Transcript Highlights:

• We withhold 4% of payments based on the hospital or health systems' attributed members.
• I think changes to the payment structure... ...you know, maybe state that directly.
• Because today, if they don't make changes, their payment stays the same.
• And then in Section 6, it requires that our premium payments, our capitation payments for Blue Cross
• We're currently providing those payments since it was set to expire.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• for managed care MA forecast payments for managed care MA capitation<00:22:06.400> payments<00
• :22:06.799> by capitation payments by capitation payments by 0.1%<00:22:09.039> and<00:
• are. combination of payment increases or combination of payment increases or modifications<00:23:22.720
• <00:25:00.400> rates payment rates payment rates for<00:25:03.279> ambulances.
• <01:19:40.560> to perenrollment incentive payments to perenrollment incentive payments to

Keywords: 1187, senate, all

Transcript Highlights:

• So contributing to the increase in 2024-25 is a $7.8 billion maintenance factor payment, which is an
• increase of about $2.3 billion over the payment that was projected at the 2025 Budget Act.
• So if you think about the way to think about deferrals is to think about monthly payments.
• Districts normally get 12 payments. Essentially this year, they're only going to get 11.5.
• of half a month's payment to eliminate the deferrals moving forward.

Summary: The Assembly Budget Subcommittee on Education Finance held its first hearing of the year on Proposition 98, focusing on the Governor’s budget estimates for the three-year budget window, the Public School System Stabilization Account (PSSA), and repayment of education deferrals. The Department of Finance said the minimum guarantee would rise by about $21.7 billion over the 2025 Budget Act, with increases in each year, full repayment of the existing settle-up obligation in 2024-25, a new $5.6 billion settle-up obligation proposed for 2025-26, and a higher guarantee in 2026-27. Finance also noted revised downward estimates for transitional kindergarten attendance and Los Angeles County property tax reimbursements, and said community colleges would be funded above the split because of enrollment growth. The Legislative Analyst’s Office emphasized fiscal risk and volatility, warning that recent revenue gains are tied heavily to the stock market and tech sector and could reverse quickly. The LAO argued the Governor’s proposed $5.6 billion delay shifts risk into future years and recommended instead fully funding the current estimate, making a larger reserve deposit, considering advance payments or pension-related uses, and finding additional non-Prop 98 solutions to reduce the state’s structural deficit. On the reserve and deferral items, Finance described revised PSSA deposits and withdrawals that would leave about $4.1 billion in the reserve by 2026-27, and both Finance and the LAO supported paying off the remaining LCFF and SCFF deferrals as good fiscal practice. Committee members questioned the size of the settle-up amount, the degree of revenue volatility, the use of the reserve, and the ongoing K-12/community college split. Finance said the proposal is meant to avoid overappropriation if revenues fall, while the LAO said a buffer of roughly $3.5 billion would address typical forecasting risk. Public commenters, including school boards, county offices of education, teachers, and advocacy groups, largely opposed the $5.6 billion withholding or settle-up delay, calling it a manipulation of Prop. 98 and urging full funding and more stable revenue solutions. Several speakers also urged dedicated funding for students experiencing homelessness. The hearing ended with no vote, and the chair announced that broader program discussions would occur in later hearings.

Transcript Highlights:

• The building authority has the option to do the lease payments and structure the bonding as lease payments
• Loan payments, participation loans, all that money moving on a daily basis; participation payments, split
• payments, interest payments, Federal Reserve line access, correspondent services, bond payments, bond
• Our payment rails are not fast, cheap, and integrated. Banking needs a new set of payment rails.
• So it's three years of no interest, no payments, two years of low-interest payments, and then it's due

Summary: The committee received a compliance and budget update on Industrial Commission agencies and programs, including the Industrial Commission administrative office, the Oil and Gas Research Program, the Clean Sustainable Energy Authority, the State Energy Research Center, the Research Technology Park grant program, and related funds. Staff reviewed spending and balances for items such as electric grid resiliency grants, lignite research, enhanced oil recovery, the salt cavern business case study, and the new NDSU research and technology park grant. Members also discussed timing, carryover balances, matching requirements, and how some programs are structured to reimburse projects over several years rather than spend funds immediately. Karen Tyler of the Industrial Commission described the agency’s administrative budget, the grant management system nearing completion, and the transition to standalone audits and staffing after separating from other agencies. She also outlined the status of active grant rounds across lignite, oil and gas, renewable energy, outdoor heritage, and clean sustainable energy programs. Members asked about the length of active grants, demand for clean energy funding, and the possibility of future grant rounds. Tyler and members also discussed the salt cavern study, the need to better define its commercial value, and the research technology park grant’s cash-match requirement. Ron Ness then testified on enhanced oil recovery and broader oil and gas market conditions. He said North Dakota production remained steady, but future growth depends on infrastructure, longer laterals, and better use of natural gas and carbon dioxide for EOR. He described the state’s EOR grant round, the use of federal DOE funding to replace part of a state-funded project, and the expectation of additional grant rounds. Members asked about CO2 supply, storage, and the economics of using legacy fields and pipelines to extend oil production and support agriculture and industrial uses. The committee also heard from Bank of North Dakota President Don Morgan, who reviewed the bank’s mission, governance, lending verticals, disaster programs, and new initiatives. He said the bank is seeing deposit growth flatten and is responding to fintech competition by focusing on liquidity, risk management, and a new payment infrastructure initiative called Rough Rider Coin, which he emphasized is not crypto and not a public coin, but a banking payment rail for North Dakota institutions. Members asked about student loan rates, disaster lending, and how the bank’s lines of credit and balance sheet capacity are affected by deposit trends. Morgan said the bank remains profitable and continues to support agriculture, commerce, and industry through participation loans, student lending, and state-directed programs.

