Video & Transcript Research : 'improper payments'

Page 83 of 368
MN

Minnesota 2025 1st Special Session

Committee on Commerce and Consumer Protection - 02/20/25

Commerce and Consumer Protection

Transcript Highlights:
  • All of my payments went toward the interest.
  • If I was running behind on a payment, there were late fees in addition to compounded interest.
  • <00:33:39.919> the borrowers missing a monthly payment the borrowers missing a monthly payment
  • She trusted him, and after the paperwork went through, her payments went up again.
  • Fargo a few years ago had a payment Fargo a few years ago had a payment scheme<00:56:05.960>
Keywords: 1187, senate, all
HI
Transcript Highlights:
  • So, for example, for me, Hawaiiana and Porter McGuire, they just forgot to apply my $4,000 payment to
  • to my account, and they >> $4,000 payment to my account, and they sent<00:37:43.280> me
  • And so payments received from an owner under the current statute cannot be applied to a judgment.
  • applying payments first to a money judgment.
  • applying payments first to a money judgment.
Keywords: 912, senate, all
Summary: The committee heard testimony on SB 2294, which would require condominium associations, boards, and managing agents to comply with declarations, bylaws, county ordinances, and state and federal laws, including mortgage lending requirements. The Community Associations Institute opposed the bill as redundant, arguing existing law already requires compliance and provides penalties. Supporters, including condominium owners and board members, said the measure would clarify that associations are not “self-governing” in a way that exempts them from outside laws, and cited examples where local officials or police told residents to take issues back to their boards. Several supporters said the bill would reinforce board responsibility for permits, safety, and legal compliance. The committee noted 27 pieces of testimony, with 10 in support and 17 in opposition, and then moved on without taking a vote on the measure in the transcript provided. The committee also took up SB 2298, which would require common interest community proxy forms to include additional language explaining proxy selection options. The Community Associations Institute opposed the bill, saying the proposed language was inaccurate and would not improve consumer clarity unless significantly revised. Supporters argued that proxy forms are confusing and that clearer instructions would help homeowners understand how their votes are being used. Opponents said the added language would make the forms longer and more confusing, and suggested a separate instruction sheet or other educational material instead. Testimony also raised broader concerns about proxy voting being misused in some associations, with one witness urging that proxy voting be eliminated altogether. The committee reported 29 written testimonies, including seven in support, 19 in opposition, and three with comments, and again did not record a final vote in the excerpt. For SB 2300, which would shorten condominium reserve cash-flow projections from 30 years to 25 years, the Community Associations Institute opposed the bill, saying it would not make housing more affordable, would reduce transparency, and would increase the annual burden by giving associations less time to save for long-life components. The group suggested that if affordability is the goal, lawmakers should consider allowing future loans or special assessments with guardrails. Supporters of the bill said the shorter projection period would better reflect practical budgeting and help associations plan more realistically, though some supporters also warned against relying too heavily on loans and emphasized accountability and fiduciary responsibility. Other testimony stressed that the impact of changing the projection period would vary by association and that many owners are already struggling with rising fees. The discussion remained focused on testimony and policy concerns, with no final action on SB 2300 shown in the transcript.
MS

Mississippi 2026 Regular Session

Appropriations - Room 216, 28 January, 2026; 8:15 AM

Appropriations

Transcript Highlights:
  • to pick up 15% of the programmatic costs. the payment error rate is 8 to 10%, the the payment error rate
  • But we are examining all of the reasons for our payment error rate.
  • factor that that impacts our payment factor that that impacts our payment error<01:00:38.240>
  • disconcerting about that is the payment disconcerting about that is the payment error<01:01:08.319
  • That's all that's in there is the child care payment program.
Summary: The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy. MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency. A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 4/15/26

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • do advanced payments uh in this<00:02:30.640> program.
  • allow for DLI to issue advanced payments allow for DLI to issue advanced payments for<00:02:48.480
  • <00:15:50.079> versus of advanced payments versus of advanced payments versus reimbursement
  • <00:25:12.960> of or insurer that has commenced payment of or insurer that has commenced payment
  • personal injury to terminate the payment personal injury to terminate the payment of<00:25:21.520
Bills: HF4862, HF4598
TX

Texas 89th 2nd C.S.

