Transcript Highlights:

• Our managed care capitation payments, which includes our capitation payments made to our managed care
• :53.920> our<00:08:54.160> our payments which includes our our payments which includes
• :08:56.640> our<00:08:57.120> uh capitation payments made to our uh capitation payments
• And what drives capitation payments.
• <00:55:37.520> that but we we do have directed payments that but we we do have directed payments

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• to the Leech Lake band payments.
• So in actuality, the bands have been receiving a payment in FY 24 and 25, approximately $6 million a
• <00:58:24.559> Lake<00:58:24.799> band<00:58:25.200> payments<00:58:26.160><
• c> so off to the Leech Lake band payments so off to the Leech Lake band payments so in<00:58:26.720
• <00:58:50.079> if calculate the 1854 treaty payments if calculate the 1854 treaty payments

Keywords: 1183, house

Transcript Highlights:

• MDE received complaints that Feeding Our Future had demanded kickback payments from vendors to serve
• payments.
• <00:59:02.319> in precluded from issuing a stop payment in precluded from issuing a stop payment
• that if MDA were to issue a stop payment that if MDA were to issue a stop payment that<00:59:07.640
• <00:59:25.280> and issue on on trying to stop payments and issue on on trying to stop payments

Keywords: 1183, house

Summary: The Education Policy Committee met to hear a delayed presentation from the Office of the Legislative Auditor on MDE’s oversight of Feeding Our Future, a report released in June 2024. The chair framed the hearing as an oversight review of how the Minnesota Department of Education handled the nonprofit’s participation in the Child and Adult Care Food Program and the Summer Food Service Program, emphasizing that the hearing was not about criminal charges against agency staff. Legislative Auditor Judy Randall and Director of Special Reviews Katherine Tyson explained that their review focused on state oversight, not the underlying federal fraud case, which involved an alleged $250 million scheme and ongoing criminal proceedings. The auditors concluded that MDE’s oversight was inadequate and created opportunities for fraud. They said MDE failed to act on warning signs before the pandemic, did not effectively use its authority to hold Feeding Our Future accountable, and was ill prepared to respond to problems. Examples included approving applications despite concerns about internal controls and staffing, failing to follow up on earlier review findings, not adequately investigating at least 30 complaints, and in one case referring a complaint back to Feeding Our Future for resolution rather than conducting an independent investigation. They also said MDE deferred serious deficiencies without enough evidence that problems had been fully corrected and approved meal claims despite records showing major inconsistencies. Tyson said MDE had made progress on all eight recommendations in the report, though one recommendation to the legislature had not yet been addressed because the session had not convened since the report’s release. The auditors recommended that the legislature establish clearer statutory criteria or give MDE rulemaking authority for sponsor applications, and that MDE strengthen verification of sponsor information, focus more on high-risk sponsors, improve complaint procedures, and emphasize program integrity if waivers reduce oversight in the future. In response to member questions, the auditors said MDE’s reported progress was partial in some areas and that further review would be needed to fully confirm implementation. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• , maintenance of property, utility payments depending on how that lease is set up.
• And what the delegate described is the process to evict someone for late payment of rent.
• Is this question about the late payment of rent.
• The late payment of rent as a good cause in this bill does not require going to court.
• Um the the fail the late payment<00:51:34.080> of<00:51:34.280> rent payment of rent payment

Keywords: House streaming session for Friday, April 3, 2026, 957, house, all

Summary: The House convened with 113 members present and took up House Bill 774, a local enabling bill on residential landlord-tenant good-cause termination and eviction standards. The sponsor and floor leader described the bill as intended to create stability for families and communities by limiting nonrenewal of leases without good cause, while emphasizing that it would only take effect if adopted by local counties. The bill’s stated good-cause grounds include repeated late rent payment, lease violations, and other specified reasons. Several amendments were offered and debated. One amendment sought to require tenants to keep paying rent, late fees, and other lease obligations during any legal challenge to a nonrenewal; the floor leader argued this was redundant because existing law already requires payment during holdover proceedings, and the House rejected the amendment by roll call, 79 in the negative. Another amendment added a good-cause ground where housing is tied to employment on the property and the employment ends; the floor leader accepted it as a friendly amendment, and it was adopted. A further amendment exempted short-term rentals such as VRBOs from the bill; it was also accepted as friendly and adopted. The House then rejected another amendment that would have changed the late-rent good-cause standard from four notices in a 12-month period to three. The sponsor argued the change would reduce the time and financial burden on small landlords, while the floor leader responded that the bill did not alter existing eviction timelines for nonpayment and that the current four-instance standard was appropriate. Finally, an amendment to extend access to the state’s eviction counsel fund to low-income landlords was offered, with the sponsor arguing for fairness to small property owners; the floor leader opposed it, saying the fund was created to represent low-income tenants and that most landlords are already represented. The transcript cuts off before the final vote on that amendment.

