Transcript Highlights:

• It does not account for the 4 million self-insured retentions that we have and the deductibles as you
• Also since 2019, the deductible for the amount the hospital must pay per claim before insurance comes
• Usually if your deductible increases, the price you pay for the insurance should stay the same or sometimes

Transcript Highlights:

• for handling county funds and financial transactions, this continuity of authority is important for payroll
• 54.560> for continuity of authority is important for continuity of authority is important for payroll
• vendor<01:20:56.480> payments,<01:20:57.120> and<01:20:57.360> other payroll
• , vendor payments, and other payroll, vendor payments, and other daily<01:20:58.159> fiscal<01

Keywords: 958, all

Transcript Highlights:

• the health insurance, the pensions, and I think life insurance, but just things that are tied to payroll
• that<00:37:58.079> are<00:37:58.320> tied<00:37:58.560> to<00:37:58.720> payroll
• <00:37:59.599> of things that are tied to payroll of things that are tied to payroll of teachers

Keywords: 958, all

Summary: The Budget Review Subcommittee on Education met without a quorum, so the minutes were not approved. The main presentation was from retired economics professors John Garren and Dr. Kums, who discussed their Bluegrass Institute research on teacher compensation in Kentucky since the Kentucky Education Reform Act era. They said teacher base salaries, adjusted for inflation, have declined over the last decade, while state-paid “on-behalf” benefits such as pension and health insurance contributions have risen sharply; they argued total teacher compensation has increased modestly overall, but less than per-pupil funding. They also presented broader context on staffing growth, declining average daily attendance, Kentucky’s low share of teachers among total school staff, and flat or weak NAEP and ACT performance trends, including widening white-Black score gaps on NAEP. Members questioned the methodology and interpretation of the compensation figures. Representative Bojanowski argued the on-behalf calculations may overstate teacher compensation because they include insurance and pension costs that also benefit classified employees and retirees, and he asked for clarification on the denominator used to derive the per-teacher amount. Representative Truit said the presentation could be misleading if it implies teachers earn $94,000 in salary, and he objected to framing pension stabilization payments as teacher pay. The presenters responded that they were using total compensation, not salary alone, said they had divided total personnel-related on-behalf payments by the relevant staff count, and promised to review and send a technical explanation. Representative Truit and Chairman Typton both emphasized that compensation should be viewed as salary plus benefits, not salary alone, and noted that pension contributions are part of the cost of employing teachers. The presenters said their intent was to show the full compensation package and its relevance to labor supply and teacher shortages, not to claim that individual teachers earn the total compensation figure as salary. No votes or formal actions were taken beyond the decision to revisit the minutes at a later meeting due to the lack of quorum.

Transcript Highlights:

• That amount is meant to cover all our expenses: food, payroll, insurance, maintenance, utilities, and
• c> is meant to cover all our expenses: is meant to cover all our expenses: food,<00:15:45.680> payroll
• ,<00:15:46.320> insurance,<00:15:47.040> maintenance, food, payroll, insurance, maintenance
• , food, payroll, insurance, maintenance, utilities,<00:15:48.480> and<00:15:48.720> the

Keywords: 958, all

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

Transcript Highlights:

• Moreover, we obviously are not concerned with the need for accounting or additional labor for payroll
• need for accounting or additional labor need for accounting or additional labor for<00:16:00.240> payroll
• > clerks<00:16:00.920> or<00:16:01.040> other<00:16:01.240> Human for payroll
• clerks or other Human for payroll clerks or other Human Resources<00:16:02.040> professionals

Keywords: 919, house, all

Summary: The committee took up House File 1325 and adopted the author’s A2 amendment before hearing testimony. Representative Schultz presented the bill as a set of bipartisan changes to make Minnesota’s earned sick and safe time law more workable for small businesses, public employers, and taxpayers, arguing the current law is an unfunded mandate that increases costs and property taxes. The bill’s supporters said it would add flexibility, including changes affecting coverage for certain workers, employer size thresholds, front-loading, weather-related exceptions, and a delay on penalties. Commissioner Nicole Blissenbach of the Department of Labor and Industry opposed the bill, saying it would exclude about 800,000 workers, or roughly 30% of the workforce, from earned sick and safe time protections and create confusion and enforcement problems. She also objected to the proposed penalty delay, saying the department already uses compliance assistance and needs penalty authority for serious violations. The Minnesota Chamber supported modifications to the mandate, saying businesses—especially small ones—have struggled with compliance and that the law has had unintended effects on PTO policies and leave use. The League of Minnesota Cities supported parts of the bill, especially changes affecting more generous city leave policies and weather-event exemptions, saying current language creates confusion and can interfere with emergency staffing. Opponents from Education Minnesota, SEIU Minnesota, TakeAction Minnesota, and a nurse from Unity Hospital argued the bill would strip protections from part-time workers, minors, and workers with family caregiving needs, and would weaken a law they said has helped workers avoid discipline or lost wages when sick. Supporters from counties and an HR consultant emphasized administrative burdens, emergency staffing needs during weather events, and the difficulty of applying ESS rules to existing leave policies. No final vote on the bill was taken in the portion of the meeting provided; the bill was laid over for further consideration.

