Transcript Highlights:

• We have a student enrollment of 923, 654 of which are registered apprentices and 239 craft trainees.
• If we had more money to invest in facilities, we could expand in different areas and grow enrollment.
• If we had more money to invest in facilities, we could expand in different areas and grow enrollment.
• So this is what we sell to our participating employers to try to get them to enroll.
• Also continue to fund things like Open Door.

Summary: The Careers and Workforce Subcommittee met to discuss apprenticeship education and workforce development, with panelists from Santa Fe College, the Florida Refrigeration and Air Conditioning Contractors Association, ABC East Coast/ABC Institute, and Piper Fire Protection. Members heard that apprenticeships are growing in Florida, with panelists emphasizing that these programs offer paid, tuition-free training, progressive wage increases, and strong job placement in high-demand fields such as HVAC, electrical, fire protection, and construction. Panelists also described efforts to expand into new areas like accounting, cybersecurity, network infrastructure, and surgical technology, while stressing the importance of aligning programs with employer demand. A major topic was funding and reimbursement. Panelists said the current model is complicated and often leaves providers with only a portion of the funds appropriated for apprentices, with one provider saying reimbursement can be as low as 44% and others describing caps, contract delays, and inconsistent CareerSource support. They argued that more of the money should reach training providers, that small businesses need more support to participate, and that transparency and contract reform could help expand enrollment and improve program quality. Several also raised barriers such as instructor approval rules, paperwork, and facility costs. Members asked about admission criteria, program costs, employer incentives, outreach to high school students, and whether apprenticeships should have greater access to other funding sources. Panelists said the main requirements are being employed and willing to work and learn, and that outreach through schools, career fairs, community partnerships, and public awareness campaigns is essential. They also discussed articulation agreements that can provide college credit for apprenticeship training and suggested statewide credit recognition and possible direct funding to providers as policy improvements. No votes were taken, and the meeting ended with the subcommittee adjourning.

Transcript Highlights:

• I hope that we will continue talking about the Children's Cabinet in future bills. And, Mr.
• and access records accordingly in support of that enrollment. ...enrollment and access records accordingly
• in support of that enrollment and student support process.
• She worked 23 years in this capacity, continuing to advance and also to become president... ...23 years
• Barney continued to be a trailblazer, and in 2012,...

Keywords: 995, all

Summary: The Senate took up House No. 4646, an act enhancing child welfare protections, and considered a series of amendments focused on child welfare, school discipline, truancy, foster care transparency, and related services. Several amendments were withdrawn, including Senator DiDomenico’s proposal to create a Massachusetts children’s cabinet and Senator Tarr’s amendments on timeout and isolation standards, the best-interest-of-the-child standard, and mandated reporter definitions. Other amendments were adopted, including Senator Rauch’s amendments on student transfers and reasonableness, Senator Tarr’s amendment on information management integrity and youth engagement in the Office of the Child Advocate, and the Senate Ways and Means amendment. Amendments on school compliance before CRA filings, probation certification before accepting a child requiring assistance petition, and statewide truancy and engagement standards were rejected. After the amendments were resolved, the Senate ordered the bill to a third reading and then passed it to be engrossed by a roll call vote of 39 in the affirmative and none in the negative. The chamber also adopted a motion to adjourn in memory of John Edwards and Hadley Boucher, with moments of silence held for each. Later, the Senate also adjourned in memory of former U.S. Representative Barney Frank, with remarks highlighting his civil rights work, his role in financial reform, and his historic service as the first openly gay member of Congress. Before adjournment, the Senate took up a House amendment to the Senate bill establishing the Massachusetts Data Privacy Act, voted not to concur, and requested a committee of conference. The chair appointed Senators Creem, Finegold, and O’Connor to the conference committee. The Senate then adopted an order to reconvene on Monday at 11:00 a.m. and dispense with printing a calendar, and finally adjourned.

Transcript Highlights:

• Um, and we have, you know, enrollment requirements at least half-time enrollment.
• Um, and the half-time enrollment.
• enrolled in those dual credit classes. enrolled in those dual credit classes.
• It's really for continued 250,000.
• It is continued to do development.

