Transcript Highlights:

• Increasing from 60 to payment processes.
• provisions to make updates to the Medicaid reimbursement methodologies, increase the federal reimbursement
• </c><00:41:18.319><c> for</c> enhanced quarterly payments for enhanced quarterly payments for inpatient
• </c> meet to receive the supplemental payment meet to receive the supplemental payment are<00:41:31.040
• </c><00:43:11.760><c> and</c> establishes department reimbursement and establishes department reimbursement

Keywords: 958, all

Summary: The committee met with a quorum, approved the minutes, and then took up several administrative regulations. The first was an Office of the Attorney General regulation creating an online submission process for an annual certification report to replace prior quarterly notarized certification forms; there were no amendments or questions. The main discussion centered on Personnel Cabinet regulations 101 KAR 2:034, 2:102, 3:015, and 3:045, which include staff-suggested technical amendments and address state employee compensation and leave. The compensation provisions clarify salary and rehiring/demotion rules, increase critical position premiums from one to three, and update weekend premium and ACE award practices. The leave provisions would provide up to six weeks of paid leave per 10-year interval for birth, adoption, foster placement, or a serious health condition, and allow one paid adverse-weather day per year with supervisor approval. Staff explained that annual and sick leave already accrue and roll over, and that the new six-week benefit was intended as an additional enhancement tied to the 10-year and 20-year sick-leave milestones.

Transcript Highlights:

• The prospective payment system hospital and the federal government reimburses differently from those
• So the uncompensated care payments are meant to raise the reimbursement, the under-reimbursement that
• The prospective payment system hospital and the federal government reimburses differently from those
• So the uncompensated care payments are meant to raise the reimbursement, the under-reimbursement that
• . payments. payments.

Keywords: 928, house, all

Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.

Transcript Highlights:

• </c> is recognizing a hospital reimbursement is recognizing a hospital reimbursement you've<00:59:51.039
• The individual Medicaid would make a payment to the nursing facility at the Medicaid rate, and that payment
• </c> or agreeing on a reimbursement or agreeing on a reimbursement percentage<02:59:50.479><c> or</c>
• </c><03:21:31.760><c> and</c><03:21:31.920><c> one-sided</c> low reimbursement and one-sided low reimbursement
• </c><03:22:26.920><c> below</c> services are currently reimbursed below services are currently reimbursed

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• <c> meals</c><00:42:36.320><c> and</c> provides reimbursements for meals and provides reimbursements
• payment.
• </c> payments needed to return. payments needed to return.
• </c> authority to issue the stop payments. authority to issue the stop payments.
• </c> the authority to to do stop payments. the authority to to do stop payments.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• Um, but I'm not getting reimbursed for it from your employer's bill reviewer.
• The speaker said they have no incentive to deny any payment.
• </c><00:34:12.679><c> Uh</c> incentive to to to deny any payment.
• Uh incentive to to to deny any payment.
• payment payment because<00:34:17.760><c> the</c><00:34:17.879><c> physician</c><00:34:18.280><c> dispensers

