Transcript Highlights:

• That would be up to the commissioner. Okay, could be politics involved?
• That would be up to the commissioner. Okay, could be politics involved? I would think that.
• I would think that maybe the commissioner would come up with a policy to refer it, but again, that's
• to where the question I was going to ask, because OMV already has the commissioner make decision now
• This is cars without insurance.

Summary: The Senate Committee on Transportation, Highways and Public Works met with five members present and approved the May 14, 2026 minutes. The committee first considered HCR 32, which urges the Port of New Orleans to secure backup motors for the aging St. Claude Avenue Bridge; members discussed the bridge’s importance, the relatively low cost of the motor, and the traffic and emergency-response impacts of repeated breakdowns. HCR 32 was reported favorably. HCR 68, a request to Congress for funding to remove unusable bridges along Highway 90 as part of reconnecting the corridor toward New Orleans East, was also reported favorably after brief discussion about federal representatives and coordination with DOTD. House Bill 582 was deferred without objection. The committee then took up HB 762, which clarifies that the Office of Motor Vehicles may, rather than must, refer certain delinquent reinstatement-fee debts to the Office of Debt Recovery or other collection channels. Testimony from OMV and the bill author emphasized that the measure was intended to clean up prior language and preserve OMV discretion, while senators raised concerns about political influence, collection practices, and the impact of fees and debt on drivers. HB 762 was reported favorably. HB 730, concerning automatic dependent surveillance broadcast devices on aircraft, was amended to limit its application to aircraft over 2,500 pounds and to prohibit the use of the imposed fees on smaller aircraft. Supporters said the bill restores the original safety purpose of the devices and prevents their use for fee collection; the committee reported the bill favorably as amended. The committee also reported favorably on HCR 53, which creates a study committee on oversized vehicle permits and their parish-level impacts, and HCR 60, which urges DOTD to pursue the DRIVE initiative to study and improve safety on the I-12 corridor. The meeting concluded with a motion to adjourn.

Transcript Highlights:

• Casualty Insurance Association, and the National Association of Mutual Insurance Companies.
• insurance adjuster.
• , particularly life insurance.
• insurance regulators.
• of insurance and grants the commissioner broad oversight and enforcement authority.

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills. Topics included public adjusters (H. 1100/S. 785), electronic cancellation notices (H. 1123/S. 701), insurance rebates and loss-mitigation devices (H. 1233), flood hazard determinations (H. 1087 and related flood bills), organ donor insurance protections (H. 1248/S. 727), mental health parity in disability policies (S. 780), motor vehicle service contracts (H. 1139/S. 812), modernization of business-to-business insurance transactions (H. 1105), and a bill changing the GIC withdrawal notice deadline (H. 1150). Committee chairs set a three-minute testimony limit and heard from legislators, industry representatives, advocates, and affected consumers. Testimony on public adjusters was sharply divided. Insurance agents and property-casualty industry representatives argued that bills barring insurers from prohibiting public adjusters would interfere with policy terms, while public adjusters and several consumers described cases where adjusters helped secure substantially higher settlements and said some surplus lines policies already contain anti-public-adjuster endorsements. On electronic notices, the insurance industry supported consumer opt-in email communications, while agents warned that email-only cancellation notices could cause consumers to miss cancellations. On rebates/loss mitigation, insurers supported allowing risk-mitigation devices outside the policy to encourage innovation, while agents opposed the bill as an improper inducement. Flood-related bills drew opposition from insurers who said flood determinations are complex and federally governed. The committee also heard strong support for organ donor protections from a kidney transplant recipient and the American Kidney Fund, who said the bill would prevent insurance discrimination against living donors and could encourage more donations. On disability parity, a disability insurance specialist opposed S. 780, arguing that mental health limitations are a consumer choice that helps keep coverage affordable, while the bill’s sponsor said it would prevent unequal limits on behavioral health claims. The committee also heard support for H. 1139/S. 812 from the service contract industry, and support for H. 1105 from APCIA as a modernization measure for specialty commercial lines. No votes were taken; after testimony concluded, the chairs closed the hearing.