Transcript Highlights:

• <00:14:58.759> stru to phase out this um payment stru to phase out this um payment stru structure
• structure as different from the county-derived payment.
• <00:35:47.960> structure structure to a direct payment structure structure to a direct payment
• <00:36:13.319> rather statute um and do direct payments rather statute um and do direct payments
• the um nursing home facility payment the um nursing home facility payment system<01:15:32.679>

Keywords: 1187, senate, all

Transcript Highlights:

• Big payments companies are now all effectively involved again at various levels of efficacy and market
• own payments, our own uh transactions. own payments, our own uh transactions.
• But in, you know, having been in the space for eight years and having come from payments and banking,
• People live in our payments acceptance.
• doing delivery versus payment and in doing delivery versus payment and reducing<01:22:36.639> an<

Keywords: 1189, house, all

Summary: The commission met with a quorum, approved the agenda, and approved the November 12 minutes after a motion, second, and unanimous voice/online consent. The chair said the meeting would include two presentations—one from Noah Herman of Fortress Global and one from John Kicko and team from Hedera—followed by discussion of the commission’s next steps and public comment. The chair also noted he was still seeking a clerk for note-taking. Herman’s presentation focused on stablecoins, blockchain use cases, and operational considerations for states and other institutions. He described Fortress as an enterprise crypto-wallet and treasury platform serving corporates, governments, and nonprofits, and used examples such as Save the Children and a large global commodities firm to illustrate custody and treasury management on blockchain rails. He said stablecoins are designed to maintain a U.S. dollar peg, are increasingly backed by treasuries and subject to greater transparency, and are being adopted by major firms and payment companies because they can improve speed, reduce cost, and simplify payments. He also highlighted market growth, including claims that stablecoins now represent a significant share of on-chain activity and are a major holder of U.S. Treasuries. He identified custody as a key issue for state and institutional use, outlining qualified custody, managed custody, and self-custody models. He said the main practical challenge for the commodities client was moving funds safely and quickly across global time zones and that blockchain rails could solve problems that traditional banking rails could not. He framed the broader trend as one of accelerating institutional adoption, citing recent acquisitions and product launches by Visa, Stripe, Citi, and PayPal as evidence that stablecoin infrastructure is becoming mainstream.

Transcript Highlights:

• mechanisms and how MCOs's came payment mechanisms and how MCOs's came to<00:03:50.319> birth<
• Either through reduced payments or no payments.
• <00:17:53.360> or<00:17:53.520> no >> either through reduced payments or no &
• gt;> either through reduced payments or no payments.<00:17:54.559> So<00:17:54.720> you're
• So you're not taking any more payments.

Keywords: 00:00 - Call to Order/Roll Call 01:38 - Discussion of 26RS SCR 9 22:00 - Roll Call Vote on 26RS SCR 9 23:15 - Discussion of 26RS SJR 23 33:20 - Roll Call Vote on 26RS SJR 23 35:18 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably. The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.

Transcript Highlights:

• So, previous to my time at the board, we were receiving a lot of mail-in payments.
• We receive far less mail and those cash receipt payments.
• However, the department has not timely made payments to some of these tribes.
• Agreement can be resolved and payments can be distributed to these Category Three tribes.
• So That payment gets deducted from that fund.

