Video & Transcript Research : 'qualifying papers'

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KY

Kentucky 2026 Regular Session

House Legislative Session Day 2 (1-7-26)

Kentucky House Floor Meeting

Transcript Highlights:
  • House Bill 158, an act relating to a tax credit for qualified home modifications.
  • House Bill 158, an act relating to a tax credit for qualified home modifications.
  • House Bill 158, an act relating to a tax credit for qualified home modifications.
  • House Bill 184, an act related to health savings account qualified insurance plans.
  • House Bill 184, an act related to health savings account qualified insurance plans.
Summary: The House convened with an invocation and the Pledge of Allegiance, then established a quorum with 98 members present. The chamber approved the journal from January 6, excused absent members, and suspended the rules to allow co-sponsorships and vote modifications. No committee reports, second readings, or orders of the day were needed. During announcements, a member invited colleagues to a Welcome Back to Frankfurt reception and the House adopted a citation honoring Michael Dean Hilton, with remarks noting his long career in Kentucky politics and lobbying. The House also adopted a citation recognizing Hank Parker. The clerk reported a large number of new filings, including House Bills 35 through 230 and several resolutions and constitutional amendments covering topics such as education, taxes, health care, firearms, housing, labor, elections, agriculture, public safety, and retirement systems. Among the measures introduced were bills on scholarship eligibility, respiratory care, retirement benefits, alcohol licensure, public notices, school curriculum, privacy protection, medical billing, housing, firearms-related issues, Medicaid expansion, cannabis, wage transparency, and healthcare price transparency. Resolutions included one recognizing election principles in Kentucky, one honoring victims of UPS Airlines Flight 2976 and responders, and others on political violence, memorial highways, law enforcement support, and ALS awareness. No substantive votes on legislation occurred beyond the citation adoptions and routine procedural approvals, and the House adjourned until 2:00 p.m. on Thursday, January 8, 2026.
KY
Transcript Highlights:
  • If you are 60 or above, then you're going to qualify if you show up and you can bring someone with you
  • "Is there any other qualifier to it than that?" "That's it. Nope.
  • if you show up and you going to qualify if you show up and you can<00:37:29.200> bring<00:37:
  • to it than >> Is there any other qualifier to it than that?
  • those off quickly pivoted to paper those off quickly pivoted to paper checks<01:11:58.320> and
Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 01:00 pm

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • Just as anyone might apply a bandage for a paper cut, we all use music informally to lift our mood and
  • consumer purchases their ticket, it is theirs to do with as they please, regardless of whether it's paper
  • license that's been maintained for decades without issue should be proof enough that someone is qualified
  • our curriculum, program structure, and requirements, and affirm that all of our faculty are also qualified
  • Any additional oversight as a training program or practitioners to qualify our graduates is unnecessary
Keywords: 995, all
Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.
MA

Massachusetts 2025-2026 Regular Session

Senate Session Jun 21st, 2026 at 11:00 am

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • Paper from the House: The House bill authorizing the town of Westwood to reissue licenses for the sale
  • That often comes through the dispatch department and through very qualified folks who have made their
Keywords: 995, all
Summary: The Senate took up several routine matters, beginning with the Pledge of Allegiance and then considering a bill directing the Boston Police Department to waive the maximum age requirement for Antonio Pierce (Senate No. 27). The Senate suspended the rules, ordered the bill to a third reading, and then passed it to be engrossed. The chamber also approved final passage of House No. 4565, an act establishing a special recognition for Marie Lantra, an employee of the Department of Transitional Assistance, and the bill was laid before the Governor for approval. The Senate then received House No. 4814, a bill authorizing the town of Westwood to reissue certain alcohol licenses and grant additional off-premises alcohol licenses. On motion of Senator Tarr, the rules were suspended to consider the matter forthwith, and the bill was ordered to a third reading. No objections were raised to any of these procedural actions. The session also included recognition of two retiring Boxford public safety communications employees, Warren Edward Gould and Ronald, with remarks praising the importance of dispatchers and communications staff in public safety. The Senate adopted an order to adjourn to meet again on Wednesday at 11:00 a.m., and then adjourned.
NH