89th Legislative Session Mar 17th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • HB 2408 by Tupper ruling to the authority of state municipalities to pledge to certain tax. the payment
  • For the Committee on Insurance HB 2518 by Barrier relating to the use of installment premium payment
  • Relating to the payment of certain employer contributions for employed retirees of the teacher retirement
  • HB 2556 by Frank, relating to certain healthcare transaction fees and payment claims and inclusions of
  • natural provider identifier on the payment claim or providing an administrative penalty.
TX

Texas 89th Regular

89th Legislative Session Mar 17th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • HB 19 by Meyer relating to the issue in three payment of the debt by local governments, including the
  • Utility district for the committee on land and resource management HB 2472 by Simmons relating to the payment
  • comptroller public accounts for the committee on ways and means HB 2554 by Allen relating to the payment
  • Committee on Public Education, HB 2556 by Frank, lending a certain health care transaction fees and payment
  • claim. and inclusions of natural provider identifier on the payment claim or providing an administrative
Keywords: 1184, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/05/2025)

Transcript Highlights:
  • That's why we've been moving towards the higher payment rates and directed payments, and I think the
  • The reason why is that under the enhanced payment rates and under directed payments, those can only go
  • <00:36:34.000> and payment rates and directed payments and payment rates and directed payments
  • directed payments and uh payment rates directed payments and uh payment rates is<00:37:12.839>
  • <00:37:21.800> for care in the form of dish payments for care in the form of dish payments
Keywords: 1189, house, all
Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/15/26

Human Services Finance and Policy

Transcript Highlights:
  • and payment integrity safeguards.
  • <00:03:25.520> and<00:03:25.720> payment modernizing program payment and payment modernizing
  • program payment and payment integrity integrity integrity safeguards.<00:03:29.080> That<00:03
  • payment actions. payment actions.
  • investigation procedures, payment investigation procedures, payment withholding,<00:15:36.200>
Bills: HF4207, HF4338
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Housing Jun 21st, 2026 at 01:00 pm

Joint Committee on Housing

Transcript Highlights:
  • I think with the Affordable Homes Act, we're very much excited about how this is sort of a down payment
  • So, the down payment assistance history has been varied over the last several years.
  • We first started down payment assistance in 2018, financing the first number of bond programs.
  • , state down payment, maybe their employers making some... ...with a lot of technical assistance, our
  • down payment, state down payment, maybe their employer is making some money available, the one product
Keywords: 995, all
Summary: The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts. Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations. CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.
TX

Texas 89th Regular

89th Legislative Session Apr 14th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • UIL rules continue to prohibit high school students from receiving NIL payments.
  • If they take an NAL payment, they will become ineligible to compete in high school.
  • My bill does not authorize the use of public funds for NAL payments.
  • So how these payments were structured and by from what booster? I'm just not advised.
  • Student athletes have been receiving payment.
FL

