Video & Transcript : 'payment reimbursement' :

Page 80 of 500
TX

Texas 89th Regular

Senate Session (Part II) Mar 26th, 2025

Texas Senate Floor Meeting

Bills: SJR57 , SCR8 , SB8 , SB14 , SB24 , SB108 , SB112 , SB125 , SB213 , SB251 , SB315 , SB318 , SB371 , SB378 , SB379 , SB472 , SB487 , SB502 , SB513 , SB565 , SB621 , SB650 , SB689 , SB707 , SB710 , SB761 , SB763 , SB815 , SB854 , SB875 , SB896 , SB916 , SB925 , SB958 , SB961 , SB965 , SB973 , SB987 , SB990 , SB995 , SB1006 , SB1018 , SB1019 , SB1024 , SB1026 , SB1146 , SB1194 , SB1198 , SB1253 , SB1330 , SB1343 , SB1362 , SB1379 , SB1497 , SB1498 , SB1527 , SB1532 , SB1547 , SB1596 , SJR36 , SJR12 , SJR57 , SCR22 , SCR12 , SCR8 , SB565 , SB765 , SB62 , SB666 , SB707 , SB888 , SB687 , SB847 , SB1248 , SB14 , SB1006 , SB504 , SB925 , SB995 , SB857 , SB305 , SB296 , SB284 , SB815 , SB1379 , SB1497 , SB1499 , SB1498 , SB241 , SB304 , SB621 , SB1023 , SB1024 , SB686 , SB112 , SB371 , SB204 , SB609 , SB670 , SB502 , SB850 , SB854 , SB413 , SB1362 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB987 , SB1539 , SB447 , SB875 , SB406 , SB985 , SB965 , SB1119 , SB1505 , SB24 , SB1194 , SB1253 , SB1215 , SB1532 , SB1302 , SB856 , SB650 , SB583 , SB673 , SB213 , SB681 , SB1172 , SB1252 , SB378 , SB1343 , SB608 , SB487 , SB955 , SB957 , SB988 , SB990 , SB1019 , SB1021 , SB1120 , SB251 , SB958 , SB761 , SB541 , SB315 , SB379 , SB1018 , SB1737 , SB266 , SB1415 , SB1527 , SB125 , SB599 , SB1330 , SB53 , SB916 , SB896 , SB1352 , SB973 , SB785 , SB710 , SB472 , SB1450 , SB1502 , SB1566 , SB414 , SB1062 , SB1547 , SB961 , SB1038 , SB513 , SB578 , SB711 , SB746 , SB942 , SB1404 , SB1448 , SB1738 , SB108 , SB8 , SB318 , SB507 , SB533 , SB689 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB1198 , SB1146 , SB763 , SB667 , SB1059 , SB617 , SB1567 , SB503 , SJR37 , SB16 , SB310 , SB311 , SB396 , SB505 , SB1209 , SB1210 , SB1470 , SB264 , SB924 , SB1029 , SB1185 , SB1202 , SB1358 , SB1364 , SB1569 , SB1697 , SB1376 , SB1228 , SB519 , SB878 , SB1350 , SB462 , SB1535 , SB827 , SB1585 , SB207 , SB1207 , SB1619 , SB1396 , SB920 , SB1484 , SB1273 , SB1741
AZ

Arizona 2026 Regular Session

03/19/2026 - Senate Health and Human Services

Senate Health and Human Services COR

Transcript Highlights:
  • analysis that has to go into the calculation of the payments.
  • Madam Chair, members, we draw the federal funds at the time we make the payment.
  • We draw the federal funds at the time the payment is made. All right. Thank you.
  • When you make these payments, so you paid year one, did you notify the legislature?
  • , and this is why the TIP payments aren’t being made.
Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities. Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope. The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/05/25

