Transcript Highlights:

• And these costs against the utilities are recovered from the ratepayers.
• We also are requiring the DPU to do utility management audits, digging into the utilities and making
• If we want to provide immediate relief, we should be talking about suspending state-mandated fees.”
• It is also heavily subsidized and locks municipal utilities into long-term contracts.
• You have been paying into this program on every utility bill for years.

Keywords: 995, all

Summary: The House opened with the Pledge of Allegiance and then took up several procedural matters, including adopting a resolution recognizing the work of Ukraine Forward and suspending Joint Rule 12 for a number of petitions. The chamber also scheduled several bills for later consideration, including measures on unemployment insurance for fluctuating work schedules, the Medical Society mission statement, a youth training wage, bridge and intersection namings, handicapped parking fines, public-way safety, excavation restoration, motor vehicle safety, and a Newton police age requirement. Two engrossed local bills were passed to be enacted: one authorizing retired police officers as special police in Plainville and another allowing Orange to increase its Board of Selectmen membership. The main policy debate centered on House No. 5151, An Act relative to energy affordability, clean power, and economic competitiveness. Supporters described it as a broad affordability and clean-energy package that would cut costs for ratepayers, reform Mass Save, speed clean-energy procurement and interconnection, return a portion of alternative compliance payments to customers, and address biomass and other energy issues. Opponents argued the bill relied too heavily on long-term programs and new administrative structures while offering little immediate relief, and raised concerns about costs being shifted to consumers, impacts on natural gas, and the pace of implementation. Several amendments were debated and rejected, including proposals to shift public benefit charges away from peak hours, pause public benefit charges for a year, require greater utility disclosure before rate increases, and add a forest-clearing penalty for solar development. One amendment to the energy bill was adopted: a consolidated amendment that included budget-billing consumer protections for gas customers, requiring notice and conservation recommendations when usage rises significantly. The House also adopted an amendment to a separate conservation-restriction bill for Hanson, changing a figure in the underlying law, and passed that bill to be engrossed as amended. The energy bill’s consolidated amendment passed by roll call, while several other amendments failed by roll call votes. The House observed multiple moments of silence honoring Jaden Booker, Thomas Skip Karam, former Freetown Police Chief Carlton Abbott, and former Representative and Senator William Q. “Biff” McLean, Jr.

Transcript Highlights:

• That is the bill, and I urge passage. ...operational utilization.
• Engrossed House Bill 5323, relating to indexing and license and stamp fees.
• The bill removes the prohibition precluding fee increases for license and stamp fees after July 1, 2021
• The bill removes the prohibition precluding fee increases for license and stamp fees after July 1, 2021
• This change will allow DNR to adjust its fee schedules for inflation. I urge passage of the bill.

Keywords: 994, senate, all

Summary: The Senate met on March 11, 2026, with prayer, the Pledge of Allegiance, journal approval, and numerous guest and page introductions, including school groups, prayer caucus visitors, and advocates for Home Family Education Day and Women in Blue Day. The chamber then took up committee reports and a large number of House bills, most of them on third reading, along with several resolutions and referrals. Senate Resolution 62, designating March 12, 2026, as West Virginia Athletic Trainers Day, was adopted after remarks emphasizing the value of athletic trainers in preventing injuries and tragedies in school sports. Several other resolutions and concurrent resolutions were referred to the Committee on Rules or laid over under the rules. The Senate passed a wide range of bills addressing economic development, public safety, health, licensing, and state administration. Measures approved included bills on the West Virginia Collaboratory at Marshall University, the Business Ready Sites program, volunteer fire company spending authority, the Load Forecast Accountability Act, funeral service licensure, work zone fines, biennial business reporting, correctional officer retirement law, the Right to Try Act, quick claim deed tax exemptions, an ibogaine drug-development grant program, aggravated vehicular homicide sentencing, 529 savings plan definitions, opportunity zones, barber apprenticeship, municipal and county hotel occupancy fund uses, criminal-record licensing standards, intimate image disclosure remedies, executor training materials, contempt penalties, PEIA treatment flexibility, PANS/PANDAS information, the Respiratory Care Interstate Compact, capitation rate review expansions, convention and visitors bureau board membership, peer support services, cosmetology licensure compacts, natural resource police retirement, DNR fee indexing, ALS care services, the Neighborhood Investment Program, oil and gas well plugging and carbon capture-related provisions, DUI technical changes, abuse intervention program terminology, and a youth summer employment and career readiness program. Most bills passed overwhelmingly, with a few closer votes, including the Load Forecast Accountability Act and the DNR fee-indexing bill. Several bills were amended on the floor, including title amendments and strike-and-insert changes. The Senate also debated the work zone penalty bill, with supporters citing worker safety and fatalities and opponents arguing the bill increased fines too much without requiring removal of outdated work-zone signs. On the energy-related load forecast bill, senators discussed the inclusion of provisions from Senate Bill 420 and concerns about coal plant utilization and utility impacts. After debate, the Senate adopted amendments and passed the bill. In most cases, after passage the Senate ordered the bills communicated to the House, and for a few measures it also adopted title amendments or made bills effective from passage or on a specified date.