Transcript Highlights:

• They need to make advance payments.
• They're going to have to make a bigger advance payment.
• They call me back, said, hey, start making the payments.
• I had made $11,000 in payments. But I owe $28,000.
• That should be used to make full payment of your liability.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a hybrid hearing on several property and local tax bills. The main focus was H.56, the Municipal Empowerment Act, which the Healey-Driscoll Administration, the Massachusetts Municipal Association, MAPC, and Salem Mayor Dominick Pangallo supported as a package of local options and administrative reforms. Supporters said municipalities need more tools to relieve pressure on property taxes and fund services, citing proposed increases to local meals and lodging taxes, a new local vehicle excise surcharge, senior property tax relief, one-year override flexibility for emergencies, and central valuation of telecom and utility property by DOR. The administration said the bill was based on municipal listening sessions and was intended to give cities and towns optional, not mandatory, revenue tools. Opponents, including the National Federation of Independent Businesses, argued the tax increases would hurt restaurants, hotels, tourism, and small businesses and add to affordability concerns. The committee also heard testimony on H.3211, dealing with deeds excise receipts, from Norfolk County Commissioner Richard Staidi. He said Norfolk County is financially stable but needs additional revenue for major capital needs at its agricultural school, especially a new cafeteria and other aging facilities, and also to support county programs such as veteran transportation services. On S.2020, a bill to allow settlements of tax liability, Greater Boston Legal Services, the Asian American Civic Association, and several individual taxpayers urged creation of a more workable offer-in-compromise process at DOR. They said the current system is too subjective, requires an unaffordable $5,000 threshold, lacks clear standards and appeal rights, and leaves low-income taxpayers stuck with unmanageable debt, license suspensions, or business closures. Supporters said the bill would give both taxpayers and DOR a practical way to resolve liabilities and bring people back into compliance. The committee also took testimony on S.1966, which would require nonprofits selling property to disclose any back-tax obligations to buyers. Senator Peter Durant said the bill was prompted by a personal experience in which a tax bill arrived after a nonprofit property purchase was already completed, and he argued the disclosure would prevent buyers from being surprised by retroactive tax liability. No votes were taken during the hearing, and the chair closed the session after hearing from all scheduled witnesses.

Transcript Highlights:

• What we can do is bring a mortgage and down payment assistance to get more people into homeownership
• DOWN PAYMENT ASSISTANCE TO HELP INDIVIDUALS AND FAMILIES WHO HAVE THE INCOME BUT NOT NECESSARILY THE
• Usually individuals don't even know they are accessing down payment assistance for a mortgage through
• OFTEN LOCAL BANKS TO HELP ACCESS THE AGENCIES DOWN PAYMENT ASSISTANCE USUALLY INDIVIDUAL'S DON'T EVEN
• DOWN PAYMENT ASSISTANCE AND WE ARE THE LARGEST SOURCE OF THAT ASSISTANCE IN THE STATE.

Keywords: 1187, senate, all

Transcript Highlights:

• In fact, we know that instead of driving down... the national debt, public and non-public payments have
• It caps the total state directed payment amounts for inpatient hospital and nursing facility services
• at 100% of Medicare payment rates.
• It simplifies the payment plans by and large.
• payment error rate.

Keywords: 988, house, all

Transcript Highlights:

• It restricts state-directed payments from exceeding Medicare payment rates.
• January 2027 it restricts state new state directed payments from exceeding Medicare payment rates that's
• There are no new state-directed payments that can exceed the Medicare payment levels.
• And it requires existing state-directed payments... The Medicare payment levels.
• And it requires existing state-directed payments.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• Since the credit was removed, recapture payments are now due in full by August 15th.
• That policy encouraged timely payments and kept more local funds circulating locally.
• Businesses routinely receive incentives for early payments.
• Chairman Frank, yeah, just real quick, make a lump sum payment. Some payment on February 15th.
• Littleton, you said, what's the recapture payment in Port Aransas?