Health and Human Services

Transcript Highlights:
  • We've extended that deadline to implement the payment withhold several times over the course of the past
  • DHS has issued a payment withhold for New Way, and that was issued over a year ago in February of last
  • And you'll see in the court filings that the reason that DHS issued that payment withhold is because
  • And you'll see in the court filings that the reason that DHS issued that payment withhold is because
  • </c> be put on the value based reimbursement be put on the value based reimbursement piece<00:36:45.520
Keywords: 1187, senate, all
ID

Idaho 2026 Regular Session

Agenda Feb 10th, 2026

Transcript Highlights:
  • The appropriation that this body has provided has been largely in trustee and benefit payments.
  • The appropriation that this body has provided has been largely in trustee and benefit payments.
  • from personnel costs and $750,000 from operating expenditures be moved into trustee and benefit payments
  • So that's a total of $1,150,000 being transferred from other categories into trustee and benefit payments
  • This fund receives reimbursements from the Social Security Administration.
Keywords: 989, all
Summary: The committee heard budget presentations first for the Idaho Workforce Development Council. Analyst Brooke Dupree reviewed the agency’s statutory role, funding sources, staffing, and FY27 requests, including an ongoing transfer within the In Demand Careers Fund to increase trustee and benefit payments for Idaho Launch grants, a proposal to consolidate the STEM Action Center into the council, and requests for reappropriation authority for several grant funds. Director Wendy Sechrist said Launch, workforce training, semiconductor, and child care grants have produced strong participation and wage gains, and she explained that the proposed STEM merger would transfer remaining dedicated-fund balances to the Workforce Development Training Fund. Members asked about the effect of a $10 million cash transfer on Launch awards, repayment of grants by students who do not meet requirements, and the use of employer training funds; Sechrist said wording such as “up to $10 million” would avoid reducing awards and that the agency is still exploring debt collection options. The committee then reviewed the Idaho Commission for the Blind and Visually Impaired. Dupree outlined the agency’s vocational rehabilitation and independent living services, its dedicated funds, and FY27 requests for additional appropriation to spend Social Security reimbursement revenue and for replacement vehicles from the adaptive aids fund. Administrator Beth Cunningham said the agency uses those funds to support clients’ employment and independence, and that the requested increases would help cover needed vehicles and offset other costs. She also said holdbacks would have a modest effect on services, including reduced site restoration funding and some cuts to client services and travel. Finally, the Idaho State Historical Society presented its budget. Dupree described the agency’s preservation mission, staffing, dedicated funds, and FY27 requests, including $450,000 for the second year of moving state records and collections into a new archives addition, plus IT hardware and reappropriation authority. Director Janet Gallimore emphasized stewardship of state records and artifacts, the importance of the collections move, and the agency’s role in America 250 activities. Members asked about archaeological review travel, the agency’s long tenure, and the use of miscellaneous revenue; Gallimore agreed to provide travel records and thanked the committee for its support. The meeting ended with a presentation of historical artifacts and adjournment until the next day.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/9/25

Human Services Finance and Policy

Transcript Highlights:
  • </c> that uh transitions to direct payments that uh transitions to direct payments to<00:08:41.200><c
  • On line 558, facility payment rates.
  • These are the behavioral health fund payment reforms.
  • </c> implement datainformed reimbursement implement datainformed reimbursement rates.<00:43:14.240><c
  • </c><01:00:57.440><c> as</c> combination of the facility payments as combination of the facility payments
Bills: HF2434
MN

