Transcript Highlights:

• It also identified a potential limit to DHS's current authority to withhold or reduce payments on the
• We also identified a potential limit to DHS U.S. current authority to withhold or reduce payments on
• Those are the terminations, the sort of permanent payment holds.
• The ongoing issue that we're identifying is the suspension of payments during an investigation.
• Prepayment review and post-payment review is underway for the IDB.

Transcript Highlights:

• But the code does not make it clear if the payment is accepted by the claimant after the pre-suit notice
• The final attorney's fees associated with the expenses are not limited to or affected by the payment
• Uh, Section 542a.008, effective of payment after notice of deadline, to read that the payment made after
• Payment by more than 20% of the estimated repair costs minus the deductible.
• The remaining payment is due once the deductible is paid and repairs are verified as complete.

Transcript Highlights:

• And so I've, so we came up with the payment plan then to maybe allow people to make payments through
• And so I've, so we came up with the payment plan then to maybe allow people to make payments through
• We started the payment plans.
• come in and get on a payment plan and we'll reinstate the license.
• And we do payment plans as low as $10 a month.

Summary: The Appropriations Committee on Criminal and Civil Justice heard an update from Department of Corrections Secretary Ricky Dixon on staffing, overtime, capital needs, and inmate population growth. Dixon said the prison population has risen by about 8,000 since January 2021 while staffing has not kept pace, forcing the agency to open 53 housing units without funded positions and rely heavily on overtime and National Guard support. He cited a $189 million deficit tied to salaries and overtime, noted that most staff have less than three years of experience, and argued the solution is to fully fund posts for operational housing units. He also reviewed the department’s fixed capital outlay projects, including repairs, new housing construction, and medical modular units intended to reduce outside hospital transports, and gave an update on the VINE victim notification system and its expansion. The committee then heard from Florida clerks of court representatives Jason Welty and Miami-Dade Clerk Juan Fernandez-Barquin, who described clerks’ court-related and county duties and said clerk budgets have not kept pace with the broader justice system. They requested reimbursements for injunctions for protection ($3.3 million), Baker Act/Marchman Act/sexually violent predator cases ($2.5 million), and juror management ($4.8 million), and said future funding for new judges should include the full courtroom system, not judges alone. Fernandez-Barquin also raised concerns about unfunded mandates, rising retirement and health costs, low court-side pay, and the need to revisit filing fees and trust fund allocations. Members asked about collections, payment plans, license suspensions, and whether some fees or trust fund distributions could be redirected; the governor’s budget had already picked up the $2.5 million request for Baker/Marchman/SVP cases. During public testimony, speakers urged broader criminal justice reforms and additional funding priorities. A prosecutor emphasized that adding judges requires funding for prosecutors, public defenders, and clerks as well. Other speakers called for parole or long-term sentencing reform to reduce prison populations and costs, criticized staffing and conditions in prisons, and raised concerns about inexperienced correctional officers, visitation delays, and lack of air conditioning in some facilities. The committee took no substantive votes on the items discussed and adjourned after hearing the presentations and public comments.

Transcript Highlights:

• And it gives pharmacists a parity payment.
• Otherwise, I encourage your support of Senate Bill 38 and its passage. a parody payment.
• In other words, it a parody payment.
• So again, one of the have payments.
• We can increase payments to providers. We can improve access to care.

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• means is uh these these are payments means is uh these these are payments that<00:05:31.520>
• These payments to MCOs are referred to as capitation payments.
• Medicaid payments. You can do a fee for Medicaid payments.
• to These payments to MCOs's are referred to as<00:07:54.240> capitation<00:07:55.039> payments
• <00:21:33.520> on we're making capitation payments on we're making capitation payments on

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• I am pleased to present PCS for HB 175, Payment Stable Coin, to you today.
• Could you tell me the difference between stablecoin and other types of media that may be a payment in
• This means that if a payment stablecoin issuer registers in California, New York, Illinois, and does
• This means that if a payment stable coin issuer registers in California, New York, Illinois, and does
• more efficient, and create additional payment options.

