declared emergencies. The committee approved the bill by roll call and sent it forward with a favorable recommendation. Senate Bill 118, sponsored by Sen. Brandon Storm, addressed credit property insurance offered by consumer loan companies. The sponsor and a representative of the Kentucky Consumer Finance Association explained that the product has been offered for years and that the bill would provide statutory authority for its continued use. The committee raised no substantive objections, and the bill passed on a roll call vote with a favorable recommendation. House Bill 380, sponsored by Rep. Tom Smith, focused on regulating cryptocurrency kiosks in convenience stores to curb fraud against seniors. The committee heard emotional testimony from a sheriff and a fraud victim describing scams that led victims to deposit cash into crypto kiosks, often under pressure from callers posing as authorities or relatives. AARP Kentucky supported the bill, citing widespread losses to older adults and the need for guardrails. A committee substitute was adopted that would cap daily transactions at $2,000, require fee disclosure and customer consent, impose licensing and compliance requirements, mandate identification for transactions, and add criminal penalties and Attorney General enforcement. Members discussed the bill’s scope, including that it would not address gift card scams, and noted the delayed effective date was requested so regulators could write rules. The committee adopted the substitute and then passed the bill favorably on roll call.

Transcript Highlights:

• , 2027 is what our um analysts think, 2027 is what our um analysts think, right?
• So, I think this is even more progressive than that.
• So, I think this is even more progressive than that.
• So, I think this is even more progressive than that.
• <00:45:00.960> systems modernizing uh DHS's uh computer systems modernizing uh DHS's uh computer

Keywords: 919, house, all

Summary: The committee heard House File 2591, the “Support Medicaid Not Millionaires Act,” laid over for possible inclusion in the 2025 taxes bill. Chair Gomez said the bill would create a fifth individual income tax tier on very high earners to offset any future federal Medicaid cuts, arguing that proposed federal budget changes would likely reduce Medicaid funding and create a large state budget hole. Gomez and other supporters framed Medicaid as essential for children, long-term care, mental health, substance use treatment, rural hospitals, and families across Minnesota, and criticized federal tax cuts for corporations and wealthy individuals. Several testifiers supported the bill. A SEIU Healthcare worker described how Medicaid supports her care for a disabled son and her own health needs, warning that cuts would threaten home care, hospitals, and nursing homes. A public health employee from the Minnesota Association of Professional Employees said recent state and federal layoffs had already weakened public health capacity and urged additional revenue to backfill losses. Other supporters, including community and faith leaders, said the wealthy and corporations should pay more to protect public services, youth programs, and Medicaid-funded care. A mental health provider testified that most of the people served by her clinic rely on Medicaid and that cuts would harm clinics, rural access, and the broader behavioral health system. Representative Anderson questioned whether the bill would affect Medicaid spending tied to undocumented immigrants and asked for data on MinnesotaCare and federal-state funding shares. Department of Human Services staff clarified that he was referring to MinnesotaCare, not Medicaid, and said Medicaid is generally matched by the federal government while MinnesotaCare does not have the same match. The exchange became contentious when Gomez objected to Anderson’s use of the term “illegal immigrants” and redirected the discussion back to the bill. Anderson also raised concerns about Medicaid fraud and whether the proposal would backfill any federal changes related to fraud enforcement. No vote was taken; the bill was simply laid over.

Transcript Highlights:

• /c><00:09:32.280> was<00:09:32.760> County I think it's like it was County I think it's
• And I think that's people can knows.
• I think we're going to wrap All right. I think we're going to wrap this<00:18:30.960> up.
• Cuz I think it would be easier to do the Cuz I think it would be easier to do the amendment amendment
• I think think think Yes.<00:32:22.240> Have<00:32:22.480> you<00:32:22.560> seen

Keywords: 1136, house, all

Transcript Highlights:

• I I think we're that's why I think I I think we're comfortable<00:24:43.039> moving<00:24:43.360
• >> If you think he wants... >> Mr.
• >> If you think he wants... >> Mr.
• I think, as Mr.
• I think, as Mr.

Bills: HF3650, HF1791, HF3489, HF4231, HF4232, HF4269, HF4270, HF3490

Keywords: student career pathways, education framework, experiential learning, employer engagement, career technical education, career and technical education, CTE, postsecondary scholarship, postsecondary grant, school district funding, cooperative unit, Minnesota high school, apprenticeship, certificate program, tuition assistance, workforce training, military transition, education finance, student aid, career pathways

Transcript Highlights:

• It will be read to you by a<00:27:46.640> computer. a computer. a computer.
• <00:30:24.159> I<00:30:24.480> think<00:30:24.880> once test, I think that's
• I think once test, I think that's wrong.
• We just think that's completely wrong.
• So I think it only stands to bill.

Bills: HB274, HB287, HB301, HB157, HB254, HB88, HB274, HB287, HB301, HB157, HB254, HB88

Keywords: Crenshaw County, county board of education, school board, board of education, term limits, term length, elected officials, local constitutional amendment, Alabama Constitution, education governance, local legislation, November 2026 election, ballot measure, constitutional amendment, school board elections, law enforcement, transparency, reporting, public safety, regulation

Transcript Highlights:

• And Beverly, I think you're muted. And Beverly, I think you're muted. I got to unmute myself.
• I don't have my computer in front of me, so I can't raise a computer hand.
• And I just think that, you know, we need to think that through a little bit.
• And I think it was...
• I think that's a good point.