Transcript Highlights:

• The money could go toward payroll, insurance, certificates, workforce development, vehicle maintenance
• As both my two predecessors said, public construction payroll for family wage covers public construction
• public construction we're As both my two predecessors say, you know, public construction, well, the payroll

Keywords: 995, all

Summary: The committee held a hearing on Governor Healey’s economic development proposal, H. 5386, also referred to as the Mass Winds Act, focused on global investment, talent, innovation, housing, and business competitiveness. Governor Healey, Secretary of Economic Development Eric Paley, and Secretary of Administration and Finance Matt Gorzkowicz described the bill as a response to federal uncertainty and global competition, building on the 2024 Mass Leads Act. They highlighted proposed investments in a Global Mass initiative, including a $50 million innovation access fund and $20 million for sites to help international companies locate or expand in Massachusetts, along with support for AI, quantum, robotics, defense innovation, climate tech, downtown revitalization, and creative/cultural economy projects. They also emphasized measures to lower business costs, including reducing the LLC filing fee, expanding the small business energy tax exemption, and streamlining housing and development rules. Committee members questioned the administration about non-compete reform, AI and data-center infrastructure, housing affordability, and whether the bill would help retain workers and companies in Massachusetts. The governor and secretaries argued that the non-compete changes would restore the original compromise by requiring any alternative to garden leave to be negotiated at separation, and they said the bill’s housing and workforce provisions are intended to help young workers stay in the state. They also said Massachusetts is already investing in AI training, an AI hub, and energy-related planning, while acknowledging that data-center growth will require careful attention to water, electricity, and ratepayer impacts. Several witnesses testified on specific sections. Northeastern University supported the internship tax credit, saying experiential learning helps students gain jobs and remain in Massachusetts. The Latino Empowerment Advisory Council supported the waiver of redundant English testing for internationally trained nurses, saying it would speed entry into the workforce without lowering clinical standards. Russell Beck opposed the non-compete changes, arguing they would undermine the 2018 compromise and could reduce other forms of employee compensation. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, citing revenue loss and fraud concerns. Municipal and regional groups, including the MMA and the Metro Mayors Coalition, supported site plan review codification and downtown/arts investments, while urging continued municipal input. The AFL-CIO asked for trigger language to preserve labor protections if federal law changes, and business and industry witnesses generally supported the bill’s competitiveness and global investment provisions. No votes were taken; the hearing was informational, with written testimony invited after the meeting.

Transcript Highlights:

• refusing to pay the unemployment insurance, where businesses are about to get an additional employee payroll
• Are about to get an additional employee payroll tax.
• theater actors, we are disappointed to see the lack of investment in the Performing Arts Equitable Payroll

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• Appropriations Committee analysis for this bill identified costs of $1 million at a minimum to develop a payroll
• That might not require the same payroll processing.
• That might not require the same payroll processing.

Keywords: 988, house, all

Transcript Highlights:

• Food, electricity, gas, payroll.
• Programming is absolutely paramount: food, electricity, gas, payroll.

Keywords: 995, all

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• Ultimately, these things were adopted due to labor savings and the ability to reduce payroll costs for
• Ultimately, these things were adopted due to labor savings and the ability to reduce payroll costs for

Keywords: 995, all

Summary: The committee heard testimony on several bills, with the longest discussion focused on House Bill 426 and Senate Bill 263, which would prohibit the sale in Massachusetts of cosmetics known to rely on vertebrate animal testing. Supporters from Animal Defenders International, Humane World for Animals, and the Animal Rescue League said animal testing is cruel, outdated, and unreliable, and pointed to non-animal alternatives and similar laws in other states and countries. No opposition was heard on that bill during the excerpt, and witnesses urged the committee to report it favorably. The committee also took testimony on House Bill 4543, which would clarify an existing pipe-fitting exemption for certain work performed on property owned by industrial plants, utilities, colleges, and similar institutions. A representative for Construction Industries of Massachusetts supported the bill, saying it would preserve longstanding practice for outside contractors doing yard piping work. Pipefitters Local 537 opposed it, arguing the work is properly licensed pipefitting and that the bill would weaken licensing standards and undermine state inspectors. Another major topic was Senate Bill 237 on regulating self-checkouts in grocery establishments. The Mass AFL-CIO and UFCW Local 1445 supported the bill, saying self-checkout has reduced staffing, increased worker stress and customer conflict, and contributed to theft and safety problems. Workers described being responsible for multiple machines at once, verbal abuse, and even assaults, and said the bill’s staffing and machine limits would improve safety and customer service. The committee also heard extensive testimony on House Bill 355, which would allow veterinarians to establish a client-patient relationship via telehealth; ASPCA, MSPCA, and several veterinarians supported it as a way to expand access to care, while the Massachusetts Veterinary Medical Association and several veterinarians opposed it, arguing that an in-person exam is essential for proper diagnosis and that telemedicine should only follow an in-person VCPR. Finally, the committee heard testimony on House Bill 330, Senate Bill 221, and House Bill 371, which would preempt local boards of health from adopting tobacco-related age or sales restrictions beyond the statewide standard. Public health advocates opposed the bills, arguing they would block local innovation and undermine nicotine-free generation policies adopted by municipalities, while retailers and tobacco trade groups supported them as necessary to preserve a uniform statewide age-21 standard and avoid confusion for consumers and businesses. No votes or final actions were taken during the excerpt.