Summary: The Insurance and Banking Subcommittee met to hear and vote on several bills, with all measures reported favorably. The first major item was PCS for HB 175 on payment stablecoins, which would create a Florida regulatory framework aligned with the federal GENIUS Act so issuers can choose state regulation instead of federal licensing. Members asked extensive questions about how stablecoins differ from other digital assets, whether Florida would need federal approval, and what impact the bill would have on the Office of Financial Regulation; the sponsor and OFR said the state framework would mirror federal standards and that any workload increase was currently indeterminate. The PCS passed unanimously after testimony from OFR and the Florida Blockchain Business Association in support. The committee then approved CS for HB 961, which streamlines electronic signature requirements for salvage titles and certificates of destruction, and HB 1415, a DFS stablecoin pilot program allowing certain stablecoins to be used for licensing and regulatory fees. HB 1415 was amended to remove authority for a Florida coin, limit the pilot to established stablecoins with at least $1 billion market cap, and require secure custody through a public depository or custodial bank. Members discussed how any interest or revenue would be used, with sponsors saying the pilot was still exploratory and intended mainly to cover program costs. Both bills passed favorably. HB 1039, establishing a state cryptocurrency reserve, also passed after a strike-all amendment moved administration of the reserve from the CFO’s office to the State Board of Administration and tightened eligibility to cryptocurrencies with a $100 billion market cap over the prior 12 months. Supporters argued the bill would create a framework for future diversification and investment in established digital assets, while several members raised concerns about volatility, reporting frequency, and the meaning of new terms such as qualified liquidity provider and secure custody solution. The committee also passed CS for HB 951 on penny rounding for cash transactions, with an amendment clarifying cash transaction definitions and treating money orders and gift cards like credit-card transactions for rounding purposes.

Transcript Highlights:

• That they need that aren't coming from the per-pupil payment from the state.
• I think I understood you to say now that the payment would come...
• I think I understood you to say now that the payment would come, one of the ways the payment would come
• would be through the per-pupil payment that they received from the Department of Public Instruction.
• What happens to the local portion that's imputed in the per-pupil payment?"

Keywords: 908, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present. The chamber received notice that the governor had signed several bills, and the Speaker appointed conference committees after the Senate failed to concur with House amendments on Senate Bills 2180 and 2330. The House also approved several sixth-order amendments without objection before moving into reconsideration and final action on House Bill 1300, which concerns legislative term limits. After procedural motions to reconsider and undo concurrence, the House voted to do not concur on HB 1300, sending it back to the chair’s lap for further negotiation. A major portion of the meeting focused on Senate Bill 2232, which changes mandatory reporting rules for prenatal exposure to controlled substances and alcohol. Supporters said the bill is intended to keep pregnant women in prenatal care by removing an automatic CPS report if a woman tests positive but enters and stays on a treatment plan; opponents argued it weakens protections for unborn children and creates vague standards for mandated reporters. The House passed the bill 57-36. The chamber also passed Senate Bill 2280 unanimously, establishing timelines and standards for prior authorization in health insurance, and passed Senate Bill 2186, which creates a civil remedy for interference with court-ordered parenting time, a child custody review task force, and related reporting requirements. The House then took up Senate Bill 2239, an apprenticeship grant program with a $1.1 million appropriation, but rejected it 14-79 after the committee said the program lacked a clear administrative home. Senate Bill 2241, creating a framework for public charter schools, generated extensive debate over school choice, local control, funding, staffing, and rural impacts; supporters emphasized flexibility and community-driven options, while opponents warned about diversion of funds and weak guardrails. The bill passed 64-29. The House also passed Senate Bill 2024, the Department of Environmental Quality budget, after discussion about federal funding uncertainty; Senate Bill 2374, updating property insurance laws and market rules; Senate Bill 2216, creating a waterfowl habitat restoration stamp; Senate Bill 2245, allowing certain duck and goose hunting from anchored floating craft; and Senate Bill 233, establishing a distressed ambulance services process, which drew questions about how affected districts and neighboring services would be involved.

Transcript Highlights:

• But if you have an insurance policy that's applicable, that insurance policy can make the payment.
• Button the ability to receive the settlement payment from Pasco County, the payment Pasco County agreed
• They committed to make this payment.
• I think right now, I'll say Pasco County does not feel like they can legally make the payment.
• So hopefully this payment will be made in the next several months.

Summary: The subcommittee first heard HB 6507, a claims bill for Marcus Button, who suffered severe permanent injuries in a 2006 school bus crash. Representative Andrade explained that a jury awarded Button more than $2 million in 2009, but only a small amount was paid under sovereign immunity limits. He said Pasco County later reached a settlement with Button, but believed it lacked legal authority to pay without legislative approval. The bill would give the county that authority. There was no opposition testimony, and the bill passed unanimously, 18-0. The committee then took up HB 301, which would substantially revise Florida’s sovereign immunity framework. Representative McFarland said the bill would raise liability caps for state and local governments from $200,000/$300,000 to $1 million/$3 million, with a later increase in 2030, align statutes of limitations with private suits, allow governments to settle above the caps without a claims bill, and prevent insurance policies from conditioning payment on legislative approval. She framed the bill as a way to reduce the need for the claims bill process and provide faster redress to injured people. Testimony on HB 301 was sharply divided. Local governments, school districts, counties, cities, hospital groups, and insurance representatives opposed the bill, arguing the higher caps would sharply increase insurance and taxpayer costs, especially for small or fiscally constrained entities, and that the claims bill process and special masters provide useful review and leverage. Supporters, including the Florida Justice Association and several members, argued the current system is too slow and political, leaves seriously injured people waiting years for compensation, and should be modernized to better hold government accountable. No vote was taken on HB 301 in the portion of the meeting provided.

