Transcript Highlights:

• If America had instituted real-time payments when England did.
• This is about the kind of payment system we're going to have in our country.
• To be clear, the HCU's responsibility is for making the payments, always drives...
• The payment process.
• From accessing the payment system, and that chart puts my hair on fire.

Transcript Highlights:

• You know, $250 a month can be a car payment.
• About payment error rates.
• The first is the SNAP payment error rate.
• It's really clear that it's not for payment rates.
• To address the payment error rate.

Transcript Highlights:

• That is due to directed payments, the growth in state-directed payments, the additional directed payments
• We've just paid one quarter's payment. We've just paid one quarter's payment.
• <00:53:20.880> So quarters worth of that payment. So quarters worth of that payment.
• We've expanded directed payments.
• We've expanded directed payments.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational 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, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• are also established in statute payment are also established in statute payment rates<00:02:16.959
• <00:08:26.759> that serving and um the the payments that serving and um the the payments that
• Managed care payments are also growing.
• imds they were not and so those payments imds they were not and so those payments have<00:34:00.320
• robots making payments each month.

Keywords: 1183, house

Transcript Highlights:

• payment assistance, and so...
• For VA loans for down payment assistance. Mr.
• make their mortgage payments.
• annually just to make the payment on that house.
• and not only make that payment.

Bills: HB111, HB108, HB145, HB164, HB291, HJR6, HR1, HB63, HB64, HB165, HB184, HB200, HB4, HB7, HB20, HB65, HB66, HB80, HB88, HB96, HB166, HB285, HB295, HB306, SB29, SB37, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM11, HM14, HM21, HM34, HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• consumer payment applications. consumer payment applications.
• accept payments from their customers. accept payments from their customers.
• Let that payment for an important rent or mortgage payment proceed.
• Let that payment for an important rent or mortgage payment proceed.
• ,<01:15:22.400> rent<01:15:22.719> payment, mortgage payment, rent payment, mortgage

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 9, 2025, 1012, house, all

Transcript Highlights:

• That payment often just goes uncompensated.
• Disproportionate share hospital payments are payments that hospitals receive for uncompensated care,
• Red, um, DSH payments, disproportionate share, so that's a payment that only a handful of our hospitals
• And bundling payments is a great way to do... Bundling payments is a great way to do that.
• Um, and I am speaking... ...payment agreement.

Keywords: 916, all

Transcript Highlights:

• We tested grant payments, amendments.
• with payments made to 11 out of those 18 grantees, and we questioned almost $296,000 in those payments
• <00:13:37.160> made and we found issues with payments made and we found issues with payments
• after final payment was issued. after final payment was issued.
• So, DHS can withhold or reduce payments So, DHS can withhold or reduce payments to<01:35:07.600>

Keywords: 1183, house

Transcript Highlights:

• If the state's payment error rate is below 6%, there is no state share of benefits.
• A payment error rate between 6% and 7.99% means the state share of benefits would be 5%.
• The federal requirement is that the state's payment error rate is to be below 6%.
• The federal requirement is that the state's payment error rate is to be below 6%.
• The federal fiscal year 2024 payment error rate is 15.13%.

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• <00:08:50.040> partial<00:08:50.440> payments<00:08:50.760> on so partial payments
• partial payments on so partial payments partial payments on invoices<00:08:52.800> we<00:08:53.279
• <00:09:10.360> so able to pay those partial payments so able to pay those partial payments
• existing statute around late payments existing statute around late payments and<00:10:19.880>
• > the<00:10:22.040> um and prompt payments and then the um and prompt payments and then

Keywords: Meeting start 00:00:00 Roll Call 00:00:02 HJR 53 Discussion 00:00:35 HJR 53 Vote 00:03:52 HB 622 Discussion 00:06:52 HB 622 Vote 00:12:55 HB 775 Discussion 00:13:50 HB 775 Vote 00:22:15, 958, all

