Transcript Highlights:

• Facilities get reimbursed, meaning that these facilities end up losing a lot of money because many reimbursements
• Another issue that came up frequently was the reimbursement rates of Medicaid in particular.
• Some participants mentioned that as little as 25% of claims are reimbursed, meaning that if there's a
• and the Medicaid reimbursement.
• fields, the people that provide those services, should have that training.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• the Division of Justice and Community Services for grants to local law enforcement agencies for training
• plan or a wellness integrated medical plan expense reimbursement plan, referred to in the bill as a
• wellness reimbursement program.
• services and pay claims pertaining to reimbursement of qualified medical expenses relating to federal
• the administrator may sell, offer, market, promote, or operate a wellness reimbursement program, and

Keywords: 994, senate, all

Summary: The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then considered a series of House bills and committee substitutes. House Bill 5438, dealing with changes to Step 7 of the school aid formula and allowable uses of certain education allocations, was amended to adopt the Education Committee’s changes and then reported to the full Senate. House Bill 4087 creating the West Virginia-Ireland Education Alliance was also reported, as was House Bill 4191, which expands child care tax credit eligibility for employer-sponsored facilities and changes subsidy payments from attendance-based to enrollment-based reimbursement; senators emphasized its workforce and economic development benefits. House Bill 5074, which reallocates medical cannabis fund balances and future revenues, was amended to increase the Child Protective Commission pilot funding from $3 million to $5 million and remove proposed ibogaine research funding for Marshall and WVU before being reported. House Bill 5353, regulating virtual currency kiosks and money transmission licensure, and House Bill 5527, creating licensure and oversight for wellness reimbursement program administrators, both received strike-and-insert amendments and were reported. House Bill 5687, which phases down the metallurgical coal severance tax and adds a temporary oil and gas tax reduction with county/municipal revenue adjustments, was amended and reported. House Bill 4418, creating an electronic system for municipal business and occupation tax filing and collection with a 1% administrative fee and a participation threshold, was also reported. The committee then took up House Bill 4245, the Revenue Rules Bundle, which bundles 26 legislative rules from the Department of Revenue and related agencies. The bundle included alcohol, banking, insurance, racing, and tax rules, with several sunset extensions and repeals of outdated rules; the committee adopted a strike-and-insert amendment affecting a lottery consumer protection rule and a pre-need cemetery company rule, then reported the bill. House Bill 5168, providing a $12 million lottery-funded stream for emergency medical services, was amended to clarify the uses of the funds, rename one fund, require a 30% county match for mental health treatment spending, and create two additional county-based EMS funds; senators described it as a needed permanent funding source for EMS, and it was reported. Throughout the meeting, members generally supported the measures, with some discussion on technical details, funding allocations, and the impact of the bills on local services and workforce needs. At the end of the meeting, the chair announced that Senate House Bills 4004, 4006, and 4009 would not be taken up that day, and the committee adjourned.

Transcript Highlights:

• </c> million almost $124 million reimbursed million almost $124 million reimbursed as<00:19:08.799><c
• </c> are sold outside of the reimburseable are sold outside of the reimburseable meals.<00:25:57.600>
• </c> important for us when we do our training important for us when we do our training to<00:44:28.240
• or each meal will reimburse for.
• or each meal much each reimbursement or each meal will<01:02:24.319><c> reimburse</c><01:02:24.799><