Bills: HCR92 , HCR46 , HCR172 , HCR147 , HCR112 , HCR100 , HR84 , HR42 , HR139 , HR104 , HR92

Committee: House Labor

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• As you probably know, each hospital had an initial 18 months with no payments due.
• 16 qualified for the initial 12 months, also with new payments, no payments, and now we're reentering
• Payments on their loan.
• , what we call transformative payments for rural hospitals.
• So the second part of that was a cap on provider payments.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• In the AHCCCS reimbursement practices.
• So they went on to implement blanket suspensions, terminations, widespread payment delays, payment denials
• We understand that we need to improve our payment speed.
• The reimbursement rate must be applied as an increase to the provider reimbursement rate and in addition
• to any existing or previously negotiated reimbursement rate paid by Access or any cost.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the February 4 minutes, then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain lab services when a member was referred by a contracting provider and would bar prior authorization for diagnostic services. The sponsor said the bill was intended to address unpaid claims and improve access, while Access testified neutral but warned the prior-authorization ban could increase utilization and create a fiscal impact. The committee adopted the Warner amendment limiting non-contracting reimbursement rates to no more than contracting rates, then passed SB 1086 as amended on a 4-2 vote. The committee then took up Senate Bill 1611, an emergency measure to require Access to contract with an administrative services organization for the American Indian Health Plan, while keeping Access ultimately responsible for administration. The chair’s amendment expanded ASO duties to include provider support, quality improvement, and data analytics, removed Access claims-payment authority, added tribal observers to the selection committee, and exempted IHS and tribal-facility services. The sponsor and tribal witnesses described the bill as a response to fraud, provider nonpayment, and harm to Native communities, while Access raised concerns about the fast timeline, tribal consultation requirements, possible duplication of program-integrity functions, and fiscal uncertainty. After debate over the emergency clause and tribal consultation, the committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. The committee also heard Senate Bill 1630, which would direct Access to seek federal approval for a Medicaid home- and community-based services program for adults with serious mental illness. Supporters said the bill would create a long-term community-care option for the sickest SMI members, reduce cycling through hospitals, jails, and homelessness, and potentially save state general fund dollars; family members and advocates testified in support. Access was neutral and said it was finalizing a fiscal estimate. The Angus amendment narrowed eligibility to long-term SMI, reduced the enrollment cap from 500 to 250, changed reporting to semiannual, and removed priority-order language; the committee adopted the amendment and passed SB 1630 as amended unanimously. Later, the committee passed Senate Bill 1193, which protects emergency medical care technicians’ personal identifying information from sale or disclosure by the Department of Health Services, after adopting a clarifying amendment expanding the protected information and addressing commercial requests. It then heard Senate Bill 1318, which repeals the state’s separate dense-breast notification requirement so Arizona law aligns with the FDA’s newer mammography notice standard; the sponsor and DHS said the change would reduce confusion from duplicate, slightly different notices, and the bill was moving forward with discussion of possible future amendment language.

Transcript Highlights:

• Amendment 4 by Senator Gildon removes the retroactivity provision for the payment of taxes for income
• This amendment modifies the attendance-based reimbursement schedule.
• As a reminder, current policy is that if a child attends one day, a provider may claim reimbursement
• If a child is absent for 10 or fewer days, a provider may claim full reimbursement as they can today.
• Second, if a child attends between nine and 15 days, a provider may claim payment for 15 days.

Bills: HB2487

Committee: Senate Ways & Means

Keywords: insurance tax, state regulation, insurers, taxation, budget impact, 904, all

Transcript Highlights:

• House Bill 478 by Representative Knox, reimbursement for utility overcharges. Commerce.
• contracts; provide for interruption of payments.
• House Bill by Representative Egan: unauthorized payment practices; provide for unauthorized co-payments
• House Bill by Representative Egan: unauthorized payment practices; provide for unauthorized co-payments
• House Bill by Representative Firmit: workers' compensation; failure to provide payment; discontinue payment

Summary: The House convened with a quorum, received and accepted multiple resignation notices from members representing Districts 37, 39, 60, 69, 97, and 100, and then recognized the election and qualification of the members-elect who filled those vacancies: Doyle Boudreau, Reese Broussard, Chasity Verrett-Martinez, and Edwin Murray. Each member-elect was sworn in, and the House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session. The chamber then handled a large number of procedural actions related to prefiled legislation. By motion and without objection, the House suspended rules to refer prefile bills to committee and introduced a broad slate of House bills and resolutions. Topics included the state budget and appropriations, retirement system changes, carbon capture and sequestration, criminal justice and bail, public safety, education, health care, local government matters, transportation, and several memorial or commemorative resolutions. Several resolutions and bills were noted as lying over, and some prefiled bills were withdrawn from the files. The House also received a Senate message that SCR 1 had been adopted, and the resolution was taken up without objection. The chamber then recessed for a joint session with the Senate to hear the governor’s address and a presentation honoring Technical Sergeant Adam W. Brister with the Distinguished Flying Cross. In his remarks, Governor Jeff Landry highlighted his administration’s priorities, including education, tax reform, workforce development, health and nutrition, insurance reform, transportation infrastructure, fiscal discipline, and criminal justice reform, while urging support for his agenda and several related bills and constitutional amendments.

