Transcript Highlights:

• for Medicaid because they are no longer eligible for federal Medicaid funding.
• for Medicaid because they are no longer eligible for federal Medicaid funding.
• for Medicaid because they are no longer eligible for federal Medicaid funding.
• for Medicaid because they are no longer eligible for federal Medicaid funding.
• for Medicaid because they are no longer eligible for federal Medicaid funding.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Eligible, not eligible? Is that a question? That's the question.
• Are they eligible or not eligible under this definition of not otherwise lawfully present?
• When we're talking about statute and who's eligible or not eligible, we should define it in terms that
• was eligible or not.
• </c> was eligible or not. was eligible or not.

Bills: HF1323, HF3500

Keywords: undocumented, financial aid, state policy, higher education, noncitizen eligibility, funding, storm damage relief, Bemidji State University, reforestation, state appropriations, 1183, house

Transcript Highlights:

• Omera Harrington, staff counsel of this committee, explained that House Bill 1873 expands eligibility
• There are some special eligibility rules for families meeting certain criteria, including families who
• provides that full-time professional and graduate students at institutions of higher education are eligible
• income is at or below 85% of the state median income and the household meets all other program eligibility
• Bringing more transparency to how the Medicaid rate for supported living becomes real wages for me and

Bills: HB1873, HB2600, SB5957

Keywords: child care, Working Connections Child Care, WCCC, graduate students, professional students, higher education, full-time student, affordable child care, subsidized child care, child care subsidy, Department of Children, Youth, and Families, DCYF, income eligibility, state median income, copayment, copay waiver, family support, workforce participation, working families, special needs child care

Transcript Highlights:

• meeting Medicaid eligibility requirements except that PACE is available to people 55 and older.
• </c> technical changes to existing Medicaid technical changes to existing Medicaid law<00:05:08.919><
• 20.120><c> meeting</c> eligible persons as someone meeting eligible persons as someone meeting Medicaid
• <00:05:21.080><c> eligibility</c><00:05:21.759><c> requirements</c><00:05:22.759><c> except</c> Medicaid
• eligibility requirements except Medicaid eligibility requirements except the<00:05:23.199><c> pace</

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• are voting in my local precinct, or if it’s sent to the county, how do they know whether they’re eligible
• These are overseas voters who are otherwise eligible to vote in our elections under Oklahoma law.
• And when they send them a ballot, then the ballot is only eligible for, let’s say, for Congress, U.S.
• “Then the ballot is only eligible for, let’s say, for Congress, U.S.
• Is there any process in the system today that says, okay, now you're eligible, you need to go register

Bills: HB2938, HB2939, HB3306, HB3722, HB4113, HB4123

Keywords: elections, national elections, state elections, voter intent, election reform, absentee voting, electronic communication, facsimile device, voting materials, military voters, campaign finance, ethics, political contributions, candidate committee, Oklahoma legislation, voter registration, political party affiliation, Independent designation, Oklahoma, voter eligibility

Summary: The Ethics and Elections Committee heard several election-related bills. HB 2938, as amended by PCS, would restrict certain overseas voters who are not military or dependents from voting in Oklahoma state and local elections unless they were bona fide residents with an intent to return, while still preserving federal voting rights where applicable. The Secretary of the State Election Board explained the measure as a tightening of existing law and said counties would flag affected voters for federal-only absentee ballots. After questions about how intent would be determined and how ballots would be administered, the committee passed the bill 5-1. HB 2939 would remove outdated references to fax machines from election law at the request of the State Election Board. Testimony noted fax returns are now rare, limited to a very small number of military and overseas voters, and are less secure than current electronic and mail options. The committee passed the bill 6-0. HB 3306, as amended, lowers the threshold for requiring a candidate committee filing from $1,000 to $400, with the author describing it as a transparency measure to ensure more candidates disclose fundraising and spending. The committee passed that bill 6-0. The committee also passed HB 3722, with a PCS clarifying that voter registration applicants must actively choose a party affiliation rather than being defaulted to unaffiliated if they leave the field blank. The bill passed 5-1. HB 413, with an amendment, clarified that people with felony convictions regain voting rights once all incarceration, parole, supervision, probation, and related obligations, including fines and fees, are completed; the committee passed it 6-0. Finally, HB 4123, which would bar former school employees terminated for cause from running for school board in the same district, drew concerns about fairness and the breadth of “for cause.” The author said the bill was aimed at serious misconduct cases and agreed to work on clarifying language, and the bill was laid over until the next week.