New Hampshire 2026 Regular Session

House Session (01/08/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • Just look, you got words on paper today. Vote on the words on paper. Talk about the words on paper.
  • Just look, you got words on paper<02:37:55.840> today.
  • paper today. Vote on the words on paper. paper today. Vote on the words on paper.
  • And don't Talk about the words on paper.
  • sweat how the words got on the paper sweat how the words got on the paper because<02:38:03.040><
Keywords: 1189, house, all
NH
Transcript Highlights:
  • In any event, we have bills that are going to be considered next week, so if we want access to paper
  • First of all, everyone loves having the paper copy of the law book, but you can find the laws online
  • This is the paper version of Control-F, right? It's not as much fun.
  • So again, this is the paper version of Control-F. It's not always pretty.
  • Speaker: Do you have separate rates in your contract for students who qualify as special needs?
Keywords: 928, house, all
Summary: The House Education Committee held its organizational meeting for the new term, with members introducing themselves and describing their backgrounds in teaching, school boards, special education, administration, law, and related fields. Chair Glenn Cordelli outlined the committee’s goals and procedures, emphasizing civility, professionalism, and respectful treatment of witnesses and members. He also noted that the committee has been split into two this year because of the large volume of bills, and said the committee had already sent three bills to the other education committee, with 36 bills currently assigned and more expected. The chair reviewed committee rules and logistics: hearings should start on time, members should minimize cell phone use and avoid searching during testimony, and questioning of witnesses is limited to one question at a time unless the chair allows a follow-up. Members were told to use the title “Representative,” to sign up on pink cards to testify, and to submit written testimony to the clerk. He also explained that hearings are for listening rather than debating, while executive sessions are where debate and motions occur. Possible motions include ought to pass, inexpedient to legislate, and retain in committee for further work, including subcommittees. Additional procedures covered scheduling, with the committee expected to meet Wednesday and Thursday the following week because of a holiday, and regular meetings generally planned for Monday and Wednesday. The chair also discussed the consent calendar, reports from majority and minority positions, and the expectation that members who testify on a bill should not then question other witnesses on that same bill. No legislation was voted on at this meeting; it was a procedural and orientation session for the committee.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, June 23, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • as whether these investments qualify as eligible business expenses.
  • I want to read you something from Alexander Hamilton and the Federalist Papers.
  • ... ...against them when it comes to qualifying for hous. >> The gentleman yields.
  • when qualifying for housing vouchers, a common sense change that I'm sure we can all support.
  • Didn't even make the paper. There were just so many coming day after day after day.
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-05-28 - 10:00AM

Vermont Senate Floor Meeting

Transcript Highlights:
  • Our qualified health plans, now with the work that will go on with this bill, will allow for a reduction
  • The bill will now allow reference-based pricing in the qualified health plans.
  • You know, I remember handing out this piece of paper to you all when we looked at S.190 earlier in the
  • In section two of the bill, as the bill left the Senate, we had qualified health plans for reference
  • qualified health plans for reference-based pricing.
Keywords: 927, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Agriculture, Veterans, Broadband and Rural Development - 02/18/26

Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:
  • So we do take applications by paper. Um, we also take them by phone call.
  • So we do take applications by paper.<01:14:12.000> Um,<01:14:12.400> we<01:14:12.640>
  • Um, we also take them by phone paper.
  • And I think that Senator Kupec is much more qualified to do a forecast than I am.
  • <01:51:15.280> to Senator Coop is much more qualified to Senator Coop is much more qualified
Keywords: 1187, senate, all
WY

Wyoming 2026 Regular Session

Senate Corporations, Elections & Political Subdivisions Committee, February 27, 2026