Transcript Highlights:

• The best story I've heard so far is the National Association of Insurance Commissioners has an AI bot
• You know, I can say this: when the last insurance commissioner was walking out the door—I say insurance
• I know, but we in the industry call it an insurance commissioner.
• And the last insurance commissioner was walking out the door—I say insurance commissioner, by the way
• I know, but we in the industry call it an insurance commissioner.

Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.

Transcript Highlights:

• I’ll turn it over to Commissioner Shea. Thank you. Thank you. Hi everybody.
• I'll turn it over to Commissioner Shea. Thank you. Thank you. Hi everybody.
• Rising home values push up the cost of insurance.
• They can't afford insurance and other necessities.
• It makes no sense when you have an older home not to have insurance. You have to have insurance.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a hearing on bills related to senior and disability property tax relief, with a focus on helping older adults and people with disabilities remain in their homes. Testimony supported H. 3968, which would make certain senior and disability property tax exemptions permanent so eligible residents would not have to refile annually, and H. 3198, which would expand the senior circuit breaker tax credit by indexing income and credit limits to cost of living and raising the home valuation cap from $1.1 million to $1.5 million. Representative Scanlan also testified in favor of several additional bills, including a local option motor vehicle excise tax exemption for low-income seniors and veterans, a local property tax cap for low-income seniors, an expanded senior property tax exemption, and a senior property tax deferral program designed to be revenue neutral over time. Witnesses from the City of Boston, the Massachusetts Municipal Association, and the Massachusetts Association of Assessing Officers generally supported local-option property tax relief measures and said they would help seniors age in place while giving municipalities flexibility. Committee members raised concerns about possible abuse or fraud if exemptions became permanent, and about how assessors would verify continued eligibility without annual reapplication. Supporters responded that eligibility could still be tied to real estate transactions and other documentation, and that the current annual filing requirement causes many eligible seniors to miss out on benefits. Mass Senior Action Council members testified that many seniors are struggling with rising property taxes, insurance, and other costs, and urged broader reforms such as freezing assessed values, improving outreach, strengthening the work-off program, and allowing more flexible payment or deferral options. No votes were taken; the hearing concluded after testimony and questions.

Transcript Highlights:

• Deputy Commissioner Ro.
• Deputy Commissioner Row. Um, Mr. hired. Deputy Commissioner Row. Um, Mr.
• Um to echo uh deputy commissioner commissioner commissioner um<00:31:51.919> the<00:31:52.640>
• Deputy Commissioner, is it accurate to say that an individual can't receive unemployment insurance benefits
• Deputy Commissioner, is it accurate to say that an individual can't receive unemployment insurance benefits

Keywords: 1187, senate, all

Transcript Highlights:

• I also see Chair Denise Garlick here and some folks online: Commissioner Jesse Berks Abbott, Commissioner
• Carl Richardson, Commissioner Osmond Dahar, Commissioner Chris White, and Commissioner Angela Ortiz.
• Commissioner Angela Ortiz.
• The health care system and insurance coverage are needed.
• There is not enough access to rehab and insurance.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• as a county commissioner. as a county commissioner.
• Committee, Life Insurance and Financial Planning Committees, and COIL NAC, which is a group of commissioners
• Committee, Life Insurance and Financial Planning Committees, and COIL NAC, which is a group of commissioners
• That's the Commissioners commissioners.
• And it's important to dialogue with our other legislators and with the insurance commissioners.

Keywords: 916, all

Transcript Highlights:

• They probably had some insurance.
• And the insurance or Blue Oak paid you all just that $3 million?
• Commissioner of State Lands.
• So why would the land commissioner be required to notify you?
• What year was the property sold by the land commissioner? In 2009.

Keywords: 1204, all

Transcript Highlights:

• > have<00:42:45.280> the insurance companies already have the insurance companies already
• And where do you have insurance risk? And where do you have insurance risk?
• insurance rates will go up even higher. insurance rates will go up even higher.
• county commissioners. county commissioners.
• them to pay for their insurance. them to pay for their insurance.