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Education met and approved the July 15, 2025 minutes before hearing a presentation from the Kentucky Higher Education Assistance Authority (KHEAA/KIA) on student financial aid ahead of the January biennial budget session. KHEAA outlined its role administering 17 state-funded grant and scholarship programs, 529 plans, and outreach services, and emphasized that net lottery proceeds after a $3 million literacy appropriation are statutorily dedicated to student aid. The agency focused on the major need-based programs—College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES—along with dual credit, Work Ready Kentucky, teacher scholarship, and National Guard tuition assistance. Officials said the new federal FAFSA methodology created a major increase in eligible students, especially for CAP, and thanked lawmakers for adding substantial funding this biennium to meet the higher demand. Staff explained that CAP is for Pell-eligible, low-income students, while KTG is a need-based grant for students at private Kentucky colleges; both use FAFSA data, but schools verify final eligibility. They said CAP awards are first-come, first-served and that the higher funding level allowed the program to last the full 21-month application cycle in FY 2024-2025, compared with much shorter periods in earlier years. KHEAA reported about $232 million spent on CAP for roughly 72,000 students last year, with current applications running about 10% ahead of the prior year. Members asked about the difference between applicants and recipients, the effect of lower lottery revenues, and whether recent federal legislation would affect state aid; KHEAA said it does not expect major impacts on grants and scholarships, though student loan changes could affect graduate students. The committee also discussed KEES and dual credit. KHEAA said KEES has been fully funded since its creation and that its forecast was within $76,000 of actual need last year. For dual credit, staff said a recent bill consolidated work-ready dual credit and career/technical education under one scholarship program, and KHEAA will seek growth funding because participation and costs continue to rise. The agency said FY 2025 dual credit spending reached $26.4 million across dual credit and work-ready funding, requiring transfers from Work Ready Kentucky to keep dual credit fully funded. Members asked about transferability of dual credit hours and whether the program reduces later college costs; KHEAA said it does not have hard data on every credit transfer, but it does see higher bachelor’s completion rates and lower student debt, suggesting positive effects. No votes were taken beyond approving the minutes.

Transcript Highlights:

• individual eidbi providers that enroll individual eidbi providers that enroll so<00:15:23.440>
• > individuals so providers enroll both as individuals so providers enroll both as individuals
• I assume when they enroll, they enroll as a specific provider type, so we can get that to you.
• Did you say they’re enrolled but not billing? Yes.
• So it was 220 plus 100 enrolled, so about 320 enrolled, and 100 of those had not been billing in the

Keywords: 1187, senate, all

Summary: The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity. DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028. Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.

Transcript Highlights:

• The district is troubled by continual operating referendum struggles, open enrollment struggles, statutory
• That looks to be a pattern that will continue.
• <00:19:59.960> across seeing um shrinking enrollments across seeing um shrinking enrollments
• <00:20:07.520> the to be able to continue to operate the to be able to continue to operate
• Members, we continue to hear more and more perspectives.

Bills: HF827, HF1258, HF2387, HF2388, HF2534, HF2016

Keywords: education, school funding, consolidation aid, financial support, Minnesota Statutes, education finance, ice arena, school districts, cooperation agreement, equal sports opportunities, school milk program, nutrition, food waste, kindergarten, public schools, supplemental revenue, charter schools, funding, state appropriations, general education funding

Transcript Highlights:

• The Legislature must continue...
• I know this will continue to be an ongoing conversation.
• Yet many providers are struggling while costs continue to rise.
• Yet many providers are struggling while costs continue to rise.
• On child care, thank you for the continued investment in child care slot.

Keywords: 987, senate, all

Transcript Highlights:

• off, I'd like to say that Katie is very appreciative of the investment that the General Assembly continues
• Uh, like I said, we're appreciative of the continued investment that you all make in education in Kentucky
• There's also factors such as, you know, Medicaid enrollment, poverty roles, things like that that would
• There's also factors such as, you know, Medicaid enrollment, poverty roles, things like that that would
• This number continues to grow, and frankly it grows very fast.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development received a presentation from Kentucky Department of Education officials on the final SEEK estimate for fiscal year 2025. Commissioner Robbie Fletcher, Matt Ross, and Chay Ritter explained that SEEK is developed through a consensus process with the Office of the State Budget Director using multiple models and district-level inputs, and that the estimate is a projection made well before actual data are available. They emphasized that the discussion was separate from the pending education-funding lawsuit and described SEEK as one part of a much larger K-12 budget picture. The presenters said the current SEEK estimate shows a statutory shortfall of about $14.7 million, or roughly 0.53% of the appropriation, with additional optional items that could bring the total to about $40.5 million if funds are available. They noted that prior years have sometimes produced excess funds, which are redirected according to budget language rather than automatically flowing back through SEEK. They also reviewed the main drivers of the estimate, including property assessments, average daily attendance, free lunch counts, exceptional child counts, home hospital, and limited English proficiency, and said property assessments have been especially volatile while exceptional child counts and ELL populations are difficult to predict. Members asked about why the estimate missed on some categories, especially special education and ELL, and whether district-level changes were being monitored closely enough. The presenters said KDE does monitor special education counts and will review larger districts and districts with unusual growth, and they acknowledged that exceptional child growth has been hard to forecast. Representative Bojanowski asked about the Cloverport virtual school, and staff said its growth was much larger than projected and accounted for a significant portion of the shortfall. Members also discussed the impact of property value growth, population shifts, illness, and legislative changes on SEEK projections. No vote or formal action was taken, and the meeting ended after questions and discussion.

Transcript Highlights:

• And finally, enrollment windows.
• And finally, enrollment windows.
• And finally, enrollment windows.
• And finally, enrollment windows.
• Cost continues to go up.

