Video & Transcript Research : 'reimbursement program'

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • BCABAs as a recognized mid-level supervisory role within the MassHealth reimbursement framework.
  • Recognizing BCABAs as a mid-level supervisory role within the MassHealth reimbursement framework will
  • The transplant programs need to know that you're going to have the insurance coverage to take care of
  • I mentioned our financial assistance programs at AKF.
  • Reimbursement has not kept pace.
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Education and Environment Division Apr 2nd, 2025 at 09:00 am

Appropriations - Education and Environment Division

Transcript Highlights:
  • The Rural Outreach Program, we'd leave that at $425,000.
  • program.
  • They would be to the free meal program.
  • There's still, there's money in that program. This isn't all the money on the program. Mr.
  • The next change is to the mentoring program.
Keywords: 908, all
Summary: The committee met to hear and discuss three education bills and related budget items. House Bill 1214 would revise K-12 transportation funding by replacing the current rider-based formula with a new formula tied more closely to district size, square mileage, building counts, and the weighted student payment. Sponsors and DPI said the change would better reflect actual transportation costs, hold districts harmless overall, and likely increase funding by about $4 million beyond current spending; they also said parent-provided transportation and open-enrollment mileage rules would remain largely unchanged. No opposition was heard, and the committee closed discussion without taking final action in the transcript. The committee then reviewed House Bill 1013, the education appropriations bill, and walked through proposed adjustments to program and pass-through grants. The chair proposed keeping or reducing some items, eliminating others, and moving one-time items to the stabilization fund; examples included leaving free meals at $4.5 million for now, keeping the paraprofessional-to-teacher program, reducing some grant lines, and removing several new or one-time grants. DPI also explained that the student information system would remain a flow-through grant for this biennium but would move in-house after July 1, 2026. The committee also discussed adding an FTE for the School for the Blind and making a small equipment swap at the Center for Distance Education. House Bill 1369 was discussed as the main school aid bill, including a proposed 2 percent and 2 percent per-pupil payment increase, higher construction bidding thresholds, elimination of the 12 percent cap, and a transfer of $75 million from Foundation Aid to the School Construction Revolving Loan Fund, with the chair suggesting $100 million instead. DPI explained that the bill also included a policy change returning placement decisions for students with disabilities in congregate care to the Superintendent of Public Instruction, with support from the governor’s office. The committee heard testimony from school officials seeking gap funding for Title I losses caused by a switch from free-and-reduced-lunch to census-based allocations, saying districts with many open-enrolled students could lose substantial funding and staff positions. Later, the governor’s office presented a proposed $1.5 million one-time appropriation to help schools buy secure storage for student cell phones if a statewide device policy is adopted; members raised concerns about cost, local control, and whether the money would be enough. The committee also heard student testimony and then recessed without voting on the amendment in the transcript.
WA
Transcript Highlights:
  • They put a program together.
  • To that end, Washington has developed and established a program called the Digital Navigator Program.
  • Program stakeholders and other interested parties spoke to concerns about how the program was managed
  • program as well.
  • Program.
Summary: The Joint Legislative Audit and Review Committee subcommittee heard three State Auditor’s Office performance audits: implementation of the Law Enforcement Training and Community Safety Act, Washington’s digital equity planning, and the Department of Commerce’s Digital Navigator Program. In the law enforcement training audit, the State Auditor found the Criminal Justice Training Commission had developed most required training content but had not developed all required topics, lacked a systematic project management approach, and had weak tools to ensure participation and compliance. Auditors said most officers had not completed the required 40 hours, patrol tactics training was a major bottleneck, and the Commission’s reporting did not clearly show statewide compliance. The Commission said it generally agreed with the recommendations and had begun implementing some changes. Committee members raised concerns about staffing, liability, incentives, and whether the law had enough enforcement “teeth.” In the digital equity audit, auditors said Washington lacked a comprehensive, unified statewide plan, a designated leader, and reliable funding for digital equity efforts. They said existing plans were fragmented, with the NTIA-approved plan the most complete but no longer fully funded after federal changes. The State Auditor recommended the legislature establish oversight authority and require a lead organization to coordinate and evaluate statewide digital equity efforts and develop a unified plan. The Department of Commerce and Office of Equity agreed with the need for clearer leadership and coordination, and a public witness described ongoing coalition and local planning work. Committee members asked about best practices from other states and whether the auditor could provide additional research on coordination models. In the Digital Navigator Program audit, the State Auditor concluded Commerce did not consistently follow core grant-management practices, including competitive award processes, vetting of grantees, clear contracts, performance monitoring, and reimbursement controls. Auditors said Commerce expanded grants without a new competition, lacked adequate documentation and reporting, and paid out millions without sufficient support; they also cited management decisions that overrode staff concerns. Commerce said it had already begun major contract-management reforms, created a new contracts and compliance structure, and was working on risk assessments, documentation standards, and staff training. Members pressed Commerce on accountability, possible recoupment of improper payments, ethics issues, and whether the agency had clear performance metrics for the program. No votes were taken, and the hearing ended after public testimony and committee discussion.
MN