Keywords: 981, all

Summary: The House convened with a quorum, approved the corrected journal, and heard several announcements about upcoming committee meetings, events at the Capitol, and recognitions, including Music Therapy Day, Black History Month activities, adoptable puppies, and a Colorado Agricultural Forum. Members also celebrated Representative Story’s birthday and recognized the Scientific and Cultural Facilities District (SCFD) for its long-running support of arts, culture, science access, and economic impact in Colorado. The House adopted Senate Joint Resolution 12, designating February 20, 2026, as Colorado FFA Day, by a vote of 64-1 with one excused. The chamber then moved to special orders for several bills. The first major bill considered was House Bill 1017, which would prohibit insurers from receiving criminal restitution unless they are direct victims. Sponsors argued the bill prioritizes human victims, prevents restitution from becoming an unpayable burden on low-income defendants, and clarifies the law in response to court concerns and stakeholder feedback. Opponents argued it would shift costs to taxpayers and policyholders and could increase civil litigation and insurance premiums. An amendment, L005, was adopted to clarify the bill’s scope, and the bill then passed as amended. The House also took up House Bill 114, concerning minimum lot size and local land-use rules. An amendment, L002, was offered to prohibit certain local lot frontage, setback, open-space, or coverage requirements that would effectively prevent construction of a single-family home on a 2,000-square-foot residential lot. Supporters framed the measure as protecting housing access, while opponents argued it would override local land-use decision-making and public hearing processes. The transcript ends during debate on a substitute motion related to the amendment, before final action on House Bill 114 is shown.

Transcript Highlights:

• Uh Commissioner Landy.
• Thank you<00:33:18.520> Commissioner.<00:33:19.480> Um you Commissioner.
• Um you Commissioner.
• Agbaje or maybe for you, Commissioner. Agbaje or maybe for you, Commissioner.
• Commissioner Landy. Yeah.

Transcript Highlights:

• It increases the minimum amount of liability insurance a title insurer must possess.
• With me, I have Insurance Commissioner Pike. Yes, thank you, Mr. Chair.
• With me, I have Insurance Commissioner Pike.
• John Pike, Utah Insurance Commissioner. Thank you, members of the committee, Mr. Chair.
• The next thing is the bill adopts consumer protections from the National Association of Insurance Commissioners

Keywords: 985, all

Transcript Highlights:

• > respond insurance insurer simply didn't respond insurance insurer simply didn't respond to<00:50
• So what the insurance company wouldn't get, I question how the Insurance Department concluded that insurance
• So what the insurance company wouldn't get, I question how the Insurance Department concluded that insurance
• So what the insurance company wouldn't get, I question how the Insurance Department concluded that insurance
• > the their insur their insurance company the their insur their insurance company the very<01:

Keywords: 1191, senate, all

Transcript Highlights:

• Any questions for the commissioner?
• Any questions for the commissioner? Uh, Representative Baker, any questions for the commissioner?
• Any questions for the commissioner? Uh, Representative Baker, any questions for the commissioner?
• Uh uh uh Commissioner, Mr. Chair, Mr. Uh uh uh Commissioner, Mr.
• Commissioner, Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:25:17.279> to authorization for the commissioner to authorization for the commissioner
• <00:26:46.000> of administered by the Commissioner of administered by the Commissioner of
• <00:31:54.880> to authorizing the commissioner to authorizing the commissioner to terminate
• the commissioner of human services. the commissioner of human services.
• but uh basically you hold an insurance but uh basically you hold an insurance that<01:51:31.600>

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• Should we call on the commissioner again? >> Bring in the commissioner. >> Yes. Thank you, Mr.
• Should we call on the commissioner again? >> Bring in the commissioner. >> Yes. Thank you, Mr.
• Should we call on the commissioner again? >> Bring in the commissioner. >> Yes. Thank you, Mr.
• Uh, other questions for the commissioner. commissioner. commissioner.
• Other questions for the commissioner? Other questions for the commissioner?