Minnesota 2025-2026 Regular Session

Legislative Task Force on Child Protection - 01/08/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • , and it's often hard to stand up a facility or a program waiting for that reimbursement.
  • </c> program waiting for that reimbursement program waiting for that reimbursement um<00:18:20.440><c
  • </c> that some sometimes the reimbursement that some sometimes the reimbursement system<00:25:51.840>
  • rate structure and reimbursement and rate structure analysis.
  • </c> opportunities to reimburse opportunities to reimburse representation<01:20:45.400><c> legal</c><
Keywords: 1187, senate, all
MN
Transcript Highlights:
  • And just to underscore, if those dollars, which we do not receive reimbursement from the federal government
  • No, this would be for MinnesotaCare payments for illegal immigrants in Minnesota.
  • There's a broader MinnesotaCare pool that we actually get substantial federal reimbursement for, so this
  • care payments for uh illegal<00:15:06.399><c> immigrants</c><00:15:06.759><c> in</c> illegal immigrants
  • for so this is looking at reimbursement for so this is looking at just<00:15:17.759><c> the</c><00:15
Keywords: 1187, senate, all
NH
Transcript Highlights:
  • And that's just for reimbursement.
  • get the reimbursement, you don't get<01:31:53.280><c> the</c><01:31:53.360><c> reimbursement.
  • </c><01:42:49.480><c> Student</c> required for reimbursement. Student required for reimbursement.
  • </c> Provide total amount for reimbursement Provide total amount for reimbursement and<01:42:58.120><
  • ,</c><01:48:11.200><c> like</c> we should have been reimbursed, like we should have been reimbursed,
Keywords: 1189, house, all
Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/23/25

Taxes

Transcript Highlights:
  • ><00:55:37.359><c> for</c><00:55:37.680><c> certain</c> raise reimbursement rates for certain raise reimbursement
  • Senate File 2413 was a bill to provide a new directed payment program, or payment to hospitals, via our
  • Senate File 2413 was a bill to provide a new directed payment program, or payment to hospitals, via our
  • </c> then applied by them to the payment. then applied by them to the payment.
  • Um but we their their monthly payment.
Committee: Senate Taxes
Keywords: 1187, senate, all
TX

Texas 89th Regular

Appropriations Mar 31st, 2025

Appropriations

Transcript Highlights:
  • million to maintain crime victim services and offset federal revenue losses, and $69.4 million to reimburse
  • Gross and soundness and eliminating any unfunded actuarial liability with the annual legacy payments
  • and additional lump sum payments approved in the most recent session.
  • legislatures will appreciate, and it's projected to save $2 billion to $3.5 billion in interest payments
  • Payments to change the narrative that ERS is being underfunded—that narrative. no longer exists.
Bills: SB1 , HB500 , SB 1
KY
Transcript Highlights:
  • ,</c> make semi-annual availability payments, make semi-annual availability payments, availability<00
  • All payments are conditioned on meeting performance standards. There'll be no upfront payments.
  • All payments are conditioned on meeting All payments are conditioned on meeting performance<00:10:06.920
  • It is critical to upfront payments.
  • One question on the payments that are, I think, $47 million in availability payments over 30 years.
Summary: The committee first approved the April 27 minutes and then received several informational reports, including University of Kentucky medical equipment purchases, UK’s use of $200 million in Ever funds for a public-private partnership, school district debt issuances, UK’s planned use of construction manager-at-risk delivery on five projects, Kentucky Communications Network Authority capital projects under House Bill 6, and 14 UK lease improvements. Members were told the House Bill 6 item was also being discussed in the Information Technology Oversight Committee and could return later if needed. The main action item was University of Kentucky’s request to approve a $600 million public-private partnership for central plants and utility infrastructure tied to the Chandler expansion. UK said it would shift $200 million from previously authorized restricted funds into the P3, leaving the project financed through private equity and nonprofit debt with no UK or Commonwealth debt. UK representatives said the project is necessary to support 24/7 hospital operations, expand and modernize utility systems, improve redundancy and efficiency, and reduce long-term operating risk. Members asked about the source of the availability payments, which UK said would come from UK Healthcare revenues, and the committee approved the P3 agreement unanimously. The committee also approved a UK lease renewal for a 20,000-square-foot College of Medicine annex near the Bowling Green Medical Center. UK said the lease costs $38 per square foot, or $912,000 annually, and supports medical education expansion in the region, including growth from 120 to 160 students over four years. Members voiced support for the local impact, and the lease passed unanimously. Later, the committee approved a Transportation Cabinet aviation project for two medium box hangars at Capital City Airport, funded by $1,153,000 in federal money and $950,000 from the Aviation Economic Development Fund, which is supported by a 6% jet fuel tax with a $1 million annual cap per company. Members asked about the fund balance, the cap, and airport revenue sources, and staff said the airport also receives entitlement and federal infrastructure funds and earns revenue from hangar rent and fuel sales. The committee then approved two Finance and Administration Cabinet pool projects: a roof and skylight replacement at the Libraries and Archives building and exterior repairs at several state buildings. Finally, the committee approved six Kentucky Infrastructure Authority action items after hearing about one loan increase for the Springfield Wastewater Treatment Plant and five grant reallocations tied to Cleaner Water Program and county allocation pool funds. Members asked why one project approved in 2024 was only now increasing, and KIA explained that design, water division review, environmental review, and bidding can take one to two years. KIA also reported additional no-action items, including a Brandenburg water grant split among two projects and 17 Kentucky Waters projects provided for information. The meeting ended with approval of the action items and no further action on the informational grants.
NH