Summary: The committee first reconsidered House Joint Resolution 53, which concerns releasing previously appropriated funds for Kentucky State University. Kentucky State University President Kofi Aapo testified in support, describing significant enrollment growth, a balanced budget, and a $5 million fund balance since his arrival, and asking for continued support. Members praised his leadership while noting the institution still has work to do. The motion to reconsider passed, and the resolution then received favorable expression by a 9-2 vote. The committee next took up House Bill 622, a compromise bill involving the Kentucky Nonprofit Network and the Finance and Administration Cabinet. Testimony explained that the bill is intended to improve prompt payment practices for grants and contracts, including partial payments on undisputed invoice items within 30 days and a process for disputed items. The bill also included several appropriation-related corrections and adjustments, including a fix to an allocation for Elizabethtown water and sewer projects, a change in an economic development recipient, revisions to school resource officer language, and additional contingency authority for the Capitol renovation. The committee adopted a title amendment and passed the bill with favorable expression by a 10-1 vote. House Bill 775 was then discussed as a broad tax and economic development measure. The bill covers TIF districts, electronic filing for craft brewers, pipeline property tax treatment, bourbon barrel tax cleanup, staged income tax reductions, extension of the Metropolitan College incentive, tourism and lodging incentives, reauthorization of an expired TIF, taxation and licensing of cannabis-infused beverages, alternative fuels and jet fuel tax credit review, entertainment event incentives, the selling farmer tax credit, IRC conformity, data center incentives, the first audit of the Kentucky Horse Racing and Gaming Corporation, and limits on additional electronic charity gaming locations until regulations are adopted. Members raised questions about the beverage tax structure, TIF impacts, and the income tax reduction provisions; some expressed concern about making future tax cuts easier, while others supported the bill’s TIF and agriculture provisions. The bill passed with favorable expression by a 7-2 vote with two pass votes, and the committee then adjourned.

Transcript Highlights:

• State directed payments, or SDPs, are provider payment arrangements through managed care.
• However, existing approved payments and those payments currently under review by CMS must phase down
• enactment July 4, 2025 for new payments. enactment July 4, 2025 for new payments.
• 04.559> review<00:30:04.880> by those payments currently under review by those payments
• HR1 limits CMS's payment errors.

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:

• They failed to ever make that payment, it automatically defaults in.
• It will reflect those payments. Thank you, ma'am. Okay.
• Who approved the payment is what I...
• The receipt books in which these payments were recorded could not be located.
• The town council minutes indicated Ordinance No. 1001 was adopted to authorize these payments.

Summary: The committee first heard updates on delinquent private water and sewer reports. For reports due as of December 31, 2012, staff said five additional 2024 reports had been received since the December meeting, bringing the total of released escrow funds to 17 and leaving 26 still escrowed. For reports delinquent as of December 31, 2023, two more reports were received, bringing 59 of the original 64 into compliance and leaving five outstanding. Both update reports were filed without objection. The committee then discussed Act 709 of 2021 and the town of Daisy’s repayment of street turnback funds. Staff said Daisy had made improper payments to a nonprofit, used restricted street funds for fire truck and fire department building costs, and had not adopted the required repayment ordinance or obtained approval for a reduced repayment percentage. Mayor Lisa Cogburn said the city council had not approved repayment because members disputed the amount, though she said the city had funds to pay. After questions from members and staff explaining the audit calculations, the committee adopted a motion requiring Daisy to repay 10% of unrestricted general fund revenues under the statute and to withhold turnback funds if the city fails to comply. The report was then filed. The committee reviewed numerous deferred and current audit findings from cities, counties, and water systems. Several local officials appeared and described corrective steps, including Harrison district court, Carroll County airport, Izard County treasurer, Alexander district court, Town of 56 officials, Bull Shoals, Lone Oak County, Beaver, Central City, Gravette, Ralston Water Department, Thornton Waterworks, Ozan, and Lee County. Findings included missing or inaccurate reconciliations, unsupported credit card charges, payroll and compensation issues, improper use of public funds, missing receipts, and budget overruns. Some matters were referred to the prosecuting attorney and Attorney General, including Bull Shoals and Lone Oak County, while others were filed or deferred as appropriate. The committee also deferred two private water and sewer reports for lack of proper responses, filed 19 reports with resolved findings, and filed 53 reports with no findings. Before adjourning, the committee set its next meeting for February 12, 2026.

Transcript Highlights:

• schedules or um or um create new payment schedules or um or um create new payment methodologies<
• payment error rate exceeds 6%. payment error rate exceeds 6%.
• <00:36:05.280> error currently in Kentucky our payment error currently in Kentucky our payment
• <00:37:51.680> The impacting payment error rates. The impacting payment error rates.
• we seen some increase in the payment we seen some increase in the payment error<00:38:12.800>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• <00:08:48.519> from especially governmental payments from especially governmental payments
• <01:17:58.800> program it's called a directed payments program it's called a directed payments
• > through quarterly supplemental payments through quarterly supplemental payments through the<
• new or untested idea uh directed payment new or untested idea uh directed payment programs<01:19
• this directed payment this directed payment program<01:36:20.000> um<01:36:20.199> I

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• 1999, the total amounts deposited into the judicial fund by statutory probate courts and the total payments
• If deposits exceed... ...courts and the total payments made to counties have been calculated at the end
• Well, many times if you're late, the landlord won't accept payment for that next month.
• And that's what Harold is alluding to: what if they don't want to take the payment?
• And that's what Harold is alluding to: what if they don't want to take the payment?