Bills: SF0021, SF0022, SF0054, SF0055

Keywords: stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation, state commission, decentralized, nonprofit association, merger, conversion, liability, membership, governance, indemnification, banking regulation, special purpose depository institution, conversion process, Wyoming state laws, financial services

Transcript Highlights:

• So the survey covered... ...of cost of health insurance.
• And then, as Stephanie mentioned, we added in a health insurance question this year.
• Rising health insurance costs are a major financial burden.
• Also, given the health insurance premium increases... ...hundred people waiting.
• Are there any other questions from our commissioners? All right.

Keywords: 995, all

Summary: The Workforce Support Subcommittee of the Status of Persons with Disabilities met, approved the prior November minutes, and heard a presentation from the Association of Developmental Disabilities Providers (ADDP) on its 2025 workforce metrics survey. ADDP described its membership and the survey’s scope, noting 102 of 132 members responded. The report showed continued improvement in staffing: overall vacancy rates fell from 19% in 2024 to 15% in 2025, with declines across programs such as adult long-term residential, community-based day supports, supported employment, and day rehabilitation. However, vacancies remain high, especially for licensed practical nurses and clinicians, and nearly 4,000 positions were still unfilled. Providers also reported that almost 1,800 people remain waiting for day services. A major new focus in the survey was health insurance costs. Nearly 90% of respondents reported premium increases averaging 11%, and providers said those increases make it harder to offer competitive wages and benefits and hurt recruitment and retention. ADDP said the survey will be repeated in the fall and emphasized that while Chapter 257 investments appear to have helped reduce vacancies, rising insurance costs, immigration-related workforce pressures, and other affordability issues could threaten progress. Commissioners and presenters discussed the need to maintain gains, the importance of keeping the survey manageable while preserving historical comparisons, and the role of immigration and workforce policy in staffing stability. The subcommittee then elected new co-chairs, unanimously approving Rachel Caprillion and Leo Sarkisian. Members discussed possible topics and speakers for the next meeting, including training and turnover, direct support professional pipelines, apprenticeships, PCA training, and workforce models from other states. Several names and organizations were suggested for outreach, including Josh Cutler, Juan Vega, JVS, HSRI, and NASDDDS. The meeting ended with a motion to adjourn, which was seconded and approved.

Transcript Highlights:

• I'm the commissioner for the Department of Employee Insurance.
• Thank you, commissioners.
• commissioners may need. commissioners may need.
• the insurance company supports.
• the insurance company supports.

Keywords: 00:14 Call to Order and Roll Call 01:10 Information Items and Introduction of Personnel Cabinet 02:44 Discussion of KHRIS HR system and need for replacement 05:52 Discussion of Challenges in managing HR for employees and records 09:16 Discussion of Employee Health Plan Record Management 12:56 Software and Hardware Discussion 16:15 Security Concerns 17:00 Costs, Staffing, and Implementation 24:09 Discussion of Data Integration and Hosting 32:20 Payment Methodology 35:20 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Personnel, Public Retirement, and Finance held its first meeting and heard a presentation from personnel cabinet officials on a major request to replace the Kentucky Human Resources Information System, known as CHRIS, which currently handles HR, payroll, tax compliance, and health plan administration for state government and several local offices. Officials said the system supports payroll for about 48,000 employees, covers all three branches of government and 24 sheriff and county clerk offices, and stores records for nearly 475,000 current and former users. They explained that SAP has said the system will reach end of life and lose support by 2030, creating risks around security, maintenance, and tax compliance if it is not replaced. Commissioners and staff emphasized that the replacement is needed not just as an upgrade but as a full system replacement, especially because the current platform no longer receives meaningful HR enhancements and will eventually lose security updates and tax tables. They also described the Kentucky Employees Health Plan as a major driver of the project, noting it serves nearly 300,000 covered lives, many school boards, pre-65 retirees, and more than 700 entities, with significant complexity in billing, premium collection, and regulatory compliance. Officials said the new system would help address current manual workarounds, support changing insurance rules, and better protect personally identifiable and health information. Members asked detailed questions about the $151 million request, including why the estimate had risen by more than $50 million, what would happen if the project missed the 2030 deadline, how progress would be tracked, how vendor costs were estimated, and what the largest cost components would cover. Officials said the increase was mainly due to inflation and changing requirements, and that there was no real backup plan if the replacement was not completed before support ends. They said the project would be managed through an RFP process expected in July 2026, with kickoff in January 2027 and go-live by July 2030, and that oversight would include an enterprise steering committee, monthly updates, and existing quarterly COT reporting to LRC. They also explained that the largest share of the request is for implementation and integrator services, with additional amounts for software licensing and hosting, independent verification and validation, dependent verification, FSA administration, and limited contract support, and that payments would be tied to deliverables and acceptance testing.