New Hampshire 2025 Regular Session

Senate Finance (02/18/2025)

Finance

Transcript Highlights:
  • part of this bill is highlighting that the counties can enter into an agreement with ICE to get reimbursed
  • part of this bill is highlighting that the counties can enter into an agreement with ICE to get reimbursed
  • part of this bill is highlighting that the counties can enter into an agreement with ICE to get reimbursed
  • of living adjustments that were cost of living adjustments that were one-time one-time one-time payments
  • payments payments um<00:42:26.880><c> and</c><00:42:27.440><c> understand</c><00:42:27.680><c> that<
Committee: Senate Finance
Keywords: 1191, senate, all
ND

North Dakota 2026 1st Special Session

Budget Section Jun 24th, 2026 at 10:00 am

Budget Section

Transcript Highlights:
  • These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
  • Can see that we did receive payments in April of this year.
  • As soon as we can, we'll make that payment of $13.6 million.
  • As soon as we can, we'll make that payment of $13.6 million.
  • They felt they should have gotten a gap funding reimbursement.
Keywords: 908, all
WV

West Virginia 2026 Regular Session

WV Senate Mar 13th, 2026 at 04:04 pm

Transcript Highlights:
  • It provides that if an insured property owner has already received payment...
  • wellness reimbursement program.
  • This bill defines a wellness reimbursement program.
  • It also requires a wellness reimbursement program...
  • This bill defines a wellness reimbursement program.
Keywords: 994, senate, all
Summary: The Senate considered and passed a series of House bills and one constitutional resolution, with several measures receiving title amendments and some taking effect immediately or on a specified date. Early action included moving House Bill 5438, concerning the foundation allowance for instructional programs, to the foot of third-reading bills. House Bill 5441, reforming the state personnel system, was amended with a Judiciary strike-and-insert technical fix, then passed 28-6 and was set to take effect July 1, 2026. House Bill 5462 on mine subsidence insurance passed unanimously, with a title amendment adopted. House Bill 5484, creating felony offenses related to denying medical treatment to sexual offense victims, also passed unanimously with a title amendment. House Bill 5515 modernizing workers’ compensation statutes passed unanimously with a title amendment, and House Bill 5527 establishing licensure and regulation for wellness reimbursement programs passed unanimously. House Bill 5528, protecting personal residential information of certain public officials, passed unanimously with a title amendment. The most extended debate centered on House Bill 5537, an education-related bill that was amended to add a child-protection provision later referred to as “Rayleigh’s law.” The amendment would bar approval of home instruction requests in certain child abuse or neglect cases until the Department of Human Services confirms the investigation is unfounded, closed, or not substantiated, or until 10 days pass without a response. Senators argued the measure was intended to protect children and not target homeschooling. After a point of order, the chair initially ruled the amended language not germane; that ruling was challenged and ultimately overruled by a 24-7 vote, allowing the amendment to remain. The bill then passed 24-7, and a title amendment was adopted. Other measures passed with little or no opposition. House Bill 5582 removed the sunset on the TANF applicant drug-screening program and passed 28-3 after a technical committee amendment. House Bill 5687 reduced the metallurgical coal severance tax over time and adjusted oil and gas tax allocations, passing 31-3. Several supplemental appropriations also passed and were made effective from passage, including funds for Homeland Security/corrections, the Adjutant General, Health, the State Road Fund, and Tourism/Culture and History. The Senate also adopted House Joint Resolution 42, which would place on the ballot a constitutional amendment increasing the homestead exemption from $20,000 to $40,000 and allowing future changes by general law. In second reading, the Senate advanced bills on workforce training reimbursements, aerospace and advanced manufacturing incentives, portable benefit accounts, literacy and science-of-reading training, school aid formula changes, and wedding venue regulation, with amendments adopted on several of them before advancement to third reading.
ID