Bills: SB1015, SB2933

Keywords: 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, revenue distribution, SB 2933, elder abuse, neglect, judicial training

Transcript Highlights:

• <00:28:46.799> as follow the evidence, stop payments as follow the evidence, stop payments
• > whenever<00:56:10.880> our suspending payments um whenever our suspending payments um
• Those overlapping payments just years. Those overlapping payments just stopped. stopped. stopped.
• The US attorney and the OA payment.
• And so payments from being stopped.

Keywords: 1183, house

Transcript Highlights:

• Recently, some wholesalers in our state are delinquent in their payments to Texas distillers. Mr.
• These late or sometimes non-payments are causing our smallest distillers, to have to lay off employees
• If the wholesaler violates the terms of payment, a distiller must send a man letter to the wholesaler
• unanswered requests for invoice payments became the norm.
• This distributor's poor payment history has irreparably damaged our small business.

Bills: SB8, SB650, SB667, SB779, SB1349, SB1355, SB1378, SB1585, SB1721, SB2312, SB 8

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, China, Chinese-affiliated entities, Chinese military companies, People's Republic of China, Chinese Communist Party, divestment, state pension funds, public retirement systems, Teacher Retirement System, Employees Retirement System, Permanent School Fund, Texas Comptroller, foreign investment, national security

Transcript Highlights:

• One more interest payment was made right at the end, so there were two interest payments made in the
• So converting those borrower payments from the annual payments to the monthly payments is where we're
• So it looks like the smaller payments and smaller borrowers are the ones that are maintaining their payment
• to convert folks from the annual payment cycle to a monthly payment cycle and put out for bid a loan
• So they send out the invoices, collect the payments, and apply the payments to the loan.

Transcript Highlights:

• And again, this declining student enrollment payment.
• The bill aligns the scholarship payment installments from quarterly to monthly and aligns the payments
• , or a monthly payment, rather, they receive front-loaded monthly payments, and that money goes into
• I do have a question when it comes to the monthly payments.
• So they're the ones that are making the payments.

Summary: The committee first heard the proposed Pre-K-12 education budget for fiscal year 2025-26, totaling $34.7 billion. The chair highlighted major increases for the FEFP, including $29.6 billion for public schools and K-12 scholarships, a $984 million year-over-year increase, along with higher per-FTE funding, $4 billion for the Family Empowerment Scholarship, $431.4 million for VPK, funding for school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. With no public comment, the committee adopted a motion for staff technical corrections and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee. The committee then considered SB 1402 on dropout retrieval programs. The bill expands eligibility so any individual who has withdrawn from high school may enroll in dropout retrieval services and clarifies how school grades are calculated for virtual instruction providers that offer those services. An amendment clarifying the grading calculation was adopted, and the committee reported the bill favorably. Next, the committee took up SPB 7030 on educational scholarship programs, a broad measure addressing school choice funding and administration. The bill would fund the Family Empowerment Scholarship as a separate categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, standardize payment timing to monthly installments, require continued eligibility verification, and add Level 2 background checks for providers receiving state funds. Members raised questions about background-check enforcement, payment timing, data sharing, and the impact on homeschool and private-school families. Public testimony included support from school-choice advocates and concerns from private-school representatives about added regulatory burdens and deadlines. The committee adopted the bill as a committee bill and reported it favorably, with Senator Osgood voting no. Finally, the committee considered SB 508 on the Family Empowerment Scholarship Program, which requires private schools to disclose in writing what accommodations, modifications, and services they will provide to students with existing plans such as IEPs, EEPs, 504 plans, or ELL plans before enrollment. An amendment was adopted to require public schools to consult with private schools about equitable services. Testimony was mixed: supporters said the bill would give parents needed information for informed choice, while private-school representatives said the language could be burdensome and vague. The committee reported the bill favorably.

Transcript Highlights:

• CDSS issues quarterly cost of care plus payments to contractors so that they can make their timely payments
• And if we do, for example, have to make an early payment to make a, To make those payments.
• And if we do, for example, have to make an early payment to make sure that Cost of Care Plus payments
• So at least that first payment is for services rendered in 2025-26.
• So that first payment is for June.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.