Keywords: 1182, all

Summary: The committee first heard the Arizona Auditor General’s sunset review of the Arizona Barbering and Cosmetology Board. The audit found some strengths, including timely licensing and complaint resolution in the sample reviewed and rules that matched statutory curriculum requirements, but it also identified a major finding that the board had imposed inconsistent discipline for similar violations and lacked documentation for deviations from its disciplinary guidelines. Other issues included missing reciprocity education requirements, weak application quality control, incomplete school and establishment oversight, and compliance concerns involving open meeting law, public records, and conflicts of interest. The report made 25 recommendations total, including two tied to the disciplinary finding and three suggested statutory changes on esthetics scope of practice, cease-and-desist authority, and eyelash technician training. The board’s executive director said the board agreed with the findings, had already implemented several recommendations, updated disciplinary policies and conflict-of-interest procedures, and was working on legislation and rule changes. After questions about enforcement consistency, licensing verification, cash handling, complaint volume, and conflict disclosures, the committee voted 7-0 to recommend the board be continued for six years, until July 1, 2032. The committee then took up the Arizona Department of Gaming, the Arizona Racing Commission, and the Arizona Boxing and Mixed Martial Arts Commission together. The Auditor General reported that the department correctly distributed more than $158 million in tribal contributions in fiscal year 2024 and issued event wagering licenses to reviewed applicants, but found several problems: the department did not consistently obtain and review independent audit reports for event wagering and fantasy sports operators, did not fully comply with conflict-of-interest disclosure requirements, and lacked comprehensive complaint-handling processes. The review also found delays in distributing Compact Trust Fund payments to some tribes, gaps in IT security and horse-racing license checks, and incomplete fee-setting and public-records practices. The report made 36 recommendations to the department, six to the Racing Commission, and 13 to the Boxing and MMA Commission, and all three entities said they agreed and would implement them. In response, the Department of Gaming director said the agency was already making changes, including a historical look-back on operator audits, updated guidance to operators, a new constituent services unit and complaint-tracking process, and improved conflict-of-interest training and forms. She also explained the Compact Trust Fund dispute, saying the department administers the fund but the beneficiary tribes must agree on the revenue baseline formula, which has been complicated by COVID-era closures; no Category Three distributions had yet been made. Committee members asked about possible revenue losses, penalties, and the status of 2024-2025 audits, as well as prediction markets and whether they are legal under Arizona’s event wagering framework. The director said the department had issued cease-and-desist letters to unlicensed prediction-market operators, would review licensed operators for suitability if needed, and would continue to enforce Arizona law. The transcript ends while questioning on prediction markets is still underway, before any vote on the gaming-related reviews is shown.

Transcript Highlights:

• Currently in year 26 of, which offers annually just north of $500,000 a year as PILOT payments in the
• As part of that PILOT payment, any additional property that we purchase outside of our core zone, we
• Currently in year 26 of, which offers annually just north of $500,000 a year as PILOT payments in the
• He worked for two solid years, paid a lot of car payments, a lot of mortgage payments, raised his family
• So the impact on the larger community—I already talked about mortgage payments, rent payments, purchasing

Keywords: 995, all

Summary: The committee held an informational hearing on the economic impact of Massachusetts higher education institutions, with opening remarks noting the significance of September 11 and the role colleges and universities play in the state’s economy, workforce, and research ecosystem. UMass leaders testified first, describing UMass as a major employer and economic driver that educates large numbers of Massachusetts residents, supports thousands of jobs, and generates billions in annual economic activity. They emphasized the importance of research funding, warned that federal grant cancellations, suspensions, and slowdowns were harming research operations and talent retention, and voiced strong support for Governor Healey’s proposed DRIVE initiative as bridge funding to protect research capacity and jobs. Committee members focused heavily on workforce preparation in emerging fields such as AI, cyber, quantum computing, and engineering. UMass leaders said AI is being embedded across curricula and research, but also warned that financial constraints forced reductions in PhD admissions, especially in computer science and engineering, which could weaken the future workforce pipeline. They also described the practical effects of grant uncertainty, including reduced graduate admissions and concerns about losing researchers to institutions abroad. Members asked for more detailed data on grant timing, funding gaps, and where students and researchers were going. A second panel from private colleges and universities, including AICUM, Suffolk, Smith, and Clark, highlighted the broad economic and civic contributions of private higher education. Testimony cited large annual economic impacts, job creation, tax revenue, community service, legal clinics, dual enrollment, entrepreneurship support, sustainability investments, and access programs. Speakers also discussed enrollment pressures, COVID-related social and mental health challenges, student visa and federal policy concerns, and the need to preserve liberal arts alongside career-focused training. The committee then heard from MIT, where testimony focused on research commercialization, biotech spinouts, and the role of federal, philanthropic, and industry funding in sustaining innovation; members pressed for more data on funding sources and asked what state policy could do to keep talent and businesses in Massachusetts. The hearing continued with additional public higher education testimony, including Bridgewater State, Bristol Community College, and Northeastern, which emphasized workforce-aligned programs, social mobility, apprenticeships, co-op education, and the need for better coordination between higher education, employers, and state workforce systems.

Transcript Highlights:

• all these monthly payments.
• We see that your payments haven't gone through. Let's figure this out together.
• And obviously, when Davis-Stirling was written, we didn't have things like automatic payment.
• And obviously, when Davis-Stirling was written, we didn't have things like automatic payment.
• It needs to be covered in the code. automatic payment. And so it is not covered in the code.