Transcript Highlights:

• So essentially the agency created a new Medicaid fee schedule for the home health agencies employing
• Medicaid fee schedule and performed any necessary system updates that needed in order to allow fee-for-service
• There is a small population that remains in the fee-for-service program.
• The fee schedule was updated to allow fee-for-service claim submissions from hospitals and independent
• We certainly are trying to investigate what might be a cause of the lower utilization.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• North Star Promise Base is a last dollar scholarship program that covers up to 100% of tuition and fees
• Plus funds can be used to cover additional components of the cost of attendance beyond tuition and fees
• We can't change the North Star Promise program to cover anything other than resident tuition and fees
• Also, as noted, we do not play a role in estimating tuition and fee and enrollment changes.
• This slide highlights the specifics in how we are utilizing this appropriation.

Transcript Highlights:

• with higher utilization.
• Whether or not it increases utilization is somewhat uncertain.
• And that's because coverage does tend to be associated with higher utilization.
• But even if utilization were to fall somewhat, heavy health care users, that's uncertain.
• And if we hold our participation fee constant, that will drive in more revenue.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• Pursuant to federal regulation, we and our contractors are required to establish utilization controls
• I have yet to find a provider who has gotten paid for outpatient services on the fee-for-service side
• I have yet to find a provider who has gotten paid for outpatient services on the fee-for-service side
• And will they now fall outside the fee-for-service AIHP?
• The program will not have monthly fees just for enrolling people.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• It fixes an injection fee.
• Yeah, but I'm talking about the fees, this fee is only for really, truly about emergency response, and
• this fee is really about making sure we have a secondary fund. ...response, and this fee is really about
• So then they want to compare what that two-cent fee may be in Texas to a 19-cent fee here.
• , a 10-cent injection fee.

Keywords: 965, house, all

Transcript Highlights:

• increase in the processing fee, effective January 1st of this year.
• We had almost a 5,000 percent increase in our processing fee starting January 1st.
• It's just right-sizing that fee. I appreciate both of your analyses of this bill.
• That doesn't just mean a utility power line.
• This bill is unique in that it touches both utility ignitions and everybody else.

Summary: The committee heard a series of Senate bills on environmental, climate, recycling, wildfire, outdoor access, and clean transportation policy. SB 958 would clarify CEQA treatment of impacts tied solely to increased building height, and SB 1230 would increase penalties and create CalRecycle support tools for repeat commercial illegal dumping. SB 1341 would revise how processing fees are calculated for bag-in-a-box wine under California’s recycling program. All three measures received due-pass recommendations to Appropriations, with roll calls showing majority support and the bills left open for absent members. Members then took up SB 1300, which would create a more permanent legislative role in California’s international climate cooperation and establish a climate secretariat at UC; SB 1370, which would codify and streamline wildfire fuel-reduction permitting with added safeguards, geographic and size limits, and pesticide-related amendments; and SB 1260/1268, which would codify the Outdoors for All initiative and the Deputy Secretary for Access position at the Natural Resources Agency. Each drew support from environmental, utility, business, and local-government witnesses, while SB 1370 also drew opposition from environmental and advocacy groups concerned about reduced CEQA review and herbicide use. The committee discussed amendments at length, especially on SB 1370, and all three measures advanced with due-pass recommendations. The committee also heard SB 1213, the Clean Truck Transparency Act, requiring baseline pricing disclosure for medium- and heavy-duty zero-emission trucks tied to state incentives and directing agencies to explore alternative financing. Support came from clean-air, business, and environmental groups, and the trucking/manufacturing opposition moved to neutral after amendments; the bill advanced on a due-pass vote. Finally, SB 1075, the Clean Air Promise, sought to strengthen AB 617 implementation and clarify community emission reduction planning, but it generated substantial opposition from air districts, business groups, and others over enforceability, funding, and the distinction between formal SERPs and community L-SERPs. The author described additional pending amendments to narrow L-SERP provisions, and the bill also received a due-pass recommendation to Appropriations.

