Transcript Highlights:

• That's only if they can't calculate a carbon intensity baseline.
• And then 2025 and 2026, we haven't calculated because those years are not over yet.
• I'm interested in the report, but also you mentioned Quebec and California.
• That would be interesting information, right?
• Okay, that's interesting. Thank you. As I wasn't following the difference.

Summary: The committee held a work session covering PFAS regulation and impacts, no-cost allowance allocation for emissions-intensive trade-exposed industries (EITEs), and regional resource adequacy and data center load growth. Senator Victoria Hunt was welcomed as a new member. The Department of Ecology reviewed Washington’s Safer Products for Washington PFAS work, including completed restrictions on PFAS in outdoor furniture, carpets, rugs, stain/water-resistant treatments, and newer rules adopted in November restricting PFAS in most apparel, cleaning products, and automotive washes, with reporting requirements for some other products such as cookware and firefighting gear. Ecology also described Cycle 2 PFAS reviews now underway, including artificial turf and paints, and answered questions about compliance, online sales, sell-through periods, and how Washington’s approach differs from broader bans in states like Maine and Minnesota. The Department of Ecology also presented on PFAS in biosolids, describing a 2024 sampling study, limitations in testing methods, and a 2025 statutory amendment requiring additional sampling between 2027 and 2028 and a report to the legislature in 2029. The Department of Health then updated the committee on PFAS in drinking water, reporting that most Group A public water systems have completed sampling, that 317 sources and 188 systems are expected to exceed new contaminant levels, and that treatment costs for public systems are estimated at about $970 million, leaving a large funding gap; members also asked about private wells, health effects, bathing exposure, and home filters. The Board of Health’s new state action levels are being aligned with federal MCLs, and the department said it expects to continue monitoring and notification under state rules. Ecology also briefed the committee on no-cost allowance allocations to EITEs under the Climate Commitment Act, explaining the leakage-mitigation rationale, the current allocation schedule through 2034, and a forthcoming report on policy options for 2035-2050; members asked about industry barriers, competitiveness, and whether facilities might leave the state. Finally, E3 presented a regional resource adequacy study showing rising load, retirements outpacing additions, limited winter reliability value from wind, solar, and batteries, and a projected shortfall beginning in 2026 that could grow to about 9,000 MW by 2030 if planned projects are not built. The presentation emphasized winter cold-weather events, hydro variability, the importance of permitting and transmission, and longer-term options including nuclear, geothermal, hydrogen, carbon capture, and long-duration storage. EPRI then introduced its DC Flex initiative, which is studying how data centers can provide flexible load through workload shifting, cooling optimization, and on-site backup or bridging resources to reduce grid stress and protect ratepayers.

Transcript Highlights:

• and and uh who has an ownership interest and and uh review<00:09:52.040> of<00:09:52.120>
• <00:10:42.120> of<00:10:42.160> the That's a part of the calculation of the payment
• He said he thought it was interesting that she had been officially named commissioner and chose not to
• be used to calculate managed care rates in the following year.
• Yeah, Chair Robbins, uh thank you. interested in helping us fight fraud and interested in helping us

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• Yeah, so it's interesting.
• Yeah, so it's<00:13:53.160> interesting.
• So so basically you it's interesting.
• In the interest of [laughter], we do have four more bills to go.
• In the interest of uh get All right.

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Transcript Highlights:

• , calculations with the insurance<00:07:47.840> commissioner's<00:07:48.319> office.
• <00:13:00.240> in situation and the cause for interest in situation and the cause for interest
• I don't think the board has really discussed interest in that part of it, but it does find interest in
• So it's... but there are still price calculators available.
• there's still price calculators there's still price calculators available.<00:38:49.440> The<

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• providing such an interest-free loan... ...by credit card.
• The second item is the UI loan interest.
• The state's contributions to CalSTRS are calculated using the creditable compensation amount provided
• So the state's contribution for 2026-27 is calculated using the actual creditable compensation amount
• We're calculating the contribution amount, so we presented.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• has come to them and shown any interest in bringing in a fertilizer plant.
• So it'll be interesting.
• It's very interesting listening to this stuff.
• Further comments from interested parties? Any further comments?
• So I'm sure that they are wishing and wanting to protect their interests as well. to protect their interests