Transcript Highlights:

• for those who rely on coverage in the state-regulated, fully insured market.
• and the state regulated fully insured and the state regulated fully insured Market<00:25:07.919>
• Senator Lindsey Port was recognized. subdivision the commissioner must adjust subdivision the commissioner
• It's going to be passed on to those that are paying for their health insurance.
• It's going to be passed on to those that are paying for their health insurance.

Keywords: 1187, senate, all

Transcript Highlights:

• I did have a discussion with the insurance commissioner on this, and that was a question that came up
• You know, and you mentioned conversations with an insurance commissioner, but here in the Commonwealth
• , our insurance commissioner...
• And is there involvement or input from the state insurance commissioners? Is it different?
• I don't know whether the insurance commissioner, Division of Insurance, is involved in that, but really

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of auto insurance and vehicle-related bills. Testimony focused heavily on autonomous vehicle regulation, auto insurance rating by ZIP code, rental car liability coverage, and surcharge thresholds for minor accidents. Representative Polito supported a bill to regulate autonomous vehicle testing and deployment, arguing for school-zone restrictions, slower speeds, a remote kill switch, and minimum insurance requirements to protect the public. Representative Mendez and Senator Payano testified for legislation to reduce racial and socioeconomic inequities in auto insurance pricing by limiting the weight insurers may place on territorial loss costs, while the Mass Insurance Federation and Consumer Federation of America offered opposing and supporting views, respectively, on the fairness and actuarial impact of geographic rating. The committee also heard support for a bill to remove inspection-sticker violations from license-point calculations, and for a bill to raise the damage threshold for insurance surcharges and minor/major accident classifications. A substantial portion of the hearing addressed House Bill 1301 on rental car liability. Enterprise Mobility, the American Car Rental Association, and a small Massachusetts rental company supported the bill, saying personal auto insurers should be primary when their insureds drive rental cars, that Massachusetts is an outlier compared with most other states, and that the change would reduce costs and simplify claims handling. The Mass Insurance Federation opposed the bill, arguing that current Massachusetts law already clearly makes the vehicle owner’s policy primary and that shifting liability would raise costs for private-passenger policyholders. Committee members asked detailed questions about how rental coverage works, whether premiums or rental rates would change, and how other states handle the issue. The committee also heard testimony on a bill to adjust surcharge rules for at-fault accidents, with sponsors arguing that repair costs and vehicle values have risen sharply and that the current thresholds are outdated. Members discussed how the point system affects drivers, whether the proposal should apply cumulatively or per incident, and how Carfax and out-of-pocket repairs factor into consumer costs. At the end of the hearing, the chair noted written testimony could still be submitted and, during a brief personal privilege, recorded support for two underinsurance bills, H. 1109 and S. 748. The committee then moved and seconded a motion to adjourn, and the hearing ended without any votes on the bills themselves.

Transcript Highlights:

• 27.360> and<00:03:27.680> the I've asked the commissioner and the I've asked the commissioner
• Medicare, but they need some insurance Medicare, but they need some insurance just<00:13:25.519>
• >> Commissioner, >> Commissioner, >> Commissioner, where<00:15:04.959> does<
• They may get access to health insurance. They may get access to health insurance.
• Thank you, Commissioner.

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

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