Keywords: 958, all

Summary: The task force met with a quorum, approved the minutes from the August 20 meeting, and then heard testimony from Representative Steven Doan on House Bill 439, a school nutrition bill aimed at restricting certain ultra-processed foods in schools. Doan said the bill was inspired by his own health journey and his work in agriculture, and he described the measure as targeting specific chemical additives in foods served during the school day, not concession sales or after-hours activities. He said the bill would phase in later to give schools time to adjust and noted that the list of restricted additives was drawn from efforts in other states and advocacy groups. Members asked about the chemical abstract numbers, fiscal impact, summer meal programs, fundraisers, and whether the bill would affect parent-provided items; Doan said he had not done a fiscal note and explained that the bill was intended to apply only during instructional time on school property. Committee members generally reacted favorably, with some raising practical concerns about cost and implementation. One member asked about high fructose corn syrup, which Doan said was not included because it is too pervasive in the food system. Another member noted that schools already limit some homemade items and asked about the line between school-provided and parent-provided food. Doan also said the list was based in part on Turning Point USA materials and similar laws in other states, and he referenced federal efforts to define ultra-processed foods. The committee then heard from Kentucky Department of Education officials Matt Ross, Lauren Moore, and Katie Embry on school meals and nutrition programs. They outlined Kentucky’s school lunch, breakfast, summer meals, and other USDA child nutrition programs, including participation and reimbursement figures, and explained how community eligibility provision schools, meal patterns, offer-versus-serve, smart snacks, and local wellness policies work. They said USDA and FDA are currently seeking public input on a uniform definition of ultra-processed foods, that there are no current USDA requirements specifically on ultra-processed foods, and that schools already operate under federal and state rules governing competitive foods, including a state time restriction on smart snacks. They also discussed local purchasing, noting its benefits but also the procurement and staffing challenges schools face. No votes or final actions on the bill were taken in the portion provided.

Transcript Highlights:

• And a lot of times they don't have the primary care doctors don't feel like they have the training or
• Um, and this bill will allow a funding model or allow insurance to pay and reimburse the primary care
• or expertise to they have the training or expertise to manage<00:02:23.880><c> their</c><00:02:24.160
• </c> allow insurance to um pay and reimburse allow insurance to um pay and reimburse the<00:02:43.720
• ><c> to</c><00:12:00.839><c> quality</c> It also ties reimbursement to quality It also ties reimbursement

Keywords: 958, all

Summary: The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent. House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent. House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent. Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.

Transcript Highlights:

• You know, the broad spectrum is reimbursements are too low, costs are too high.
• Has any of the providers ever given any information regarding reimbursements?
• We realize that there are reimbursement challenges.
• The reimbursements, you know, I've heard from providers that the reimbursement for that service is not
• Medicaid can reimburse for that service.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• You know, the broad spectrum is reimbursements are too low, costs are too high.
• Has any of the providers ever given any information regarding reimbursements?
• You know, there are reimbursement challenges across the board. We recognize that.
• We realize that there are reimbursement challenges.
• Medicaid can reimburse for that service.

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• </c><00:17:52.400><c> if</c> claim is eligible for reimbursement if claim is eligible for reimbursement
• approvals as the final person saying that it's satisfactory to be reimbursed.
• I believe it's a minimum of 1,500 hours of training.
• I believe it's a minimum of 1,500 hours of training.
• I believe it's a minimum of 1,500 hours of training.

Keywords: 928, house, all

Summary: The committee first heard from the Department of Labor on several House Bill 2 sections. Members discussed raising the annual elevator certificate fee, which had been $50 since at least fiscal year 2014; the commissioner said the Inspection Division generates more revenue than its costs, and members agreed to amend the fee to $75 and later voted unanimously to accept Section 137. The department also explained a proposed change to civil penalty/warning language in Section 139 to align enforcement across labor laws; that section was accepted unanimously. The commissioner then gave a detailed overview of the second injury fund, describing how it is financed by assessments on insurance carriers, how claims are reviewed for reimbursement, and how the fund is intended to reimburse certain workers’ compensation costs. Members questioned whether the program still serves its original purpose, whether it is revenue-neutral, and whether it should be sunset; the department said the fund is a mixed bag for the state and industry, but no sunset language was adopted. Sections 140 and 141 were then accepted unanimously. The committee next heard from the Judicial Council on Sections 125 through 127. The witness said the changes would streamline payment for indigent defense services other than counsel, reduce the number of bills requiring judge review, and expand the council’s ability to contract with providers for services such as translation and evaluations. He also explained a proposed fail-safe allowing the executive director to decline to process questionable invoices and send them to a judge instead. Members generally supported the streamlining, and Sections 125 through 127 were accepted unanimously. Toward the end of the discussion, members asked about the cost impact of changing the misdemeanor/felony threshold from $1,000 to a higher amount. The Judicial Council said felony cases are significantly more expensive than misdemeanors because they involve more hearings, more discovery, and more attorney time, with assigned felony cases costing several times more on average. No action was taken on that question in the excerpt.