Summary: The committee opened its third interim meeting with roll call, approved the November 13, 2025 minutes, and the chair reviewed prior committee work, including a denied request for a fertilizer-capacity study and a planned later discussion of the Union Pacific/Norfolk Southern merger issue. Commissioner Doug Goring then presented Department of Agriculture updates on uncrewed aerial systems grants to detect noxious weeds, the state’s irrigation potential, the low-carbon fuels program for ethanol plants, the Environmental Impact Mitigation Fund, model zoning ordinances for animal feeding operations, and fertilizer production and supply in North Dakota. Members asked about funding sources, fertilizer storage and availability, natural gas and water needs for future fertilizer plants, and how the model zoning website would help counties and townships apply setback and odor tools. A substantial portion of the meeting focused on the Department of Water Resources’ economic analysis tool for water conveyance and flood-related projects. Dr. Dwayne Poole explained that the department is proposing changes to better account for end-of-useful-life conditions and updated hydrologic data, while still limiting the model to direct, demonstrable costs and benefits. He said the goal is to make the analysis more realistic and consistent without changing statute, and he provided examples of how project benefits could change as drains age or as rainfall and flood data evolve. Committee members and water-user representatives generally supported continued work on the proposal, while raising concerns about downstream impacts, closed-basin projects, and whether the changes would meaningfully affect project approvals. The committee then heard from John Paskowski, state engineer, on Devil’s Lake, the West End and East End outlets, and the Tolna Coulee control structure. He reviewed lake history, outlet capacities, sulfate and downstream flow limits, and explained that the control structure is intended to prevent a catastrophic uncontrolled release by slowing erosion and head cutting. Members asked about water quality trends, the length of the downstream flow constraint, and whether the Tolna Coulee area had been studied for possible natural overflow or silt buildup. The discussion emphasized ongoing flooding concerns, mitigation for affected landowners, and the need to balance outlet operations with downstream water quality and infrastructure protection.

Transcript Highlights:

• We've had lots of interest in two of the proposals that we have in front of us.
• This obviously has lots of interest.
• Chair, just mentioned, about interest income, also the ending fund balance.
• It includes the interest earnings that we talked about.
• So historically, interest in the beginning fund balance haven't been included in sort of.

Summary: The meeting began with a budget subcommittee hearing on a proposed sustainable aviation fuel (SAF) tax credit trailer bill. Assembly Members Ávila Farías and another member spoke in support, emphasizing union jobs, refinery investments, and the need to decarbonize aviation. The Department of Finance said the Governor’s proposal would provide a $1 to $2 per gallon credit against the diesel excise tax for SAF sold in California from 2026 to 2036. The Legislative Analyst’s Office recommended rejecting the proposal, arguing it is a relatively expensive way to reduce emissions, has uncertain environmental benefits, could significantly reduce transportation revenues, and conflicts with the spirit of voter restrictions on transportation taxes. Committee members questioned whether the credit would mainly benefit out-of-state producers, whether firms would have diesel tax liability to use the credit, and whether the proposal would shift production away from renewable diesel and raise fuel prices. Administration and CARB staff said the credit is intended to support aviation decarbonization, preserve jobs, and help keep California on track toward its 2045 climate goals. LAO and UC Berkeley testimony countered that the policy could mostly subsidize existing technologies, that feedstock supply is limited, and that the net emissions benefit may be small relative to the cost. Members also asked about the effect on local streets and roads, SHOP, and trade corridor funding; Finance estimated a $165 million annual revenue impact would reduce those programs, while LAO said the reductions would mean fewer projects over time. No vote was taken, and the chair said the issue would remain open for further discussion. The committee then moved to a zero-emission vehicle incentive trailer bill proposing a one-time $200 million appropriation to CARB for a new point-of-sale incentive program focused on first-time buyers and leases of new and used light-duty ZEVs. Supporters said the program would help offset the loss of the federal EV tax credit, maintain momentum in California’s ZEV transition, and use a one-to-one match with participating automakers to double the state’s investment. LAO recommended rejection, saying the proposal does not meet the high budget bar this year, lacks enough program detail to evaluate, is unlikely to move sales significantly given the size of the appropriation, and could duplicate existing state and utility programs. Members asked about current incentives across light-, medium-, and heavy-duty sectors, the recent decline in ZEV sales, and whether the program would help lower-income buyers rather than subsidize purchases that would have happened anyway. CARB said the proposal is meant to fill a gap in the light-duty market, where sales fell sharply after the federal credit expired, and noted existing programs for other vehicle classes. The Department of Finance also addressed a separate question about the Motor Vehicle Account, saying a previously planned GGRF transfer was no longer needed because updated forecasts showed the fund had sufficient balances, though LAO said the account still has a structural long-term imbalance. The discussion ended before any vote or action on the ZEV proposal.