Idaho 2026 Regular Session

Agenda Feb 9th, 2026

Health and Welfare

Transcript Highlights:
  • And so there could be even more places that we could look at: right-sizing reimbursements, determining
  • And when we start doing these drastic cuts like provider reimbursement, I agree.
  • If we look back at our improper payment, again, that's 24%. So, agree.
  • If we look back at our improper payment, again, that's 24%. So, agreed.
  • And I think when your reimbursement rate is $28 an hour, we do, I think that's a reasonable provider
Keywords: 989, all
FL

Florida 2026 Regular Session

Banking and Insurance Mar 17th, 2025

Banking and Insurance

Transcript Highlights:
  • If we have to create a second reserve for bond payments, it would result in a $1,400 per unit, or $935,000
  • If we have to create a second reserve for bond payments, it would result. reserve for bond payments,
  • current prohibition for elected officers, directors, or committee members of a credit union to be reimbursed
  • Just for... but they are just for reimbursables. Just for reimbursement.
  • state of Florida, so I was comfortable bringing forward the change to allow for expenses to be reimbursed
Summary: The committee heard and advanced several insurance, financial regulation, and public safety bills. The most extensive discussion centered on SB 1656, a major Office of Insurance Regulation bill covering reciprocal insurers, rate transparency, data calls, cybersecurity notification, and stronger oversight of continuing care retirement communities (CCRCs). The sponsor and OIR described the bill as aimed at transparency and preventing insolvencies, especially after recent CCRC failures. CCRC residents and industry representatives testified both in support and in opposition, with supporters emphasizing resident protection and opponents warning about liens, reserve requirements, management-company regulation, and higher costs. After debate and assurances that problematic provisions would be refined, the committee adopted a delete-all amendment and then reported the bill favorably. The committee also passed SB 1658, which creates a public records framework for the uniform mitigation verification of inspection form database while protecting policyholders’ personal information; a clarifying amendment was adopted before the bill was reported favorably. SB 1612 on financial institutions was approved after a substitute amendment restored current limits on credit union investments and kept only reimbursement, not salary, authority for certain board members and officers. SB 1740, an insurance bill intended to reduce premiums and insurer insolvency risk, was amended to prioritize rate-decrease filings and prohibit claim denials based solely on AI, then reported favorably. Two public-safety bills also moved forward. SB 1212 on firefighter health and safety would update OSHA-related protections, address toxic exposure in gear, encourage safer replacement equipment, and support best practices and mental health resources; an amendment refined terminology and added related provisions, and the bill was reported favorably. SB 1184 on residual market insurers was amended to preserve existing consumer protections and disclosure rules for excess and surplus lines and to clarify Citizens-related appointment requirements before being reported favorably. Throughout the meeting, members repeatedly noted ongoing stakeholder negotiations and intent to refine several bills further in later committee stops.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 29th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • system reimbursement to clinics for state-only funded services and the elimination of dental benefits
  • The payments are provided directly through what we call the fee-for-service system by the state.
  • We delayed cuts to immigrant health coverage, dental, and clinic payments until July of 2027.
  • , and two, to begin to ask for forgiveness of those payments.
  • We need to raise Medi-Cal reimbursement rates. It’ll solve it.
Keywords: 987, senate, all
ID