Minnesota 2025 1st Special Session

Committee on Jobs and Economic Development - 02/12/25

Jobs and Economic Development

Transcript Highlights:
  • > but program certain program parameters but program certain program parameters but not<00:05:
  • <00:07:54.560> from<00:07:54.720> reimbursing reimbursements from reimbursing reimbursements
  • employers in the UI program.
  • program unhoused.
  • <01:37:39.920> up<01:37:40.080> to of the program um our program is up to of the program
Keywords: 1187, senate, all
TX

Texas 89th 2nd C.S.

Public Health Jun 4th, 2026

Public Health

Transcript Highlights:
  • program.
  • , specifically OB reimbursement and ER reimbursement.
  • as well, a residency program grant program that we run, and then the nursing grant programs too.
  • And we talked about having more programs and giving certain kinds of reimbursements so that we would
  • the program.
Keywords: 1184, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division I (03/11/2025)

Transcript Highlights:
  • Three states have never had a program like this, so half the country does not have an active program.
  • Three states have never had a program like this, so half the country does not have an active program.
  • Three states have never had a program like this, so half the country does not have an active program.
  • that are compensable under the program that are compensable under the program MH<00:26:40.640>
  • <00:50:01.000> at program a clinical type program at program a clinical type program at Franklin
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.
WV
Transcript Highlights:
  • wellness reimbursement program. this year and the amount of fraud that's taking place on these machines
  • reimbursement program.
  • The bill defines a wellness reimbursement program as a self-insured plan that issues a contract to provide
  • The bill requires a wellness reimbursement program administrator to be licensed by the commissioner before
  • the administrator may sell, offer, market, promote, or operate a wellness reimbursement program and
Keywords: 994, senate, all
FL

Florida 2026 5th Special Session

Appropriations Jan 14th, 2026

Transcript Highlights:
  • Your springs restoration programs, your alternative water supply grant program at $60 million, as well
  • FEMA reimburses.
  • Those must stay within the program according to the 340B program.
  • My understanding is the ADAP program is a federally regulated program that we receive hundreds of millions
  • It's earmarked for this program, only for this program, and for no other program.
Summary: The Appropriations Committee first took up SB 7010, which would authorize Roth contributions in state and local deferred compensation plans. Senator Mayfield explained that current law only allows pre-tax contributions, and the bill would let the Department of Financial Services and local governments offer post-tax Roth options. The bill had one support appearance card, no debate, and was reported favorably by roll call vote. The committee then received a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended “Floridians First” budget, totaling $117.4 billion and $53.2 billion in general revenue. The presentation highlighted reserves, debt paydown, tax relief, and proposed reductions and efficiencies, along with major spending areas in education, health care, public safety, corrections, transportation, and economic development. Key proposals included higher K-12 funding, teacher salary increases, funding for Everglades and water quality projects, emergency preparedness, corrections staffing and facility funding, cybersecurity, law enforcement recruitment bonuses, and affordable housing and infrastructure investments. Members asked extensive questions about property tax reserves, litigation funding, emergency response fund balances and spending, the Alligator Alcatraz detention facility and federal reimbursement, the Second Amendment sales tax holiday, animal abuse hotline funding, Hope Florida, corrections staffing, and teacher pay. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV medication program, with senators and a public witness expressing concern about access to life-saving medications and possible misuse or redirection of funds. The committee did not take further action on the budget presentation, and the meeting ended after additional comments supporting the budget and the corrections funding, with SB 7010 already approved.
MN