Florida 2026 5th Special Session

Finance and Tax Jan 28th, 2026

Transcript Highlights:
  • And if estimated payments are indicative of...
  • And if estimated payments are indicative of their final payments, which happen in the second half of
  • So the final payment is due for calendar year filers in May.
  • So May is a big collection month, and the first and second estimated payments for the fiscal year...
  • And the first and second estimated payments for the fiscal year are due in June.
Summary: The committee took up three tax-related bills and a staff presentation on the state revenue forecast and the federal One Big Beautiful Bill Act. SB 856, by Senator DeSigley, would require online real estate listing platforms to display estimated property taxes using state-prescribed methods rather than the current owner’s taxes. Supporters from county, city, and property appraiser groups said the bill would improve transparency for homebuyers, especially first-time buyers and those facing large tax increases after a homestead cap reset. Senators discussed ensuring the estimate appears directly on listing platforms. The bill was reported favorably. The committee then considered SB 110, by Senator Arrington, which clarifies that people holding 98-year-or-longer residential leases remain eligible for the homestead exemption even if the lease ends upon death, aligning such leases with life estates for estate-planning purposes. An amendment was adopted to clarify that leases terminating at the lessee’s death are valid under current law. The Florida Bar’s Real Property, Probate, and Trust Law Section supported the bill, and Senator Gates noted its importance for long-term leaseholders on barrier islands. The amended bill was reported favorably. SB 434, by Senator Leak, would prevent property tax assessments from increasing because of improvements made to harden homes against wind damage, such as stronger roof attachments, shutters, and secondary water barriers. The sponsor said homeowners should not be penalized for resilience upgrades, and the bill was also reported favorably. Staff director Mr. Khan then reviewed the latest general revenue forecast, noting collections were running about $230 million above prior estimates through November and that the new forecast added roughly $500 million in the first budget year, with a smaller increase in the second year. He said corporate income tax was the main weakness in the forecast, due to softer collections and uncertainty around tariffs, while other sources were generally stronger. In the second half of the presentation, he explained that the federal One Big Beautiful Bill Act would significantly affect Florida’s corporate income tax base if fully conformed to, with an estimated $3.5 billion general revenue impact in fiscal year 2026-27, largely because of retroactive provisions such as bonus depreciation and research expensing. Senators and the appropriations chair discussed the budget implications, including possible ways to limit the impact through decoupling or prospective treatment. No votes were taken on the forecast presentation, and the committee adjourned after members requested to be recorded as voting in favor on SB 856 and SB 110.
KY
Transcript Highlights:
  • Bond payments are us paying down the debt service on the bonds that are issued at a local level for us
  • <00:18:31.280> their regular increases baked into their regular increases baked into their payment
  • <00:18:33.039> So<00:18:33.280> they're payment model that we do not.
  • So they're payment model that we do not.
  • <00:56:47.680> that maximum annual debt service payment that maximum annual debt service payment
Keywords: 958, all
Summary: The Interim Joint Budget Review Subcommittee on Justice and Judiciary met without a quorum and heard an update from the Administrative Office of the Courts on the judicial branch budget. AOC Director Zach Ramsey and budget director Carol Henderson outlined the branch’s current funding structure, noting that fiscal year 2026 general fund support is about 2.77% of the state general fund, below the National Center for State Courts’ typical 2% to 4% range. They emphasized Kentucky’s unusual responsibility for courthouse facilities, with the judicial branch directly involved in construction, maintenance, and operations across 229 facilities in all 120 counties. AOC said nearly 91% of its general fund is spent on personnel and other non-discretionary costs, and that the branch has long relied on agency