Transcript Highlights:

• </c><01:13:52.719><c> such</c><01:13:52.880><c> as</c> used to determine eligibility such as used to
• determine eligibility such as proofs<01:13:53.280><c> of</c><01:13:53.440><c> citizenship.
• under federal and Hawaii law, eligibility is not discretionary.
• to vote under federal and Hawaii law, eligibility is not discretionary.
• and Havaii law, eligibility is federal and Havaii law, eligibility is not<01:15:52.719><c> uh</c><01

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• Medicaid program.
• </c> Medicaid Services. Medicaid Services.
• And that is eligibility, decreasing eligibility.
• And that is eligibility, decreasing eligibility.
• </c> our our eligibility system. our our eligibility system.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• These are overseas voters who are otherwise eligible to vote in our elections under Oklahoma law.
• And when they send them a ballot, then the ballot is only eligible for let's say for Congress, US Senate
• , our county election boards will be able to track and make sure that if it's a voter who's only eligible
• How do they know when they've met all their conditions that they are eligible now to register to vote
• Eligible, you need to go register, and are our we're just hoping that they read the paper?

Bills: HB2938, HB2939, HB3306, HB3722, HB4113, HB4123

Keywords: elections, national elections, state elections, voter intent, election reform, absentee voting, electronic communication, facsimile device, voting materials, military voters, campaign finance, ethics, political contributions, candidate committee, Oklahoma legislation, voter registration, political party affiliation, Independent designation, Oklahoma, voter eligibility

Transcript Highlights:

• Annual grants will be awarded up to $50,000 per eligible recipient.
• Well, right now, Medicaid is the only payer on said services.
• There's not a cap on the Medicaid side.
• We will save Medicare and Medicaid money and make it work.
• This set of amendments removes Medicaid from the bill.

Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• </c> 4, birthing cent's Medicaid coverage. 4, birthing cent's Medicaid coverage.
• It strictly authorizes payment eligibility. eligibility. eligibility.
• 30% of our clients are Medicaid.
• > to</c><01:37:45.199><c> the</c><01:37:45.600><c> Medicaid</c> Medicaid clients going to the Medicaid
• The Medicaid client in the state.

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Bills: HB0023, HB0024, HB0025

Keywords: extracurricular activities, public school participation, enrollment, Wyoming, student access, charter schools, application process, authorizers, public hearing, community support, scholarship, education, eligibility, continuous enrollment, 916, all

Transcript Highlights:

• It repeals a scholarship eligibility.
• What are, how much money is a person eligible for over time in that? Is there a limit?
• </c><00:29:47.039><c> Is</c><00:29:47.279><c> there</c> eligible for over time in that?
• Is there eligible for over time in that? Is there a<00:29:47.840><c> limit?</c> a limit? a limit?
• <00:36:03.599><c> during</c><00:36:04.400><c> periods</c><00:36:04.800><c> of</c> eligibility during

Bills: HB0023, HB0024, HB0025

Keywords: extracurricular activities, public school participation, enrollment, Wyoming, student access, charter schools, application process, authorizers, public hearing, community support, scholarship, education, eligibility, continuous enrollment, 916, all

Transcript Highlights:

• Like they need to follow those rules as well for eligibility to play in a public high school under the

Bills: SF0014, SF0053

Keywords: literacy, education, reading assessment, intervention program, public school funding, department of education, amateur status, high school athletics, student eligibility, sports regulation, monetary compensation, 916, all

Transcript Highlights:

• particularly for employees, and particularly if you're lowering the number of hours by which you can be eligible
• particularly for employees, and particularly if you're lowering the number of hours by which you can be eligible

Bills: SF0059, SF0053

Keywords: language proficiency, literacy education, reading interventions, dyslexia support, Montessori methods, individualized reading plans, amateur status, high school athletics, student eligibility, sports regulation, monetary compensation, 916, all