Transcript Highlights:

• They have ample training and experience in mental and behavioral health.
• The only remedy, as a consumer, is to file an appeal upon denial of a reimbursement request.
• As a consumer, the only remedy is to file an appeal upon denial of a reimbursement request.
• Knowing firsthand social work training versus PA training, there's no question in my mind that PAs are
• not provided the adequate training to provide this function.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Bills: SCR8 , SR10 , SCR90 , SR85 , SCR110 , SR103 , SCR54 , SR52 , SCR107 , SR101 , SCR178 , SR173 , SR76 , SCR40 , SR30 , SCR145 , SR137 , SCR62 , SCR95 , SR90 , SCR45 , SR44 , SCR119 , SR112 , SCR63 , SR57 , SCR21 , SR18 , SCR27 , SR24 , SCR75 , SR69 , SCR7 , SR7 , SCR149 , SCR55 , SR53 , SCR180 , SR175 , SCR86 , SR77 , SCR59 , SCR41 , SR31 , HB1678 , HB1824 , SCR177 , SR172 , SCR5 , SCR85 , SR75 , SCR139 , SR131 , SCR146 , SR138 , SR84 , SCR31 , SR27 , SCR46 , SR45 , SCR48 , SR47 , SCR9 , SR11 , SCR83 , SR73 , SCR20 , SR17 , SCR56 , SR54 , SCR87 , SCR39 , SR29 , SCR142 , SR134 , SCR203 , SR191 , SCR200 , SR188 , SCR196 , SR184 , SCR194 , SR183 , SCR114 , SR107 , SCR166 , SR157 , SCR96 , SR91 , SCR172 , SR163 , SCR109 , SR102 , SCR50 , SR49 , SCR64 , SR58 , SCR184 , SR165 , SCR81 , SR71 , SCR19 , SR16 , SCR22 , SR19 , SCR32 , SR28 , SCR57 , SR55 , SCR58 , SR56 , SCR103 , SR97 , SCR159 , SR150 , SCR163 , SR154 , SCR169 , SR160 , SCR68 , SR63 , SCR105 , SR99 , SCR112 , SR105 , SCR198 , SR186 , SCR11 , SR9 , SCR132 , SR124 , SCR189 , SR179 , SCR26 , SR23 , SCR93 , SR88 , SCR117 , SR110 , SCR164 , SR155 , SCR165 , SR156 , SCR170 , SR161 , SCR168 , SR159 , SCR173 , SCR197 , SCR47 , SR46 , SCR94 , SR89 , SCR99 , SR93 , SCR100 , SR94 , SCR130 , SR122 , SCR78 , SR82 , SCR154 , SR145 , SCR195 , SR192 , SCR162 , SR153 , SCR201 , SR189 , SCR202 , SR190

Keywords: building permits, seniors, health care, disability, safety modifications, county regulations, expedited processing, older adults, disability access, healthcare, permit processing, home modifications, kupuna, accessibility, parking, business hours, aging population, parking accessibility, private business hours, affordable housing

Transcript Highlights:

• Educate and train those who serve Medi-Cal members.
• to hire and train an eligibility worker, we already are behind.
• , but training takes away from our work.
• Protect PPS reimbursement.
• And then you talked a lot about training.

