Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=3OXv994ZIlM, 2026-07-02T01:23:09+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:24 - SCR 28 05:15 - DM HHS-TCA 1:00 PM 07:30 - SCR 112 / SR 118 09:27 - SCR 67 / SR 60 14:36 - SCR 69 / SR 62 26:33 - SCR 88 / SR 79 28:13 - SCR 119 32:30 - SCR 132 / SR 152 35:54 - SCR 180 / SR 175 38:21 - SCR 183 / SR 177 41:35 - SCR 185 / SR 169 51:24 - SCR 206 / SR 105 53:51 - SCR 217 / SR 155 54:51 - DM HHS 1:02 PM 1:02:38 - SCR 64 1:07:32 - SCR 89 1:09:57 - SCR 107 / SR 96 1:11:50 - SCR 226 / SR 164 1:12:47 - DM HHS-PSM 2:00 PM Hearing Notices: HHS-TCA 1:00 PM https://www.capitol.hawaii.gov/session2023/hearingnotices/HEARING_HHS-TCA_03-24-23_.pdf HHS 1:02 PM https://www.capitol.hawaii.gov/session2023/hearingnotices/HEARING_HHS_03-24-23-1_.pdf HHS-PSM 2:00 PM https://www.capitol.hawaii.gov/session2023/hearingnotices/HEARING_HHS-PSM_03-24-23_.pdf, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=ev_zWt-cRgY, 2026-07-02T01:23:35+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:03 - HB1572 HD2 05:04 - HB1615 HD2 21:22 - DM- AEN-EDT 3:00PM 24:03 - DM- AEN DEFER 3:05PM Hearing Notices: AEN-EDT 3:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_AEN-EDT_03-25-26_.PDF AEN DEFER 3:05 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_AEN_03-25-26_DEFER_.PDF, 912, senate, all, 2.2.42, 2.1.47

Transcript Highlights:

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Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Keywords: HI House YouTube, https://www.youtube.com/watch?v=BPJqUDyiVTA, 2026-07-02T01:22:52+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2024/hearingnotices/HEARING_JHA_03-19-24_.PDF 6:53 - Introduction 9:20 - SB3242 11:15 - SB2443 20:20 - SB2289 39:18 - SB3364 42:50 - SB2503 49:58 - SB2286 56:38 - SB2291 1:00:13 - SB2615 1:05:02 - SB2562 1:15:05 - SB3236 1:19:45 - SB2512 1:20:22 - SB3305 1:23:35 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=9Lw_tXgFloQ, 2026-07-02T01:22:51+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2024/hearingnotices/HEARING_JHA_03-14-24_.PDF 8:52 - Introduction 10:24 - SB2381 56:22 - SB3243 1:02:40 - SB2405 1:10:42 - SB2216 1:13:28 - SB2217 1:14:25 - SB2219 1:36:54 - SB2569 1:44:40 - SB2561 1:49:20 - SB2236 1:57:35 - SB2387 1:57:55 - SB2958 2:00:10 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=hTZY43rsvrM, 2026-07-02T01:23:16+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - start 02:20 - GM 606 14:56 - DM DEFER HHS 1:00PM 16:14 - GM 606 cont. 37:35 - GM 607 58:34 - DM HHS 1:00 PM Hearing Notices: HHS 1:00 PM https://www.capitol.hawaii.gov/sessions/session2024/hearingnotices/HEARING_HHS_03-01-24_.pdf HHS DEFER 1:00 PM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_HHS_03-01-24_DEFER_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=xOhZD-gVuVw, 2026-07-02T01:23:14+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - start 00:28 - DM EDU 3:01 PM 02:02 - SB 2061 10:55 - SB 3328 41:45 - SB 2975 54:35 - DM EDU 3:00 PM Hearing Notices: EDU 3:00 PM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_EDU_02-07-24_.PDF EDU 3:01 PM https://www.capitol.hawaii.gov/sessions/session2024/hearingnotices/HEARING_EDU_02-07-24-1_.pdf, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=re7wy3s5l6I, 2026-07-02T01:23:14+00:00, 2.2.24, Data collected via generic collector engine, 0:00 - Start 0:10 - University of Hawaii, Athletics 33:30 - DM WAM 10:02 AM 35:48 - University of Hawaii, Early Clinical Trial Research Center Briefing Notice: WAM-HRE 9:30 AM https://www.capitol.hawaii.gov/sessions/session2024/hearingnotices/HEARING_WAM-HRE_02-06-24_INFO_.pdf Hearing Notice: WAM 10:02 AM https://www.capitol.hawaii.gov/sessions/session2024/hearingnotices/HEARING_WAM_02-06-24_.pdf, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=wNAxObOlD_g, 2026-07-02T01:23:14+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - start 01:47 - SB 2286 09:10 - SB 2351 15:18 - SB 2609 19:59 - SB 2991 33:52 - SB 2715 35:44 - SB 2673 39:26 - SB 2879 57:33 - SB 2890 01:00:08 - DM LBT 3:10 PM Hearing Notice: LBT 3:10 PM https://www.capitol.hawaii.gov/sessions/session2024/hearingnotices/HEARING_LBT_02-05-24_.pdf, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=hjIoXDDSmKQ, 2026-07-02T01:22:49+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2024/hearingnotices/HEARING_HUS_02-01-24_.PDF 10:00 - Introduction 11:15 - HB2035 17:13 - HB2535 