Summary: The committee approved the May minutes by roll call vote and then received brief updates from the Attorney General’s office and the Office of the State Actuary. The AG’s office said it would handle legal analysis related to the committee’s work, while the actuary reported that staff were at capacity this summer due to annual valuation work, experience studies, and other retirement system projects, but would have more capacity in the fall. Members also requested access to fiscal note and actuarial materials related to the LEOFF 1 study and related legislation. The main discussion focused on the LEOFF 1 study, including actuarial funding, a proposed merger/termination/restatement approach, and the possibility of a permanent COLA for Plan 1 members. Several members supported keeping COLA recommendations in the committee’s work, while others raised concerns about whether merging or restating plans could affect benefits, legal status, or IRS tax treatment. The actuary explained that the temporary pause in certain funding rates reflected prior overfunding buffers and assumptions about future investment returns, and said future base-rate funding could still be needed depending on experience. Members also discussed constituent correspondence, which staff said largely fell into four categories: the LEOFF 1 study, Plan 1 benefits and COLAs, fossil fuel divestment, and ESSB 5357. The committee agreed that divestment concerns are more appropriately directed to the State Investment Board, not this committee. In reviewing the draft interim work plan, members added or adjusted several topics for future meetings, including a July educational briefing on LEOFF 1 history and tax/IRS issues, a September discussion of COLAs, and a December placeholder for excess compensation/pension spiking, pending coordination with the LEOFF 2 Board. The committee then approved the July agenda and adjourned.

Transcript Highlights:

• I don't think that's...
• Oh, well, I don't have my computer. I apologize. Oaks. Oh, well, I don't have my computer.
• I think, as Mr.
• I think it's absolutely... Is it a possibility? I think it's absolutely a possibility.
• And I think that's really important for everybody to think about.

Bills: HB4138, HB4139, HB4140, HB4141, HB4142, HB4143, HB4144, HB4145, HB4146, HB4147, HB4148, HB4149, HB4150, HB4151, HB4152, HB4153, SB1831, SB1832, SB1833, SB1834, SB1835, SB1836, SB1837, SB1838, SB1839, SB1840, SB1841, SB1842, SB1843, SB1844, SB1845, SB1846

Keywords: appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction

Summary: The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation. A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals. Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.

Transcript Highlights:

• I'm assuming I think I think Chief Kidd had gotten here by then.
• I don't think they do.
• I think it's a multifaceted approach. I don't think we just throw everything at it.
• I think it's very helpful.
• I think.

Keywords: 1185, senate, all

Transcript Highlights:

• I'm thinking this is what I'm thinking: it applies to January 1, 2026.
• I think the six month is important. I think it's the six-month is important.
• Yeah, I didn't think so.
• Yeah, I didn't think so.
• Yeah, I didn't think so.

Keywords: 928, house, all

Summary: The subcommittee first took up House Bill 507, which concerns the timeline for credentialing mental health care providers. Members discussed and approved an amendment that removed section 2 and changed the bill’s effective date to January 1. A motion for ought to pass as amended was made, seconded, and approved by a 6-0 vote, with Representative Miles assigned to write the committee report. The bulk of the meeting focused on House Bill 705, a price-transparency measure requiring insurance-related data reporting and uniform formatting. Committee members and a representative from Anthem discussed how the bill would interact with federal requirements, including a recent presidential executive order and anticipated CMS guidance on uniformity standards. Anthem testified that the federal timeline was uncertain, that final rules could take months, and that the machine-readable files involved are complex and costly to produce. Some members argued the state should mirror federal standards but wait for final federal guidance; others said the bill should create a firm state requirement and not leave everything to rulemaking. The main unresolved issue was timing. Members debated whether the bill should be effective upon passage, apply to plan years beginning January 1, 2026, or be delayed until after federal guidance is finalized, with several references to a possible six-month implementation window after final federal rules. No final vote was taken on HB 705 in the portion provided; instead, the committee planned to revisit the bill the next morning after language was rewritten and circulated, with a straw vote anticipated before the executive session.

Transcript Highlights:

• Well, I think...
• I don't think so there's no I don't think so, I think that just gets poured out of court because the
• I think there's a distinction there, right? And I think that...
• I'm so grateful you're all here but I think that now right I do right I think though that I think that
• and I think that your question I think gets us into a different bill I think for this bill when we're

Bills: HB 1181, HB3704, HB1363, HB1610, HB1615, HB1620, HB3223, HB1317, HB2884, HB2176, HB4027, HB1664, HB933, HB2613, HB3353, HB2086, HB4101, HB3441, HB4145, HB3455

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• I think it was on page 18.
• I think so.
• We're not seeing that for quantum computing.
• where we think we can use these things so that we, I think, as Representative Brown was saying, there
• I really think the root of this has to do...