Summary: The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing. Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• The cost of property damage is not reimbursed to the provider.
• </c><00:54:29.119><c> now</c> because they aren't reimbursed now because they aren't reimbursed now representative
• </c><00:57:26.839><c> rates</c> medical assistance reimbursement rates medical assistance reimbursement
• </c> wages when the rate Frameworks reimburse wages when the rate Frameworks reimburse them<01:03:50.400
• </c> provide them with resources uh training provide them with resources uh training uh<01:13:49.440>

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Earlier, you mentioned you completed a training—did you say training program or did you say training
• Training facility rehabilitation for staff training. Okay, it was facility. Okay.
• I noticed that the training facility that was rehabilitated was the marina training facility.
• Finding eight: Ethics training.
• Finding A, ethics training.

Summary: The committee first took up a long-running audit finding involving the City of Daytona Beach’s unexpended building permit fund balance, which has exceeded the statutory cap for several years and was reported at $10.8 million in the latest audit. Mayor Derek Henry and city staff said the city had analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees, used some excess funds for a training facility rehabilitation, and is pursuing a $9.4 million City Hall expansion that they say is allowed under a November 2024 Attorney General opinion permitting construction of a building to house the building code enforcement function. Committee members repeatedly questioned whether the city was simply trying to spend down the money, whether the proposed uses were truly lawful, why the balance kept growing despite fee waivers, and where the interest earnings were going. The mayor and deputy city manager said the city’s growth and staffing needs justified the plan, but several members expressed frustration and skepticism. A public commenter also urged accountability and raised concerns about the city’s spending plans and the size of the remaining balance. The committee then received an Auditor General presentation on the Town of Greenville, which found 31 operational audit findings and described pervasive control failures, possible fraud, waste, and abuse. The findings included election paperwork problems that left a council seat vacant, conflicts of interest, late financial disclosure filings, related-party transactions, inadequate meeting notices and minutes, quorum and voting documentation problems, council members’ involvement in day-to-day operations, missing ethics training, budget adoption and monitoring deficiencies, inaccurate accounting records and bank reconciliations, utility billing and rate issues, grant compliance problems tied to an unfinished grocery store project, weak personnel and contracting controls, improper severance and compensation issues, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control weaknesses, poor public records access, and IT access and fraud-policy gaps. Greenville’s mayor and staff said the audit largely reflected the prior administration and that the current council and staff are taking corrective action. They said the town terminated the former manager, adopted seven new policies since the audit began, and is working with the Auditor General to improve procurement, financial controls, inventory management, grant oversight, and ethics compliance. The town attorney said he had alerted federal authorities earlier about concerns, and committee members noted that FDLE has received a criminal referral and is investigating. Several members praised the new leadership’s cooperation but also suggested the town consider consolidation or dissolution if problems persist.

Transcript Highlights:

• learning to, you know, help the workforce and be trained on what they need to be trained on.
• Their credentials and training for professional learning to, you know, help the workforce and be trained
• on what they need to be trained on.
• How will the reimbursement take place?” Mr. Meyer: Yes, yes.
• In statute, it requires the health plans to reimburse for the...

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• And I get that we're talking about having training and this training that's needed, but whether it's
• The training, in my opinion, it really... ...could possibly happen without having this initial training
• And so this is just seeking the reimbursement of increase in reimbursement authority.
• I've trained him. That works. Wow, that was good. That's my husband. I've trained him well. Wow.
• , including implicit bias training.

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• the physician workforce development and California's investments to support and develop physician training
• and training, the rising costs of education, and the potential loss of federal funds.
• state where they did that training.
• As a public entity, most UC medical revenues are reimbursed through self-financed payments.
• Nothing if providers cannot get reimbursed for the services they delivered.