Bills: HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise

Transcript Highlights:

• All families to verify continued eligibility prior to each payment.
• As you'll see, we are talking about a payment cycle of every six weeks.
• We do monthly payments, but we frontload and give a two-month payment on the front end to homeschooling
• Give a two-month payment on the front end to homeschooling families.
• Checks that could result in students missing out on funding payments, so that's one concern.

Keywords: 999, senate, all

Transcript Highlights:

• Payments went up; monthly payments increased.
• So, in year one, we saw over the course of a year, an increase of $78 in payments.
• And so we reasoned yes, that lowering the interest rate appeared to have the effect of making payment
• And we gave them community service, reduced fines, eliminated forgiven fines, or a payment plan.
• We will have more payments because the payments are more affordable. That does make sense. Yes.

Bills: SB629, SB1015, SB2501, SB2933

Keywords: child support, interest accrual, family law, delinquency, financial judgment, statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary

Transcript Highlights:

• and instead move toward value-based payments, population-based payments, and episodes of care.
• Value-based payments, population-based payments, and episodes of care are designed to incentivize quality
• They only want to do value-based payment.
• But there are other cases. for payment is too low. They just can't do it.
• get a bonus payment.

Keywords: 1184, house, all

Transcript Highlights:

• One consisting of a payment of $8,32 on One consisting of a payment of $8,32 on July 1, 2027, and two
• of 2,00 $17 on July 1, 2027, and two payments of $17 on July 1, 2027, and two payments of $1,800 on
• And what I see in here, the percentage of income tax payments, is that this falls after Tax payments,
• They'll work out a payment plan to keep them with their lights on.
• Again, the trust gives you a lump-sum payment upfront.

Keywords: 981, all

Transcript Highlights:

• the total estimated payment to $668.3 million for 2026-27.
• Some annual payments can be up to $20 million, so payment via check can be cumbersome for the employer
• Of those victims, only 24% receive any payment at all.
• Do you have any data on the payment breakdowns?
• Do you have any data on the payment breakdowns?

Keywords: 988, house, all

Summary: The subcommittee held a May Revision budget hearing on state administration and related issues, hearing presentations from multiple departments and agencies. Early items included the Public Employment Relations Board on funding for implementation of AB 1 and a reduced request tied to AB 288, the Governor’s Office of Service and Community Engagement on a technical College Corps adjustment, and the Secretary of State on building security upgrades, election security grant matching funds, and payroll system readiness costs. The Department of Consumer Affairs presented a Board of Pharmacy modernization request and a General Fund backfill for the Bureau for Private Postsecondary Education; the LAO raised no concerns on the pharmacy item but recommended rejecting the private postsecondary backfill and questioned interest-free loan language. The Employment Development Department outlined several large workload and benefit adjustments, including EDD Next document management funding, UI loan interest, DI/PFL benefit increases, WIOA adjustments, school employee benefits, an EMT training reappropriation, and a technical reversion correction; the LAO flagged the size of the DI/PFL increase and the expansion of the document management scope, while members asked about program impacts and timelines. The California Workforce Development Board presented an April adjustment to reimbursement authority for an interagency agreement with Caltrans, which the LAO said raised no concerns. Public comment on that item and others included support for workforce and apprenticeship initiatives, including the Jails to Jobs proposal and renewal of the Apprenticeship Innovation Fund, though those were not part of the May Revision package. The Department of Industrial Relations then presented several proposals: reclassifying legal positions, continuing modernization of the workers’ compensation EAMS system, Cal/OSHA data modernization, creating a Cal/OSHA emerging technologies unit, reappropriating funds for the California Opportunity Youth Apprenticeship program, and trailer bill changes requiring electronic payment of employer assessments and adjusting the statutory treatment of the workers’ compensation administrative director’s salary. The LAO generally found the IT and salary proposals reasonable but urged close monitoring of the new emerging technologies unit. Committee members, especially Assemblymember Ortega, pressed DIR on long vacancy rates, wage theft claim delays, low collection rates for Cal/OSHA fines, and whether new resources would improve outcomes; DIR said it was pursuing recruitment, classification reviews, and process modernization, while the LAO noted that staffing alone may not explain the delays. The Workers’ Compensation Appeals Board also sought to make permanent a 2024 change to the 60-day reconsideration clock, saying it had reduced backlog and interim orders; the LAO had no concerns. Finally, the Department of Human Resources presented a statewide Employee Assistance Program contract consolidation that would lower costs compared with renewing separate contracts and requested one program manager position to oversee the contract and first responder services; the hearing continued with Finance’s response after the transcript ended.