Transcript Highlights:

• Secretary Besson claims that Osh can't meddle with the Treasury's payment systems because, ultimately
• If Elon and his hackers, for example, initiate instructions to choke off payments to their enemies, or
• if they issue instructions to shut down payment for teachers' aids for kids with special needs, the
• We take the money out of the Treasury General Account and we make the payment.
• So that by the end of this calendar year, businesses can transact 24/7 and settle payments?

Bills: SB257

Keywords: supply chain resilience, critical supply chains, critical goods, manufacturing, domestic manufacturing, reshoring, nearshoring, supply chain security, supply chain shock, supply chain disruption, critical infrastructure, emerging technologies, semiconductors, microelectronics, artificial intelligence, quantum computing, robotics, advanced manufacturing, blockchain, cybersecurity

Transcript Highlights:

• I know that payment was due I think here pretty quick.
• on our bonds are I know our payments on our bonds are I know that<00:14:25.120> payment<00:14
• .<00:14:42.959> Um payment.
• Um payment.
• had enough money to cover our payment. had enough money to cover our payment.

Keywords: 958, all

Summary: The committee met on Transportation, approved the prior meeting minutes, and received a road fund update from Transportation Cabinet officials Mike Hancock, Sean McCernan, and Ron Rigney. McCernan reported that FY 2024-2025 road fund revenue came in $38.5 million above the enacted estimate, but was about $11 million below FY24 because of a lower motor fuels tax rate. He said motor vehicle usage tax receipts were stronger than expected, and that the road fund ended the year with a $61.6 million surplus account that, under the budget bill, must be appropriated to state construction. Members focused heavily on how declining motor fuels receipts affect the formula funds that support cities, counties, and rural/secondary roads. Hancock and McCernan explained that lower gas tax receipts reduce both the road plan and revenue sharing, while higher vehicle sales tax receipts from motor vehicle usage go directly to the road fund and do not help the formula distributions. They also said fuel efficiency, hybrid and electric vehicle trends, and the removal of a prior hybrid fee all affect revenue collections. On tolling, officials said Louisville bridge toll revenues are covering bills and commitments, but they did not have the latest collection figures in front of them and said they would provide them later. The committee also asked about project delivery delays, right-of-way acquisition, disaster recovery work, annual contract awards, cash management, and overprogramming in the highway plan. Officials said project delays often stem from right-of-way purchases, utility relocation, and the large volume of projects in the plan, and described the process as a “duck paddling” situation with substantial work happening behind the scenes. They said FY25 contract awards were already just under $998 million by the July letting and expected to exceed last year’s total, and explained that cash balances are managed so they do not fall below $100 million; the current balance was said to be about $166 million. No further votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• The state is participating in 5.5% of this issuance, with an annual debt service payment of just over
• The state is participating in 15% of this issuance, with an annual debt service payment of $185,000.
• The state is participating in 5.5% of this issuance, with an annual debt service payment of just over
• The state is participating in 15% of this issuance, with an annual debt service payment of $185,000.
• The state is participating in 5.5% of this issuance, with an annual debt service payment of just over

Keywords: 00:13 Call to Order and Roll Call 01:00 Election of Co-Chairs 03:38 Approval of Minutes 04:09 Information Items 05:55 Project Rpt from Finance and Admin Cab 12:13 Lease Rpt from Finance and Admin Cab 17:48 Ky Infrastructure Authority 28:50 Economic Development - EDF Grants 32:50 Ofc of Financial Mgmt 36:30 SFCC Debt Issues 40:50 Adjournment, 958, all