Transcript Highlights:

• The revised rule now allows for additional payment methods to team members, such as payroll adjustments
• a participating political subdivision and the PERS office to agree to a different time frame for payroll

Keywords: 908, all

Transcript Highlights:

• I want to tell you, I'm trying to recruit a business that employs 600 people and has a payroll that's
• I want to tell you, I'm trying to recruit a business that employs 600 people and has a payroll that's

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.

Transcript Highlights:

• be following up with some emergency assistance to help with businesses and also help people with payroll
• be following up with some emergency assistance to help with businesses and also help people with payroll

Keywords: 919, house, all

Summary: State Rep. Samakab Hussein and other Minnesota lawmakers held a press event focused on allegations of ICE misconduct in St. Paul and surrounding communities, using the case of Nasra Ahmed, a 23-year-old U.S. citizen, as the central example. Hussein and others said Ahmed was detained for two days, denied clear explanation and legal representation, and suffered trauma and injuries; Ahmed described being taken from a predominantly Somali neighborhood, called a racial slur, and physically restrained, while her father said the experience was unacceptable for any citizen or resident. Several lawmakers, including Reps. María Isa Pérez-Vega, Mahmud Nur, Dave Pinto, and St. Paul City Council Member Anika Buouie, said they were drafting or supporting legislation and local responses to provide behavioral health, mental health, and emergency assistance for affected families and businesses. They also said they were hearing from teachers, faith leaders, and community members about fear, disrupted work and school attendance, and broader economic harm, and that St. Paul’s city council would pursue a letter to Gov. Walz seeking an eviction moratorium. The speakers alleged that ICE actions were unlawful, racially targeted, and in some cases in violation of a recent federal court order limiting certain tactics. They urged people to document incidents, call 911, and use an attorney general portal to report constitutional-rights violations so data could be collected. No formal vote was taken at the event, but the lawmakers said they were working with county and state officials and referenced ongoing lawsuits and possible future court orders.

Transcript Highlights:

• We need your address in our payroll system and all that, but for the public website and other areas,
• You know, payroll system and all that, but for the public website and other areas, that's something we

Keywords: 908, all

Summary: The committee first discussed security and member contact procedures, with several members emphasizing the need for formal security training at the start of each session and clearer procedures for knowing where legislators are staying during session for welfare checks and emergency contact. Members also raised concerns about the disclosure of home addresses in other public records and forms, and Legislative Council was asked to prepare a background memo on possible training, best practices, and related legislative or rule changes. The committee then took up a bill draft to reduce the number of paper copies of state publications sent to the State Library from eight to two. Legislative Council explained the cost savings and the move toward digital distribution, but the State Librarian testified that the library still needs paper copies for circulation, archives, and depository libraries, and requested a minimum of three copies. After discussion, the committee amended the draft to require three copies instead of two and passed the motion. The committee also approved a related House and Senate Rules amendment reducing the number of bound journals distributed, and a separate rule change removing the requirement that legislators’ home addresses be printed in the rule book and allowing a lower print run based on request and need. The committee next reviewed data on bill pre-filing and legislative workload. After hearing testimony that agency bills tend to arrive in a late-year rush and that staff workload is especially heavy around organizational session and the holidays, the committee voted to move the agency pre-filing deadline to the Wednesday before Thanksgiving. It also amended the deadline for constitutional amendments and study resolutions, moving them earlier so they would occur before crossover, and adjusted the reporting deadline accordingly. Members discussed whether these changes should be handled in special session or organizational session, and staff explained that the agency deadline change could be made effective for the next regular session through a permanent rules change. Finally, the committee reviewed proposed special session rules. Staff explained that the special session would use joint appropriations and joint policy committees, with expedited bill processing, limited bill introduction routes, and remote participation allowed for members and public testimony with approval. The committee also resolved a House appropriations membership issue by keeping the House side at 23 members and giving the House majority leader authority to appoint a replacement for the vacant seat, while increasing the Senate dollar threshold to match the House. Members then discussed the upcoming rural health special session process, including how the interim rural health group would differ from the actual special session committees, the timing of committee work and the governor’s address, and whether remote participation would be permitted in the special session.