Transcript Highlights:

• Note here that the fund balance has been increasing over the last two years due to interest, and no additional
• I think, right here looking at one of my notes, is we've calculated that military installations have
• Which is interesting.
• Senator Nichols: Which is interesting.
• These numbers are calculated by the Texas Public Finance Authority.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee began with Article I budget items for the Secretary of State. LBB staff outlined recommendations that would reduce the agency’s appropriation by about $40.3 million, including changes to HAVA funding, removal of one-time business system replacement money, and a rider directing the agency to use Fund 5095 first. Secretary Jane Nelson and staff then defended several exceptional items, especially additional staffing for elections and business filings, a new website, digitization of records, cybersecurity tools, and renovation of the James Earl Rudder Building. Members focused heavily on election administration, cross-checking voter rolls, Harris County complaints, call-center response times, and whether online voter registration should be expanded. No votes were taken; the discussion was informational and budget-focused. The committee then heard the Office of the Governor and trustee programs. LBB presented a recommended $2.4 million decrease for the governor’s office proper and a much larger decrease in trustee programs driven by one-time funding and unexpended balances, while still preserving major border security funding and victim assistance funding. Governor’s staff emphasized Texas’ economic growth, the importance of border security, and efforts to seek federal reimbursement for the roughly $11 billion Texas has spent on border operations. Members discussed whether shifting National Guard deployment to federal control could reduce state costs, and they also reviewed the music incubator program, the Governor’s University Research Initiative, and the semiconductor innovation consortium. Staff highlighted a $5 million late-added request for grants to protect nonprofits from violence and terrorism. Again, the exchange was largely explanatory, with no formal action. Finally, the committee took up the Texas Facilities Commission and lease payments for revenue bonds. LBB recommended major reductions overall, including removal of border wall construction funding and capital complex bond funding, but added money for higher utility costs, renovation of the Rudder Building, and additional facilities staff. George Purcell also noted stable maintenance-and-renewal funding and new riders related to the Texas State Library and Archives Commission building, tenant communications, and space utilization. For lease payments, LBB recommended a smaller appropriation tied to revenue-bond costs allocated across agencies. The discussion was informational, with members asking about the Rudder Building renovation, border wall progress, and capital complex construction timelines; no votes were recorded.

Transcript Highlights:

• Legislature and Congress acted to remove disability income from government housing eligibility calculations
• SB 888 simply excludes VA service-connected disability compensation from the calculation of household
• I could go on, but in the interest of time, just know that it's been done several times.
• folks may know, CTRA is a nonprofit organization of labor, public health, education, and public interest
• communities that I did not prior to joining the legislature, my eyes have been open to a number of interesting

Keywords: 988, house, all

Transcript Highlights:

• The budget committee calculated that the just the interest only difference was $1.4 million for the lease
• The budget committee calculated that the just the interest only difference was $1.4 million for the lease
• The budget committee calculated that the just the interest only difference was $1.4 million for the lease
• The budget committee calculated that the just the interest only difference was $1.4 million for the lease
• that the just the interest calculated that the just the interest only<02:02:36.719> difference

Keywords: 1189, house, all

Transcript Highlights:

• folks out there and the committee members who have come in this week early for this hearing, an interesting
• >> Yes, sir. >> That's the federal money that comes in and they change the calculations. >> Yes, sir.
• And so they would calculate in that there would be colas.
• They would calculate what their benefit is going to be and then add in colas, and you would pre-fund
• is col they would calculate what what is col they would calculate what what is their<00:30:52.240

Keywords: 924, joint, all

Transcript Highlights:

• We're very interested, obviously.
• We're very interested, obviously. Great.
• Uh the the of interest within seconds.
• We were simply not interested in meeting our targets through cuts.
• So, I'd be interested in increases.