Transcript Highlights:

• We will take up temporary cash assistance eligibility by Senator Bracey Davis.
• The amendment limits the SNAP eligibility carve-out only to individuals who were victims of human trafficking

Bills: S0996, S1022, S1462, S1690

Keywords: dependent children, child welfare, cash allowance, caregivers, community organizations, empowerment, foster care, out-of-home care, temporary cash assistance, eligibility, drug trafficking, human trafficking, Florida statutes

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced four bills. CS/SB 1690, on early childhood education, was amended with a delete-all amendment that required public posting of child care inspection reports and data on child deaths, injuries, and substantiated abuse; changed certain notice and insurance provisions for family and large family child care homes; created the Florida Endowment for Early Learning; and made related definitional changes. The amendment was adopted and the committee reported the bill favorably. SB 1022, on children’s initiatives, would add two new Florida Children’s Initiatives in Bay County and Pompano in Broward County; the sponsor described the program as a community-based service network model, and the bill was reported favorably without opposition. SB 996, on dependent children, would require DCF and community-based care lead agencies to coordinate and regularly meet with organizations focused on people with lived experience in the child welfare system, and to publish how suggestions are implemented. Several young adults with foster care experience testified in support, emphasizing the importance of youth voice, normalcy, and teaching financial responsibility through allowance. The bill was reported favorably after supportive debate. The committee also considered CS/SB 1462, on temporary cash assistance eligibility, after adopting an amendment that narrowed a SNAP eligibility carve-out to people who were victims of human trafficking at the time of a drug conviction. The sponsor said the bill was intended to remove barriers to reunification and redemption. After supportive testimony and no opposition, the committee reported the bill favorably. The meeting then adjourned.

Transcript Highlights:

• </c> General's office in fighting Medicaid General's office in fighting Medicaid fraud<00:43:08.000><
• </c> that administers the Medicaid program. that administers the Medicaid program.
• our Medicaid fraud control unit.
• </c> expand the definition of Medicaid fraud. expand the definition of Medicaid fraud.
• </c> confirms that services build to Medicaid confirms that services build to Medicaid assistance<01:

Bills: HF3423, HF2354, HF3634

Keywords: healthcare, provider enrollment, medical assistance, legislation, state funds, fraud prevention, subpoena authority, criminal penalties, consumer protection, service verification, Medicaid, human services, electronic documentation, 1183, house

Transcript Highlights:

• three, uh, designating a parent, guardian, or other person having control or charge of any child eligible
• We respectfully recommend a clarifying amendment stating that resident students are eligible to participate
• that students, resident<00:05:06.320><c> students</c><00:05:06.639><c> are</c><00:05:06.800><c> eligible
• </c><00:05:07.199><c> to</c> resident students are eligible to resident students are eligible to participate
• First, continued eligibility could be aligned with institutional satisfactory academic progress standards

Bills: SF0018, SF0036, SF0047

Keywords: K-12 education, part-time attendance, public schools, student enrollment, education funding, scholarship, Hathaway, academic eligibility, financial aid, Hathaway scholarship, education, state funding, college access, 916, all

Transcript Highlights:

• So I don't see any harm in us verifying that those requesting assistance are, in fact, eligible.
• I mean, legislation is pretty clear that, you know, if a child is an American citizen and eligible for
• benefits, they'll continue to be eligible for benefits.
• essentially the same legislation that we just passed, except it's pertaining specifically to our Medicaid
• We're just trying to look at a way that these clinics can go in there and bill Medicaid.

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid

Transcript Highlights:

• If any sheriff is eligible for retirement benefits under any other county, state, or municipal retirement
• participate and shall so notify the proper authority no later than 60 days after he or she becomes eligible
• If any sheriff is eligible for retirement benefits under any other county, state, or municipal retirement
• participate and shall so notify the proper authority no later than 60 days after he or she becomes eligible

Bills: HB304, HB285, HB312, HB311, SB60

Keywords: impoundment, driver licenses, vehicle redemption, local identification cards, law enforcement, HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law