Corporations, Elections & Political Subdivisions

Transcript Highlights:
  • This this is called qualified electors.
  • And then we talk about striking out that paper. >> I don't think he meant to say useless ballots.
  • talk about um striking out that paper. talk about um striking out that paper.
  • Do I believe that 226130 allows us to conduct that on paper ballots as opposed to ballot images?
  • Do I believe that 226130 allows us to conduct that on paper ballots as opposed to ballot images?
Bills: HB0022, HB0052, HB0076
TX

Texas 89th Regular

State Affairs Mar 26th, 2025

State Affairs

Transcript Highlights:
  • We were looking, and I haven't seen the paper in front of you, but we were actually looking at their
  • Things, and then plus all the cost data that underlies that and work papers that we provide to people
  • I would ask you to return the paper. Thank you. Thank you for your testimony. Members, questions?
  • It's just a piece of paper, that's all it is. The Glint card they're talking about, the MasterCard.
  • There's no provision in Article V on who could qualify as a delegate.
TX

Texas 89th Regular

Elections Apr 9th, 2025

Elections

Transcript Highlights:
  • In Harris County in 2022, there were 127 polling locations that ran out of paper.
  • Putting that language on a paper form, I think that would be really helpful for voters.
  • This I know: Dallas County wants to go to hand-counted paper ballots in their primary.
  • They were on these pieces of paper.
  • They had a million pieces of paper in their warehouse and never got it delivered.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Revenue Jun 21st, 2026 at 10:00 am

Joint Committee on Revenue

Transcript Highlights:
  • They earn too much to qualify for affordable housing, but nowhere near enough to buy a home where the
  • All of the apartments are income qualified and homes for our community.
  • All of the apartments are income qualified and homes for our community.
  • One evening in August, after a long day of work, I saw an ad in the paper for a Habitat for Humanity
  • One evening in August, after a long day of work, I saw an ad in the paper for a Habitat for Humanity
Keywords: 995, all
Summary: The Joint Committee on Revenue held a public hearing on a series of bills focused largely on local-option real estate transfer fees and housing funding tools for communities facing severe affordability pressures. Testimony strongly favored bills for Somerville, Concord, Martha’s Vineyard, Nantucket, Chatham, and a statewide local-option transfer fee, with speakers arguing that high-end real estate transactions should help fund affordable housing, anti-displacement efforts, workforce housing, and related capital improvements. Elected officials and local housing leaders described rising rents and home prices, investor activity, shrinking year-round housing stock, and difficulty recruiting or retaining teachers, police, health care workers, and other essential employees. Several witnesses emphasized that the proposals would be optional for municipalities, could include exemptions for first-time homebuyers or seniors, and would direct revenue into local affordable housing trust funds or housing banks. Committee members asked questions about who would pay the fee and whether it could make housing less affordable, and supporters responded that the fees would be targeted at higher-value transactions and designed with local flexibility. For Somerville, the delegation and Mayor Katjana Ballantyne backed both a local home rule petition and statewide enabling legislation, saying the city has already used zoning reform, inclusionary zoning, and local housing funds but still needs a new revenue source to address displacement and investor-driven purchases. For Concord, Representative Carmine Gentile and Concord housing advocates supported a home rule petition and the statewide bill, arguing that a modest fee on sales above $1 million could generate predictable revenue for affordable housing production and preservation. One committee exchange focused on whether the fee would affect most Concord sales and whether it would be passed on to buyers; supporters said the policy was intended to shift costs toward higher-value properties and help leverage other funding sources. The committee also heard testimony on House 4105, which would redirect a casino-related revenue stream to the Healthy Incentives Program. Farmers, advocates, and residents said the current funding was originally intended to support horse racing but has not met that goal, and that the money would be better used to support Massachusetts farmers and food-insecure residents through HIP. In a separate bill, Senator Becca Rausch testified in support of Senate 268, which would create a state-level hostile learning environment complaint process for higher education institutions and potentially strip tax exemptions from colleges or universities found to have such environments; she cited anti-Semitic and transphobic incidents on campuses and argued that existing federal protections should be mirrored in state law. The hearing also included testimony on college tuition debt reduction legislation from Senator Michael Moore, who said the bill would allow a deduction for tuition and fees paid to Massachusetts public colleges and universities to ease student debt and support the state’s workforce. A major portion of the hearing focused on Martha’s Vineyard and Nantucket housing bank proposals. Hospital, school, housing, planning, and municipal officials from Martha’s Vineyard said the island’s year-round housing shortage is harming health care, schools, and the local workforce, and urged approval of a housing bank funded by a local-option transfer fee. Nantucket witnesses made similar arguments, pointing to a very high median home price, a large seasonal housing stock, and the need for a dedicated revenue stream to preserve and create year-round housing. Supporters repeatedly cited the long-running success of the islands’ land banks as evidence that transfer fees can work without harming real estate markets. Senator Julian Cyr and Representative Thomas Moakley Luddy also backed the Cape and Islands transfer-fee bills, saying the region needs bold action and a sustainable local funding source to address its housing crisis.
TX