Minnesota 2025-2026 Regular Session

Health Committee Meeting - 2025-04-02

Health Finance and Policy

Transcript Highlights:
  • It describes the goals of the program.
  • These programs work to serve the citizens who are most in need of public assistance.
  • And that's a lifeline program that's targeted to pharmacies in Minnesota.
  • This targeted pharmacy lifeline program is similar to programs that have been done in other states across
  • House File 2242 would allow the state to ensure pharmacies are reimbursed fairly.
WY

Wyoming 2026 Regular Session

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

Labor, Health & Social Services

Transcript Highlights:
  • and this program and this program, and you know we get so many programs, then there's only one pot of
  • and<00:12:09.839> this this program and this program and this this program and this program
  • And the reimbursement for this type of program covers maybe a third of that.
  • <00:35:25.920> of<00:35:26.160> program reimbursement for this type of program reimbursement
  • . reimbursement. reimbursement.
Bills: HB0004
NH

New Hampshire 2025 Regular Session

House Finance Division II (02/05/2025)

Transcript Highlights:
  • rates depending on federal reimbursement rates depending on what<00:06:44.639> program<00:06:
  • That is just related to the rates there are just related to the school lunch reimbursement program, that's
  • Moving on to page five, these are the reimbursement rates for the child and adult care food program.
  • Um, as you know, the nutrition program is a program about reimbursing for meals and it's about the nutrition
  • nutrition program is a program about nutrition program is a program about reimbursing<00:43:52.760
Keywords: 928, house, all
Summary: The Department of Education’s Bureau of Wellness and Nutrition presented an overview of the school meal and child nutrition programs it administers, including the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility Provision (CEP), After School Snack Program, Child and Adult Care Food Program, Summer Food Service Program, and Special Milk Program. Staff explained which programs are federally funded through USDA, which have state matching funds, and how reimbursement rates are set for different programs and fiscal years. They also walked the committee through a packet showing reimbursement tables, state and federal funding totals, and eligibility data. Members focused much of their questioning on how state and federal reimbursements work for lunch and breakfast, why lunch is shown as a state match while breakfast has meal-based breakdowns, and how the department allocates funds in the budget. The department explained that lunch uses a set state match tied to federal requirements, while breakfast reimbursement is based on meals served. They also reviewed FY 22-24 funding trends, noting higher federal spending during COVID-era waivers and lower amounts as those waivers ended. A committee member asked for the data in Excel and the department agreed to provide it. The discussion also covered summer meal programs and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved open or closed sites, while Summer EBT is a separate DHHS-run benefit program that provides funds to families; the two programs coordinate through data sharing but are not the same. Members also discussed CEP, with staff explaining that New Hampshire currently has three schools participating, that the qualifying threshold was reduced from 40% to 25% identified students, and that districts must cover the non-federal share with non-federal funds. No votes or formal actions were taken during the meeting.
HI
Transcript Highlights:
  • program within the Department of Agriculture and Biosecurity to reimburse eligible ranchers and farmers
  • Program within the Department of Agriculture and Biosecurity to reimburse eligible ranchers and farmers
  • And the reason I choose that number is the compost reimbursement program was at about $500,000 and was
  • Unlike the Compost Reimbursement Program, which is first come, first serve, we pay you what you apply
  • Unlike the Compost Reimbursement Program, which first come first serve, we, we, we pay you what you apply
Keywords: 912, senate, all
Summary: The committee first considered three gubernatorial nominations. GM510, Faith Tui Pulotu to the Molokai Irrigation System Water Users Advisory Board, received strong support from the Department of Agriculture and Biosecurity, the Department of Hawaiian Home Lands, and the Hawaii Farm Bureau, though the nominee was not present online. GM614, Mark Gordon to the Environmental Advisory Council, also drew unanimous support from state and private testifiers; Gordon described his environmental health and safety background and said he could commit the time needed. GM696, James Falconer to the Advisory Board on Pesticides, was supported by the Department of Agriculture and Biosecurity and the Hawaii Farm Bureau; Falconer discussed his long experience in coffee and sugar, including work responding to coffee leaf rust and the need for timely pesticide tools. All three nominations were recommended for advise and consent and were adopted by four-member votes. The committee then heard several agriculture bills. HB 1603 HD1 would allow the Department of Agriculture and Biosecurity to extend agricultural park leases without the current county-population restriction; supporters called it an equity measure and asked that it apply to all ag park leases, while the department gave standard testimony. HB 1707 HD1 would create a local agricultural transportation cost reimbursement program; supporters said transportation is a major production cost and suggested amendments to define “necessary supplies” and explicitly include honey. HB 2155 HD1 would establish an agricultural statistics program, with supporters emphasizing the need for better data to guide planning. HB 2594 HD1 would direct a study on insurance coverage for small producers, which supporters linked to recent storm damage and the lack of tailored insurance products. HB 2595 HD1 would create a regional agricultural feasibility and food systems production working group; supporters said it should consider markets as well as crop suitability and regional conditions. Members asked questions about lease competition, transportation reimbursement amounts and anti-double-dipping safeguards, the usefulness of agricultural data, and whether state or federal insurance models could be used as templates. Testifiers generally said the bills would help reduce costs, improve planning, and support small and neighbor-island producers, while noting that implementation details and funding levels would need further work. The committee then voted to pass all five bills with amendments, generally including a deferred effective date of July 1, 2050, and in the case of HB 1707, the committee adopted the suggested amendments to define necessary supplies and add honey to the covered commodities.
TX

