Transcript Highlights:

• The discretionary side, which many of these federal funds you receive, is going to get more and more
• First of all, the federally funded public workforce system is broken.
• The federally funded public workforce system is broken, and public assistance programs often create barriers
• Each program has its own federal authorizing statute and appropriations.
• It provides funding for the adult, dislocated worker, and youth programs. That's one thing it does.

Keywords: 1204, all

Summary: The meeting focused on the state’s “one door/no wrong door” workforce and social services modernization effort, with consultants Mason Bishop and Cameron Christie presenting recommendations. They argued that Arkansas should shift from fragmented programs and multiple access points to a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and economic shocks. They described the current system as overly siloed, with separate offices, portals, and funding streams that force job seekers and employers to navigate multiple doors and bureaucratic handoffs. The consultants emphasized that Arkansas should treat workforce and safety-net programs more like a coordinated franchise model, with a single point of access, one team, and integrated governance, service delivery, and financial administration. They discussed federal workforce waivers already submitted, a possible cost-allocation plan with the federal Office of Management and Budget, and a potential benefits-cliff pilot. They also said Arkansas Launch is a useful tool but not a full service-delivery system. Members asked how the proposal would affect DHS offices, local workforce boards, TANF, and disability-related services, and the consultants said TANF should be viewed as a workforce program and that Arkansas could consider co-locating or integrating staff, or even merging agencies as Utah did. Committee members repeatedly cited Utah as a model, noting its high workforce participation and lower reliance on Medicaid and SNAP, and asked whether Arkansas could use TANF and other programs to cross-train DHS workers and make county offices more work-focused. The consultants explained Utah’s 1990s reforms, later audits showing improved customer service, and the role of cost allocation in blending funds behind the scenes. They also addressed federal flexibility and said current waiver efforts are a fallback after a broader federal pilot proposal did not advance. The meeting ended with a request to continue examining case management, specifically whether Arkansas should case-manage people rather than programs, and the chair adjourned the meeting.

Transcript Highlights:

• which is funded through federal funds.
• c> as<00:03:01.280> a the federal funding we receive as a the federal funding we receive as
• through<00:03:40.640> federal of which is funded through federal of which is funded through
• And that's how our MinnesotaCare program is funded.
• the reduced federal funding received by the reduced federal funding received by the state<00:

Keywords: 919, house, all

Summary: The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match. Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment. The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.

Transcript Highlights:

• General revenue, there's no match on federal funds, nothing.
• There are three different federal accounting software systems that manage the federal funds.
• All of the PPE that we have in our inventory now was purchased with federal funds.
• I look forward to working. ...working with you and tracking these federal funds.
• In this program, the other schools get funding from their states ranging from about...

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• The third objective was to identify funding and grants obtained by the program and determine if funds
• The third objective was to identify funding and grants obtained by the program and determine if funds
• program, meaning external funding.
• As a sponsored research program, meaning external funding, these funds were approved to pass to UALR
• meaning external funding, these funds that were approved to pass to UALR by the federal court.

Summary: The committee first approved the minutes from the prior meeting and then heard several audit-related reports. The executive committee report noted audit and special reports were scheduled for standing committees and the full Legislative Joint Audit Committee, with one requested report still in progress. The City, County, and Local report covered delinquent private water and sewer audits, reinstatement of turnback funds for entities that filed required reports, and action involving the town of Daisy, which was directed to repay misused street funds at 10% of general fund revenue annually. The education and state agencies reports included higher education audits and state agency findings, with some reports filed and others deferred to the February meeting for additional information or corrective-action details. The committee then took up a special audit of the Charles W. Donaldson Scholars Academy at UA Little Rock. Legislative Audit reported that the program, funded with $10 million in desegregation money plus a $50,000 grant, awarded $1.87 million in scholarships to 379 students, with 116 graduates, but found numerous eligibility and disbursement problems, including scholarships to ineligible students, excessive awards, improper documentation, and unclear disposition of some assets. Committee members questioned UALR representatives about oversight, staffing, and whether funds were properly used, and also heard from Philander Smith College about its limited role in verifying enrollment. Members expressed concern about the program’s results and the lack of detail on accountability, and the committee voted to table the report until the next meeting for further review and requested additional information, including the federal court order and more detail on expenditures and oversight. Finally, the committee reviewed the annual disposition report on matters referred to prosecutors and the Attorney General for 2024. Staff said 164 matters were referred, with 28 resulting in criminal charges and convictions, 39 still under review, 96 not charged, and others dismissed or pending; 20 convictions produced fines, restitution, and audit-cost orders, and bond trust fund claims were paid in some cases. Prosecutor Coordinator and Attorney General representatives explained that some referrals do not meet criminal standards, may lack intent, or are otherwise not prosecutable, and members asked for more standardized reporting, clearer explanations of why cases are not charged, and more information on restitution efforts. The committee discussed possible templates, training, and better coordination, then voted to file the report and adjourned, with the next meeting set for February 12, 2026.