Idaho 2026 Regular Session

Agenda May 28th, 2026

Transcript Highlights:
  • national charge in transforming rural health care, leveraging American innovation and sustainable payment
  • Are these funds reimbursed funds for actual already done projects or coming-up projects?
  • Yesterday we heard directly from the tribes that reimbursement methodology will be a huge impediment
  • But, um, for people to say it's reimbursable, you have to do the project, then you get reimbursed.
  • We can receive reimbursement from the state using RHTP funds. That would be allowed.
Keywords: 989, all
Summary: The Rural Health Transformation Committee met with a quorum and approved the April 22 minutes. The main presentation came from Kate Sapra of CMS, who outlined the federal Rural Health Transformation Program, a $50 billion, five-year cooperative agreement for all 50 states. She emphasized CMS oversight, annual rescoring based first on implementation progress and later on outcomes, strict deadlines for obligating and spending funds, and the possibility of clawbacks if funds are not used on time or for approved purposes. She also described CMS’s Idaho site visit and the broader federal-state collaboration, including reporting requirements and technical assistance. Director Juliet Sharon of the Idaho Department of Health and Welfare then reviewed the state’s first round of planned sub-awards and solicitations. She explained the distinction between full RFPs, cooperative agreements, and smaller sub-grants, and said the first year will focus on building program structure, hiring support staff, data analysis, third-party administration, needs assessments, and initial service and infrastructure investments such as EMS, maternal and child health, behavioral health, chronic disease prevention, transportation, and technology. Committee members asked for more detail on KPIs, scoring metrics, and access to the actual RFP documents, and Sharon said those materials could be shared through SharePoint with confidentiality protections. Members also raised questions about reimbursement versus upfront funding, especially for tribes and other rural providers that may not have capital to start projects. CMS said upfront funding is allowable if consistent with state procurement rules and that RHTP funds cannot supplant existing funds or pay for projects already underway without a strong new-project rationale. Questions were also raised about multi-year construction or renovation projects, minor renovation definitions, and whether funds could be shifted between categories; CMS said budget revisions are possible but time-consuming, and year one changes would be difficult. The committee agreed to submit feedback on the first batch of opportunities by May 29 and scheduled the next meeting for July 15.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/26/25

Commerce Finance and Policy

Transcript Highlights:
  • </c> their ability to make their payments their ability to make their payments with<00:08:18.680><c>
  • The payment goes directly to the patient, and then they can make that portion of the payment to their
  • The payment goes directly to the patient, and then they can make that portion of the payment to their
  • The payment goes directly to the patient, and then they can make that portion of the payment to their
  • </c><00:26:55.159><c> goes</c> so the process is the payment goes so the process is the payment goes
Bills: HF2228 , HF46 , HF856 , HF2149 , HF2215
NH

New Hampshire 2025 Regular Session

Fiscal Committee (12/19/2025)

Transcript Highlights:
  • rates above a 0% home reimbursement rates above a 0% change<00:04:40.320><c> and</c><00:04:40.960><c
  • So the entire idea of allowing these installment payments over time for claims was so that we can go
  • or structured payments and that kind of thing.
  • </c><00:39:45.359><c> or</c><00:39:45.599><c> structured</c><00:39:45.920><c> payments</c> onetime payment
  • or structured payments onetime payment or structured payments and<00:39:46.400><c> that</c><00:39:46.560
Keywords: 928, house, all
Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.