26:41 - HB1964 37:16 - HB2427 38:54 - HB1776 43:44 - HB1769 51:30 - HB1772 56:57 - HB2722 1:12:46 - HB2746 1:26:51 - HB2712 1:39:09 - HB2217 1:45:35 - HB2591 1:52:25 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=-g717ze-xQc, 2026-07-02T01:23:11+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:05 - GM 660 09:03 - DM WTL 1:00 PM 10:59 - HCR 62 11:27 - HCR 78 13:35 - DM PSM-WTL 1:05 PM Hearing Notices: WTL 1:00 PM http://www.capitol.hawaii.gov/session2023/hearingnotices/HEARING_WTL_04-14-23_.PDF PSM-WTL 1:05 PM https://www.capitol.hawaii.gov/session2023/hearingnotices/HEARING_PSM-WTL_04-14-23_.pdf, 912, senate, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=rfsQ_pNoqms, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:19 SB 199 DISCUSSION 01:31 SB 199 VOTE 03:38 SB 203 DISCUSSION 05:29 SB 203 VOTE 08:26 SB 225 DISCUSSION 09:33 SB 225 VOTE 18:05 SB 282 DISCUSSION 22:36 SB 282 VOTE 32:03 SB 268 DISCUSSION 35:07 SB 268 VOTE 44:04, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=XwCoKZ2n1gE, 2026-06-21T07:17:00+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:00 Roll Call: 00:00:37 Evolve 502 Presentation: 00:01:35 SB 151 Discussion: 00:18:14 SB 151 Roll Call Vote: 00:30:14 SB 138 Discussion: 00:33:48 SB 138 Roll Call Vote: 01:14:58 SB 120 Discussion: 01:24:08 SB 120 Roll Call Vote: 01:36:58, 958, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=MZp_0uCYF_g, 2026-06-21T07:17:00+00:00, 2.2.24, Data collected via generic collector engine, This video was uploaded from a backup file. The original live stream did not process or save correctly. Meeting Start: 00:00 Roll Call: 00:06 Block Grant Status Review: 01:32 Regulations Review: 04:43 SB 87 Discussion: 07:25 SB 87 Roll Call Vote: 31:09 SJR 80 Discussion: 32:00 SJR 80 Roll Call Vote: 35:56, 958, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=gWhgmFkBEYY, 2026-07-02T01:22:37+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/session2022/hearingnotices/HEARING_TRN_02-09-22_.pdf 11:59 - Introduction 12:42 - HB1403 18:09 - HB2351 21:16 - HB1813 24:02 - HB1485 26:41 - HB3184 27:25 - HB2182 31:22 - HB1411 33:07 - HB1452 35:50 - HB1681 40:46 - HB1718 42:05 - HB1515 44:38 - HB2434 46:27 - HB1689 48:48 - HB2180 54:37 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=YNpFnEcyJ1Y, 2026-07-02T01:23:07+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2026/hearingnotices/HEARING_ECD_04-08-26_.PDF Timestamps: 14:34 - Introduction 15:35 - HCR 55, HD1/HR 51, HD1 16:00 - HCR 144, HD1/HR 136, HD1 17:10 - HCR 8/HR 7 17:29 - HCR 10/HR 12 17:50 - HCR 33/HR 33 18:11 - HCR 185/HR 175 20:29 - HCR 116/HR 108 25:58 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=_tgxdkcFbp4, 2026-07-02T01:23:35+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:36 - SCR163 / SR154 01:12 - SCR57 / SR55 01:37 - SCR169 / SR160 02:47 - SCR108 07:17 - SCR159 / SR150 08:00 - SCR58 / SR56 17:48 - SCR103 / SR97 21:12 - SCR19 / SR16 28:45 - SCR32 / SR28 29:26 - SCR22 / SR19 30:17 - DM - WLA 1:00PM Hearing Notice: WLA 1:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_WLA_03-30-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=rtRRwlx0X_4, 2026-07-02T01:23:35+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:26 - DM HB 1736 EIG DEFER 3:02 PM 03:41 - DM HB 1718 07:10- HB 1644 EIG 3:03 PM 08:57 - DM EIG 3:03 PM Hearing Notices: EIG DEFER 3:02 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_EIG_03-24-26_DEFER_.PDF EIG 3:03 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_EIG_03-24-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=OqQMp5IMK-g, 2026-07-02T01:23:34+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:38 - HB2140 HD2 01:38 - HB2241 HD1 02:41 - HB2608 HD1 06:51 - SCR9/SR11 07:15 - SCR20/SR17 13:29 - Decision Making 13:35 - DM HB2140 HD2 14:29 - DM HB2241 HD1 15:05 - DM HB2608 HD1 15:38 - DM SCR9/SR11 16:06 - DM SCR20/SR17 Hearing Notice: EIG 3:01 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_EIG_03-17-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=4d5rxDgq2HY, 2026-07-02T01:23:34+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:35 - HB 1860, HD2 03:03 - HB 1815, HD1 04:01 - HB 2117, HD2 08:13 - HB 2426, HD1 15:00 - HB 1881, HD1 16:06 - HB 1918, HD1 18:01 - HB 1802, HD1 19:09 - HB 2544 HD1 22:40 - DM WLA 1:00 PM Hearing Notice: WLA 1:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_WLA_03-16-26_.PDF, 912, senate, all, 2.2.42, 2.1.47