Texas 89th Regular

Senate Session (Part II) Apr 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Yeah, like this major events reimbursement program hosts a whole litany of events.
  • It would need to be added so that it qualified for the major reimbursement program.
  • That's not what the major events reimbursement program looks like.
  • It's under the major events reimbursement program. Following amendment, Secretary of the amendment.
  • actually benefit from the reimbursement program.
Summary: The Senate first adopted a motion to move the intent calendar deadline to 4 p.m. and then took up several bills by suspending the regular order of business. Senate Bill 2031, concerning removal of high fences around breeder deer release sites, passed after an amendment shortened the testing period from five years to three, tied visible identification requirements to the date Parks and Wildlife began requiring them, and made the bill effective immediately. Senate Bill 1490, a cleanup to adult charter high school funding, and Committee Substitute Senate Bill 2227, creating a process for delayed birth certificates and renamed the Charles E. Barton Act, both passed unanimously after floor amendments. Committee Substitute Senate Bill 1964, regulating artificial intelligence systems used by state agencies, also passed unanimously after the author described guardrails for high-risk AI and disclosure requirements. The Senate then considered Senate Bill 2877, which increases penalties for election fraud and related attempts; after debate over whether existing law already covers some conduct and whether the bill was necessary given the small number of convictions, it passed to engrossment and later final passage on a 21-10 vote. Committee Substitute Senate Bill 2658, on brackish groundwater production and study, passed after four amendments, including one giving water districts authority to stop production if monitoring shows harm to freshwater supplies or subsidence and another returning a portion of transported water revenue to districts. Committee Substitute Senate Bill 648, strengthening recording requirements for real property instruments to help prevent deed theft, also passed on a 26-4 vote. Other measures approved included Committee Substitute Senate Bill 401, making it easier for homeschool students to participate in UIL activities through local district opt-in/nearest-district participation rules; Committee Substitute Senate Bill 407, requiring health care facilities to honor conscience or religious vaccine exemptions for employees, despite extensive questioning about patient safety and immunocompromised patients; Committee Substitute Senate Bill 2117, creating a Texas Committee on Foreign Investment to review risky foreign acquisitions; Senate Bill 1718, adding the NRA annual meeting to the major events reimbursement program after a failed amendment seeking equal space for gun-control advocacy; Committee Substitute Senate Bill 1626, clarifying limits on censorship and interference with digital expression by social media platforms; and Senate Bill 2206, updating the state R&D franchise tax credit and related sales tax treatment, which passed 31-0. The chamber also debated Senate Bill 1395 on school health advisory councils. An initial amendment to restore voting seats for teachers and school employees failed, but a later amendment by Senator West added students back in an advisory, non-voting capacity. The Senate then handled routine motions, committee scheduling, first-reading referrals, and adjourned until April 29, with the session ending in memory of two constituents.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026 at 10:00 am