Transcript Highlights:

• <00:10:46.320> for being recaptured and utilized for being recaptured and utilized for different
• And so these um are utilizing the funds.
• to impose correctional supervision fees to impose correctional supervision fees on<00:32:48.320>
• On R9, House section 13 increases marriage license fees.
• increases marriage license fees. increases marriage license fees.

Keywords: 1183, house

Transcript Highlights:

• protections against excessive late fees protections against excessive late fees as<00:26:20.559>
• Utilities, you really don't.
• Utilities, you really don't.
• Utilities, you really don't.
• Utilities, you really don't.

Keywords: 1187, senate, all

Transcript Highlights:

• So rents, utilities, those types of things would be.
• Some fees are set in regulations based on other factors.
• You noted about the increased fees that obviously our fees support all of our positions.
• Obviously, our fees support all of our positions.
• As far as increases in fees for the fund.

Keywords: 987, senate, all

Transcript Highlights:

• It's not an additional fee or surcharge.
• I'm here today with our group, the National Utility Contractors of Florida.
• We are a utility contractor, also past president of NUCA of Florida.
• For the longest time, Johnson Davis just had a utility contractor's license.
• I have a utility contractor's license.

Bills: S0558, S1294, S1468, S1474, S1682, S1628

Keywords: stormwater systems, environmental standards, municipal infrastructure, engineering certifications, local compliance, Florida Department of Transportation, biosolids, agronomic rate, land application, environmental protection, Florida statutes, nutrient management, recordkeeping, farming, compost products, wastewater treatment, environment, sewage disposal, pollution control, reporting requirements

Summary: The committee took up several environmental bills, beginning with SB 1682 on local administration of vessel restrictions. Senator Trumbull said the bill would give cities and counties tools to address abandoned, derelict, and long-term anchored vessels while following state standards and FWC guidance. Members from affected areas spoke in support, citing recurring derelict vessel problems and the difficulty and cost of removal once vessels sink. The bill was reported favorably. The committee then heard SB 1468 on advanced wastewater treatment, which would require DEP to compile a detailed statewide report on wastewater treatment plants, including construction age, treatment levels, contaminant data, spill history, flood risk, and receiving waterbody impairment information. Florida Rural Water Association testified that any move to require advanced treatment for all plants over one MGD could create major financial burdens without dedicated funding. The bill was reported favorably. The committee also considered CS/SB 1294 on biosolids management, with a strike-all amendment adopted. Senator Bradley said the revised bill would require bulk Class AA biosolids fertilizer and compost products to be land applied only at agronomic rates and, absent a bona fide sale, only at permitted DEP-approved sites, with a transition date moved to July 1, 2028. Supporters said it would protect water quality and legitimate fertilizer and compost markets, while rural utilities asked for funding and flexibility. The committee reported the bill favorably. Next, the committee took up CS/SB 1628 on net zero policies by governmental entities. Senator Avila said the bill would prohibit local governments and other governmental entities from adopting or funding net zero policies, imposing related fees or taxes, or operating cap-and-trade or carbon trading programs. The committee adopted an amendment clarifying the definition of carbon dioxide. The bill drew extensive debate: supporters argued it would protect residents and businesses from higher costs and preserve predictability, while opponents said it would block local climate and clean-energy policies, including electric buses, energy-efficiency measures, and climate resilience planning. After public testimony on both sides, the bill was reported favorably. The committee also approved CS/SB 1474 on biosolids management, which Senator Gates said would require biosolids and septage to be treated at the highest practical level when wastewater treatment facilities are reasonably accessible and would bar Class B land application within 50 miles of a permitted wastewater facility. An amendment applying the statutory definition of septage was adopted, and the bill was reported favorably. Finally, the committee heard SB 558 on stormwater system standards. Senator Burgess said it would create statewide standards for municipal and county stormwater systems using FDOT guidelines and third-party inspections, with an amendment making technical changes and broadening who may perform inspections. Supporters said uniform standards could improve safety and reduce failures, while contractors, engineers, and industry groups warned it could raise costs, delay projects, and preempt stronger local standards. The bill remained under discussion as the transcript ended.