revenue, restricted fund carryforwards, and vacancy credits to balance court operations. Members were told that Senate Bill 25 required a $34.5 million transfer into a reserve account, part of which was used to purchase the Chamberlain Avenue building in Frankfort. AOC reported that only $11.9 million remains in restricted funds, while it projects needing about $13.5 million to cover fiscal year 2026 obligations, not including roughly $9 million in flood-related remediation costs for Hardin and Franklin counties, much of which it expects to recover through insurance and FEMA. Looking ahead to the next biennium, AOC said it will seek full funding of court operations at $341 million annually, a $13.5 million increase to bring current services into the base appropriation rather than relying on reserves. It also previewed additional requests, including a 15% across-the-board pay parity plan for Kentucky Court of Justice personnel, replacement of declining master commissioner fee revenue tied to 141 deputy circuit court clerk positions, funding for technology subscription and case management system costs, JAV audiovisual system upgrades, AEDs and medical kits for courthouses, and other staffing and operational needs. Senator Funky Frommeyer asked whether the 15% salary proposal was included in the $13.5 million increase; AOC said it was not, and that it would be an additional request. No votes or formal actions were taken.
KY
Transcript Highlights:
  • So for example, there were two new directed payment programs.
  • So for example, there were two new directed payment programs.
  • So for example, there were two new directed payment programs.
  • That's complain about their payments.
  • since we've seen an increase in payment since we've seen an increase in payment rates<01:25:10.800
Keywords: 958, all
Summary: The committee met with a quorum and first approved the minutes from its May 13 meeting. Members then reviewed a deferred contract with the Kentucky Board of Pharmacy for the Kentucky Pharmacist Recovery Network (KYPRN), a program that provides monitoring and support for pharmacists and pharmacy interns with substance abuse or mental health issues. Board representatives explained that the contract is a long-running arrangement, renewed periodically, with an option for two additional two-year renewals. Senators asked about the program’s structure, participation trends, follow-up, and consequences for noncompliance. The board said enrollment has remained fairly consistent at about 52 participants, with roughly 500 participants over the life of the program, weekly and monthly check-ins during the five-year typical enrollment period, and possible additional sanctions if participants fail to meet obligations. The committee then approved the contract. The committee next considered a group of economic development contracts, including items from the Cabinet for Economic Development. Secretary Jeff Null and general counsel Matt Wingate testified about contracts tied to regional innovation and entrepreneurship hubs. Members focused on the large differences in funding between regions and pressed for more support for rural and eastern Kentucky. Null said the cabinet is working on a more tailored, non-one-size-fits-all approach, including possible changes to capital support, build-to-suit options, and additional resources for rural areas. He said the hubs have helped 193 startups over the last two years and helped attract nearly $350 million in private capital, and he agreed to provide a written report by hub district on startup viability. The committee approved the economic development contracts. The Kentucky Lottery Corporation then presented its contracts with vendor IGT for retail and internet sales systems. Lottery officials said the contracts are mission-critical, cover both the traditional retail system and iLottery, and are structured as a percentage of sales so no payment is made until revenue is earned. They described planned equipment upgrades, including refreshed terminals, new ticket checkers, cashless vending and bill acceptors, and connected-play features that would link retail and online wallets. Officials said keeping the same vendor reduces the risk of business disruption and that the arrangement has already produced cost savings. They also said the lottery continues to see year-over-year growth and expects to meet its annual contribution target of $360 million for scholarships and grants. The committee approved the lottery contract after discussion.
TX