Transcript Highlights:

• </c> payment, in essence. payment, in essence. &gt;&gt; Exactly.<00:23:50.520><c> Yes.
• They do not reimburse for the health insurance.
• They do not reimburse for the health insurance.
• They do not reimburse for the health insurance.
• They do not reimburse for the health insurance.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:54 Pension System Update 00:03:38, 958, all

Summary: The committee held its first official interim meeting after merging the General Government and Finance, Personnel, and Public Retirement committees, establishing a quorum and opening with the pledge and prayer. Members then received a briefing from KPPA representatives Ryan Barrow and Aaron Sarock on the state retirement systems, including KERS, CERS, and SPRS, and on the importance of fully funding the actuarially determined employer contribution, supplemental appropriations, and investment earnings in reducing unfunded liabilities. They said the systems have made progress toward a statutory closed amortization target of 2049 and emphasized that supplemental funding lowers current employer contribution rates but does not change that end date. A major topic was federal and state reemployment-after-retirement rules for retirees who return to work with participating employers. KPPA explained that retirees must have a bona fide separation from service, no prearranged agreement to return, and generally a one-calendar-month break in service for retirees on or after January 1, 2024. If a member fails to comply, retirement benefits can be voided, payments stopped, health coverage ended, and benefits repaid. The presenters also noted that rehired retirees do not earn a second retirement account, and employers rehiring them must pay employer contributions and, in non-exempt cases, reimburse health insurance costs. Members asked about the scale of rehired retirees and the difference between employer contribution and health insurance reimbursement amounts. KPPA said that in fiscal year 2025 there were over 3,500 rehired retirees in CERS and over 5,000 in SPRS, with substantial employer contributions and health reimbursement payments collected. They also explained that some positions are exempt from these chargebacks, including school resource officers and certain law enforcement positions that meet statutory criteria. The committee discussed House Bill 213, which allows cities, sheriffs’ departments, and post-secondary institutions to offer health insurance to rehired officers if authorized by the governing body, effective August 1, 2026, and clarifies the fiscal-year basis for certain exemption limits. No votes were taken.

Transcript Highlights:

• Reimbursement of sheriff's fees.
• </c> Reimbursement of sheriff's fees. Reimbursement of sheriff's fees.
• MCO payments.
• </c> MCO<00:44:47.440><c> payments.</c> MCO payments. MCO payments.
• On page 67, MCO payments reduction.

Keywords: 958, all

Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.

Transcript Highlights:

• We are also analyzing a new federal proposed rule, the Notice of Benefit and Payment Parameters, that
• ensures safety net clinics are reimbursed based on a true cost of delivering comprehensive care.
• ensures safety net clinics are reimbursed based on a true cost of delivering comprehensive care.
• I'm going to ask how HR1 affects the reimbursements in their federal funding for Medi-Cal. the reimbursements
• So we see a down payment of $500 million to support those public hospitals.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• payments.
• payments.
• payments.
• payments.
• </c><00:49:11.520><c> in</c> payments or their recapture payments in payments or their recapture payments

Committee: Joint Select Committee on School Finance Recalibration

Keywords: 916, all

Transcript Highlights:

• A declining student enrollment payment.
• We create a monthly system, a monthly payment system.
• And during that period of time, they receive a quarterly payment.
• They re CRA monthly payment, rather, they receive frontloaded monthly payments and that money goes into
• I do have a question when it comes to the monthly payments, if in a while the monthly payments or be

Keywords: 999, senate, all

Transcript Highlights:

• Medicare co-insurance payments made by Medicaid, Medicare Part A and B service payments, and co-insurance
• Payments include patient coinsurance and non-insured payments.
• If you're structured under a coinsurance model, your payment is still taxable, while the insurance payment
• Sharon Clark discussed, deducts insurance payments to providers, as well as Medicare payments to healthcare
• payment.

Committee: House Revenue Stabilization & Tax Policy Committee

Transcript Highlights:

• payments by 10 percentage points beginning in 2028 until the state-directed payments are no greater
• payments by 10 percentage points beginning in 2028 until the state-directed payments are no greater
• for administrative payment errors.
• On the provider payment side, it ratchets down payments until they hit Medicare levels.
• Many of them have a slightly different model of reimbursement than we do.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• A lot of these state-directed payments, a lot of these supplemental payments, have just come under additional
• We want to make sure that the hospitals are reimbursed for that.
• Florida's Directed Payment Program for Hospitals provides payments to hospitals for both inpatient and
• Meyer, I would say, similar to essentially every supplemental payment program and state-directed payment
• Supplemental payment models. Any other questions? I see no debate.

Summary: The Legislative Budget Commission met with a quorum present and considered two Agency for Health Care Administration budget amendments related to Medicaid supplemental payments. The first amendment, EOGB 2026-0831, authorized $2.1 billion in budget authority for the Low-Income Pool to support safety-net providers with uncompensated charity care. Members asked about the timing of AHCA’s submission to CMS and whether the program addressed hospital shortfalls for insured patients and CHIP-related concerns. AHCA said approvals have generally been slower under the current federal review process, and the amendment was adopted without objection. The second amendment, EOGB 2026-0875, placed $7.9 billion in reserve for Florida’s Directed Payment Program for Hospitals pending final CMS approval. Senators and representatives questioned the role of hospital attestations regarding hold harmless agreements, whether any agreements had to be unwound, and how long final approval might take. AHCA said all hospitals had submitted attestations, no unwinding was known to be necessary, and approval was expected soon. Members also raised concerns about cancer hospitals, including Moffitt and the University of Miami, not participating in the directed payment program. AHCA responded that those institutions participate instead in a separate Florida Cancer Hospital supplemental payment program, which had already been approved. Both amendments were adopted without objection, and the commission then adjourned.

Transcript Highlights:

• errors or the payments were made.
• for these, but explain the ineligible payments.
• What is the definition for an ineligible payment? Mr.
• They're going to make choices to buy a card payment.
• The committee, it is the increased cost that would be for the payment error rate, and a payment error

Keywords: 996, all

Transcript Highlights:

• Value-based reimbursement with 2 different providers.
• They're different payment mechanisms and depending upon the need or the quality of the provider, part
• What is the process to identify and ensure the payments are being sent Pro-law?
• I would also echo that if providers are having are experiencing and have been sent of payment issues,
• So that's an example of how it would work for hospitals and hospital specific reimbursement now for a

Transcript Highlights:

• Amendment 4 by Senator Gildon removes the retroactivity provision for the payment of taxes for income
• This amendment modifies the attendance-based reimbursed, Amendment 7 offered by Senator Robinson.
• This amendment modifies the attendance-based reimbursement schedule.
• As a reminder, current policy is that if a child attends one day, a provider may claim reimbursement
• Second, if a child attends between nine and 15 days, a provider may claim payment for 15 days.

Summary: The Ways and Means Committee met in executive session on March 10, 2026, and first reviewed engrossed House Bill 2487, which concerns taxes imposed on insurers. Staff explained the bill’s B&O tax exemption changes, the advanced computing surcharge adjustments, and the preliminary fiscal note. Amendment 1 had been withdrawn before action. The committee then considered and rejected Amendment 2, which would have further lowered the surcharge cap; Amendment 4, which would have removed retroactivity for tax payments; and Amendment 5, a striking amendment that would have conformed the B&O exemption to a court decision and removed the advanced computing surcharge provisions. The committee then advanced HB 2487 to the Rules Committee with a due pass recommendation. The committee next took up Substitute House Bill 2689 on the Working Connections Child Care Program. Staff described the bill’s changes to attendance-based reimbursement, rate-setting, and eligibility, with an estimated four-year savings of $565 million. Amendment 6, offered by Senator Wilson, was adopted and changed the market rate survey response threshold by delaying the 65% requirement and allowing validity with lower response rates under certain conditions. Amendment 7, offered by Senator Robinson, was also adopted and revised the attendance reimbursement tiers, with staff indicating it would increase projected savings to about $770 million over four years. The amended bill was then moved to the Rules Committee with a due pass recommendation. Finally, the committee considered engrossed House Bill 2681, which raises annual issuance and renewal fees for cannabis producer, processor, and retail licenses by $400. Staff said the bill would increase deposits to the dedicated cannabis account by about $866,000 per year, or $2.6 million over four years. With no amendments offered, the committee approved HB 2681 and sent it to the Rules Committee with a due pass recommendation. The meeting ended with thanks to staff and adjournment.