Transcript Highlights:

• So, for fee-for-service, of course, fee-for-service is our smaller program, largely served by Native
• Forty-five states in the District of Columbia have and utilize a preferred drug list for their fee-for-service
• Well, they have a higher utilization rate.
• Medicaid programs to both fee-for-service and managed care.
• Also, the number of people that are utilizing the service.

Transcript Highlights:

• And then Public Utilities Commission.
• support thank you uh kaai Island utility support thank you uh kaai Island utility Cooperative<00
• Advocate and the Public Utilities Advocate and the Public Utilities Commission<01:00:18.079>
• we understand are the public utilities we understand are the public utilities commission's<01:03
• other types of utilities.

Keywords: 910, house, all

Summary: The House Committee on Energy and Environmental Protection opened its first hearing of the session and heard testimony on several energy and environmental bills. On HB 470, relating to noise and leaf blowers, the Department of Health supported the bill’s intent to reduce noise pollution but raised concerns about using decibel limits alone and suggested using dBA measurements; testimony also noted the bill would regulate future sales rather than current use, and there were three additional testimonies, two in support and one in opposition. No questions were raised before the committee moved on. The committee then heard HB 742 on transit-oriented development, which would require HCDA to prepare a programmatic EIS for Ewa, Kapalama, and West Oahu improvements. UH supported the bill, HHFDC said it was already preparing a master plan and programmatic EIS for the Ewa area, and HCDA explained that the projects are already underway or completed, including infrastructure work funded by prior appropriations. Supporters said the bill would streamline environmental review and potentially reduce costs for future housing, while HCDA emphasized the work is already in progress. On HB 340, concerning a streamlined grid-ready home interconnection process and related cost recovery, DCCA provided comments, the Attorney General suggested changing a deadline to a specific date, and the PUC said it wanted to study the matter further while still meeting the 180-day reporting requirement. Solar and clean energy groups strongly supported the bill as a way to speed interconnection and advance grid-interactive technologies, while Hawaiian Electric supported the goal of more DERs but opposed the process, saying its interconnection performance has improved and that collaboration would be preferable to legislation. Members asked about newer technologies, UL 1741, and ratepayer impacts, and the Consumer Advocate said removing the cost-recovery section would alleviate its concerns. The committee also heard HB 243, requiring PV- and EV-ready new residential construction, which the Hawaii State Energy Office described as a cost-saving no-brainer because installing these features during construction is much cheaper than retrofitting later. The hearing then shifted to HB 350, expanding the water-heater systems that can satisfy building-permit requirements to include heat pump water heaters alongside solar hot water systems. The Energy Office supported the bill, Solar Ray supported the concept but asked for amendments to align efficiency standards and noted the bill’s removal of a 15-year lifespan limit for solar thermal systems, and Hawaii Solar Energy Association raised questions about how heat pump performance should be measured and whether PV-plus-heat-pump combinations should qualify. Committee members asked about impacts on smaller homes and ADUs, and the discussion remained focused on technical standards and possible amendments; no votes or final actions were taken in the portion provided.

Transcript Highlights:

• So when the money comes to the foundation, do you folks take a fee? Um, it's a 5% fee, correct?
• Yeah, it's fee. The fee is pretty much every university has the same process.
• relate to what saying about utilizing relate to what saying about utilizing the<01:37:44.719>
• And so if it's sitting there and it's not being utilized, and if it's not being utilized because it's
• utilized and if it's not being utilized utilized and if it's not being utilized because<01:57:19.239

Keywords: 912, senate, all

Transcript Highlights:

• Are y'all willing to supply that data as far as your administrative fees or costs?
• Okay, well I'm worried about the administrative fee that y'all are going to charge us to make us pay.
• So the increase of insurance more to take care of an administrative fee you're talking about well I'm
• But if this cost is already included and the fees you're getting now.
• And I would imagine, you know, utilization and the cost of those benefits drive. premium cost so.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• fee, it's 1490. >> Thank you.
• , and establishes fee deadlines.
• <00:49:44.520> and<00:49:44.720> bulk an application fee and bulk an application fee
• ,<00:50:08.040> and<00:50:08.200> establishes<00:50:08.960> fee proposed fees
• , and establishes fee proposed fees, and establishes fee deadlines.<00:50:10.440> Revises<00:50

Keywords: 958, all

Summary: The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection. Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection. Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.