Keywords: 916, all

Transcript Highlights:

• <00:10:28.880> denying care homes and continually denying care homes and continually denying
• :41:57.200> Medicaid<00:41:57.760> program enrolled in both the Medicaid program enrolled
• We have over 69,000 enrolled below.
• We just this is just our enrollment We just this is just our enrollment trend.<00:42:41.599>
• You can see this to continue to grow.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• things we do to help providers enroll. things we do to help providers enroll.
• Interest has again picked up and you're seeing enrollment not at full enrollment.
• So, let's keep them here and let's hopefully we see continued increase in enrollment.
• <02:36:59.560> Uh uh their enrollment was down. Uh uh their enrollment was down.
• we see continued increase in enrollment. we see continued increase in enrollment.

Keywords: 916, all

Transcript Highlights:

• The agency amendment amends Section 2 to cap enrollment at 10% above the previous year's enrollment.
• administrators are full-time enrolled administrators are full-time enrolled online<00:14:06.600>
• at 10% above the previous enrollment at 10% above the previous year's year's year's enrollment<00:14
• thank you all for coming enrollment thank you all for coming today<00:14:25.600> please<00:14
• c> remote enrolled enrollment virtual and remote enrolled enrollment virtual and remote learning<

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Transcript Highlights:

• And they recognize that this has an impact on our enrollment.
• They saw our student housing, and they recognize that this has an impact on our enrollment.
• And with the decreased 26% of enrollment has decreased, so that's not even happening anymore.
• They can continue with it.
• So they would be allowed to continue.

Bills: SB234, SB210, SB243, SB244, SM16, HB8

Keywords: foster children, school transportation, education funding, public education, child welfare, New Mexico Highlands University, soccer field, women's sports, infrastructure improvement, funding allocation, student athletes, appropriation, New Mexico State University, nutrition, travel support, funding, education, university support, financial assistance, parenting students

Transcript Highlights:

• , as we continue to advance in growing California's nursing workforce.
• And then the students that are currently enrolled won't be able to progress and graduate.
• continue to remain high and that the students in the community they serve continue to be happy with
• We're continuing to grow that pipeline. We're continuing to reach out. We've approved new schools.
• Enrollment growth is in our background paper as well.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Uh, section 8 contains a $500,000 appropriation to continue the select committee for one more interim
• This is a $20 million appropriation for dual enrollment programs that school districts uh, participate
• appropriation for dual enrollment appropriation for dual enrollment programs<00:15:27.199> that
• participating in dual dual enrollment participating in dual dual enrollment programs.<00:15:58.240
• One of the policy positions from the select committee was to continue and study that this next interim

Bills: HB0150

Keywords: Wyoming business council, economic development, task force, evaluation, policy reform, 916, all

Transcript Highlights:

• But continuing the conversation.
• they're worthwhile and those conversations need to continue.
• AB 1419, Addis, Covered California automatic enrollment: due pass out on a roll call.
• AB 98, Fong, dual enrollment advisory board: holding committee.
• eliminate dual enrollment pathways eligibility changes; that’s out with Republicans not voting.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• We're going to continue to do so.
• Bruce, I think we have to enroll the senator. I think we have to enroll the senator.
• Continued promises made and not kept.
• And then what would that do for the continuity of the education services?
• And so having some continued continuity between our education programs is really vital.

Keywords: Native education, Department of Education, federal funding, testimony, treaty obligations, public schools, educational policies, Indigenous students

Summary: The meeting focused on the responsibilities of the U.S. Department of Education towards Native students, highlighting the importance of federal education programs that satisfy treaty obligations to Native communities. Various witnesses testified about the impact of educational policies designed to support Native students who primarily attend public schools. Concerns were voiced over recent proposals that could potentially undermine these programs, citing the role of federal funding in ensuring successful educational outcomes for Native youth. The chair of the committee emphasized the need for continued federal support and attention to the unique educational challenges faced by Indigenous populations.

Transcript Highlights:

• Signing of enrolled acts.
• Enroll that.
• >> Enroll<02:23:20.000> that.
• > being<02:23:31.680> original Enrolled act number 56 being original Enrolled act number
• 04.880> 57<02:24:05.600> being Senate enrolled act number 57 being Senate enrolled act

Keywords: 916, all

Transcript Highlights:

• I believe we're projected to lose another 10% of our enrollment by FY31.
• So the reduction to the SEG for enrollment decline is in FY27.
• So they each either tripled or quadrupled their enrollment year over year.
• It's also a national trend, with almost every state seeing declining enrollment.
• Continuing on, Mr. Chairman, on line 129. Community schools.

Transcript Highlights:

• They had way fewer people enrolling on the program than they had expected.
• They had way fewer people enrolling on the program than they had expected.
• They could be enrolled in an education program that is at least half-time.
• <00:15:20.160> in people who are pregnant or enrolled in people who are pregnant or enrolled
• We also know this costs for enrolles.

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• I know you'll continue to hear all sides and work on this issue.
• This work and engagement will continue as we move forward.
• As the cost of living continues to rise and threats to cut funding from federal government programs continue
• As a result, enrollment happens on a rolling basis.
• We've not enrolled a single new family since the fall.

Keywords: 988, house, all