Summary: The Assembly Judiciary Committee heard a series of bills, many focused on homeowners associations (HOAs), along with measures on self-defense, design-professional litigation, mobile home park claims, senior housing, and DEI. Several bills were presented only or discussed with amendments, and the committee repeatedly noted ongoing work with authors and stakeholders. The committee also established quorum partway through the hearing and took up a consent calendar of several unrelated bills, which passed. AB 2584, on civil immunity for lawful self-defense, was presented as a work-in-progress. The author and a UFC/public-safety witness argued that people hesitate to intervene because of fear of civil liability, while committee members said California already has strong self-defense and Good Samaritan laws and that the proposal could create confusion. The bill was not advanced at that time, with the chair emphasizing further conversations. AB 1684, which would prevent HOAs from restricting homeowners’ ability to install or replace compliant cooling systems, drew support from the author, a constituent statement, and supporters from the California Department Association and others; an HOA group opposed unless amended, citing association property rights and grid/power concerns. Members generally supported the concept, and the author said amendments addressed damage and code-compliance issues. AB 1892, a technical cleanup bill clarifying HOA duties on utility repairs, election notices, and electronic voting timelines, passed unanimously as amended. AB 2050, requiring a formula for HOA reserve funding and a phase-in period, also passed with broad support; witnesses said underfunded reserves lead to special assessments, insurance and mortgage problems, and deferred maintenance, while members framed it as a consumer-protection and affordability measure. AB 2106, extending certificate-of-merit protections for design professionals and requiring California-licensed experts in certain cases, passed with strong support from engineers, architects, landscape architects, and civil-justice groups. AB 2145, directing HCD to study seniors’ need and desire to downsize, passed after lenders and financial groups moved from opposition to neutral with amendments; supporters said it could help unlock larger homes for younger families. AB 2238, aimed at deterring meritless failure-to-maintain lawsuits against mobile home park owners by shifting fee exposure to attorneys, passed after amendments narrowed its focus. Supporters said some firms were using vague demand letters and frivolous claims to force settlements and raise insurance costs; opposition said the bill still needed refinement to protect meritorious resident claims. AB 2439, prompted by two authors’ own HOA payment problems, passed despite opposition concerns about community-wide certified-mail requirements and personal liability for board members; supporters said better notice is needed when payment processors change and that liens and collections can be unfairly imposed without notice. AB 2579, responding to the earlier $100 cap on HOA fines, passed as amended to create a Department of Real Estate process for serious health and safety violations; supporters said the cap had weakened enforcement, while members said the bill sought a better balance. Finally, SCR 89, reaffirming California’s commitment to diversity, equity, and inclusion, was presented as a response to federal attacks on DEI programs. The author and witnesses from the UC Student Association, National Action Network, and civil-rights and labor groups argued DEI is essential to fairness, access, and opportunity, especially for students and historically underserved communities. Members voiced strong support, describing DEI as central to California’s values, and the resolution moved forward with bipartisan support noted by the author.

Transcript Highlights:

• AB 880, Bennett, state grant payments: do pass out on an A roll call.
• AB 775, Fong, behested payments reporting: do pass out on an A roll call.
• AB 1039, Hart, advanced payments: do pass out on an A roll call.
• BCRF on market development payments until 2030; out with Republicans not voting.
• AB 1180, Valencia, DFPI Payments: do pass on an A roll call.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• Members, the committee substitute to House Bill 3712 resolves a payment issue that affects subcontractors
• delivered early in the project, come with a manufacturer's warranty, and are approved for use, yet payment
• once specially fabricated materials are delivered approved and warranted ensuring fair and timely payment
• our shop is that they often have to play their first full season before we're going to see final payment
• To conclude, HB 3712 provides increased protections, provides 100% payment for the specially fabricated

Bills: HB2963, HB3005, HB3287, HB3288, HB3289, HB3290, HB3344, HB3712, HB3862, HB3874, HB4196, HB4308, HB4901, HB4984

Keywords: digital equipment, repair rights, manufacturers, maintenance, consumer rights, construction contracts, payment regulations, public works, dispute resolution, audit procedures, construction, trust funds, mechanic's lien, contractor, subcontractor, residential properties, disputes, payment obligations, accountability, payment disputes