Keywords: 1187, senate, all

Transcript Highlights:

• First of all how are the calculations Senator, how are the calculations determined that shifting the
• Opposition, do you have calculations? On how this would have an additional cost?
• bill right so that there wouldn't be a roller coaster ride it would The idea is to is to throw off interest
• I would certainly prefer it to come that way but this idea still intrigues me and I'm interested in seeing
• I think it's a very interesting idea we've tried this year and in the last two years since I've chaired

Keywords: 988, house, all

Transcript Highlights:

• But what's interesting is I don't know that everybody knows that Lee was the bingo caller.
• I just find the word 'replacement' as being interesting. I believe that concludes my questions.
• The other timeframes in your calculation would exist anyway.
• They get their interest back, so to speak. So that's about as simple as it gets.
• And I don't know what that percentage is, and I don't know how you can calculate that.

Transcript Highlights:

• target level the FED May delay interest target level the FED May delay interest rate<00:18:18.760
• I've already mentioned higher interest I've already mentioned higher interest rates<00:18:24.760
• Tails because of higher interest rates Tails because of higher interest rates um<00:25:35.760> the
• higher interest higher interest rates<00:25:50.279> all<00:25:50.480> other<00:25:
• That's interesting.

Keywords: 1187, senate, all

Transcript Highlights:

• 42 is that we make those common interest 42 is that we make those common interest communities<01
• standard for when a common interest standard for when a common interest community<01:34:53.600><
• calculation.
• So my base mbuff would be calculation.
• Interesting. I'd like to thank you, Mr.

Keywords: 927, senate, all

Transcript Highlights:

• 2.11 clarify that fiscal year 2027 school safety aid for the first-year charter schools must be calculated
• So it returns us to focusing on individual sites, and so this is modifying the calculation in a similar
• <00:07:35.840> the sites and so this is modifying the sites and so this is modifying the calculation
• calculation calculation in<00:07:38.320> a<00:07:38.400> similar<00:07:38.760> manner
• We just perhaps want interest in mind.

Keywords: 1187, senate, all

Transcript Highlights:

• I want to make it clear that the courts are interested in implementing Proposition 36 in the most effective
• to immediately turn to Shelley Curran to present our position on the items in the agenda, in the interest
• The items in the agenda, in the interest of time. Thank you.
• So to address that, we actually recommend the... ...to calculate how much is transferred.
• So this is a real calculation you have to make beyond the needs of justice. Thank you.

Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.

Transcript Highlights:

• And just very quickly for you all, I think it's very interesting information.
• just I think very interesting just I think very interesting information.<00:04:09.599> Both
• <00:24:24.640> in the chair of ANR will be interested in the chair of ANR will be interested
• <01:37:31.280> of million if you do a quick calculation of million if you do a quick calculation
• calculate that. calculate that.

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.

Transcript Highlights:

• I've made it clear that I'm not interested in rushing legislation through simply because of the politics
• What I am interested in is crafting an office that will deliver the results Minnesotans expect from day
• <00:10:32.880> in entity that in- was interested in entity that in- was interested in investigations
• We're a nonprofit<01:02:36.000> public<01:02:36.280> interest<01:02:36.560> law<
• 01:02:36.680> firm<01:02:36.920> that nonprofit public interest law firm that nonprofit

Bills: SF856, HF4482, HF3672, HF1234, HF4591, HF3554, HF936

Keywords: Inspector General, fraud prevention, state audit, public funds, misuse, transparency, government accountability, HF4482, Minnesota Historical Society, state historic sites, historic site management, historic preservation, county historical society, local historical society, municipality, county government, admission fees, grants-in-aid, site operations, site maintenance