Transcript Highlights:

• the total estimated payment to $668.3 million for 2026-27.
• Some annual payments can be up to $20 million, so payment via check can be cumbersome for the employer
• Of those victims, only 24% receive any payment at all. Only 24% receive any payment at all.
• Do you have any data on the payment breakdowns?
• The first one is modernizing payments for routine software licenses.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• Or a payment of some kind?
• We want people to be able to make payments when they want to make payments, even if it's in the middle
• payments when they want to make payments payments when they want to make payments even<03:30:54.120
• payment of ordered payment<05:46:25.080> of<05:46:25.320> cash<05:46:25.600> benefits
• <05:46:26.040> to<05:46:26.200> Injured payment of cash benefits to Injured payment

Keywords: 928, house, all

Summary: The meeting began with testimony from Charlotte Harding of the Conservation Land Stewardship Program, who explained that the office protects the state’s interests in conservation lands by monitoring conservation easements and related stewardship obligations. She described the program’s funding sources: a land conservation endowment held at the State Treasury and administered by the Council on Resources and Development, plus transfers from Fish and Game for easements not covered by the endowment. Members discussed how the endowment is funded when new easements are created, the program’s staffing, the loss of a state vehicle, and the need to increase in-state travel so staff can use personal vehicles for field monitoring. Harding said the office has two full-time positions and a seasonal employee, that the work is mostly monitoring rather than hands-on land management, and that enforcement issues are referred to the grantee agencies or, if needed, to the Council on Resources and Development. She also noted that the office works directly with landowners to resolve smaller issues and that stewardship has become a greater focus in the conservation community because ongoing oversight requires funding. Members asked about examples of properties under the program, including LCIP lands such as Musquash Headwaters, Hidden Valley Boy Scout Camp, and Nash Stream, and the committee did not take a motion before moving on. The committee then heard from Paul Breen and Susie Anzelone of the Pease Development Authority regarding the Division of Ports and Harbors operating budget. They explained that the authority provides finance, legal, environmental, and engineering support to the division, which operates New Hampshire’s only deep-water berth at Market Street, as well as facilities in Hampton, Rye, the Portsmouth Fish Pier, and navigational waters in the Piscataqua and Great Bay. They described the authority’s history after the closure of Pease Air Force Base, the transfer of roughly 2,400 acres, and the creation of a self-sustaining enterprise fund tied to airport and port operations. They emphasized that the division does not draw on the general fund because revenues from wharfage, dockage, parking, registration, and mooring fees cover operating costs, with any surplus retained for capital improvements and replacement. Members questioned several budget lines, including a sharp increase in overtime and workers’ compensation. Breen said overtime is driven largely by security needs at the deep-water port and fluctuates with vessel traffic, such as salt shipments, while workers’ comp is a DAS-set cost and not something the division controls. He said the budget is conservative and that if revenues fall short, capital projects would be the first items scaled back. The discussion also covered fee-setting, with Breen saying rates are reviewed against the local market and infrastructure constraints, and that some smaller facility fees had recently been increased after being stagnant for years.

Transcript Highlights:

• And also, we do know that mortgage inflation has increased as well as mortgage payments.
• . make additional payments toward the make additional payments toward the mortgage<00:05:22.000> principal
• <00:05:29.039> and<00:05:29.280> potentially their mortgage payment and potentially
• their mortgage payment and potentially saving<00:05:30.639> on<00:05:30.880> interest<
• Well, I guess everybody wants more house with lower payments? That's pretty simple. All right.

Bills: HB55, HB104, HB55, HB104

Keywords: mortgage, payments, financial institutions, borrowers, principal, escrow, homeownership, abandoned property, digital assets, state treasurer, unclaimed property, liquidation, finders, contracts, electronic reporting, fishing, licensing, jubilee, Marine life, Alabama

Transcript Highlights:

• Thank you for your what the payment is.
• Each employee shall be given payment.
• are due where the mechanism of payment are due where the mechanism of payment is<00:46:12.160>
• That's payment method to get rid of me?
• But if the manner of payment is.

Keywords: 1191, senate, all

Transcript Highlights:

• If you use that for down payment assistance, you may get about a $120, $130 reduction in your payment
• You may get about a $120, $130 reduction in your payment.
• But I think on the down payment assistance...
• The certificate of occupancy doesn't trigger the tax payment.
• And if your mortgage payment is, say— ...is double the rate and then at 3%.

Keywords: 996, all

Transcript Highlights:

• payment was made originally. originally. originally.
• to explain what originally thinking was in paying the payment.
• to explain what originally thinking was in paying the payment.
• Some were clawbacks from payments back as far as 2021.
• recoupment payments sometimes as much as recoupment payments sometimes as much as four<00:18:15.160><

Keywords: 919, house, all

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.