Summary: The committee heard testimony on HB 3862, which would restrict social media app use for minors and limit smartphone/social media access in classrooms. Supporters, including representatives from Champions for Childhood, argued that smartphones and social media are linked to addiction, distraction, cyberbullying, and worsening youth mental health, and said the bill would help parents and schools protect children. After testimony, the committee left HB 3862 pending. Members then heard HB 3712, a construction retainage bill that would stop owners from withholding reserved funds on specially fabricated materials once they are delivered, approved, and warranted, while still allowing retainage for labor and installation. Witnesses from the precast concrete industry said current retainage practices delay payment for years and create financial risk for subcontractors and suppliers. The bill was left pending after closing. The committee also heard HB 2963, a right-to-repair bill requiring manufacturers to provide parts, tools, and information for owners and independent repair providers, with carve-outs for medical devices, vehicles covered by existing repair agreements, trade secrets, and security protections. Support came from consumer, environmental, repair, and policy groups, while one witness from Safelite was neutral and urged removal of the MOU reference for auto manufacturers. HB 2963 was left pending. The committee also heard HB 4308, which would create county industrial development districts to attract industrial employers and finance infrastructure through local elections and a board structure. Supporters, including the Fort Bend County commissioner, said the bill would help counties diversify tax bases and create jobs; the bill was left pending. Later, the committee took up several pending bills and voted to report HB 74, HB 112, HB 2214, HB 3016, HB 3133, HB 3173, HB 3807, HB 4063, HB 4115, HB 5008, and HB 2652 favorably to the full House, with some sent to the Local and Consent Calendars. The committee also heard HB 3874 on construction contract transparency and HB 4196 on creating a task force to modernize manufacturing, both of which were left pending. Finally, the committee heard HB 3344, which would create a licensing and regulatory framework for re-roofing contractors; supporters said it would curb storm-chasing and protect homeowners, while one roofing contractor opposed it as too restrictive and argued existing fraud laws are sufficient. HB 3344 was also left pending.

Transcript Highlights:

• So we came from being an agency that administered our first-time homebuyer program, some down payment
• In addition to that, we have a down payment assistance program, or several down payment assistance programs
• Can take 4% of the sales price of the house as down payment assistance.
• So, on a $300,000 house, they would get $12,000 in down payment assistance.
• Payments at a 0% interest from the folks that purchase those homes.

Transcript Highlights:

• So they release two notices regarding the payment policy.
• And this tells what they anticipate the MA rate funding will be, which is payments for every single county
• final rate notice that comes out the first Monday in April so that they will know what the final payment
• instead of paying carriers on the back end for high claims, the federal government sends an upfront payment
• D plan so that we can take advantage of that differential on the Part D side so that we get more payment

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• TARGET RATE OF 6 PERCENT ON THE DEBT RATIO WHICH IS CALCULATED BY USING THE CURRENT DEBT SERVICES IS PAYMENT
• THE EMERGENCY DOES OCCUR IT CLEARLY LAYS OUT HOW WE CAN IF WE HAVE A REVENUE SHORTFALL CAN SUSPEND PAYMENTS
• AT ONE TIME THAT NUMBER CAPPED AT 10 PERCENT AND I THINK THIS YEAR, AS A SIDE NOTE, I THINK YOUR PAYMENT
• THE FIRST TWO PAYMENTS ON I UNDERSTAND THAT 750 MILLION EACH WOULD TECHNICALLY HAPPEN BEFORE VOTERS WOULD
• GENERAL REVENUE IT DOES NOT SAY 10 PERCENT IT SAYS IF THERE IS A DECLINE IN GENERAL REVENUE THAT PAYMENT

Keywords: 999, senate, all

Transcript Highlights:

• , our Migrant Alternative Payment Program, CMAP, and the Emergency Child Care Bridge Program.
• It needs to be free: no co-payments, no barriers, just like we treat K-12 education.
• , so COC plus payments.
• We need payment rates that reflect the full cost of providing care.
• We need payment rates that reflect the full cost of providing care.