Transcript Highlights:

• And in our 2011 session, the federal government attempted to provide federal funding for the program
• And in our 2011 session, the federal government attempted to provide federal funding for the program
• , so those Head Start programs receive that funding to do their programming.
• , so those Head Start programs receive that funding to do their programming.
• This was a list determined federally with this funding source.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Lenny Radio: The state energy program, it's 100% federal funding.
• Lenny Radio: The state energy program, it's 100% federal funding.
• Lenny Radio: The state energy program, it's 100% federal funding.
• Lenny Radio: The state energy program, it's 100% federal funding.
• Lenny Radio: The state energy program, it's 100% federal funding.

Keywords: 928, house, all

Summary: The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities. Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented. Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion. The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.

Transcript Highlights:

• <00:41:39.720> the roads program um the funding source the roads program um the funding source
• <00:45:18.880> funding about $350 million of federal funding about $350 million of federal
• Federal funding but I'm putting my PFA Federal funding but I'm putting my PFA colleague<01:09:33.199>
• source implementation grant fund, the WIF Grant, there's also federal fund, there's other pots of federal
• > fund fund there's other pots of federal fund fund there's other pots of federal fund and<01:

Keywords: 1183, house

Transcript Highlights:

• . federal family education loan program. federal family education loan program.
• programs currently funds additional programs currently funds additional programs including<00:03
• <00:19:56.559> as um to the federal program and um not as um to the federal program and um
• <00:19:58.480> program much availability in the federal program much availability in the federal
• private state federal trust funds and private state federal trust funds and private grant<00:51:26.319

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Education met and approved the July 15, 2025 minutes before hearing a presentation from the Kentucky Higher Education Assistance Authority (KHEAA/KIA) on student financial aid ahead of the January biennial budget session. KHEAA outlined its role administering 17 state-funded grant and scholarship programs, 529 plans, and outreach services, and emphasized that net lottery proceeds after a $3 million literacy appropriation are statutorily dedicated to student aid. The agency focused on the major need-based programs—College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES—along with dual credit, Work Ready Kentucky, teacher scholarship, and National Guard tuition assistance. Officials said the new federal FAFSA methodology created a major increase in eligible students, especially for CAP, and thanked lawmakers for adding substantial funding this biennium to meet the higher demand. Staff explained that CAP is for Pell-eligible, low-income students, while KTG is a need-based grant for students at private Kentucky colleges; both use FAFSA data, but schools verify final eligibility. They said CAP awards are first-come, first-served and that the higher funding level allowed the program to last the full 21-month application cycle in FY 2024-2025, compared with much shorter periods in earlier years. KHEAA reported about $232 million spent on CAP for roughly 72,000 students last year, with current applications running about 10% ahead of the prior year. Members asked about the difference between applicants and recipients, the effect of lower lottery revenues, and whether recent federal legislation would affect state aid; KHEAA said it does not expect major impacts on grants and scholarships, though student loan changes could affect graduate students. The committee also discussed KEES and dual credit. KHEAA said KEES has been fully funded since its creation and that its forecast was within $76,000 of actual need last year. For dual credit, staff said a recent bill consolidated work-ready dual credit and career/technical education under one scholarship program, and KHEAA will seek growth funding because participation and costs continue to rise. The agency said FY 2025 dual credit spending reached $26.4 million across dual credit and work-ready funding, requiring transfers from Work Ready Kentucky to keep dual credit fully funded. Members asked about transferability of dual credit hours and whether the program reduces later college costs; KHEAA said it does not have hard data on every credit transfer, but it does see higher bachelor’s completion rates and lower student debt, suggesting positive effects. No votes were taken beyond approving the minutes.

Transcript Highlights:

• $20,000 to fund a DEI program for a drag theater in Ecuador. $20 million was spent in Colombia.
• programs is going to be next.
• While federal courts have temporarily halted the President's funding cutoff, I continue to hear from
• organizations that are unable to access the federal funding that they have been awarded, that we appropriated
• Only the federal government.