Summary: The committee first reorganized by electing new co-chairs for the Capital Projects and Bond Oversight Committee: Senator Fanny Fromom? as Senate co-chair and Representative McPherson as House co-chair, both by acclamation. The committee then approved the minutes from the prior meeting and received quarterly capital project status reports from the Administrative Office of the Courts, Finance and Administration Cabinet, and postsecondary institutions. Those reports noted University of Kentucky equipment purchases, several school districts planning general obligation and revenue bond issues, a notification of non-approval for PR 3567, and Kentucky Community and Technical College System asset preservation projects. Kevin Cardwell of the Finance and Administration Cabinet reported two action items: a $5,100 federal-funded Transportation Cabinet renovation of the Rowan County east and westbound rest areas, and a $1 million federal fund increase for the Capitol City Airport terminal building project, bringing the total federal support to $10 million and reducing the need for restricted funds. The committee also received a no-action report on a $1,363,000 Kentucky State University exterior repairs project funded through the 2024 asset preservation pool. Both action items were approved unanimously after roll call votes. The committee approved four lease renewals presented by Natalie Bronner for Cabinet for Health and Family Services locations in Bell, Lee, and Clay counties, plus a parking lease for the Department of Corrections in Jefferson County. Members asked about lease pricing and were told renewals must remain at existing terms and conditions. The committee then approved a $57,000 Kentucky WATS emergency grant for Wood Creek Water District to cover part of arrears tied to the City of Livingston; members discussed the city’s audit delinquency, possible regional water/sewer solutions, and concerns about rates and private involvement, but the grant was approved. Finally, the committee approved a $1 million line-item water grant to the City of Williamsburg with no action required, three Economic Development Fund grants for Bell, Franklin, and Shelby counties totaling $8 million in state support for site acquisition and infrastructure work, and five SFCC-supported school debt issues for Elizabethtown Independent, Erlanger Independent, Boyd County, Henderson County, and Union County. The school projects included middle school, high school, and vocational school renovations or new construction, and members requested a breakdown of the space funded by the debt. All action items were approved, and the meeting adjourned.

Transcript Highlights:

• DCFS to see if there are any late child support payments.
• That does not create civil liability for failing to make the payment.
• That does not create civil liability for failing to make the payment.
• Arrears just means non-payment, right?
• So payments are consistent, measurable, and tied to real data.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• These really took over them, but the majority of the model at the time, which is direct payment from
• The MCOs had demanded a whole set of increases from the state in their per member per month payments,
• As you all know, under the Patient Protection and Affordable Care Act, there was a bump in payment to
• , or denial of payments to clinicians.
• Delayed payments to the physicians.

Transcript Highlights:

• So, we have payment plans that we can put into place with payments.
• a payment plan, that's fine.
• payment for life. payment for life.
• <00:27:35.240> maybe much you can claw back per payment maybe much you can claw back per payment
• plans that we can put into place payment plans that we can put into place with<00:27:50.880> payments

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Was there another entity like Road and Bridge that made those payments?
• Or was it through a special district that these payments, overpayments, were made?
• . invoices, payments, etc.
• other payments that are made by this county.
• Transparency exists in payments of government entities to to in payments of government entities to vendors

Keywords: 916, all

Transcript Highlights:

• which said any supplemental payments which said any supplemental payments that<00:05:22.639>
• It gets payments gets all of the credit.
• university directed payment program. university directed payment program.
• <00:15:24.320> for directed payments are essential for directed payments are essential for
• And because of the 20% of the payments And because of the 20% of the payments are<00:16:08.639><

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• Under a managed care model, those payments would be eliminated pursuant to federal law because you can't
• And um, you can't have those state-directed payments and managed care coexist.
• and um managed care directed payments and um managed care coexist. coexist. coexist.
• The alternative could be for MCOs to make incentive payments to those facilities.
• to those make incentive payments to those facilities. facilities. facilities.

Keywords: 928, house, all

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”

Transcript Highlights:

• Madam WIP, members, Houseful 2206 requires DES to reduce the SNAP payment error rate to not more than
• It includes strategies and barriers that may be present in reducing the payment error rate.
• And in lieu of paying property taxes, you're going to pay a lease payment.
• And the lease payment will be less than what you would have otherwise paid in property taxes.
• It just removes the ability to put that person in jail for non-payment, which is counterproductive.