Keywords: 987, senate, all

Summary: The committee heard a lengthy budget and policy discussion on child care, child welfare, and related early education issues, beginning with child care funding and slot utilization. Department of Social Services officials outlined the Governor’s proposed 2026-27 child care budget, including $6.8 billion for child care programs, an $11.5 million Prop. 64-funded disaster repair mini-grant program for licensed facilities affected by 2025 disasters, and projected reductions tied to federal CCDF formula changes and lower Prop. 64 revenues. DSS said the reductions could mean about 4,176 CCTR slots, but emphasized they were assessing how to absorb the cuts without disrupting children currently in care. The LAO supported aligning funding to lower revenues and asked for more detail on the disaster grant program. Senators pressed the department on why so many slots remain uncontracted or unfilled, why unspent funds revert to the General Fund, and whether more flexibility could move dollars from contracts to vouchers; DSS said delays are largely due to infrastructure, licensing, staffing, and enrollment ramp-up, and that it is working on readiness reviews, technical assistance, and possible reallocation of relinquished slots. The committee also discussed Emergency Child Care Bridge reallocations among counties and confirmed that no currently enrolled children would be disenrolled under the proposed slot reductions. A second panel focused on the state’s broader commitment to expand child care and reform reimbursement rates. DSS said California has nearly doubled child care funding in five years and increased monthly children served from about 294,100 in 2019-20 to more than 366,700 currently, while also advancing the single rate structure process through the alternative methodology and a joint labor-management committee report. Stanislaus County Office of Education described local shortages, especially for infant and toddler care, and argued that rate disparities between programs make it harder to sustain mixed delivery systems. Parent Voices California testified that the current system is confusing, unstable, and inequitable, with one speaker describing repeated paperwork burdens, waiting lists, and periods of homelessness while trying to maintain child care. The California Budget and Policy Center argued that only 16% of eligible children were enrolled in 2024, that Universal TK has drawn major resources into school-based care, and that providers remain paid far below the cost of care; it urged more revenue, faster rate reform, and expansion across the mixed delivery system. The LAO estimated that aligning CCTR adjustment factors for three-year-olds and children with disabilities with CSPP would cost $88 million to $131 million ongoing. Senators and staff also discussed the need for deadlines on automation and implementation of the single rate structure, with DSS and CDE noting that policy decisions, system changes, and collective bargaining issues are still being worked through. The committee then reviewed several child care trailer bill proposals. DSS proposed applying the 2026-27 COLA as an increase to cost-of-care-plus payments rather than as a traditional COLA, with $87.8 million General Fund initially proposed; DSS later acknowledged it had omitted CalWORKs Child Care and the Emergency Child Care Bridge from the calculation and said the amount would be revised upward. The LAO recommended making the COLA treatment uniform across child care and state preschool programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology survey on a triennial schedule, limiting temporary absences for licensed family child care homes to 20% of care hours in a month, defining excessive unexplained absences as more than 30 days in a 12-month period, and aligning family fee collection so contractors collect the fee without reducing the voucher value. The department said these changes are intended to bring state law into compliance with federal requirements and to better reflect current practice. Finally, the committee discussed the Early Childhood Policy Council, including a reappropriation of previously unused funds and a new reporting requirement under AB 563; members questioned staffing needs and whether existing contractor support could absorb the work, while DSS said the funds are used for stipends, facilitation, translation, and contract oversight and may still be needed as participation patterns change.

Transcript Highlights:

• Two of these proposals totaling $114.8 million relate to existing administrative costs of making payments
• Regarding the prospective payments.
• in advance and that payments are then recognized.
• The main revision takes a step by preparing for prospective payment, but stops short of proposing it.
• Which will help with the insurance payments. Now, I mean, that sounds great.

Keywords: 988, house, all

Transcript Highlights:

• AA U and those are the prompt payment AA U and those are the prompt payment clean<01:21:04.360><
• Once again, lining out starting on 23: provided that no covered individual shall have a co-payment for
• for ground Ambulance Service co-payment for ground Ambulance Service provided<01:26:14.320> that<
• a co-payment for ground emergency<01:26:50.480> ambulance<01:26:50.920> service<01:26:
• statute on this, and it probably shouldn't say R; it should say the prompt payment requirements.

Keywords: 1191, senate, all

Transcript Highlights:

• So the entire idea of allowing these installment payments over time for claims was so that we can go
• over time for installment payments over time for claims<00:37:05.760> was<00:37:06.079> so
• or structured payments and that kind of thing.
• <00:39:45.359> or<00:39:45.599> structured<00:39:45.920> payments onetime payment
• or structured payments onetime payment or structured payments and<00:39:46.400> that<00:39:46.560

Keywords: 928, house, all

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

Transcript Highlights:

• This is very, very crucial because our base Medicaid payments are well below the actual cost of what
• So this is bringing those payments up to 95% of the average commercial rate.
• <00:51:36.760> above<00:51:37.040> these increase our payment above these increase
• <00:52:16.720> below government dictated their payment below government dictated their payment
• <00:52:32.680> is that amount of commercial payment is that amount of commercial payment is

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.