Keywords: fiscal responsibility, government waste, foreign aid, funding resolution, legislative oversight

Summary: The committee meeting addressed government spending and foreign aid, with a particular emphasis on perceived wasteful expenditures. A significant portion of the meeting was dedicated to discussing a funding resolution for the committee, which received unanimous support from the members present. The chair noted a quorum at the beginning of the meeting, signaling that the committee was ready to conduct its business. Discussions highlighted ongoing debates concerning fiscal responsibility and the necessity of legislative oversight, notably regarding foreign aid allocations and their implications for domestic fiscal health.

Transcript Highlights:

• And this assumes continued federal matching funds. Is that correct?
• So a federal policy changes.
• The way the programs are labeled right now, the way it's set up right now, we could risk funding people
• Low up, could the author tell us how much is in the SHOP fund and the CHIP fund? Absolutely not.
• funds savings all of those things for us to deal with the change in federal match.

Bills: HB4440, HJR1067, HJR1087, HJR1089

Keywords: Medicaid, low-income adults, healthcare, eligibility restrictions, constitutional amendment, Medicaid expansion, SoonerCare, health coverage, federal matching funds, FMAP, Article XXV-A, state question, special election, Title 63, public assistance, healthcare funding, federal-state match, Medicaid eligibility, Oklahoma Constitution, ad valorem

Transcript Highlights:

• But yes, that program, I can't give you a step-by-step history of it, but I believe the federal funding
• In North Dakota, we receive some federal funding.
• The food care program is a federal program that provides reimbursement for nutritious meals and snacks
• In summary, we've increased federal funding for North Dakota, more support.
• Can you just remind me what is the breakout of state and federal funding for the CHIP program?

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• To have oversight of the federal funds and support for the legal defense and possibly some backstop funding
• back of federal funding, is the SEED program, which you will hear more about in the later panel.
• There is no widespread systemic testing program funded by the state or federal government.
• and potentially federal funding.
• We also have a variety of funding from other state contracts, local contracts, federal programs, as well

Transcript Highlights:

• federal funds participation adjustments. federal funds participation adjustments.
• federal funding. federal funding. um<00:27:18.640> on<00:27:18.880> line<00:27:19.559
• And then the last thing is that we need to preserve federal funding.
• So again, all preserve federal funding.
• Federal government does not program.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, I just do want the public to know that the federal funds which do fund a lot of the programs that
• Uh, I just do want the public to know that the federal funds which do fund a lot of the programs that
• Uh, I just do want the public to know that the federal funds which do fund a lot of the programs that
• Uh, I just do want the public to know that the federal funds which do fund a lot of the programs that
• Uh, I just do want the public to know that the federal funds which do fund a lot of the programs that

Keywords: 928, house, all

Summary: The committee worked through a series of budget amendments, mostly to House Bill 2 and related House Bill 1 changes, with members discussing whether to reduce or preserve funding for various programs. Early actions included approving an amendment to House Bill 219 that delays implementation of renewable energy-related provisions to 2027, and approving an amendment that removes a $150,000 appropriation tied to a housing-related database while allowing use of housing fund money for the project. The committee also approved an amendment affecting magistrates so they could continue pretrial and other judicial support work, while noting they would not handle bail and that the change reflected separate legislation already signed by the governor. Members then approved a series of administrative savings items in the Department of Administrative Services, including eliminating a long-vacant computer analyst position and reducing overtime and recruiting/subscription-tool budgets. They also approved an amendment cutting marketing and administrative support for the paid family leave program, with members emphasizing that the program itself would continue. A proposed cut to the WorkInvest NH program was discussed at length, with some members arguing it benefits workers and employers and others noting the cost is borne by employers; the committee ultimately set that item aside without taking action. The committee also debated and then approved a modest reduction to a BEA regional planning grant, despite objections that regional planning commissions provide valuable municipal support. The most extended discussion centered on the State Library. Representative Sweeney said he did not want to pursue a full cut of the library and instead favored a more targeted approach, noting that some federal funding for library services such as interlibrary loans and the Libby system may be at risk. Members discussed alternatives, including unfilled positions and other partial reductions, but no final action on the full library cut was taken in the portion provided. The committee also paused on some other items to gather more information before voting.

Transcript Highlights:

• It's a federally funded program similar to Rural Infrastructure.
• Fund to fund housing programs.
• fund housing programs our small cities program one of the three purposes that that can fund it can be
• About 75% of our work program is state funds. About 25% is federal funds.
• So federal policy, federal funding does impact us.