Keywords: 1182, all

Summary: The meeting covered a long series of bills, mostly in health, education, commerce, federalism, and government. In health, members discussed radiology technology updates (HB 2050), a tribal Medicaid waiver/drawdown measure with no state cost (HB 2177), an emergency medicine study committee (HB 2183), fetal death certificate and remains-transfer requirements (HB 2184), a physician assistant licensure compact (HB 2190), dementia care telemonitoring funding (HB 2202), SNAP error-rate reduction and fraud/eligibility oversight bills (HB 2206, HB 2442, HB 2797), child welfare protections like credit freezes and recorded interviews (HB 2321, HB 2322), and podiatric licensure compacts (HB 2438). Several of these were described as consent-calendar items, while HB 2206 and the SNAP-related measures drew discussion about fraud reduction, administrative burden, and work requirements. In commerce and finance, the committee heard bills on mobile food vendors and local permits (HB 2118), earned wage access services with fee caps and disclosure rules (HB 2309), CPA licensure changes (HB 2476), cash acceptance for retail purchases under $100 (HB 2555), drone delivery and unmanned aircraft guardrails (HB 2875), timeshare salesperson licensing (HB 2877), and a prohibition on state-mandated social credit scoring in lending decisions (HB 2903). The tax and retirement-related items included 529 plan conformity and Roth IRA transfer rules (HB 2477), annual tax conformity to the Internal Revenue Code (HB 2785), ASRS technical and disability-related changes (HB 2089, HB 2090, HB 2092), and a bill on employee health insurance definitions (HB 2089). The Arizona Commerce Authority bill (HB 2754) would add legislative members to the board and shift more control over trade offices and Arizona Competes Fund spending to the legislature. The education section focused heavily on school governance and finance. Bills included patriotic youth group presentations in schools (HB 2312), school board term limits (HB 2318), mandatory training for governing board members (HB 2379), independent municipal advisors for bond elections (HB 2320), restrictions on districts buying operating charter/private school sites to game enrollment formulas (HB 2376), conflict-of-interest limits for school facilities board architects and engineers (HB 2378), public meeting and travel transparency rules for districts (HB 2380), limits on long-term school property leases and reporting requirements (HB 2384), tighter bidding rules for school construction job orders using Building Renewal Grant funds (HB 2482), and a voluntary computer science proficiency seal (HB 2764). Sponsors repeatedly framed these as transparency, accountability, and anti-abuse measures, while some opposition centered on local flexibility, housing use, and existing training providers. In federalism and government, the committee heard bills to give counties more time to mail sample ballots (HB 2006), require courts to identify veterans at first appearance for possible veterans court referral (HB 2226), study veterans’ awareness of benefits (HB 2406), broaden military leave protections (HB 2663), require SAVE verification for voter registration and certain state services (HB 2806), require U.S.-sourced voting machine components by 2029 (HB 2901), affirm the Electoral College (HB 2902), and establish due process protections for justice of the peace courts against outside administrative action (HB 2976). Government committee items included a later deadline for library trustees’ annual reports (HB 2129), a two-year limit on certain adult protective services reports to the Attorney General (HB 2228), and an exemption for public and semi-public cold plunges from ADEQ spa rules (HB 2439). Several bills were reported as consent-calendar items, and a number of sponsors noted committee votes, fiscal neutrality, or favorable testimony in support of the measures.

Transcript Highlights:

• According to TDI, the average initial payment from a carrier is just 10% of the average payment through
• by an arbiter, to even go seek that reasonable payment.
• That's what they're hoping, that their initial payment will be better.
• That's what they're hoping, that their initial payment will be better.
• — $20,000 plus a case, $2,800 in a payment.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• The first finding, using data analytics, identified a duplicate payment of almost $3,700.
• Using data analytics, we identified a duplicate payment of almost $3,700, issued to a vendor providing
• The duplicate payment was issued within a day of the original payment in April 2024.
• After notifying the vendor, the agency received and deposited recoupment of the duplicate payment in
• The first finding, in our review of 35 career service payments, we noted one payment made by the Division

Summary: The committee first approved the minutes from the prior meeting. It then heard audit reports from Tom Bullington, including two reports with findings and three without findings, which were filed without objection. The Department of Public Safety FY24 audit had two findings: a duplicate vendor payment of nearly $3,700 that was later recouped, and a $2.5 million collateral shortfall tied to bank-held cash funds because securities were not properly pledged in the State Police’s name. Agency representatives from Arkansas State Police and the Department of Public Safety answered questions, and members discussed how collateralization works for deposits above FDIC coverage. The committee next reviewed the Department of Transformation and Shared Services FY24 audit, which contained five findings. These included an $800 career service overpayment caused by a rehire data entry error, delayed deactivation and inventory issues for assets including stolen cameras, a double count of more than $940,000 in year-end cash records, $10.3 million in health claims that should have been recorded as fiscal year 2024 payables, and repeated deficiencies in vehicle mileage logs. Agency officials explained that the stolen cameras were recovered through restitution, that inventory reviews are being expanded, and that the vehicle log problems are expected to be addressed through a statewide electronic GPS/telematics system. Members asked about the scope of audit testing, asset tracking, vehicle oversight, and whether the new vehicle system would allow monitoring of use, fuel purchases, geofencing, and possible sharing of vehicles across agencies. Shared Administrative Services said it would administer the statewide system, with departments retaining operational responsibility and access controls. After discussion, the committee filed the report without objection and adjourned, noting the next meeting would be held June 4.