Transcript Highlights:

• You might ask why we would need that in 200 for payroll, right?
• So, that ASCA 1.1 and the 200 is to stabilize our payroll.

Transcript Highlights:

• We know that taxes are being increased by the majority party and the governor, most notably the payroll
• Most notably the payroll tax on jobs in our state, hitting small businesses.

Summary: The Assembly met after a quorum call and prayer, then handled a series of procedural motions, guest introductions, and floor actions. Members welcomed student groups from Hope International University and Vacaville High School, and later recognized several guests connected to public safety dispatch. The chamber also adopted multiple re-referrals and procedural requests, including moving bills between committees and taking up AB 100 on concurrence from the Senate. A major portion of the session was devoted to ACR 34, designating April 14 as Sylvia Mendez Day. Assembly Member Ta and several colleagues spoke in support of honoring Sylvia Mendez and the Mendez v. Westminster case as a landmark in civil rights and school desegregation. The resolution drew extended partisan debate over the framing of the measure and broader issues of diversity, equity, and inclusion, but it ultimately passed on a roll call vote, with the resolution adopted. The Assembly also recognized Dolores Huerta on her 95th birthday through guest introductions and celebratory remarks, then moved through several bills and resolutions. AB 471 on air district board compensation, AB 677 on pupil records and access to screenings for housing-insecure students, ACR 31 designating California Public Safety Telecommunications Week, and AB 1150 on airport customer facility charges all passed. HR 30 recognizing Khmer New Year also was adopted with broad support. The most contentious policy action was AB 100, the early action budget bill. Supporters said it provided funding for wildfire prevention, hospital payments, Medi-Cal, and recovery in Los Angeles fire areas, while opponents criticized the bill for health care spending and high-speed rail. After a failed attempt by Assembly Member DeMaio to amend the bill and an unsuccessful appeal of the chair, the Assembly concurred in the Senate amendments and sent AB 100 to the Governor. The day ended with consent calendar approvals and adjournments in memory for several community members, including Larkin Carol Wells, Carmen O. Perez, and Oscar B. Ramos.

Transcript Highlights:

• This system provides critical services such as payroll, benefits administration, employee timekeeping
• the state's accounting system, maintaining a record of all the vendors to the state, making sure payroll

Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• A $20 co-pay, for example, or deductible, really it's more like $40, $50 because you've got to obviously
• c> co<00:58:55.680> insurance<00:58:56.000> whatever<00:58:56.160> you deductible
• co insurance whatever you deductible co insurance whatever you want<00:58:56.400> to<00:58:56.480
• <00:59:25.920> for<00:59:26.000> example<00:59:26.400> or<00:59:26.559> deductible
• <00:59:27.680> Uh co-pay for example or deductible. Uh co-pay for example or deductible.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• When I take a subsidy for my mortgage interest deduction, for example, no one says to me, "But you can
• When a business takes a 179 deduction on a piece of capital equipment, we don't say, "But oh, by the
• take a a subsidy for my mortgage take a a subsidy for my mortgage interest<00:36:00.720> deduction
• , for example, no one interest deduction, for example, no one says<00:36:03.280> to<00:36:03.440
• <00:36:09.920> on<00:36:10.160> a business takes a 179 deduction on a business takes

Bills: HF2634, HF2241, HF2649, HF2520, HF2610

Keywords: North Star Promise, scholarship, higher education, Minnesota Office of Higher Education, in-demand jobs, workforce development, career training, job market, high-demand occupations, high-demand industries, college aid, state financial aid, FAFSA, student eligibility, program of study, degree program, certificate program, community college, university, labor market data

Transcript Highlights:

• The cost to cover a family if we don't go through with the reinsurance program, even though the deductible
• is $88,000 a year, and the total out-of-pocket, which means when you meet your obligation with deductible
• <00:53:13.720> for<00:53:13.960> that co-pay excuse me the deductible for that co-pay
• excuse me the deductible for that plan<00:53:14.359> that<00:53:14.480> I<00:53:14.559
• and your co-pays as and co- deductible and your co-pays as and co- insurance<00:53:25.079> as

Bills: HF837, HF1903, HF499, HF794

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, newborn safety, anonymity, healthcare provider, safe place, child welfare, HF499, nursing, nurse licensure, temporary permit, temporary nursing permit, Board of Nursing, endorsement licensure, reregistration, refresher course, health occupations