Texas 89th Regular

Public Health Aug 22nd, 2025

Public Health

Transcript Highlights:
  • Rules on paper mean nothing if they can be broken, overlooked, or only partially exercised.
  • Chair, I should qualify. As I mentioned, I am an interventional radiologist.
  • Again, qualifying that I am NOT an infectious disease specialist, so I want to be purposeful in those
  • I mean, they'll come to us with a stack of paper this big, and they're very informed.
  • It doesn't require a consult; it just says you take this piece of paper. paper and the medication, and
Bills: HB 265, HB25
TX
Transcript Highlights:
  • Senators, I am highly qualified as a librarian, but I know I am in no way qualified to make these decisions
  • Restrictions make any sense of nuance or non-conformity a failure to exist on paper.
  • This bill will essentially erase them on paper.
  • Does it believe they have the right to exist on paper as they do in life? I oppose this bill.
  • You ink death onto paper, veiled under the guise of false science and the defense of women.
HI

Hawaii 2025 Regular Session

JHA Public Hearing - Wed Feb 5, 2025 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • Nakasato the same sort of thing: if we pass the bill, it sounds like we would qualify to get federal
  • Nakasato the same sort of thing: if we pass the bill, it sounds like we would qualify to get federal
  • Nakasato the same sort of thing: if we pass the bill, it sounds like we would qualify to get federal
  • Uh, they don't pre-qualify vendors in the same way Connecticut does.
  • set up here uh they don't pre-qualify set up here uh they don't pre-qualify vendors<01:20:17.480
Keywords: 910, house, all
Summary: The committee first considered House Bill 1324, which would require the Judiciary to contract for legal services for residential tenants in landlord-tenant disputes and allow attorneys, paralegals, and law students to provide those services, with an appropriation. The Department of the Attorney General recommended removing reference to Hawaii Public Housing Authority tenants because HPHA eviction proceedings are administrative and could conflict with the bill. Hawaii Appleseed and other testifiers strongly supported the measure, citing studies showing much higher tenant retention when counsel is available, and suggested adding notice of the right to counsel at key points such as rent increases, eviction notices, and lease signing. The committee adopted amendments, including the Attorney General’s suggested change and a technical amendment, and passed the bill out with a recommendation to move it forward; members voted aye, with one member voting with reservations and several excused. The committee then heard House Bill 126 on property forfeiture, which would increase transparency and accountability in civil asset forfeiture by clarifying covered property, changing disposition rules, and removing language requiring liberal construction of the forfeiture act. The Attorney General said forfeiture remains an important law enforcement tool and that the bill would not impair its use. The Office of the Public Defender supported the measure but argued civil forfeiture is broadly problematic because many people cannot meaningfully challenge it and are not entitled to counsel. Honolulu Police Department opposed the bill, saying forfeiture is useful in fighting illegal activity and that added procedures would delay enforcement and reduce operational funding from forfeiture proceeds. Community Alliance on Prisons, the Drug Policy Forum of Hawaii, and other supporters urged reform or abolition of civil forfeiture, citing transparency concerns and the risk of abuse. No vote on HB 126 was taken in the portion provided. The final measure discussed was House Bill 166, which would require the state to defend professionally licensed or certified state employees in certain civil actions, allow employees to hire their own counsel at their own expense, and set a process for the Attorney General to transfer or withdraw representation if the state declines to defend. Testimony from the Hawaii Association for Justice and labor representatives was in strong support, describing the bill as a negotiated clarification that balances employee protections with accountability and noting it had passed previously but died in conference. The transcript cuts off before any committee action on HB 166.