Employee Benefits Programs Committee

Transcript Highlights:
  • That is a program where if you have diabetes, this is a program that can help you make.
  • And if you comply with the requirements of the program, you can also have some of your co-payments reimbursed
  • in this program.
  • Again, a unique program.
  • On the right-hand side, I listed some of the arguments in support of a tuition reimbursement program.
Keywords: 908, all
NH
Transcript Highlights:
  • residential program. residential program.
  • . program. program.
  • programming? programming?
  • Special education aid is going to go back to the district because it's a reimbursement program.
  • We lost all the reimbursement because we didn't change the name of the program in the IEP.
Keywords: 1189, house, all
Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.
MN

Minnesota 2025-2026 Regular Session

Vets Committee Meeting - 2025-03-26

Veterans and Military Affairs Division

Transcript Highlights:
  • Since we enacted this program, it has been widely successful.
  • Originally, that program was set up for state tuition reimbursement, which has been the gold standard
  • The program really needs to be maintained over time.
  • and are reimbursed by the federal government.
  • The Meals on Wheels program is a very honorable program, but my fear with that—and I believe I spoke
FL
Transcript Highlights:
  • IT IS A 100% REIMBURSEMENT GRANT.
  • IN THE PROGRAM WERE IN THE PROCESS.
  • SO WITH THE NOW NEW CONDO PROGRAM, WE HAVE SEEN THAT DRAWING A LINE BETWEEN THE TWO PROGRAMS AND WHICH
  • IT IS THE BONDING FACILITY PROGRAM.
  • OR WE CUT A PROGRAM, THAT WAS A SPACE LEASED IN ANTICIPATION OF HAVING ABLE FULL BUILDOUT PROGRAM IN
Keywords: 999, senate, all
FL

Florida 2025 Regular Session

November 6, 2025 - 09:00 AM

Transcript Highlights:
  • Florida, comprised of a number of programs.
  • We are moving forward with our mental health programs as well.
  • The caregiver participates in the program. The family caregiver.
  • family members participating in this program.
  • FAMILY   969 MEMBERS PUSHES IS PITTING IN THIS PROGRAM.
Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/18/25

Health and Human Services

Transcript Highlights:
  • out by the newborn screening program. out by the newborn screening program.
  • by program.
  • <00:33:13.360> If programs? If we do, are they full? If programs?
  • are reimbursed through a fee-for-service program, which is a direct payment to the pharmacy from DHS
  • reimbursed by MCO contracted PBMs. reimbursed by MCO contracted PBMs.
Keywords: 1187, senate, all
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 6th, 2026 at 08:33 am

House Health & Human Services

Transcript Highlights:
  • It's to get the actual cost of the device reimbursed.
  • There is reimbursement already within Medicaid.
  • The reimbursement rates would take from that.
  • I love peer support programs, but I really I believe my warning in this, I love peer support programs
  • So if we only give one program, one curriculum, it might not be as effective as looking at all the programs
Keywords: 996, all