Texas 89th Regular

Appropriations Feb 19th, 2025 at 10:30 am

Appropriations

Transcript Highlights:
  • And the legacy payment will adjust in order to do that. And then.
  • And that plan has different benefit structure, different payments than the state.
  • Those legacy payments are projected to save $8.5 billion for the state. in the HB1 is filed.
  • as well as the investment experience that we had on that. and the continued legacy payments.
  • There is an a the continuation of the legacy payments and an additional one billion dollar payment to
Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.
WY

Wyoming 2026 Regular Session

House Labor, Health & Social Services Committee, February 23, 2026

Labor, Health & Social Services

Transcript Highlights:
  • And so I just a little more clarity on the payment on that.
  • <00:12:42.720> Thank clarity on the payment on that.
  • We don't have anything like payments.
  • That's what those payments are for.
  • ><00:20:27.280> healthc<00:20:27.520> care payments are for that healthc care payments
Bills: HB0004
LA

Louisiana 2026 Regular Session

House of Representatives Apr 27th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Senate Bill 235 by Senator Womack to provide relative to payment center contracts by public entities,
  • by the state for meals, incidental expenses. employees of the state provide for maximum for payments
  • , and directed payments for rural hospitals, and duties of the Department of Health.
  • House Bill 1185, relative to payment methodologies for hospitals, reimbursements, and directed payments
  • And if they miss a payment, it just goes back to the end of their payment plan.
Summary: The House convened with a quorum, opened with prayer and the pledge, adopted the journal, and then spent much of the day on recognitions and resolutions. Members recognized NAMI and proclaimed Mental Health Awareness Month, honored fourth graders from Alpine Christian School, Hunter Nation supporters, Vermilion Parish visitors, and Louisiana Young Heroes. The chamber also observed a moment of silence for Martha Odom, a Lafayette student killed in the Mall of Louisiana tragedy, and heard remarks condemning political violence and social-media harassment. Several resolutions were adopted or advanced, including measures on rural mental health day, domestic violence prevention, nurses’ day, wildlife studies, child abuse reporter training, privacy/FISA reform, and Law Institute studies on property, foreign-entity terminology, and carbon sequestration issues. The House then moved through a long series of committee reports and floor actions on bills covering criminal justice, education, health, insurance, transportation, alcohol regulation, wildlife, elections, retirement, and public benefits. Many bills were advanced unanimously or near-unanimously, including measures on school emergency plans, impaired driving, victims’ compensation, sexual assault response, Medicaid dental coverage tied to other procedures, TOPS Tech eligibility, early childhood student IDs, highway priority program deadlines, CDL rules, and toll dispute procedures. Some bills were recommitted to Appropriations or returned to the calendar, and several were amended before being sent onward. On final passage, the House approved H.R. 1 adopting the annual State Integrated Coastal Protection Plan for FY 2026-2027 by 101 yeas, and also passed H.R. 17 on TOPS return-on-investment study, H.C.R. 4 suspending certain feeding and baiting restrictions in chronic wasting disease areas by 63-30, H.C.R. 47 on child abuse reporter training, H.R. 30 on FISA reform, H.B. 12 expanding death benefits for reserve auxiliary law enforcement officers, H.B. 205 allowing parish supplementation of election commissioner pay, H.B. 224 on Medicaid dental coverage for related procedures, H.B. 324 on judicial salaries, H.B. 325 on TOPS Tech eligibility, H.B. 350 expanding a charter school’s grade levels, H.B. 745 extending special vehicle permit sunsets, H.B. 797 creating the Bayou Gold Program, H.B. 807 creating a workforce instructor capacity investment program, H.B. 821 moving the Center for Safe Schools, H.B. 896 on toll signage and customer service, H.B. 979 increasing first responder survivor benefits to $404,000 via amendment, H.B. 992 assigning early childhood student IDs, H.B. 1000 on highway priority program administration, H.B. 1024 creating a Democratic Party license plate, H.B. 1050 on CDL age and hazmat rules, and H.B. 1173 on installment agreements for OMV fines and late fees. Several other bills were reported favorably, amended, or recommitted, with no recorded opposition on most of the final votes.
NH

New Hampshire 2025 Regular Session

Senate Finance (05/30/2025)

Finance

Transcript Highlights:
  • , someone who was late with a payment, someone who was late with a payment, which<00:20:15.039>
  • .<00:20:34.960> They<00:20:35.200> were<00:20:35.360> financially payment.
  • They were financially payment.
  • They're not able to discharge their patients for non-payment.
  • They have to patients for non-payment.
Keywords: 1191, senate, all
NH
Transcript Highlights:
  • <00:16:01.680> um actuarial sound capitated payments um actuarial sound capitated payments
  • Payments that are made to county nursing homes.
  • incentive adjustment, uh, payment. incentive adjustment, uh, payment. payments<01:25:21.040>
  • I don't know how you could payments.
  • ProShare uh payments uh into the rate. ProShare uh payments uh into the rate.
Keywords: 928, house, all
Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/25/26

Human Services

Transcript Highlights:
  • individuals receiving certain residential waiver services following the commissioner withholding payments
  • to a residential service payments to a residential service provider<00:02:44.200> that<00:02:
  • <00:04:47.640> to account for each client's payments to account for each client's payments
  • Section five makes two changes to the statute governing payment withholds.
  • Section five makes two changes to the statute governing payment withholds.
Keywords: 1187, senate, all
MN

Minnesota 2025 1st Special Session

Conference Committee on SF2298 5/17/25

Transcript Highlights:
  • And so continuing to invest in first-generation down payment assistance in this bill, even though we
  • It touches down payment assistance to help folks get there.
  • It touches down payment assistance to help folks get there.
  • It touches down payment assistance to help folks get there.
  • It touches down payment assistance to help folks get there.
Keywords: 1183, house