OK
Transcript Highlights:
  • They still have to qualify just like anyone else would. But yes, they could.
  • That anyone could demand to be licensed if they were qualified, no matter what their status of citizenship
  • It's just a piece of paper that we're now mailing out To the state, it's going to the county.
Keywords: 914, all
KY
Transcript Highlights:
  • and<00:32:29.200> this<00:32:29.519> was<00:32:29.679> a ads uh in local papers
  • and this was a ads uh in local papers and this was a great<00:32:30.000> deal<00:32:30.159>
  • , and getting it reducing that to paper, and getting it filed.<00:44:48.720> Yes,<00:44:48.880
  • qualified requests along with their own. qualified requests along with their own.
  • <02:10:45.599> groundbased program for qualifying groundbased program for qualifying groundbased
Keywords: 958, all
Summary: The committee first approved the minutes and then recognized a staff member’s birthday and a guest shadowing Senator Adams. It then moved into informational review of Education and Labor Cabinet, Department of Education regulation 702 KAR 3:30, which sets insurance coverage requirements for school district buildings and structures. Department of Education officials explained that districts are expected to carry coverage at replacement cost and said they understand some districts participate in self-insurance pools with backup policies, but they deferred detailed insurance questions to the Department of Insurance. Senators raised concerns that pooled coverage could leave districts exposed if claims exceed pool limits, and the chair asked KDE to follow up with DOI to confirm districts are adequately covered, especially for bondholders. No vote was taken on the informational review. The committee then reviewed emergency ABC regulations 804 KAR 130:01 through 130:04 implementing Senate Bill 100’s new licensing requirements for tobacco, nicotine, and vapor product businesses. ABC and Public Protection Cabinet representatives outlined the emergency rules governing enforcement, license applications, denial criteria, and transitional licenses. Retail industry witnesses Shannon Stiglet and Brian Clark said they support licensure in principle but argued the rules add duplicative requirements borrowed from alcohol licensing, create confusion about transitional licenses, and may be too burdensome for the roughly 7,000 affected businesses to meet by the January 1 deadline. They also said guidance has been inconsistent and requested the agency revise the regulations, remove requirements not grounded in law, and provide clearer, separate processes for new and existing businesses. Committee members asked whether the industry had worked directly with ABC and noted the public comment period was still open. Witnesses said they had communicated with ABC and the Public Protection Cabinet, but responses had been uneven and they wanted written guidance. Members expressed concern about the short timeline and the need to avoid disruption so businesses can operate legally on January 1. Representative Marzian asked for clarification that the discussion concerned emergency regulations already in effect while ordinary regulations remain in process. No formal action was taken beyond receiving the informational testimony and discussion.
WY

Wyoming 2026 Regular Session

Select Committee on School Finance Recalibration, June 25, 2026 - AM

Select Committee on School Finance Recalibration

Transcript Highlights:
  • And I agree with you very much with the early grades, paper Very much with the early grades, paper and
  • He brought home this big old packet of papers.
  • the paper version because that's better for learning.
  • and paper assignment, you know.
  • Why don't we just bring SAT, ACT back to pencil and paper, you know?
Keywords: 916, all
KY
Transcript Highlights:
  • I assume register ve may still qualify.
  • <00:25:16.480> that verify and uh qualify that verify and uh qualify that and<00:25:19.200
  • We might have to do a qualified domestic relations action paperwork to get the child on the paper.
  • We might have to do a qualified child.
  • So a lot of get the child on the paper.
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.