Transcript Highlights:

• park to the regional electricity utility park to the regional electricity utility providers.
• but then are we paying a monthly utility but then are we paying a monthly utility bill<00:29:44.320
• "So, we use the USDA Rural Development engineering fee scale.
• So, just trying to..." percentage of engineering fees than do percentage of engineering fees than do
• <00:54:21.680> are reported are where the utilities are reported are where the utilities are

Keywords: 0:00:02 Call to Order and Roll Call 0:00:30 Approval of Minutes 0:00:49 Information Items 0:01:54 Louisville Arena Authority 0:24:50 Project Rpt from Postsecondary Institutions - MSU 0:26:35 Project Rpt from Finance and Admin. Cabinet 0:37:52 Lease Rpt from Finance and Admin. Cabinet 0:40:13 Rpt from OFM – KIA 0:56:00 Rpt from OFM – EDF Grants 0:58:45 Rpt from OFM – OFM 1:01:46 Adjournment, 958, all

Summary: The committee first handled routine business, including a roll call, approval of the prior meeting minutes, and a set of informational reports. Those reports covered University of Louisville research equipment purchases, a Kent County school district debt issue for elementary school renovations, the University of Kentucky’s planned use of construction management risk for a new engineering building, APA certification reports for underwriter and bond counsel selection committees, and a KCNA status report on infrastructure upgrades and purchases. The main presentation was an informational update from the Louisville Arena Authority. Board representatives said the arena was created to drive economic development and reported about $1.4 billion in economic impact from 2010 to 2013. They explained the authority’s financial structure, including arena operating revenues, TIF revenues, debt service, and a long-term capital plan for major repairs and replacements. Members questioned the low net revenue figures, the long timeline before TIF revenues are projected to exceed debt service, the size of capital expenditure spikes, and the University of Louisville revenue-sharing arrangement. The authority said the $2.42 million annual UL payment is fixed under a 2017 refinancing agreement, while other amounts vary with ticket sales and related revenues. They also said the COVID-era state and Metro funds, combined with authority cash, were used to prepay debt and reduce interest, lowering the debt service schedule. The committee then considered and approved a new capital project for a new HVAC system for the student wellness center pool area. The project, presented by university staff, was approved by the board and required committee action. The committee took a roll call vote, and the project passed unanimously. Finally, Janice Thomas of the state budget office presented two tourism, arts, and heritage cabinet grid resilience projects at Kincaid Lake State Resort Park and Kentucky Down Village State Resort Park. Each project costs $7,834,600 and is funded mostly by a federal grid resilience grant, with the remainder from state utility infrastructure replacement funds and energy policy funds. Staff explained that the projects will move park electrical service ownership and maintenance to regional utilities, allowing the state to exit the infrastructure-management role while continuing to pay utility bills through normal metering. The committee approved the action item by voice vote.

Transcript Highlights:

• They also fee-for-service population.
• Some pay uh more fee-for-service rate.
• rate,<00:46:41.480> depending than the fee-for-service rate, depending than the fee-for-service
• Medicaid cost and utilization data and Medicaid cost and utilization data and displays<00:53:41.960><
• > managed We have fee-for-service versus managed We have fee-for-service versus managed care<00

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• law firms setting up interesting fee law firms setting up interesting fee structures.<01:38:07.440
• with these creative programs like fees with these creative programs like fees and<02:32:11.280><
• <02:33:54.160> normally<02:33:54.560> goes fee where it's norm a fee normally goes
• fee where it's norm a fee normally goes to<02:33:55.040> actually<02:33:55.359> say,<02
• <03:55:07.920> It Colorado fees for fields program. It Colorado fees for fields program.

Keywords: 981, all