Keywords: 988, house, all

Transcript Highlights:

• </c><00:21:05.679><c> for</c> promote sustainable reimbursement for promote sustainable reimbursement
• > hospital</c><00:23:26.159><c> rates</c> reimbursement rates to hospital rates reimbursement rates to
• </c> potential shortages of trained potential shortages of trained professionals.<00:23:35.360><c> Lower
• <01:04:46.319><c> rate</c><01:04:46.559><c> of</c> reimbursement rate of reimbursement rate of $76.55
• </c> supplement the current re reimbursement. supplement the current re reimbursement.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• training on mandated health and safety topics and a minimum number of annual training hours for the
• reporter training.
• reporter training.
• on top of the required annual training.
• The parents or guardians must be in the workforce, in education or training, or in an education or training

Committees: Joint Human Services , Joint Human Services Committee

Keywords: 908, all

Transcript Highlights:

• </c><00:10:37.720><c> to</c> lot of that is actually reimbursed to lot of that is actually reimbursed
• What is culture change training?”
• culture change training what is culture<00:32:08.840><c> change</c><00:32:09.720><c> training</c><00
• I do have some questions about KDE's reimbursements to districts on the Century 21 grants.
• </c> that the the majority of reimbursements that the the majority of reimbursements are<00:54:57.400

Keywords: This meeting will take place upon adjournment of both chambers today. There is not an exact time, there for the live stream has been created with a place holder time of 4:00 PM est., 958, all

Summary: Chairman Hart called the meeting to order, confirmed a quorum, welcomed Representative Rachel Roarx, and the committee approved the February 11 minutes. The committee then moved through its agenda of PSC and related contract items, including a motion to consider the reviewed contracts without objection. One Department of Highways item was deferred when the virtual representatives were not yet available. The committee first took up Kentucky Housing Corporation contracts. Members questioned outside legal services for foreclosures and bankruptcies, why the work was not handled entirely in-house, and how much of the workload and cost it represented. Witnesses said the agency’s need was largely geographic rather than a lack of expertise, that less than 1% of the loan portfolio is referred out for foreclosures, and that many fees are reimbursable through FHA. Both Kentucky Housing Corporation items were approved. The committee then considered a Department for Community Based Services contract tied to a protest and a temporary renewal with PCG. Witnesses said the contract increase was needed to bridge the gap while the protest and RFP process were unresolved, and that the initial vendor received no funds. The committee approved the item, with Senator Douglas explaining his vote as a preference for straightforward answers. The committee also heard a Northern Kentucky University contract for a Workday ERP replacement, including implementation consulting and separate license fees. University officials explained the move from SAP to Workday, the complexity of the systems, and the need for a consulting partner; they said the total effort would span 10 years and that the contract was priced below comparable institutions. After extensive questioning about cost, budget, and value, the vote ended 4-4 and the chair noted the contract would move forward through the Finance Committee if no disapproval motion was made. Finally, the Office of Inspector General presented a contract for culture change training in nursing facilities funded by civil monetary penalties; witnesses said the goal was to improve staff satisfaction, communication, and resident outcomes, and that the CMP fund balance was about $38 million. Discussion also covered survey backlogs and CMS restrictions on the funds, with the item still under review as the transcript ended.

Transcript Highlights:

• They have to go get training.
• for trainings.
• They do reimburse for some of the overtime, things like that. So we are getting reimbursed.
• So we are getting reimbursed for them participating in this program and going to training.
• So knowing that there is some reimbursements out there for these trainings, I'm in favor of moving this

Committee: House Local Government

Keywords: 989, all

Transcript Highlights:

• They also resoundingly said that they want more training.
• They also resoundingly said that they want more training.
• </c> standards of care and we're reimburse standards of care and we're reimburse for<01:51:03.800><c>
• </c> separate care evaluation reimbursements separate care evaluation reimbursements would<01:51:22.760
• </c> due to Staffing and reimbursement due to Staffing and reimbursement limitations<01:52:07.760><c>

Committee: Senate Human Services

Keywords: 1187, senate, all