Summary: The Transportation and Economic Development Budget Subcommittee met to organize for the session, take roll, and hear introductory remarks from members and agency heads. Members briefly introduced themselves and their districts, with several noting transportation, economic development, emergency response, military, and hurricane recovery issues in their areas. Chair Shove then outlined the subcommittee’s jurisdiction and current-year budget, noting a total of about $20.3 billion, with most funding coming from trust funds and only a small share from general revenue. The committee also heard that upcoming meetings would include presentations from major agencies in the subcommittee’s purview. The first agency presentation was from the Department of Military Affairs and the Florida National Guard. Major General John Haas described the Guard’s three missions—supporting national security, responding to state emergencies, and adding value to the state—and highlighted deployments for hurricanes, border security support, and ongoing support to the Department of Corrections. He emphasized that the Guard is understrength relative to Florida’s size and demand, said recruiting is strong, and identified force structure growth as the main challenge. Members asked about aircraft, funding sources, and recruiting; Haas explained the Guard’s helicopter and fixed-wing fleet, said aircraft purchases are funded through legislative appropriations, and reported strong interest in the Florida State Guard’s recruiting pipeline. Executive Director Mark Thieme then described the Florida State Guard’s expansion into air, ground, and maritime capabilities, including Black Hawks, boats, drones, canine search-and-rescue teams, and ground support units. He said the agency supported immigration enforcement and hurricane response, and asked for continued legislative support to expand aviation, maritime, and medical capabilities. Members praised the Guard’s disaster response work and asked about aircraft, funding, and staffing. Secretary Cord Byrd of the Department of State followed, focusing on election administration, election security, the SunBiz and voter registration IT systems, arts and culture, corporations, libraries, and historical resources. He said Florida’s election system remains a national model, reported two prosecutions for non-citizen voting, and discussed modernization needs for legacy IT systems. The committee also asked about voter lookup tools, password privacy for SunBiz, and arts funding vetoes. Secretary Alex Kelly of the Department of Commerce described the agency’s broad portfolio, including workforce, economic, community, and international commerce functions, plus housing recovery, broadband, small business support, rural infrastructure, defense-community grants, and law enforcement recruitment bonuses. He said access to capital is the biggest barrier for small businesses and noted ongoing work with CareerSource, the Department of Corrections, and other partners on workforce and reentry. Secretary Jared Perdue of the Department of Transportation then outlined FDOT’s record budget and five-year work program, emphasizing emergency response, preservation and maintenance, safety, and major investments in roads, ports, airports, transit, and spaceport infrastructure. He said the department has removed millions of cubic yards of storm debris, is ahead of schedule on the Moving Florida Forward initiative, and faces a large unfunded project backlog. Members asked about supply chain issues, project priorities, and workforce needs, and Perdue said FDOT is open to collaboration on recruitment and retention.

Transcript Highlights:

• On line 68 is a one-time aid program to reimburse cities for the costs of federal immigration enforcement
• sales tax funds. sales tax funds.
• We see that federal conformity decisions this year present an opportunity to raise revenues to fund those
• program.
• Uh $42 million of private funds program.

Keywords: 1187, senate, all

Transcript Highlights:

• This is a federal program.
• This is a federal program.
• This is a federal program.
• This is a federal program.
• <01:35:59.360> program state law a troubled Federal program state law a troubled Federal program

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• But yes, that program, I can't give you a step-by-step history of it, but I believe the federal funding
• In North Dakota, we receive some federal funding.
• The child and adult care food program is a federal program that provides reimbursement for nutritious
• funding for quality and performance... ...assistance program, or CCAP, but it also included funding
• Can you just remind me what is the breakout of state and federal funding for the CHIP program?

Keywords: 908, all

Transcript Highlights:

• federal program that had a subsidy there.
• federal program that had a subsidy there.
• federal program that had a subsidy there.
• federal program that had a subsidy there.
• federal program that had a subsidy there.

Keywords: 1183, house

Transcript Highlights:

• Um, Daniel, you're up for our last presentation of the day, federal funding update.
• We are now on item 10 of your binder with the PowerPoint titled Update on federal funding for public
• Uh, the administration has, however, recommended flat funding for a few of the larger funding programs
• To the funding that these programs are distributing out to states right now.
• You know, as one of the, the chairs of the new federal funding, you know, stabilization.