Transcript Highlights:

• I think it is. I think the Texas taxpayers deserve to know how much that invasion is costing.
• No, I think I don't buy that. I think HISD...
• I think you, I don't buy that.
• No, I think it is.
• Yeah, I think that's fair.

Summary: The House convened with prayer, pledges, and several ceremonial recognitions, including Wilson County Day, San Antonio Mission Indian Descendants Day, and Blue Ribbon Lobby Day, along with acknowledgments of visiting groups and a birthday greeting. The chamber also announced committee meetings and then moved into floor business, including conference committee action on Senate Bill 1, the state budget. A series of motions to instruct House conferees on SB 1 were debated and voted on. One motion sought to restore salary for Attorney General Ken Paxton after his impeachment-related suspension; it passed 88-56. Another, from Rep. Olcott, directed conferees to support amendments requiring data collection on the costs of undocumented immigrants in hospitals and prisons; after extended debate and a failed amendment from Rep. Martinez Fischer to also study immigrants’ economic contributions, the motion passed 86-61. The House also adopted instructions to eliminate Texas Lottery Commission funding, to support amendments restricting public education institutions from affirming gender identities inconsistent with biological sex, and to seek an additional $4 billion in property tax relief, with each motion passing on recorded votes. The House then took up a supplemental calendar and passed several bills, including HB 39 on veteran death data, HB 102 on priority registration for certain students entering military service, HB 126 on student-athlete compensation and representation, HB 290 on tuition and fee assistance for members of the Texas military forces, HB 300 on Texas Armed Services Scholarship Program updates, and HB 2143 naming a highway in honor of Army Specialist Joey Lins. The chamber also postponed consideration of HJR 2 and HJR 6. Later, the House considered HB 120 on career and technology education pathways and HB 20 on applied science pathway programs for high school students. HB 120 received a perfecting amendment and was advanced after discussion about workforce preparation. HB 20 prompted extensive questioning about transportation, costs, and how students would access partner campuses such as community colleges and TSTC sites; debate continued as the transcript ended, with members examining how the program would operate and whether approval authority would rest with TEA.

Transcript Highlights:

• I might be thinking of CPN.
• might be thinking of CPN. might be thinking of CPN.
• That's the only situation I can think of right now. I think there are a couple of issues, Chair.
• That's the only situation I can think of right now. I think there are a couple of issues, Chair.
• c> a<00:39:39.960> couple think there I think there are a couple think there I think there

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• I think that it that's more for you to decide than us. I think it would clear up.
• I think in your words, do have do make a difference.
• This computes a second-level waste totaling 1,225,152 square feet.
• So I think I'm my question is Read certain statutes, and I think there's a question even today in terms
• I don't necessarily think that's happening in Oklahoma, but I think that we have this organization in

Keywords: 914, all

Transcript Highlights:

• So I think we just really ensure it. And then if we have So I think we just really ensure it.
• I think things change.
• So I do think we do get the training.
• And I think the other thing to...
• I think that's fascinating.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• And I think a lot about how my dad lived his life, and I think to a large degree this particular scripture
• I think there's ways that we can do that.
• I think it's more about this process.
• And I think, Mr.
• But I think that's a smaller issue. ...passed on natural resource boards and commissions, but I think

Keywords: 907, all

Transcript Highlights:

• And I think a lot about how my dad lived his life, and I think to a large degree this particular scripture
• I mean, those are issues that I think need and should be resolved. issues that I think need and should
• And I think, Mr.
• But I think that's a smaller issue.
• Different marker, I think...

Summary: The Senate convened with the Pledge of Allegiance and an invocation by Senator Starr, followed by several courtesies recognizing Pride Month, a staff birthday, and later a retirement and a community celebration. Senator Robinson then used remonstrances to warn against expanding surveillance through school bus camera systems, arguing that leaked plans from a vendor could create commercial databases of drivers’ movements and erode privacy. The main business was confirmation of numerous gubernatorial appointments and reappointments to boards and commissions. Senators debated the process at length, with several minority members objecting that the volume of nominees, limited hearing time, and lack of transparency made meaningful advice-and-consent review difficult. Supporters responded that the nominees were qualified public servants and that the Senate should work with the Governor’s office on reforms. The Senate first confirmed a large block of appointments, then confirmed two Sustainability Board appointees, and later confirmed three Quality Education Commission appointees after extended debate. The Quality Education Commission nominations drew the most substantive policy discussion. Opponents argued the commission needs more technical research expertise and broader representation, while supporters emphasized the nominees’ education experience and direct knowledge of Oregon schools. Several senators described Oregon’s education system as in crisis, citing low reading and math proficiency, chronic absenteeism, and the need for urgent reform of the Quality Education Model and school funding. The Senate also received a proposed rule amendment creating an official Senate seal, which was distributed and held on the table, and the chamber adjourned without further action.

Transcript Highlights:

• Glenn, I think you'll be testifying to that in a second.
• He had an initial number; I think it was $11 million.
• I think it was a little... I think, what, $6 million would be my guess. Or $125,000?
• The vast majority of our state, 97%... percent, I think, Glenn.
• I think you do have a city.

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723, HB9, HJR1

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals