Transcript Highlights:

• That's the bi-weekly payment cycle.
• But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
• But since then, we've been in February, we've been back on that bi-weekly payment cadence, but the payment
• Um, we are is a payment withhold.
• Claims for payment.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

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
• payments. can't be billed to the patient.

Transcript Highlights:

• accuracy<00:03:09.360> and Uh increase SNAP payment accuracy and Uh increase SNAP payment
• payment error rates. payment error rates.
• establish a comprehensive post-payment establish a comprehensive post-payment review<01:07:40.000
• statewide hospital directed payment statewide hospital directed payment program<01:17:18.240>
• payment program. payment program.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:07:31.560> withhold services a result of a payment withhold services a result of a payment
• that were on that we issued a payment that were on that we issued a payment suspension<00:25:58.440
• business So, when we suspend payments business So, when we suspend payments to<00:26:03.600>
• Oh, payment suspensions. Okay, fine.
• The resident notification of a payment The resident notification of a payment hold<01:08:45.960>

Keywords: 1187, senate, all

Transcript Highlights:

• The purpose of this bill is to develop and implement an advanced payment model.
• Number two, it deals with a billing and payment mechanism, which my good friend suggested is part of
• But in its consideration of that approval, Payment system.
• And lastly, if any payment system, any alternative payment system was approved, then it would be required
• It will require payments for graduate medical education.

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• Then on the following page, page 9, line 1, that section would authorize payment or appropriate money
• For the purposes of the down payment assistance program.
• Lastly, down payment assistance for first-generation homebuyers ensures more families can purchase a
• We are proud to be part of this community-based approach to down payment assistance (DPA), targeting
• It's essential that we pair it with down payment assistance.

Transcript Highlights:

• suspended payments to 115 providers. suspended payments to 115 providers.
• <00:25:59.600> for anomalies in billing and payments for anomalies in billing and payments
• payments immediately. payments immediately.
• payment and by August we had 115. payment and by August we had 115.
• Now, being payments to providers.

Keywords: 1183, house

Transcript Highlights:

• The language, particularly on lines 40 to 43, the last sentence—'any policy authorizing payment by booster
• There must be criteria and proof of attendance for payment to providers.
• Are we making sure we're verifying those attendance and those payment procedures, that payment validation
• And then a payment can be made out based on that verified attendance.
• Lastly, coalitions themselves, they are the entities that are responsible for payment accuracy.

Summary: The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote. The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.

Transcript Highlights:

• <01:25:49.280> should upon what guidance that payment should upon what guidance that payment
• payments needed to return. payments needed to return.
• authority to issue the stop payments. authority to issue the stop payments.
• the authority to to do stop payments. the authority to to do stop payments.
• But was that at the payments again.

Transcript Highlights:

• This adds a section in 16A which makes all appropriations, allocations, payments, or other transfers
• payment oversight. payment oversight.
• This adds a section in 16A which makes all appropriations, allocations, payments, or other transfers
• <00:07:31.080> And<00:07:31.200> so, like procurement payments.
• And so, like procurement payments.

Keywords: 1183, house

Summary: The committee heard House File 3672, authored by Representative Quam, and the bill was laid over. Quam said the measure is based on findings from past Legislative Audit Commission audits and is intended to clarify state requirements, strengthen agency compliance, and address gaps such as conflicts of interest in grant administration. He said he wants the auditor to work directly with the revisor and agencies so the rules are clearer and less likely to be misunderstood. Betsy Hayes, Assistant Commissioner with the Department of Administration, testified that sections 5 through 11 of the bill would strengthen grants management authorities, reporting, monitoring, training, and conflict-of-interest limits, and said those changes are generally supported and in some cases already reflected in policy. She raised concern about section 3, saying it could sweep too broadly by applying chapter 16B grants-management requirements to all state payments to non-state entities, including procurement payments, which could create fiscal impact and regulatory overlap. She said the department is working with the author, the Office of the Legislative Auditor, and Auditor Randall to refine the language. Chair Clayburn asked for clarification on the difference between grants and procurement contracts and on the relationship between chapters 16B and 16C. Hayes explained that grants are typically reimbursement-based payments to third parties under chapter 16B, while procurement contracts are inward-facing state purchases under chapter 16C. She said section 3 could unintentionally capture procurement and apply grants rules to it. Clayburn said the bill’s intent is good and welcomed continued work on the language before the bill moves forward.

Transcript Highlights:

• /c> we have to reduce those payment rates we have to reduce those payment rates uh<00:26:11.320> to
• ,<00:26:43.720> start negative impact on our payments, start negative impact on our payments
• So, is the final one payment changes.
• This has state directed payment changes. This has state directed payment changes.
• Um our state-directed payment issue.

Keywords: 958, all

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

Transcript Highlights:

• Uh, there's no cash payments ever made to households, and payments are made directly to vendors and/or
• 00:04:23.440> to<00:04:23.680> households cash payments ever made to households cash payments
• payments are made directly to vendors<00:04:27.600> andor<00:04:28.320> utility.
• services uh with needed energy payment services uh with needed energy payment assistance. assistance
• based on the fuel type and no payments based on the fuel type and no payments again<00:07:41.599

Keywords: 958, all

Summary: The Interim Joint Committee on Natural Resources and Energy met for a public hearing and presentation on the Low-Income Home Energy Assistance Program (LIHEAP). After approving the minutes, members heard from Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky, who explained that LIHEAP is a 100% federally funded block grant used in Kentucky to help low-income households pay home energy bills, prevent utility disconnects, and support weatherization and crisis assistance. Hall outlined the program’s income eligibility limits, the fact that payments go directly to vendors or utilities rather than households, and the program’s funding levels, including $43.4 million spent in federal fiscal year 2025 and an anticipated $58 million for federal fiscal year 2026. The presenters described LIHEAP’s main components: fall and spring subsidy programs, winter crisis assistance, and weatherization. They gave participation figures for recent program cycles, including tens of thousands of households served in each component, and explained that weatherization prioritizes elderly, disabled, households with children, and high-energy-burden homes. They also noted that weatherization is carried out in partnership with the Kentucky Housing Corporation and includes repairs and efficiency measures such as insulation, air sealing, and safety checks. Rick Baker described Community Action Kentucky’s role as the statewide administrator through 23 local community action agencies, emphasizing their presence in all 120 counties and their local board structure. Members praised Baker’s long service and the program’s importance for families facing high energy costs, especially in coalfield areas. One member asked for clarification on a slide reference to “Assurance 16,” but the transcript cuts off before the answer is completed. No votes or other committee actions were taken beyond approving the minutes.

Transcript Highlights:

• Tier two are your per-child, per-month payments.
• And then that led into the final development of the Tier 1 and Tier 2 payments.
• The payment for these would be a standard equal payment monthly. CBCs can count on this coming in.
• Tier 2 is the per-child, per-month payment.
• to you, like what your actual cost would be based on what your payment would be.

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• Furthermore, the bill's provision for... payments to programs in areas with limited child care access
• So there is this tremendous gap when families are facing student loan payments, car payments, rent, or
• , issue prospective payments to providers, which is actually a really critical piece of it.
• This expansion will just increase the decline in payments.
• So the payments still have to go to folks who are directly caring for children.

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• decreased the average payment received by eligible dairy farms.
• decreased the average payment received by eligible dairy farms.
• decreased the average payment received by eligible dairy farms.
• So, on a theoretical payment received.
• <00:05:08.720> would recognize that the payment would recognize that the payment would slightly

Keywords: 1187, senate, all

Transcript Highlights:

• They get a payment, and then they leave and go back home.
• And as you'll see, we're talking about a payment cycle of every six weeks.
• And as you'll see, we're talking about a payment cycle of every six weeks.
• It aligns the scholarship payment installments from quarterly to monthly, as I said, and aligns the payments
• give a two-month payment on the front end to homeschooling families.

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• And in this budget bill, this extender bill, we have WIC payment, workers' comp, unemployment insurance
• , among other payments.
• on the timing of when certain payments are due.
• And we will get up to date on all of those payments, but at the moment, the bill before accounts for
• ON THE TIMING OF WHEN CERTAIN PAYMENTS ARE DUE.

Keywords: 993, senate, all

Summary: The Senate met on May 6, 2026, approved the prior journal, and accepted a Rules Committee report advancing the government appropriations bill to third reading. The chamber then took up the tenth budget extender, which sponsor Senator Serrano said would keep state government operating through Monday, May 11 and contained $482 million in new spending, bringing the total across extenders to $20.3 billion. In questioning, Senator O’Mara and Senator Helming pressed Serrano for details on the reported $268 billion budget deal, policy outcomes, revenue raisers, and whether local governments, schools, and rural health programs would receive certainty; Serrano said final budget bills were not yet in print and declined to speculate on unresolved issues. The extender passed 60-1, with Senator Weik voting no. The Senate also adopted several previously adopted resolutions honoring the North Tonawanda High School girls varsity basketball team, the Tappan Zee High School girls basketball team, and SUNY student Chriss-Ann Pryce. Members praised the teams’ state championships and Pryce’s academic and leadership achievements through the Educational Opportunity Program. The chamber then returned to legislation and passed a bill designating May 9 as Overdose Awareness Day in New York; Senator Fernandez said it recognized the harm of overdose and the need to continue funding harm reduction and recovery services. Additional bills passed included a statewide domestic violence lethality assessment measure, with Senators Murray, Rolison, Webb, and Ramos describing it as a tool to identify dangerous situations and prevent fatalities; a mental health insurance bill limiting step therapy/prior authorization for serious mental health medications, supported by Senator Fahy; and measures on education, real property tax, election law, general business law, kitchen incubator economic impacts, public buildings, state finance, and mental hygiene. Several bills drew recorded opposition, including the real property tax bill and the election law and general business law measures. The Senate concluded by adjourning until Monday, May 11 at 3:00 p.m., with intervening days designated legislative.

Transcript Highlights:

• One of the most impactful bills in this omnibus is the directed payment program for hospitals.
• One of the most impactful bills in this omnibus is the directed payment program for hospitals.
• Chair Berman replied that the directed pharmacy payment will not need federal approval.
• , directed pharmacy dispensing payment, directed pharmacy dispensing payment, how<00:14:14.240>
• So, anything above that will not receive this direct payment.

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• CMS makes the payment. For most services, Medicaid also makes payments.
• So they're not only getting the payment for the nursing home service, they're also getting payment for
• For your second question... ...related to supplemental payments, our opinion of supplemental payments
• Real quick, the 4% diminished Medicare payments.
• So there are different tiers of payments.

Keywords: 1185, senate, all

Transcript Highlights:

• Funds to the scholarship funding organization unless the students included in the payment file have a
• Takeaway number six: scholarship payments are being made outside of the authorized quarterly payment
• The PCB establishes each quarterly payment date and prohibits the release of payments outside of those
• It also establishes when the scholarship funding organization must submit a quarterly payment file to
• And we have our very now rigid kind of schedule of payments.

Summary: The Pre-K through 12 Budget Subcommittee met during Budget Week and first considered three member bills. House Bill 1111, by Rep. Valdes, would eliminate the option for students to leave high school with a certificate of completion instead of a standard diploma. Valdes said the bill was inspired by students who met credit requirements but could not pass a required assessment, and argued the certificate does not provide access to college, trade school, or military service. The bill passed unanimously, 15-0. CS for House Bill 127, by Rep. Kendall, would support students with disabilities by using existing Florida Department of Education curriculum to create micro-credentials and coordinating with the Florida Center for Students with Unique Abilities and OSHA on workplace safety. Goodwill, the Florida Developmental Disabilities Council, Florida PTA, and others supported the bill, which also passed unanimously, 15-0. House Bill 1367, by Rep. Booth, addressed chronic absenteeism by requiring statewide definitions and more uniform attendance reporting, along with rules for excused and unexcused absences and early identification of chronically absent students. Testimony emphasized inconsistent district policies and the need for clearer data and interventions. The bill passed 13-0, with some members noting concerns about implementation details and future rulemaking. The committee then took up PCB-P-PKB-2501, the proposed conforming bill for the fiscal year 2025-2026 Pre-K through 12 budget. The chair said the bill was designed to align statutes with budget and scholarship funding procedures, especially around the Florida Education Finance Program and scholarship payments. The PCB would require Florida student ID numbers for scholarship students, standardize cross-checking against FTE survey data, set quarterly payment dates, and use one data source for both reporting and withholding scholarship-related FFP amounts. It also would reduce certain add-on weights by 50%, remove the budget stabilization program, and repeal the educational enrollment stabilization program. Several members raised concerns that the add-on weight reductions could hurt career and technical education, AICE, IB, and CAPE programs, while the sponsor argued the data showed too much spending in an “other” category and that the reductions were aimed at aligning funding with actual program costs. Public testimony was mixed: some supported tighter accountability and clearer payment rules, while others warned against undermining expensive career-readiness programs. The PCB passed 11-2. After the conforming bill, the chair presented the proposed fiscal year 2025-2026 Pre-K through 12 budget, totaling just under $21 billion, about $400 million below the current year. She said the budget reflects a need to slow spending growth and includes $20 million for New Worlds Scholarship Accounts, $7 million for security grants at Jewish day schools and preschools, $14 million for public school transportation stipends, an overall FEFP increase of about $747.7 million, $100 million for teacher salary increases, and increases in the base student allocation and funds per student. The committee did not vote on the budget recommendation at this meeting; it was distributed for review and will move to the Budget Committee next week.